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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, unchanged in pattern and distribution. No suspicious masses, microca... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 59 years old; Reason: Restaging. 59F with metastatic esophageal cancer. IRB 130074 with Cis/5FU/Herceptin + pertuzumab or placebo, received C2D1 2/18/2015 History: Restaging. Admitted with cellulitis groin and under breasts CHEST:LUNGS AND PLEURA: No pleural effusion. Scattered micronodules, including reference ... | 1. Stable to mild interval increase in size of hepatic metastases as described.2. Stable to mild interval decrease in size of reference left upper lobe lung nodule and prominent upper abdominal lymph nodes as above.3. Mildly improved esophageal wall thickening.4. Right chest wall port with tip located near right atrium... |
Generate impression based on findings. | 18 year-old male with limited range of motion and swellingVIEWS: Left elbow, lateral, and oblique (two views) 3/3/15 13:59, left shoulder, internal and external rotation (two views) Elbow: Moderate joint effusion. A subtle lucency through the radial head may represent a nondisplaced fracture. Alignment is anatomic.Shou... | Elbow joint effusion with subtle lucency suggesting a nondisplaced radial head fracture. Findings discussed with the clinical service. |
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. 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. | 15 year old male with history of mycobacterium infection now status post allogeneic bone marrow transplant. Neck: There has been further overall slight interval decrease in size of multiple left supraclavicular and cervical partially calcified lymph nodes. The thyroid and major salivary glands are unremarkable. There i... | 1. Further overall slight interval decrease in size of multiple left supraclavicular and cervical lymph nodes compatible with treated granulomatous disease. 2. A focus of hypoattenuation inferior to the right internal jugular venous catheter tip may represent artifact versus a small amount of clot. A Doppler ultrasound... |
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. No suspicious masses, microcalcifications or areas of archi... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this re... |
Generate impression based on findings. | Reason: Evaluate for PE History: Tachycardia, syncope, chest pain with deep inspiration PULMONARY ARTERIES: No evidence of pulmonary embolism. The main pulmonary artery is normal in caliber.LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.Mild basilar scarring/atelectasis. A small faint area of groundglass i... | 1. No evidence of pulmonary embolism.2. A small faint area of groundglass in the right upper lobe with local mild bronchial wall thickening may relate to mild aspiration or mild focal bronchitis/pneumonitis.3. Thymic hyperplasia versus lymphoid hyperplasia of thymus (autoimmune thymitis), correlate for Graves disease, ... |
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, unchanged in pattern and distribution. Motion on the right CC view i... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, repeat right CC view 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. No susp... | 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. | Status post left lumpectomy and re-excision for DCIS in left breast in 2014 followed by radiation therapy, presents today for routine follow up. No current breast complaints. Three standard views of both breasts and two spot magnification views of the left breast were performed digitally and reviewed with the aid of R2... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Reason: Rule out PE History: Chest pain PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery is normal in caliber.LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.No focal airspace consolidation. No pleural effusions. MEDIASTINUM AND HILA: The heart is normal in size, without pericard... | 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. | 83 years, Male. Reason: Dobbhoff placement History: eval for Dobbhoff position Dobbhoff tube tip projects over the proximal gastric body. Ileus type bowel gas pattern. Interval removal of multiple staples. Rectal catheter is noted. Again seen is a 1.9 cm radiodensity likely representing a bladder calculus. | Dobbhoff tube tip projects over the proximal gastric body. |
Generate impression based on findings. | 40 year old woman with history of colon cancer and Lynch syndrome, recalled from screening mammogram for left breast calcifications. An ML view and two spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may ob... | Grouped coarse and scattered amorphous calcifications in the left breast. As long as the patient's physical examination remains normal, followup with left unilateral diagnostic mammogram is recommended in 6 months. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDA... |
Generate impression based on findings. | 56-year-old female. Squamous cell lung cancer treated with RT. Evaluate for progression of metastatic disease. LUNGS AND PLEURA: Left peribronchovascular soft tissue thickening and patchy across opacities in the perihilar left lung consistent with lymphangitic spread of tumor. This is similar in appearance to prior.Ref... | 1. Increased size of extensive mediastinal and hilar lymphadenopathy. New left necrotic axillary enlarged lymph node.2. Left lung pulmonary nodules and lymphangitic carcinomatosis, not significantly changed.3. Decreased size of ulcerated left supraclavicular cutaneous metastasis. |
