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Generate impression based on findings. | Reason: heart transplant patient with shortness of breath, focal egophony, evaluate for infection History: shortness of breath LUNGS AND PLEURA: Exam was completed in partial expiratory phase of imaging.Small bilateral pleural effusions/thickening, and associated compressive atelectasis.Thickened interseptal lines sugg... | 1. Small bilateral pleural effusions/thickening and mild pulmonary edema. No focal consolidation or specific evidence of infection.2. Multiple prominent hilar/mediastinal lymph nodes are nonspecific, likely reactive in nature.3. Status post heart transplant.4. Stable bilateral calcified pulmonary micronodules, compatib... |
Generate impression based on findings. | 23-year-old male with pain, rule out subtalar coalition A prominent bony projection along the talonavicular joint consistent with a talar beak is again visualized. The posterior subtalar facet appears normal. The middle subtalar facet is narrowed with minimal sclerosis raising the question of underlying fibrous coaliti... | Prominent talar beak and narrowing of the middle subtalar facet raising the question of underlying fibrous coalition. No osseous bridging is evident. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Grouped punctate calcifications in the upper ou... | New grouped calcifications with associated focal asymmetry in the right upper outer breast. Further evaluation with spot magnification views and possible ultrasound is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Male 75 years old Reason: restaging PCa History: PCa, with progressive fatigue CHEST:LUNGS AND PLEURA: Bibasilar atelectasis or scarring. 6-mm right middle lobe smaller compared to the previous exam. Additional scattered calcified and noncalcified pleural micronodules are nonspecific and unchanged.MEDIASTINUM AND HILA:... | 1.Sclerotic lesions scattered throughout the axial skeleton consistent with metastatic disease, somewhat progressed from the prior examination. Please see nuclear medicine bone scan for full evaluation of the osseous metastases.2.Stable pelvic lymphadenopathy.3.Nonspecific urinary bladder wall thickening, correlation f... |
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 heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Skin markers overlie the left upper ou... | 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. | New onset left-sided facial droop, left sided weakness, slurred speech for greater than 12 hours. Question of bleed or ischemia. There is no evidence of acute intracranial hemorrhage. There are multiple foci of hypoattenuation located within the right caudate head, right globus pallidus, and right precentral gyrus near... | 1. No evidence of acute intracranial hemorrhage.2. Multiple foci of hypoattenuation within the right basal ganglia and right frontal lobe may represent age indeterminate ischemic infarcts; MRI is recommended for further evaluation. |
Generate impression based on findings. | Left leg pain.VIEWS: Left tibia-fibula AP/lateral (two views) 01/08/15 The bones are normal in appearance. No fracture is seen. No soft tissue abnormality is identified. | Normal examination. |
Generate impression based on findings. | 65-year-old female with the progressive change in mental status, paraneoplastic syndrome, possible malignancyRADIOPHARMACEUTICAL: 13.3 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 236 mg/dL. Today's CT portion grossly demonstrates new bibasilar opacities and small pleural effusion likely representing aspi... | 1.Hypermetabolic focus in the left thyroid may represent a benign or malignant primary thyroid nodule. Correlation with ultrasound may be useful2.Bilateral, symmetric, significantly FDG avid, borderline enlarged cervical lymph nodes. Considerations include lymphoma, metastatic thyroid cancer, or inflammatory lymph node... |
Generate impression based on findings. | 64-year-old male with history of metastatic prostate cancer and dyspnea on exertion. LUNGS AND PLEURA: Stable scattered micronodules, some of which are calcified. Reference right middle lobe subpleural nodule (6/51) is unchanged in size, currently measuring 3 mm.MEDIASTINUM AND HILA: Heart size within normal limits, an... | T11 vertebral body sclerosis is subjectively increased when compared to prior. No additional significant anomalies. |
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 extremely dense, which lowers the sensitivity of mammography, unchanged in pattern and distribution. No suspicious masses, microcalc... | 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: NSD - Screening Mammogram. |
Generate impression based on findings. | Female 68 years old Reason: eval for OA History: groin and buttock pain Right hip: Bone mineralization is normal. Alignment is anatomic. There is mild to moderate joint space narrowing and small superolateral acetabular osteophytes. No acute fracture or dislocation. Mild osteoarthritis affects the right sacroiliac join... | Mild to moderate right hip osteoarthritis and mild left hip osteoarthritis. |
