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Generate impression based on findings. | Scoliosis in braceVIEW: Abdomen and chest AP (two views) 3/4/15 at 1147 hrs Gastrostomy tube, cholecystectomy clips, central line with it tip at the SVC and bilateral coxa vara deformity again noted. A brace has been placed, thoracolumbar dextrorotoscoliosis is 62 degrees. Cardiac silhouette size is normal. Persistent ... | 62 degree thoracolumbar dextrorotoscoliosis when patient is in brace. |
Generate impression based on findings. | Edema, tenderness, bruising after rolling foot. Fourth or fifth metatarsal fracture? There is a comminuted but predominantly transverse fracture through the base of the fifth metatarsal with extension to the tarsometatarsal joint. There is mild lateral displacement of the main fracture fragment. A tiny ossicle in the s... | Fracture through the base of the fifth metatarsal as described above. This was discussed over the phone with Dr. Asbury at the time of dictation. |
Generate impression based on findings. | Increased mobility to jaw opening, pain in the TMJ area. Evaluate for proper placement. The mandibular condyles appear appropriately situated within their respective glenoid fossae on the closed mouth views, and translate anteriorly in appropriate fashion on the open mouth views. I see no specific findings to account f... | Normal-appearing temporomandibular joints without specific findings to account for the patient's pain. If further imaging evaluation is clinically warranted, temporomandibular joint MRI may be considered. |
Generate impression based on findings. | The cervical internal jugular veins are well opacified and patent from the skull base down to the mediastinum. The subclavian veins are not well opacified on this dedicated CT neck exam but appear opacified well on the concurrent CT chest exam. The left internal jugular vein is somewhat smaller in caliber focally just... | Patent cervical internal jugular veins. Subclavian veins not well opacified on this CT neck portion of the exam but better seen on the concurrent CT chest. Please see separately dictated report for further details. |
Generate impression based on findings. | Right-sided radiculopathy Evaluation of the spine is slightly limited by patient motion artifact. For the purposes of this study I will designate 5 lumbar vertebrae, with possible small hypoplastic ribs at L1. There is a slight rightward curvature of the lumbar spine as seen on the frontal view. Moderate degenerative d... | Degenerative disk disease and other findings as described above. |
Generate impression based on findings. | 69-year-old female with known right breast carcinoma (two sites) presents for ultrasound guided right axillary biopsy. Right ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a hypoechoic mass measuring 1.1 x 2.5 cm within the low right axilla, with increased vascularity. The lesion wa... | Successful ultrasound-guided core biopsy of the right axillary lesion and clip placement. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Pain and puncture wound. Suspected foreign body to distal fifth digit There is perhaps mild soft tissue swelling, but I see no foreign body or fracture. | Soft tissue swelling without foreign body evident. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast carcinoma in her sister and maternal great aunts. 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 d... | 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. | Pain and paresthesias. Left cervical radiculopathy. Moderate to severe degenerative disease affects C5/6, with anterior and posterior vertebral body osteophytes at this level. Mild to moderate degenerative disease affects C6/7. The lower cervical spine is slightly kyphotic. There are mild osteoarthritic changes of the ... | Degenerative disk disease and neuroforaminal narrowing as above. |
Generate impression based on findings. | Lower back pain with radiation to the left hip status post fall. Evaluate for fracture. Five views of the lumbar spine are provided. There is a compression fracture of L1 with approximately 50% loss of height anteriorly that is of indeterminate age but I suspect chronic in etiology. Moderate to severe degenerative disk... | Compression fracture of L1 of indeterminate age, but I suspect chronic in etiology. Degenerative arthritic changes of the lumbar spine as described above. I see no definite acute fracture. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of right breast excisional biopsy with pathology proven fibroadenoma. Family history breast carcinoma in her mother at age 72. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma ... | 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. | Mesothelioma restaging after two cycles of chemo. LUNGS AND PLEURA: Bilateral pulmonary nodules and endobronchial lesions, some of which are suspicious for metastases. For reference, a lesion in the lingula measures 9 x 11 mm (6/56).Mild left hemithorax pleural thickening/areas of focally loculated fluid, nonspecific i... | Bilateral pulmonary nodules, some of which are suspicious for metastases. Mildly enlarged left internal mammary chain lymph node could be reactive if the patient has had a recent procedure however nodal metastasis cannot be excluded. High-density material associated pleural thickening at in the left lower hemithorax, s... |