Generate impression based on findings. | 56-year-old female with history of headache and loss of vision. There is moderate periventricular and subcortical white matter hypoattenuation which is nonspecific. There is moderate sulcal prominence and volume loss especially within the cerebellum and bilateral parietal lobes. Additional hypoattenuating foci are pres... | 1. Moderate periventricular and subcortical white matter hypoattenuation as well as hypoattenuating foci within bilateral insular cortices are nonspecific but may be the sequela small vessel ischemic disease. If there is clinical concern for acute ischemic infarction, an MRI is recommended.2. Prominence of the sulci an... |
Generate impression based on findings. | NSCLC Stage IV, PET to evaluate growing solitary lung nodule.RADIOPHARMACEUTICAL: 11.4 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 107 mg/dL. Today's CT portion grossly demonstrates multiple mediastinal lymph nodes, including within the right supraclavicular, superior mediastinum, prevascular, right hila... | 1.Overall progression of disease, with increasing activity of the right hilar mass, interval appearance of multiple new lymph nodes and a new contralateral left hypermetabolic lung nodule all consistent with tumor. 2.Interval decrease in size of the right paratracheal and right hilar lymph nodes. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts on 8 images were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. There is a focal asymmetry in the c... | Right breast focal asymmetry for which spot compression and possible ultrasound are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 9-year-old male, left chest tube removalVIEWS: Chest AP/lateral (two views) 3/4/15 8:24 Left PICC tip in the right atrium. The cardiothymic silhouette is normal. Low lung volumes with bilateral basilar opacities and atelectasis appearing similar to the prior exam. Blunting of the costophrenic angles may represent small... | Unchanged basilar pulmonary opacities and small residual pneumothorax. |
Generate impression based on findings. | Male 54 years old; Reason: Peritoneal mesothelioma, please compare to prior exam. ABDOMEN:LUNGS BASES: Please refer to dedicated CT chest study from same day for additional findings.LIVER, BILIARY TRACT: Status post cholecystectomy. Left hepatic hypoattenuating subcentimeter focus, too small to characterize but likely ... | 1. Mild interval increase in abdominal ascites, stable pelvic ascites. Mild adjacent small bowel wall thickening. Increased mesenteric fat induration/nodularity, particularly in left abdomen. Mild interval progression of neoplastic disease a consideration. 2. Mildly prominent mesenteric lymph nodes, stable to mildly in... |
Generate impression based on findings. | 13-year-old female, rule out hip subluxationVIEWS: Pelvis, AP and frog leg (two views) 3/3/15 17:03 The femoral heads articulate normally with the well formed acetabula. The osseous structures of the pelvis appear normal for the patient's age. | Normal examination without subluxation. |
Generate impression based on findings. | 15-year-old female, assess for pulmonary abnormalityVIEWS: Chest AP/lateral (two views) 3/3/15 19:54 The cardiothymic silhouette is normal. The aortic arch, cardiac apex and stomach are left-sided.Mild bronchial wall thickening, suggesting reactive airway disease or bronchiolitis without focal pulmonal opacity or pleur... | Bronchiolitis without evidence of pneumonia. |
Generate impression based on findings. | 87 year old woman with history of left breast IDC s/p lumpectomy 2007. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Local volume loss, architectural dis... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 62 years, Male. Reason: NGT placement History: as above Nasogastric tip projects over the gastric body. Swan-Ganz catheter, left IJ central venous catheter, right upper quadrant drains and right upper quadrant surgical clips are noted. Expected improvement of pneumoperitoneum. Nonobstructive bowel gas pattern. Note tha... | Nasogastric tip projects over the gastric body. |
Generate impression based on findings. | Clinical question: Dizziness and protracted headache. On coumadin. Signs and symptoms: As above. Nonenhanced head CT:There is no acute intracranial process. CT however is insensitive for detection of an acute nonhemorrhagic ischemic stroke. Of the cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Evaluate fracture Three views of the right ankle reveal an oblique distal fibular fracture. There's been some bone resorption at the fracture site and callus formation consistent with healing. The bones are in anatomic alignment. | Healing distal fibula fracture |
Generate impression based on findings. | Images are somewhat limited by patient motion, especially coronal T2 weighted images. The ventricles and sulci are within normal limits. The basal cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal. There is no diffusion abnormality. No extra-axial fluid collection ... | Unremarkable noncontrast MRI brain. |
Generate impression based on findings. | Bilateral knee pain Three views of the right knee reveal marked medial joint space narrowing consistent with osteoarthritis. There are calcifications in the metadiaphysis of the femur consistent with areas of bone infarction.Three views of the left knee reveal marked medial joint space narrowing. Also noted is the area... | Bilateral severe osteoarthritis. Bilateral bone infarctions |