Generate impression based on findings. | 59-year-old female presents for routine screening mammography. Notes occasional tenderness in the bilateral upper breasts for two months. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in... | New focal asymmetry in the left upper inner breast. Further evaluation with spot compression views and possible ultrasound is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Reason: lung nodule, see PET in PACS, super D protocol History: copd LUNGS AND PLEURA: Severe upper lobe predominant centrilobular emphysema with large bilateral apical bullae.Spiculated 16mm by 26-mm right lower lobe mass compatible with primary neoplasm.No additional suspicious pulmonary nodules or masses.No pleural ... | 1.Spiculated right lower lobe nodule compatible with a primary neoplasm.2.Mediastinal lymphadenopathy and osseous metastatic disease. |
Generate impression based on findings. | History of osteomyelitis evaluate healingVIEWS: Right wrist AP and lateral Again noted rarefaction involving the metaphysis of the distal radius and ulna with periosteal reaction reflecting interval healing of the osteomyelitis. There is associated soft tissue swelling. | Interval healing of the osteomyelitis involving the distal radius and ulna. |
Generate impression based on findings. | Dislocated hipVIEWS: Pelvis AP and frog leg There is lateral uncovering of both femoral heads in the AP projection. Both the acetabula are dysplastic. In the frog leg projection both the femoral heads are seated within the acetabula. | Lateral uncovering of both femoral heads in the AP projection with dysplastic acetabula. |
Generate impression based on findings. | 55-year-old female with pain, preoperative evaluation Severe osteoarthritis affects the right knee with lateral greater than medial joint space narrowing. There is approximately 9 degrees of valgus angulation of the knee relative to the neutral mechanical axis. | Severe osteoarthritis and valgus angulation about the knee. |
Generate impression based on findings. | 18 year-old female with severe right hip pain over past 72 hours, unable to bear weight. No fevers. History of Crohn's and psoriatic arthritis.VIEWS: Pelvis AP and frog leg (two views) 1/8/2015, 1350 hrs. The left sacroiliac joint is obscured by the overlying shield. Smooth, round femoral heads are well directed into n... | Slight right hip joint space narrowing. |
Generate impression based on findings. | Female 37 years old Reason: bleed History: sudden hg drop after chole tube removal. The exam is not sensitive for detecting lesions in the solid organs of vasculature due to the lack of intravenous contrast. Given that limitation, the following observations are made:ABDOMEN:LUNG BASES: Bibasilar atelectasis or consolid... | Nonspecific ascites and postoperative changes in the gallbladder fossa. Bibasilar atelectasis or consolidation. Severe generalized anasarca. |
Generate impression based on findings. | 57-year-old female status post total hip arthroplasty Hardware components of a total left hip arthroplasty are situated in near-anatomic alignment without evidence of complication. A cerclage wire is again noted along the proximal femoral diaphysis.Severe osteoarthritis affects the contralateral hip as seen on the AP v... | Status post THA without evidence of complication. |
Generate impression based on findings. | FractureVIEWS: Right forearm AP and lateral There are healing fractures involving the distal radius and ulna. There is periosteal reaction reflecting interval healing. The distal radial fracture fragment is displaced dorsally. The overlying cast obscures fine bony detail. | Healing forearm fractures as described above. |
Generate impression based on findings. | Male 47 years old pain Bone mineralization is normal. Moderate osteoarthritis affects the tibiotalar joint with osteophyte formation and subchondral sclerosis and cystic change in the distal tibia. Healed fracture through the posterior malleolus and fibula.There is ossification across a syndesmotic ligament and bony sp... | Moderate left ankle osteoarthritis, likely a sequelae of trauma. |
Generate impression based on findings. | 79-year-old woman with history of ulnar neuropathy, rheumatoid arthritis, and osteoarthritis. The bones are diffusely demineralized. Severe osteoarthritis affects the humeral-ulnar articulation and appears to have progressed from prior study. Additionally, there is likely resection of the radial head. | Severe osteoarthritis of the elbow, worsened from the prior examination. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in both the paternal and maternal grandmothers. Two standard digital views of both breasts along with repeat bilateral MLO views were performed with tomosynthesis and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is al... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSD - Screening Mammogram. |
Generate impression based on findings. | 63 years old, Female, Reason: 63 year old female with follicular lymphoma s/p 4 cycles of bendamustine and rituxan therapy. Compare to prior scans. CHEST:LUNGS AND PLEURA: Mild dependent bibasilar atelectasis.MEDIASTINUM AND HILA: No significantly enlarged supraclavicular lymph nodes meeting criteria for lymphadenopath... | 1.Near complete resolution of retroperitoneal, mesenteric, and pelvic lymphadenopathy.2.No evidence of new lesions. |