Generate impression based on findings. | There are partially-imaged postoperative findings related to anterior mediastinal tumor resection. There are pathologic pretracheal, right superior mediastinal, bilateral tracheoesophageal groove, and bilateral supraclavicular hypoenhancing lymph nodes. For reference, short axis measurements of the abnormal lymph node... | 1.Pathologic lymphadenopathy in the pretracheal, right superior mediastinal, bilateral tracheoesophageal grooves and bilateral supraclavicular fossae, consistent with lymph node metastases.2.Indeterminate 5-mm right upper lobe apical lung nodule. Please refer to accompanying dedicated CT chest report for further detail... |
Generate impression based on findings. | Pelvic fracture Again seen is disruption of the left iliopectineal line with a linear lucency traversing the anterior column of the acetabulum indicating a minimally displaced fracture that appears similar to that seen on the prior study. I see no fractures of either obturator ring. I see no fractures of the sacrum. Os... | Left acetabular fracture appearing similar to that seen on the prior study. |
Generate impression based on findings. | 64 years old male with a history of metastatic lung cancer. Please restage. RADIOPHARMACEUTICAL: 7.7 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 79 mg/dL. Today's CT portion grossly demonstrates a large mass in the right lower lung. Additional linear opacities are seen in the left and right lung bases, a... | 1.Stable hypermetabolic tumor in the right lower lobe.2.Stable to mildly decreased metabolic activity in the mediastinal and hilar lymph nodes.3.Nonspecific several new foci of increased activity in the upper abdomen, probably in the GI tract. |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with moderate age-related volume loss. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are scattered punctate and confluent areas of abnormal low density in the periventricular and subcortical white matter, consistent with stable m... | 1. No acute intracranial hemorrhage.2. Interval development of left cerebellar age indeterminate small infarct.3. Stable underlying moderate chronic small vessel ischemic changes. |
Generate impression based on findings. | Metastatic lung cancer. Check following chemotherapy and treatment CHEST:LUNGS AND PLEURA: Interval progression and increased size and density of the mixed partially solid groundglass nodular density with calcifications observed in the right middle lobe. The focus has enlarged, currently measuring 1.6 x 1.4 cm (image 3... | Interval progression and increased solid component involving the reference right upper lobe mixed groundglass and partially solid nodule. Reference measurements are provided and remaining scattered bilateral nodules are otherwise similar. These changes are superimposed upon extensive fibrotic disease. Given this focal ... |
Generate impression based on findings. | PHARYNX/LARYNX: The nasopharynx, oropharynx, hypopharynx, and larynx are unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass or pathological enhancement.GLANDS: The postcontrast appearance of the salivary glands is unremarkable. There is an 8 x 9 mm hypoenhancing lesio... | 1. No CT evidence of metastatic disease within the neck.2. Nonspecific right isthmic thyroid lesion. Correlation with thyroid function tests is recommended and thyroid ultrasound may be obtained as clinically indicated.3. Partially visualized large right pleural effusion with atelectasis. Partially visualized mediastin... |
Generate impression based on findings. | Pain after fall. Rule out fracture. Five views of the lumbar spine are provided. The bones appear demineralized suggesting osteopenia/osteoporosis. There is a slight leftward curvature of the lumbar spine. Severe degenerative disk disease affects L2/3 and L4/5. Moderate degenerative disk disease affects L1/2 and L3/4. ... | Demineralized bones, degenerative arthritic changes, and left hip hemiarthroplasty device as described above; I see no acute fracture. |
Generate impression based on findings. | Extended pleurectomy and decortication CHEST:LUNGS AND PLEURA: Interval removal of the left chest tubes with associated marked interval decreasing underlying and currently moderate pneumothorax. Overlying chest wall emphysema extending into the abdomen and neck has also decreased. Persistent and minimally decreasing ri... | Marked interval decreasing pneumomediastinum and wall emphysema. Left chest tube removed. See detail provided above |
Generate impression based on findings. | NSCLC (squamous cell) 4 month follow-up. CHEST:LUNGS AND PLEURA: Postsurgical volume loss of a right lower lobectomy and right middle lobe wedge resection. Mild bronchiectasis and bronchiolitis in the right middle lobe lateral segment postero-medially, which is now abutting the spine. Very small subpleural opacity whic... | No specific signs of localized recurrence or pulmonary metastases. |