Generate impression based on findings. | There is no intracranial mass or mass-effect. There are no areas of abnormal signal or pathological enhancement. The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no diffusion abnormality. No extra-axial fluid collection is identified.Normal flow-voids are demonstrat... | 1. No evidence of metastatic disease to the brain or calvarium. No evidence of metastatic disease in the cervical or thoracic spine.2. No significant change in size of left superior mediastinal lesion.3. Moderate opacification throughout the paranasal sinuses, which is new since 9/17/2014. |
Generate impression based on findings. | 38-year-old female. Metastatic non small cell lung cancer. Evaluate response to treatment. CHEST:LUNGS AND PLEURA: Patchy bilateral groundglass opacities, greater on the right, are decreased in extent, most notably in the right lung base. Right middle lobe opacity is now completely consolidated due to increased atelect... | Decreased bilateral pulmonary tumor as well as intrathoracic lymphadenopathy. No new sites of disease. |
Generate impression based on findings. | 67-year-old female patient with history of Crohn's disease status post multiple bowel resections and end colostomy with approximately 20 cm of colon remaining. Evaluate for inflammatory or small bowel changes. Patient complaints of dysphagia with sensation of food getting caught in the cervical esophagus. UPPER GI: Sco... | 1.Minor esophageal motility abnormality.2.Barium pill caught in vallecula with reproduction of dysphagia symptoms.3.No evidence of active Crohn's disease.4.Approximately 25 cm of colon proximal to the end colostomy. |
Generate impression based on findings. | 34 y/o with history of palpable right breast mass two days prior to menses. History of biopsy proven left breast fibroadenoma. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is extremely dense, which lowers the sensitivity of mammography, unc... | No mammographic or sonographic evidence of malignancy. Clinical follow up is recommended. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | 15-year-old male with history of mycobacterium infection LUNGS AND PLEURA: No evidence of mycobacterial infection. No focal pulmonary opacity, nodule or pleural effusion.MEDIASTINUM AND HILA: Right central venous catheter extends to the SVC. Low attenuation adjacent to the catheter suggests thrombus or possibly flow ar... | Normal exam without evidence of mycobacterial infection. Possible thrombus adjacent to the tip of the right central venous catheter. |
Generate impression based on findings. | 15 month old male with bilious emesis and diarrhea. Evaluate for obstruction.VIEWS: Abdomen AP and left lateral decubitus (two views) 3/3/2015 Nonobstructive bowel gas pattern. No pneumatosis intestinalis, pneumoperitoneum or portal venous gas. | Normal examination. |
Generate impression based on findings. | 75 year-old male with history of prostate cancer now with new right lower extremity edema. ABDOMEN:LUNG BASES: Previously seen upper lobe pulmonary micronodules are not included in the field-of-view.LIVER, BILIARY TRACT: Subcentimeter low attenuation lesion within the hepatic dome (series 3, image 17) unchanged since 2... | 1.Status post prostatectomy.2.No specific evidence of metastatic disease in the abdomen or pelvis. Note that nuclear medicine bone scan is more sensitive for the detection of osseous metastatic disease.3.No pelvic lymphadenopathy to explain patient's right lower extremity edema. Note that this exam is suboptimal for ev... |
Generate impression based on findings. | 49-year-old female. Bronchiectasis. History of calcified lymph nodes. Evaluate lung parenchyma and mediastinum. LUNGS AND PLEURA: Bilateral lower lobe bronchiectasis with extensive mucus plugging, similar to prior.Extensive tree-in-bud opacities and patchy airspace opacities in the lower zones consistent with an infect... | 1. Smooth anterior wall thickening and narrowing of the trachea and bronchi without significant interval change. This can see be seen in granulomatous disease and relapsing polychondritis. Amyloidosis is much less likely given lack of calcification and prior negative biopsy.2. Lower zone infectious bronchiolitis with n... |
Generate impression based on findings. | 26 year-old female with right lateral malleolus tenderness for 6 days after a fall. Evaluate for fracture. Pain and swelling. I see no fracture or other specific findings to account for the patient's pain. | No fracture or other specific findings to account for the patient's pain are evident. |
Generate impression based on findings. | Female; 75 years old. Reason: Left knee and shoulder pain with decreased ROM s/p fall. Knees: No acute fracture or dislocation is identified in either knee. No significant degenerative changes or joint effusion in either knee. Shoulders: No acute fracture or malalignment in either shoulder. No significant degenerative ... | Normal knee and shoulder radiographs. |
Generate impression based on findings. | Female; 57 years old. Reason: s/p corpectomy with cage. Cervical spine is visualized to the inferior aspect of C7 on the lateral view. Postsurgical changes status post C5 corpectomy with bone graft/spacer placement. Anterior orthopedic screws fuse the C4 and C6 vertebral bodies which are in anatomic alignment. Thickeni... | Postsurgical changes status post C5 corpectomy as described above. |