Generate impression based on findings. | History of two benign right breast biopsies. No new breast complaints. History of breast cancer in mother diagnosed at the age of 62. Three standard views of both breasts and two right spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral 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. | Reason: patient w/ persistent tachycardia, sob, wheezing, LE edema, eval for PE History: wheezing, tachycardia, sob PULMONARY ARTERIES: Significant motion limits sensitivity. No evidence of acute pulmonary embolism. The main pulmonary artery is of normal caliber.LUNGS AND PLEURA: Exam was completed in expiratory phase ... | 1. Significant motion limits sensitivity. However, no evidence of acute pulmonary embolism.2. Small bilateral pleural effusions, left greater than right.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Female 56 years old Reason: 55yr old female with history of MLL; pre-auto sctx evaluation CHEST:LUNGS AND PLEURA: Mild centrilobular emphysema. Scattered nonspecific subpleural nodules are not significantly changed from the prior examination.MEDIASTINUM AND HILA: There is no evidence of mediastinal or hilar lymphadenop... | Treatment response suggested with marked interval decrease in size of both reference and non-reference retroperitoneal and pelvic lymph nodes, without new lymphadenopathy evident. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. BRCA1 mutation carrier. History of breast cancer in mother, sister and maternal aunt. History of ovarian cancer in maternal cousin. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The bre... | 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. Personal history of thyroid cancer. Two standard digital views of both breasts were performed with tomosynthesis and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern a... | 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. | 68-year-old male with history of lung cancer status post chemo, compared to previous with measurements please. CHEST:LUNGS AND PLEURA: Left upper lobe spiculated nodule (5/45) now measures 26 x 20 mm, previously 25 x 16 mm.Moderate upper lobe emphysema no consolidation, pleural effusion or new suspicious nodules or mas... | 1.Interval increase in size of left upper lobe spiculated nodule, consistent with given history of lung cancer.2.Enlarged AP window lymph node unchanged in size. |
Generate impression based on findings. | Female 82 years old Reason: History of right lung mass, pain, weight loss ABDOMEN:LUNG BASES: Trace right basilar atelectasis.LIVER, BILIARY TRACT: Subcentimeter hypodensity in hepatic segment 8 is too small to characterize. There is cholelithiasis without evidence of cholecystitis. There is partial peripheral calcific... | 1.No specific evidence of metastatic disease.2.Cluster of gastrohepatic ligament nodes are nonspecific, but attention on follow-up imaging recommended.3.Partially solid/partially cystic right adnexal mass, worrisome for neoplasm/primary ovarian malignancy. Further evaluation with pelvic ultrasound or MRI may be conside... |
Generate impression based on findings. | Check healing Three views of the right foot reveal an fracture the base of the fifth metatarsal. There is some bone resorption at the fracture line consistent with healing. No change in alignment from the previous | Healing fracture base of fifth metatarsal |
Generate impression based on findings. | Male 44 years old Reason: right knee pain History: right knee pain Bone mineralization is normal. Alignment is anatomic. No acute fracture or dislocation.Tiny osteophytes are noted within the medial compartment. | No acute bony abnormality. Small medial compartment osteophytes |
Generate impression based on findings. | Reason: NHL, pulmonary nodule History: NHL, pulmonary nodule LUNGS AND PLEURA: Stable appearance of right middle lobe nodule with central calcification, measuring 10 x 9 mm (series 4, image 79).Unchanged appearance of calcified bilateral micronodules.MEDIASTINUM AND HILA: The heart size is within normal limits, no sign... | Stable appearance of right middle lobe nodule, with central calcification, most likely representing a granuloma. No new suspicious nodule/mass. No significant interval change. |
Generate impression based on findings. | Tibial plateau fracture Two views of the right knee reveal two sideplates and multiple screws fixing a tibial plateau fracture. The fracture line is difficult to visualize consistent with healing. No change in position from the previous. | Fixation of tibial plateau fracture in anatomic alignment |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed with tomosynthesis and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Skin markers identify cutane... | 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 70 years old Reason: right hip pain History: right hip pain Pelvis: Moderate degenerative changes affect the sacroiliac joints and pubic symphysis. Bone mineralization is normal. Linear sclerotic changes are noted in both hips compatible with avascular necrosis.Right Hip: Two views of the right hip shows pronoun... | Findings of bilateral avascular necrosis of the femoral heads. |
Generate impression based on findings. | Follicular lymphoma status post 4 cycles of bendamustine and Rituxan therapy. Also history of breast invasive ductal carcinoma, stage T1cN0Mx, status post lumpectomy. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. Indeed, the right level 1A lymph nodes ha... | No evidence of recurrent lymphoma in the neck. |
Generate impression based on findings. | 43 female with left hip osteoarthritis There is marked superior joint space narrowing with subchondral cysts and osteophyte formation consistent with severe osteoarthritis. The visualized soft tissue structures appear unremarkable. Degenerative arthritic changes also affect the contralateral hip. | Severe osteoarthritis. |