Generate impression based on findings. | Postop prosthetic assessment Again seen is an intramedullary rod and screw device affixing the femur in anatomic alignment. A poorly defined lucent lesion of the femoral neck is again noted, representing metastatic renal cell carcinoma. I see no hardware complication. Foci of heterotopic mineralization along the greate... | Orthopedic fixation of the left femur as described above. |
Generate impression based on findings. | Reason: rule out GI arterial bleed from recent necrosectomy History: blood loss, sanguinous output from drains ABDOMEN:LUNG BASES: Redemonstrated large left pleural effusion with adjacent compressive atelectasis. Redemonstrated scattered areas of atelectasis or consolidation in the right lung. Coronary artery calcifica... | New intraperitoneal air and large gas and fluid collection, likely secondary to colonic perforation as described above.Grossly unchanged air and fluid collection in the pancreatic bed and lesser sac.Other findings as above.Findings were discussed with IR team at 1:00pm on 3/4/2015. |
Generate impression based on findings. | Postop prosthetic assessment Three views of the right knee show components of a total knee arthroplasty device situated in near anatomic alignment without radiographic evidence of hardware complication. Arterial calcifications are noted within the posterior soft tissues.Mild osteoarthritis affects the left knee as seen... | Total knee arthroplasty without evidence of complication. |
Generate impression based on findings. | Head and neck cancer, follow-up CHEST:LUNGS AND PLEURA: Persistent mild apical scarring and postradiation change without additional new pulmonary abnormality. Specifically no new nodules or masses. No effusions. Mild centrilobular emphysema.MEDIASTINUM AND HILA: No lymphadenopathyThe cardiac and pericardial appearance ... | No findings to suggest recurrent or metastatic disease, stable exam. |
Generate impression based on findings. | Mechanical loosening of prosthetic joint. AP view of the pelvis reveals components of a right total hip arthroplasty device situated in near-anatomic alignment. Skin staples, a drain, and foci of gas density in the adjacent soft tissues reflect recent surgery. | Right total hip arthroplasty as above. |
Generate impression based on findings. | Non-small cell lung cancer, follow-up. Left hilar tumor CHEST:LUNGS AND PLEURA: A persistent and stable appearing left hilar mixed in opacity correlating with the previously identified mass. Suspected postradiation pneumonitis in this area with decreased focal density in mild flattening adjacent to the fissure (image 4... | Persistent borderline lymphadenopathy and suspected postradiation changes in the region of the mid left lung. No new suspicious abnormalities. Reference measurements provided |
Generate impression based on findings. | 65 years old male. Reason: rectal cancer. Question of inguinal lymph nodes on CT and MRI. Please pay particular attention to this area to determine if biopsy needed. RADIOPHARMACEUTICAL: 10.6 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 82 mg/dL. Today's CT portion grossly demonstrates a prominence of the... | Hypermetabolic tumor in the rectum consistent with the patient's diagnosis of rectal cancer.Extensive mild to moderate hypermetabolic lymph nodes in the pelvis and inguinal regions, suspicious for nodal metastasis.Focus of increased activity in the dome of the right lobe of liver, which can be due to abscess or tumor.N... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history breast carcinoma in her mother at age 63 and maternal aunt. 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 d... | 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. | Asymptomatic female presents for routine screening mammography. Personal history of cervical carcinoma. Three 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 pat... | 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: NSC - Screening Mammogram. |
Generate impression based on findings. | Left hip pain. Hip fracture? Two views of the left hip are provided. The bones appear demineralized, but I see no fracture. Mild osteoarthritis affects the left hip.Two views of the right hip are provided. The bones appear demineralized, but see no fracture. Mild osteoarthritis affects the right hip.An AP view of the p... | Osteoarthritis and other findings as described above; I see no fracture. |
Generate impression based on findings. | Pleural mesothelioma LUNGS AND PLEURA: Right apical surgical starring with a small adjacent pneumatocele unchanged. New groundglass abnormality observed in the right lung, specifically along the right cardiac border and posteriorly. Appearance is nonspecific and lead in the patient history, concerning for possible infe... | Interval progressing mesothelioma measurements, see above |
Generate impression based on findings. | Status post left total hip replacement Three views of the left hip reveal components of a total hip arthroplasty device situated in near-anatomic alignment without radiographic evidence of hardware complication. Faint heterotopic mineralization is noted between the greater trochanter and ilium.Three views of the pelvis... | Left total hip arthroplasty as above. |