Generate impression based on findings. | Peritoneal mesothelioma ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Stable serosal soft tissue foci involving the liver surface. A representative serosal lesion involving the dome of the liver best seen on image 20 axial and image 60 coronal, measures 1.6 by 1 cm. SPLEEN: No significant ch... | Stable examination. No significant change in perihepatic, perigastric, perisplenic, and pelvic cul-de-sac soft tissue |
Generate impression based on findings. | Upper and lower extremity pain. Cervical disk herniation. Evaluate stability of spine. Severe degenerative disk disease affects C4/5. Moderate degenerative disk disease affects C5/6, C6-7 and C7/T1. Alignment is within normal limits and I see no frank instability between the flexion, neutral, and extension views. | Degenerative disk disease without evidence of instability. |
Generate impression based on findings. | Male 79 years old Reason: Pre-kidney transplant candidate. Assess vasculature to support transplant. History: See above ABDOMEN: Limited examination secondary to lack of oral and intravenous contrast. Lack of oral contrast makes evaluation of bowel pathology suboptimal. Lack of intravenous contrast makes solid organ an... | No significant atherosclerotic calcifications in the bilateral external iliac arteries. Minimal atherosclerotic calcifications in the bilateral common iliac arteries. Mild to moderate atherosclerotic calcifications of the abdominal aorta. |
Generate impression based on findings. | T1N2b right oral cavity squamous cell carcinoma status post treatment. There are stable post-treatment findings in the neck. There is no definite evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria, although assessment is limited due to dental artifacts. The thyroid and re... | Stable post-treatment findings in the neck without definite evidence of measurable mass lesions or significant cervical lymphadenopathy, although assessment is limited due to dental artifacts. |
Generate impression based on findings. | Back and upper/lower extremity pain. Degenerative disk disease of the cervical spine has been described in a subsequent cervical spine radiograph report. There is moderate to severe multilevel degenerative disk disease throughout the thoracic spine. Severe degenerative disease affects L5/S1. Moderate degenerative disk ... | Degenerative disk disease, facet joint osteoarthritis, and positive sagittal balance as above. |
Generate impression based on findings. | 63 year old woman with history of right breast cancer s/p mastectomy in 1982. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No dominant mass, suspicious microcalcifications ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 62-year-old male with history of Frey procedure (post op day 2), now with abdominal pain, fevers, and tachycardia, evaluate for anastomotic leak. ABDOMEN:LUNG BASES: Bilateral small pleural effusions with overlying atelectasis/consolidation. Moderate coronary artery calcifications. LIVER, BILIARY TRACT: Postsurgical ch... | 1.Post-surgical changes of recent Frey procedure, cholecystectomy, and hepatic segment 5 partial resection.2.Moderate amount of nonspecific perihepatic fluid lateral to the liver and within the gallbladder fossa. Though the fluid is mildly loculated, no compelling evidence of abscess at this time.3.Bilateral small pleu... |
Generate impression based on findings. | Male; 62 years old. Reason: R hand palmar mass History: non painful Three views of the right hand show no acute fracture or dislocation. Alignment is anatomic. The visualized soft tissues are unremarkable. | Normal examination. |
Generate impression based on findings. | Female; 52 years old. Reason: Evaluation of scapular spine lesion. The previously described scapular spine lesion does not appear significantly changed in size or appearance since the prior study. The lesion is indistinct but again demonstrates central density with peripheral lucency. There are no features to suggest a... | Unchanged scapular spine lesion as described above, most likely benign. |
Generate impression based on findings. | Male; 20 years old. Reason: Evaluate for fracture History: Back pain with sciatica after lifting a pan. Five views of the lumbar spine show no acute fracture or malalignment. Vertebral body heights are preserved. The bilateral sacroiliac joints are within normal limits. | Normal examination. |
Generate impression based on findings. | Right C7 radiculopathy. Evaluate for osteoarthritis. Moderate degenerative disk disease affects C5/6, and mild degenerative disk disease affects C6/7, with anterior vertebral body osteophytes at these levels. There is a slight kyphosis of the cervical spine. There is mild narrowing of the C5/6 neural foramen on the rig... | Degenerative disk disease and neuroforaminal narrowing as above. If further imaging evaluation is clinically warranted, MRI may be considered. |
Generate impression based on findings. | 14-week-old female status post ETT placementVIEW: Chest AP (one view) 3/4/15 10:30 Right central venous catheter tip extends to the right atrium. ETT tip in the right mainstem bronchus. Interval removal left chest tube. The cardiothymic silhouette is normal. Moderate residual left pleural effusion and adjacent atelecta... | ETT tip in the right mainstem bronchus. Moderate residual left pleural effusion without pneumothorax. |
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. No suspicious masses, microcalcifications or areas of architectural distortion are pre... | 1. No mammographic evidence of malignancy in the breasts. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.2. Mildly prominent symmetric axillary lymph nodes. Clinical correlation for any underlying systemic illness is recommended.3. Mammography is optima... |