Generate impression based on findings. | 42 year-old woman with history of lupus, now with lateral jointline tenderness. The left knee appears normal without acute fracture or malalignment. There is no significant joint effusion. | No specific finding to account for the patient's pain. |
Generate impression based on findings. | 60 year-old female, preoperative evaluation There is approximately 6 degrees varus angulation of the knee relative to the neutral mechanical axis. Severe osteoarthritis affects the knee. | Severe osteoarthritis and mild varus angulation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign left breast biopsy in 2001. Family history of breast cancer in the patient's maternal grandmother diagnosed at the age of 65. Two standard digital views of both breasts were performed with tomosynthesis. and reviewed with the aid... | 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. | 43 year-old woman with history of right wrist pain near the basilar joint. There is no acute fracture, malalignment, or significant degenerative change. | Normal-appearing right wrist without finding to account for the patient's pain. |
Generate impression based on findings. | Patient with lymphoma, methotrexate induced toxicity, multiple venous clots, on Lovenox. There is no significant cervical lymphadenopathy. The major salivary glands and thyroid are unremarkable. The airway is patent. There is normal contrast opacification of the bilateral carotid arteries. The left internal jugular vei... | 1. Chronic left internal jugular venous thrombosis. Patent right internal jugular vein. 2. No significant cervical lymphadenopathy by CT size criteria. |
Generate impression based on findings. | 45 year-old woman with history of inflammatory arthritis and pain. Left hand: There are nonspecific, well defined cystic changes in the lunate. Joint spaces are preserved and there are no significant degenerative or erosive changes of the left hand.Right hand: There are nonspecific, well defined cystic changes in the l... | Degenerative changes as described above without specific findings of inflammatory arthritis. |
Generate impression based on findings. | Female, 82 years old, with chest pain and right chest mass, assess for neck involvement. A large right chest wall mass is redemonstrated. The inferior extent of this lesion is not included in the field of view of this exam, but superiorly, infiltrative tumor extends into the supraclavicular fossa and along the right pa... | Large right-sided chest wall mass with extension superiorly into the supraclavicular fossa and along the right lateral paraspinal soft tissues to the level of C4. The mass results in lytic destruction of the first two ribs on the right as well as the right C7 transverse process. Tumor invades the right C6-7 and C7-T1 n... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed with tomosynthesis 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 arch... | 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. | Male 43 years old Reason: right foot pain History: foot pain with weight bearing, lateral right foot Bone mineralization is normal. Mild osteoarthritis affects the first MTP joint. There is some spurring in the anterior talus/tibia. Alignment is near-anatomic. | Etiology for the lateral foot pain is not evident. Other findings as detailed above. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are digital mammographic images (12/12/14), ultrasound images of right breast and right axilla (12/18/14), ultrasound guided biopsy of right breast and post procedural right mammographic images (12/23/14) performed at Palo's Diagnostic and Women's Healt... | 1. Biopsy proven invasive cancer in the right breast at posterior 5 o'clock position.2. No mammographic evidence for malignancy in the left breast.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Female 66 years old Reason: restaging CT exam after chemo CHEST:LUNGS AND PLEURA: Interval decrease in size of the previously seen right upper lobe pulmonary micronodule. The focal airspace opacity in the superior segment of the right lower lobe has decreased in density, although the overall size is similar, likely ref... | 1.Interval decrease in density of the right lower lobe airspace opacity, likely reflecting resolving infection or inflammation. Follow up to resolution is recommended.2.Decrease in size of the reference right upper lobe pulmonary micronodule.3.Incompletely characterized subcentimeter hypoattenuating lesion in hepatic s... |
Generate impression based on findings. | Follow-up for asymmetry in the right breast. No new breast complaints. 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. Focal asymmetry in the right breast ... | 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: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 73-year-old male with new onset gait disorder, concern for parkinsonian syndrome. Decreased bilateral putaminal activity, right worse than left. Decrease in overall basal ganglia activity compared to background activity indicating globally decreased phasic and clear activity. | Abnormal study indicating nigrostriatal dopaminergic deficiency. Given the history, this may represent Parkinson's disease. |
Generate impression based on findings. | 69-year-old female with history of lung cancer status post chemo. CHEST:LUNGS AND PLEURA: Previously described left lower lobe mass is less well visualized on the current exam. Increased left lower lobe interstitial opacities, bronchiectasis and pleural effusion.MEDIASTINUM AND HILA: Subcarinal lymph node (3/47) is unc... | Left lower lobe mass is not well visualized on this exam, and there is increased left lower lung interstitial opacities, project a cyst and pleural effusion. Other findings are unchanged. No new sites of disease. |