Generate impression based on findings. | Clinical question: Evaluate for cause of a mass versus possible seizure. Signs and symptoms: History of traumatic brain injury with new AMS Nonenhanced head CT:Examination demonstrate a mild healed chronic depressed skull fracture of the right parietal bone. There is a small focus of encephalomalacia of brain parenchym... | 1.No acute intracranial process CT however E. insensitive for early detection of acute nonhemorrhagic ischemic stroke.2.Chronic healed mildly depressed right parietal skull fracture.3.Small focus of encephalomalacia in the right parietal bone under the chronic skull fracture.4.Additional focus of encephalomalacia along... |
Generate impression based on findings. | Postop prosthetic assessment. Evaluate left knee pain after intra-articular injection 6 weeks ago. Three views of the right knee are provided. Components of a total knee arthroplasty device are situated in near-anatomic alignment without radiographic evidence of hardware complication. Small foci of mineralization are s... | Right total knee arthroplasty and left knee osteoarthritis as above. |
Generate impression based on findings. | Call back from screening mammogram for an asymmetry in the left breast. ML, MLO and exaggerated CC views and a spot compression view of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is extremely dense, unchanged in pattern and distribution. The asymmetry on the... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. In view of her dense breast tissue, tomosynthesis would be useful. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMEN... |
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. Multiple clusters of benign fibroadenomatous calcifications are pre... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Status post right total hip arthroplasty Two views of the right hip show components of a total hip arthroplasty device situated in near anatomic alignment. Thin lucency along the distal stem of the femoral component is perhaps slightly more prominent on the current study than on the prior study, and while I cannot enti... | Total hip arthroplasty as above. |
Generate impression based on findings. | Hypoxia. PULMONARY ARTERIES: Excellent contrast infusion quality. No evidence of pulmonary embolus.LUNGS AND PLEURA: Low lung volumes, with elevation of the diaphragm. No pneumothorax. Trace left pleural fluid collection. Moderate, fine pattern of centrilobular emphysema.Multifocal consolidation and atelectasis in the ... | No evidence of acute pulmonary embolus. Multifocal atelectasis and consolidation in the dependent lung fields, likely related to aspiration given presence of endobronchial debris in the left lower lobe. Mild diffuse mediastinal and hilar lymphadenopathy and hepatosplenomegaly of unclear etiology; note is made of appare... |
Generate impression based on findings. | Evaluate for fracture or impingement Four views of the right shoulder reveal a lucency in the proximal diaphysis of the humerus. This most likely represents a prominent deltoid insertion, of no clinical significance. No fractures or dislocations. No significant degenerative changes. | Negative examination of the right shoulder |
Generate impression based on findings. | Status post surgery Again seen are posterior rods with screws entering the L4, L5, and S1 vertebrae. I see no hardware complications. There is a spacer device at L5/S1 associated with increased density presumably representing bone graft material, appearing similar to the prior study. Mature bone graft is seen along the... | Postoperative and degenerative changes of the lumbar spine as described above, appearing similar to those seen on the prior study. |
Generate impression based on findings. | Evaluate fibular fracture Three views of the right ankle reveal an oblique fracture of the distal fibula in anatomic alignment. The fracture line is indistinct consistent with healing. No change in position from the previous exam | Healing distal fibular fracture |
Generate impression based on findings. | Poorly differentiated adenocarcinoma. Follow-up CHEST:LUNGS AND PLEURA: Postsurgical changes in suture line are observed in the right upper lobe with interval removal of the previously described small nodule peripherally. No discrete superimposed residual abnormality however serial imaging will be helpful to confirm al... | Postsurgical changes in the apex of the right lung without additional new abnormalities specifically no new signs of metastatic disease |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of calcifications in bilateral breast cysts. 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, uncha... | 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: NSC - Screening Mammogram. |
Generate impression based on findings. | Female 60 years old; Reason: assess for intrabdominal source of fever History: fever, leukocytosis, abd pain, L flank pain ABDOMEN:LUNG BASES: Small amount of compressive atelectasis involving the right lower lobe, secondary to an osteophyte.LIVER, BILIARY TRACT: Interval placement of a right stent within the common bi... | 1.Left pyelonephritis and changes suggestive of acute pancreatitis of the pancreatic head, further described above. Findings discussed with Dr. Potts at 1:29pm on 3/4/2015. |