Generate impression based on findings. | 60 year old woman with history of benign right breast biopsy. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. A biopsy clip is seen in the right u... | 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. | Left cheek wound approximately 7mm diameter with tracking toward mandible. There is a persistent defect in the buccal cortex overlying tooth # 19 and diffuse patchy sclerosis of the bone marrow in the left mandibular body. There is also a persistent 10 mm wide soft tissue track that extends from the bone defect to the ... | Persistent evidence of chronic left mandibular osteomyelitis associated with a diseased tooth # 19 and an indurated sinus track to the overlying skin. Otherwise, the associated inflammatory changes have subsided and no discrete abscess is apparent. |
Generate impression based on findings. | Right shoulder pain. Rule out osteoarthritis. Moderate osteoarthritis affects the acromioclavicular joint, and mild osteoarthritis affect the glenohumeral joint. Mild enthesopathic changes are noted along the greater tuberosity at the expected site of insertion of the rotator cuff. Small lucencies in the humeral head l... | Degenerative arthritic changes of the right shoulder as described above that appear to have progressed slightly when compared with the prior study. |
Generate impression based on findings. | Cough/mucus production. Evaluate for bronchiectasis. LUNGS AND PLEURA: Increased mucus plugging in two areas of focal bronchiectasis in the bilateral upper lobes (series 5, image 31 and 32). Otherwise, the bilateral peribronchial wall thickening, patchy areas of bronchiectasis, and centrilobular as well as tree-in-bud ... | Few scattered areas of increased mucus plugging, otherwise the bronchiectasis and tree-in-bud/centrilobular nodules are not significantly changed. |
Generate impression based on findings. | 65 years old Female. Reason: restaging. History: breast cancer restaging. Please compare with Previous PETs outside. RADIOPHARMACEUTICAL: 11.6 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 103 mg/dL. Today's CT portion grossly demonstrates a stable small nodule in the left lobe of thyroid. Increased densit... | 1.Interval resolution of FDG avid osseous lesions in the spine, ribs and pelvis.2.Currently, there is no evidence of FDG avid tumor.3.Multiple CT findings as described above. |
Generate impression based on findings. | Female 77 years old Reason: pain History: pain. We have 3 views of the right ankle. Again seen is a lucency in the medial talar dome with a focal depression of the articular surface consistent with an osteochondral defect that has been seen on prior studies. Overall, the defect measures approximately 1.5 cm in the grea... | 1. Chronic osteochondral defect of the talar dome and pes planus deformity.2. Severe osteoarthritis of the right knee. |
Generate impression based on findings. | Peritoneal mesothelioma. Compare to previous. LUNGS AND PLEURA: Scattered stable micronodules.No suspicious pulmonary nodules or masses.No evidence of pleural disease.MEDIASTINUM AND HILA: Normal heart size without pericardial effusion.Left chest port tip in SVC.No mediastinal or hilar lymphadenopathy.Moderate coronary... | No evidence of intrathoracic disease. |
Generate impression based on findings. | 4-month-old female with history of difficulty threading central lines through bilateral upper extremities. History of LLE DVT noted. Evaluate patency of the central/upper extremity veins bilaterally. LUNGS AND PLEURA: Bibasilar dependent atelectasis. No pulmonary nodules or masses. No pleural effusion or pneumothorax.M... | Patent vasculature with no evidence of thrombus or filling defects in the central veins. |
Generate impression based on findings. | Current smoker. Six month follow-up nodules. LUNGS AND PLEURA: Mild centrilobular emphysema.Calcified micronodules consistent with prior infection. The previously noted new micronodules on 1/2014 CT have resolved, and were most likely infectious.No suspicious pulmonary nodules.MEDIASTINUM AND HILA: Scattered small and ... | The 1/2014 micronodules have resolved, and most likely were infectious/inflammatory. No suspicious nodules remain. |
Generate impression based on findings. | Female 58 years old Reason: pain History: pain. Four views of the right knee show severe tricompartmental osteoarthritis with bone on bone apposition of the medial tibiofemoral compartment and a loose body in the posterior aspect of the joint measuring just under 2 cm. Osteoarthritis has progressed when compared with p... | Severe osteoarthritis. |
Generate impression based on findings. | 31 year old woman with history of multifocal left breast IDC s/p mastectomy. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Biopsy clips are ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Female 31 years old Reason: r/o dissection History: chest pain radiating to back CT Angiography: Technically adequate exam. The thoracic aorta is normal in caliber. There is no evidence of aortic aneurysm, dissection, or significant stenosis. The origins of the great vessels, celiac axis, and SMA are patent. No evidenc... | No evidence of aortic dissection or other acute abnormality. |