Generate impression based on findings. | The marrow matrix of the right mandible is within normal limits, without CT evidence of metastasis. Some sclerosis is noted at the roots, which can be seen with greater prevalence in African Americans and is of no clinical significance.The visualized teeth are intact without evidence of periapical abnormality.Techniqu... | 1.The marrow matrix of the right mandible is within normal limits, without CT evidence of metastasis. 2.Some sclerosis is noted at the roots, which can be seen with greater prevalence in African Americans and is of no clinical significance. |
Generate impression based on findings. | 15-year-old male with boxer's fracture.VIEWS: Left hand PA/lateral/oblique (3 views) 1/8/2015, 1415 hrs. Moderate soft tissue swelling about the fifth metacarpophalangeal joint. There is a 6-mm osseous fracture fragment with donor site seen in the lateral aspect of the fifth metacarpal head, with approximately 3-mm dor... | Fifth metacarpal head fracture. |
Generate impression based on findings. | Increasing fall frequency, mild confusion. There is no evidence of intracranial hemorrhage or mass. There is minimal nonspecific cerbral white matter hypoattenuation, which may be related to small vessel ischemic diseae. The ventricles are normal in size and configuration. There is no midline shift or herniation. The i... | No evidence of intracranial hemorrhage, mass, or hydrocephalus. |
Generate impression based on findings. | Syncopal episode. Question of signs of ischemia or lesions. There is no evidence of acute intracranial hemorrhage. The gray-white differentiation is preserved. The ventricles are normal size and configuration. The basal cisterns are patent. There is no midline shift or herniation. The imaged paranasal sinuses and masto... | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Male 62 years old Reason: evaluate for diverticulitis History: diarrhea, leukocytosis ABDOMEN:LUNG BASES: Mild cardiomegaly.LIVER, BILIARY TRACT: There is no evidence of biliary ductal dilatation or focal mass lesion within the hepatic parenchyma.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormal... | 1.Large stool burden distributed throughout the rectosigmoid colon with findings concerning for possible stercoral colitis.2.Focal narrowing of the distal sigmoid colon with apparent wall thickening may reflect peristalsis; however, focal inflammation is not entirely excluded.3.No specific evidence of diverticulitis.4.... |
Generate impression based on findings. | Ms. Lamothe is a 87 year old female with a personal history of known left breast cancer and metastatic lymph node currently being treated with chemotherapy. She presents today to assess for imaging response to therapy. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD ... | Marked interval decrease in size of left breast primary malignancy and left axillary lymph node. BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | 66-year-old male with history of recent pneumonia, rule out fracture of right posterior ribs A left chest wall generator is noted with leads extending to the right atrium and right ventricle. No fracture is identified. Moderate colonic stool burden. | No displaced rib fracture evident. |
Generate impression based on findings. | Ms. Delatorre is a 49 year old female returning for a short-term follow-up of calcifications in the right upper inner breast. Three standard views of the right breast with two right spot magnification views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense,... | High probability benign calcifications in the right upper inner breast. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram with right spot magnification views is recommended in 6 months. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benign find... |
Generate impression based on findings. | Right eye ptosis. History of metastatic gastric adenocarcinoma to the right orbit status post RT. Evaluate interval change. There is redemonstration of an infiltrative soft tissue mass within the extra- and intraconal right orbit which is grossly similar in size compared to the prior study. The lesion completely surrou... | 1. No significant change in an infiltrative right orbital metastatic lesion. 2. No evidence of intracranial metastases. |
Generate impression based on findings. | 69-year-old woman with knee pain, preoperative evaluation. There is 16 degrees varus angulation of the knee. Severe osteoarthritis affects the right knee and mild osteoarthritis affects the right ankle. | 16 degrees varus angulation of the right knee. |
Generate impression based on findings. | Metastatic thyroid cancer, evaluate for treatment. Neck: There are postoperative findings related to total thyroidectomy and neck dissection. There is unchanged ill-defined soft tissue along the inferior right carotid sheath and in the thyroidectomy bed, which may be treatment-related. Otherwise, there is no evidence o... | 1. Postoperative findings related to total thyroidectomy and neck dissection, without evidence of locoregional tumor recurrence or significant lymphadenopathy in the neck.2. Multiple intracranial metastases.3. Numerous nodules within the partially imaged lungs are compatible with metastases. Please refer to the separat... |