Generate impression based on findings. | Assess internal fixation Three views of the right ankle reveal a side plate fixing the distal fibular fracture. There is a long syndesmotic screw. The previously seen widening of the medial ankle mortise has been reduced. | Internal fixation in anatomic alignment. |
Generate impression based on findings. | 56 years old Male. Reason: change in pleural plaques? History of lung nodules versus rounded atelectasis and cough. RADIOPHARMACEUTICAL: 12.2 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 87 mg/dL. Today's CT portion grossly demonstrates numerous pleural plaques in the chest wall and diaphragmatic pleura o... | No definite evidence of FDG avid tumor.Interval slight enlargement of the pleural plaques in both hemithoraces with minimal FDG uptake, which are most likely benign. Suggest follow-up.Please note that the comparison of two studies is limited due to different PET/CT scanners were used for the two PET/CT scans. |
Generate impression based on findings. | Female, 56 years old, status post hepatectomy and cholecystectomy Right upper abdominal drainage catheter. Enteric tube seen with side-port below level of hemidiaphragms. No unexpected radioopaque foreign body, discussed with fellow Dr. Hussain at 1:30 p.m. and surgery attending Dr. Millis at 1:34 p.m. on 3/4/15. | No unexpected radioopaque foreign body. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy. Family history breast carcinoma in her mother, maternal grandmother, in 3 paternal aunts. Two standard digital views of both breasts, and an additional left CC view were performed with tomosynthesis and reviewed with ... | 1. Left breast asymmetry. Further evaluation with spot compression views, and possible ultrasound is recommended.2. Cluster of calcifications in the mid central left breast. Further evaluation with spot magnification views is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: ED - Add... |
Generate impression based on findings. | Non-small cell lung cancer, follow-up LUNGS AND PLEURA: Interval removal for treatment of a solitary lungs nodule in the right upper lobe with adjacent mild fluid collection caught in the major fissure and pleural surface. No discrete evidence of postsurgical change or other findings of discrete new focal abnormalities... | Interval resolution or probable surgical removal of the right upper lobe focal lesion suspicious for primary malignancy. No postprocedural complications or new suspicious abnormalities other than multiple stable scattered pulmonary micronodules and one stable small subcentimeter groundglass nodular density in the left ... |
Generate impression based on findings. | Pain. Fracture follow-up. Again seen is a minimally displaced fracture of the greater tuberosity of the humerus. Portions of the fracture are slightly less distinct on the current study than on the prior study, which may reflect early healing. The lipohemarthrosis seen on the prior study is not visible on the current s... | Greater tuberosity fracture as above. |
Generate impression based on findings. | Neck pain. Evaluate for osteoarthritis. The bones appear demineralized, suggesting osteopenia. Severe degenerative disk disease affects C5/6 and C6/7. Moderate degenerative disk disease affects C3/4. Mild to moderate degenerative disease affects C4/5. The cervical spine is slightly kyphotic, and there are grade 1 anter... | Degenerative disk disease and other findings as described above. |
Generate impression based on findings. | Follow up right sided lung cancer history thoracic radiation and dyspnea. CHEST:LUNGS AND PLEURA: Lymphangioleiomyomatosis. Fiducial markers lateral to the right hilum with adjacent radiation fibrosis and pleural retraction. Unchanged subpleural nodule in the left lower lobe (5/62), present since 2012, most likely a be... | Significant interval decrease in nonindex necrotic right hilar and interlobar lymphadenopathy. Mild improvement in nonindex subcarinal lymph node. Reference right lower lobe lesion measures larger. |
Generate impression based on findings. | Reason: 6 month follow up. Lung nodules. LUNGS AND PLEURA: A left lower lobe subpleural nodule measures 5 mm (series 4, image 47), slightly decreased in prominence from 12/2013. Additional scattered benign-appearing micronodules are unchanged. No new suspicious pulmonary nodules or masses.Mild basilar scarring/atelecta... | Left lower lobe 5mm subpleural nodule is slightly decreased from prior exams, and likely benign in etiology. An apparent increase in density on previous exam was likely secondary to focal accumulation of mucus within an adjacent small cyst. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast carcinoma in her paternal grandmother, diagnosed in her 60's. 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 smal... | 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: NSC - Screening Mammogram. |