Generate impression based on findings. | Assess healing Three views of the right hand reveal removal of the K wire. There is some deformity of the base of the fifth metacarpal consistent with the patient's previous fracture. There is some callus formation consistent with healing. | Healing fracture of the base of the fifth metacarpal in anatomic alignment. |
Generate impression based on findings. | 83 years, Male. Reason: eval Dobbhoff tube s/p 5 cm advancement History: Dobbhoff position Slight advancement of Dobbhoff tube with tip projecting over the gastric body. Ileus type bowel gas pattern. Rectal catheter is noted. Again seen is a 1.9 cm radiodensity likely representing a bladder calculus. | Dobbhoff tube tip projects over the gastric body. |
Generate impression based on findings. | Male 19 years old Reason: eval fracture History: pain. We have 3 views of the right hand. Evaluation of fine bone detail is limited by overlying splint. Again seen is a fracture of the distal diaphysis of the fifth metacarpal with slight volar and radial angulation of the distal fracture fragment. There is callus forma... | Healing fifth metacarpal fracture. |
Generate impression based on findings. | Female 86 years old Reason: pain History: pain. We have 3 views of the right knee which show hardware components of a right total knee arthroplasty device. There is slight anterior translation of the femoral component with respect to the tibial component. A 5-mm linear metallic density situated just above the anterior ... | Bilateral total knee arthroplasties as described above, with anterior translation of the femoral component of the right knee relative to the tibial component, suggesting implant failure. |
Generate impression based on findings. | 43 years, Female. Reason: Dobbhoff placement History: Dobbhoff placement Dobbhoff tube tip projects over the gastric pylorus area. Cholecystectomy clips are noted. Nonobstructive bowel gas pattern. | Dobbhoff tube tip projects over the gastric pylorus area. |
Generate impression based on findings. | Male 58 years old Reason: shoulder pain History: above. We have 3 views of the left shoulder. There is foreshortening of the distal clavicle compatible with prior surgery. Mild osteoarthritic changes affect the glenohumeral joint. The coracoclavicular interval appears slightly widened but is otherwise unchanged from th... | Postoperative changes of the distal clavicle and mild glenohumeral joint osteoarthritis. |
Generate impression based on findings. | Images are limited by patient motion. There is significant endplate irregularity with disk space widening at T9-T10, at level of previous suspected diskitis/osteomyelitis. The previous epidural and pre-vertebral abnormal soft tissue prominence has resolved. There is residual heterogeneous marrow signal within these ve... | Interval resolution of previously seen acute changes relating to diskitis/osteomyelitis at T9-T10. Progression of degenerative at T10-T11 with now prominent disk narrowing on the right resulting in reactive marrow changes as well as moderate-severe right foraminal narrowing. |
Generate impression based on findings. | Total wrist arthroplasty Three views of the left wrist reveal the corpectomy and total wrist arthroplasty in anatomic alignment. There is also a distal radial ulnar joint arthroplasty. No change is seen from the previous exam of February 2014. | Total wrist arthroplasty and distal radial ulnar joint arthroplasty in anatomic alignment. |
Generate impression based on findings. | 77-year-old female status post sigmoid colon resection with primary anastomosis of the colon and diverting loop ileostomy (12/29/14) here for evaluation prior to ileostomy takedown. A lateral scout film of the pelvis demonstrated suture material likely representing the colon anastomosis site. Barium flowed freely from ... | End-to-side anastomosis of the transverse and sigmoid colon without evidence of anastomotic leak. |
Generate impression based on findings. | Female 26 years old Reason: Left thumb metacarpal reconstruction after sx for GCT, s/p removal of hardware, evaluate for recurrence, signs of infection History: above . We have 3 views of left hand. Overlying splint material obscures fine bone detail. There is now a plate and screw device affixing the first metacarpal ... | Postoperative changes of the first metacarpal reconstruction as described above. |
Generate impression based on findings. | Male 59 years old Reason: s/p left hip hemiarthroplasty, evaluate for hardware complications History: above. Two views of the left hip show hardware components of a left bipolar hemiarthroplasty device situated in near anatomic alignment with no radiographic evidence of hardware complication. A poorly defined lucency w... | Left hip hemiarthroplasty without evidence of hardware complication. |
Generate impression based on findings. | Female 66 years old Reason: s/p intercalary right endoprosthetic reconstruction with deep infection, evaluate for progressive loosening History: above. Again seen is reconstruction of the proximal femur with a bipolar hemiarthroplasty endoprosthesis device situated in near-anatomic alignment. There are sclerotic change... | Proximal femur reconstruction and other findings appearing similar to those seen on the prior study. |
Generate impression based on findings. | Mesothelioma. Evaluate EOD. CHEST:LUNGS AND PLEURA: Left nodular pleural thickening consistent mesothelioma, not significantly changed. Reference measurements as follows:1. At the level of the aortic arch 5 o'clock (series 3, image 25): 7 mm, previously 8 mm 2. At the level of the carina adjacent to the aorta at the 8 ... | Stable left hemithorax mesothelioma and large left anterior chest and abdominal wall mass. No new sites of disease. |