Generate impression based on findings. | 13 year old male with hepatomegaly, severe ascites, status post Fontan procedure. Evaluate cirrhotic morphology of the liver. ABDOMEN:LUNG BASES: No consolidation or pleural effusion. Trace pericardial effusion is noted. Postsurgical changes in the heart, incompletely evaluated.LIVER, BILIARY TRACT: Nodular liver conto... | 1.Nodular heterogenous liver, compatible with stated history of cirrhosis. No focal lesion within the limitations of a single phase study.2.Moderate abdominal free fluid. |
Generate impression based on findings. | 66-year-old male with metastatic papillary thyroid cancer prior to clinical trialRADIOPHARMACEUTICAL: 14.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 152 mg/dL. Today's CT portion of the pelvis demonstrates lytic lesions in the right iliac wing and posterior left T12 vertebral body. Please see diagnosti... | Marked progression of hypermetabolic thoracic and musculoskeletal metastases.Diagnostic CTs of the head, neck, chest, and upper abdomen also performed at today's visit will be reported separately. |
Generate impression based on findings. | Ms. Bowen is a 43 year old female returning for a short-term follow-up of calcifications in the right lower inner breast. Three standard views of the right breast with two right spot magnification views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibr... | High probability benign calcifications in the right lower inner breast. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram with right spot magnification views is recommended in 6 months. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benign find... |
Generate impression based on findings. | 43-year-old male status post fall from 15 feet There is a comminuted fracture of the distal tibia and fibula with multiple fragments projecting at various angles. Gas is noted within the soft tissues. Several small osseous fragments project over the tibiotalar joint. The left knee appears unremarkable.Moderate degenera... | Comminuted distal tibia and fibula fractures. |
Generate impression based on findings. | 57 year-old female with right foot pain at distal fourth and fifth metatarsal, history of distal first metatarsal fracture There is a minimally displaced fracture of the distal fourth metatarsal. Mild degenerative changes affect the 1st MTP joint. Mild soft tissue swelling is present along the foot. | Fourth metatarsal fracture, as above. |
Generate impression based on findings. | 51 year old female with bilateral pelvic iliac crest tenderness Alignment is anatomic. Degenerative changes affect the SI joints. The bones otherwise appear unremarkable. | SI joint osteoarthritis. |
Generate impression based on findings. | 46 showed female slipped on ice with tenderness on lateral and anterior aspect of the ankle Alignment is anatomic. No fracture is identified. No joint effusion is evident. | No fracture or other findings to account for the patient's pain. |
Generate impression based on findings. | Female 69 years old Reason: right shoulder pain History: right shoulder pain Bone mineralization is slightly decreased.Mild to moderate osteoarthritis affects the right glenohumeral joint with small osteophytes and subchondral cystic changes. Mild to moderate osteoarthritis affects the right AC joint. No acute fracture... | Right glenohumeral and AC joint osteoarthritis. |
Generate impression based on findings. | T3N2C base of tongue squamous cell carcinoma on EPIC (CFHX) completed in 12/07. Neck: There is persistent treatment-related pharyngeal mucosal edema. There are postoperative findings related to neck dissection. There is no evidence of measurable mass in the tongue base or significant cervical lymphadenopathy. The thyro... | 1. Post-treatment findings in the neck with appreciable evidence of recurrent tongue base tumor or significant cervical lymphadenopathy.2. Multiple osseous metastases have again slightly increased in size.3. Partially imaged left pleural thickening. Please refer to the separate chest CT report for additional details.4.... |
Generate impression based on findings. | Female, 56 years old, with history of laminectomy in 2010 now with increasing back pain. Again seen is evidence of laminectomy at L5 with partial resection of the L4 and L5 spinous processes. The postoperative findings have not significantly changed.There remains a chronic defect of the right L4 pars interarticularis. ... | 1. Redemonstration of postoperative findings related to laminectomy at L5. Also unchanged is the appearance of a chronic right pars interarticularis defect at L4 with marked right L4-5 facet joint hypertrophy.2. Mild to moderate degenerative findings at other levels are unchanged. |
Generate impression based on findings. | 41-year-old female with history of lymphoma and headaches. Evaluate for intracranial bleed, mass, or infection. There is no evidence of acute intracranial hemorrhage. The gray-white differentiation is preserved. No midline shift or mass effect. Ventricular configuration is age appropriate. The basal cisterns are intact... | No acute intracranial abnormality. |
Generate impression based on findings. | Reason: lung cancer; indwelling right BI bronchial stent History: cough, intermittent hemoptysis; hoarseness LUNGS AND PLEURA: Right bronchial stent in expected location. Soft tissue density within right main bronchial lumen, extending into the stent lumen may represent neoplastic invasion.Apical predominant paraseptal... | 1. Endobronchial debris/soft tissue density which extends into the right bronchial stent lumen may represent neoplastic invasion or hematoma.2. Reference right lower lobe mass has been replaced by extensive radiation reaction.3. Interval improvement of mediastinal lymphadenopathy. |