Generate impression based on findings. | Call back from screening mammogram for an asymmetry in the left breast. ML, MLO and exaggerated CC views and a spot compression view of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is extremely dense, unchanged in pattern and distribution. The asymmetry on the... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. In view of her dense breast tissue, tomosynthesis would be useful. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMEN... |
Generate impression based on findings. | Relapsed neuroblastoma now status post 10 cycles chemotherapy. Normal physiologic radiotracer distribution is seen in the salivary glands, myocardium, liver, bowel and bladder. There is no abnormal focus of activity to indicate current MIBG avid tumor. Nonspecific activity is seen in the left neck, probably within the ... | No definite evidence of tumor. |
Generate impression based on findings. | Intramedullary rod left femur, evaluate for hardware complications An intramedullary rod and screw device affixes the femur in anatomic alignment. I see no hardware complications. Faint heterotopic mineralization is seen within the soft tissues above the greater trochanter. The previously seen sclerotic focus in the fe... | Orthopedic fixation of the left femur as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history breast carcinoma in two maternal great aunts. Two standard digital views of both breasts, and an additional right CC view were performed with tomosynthesis and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fat... | 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: NSA - Screening Mammogram. |
Generate impression based on findings. | Head and neck cancer, follow-up CHEST:LUNGS AND PLEURA: Stable adjacent to the major fissure (image 70 series 4) again measuring 2.1 x 1.6 cm. immediately adjacent groundglass changes similar to prior exam. In addition, a new groundglass focal nodule is observed also in the left lower lobe measuring 8 mm (image 70 seri... | 1: Stable left lower lobe nodule adjacent to the major fissure. Small adjacent new groundglass nodular density also in the left lower lobe new since prior study. Serial imaging will be important to differentiate and tract for change.2. Suspect inflammatory change in the right apex. |
Generate impression based on findings. | Pleural mesothelioma ABDOMEN:LUNG BASES: Please see separate chest CT reportLIVER, BILIARY TRACT: Stable subcentimeter low-attenuation focus within segment 3 of the left lobe of the liver. Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No si... | Slight interval increase in size of retrocrural and retroperitoneal adenopathy. |
Generate impression based on findings. | Clinical question:. Patient with history of endocarditis, evaluate for brain lesions. Signs and symptoms: Endocarditis Nonenhanced head CT:There is no evidence of an acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes. There is a tiny focus of low-attenuati... | 1.Small focus of parenchymal low density containing a small focus of high density in left posterior parietal lobe. The exact etiology of finding is not clear however considering above provided history, possibility of a chronic stroke with minimal calcification or an acute/subacute stroke with minimal hemorrhage should ... |
Generate impression based on findings. | Isolated ankle swelling. Rule out fracture. There is diffuse soft tissue swelling about the ankle. The bones appear demineralized suggesting osteopenia. I see no acute fracture. I see no joint effusion. Mild osteoarthritis affects the ankle. Moderate osteoarthritis affects the talonavicular joint. There are small poste... | Soft tissue swelling and degenerative arthritic changes without fracture evident. |
Generate impression based on findings. | Female 62 years old Reason: metastatic renal cell carcinoma History: metastatic renal cell carcinoma Exam is limited secondary to lack of intravenous contrast making evaluation of solid organ and vascular pathology suboptimal. Within these limitations, the following observations can be made:CHEST:LUNGS AND PLEURA: Mult... | 1.Exam is limited secondary to lack of intravenous contrast making evaluation of solid organ pathology suboptimal. Within these limitations, there are multiple bilateral lung nodules suspicious for metastatic disease in a patient with renal cell carcinoma status post right nephrectomy.2.Questionable metastatic involvem... |
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. There is a new focal asymmetry within ... | Focal asymmetry within the upper inner left breast. Further evaluation with spot compression views and possible ultrasound, is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 60 year-old male with history of end-stage renal disease and weak pulses, evaluate vasculature to support kidney transplant. Within the limits of a non IV contrast enhanced examination which limits the ability to evaluate solid parenchymal organs and vascular structures, the following observations can be made: ABDOMEN:... | 1.No significant atherosclerotic calcifications of the abdominal aorta or its branches.2.Cholelithiasis without surrounding inflammatory changes. 3.End-stage, atrophic kidneys. |