Generate impression based on findings. | Female 46 years old Reason: prosthetic assess History: post-op. Two views of the left femur again show an intramedullary rod and screws device affixing the femur and traversing a poorly defined lucent lesion of the distal femoral diaphysis with endosteal scalloping, that appears similar to that seen on the prior study.... | Orthopedic fixation of the left humerus and left femur as described above. |
Generate impression based on findings. | Reason: f/u h/o cavitating MRSA pneumonia. 63M metastatic NSCLC admitted with fevers History: fevers LUNGS AND PLEURA: New small right pleural effusion and new moderate left small loculated effusion.The previously described cavitary lesion in the superior segment of the left lower lobe measures 5.2 x 5 .0 cm (series 4,... | 1. Grossly unchanged size and wall thickness of a cavitary lesion in the superior segment of the left lower lobe, with persistent adjacent consolidation ant atelectasis, suggestive of persistence of infectious process. 2. New bilateral pleural effusions, including a loculated left effusion, may relate to active infecti... |
Generate impression based on findings. | Female 40 years old Reason: assess healing History: S/P radial head fracture. Four views of the left elbow again show an intra-articular fracture of the radial head with mild depression of the articular surface, appearing similar to that seen on the prior study accounting for slight positional differences. Elevation of... | Radial head fracture appearing similar to that seen on the prior study. |
Generate impression based on findings. | Newborn with respiratory distressVIEW: Chest AP, abdomen, AP (two views) 8/4/15 11:00 Endotracheal tube tip above the carina. UAC tip at T5. UVC extends peripherally in the right portal vein.The cardiothymic silhouette is normal. Hazy right upper lobe atelectasis. No pneumothorax.Nonobstructive bowel gas pattern. | Misplaced UVC. Subsegmental right upper lobe atelectasis. |
Generate impression based on findings. | Female 53 years old Reason: evaluate right THA History: s/p R THA 6 weeks ago. Two views of the right hip show hardware components of a right total hip arthroplasty device situated in near anatomic alignment with no radiographic evidence of hardware complication. Immature heterotopic bone is noted within the adjacent s... | Right total hip arthroplasty and other findings as above. |
Generate impression based on findings. | No intracranial mass, mass effect, or pathologic enhancement to suggest metastatic disease. No hydrocephalus. No extra-axial fluid collections. The visualized portions of the paranasal sinuses and mastoids/middle ears are grossly clear. NECK | 1. Post treatment changes within the neck without CT evidence of recurrent tumor or cervical lymphadenopathy.2. No intracranial metastatic disease identified.3. Status post left carotid endarterectomy. Mild to moderate bilateral common, right internal carotid, and vertebral artery narrowing better assessed on prior CT ... |
Generate impression based on findings. | Male; 60 years old. Reason: herniated disc. Two views of the lumbar spine show no acute fracture or malalignment. The vertebral body heights are preserved. The bilateral sacroiliac joints are unremarkable. Mild disk space narrowing is noted at L4/L5 and L5/S1 with associated anterior osteophytes. | Mild degenerative changes of the lower lumbar spine without acute fracture or malalignment. |
Generate impression based on findings. | Female; 24 years old. Reason: R wrist pain. No acute fracture or dislocation. Alignment is anatomic. | Normal examination. |
Generate impression based on findings. | Male; 60 years old. Reason: prosthetic assess History: post-op Three views of the left knee demonstrate hardware components of a total knee arthroplasty device in near anatomic alignment. There is no radiographic evidence of hardware complication or loosening. Moderate degenerative changes affect the right knee as seen... | Left total knee arthroplasty as described above. |
Generate impression based on findings. | 60 year-old female with metastatic breast cancer, baseline imaging prior to starting new treatment. CHEST:LUNGS AND PLEURA: Large right pleural effusion with atelectasis of much of the right lung. There is increased soft tissue along the right hilum (series 5, image 39) which may represent metastatic disease. There is ... | 1.Large right malignant pleural effusion. 2.Supraclavicular, mediastinal, and upper abdominal lymphadenopathy.3.Probable scattered metastatic osseous lesions in the thoracolumber spine. Please see accompanying nuclear medicine bone scan which is more sensitive for detection of osseous metastatic disease. |
Generate impression based on findings. | Female; 70 years old. Reason: Knee pain. Four views of the right knee demonstrate no acute fracture or dislocation. Alignment is anatomic. Minimal medial compartment joint space narrowing is noted. The left knee is unremarkable as seen on the frontal views. | Minimal medial compartment osteoarthritis. |
Generate impression based on findings. | Female; 58 years old. Reason: Evaluate for fracture History: pain Nondisplaced medial patellar fracture with indistinct fracture lines indicative of healing. No new fracture or dislocation. Mild osteoarthritis affects the right knee, as well as the left knee as seen on the frontal views. | Healing patellar fracture without new acute abnormality. Mild osteoarthritis. |