Generate impression based on findings. | 30 year old female with right breast cancer status post chemotherapy. Needs lymphoscintigraphy for surgery.RADIOPHARMACEUTICAL: The right breast was prepared in a sterile manner. A total of 1.0 mCi Tc-99m filtered sulfur colloid was injected in four periareolar injections. A focus of increased activity is noted in the ... | Sentinel node identified in the right axilla. |
Generate impression based on findings. | Female 73 years old Reason: pre-op History: pain There is 21 degrees varus angulation of the left knee.There are bone infarctions involving the distal femur, proximal tibia and distal tibia. Severe osteoarthritic changes affects the medial compartment with bone-on-bone apposition. | Bone infarctions and osteoarthritis as detailed above. |
Generate impression based on findings. | 47-year-old female with neurofibromatosis type I with right inguinal neurofibroma causing increased pain. Please compare to previous PET regarding right femoral/inguinal neurofibroma.RADIOPHARMACEUTICAL: 12.7 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 89 mg/dL. Today's CT portion grossly demonstrates in... | 1.Multiple hypermetabolic soft tissue masses in the chest, abdomen, and pelvis consistent with neurofibromatosis. The most metabolically active lesions are present within the pelvis and may represent malignant nerve sheath tumors. The lesion in the right inguinal region has progressed in size and FDG avidity. The left ... |
Generate impression based on findings. | Female 47 years old Reason: restaging after chemo x 3 months. gastric cancer with peritoneal mets s/p resection and HIPEC. Right orbit metastasis s/p RT. CHEST:LUNGS AND PLEURA: Calcified micronodules again seen. No new nodules. No pleural effusions.MEDIASTINUM AND HILA: Port-A-Cath tip in the superior vena cava.CHEST ... | Stable exam. |
Generate impression based on findings. | Reason: HNSCC. Compare to previous. 13-0311 protocol. History: as above CHEST:LUNGS AND PLEURA: Loculated left pleural effusion and volume loss in left lung similar to the prior exam.Left lower lobe nodule (image 73 series 6) is stable measuring 25 mm and 27 mm.Reference lingular 8-mm nodule (image 51 series 6) is stab... | On1.Pulmonary metastases are stable. No new nodules identified.2.Stable mediastinal lymphadenopathy.3.Stable hepatic and osseous metastatic disease.4.No new sites of disease identified.5.Interval increase in right basilar groundglass centrilobular nodules compatible aspiration bronchiolitis. |
Generate impression based on findings. | 51-year-old male with chronic back pain Vertebral body heights and alignment are maintained. Minimal degenerative disk disease affects L5/S1. | Minimal degenerative arthritic changes, as above. |
Generate impression based on findings. | 45-year-old female with ankle pain and swelling status post fallVIEWS: Three views of the left ankle, 3 views of the left foot Ankle: Alignment is anatomic. No fractureis evident.Foot: No fracture or dislocation. | No fracture or dislocation. |
Generate impression based on findings. | 64-year-old male status post EVAR with bilateral renal artery stents, now acutely anuric. RIGHT KIDNEY: The right kidney measures 10.7 centimeters in length without hydronephrosis or shadowing calculus. Renal cortical echogenicity within normal limits.LEFT KIDNEY: The left kidney measures 10.6 cm in length without hydr... | No hydronephrosis. |
Generate impression based on findings. | Female 50 years old Reason: h/o liver microabscesses on antibiotic therapy from previous CT. Pleas eval if resolved. History: h/o liver microabscesses ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There are two classes of lesions in the liver: Most lesions are simple hypodense lesions most o... | I believe that the liver lesions may represent a combination of cysts, hemangiomas and healed abscesses.Marked decrease in the colonic wall thickening and resolution the pericolonic fat stranding. |
Generate impression based on findings. | 49-year-old man with history of neck pain for two months, no history of trauma. The cervical spine is seen to the cervicothoracic junction. Alignment is within normal limits. Vertebral body and intervertebral disc heights are preserved. | No finding to account for the patient's pain. |
Generate impression based on findings. | Head injury. There is no evidence of acute intracranial hemorrhage. The grey-white matter differentiation appears to be intact. The ventricles are unchanged in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and scalp soft tissues ... | No acute intracranial abnormality. |
Generate impression based on findings. | 23 old female with snuffbox tenderness There is a subtle cortical step off along the radial styloid suggesting a nondisplaced fracture. The carpal bones appear within normal limits. | Subtle, nondisplaced radial styloid fracture. Follow up radiographs may be considered in 7 to 10 days for further evaluation if clinically warranted. |