Generate impression based on findings. | 63 years, Male. Reason: eval g tube placement History: 63 m with malfunctioning g tube. attempted replacement, Gastrostomy tube tip projects over the gastric fundus. Nonobstructive bowel gas pattern. Note that the pelvis is excluded from the field-of-view. | Gastrostomy tube tip points towards the gastric fundus. |
Generate impression based on findings. | CHEST:LUNGS AND PLEURA: Left pleural mesothelioma with reference lesions as follows, measured in a similar fashion:1. At the level of aortic arch (series 4/35), 42-mm at 10 o'clock, previously 27 mm. 56-mm at 7 o'clock, previously 52 mm.2. At the level of the pulmonary artery (series 4/53), 36-mm at 9 o'clock, previou... | Pleural mesothelioma with reference measurements increased as provided in the body of the report. Tumor is now evident in the chest wall and upper abdomen.. |
Generate impression based on findings. | Revision of total hip arthroplasty Single portable view of the pelvis reveals partial construction of the right hip arthroplasty. No acute abnormalities. | Visualization of a partially assembled right total arthroplasty in the operating room. |
Generate impression based on findings. | Female; 60 years old. Reason: R thumb basilar joint arthritis History: base of thumb pain Three views of the right thumb demonstrate no acute fracture or malalignment. Joint space narrowing at the basilar joint is indicative of mild osteoarthritis. | Mild basilar joint osteoarthritis. |
Generate impression based on findings. | Left hypopharyngeal malignant peripheral nerve sheath tumor, treated with surgical resection 8/20/13 and chemo/XRT. There is persistent diffuse pharyngeal mucosal swelling with mild narrowing of the hypopharyngeal airway. Otherwise, there is no definite evidence of discrete mass lesions or significant cervical lymphade... | 1. Persistent supraglottic mucosal swelling with mild narrowing of the hypopharyngeal airway is likely treatment-related. Although no discrete mass lesion is discernible, follow up with MRI may be useful.2. New patchy opacities in the partially-imaged right lung may be infectious or inflammatory in nature. Please refer... |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is an old left occipital lobe infarct with encephalomalacia, and ex vacuo dilatation of the left occipital horn. There are mild nonspecific changes in the white matter most likely representing age indeterminate small vessel ischemic change... | 1.No acute intracranial hemorrhage or mass-effect. CT is insensitive for detection of early nonhemorrhagic stroke.2.Age indeterminate small vessel ischemic changes.3.Old left occipital infarct with encephalomalacia. |
Generate impression based on findings. | Male; 65 years old. Reason: Evaluate for fracture History: pain Thin lucency in the distal radial metaphysis is again seen and compatible with a nondisplaced fracture, unchanged. Mild soft tissue swelling is noted about the wrist. | Unchanged distal radius fracture as described above. |
Generate impression based on findings. | Assess hardware Two views of the left hip reveal a short trochanteric femoral nail bridging an intertrochanteric fracture. There is more callus formation and the fracture line is indistinct when compared to the previous exam | Healing intertrochanteric fracture in anatomic alignment. |
Generate impression based on findings. | Female 2 years old Reason: evaluate progression of pneumothorax History: pneumothorax after bagging and intubation in patient with RSV and pneumoniaVIEW: Chest AP (one view) 3/4/15 at 1132 hrs Gastrostomy tube , left upper abdominal surgical clips, central line with its tip in the SVC an ET tube are again noted. Cardia... | Interval improvement in right upper lobe atelectasis, right-sided pneumothorax and pneumomediastinum. |
Generate impression based on findings. | 36 year old woman with history of bilateral breast pain x 6 months. 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. No dominant mass, suspicious microcalcifications or areas of architectural dis... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended at the age of 40. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | History of probable achalasia, with profound weight loss (160 lbs April 2014, 113 lbs December 2014). Evaluate for occult malignancy or other etiology of profound weight loss. CHEST:LUNGS AND PLEURA: Nonspecific micronodule in the right middle lobe best seen on MIP image 37. Additional micronodule seen along the right ... | 1.No CT evidence of overt malignancy.2.Nonobstructing left nephrolithiasis.3.Moderate to large stool burden.4.Dilated esophagus filled with oral contrast could be related to questionable history of achalasia, but correlate clinically. |
Generate impression based on findings. | Peritoneal mesothelioma LUNGS AND PLEURA: 6-mm nodule at the right apex (6/14) appears unchanged. No new or suspicious nodules. No pleural fluid. Thickening of the left hemidiaphragm with blunting of the costophrenic angle. The lateral parietal pleural surface is very mildly thickened on the left, visible only due to l... | 1. Indeterminate, very mild parietal pleural thickening in the left costophrenic angle which and could be reactive due to to adjacent diaphragmatic/abdominal tumor but should continue to be monitored as it may be a very early indication of pleural disease.2. Mildly enlarged right inferior pulmonary ligament lymph node,... |
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