Generate impression based on findings. | Counting convention assumes 12 rib bearing vertebrae, with no evidence of cervical ribs or hypoplastic L1 ribs. The last fully formed disk space on the sagittal reformatted images is designated as L1-L2. Please this is different than the prior counting convention.There is slight increased conspicuity of trace grade 1 ... | Stable appearance of the thoracic spine with evidence of spinal cord stimulator entering the bony central spinal canal at the T11-T12 level. Please note that the current counting convention is different from that utilized on the prior exam, with the current counting assuming 12 rib bearing vertebrae. |
Generate impression based on findings. | 75 years old, Male, Reason: recent diagnosis of tonsil CA History: tonsil ca, Weight loss, LAD CHEST:LUNGS AND PLEURA: Scattered calcified noncalcified and micronodules. No suspicious pulmonary nodules or masses. Mild dependent bibasilar atelectasis.MEDIASTINUM AND HILA: Enlarged left paratracheal lymph node measures 2... | Single enlarged left paratracheal lymph node. No other evidence of distant metastasis. |
Generate impression based on findings. | Skull fracture. Rule-out other injury.EXAMINATION: Skull AP/lateral, cervical spine AP/lateral, thoracolumbar spine AP/lateral, right humerus AP, left humerus AP, right forearm AP, left forearm AP, right hand PA, left hand PA, chest AP, ribs right oblique/left oblique, pelvis AP, right femur AP, left femur AP, right ti... | Isolated right parietal fracture. |
Generate impression based on findings. | Male, 62 years old, status post falls. Assess for intracranial hemorrhage. Extensive chronic cortical ischemia is seen in the right cerebral hemisphere with areas of hypoattenuation and/or encephalomalacia involving the periventricular white matter, the right parietal lobe, insula and temporal lobe.Mild patchy white ma... | 1. Extensive chronic right sided cortical ischemia is seen in the distribution of the MCA.2. No evidence of acute intracranial hemorrhage or any other definite acute abnormalities. |
Generate impression based on findings. | Right breast cancer. Evaluate prior to right axillary sentinel node biopsy.RADIOPHARMACEUTICAL: The right breast was prepared in a sterile manner. A total of 1.0 mCi Tc-99m filtered sulfur colloid was injected in four periareolar injections. A focus of increased activity is noted in the right axilla, representing the s... | Sentinel node identified in the right axilla. |
Generate impression based on findings. | Abnormal gait, mental status change. Question of NPH. There is no evidence of acute intracranial hemorrhage. Moderate periventricular white matter hypoattenuation is nonspecific but likely represents small vessel ischemic disease. The ventricles and cortical sulci are proportionally prominent and unchanged compared to ... | 1. No definite evidence of normal pressure hydrocephalus or interval change in ventricular size. 2. No acute findings or significant interval change. |
Generate impression based on findings. | Dementia. Evaluate for Alzheimer's versus frontotemporal dementia.RADIOPHARMACEUTICAL: 10.0 mCi F-18 fluorodeoxyglucose (FDG)BLOOD GLUCOSE (FASTING): 86 mg/dL Today's CT portion grossly demonstrates fairly generalized atrophy but no evidence of intracranial mass or hemorrhage.Today's PET portion demonstrates markedly d... | Significant hypometabolism involving the right posterior cerebrum as detailed above with much milder decreases in similar regions on the left. Given the posterior parietal and precuneal involvement, Alzheimer's is a possibility. However, given the substantial occipital abnormalities, Lewy body dementia should also be c... |
Generate impression based on findings. | Female 57 years old Reason: r/o fracture History: pain, swelling, tenderness, inability to bear weight Bone mineralization is decreased. There is a fracture involving the distal fibular metaphyses with mild displacement of the fracture fragments. There is a subtle lucency through the medial malleolus seen on the obliqu... | Findings of a distal fibular fracture and findings highly suspicious for a medial malleolus fracture. |
Generate impression based on findings. | Female 56 years old Reason: assess for bony abnormalities History: 3rd MCP pain Bone mineralization is normal. Alignment is anatomic. There is mild interphalangeal joint space narrowing compatible with osteoarthritis. There is mild metacarpophalangeal joint space narrowing with tiny osteophytes. No acute fracture is ev... | Mild interphalangeal and metacarpophalangeal joint osteoarthritis |
Generate impression based on findings. | Female 49 years old Reason: eval for fracture History: pain s/p mVC Bone mineralization is normal. Alignment is anatomic. Mild osteoarthritis affects the hips with small osteophytes and joint space narrowing. No acute fracture is evident. | Mild bilateral hip osteoarthritis without evident fracture. |
Generate impression based on findings. | Female 26 years old Reason: visualize the hardware History: pain Postsurgical changes in the lumbar spine and left sacrum with bone graft material. Pedicle screws extend through the L4 and L5 vertebral bodies with additional hardware in the right sacrum, right ilium and left ilium.No definite evidence of hardware compl... | Postsurgical changes in the lower lumbar spine and sacrum as detailed above |
Generate impression based on findings. | Female 55 years old Reason: hx B TKA, s/p MVC, with knee pain anterior History: hx B TKA, s/p MVC, with knee pain anterior Right knee: Components of a total right knee arthroplasty device is situated in near-anatomic alignment. No joint effusion. No acute fracture.Left knee: Components of total left knee arthroplasty d... | No acute fracture or dislocation. |
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