Generate impression based on findings. | Patient with esophageal cancer status post chemotherapy. Evaluate for disease status, compare to previous. CHEST:LUNGS AND PLEURA: Large right pleural effusion, mildly decreased.Bilateral pulmonary nodules are stable. There is a right upper lobe micronodule (series 5, image 15), not definitely visualized on prior study... | Stable reference lesions. New right upper lobe micronodule, special attention on follow-up studies. |
Generate impression based on findings. | Left posterior iliac crest bone marrow site with persistent pain. Evaluate for fracture or sacroiliac joint involvement. I see no fracture, and the sacroiliac joints appear normal. I see no specific findings to account for the patient's left posterior iliac crest pain. Mild to moderate osteoarthritis affects both hip j... | Osteoarthritis of the hips, but no findings to suggest an etiology for the patient's left posterior iliac crest pain. |
Generate impression based on findings. | Pain. Fracture follow-up. There is prominence of the coronoid process of the ulna indicating a healing fracture. The fracture margins appear slightly less distinct on the current study than on the prior study and there is adjacent periosteal new bone formation, suggesting some interval healing. Swelling of the soft tis... | Healing coronoid process fracture as above. |
Generate impression based on findings. | Prostate cancer. The T9 vertebral body lesion which was present previously corresponds with an irregularity at the left endplate on prior CT of the chest abdomen and pelvis and appears more degenerative in etiology. This can be secondary to the scoliosis in this region. Increased activity adjacent to the L2 and L4 vert... | No evidence of bone metastases. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast carcinoma in her mother, maternal grandmother, and maternal cousin. 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 de... | Focal asymmetry within the upper outer right breast. Additional imaging including spot compression views, with possible ultrasound, is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Non-small cell lung cancer CHEST:LUNGS AND PLEURA: Moderate interval decreasing size of the right upper lobe nodular mass abutting the minor fissure (image 35 series 5). Current measurements are 2.1 x 1.4 cm, previously 2.9 x 2.7 cm. Adjacent interstitial and air space abnormalities have also diminished. No associated ... | Interval decreasing size since suspicion involving the right upper lobe spiculated lesion. Reference measurements provided. No new suspicious lesions |
Generate impression based on findings. | Reason: History of metastatic breast cancer on treatment. Compare to prior imaging, evaluate for response and extent of disease. History: History of metastatic breast cancer on treatment. Compare to prior imaging, evaluate for response and extent of disease. CHEST:LUNGS AND PLEURA: Stable radiation reaction in the ante... | 1. Stable exam with no new sites of disease.2. Resolution of previously described ground glass and nodular densities in the bilateral lower lobes, compatible with an inflammatory etiology. |
Generate impression based on findings. | Metastatic breast cancer with suspicious lesion on previous scan at L4. Abnormally increased activity is noted in the T7, T12, and L4 vertebral bodies as well as the right parietal convexity and right ischium compatible with metastases. | Likely metastatic lesions involving the T7, T12, and L4 vertebral bodies as well as the left frontoparietal convexity and right ischium. |
Generate impression based on findings. | 51-year-old female with rectal cancer status post low anterior resection and diverting loop ileostomy (2/2/15) for evaluation of anastomosis. A lateral scout image of the pelvis showed suture lines reflecting an anastomosis. Contrast was manually injected via a 18 Fr Foley catheter into the neorectum and flowed freely ... | Low anterior resection anastomosis without evidence of leak or fistula. |
Generate impression based on findings. | Male 18 years old Reason: post GDE procedure History: respiratory failureVIEW: Abdomen AP (one view) 3/4/15 1343 hrs. Central length deep he at the right atrium. Gastrostomy tube and left acetabular osteotomy nails again noted. Interval removal of metallic foreign body. Generalized, nonspecific bowel distention with no... | Increasing in generalized, nonspecific bowel distention. |
Generate impression based on findings. | Status post curettage/prophylactic stabilization of the right proximal tibia. Evaluate for hardware failure. Again seen is a plate and screw device affixing cement within the proximal tibia, presumably representing curettage and packing of a myelomatous lesion. I see no hardware complications. Small metallic coils are ... | Orthopedic fixation of the proximal tibia as described above |
Generate impression based on findings. | 3 year old male with history of right brachial plexus injury, concern for dysplasia. Compare development of the right upper extremity to the normal left upper extremity. Right shoulder: Normal alignment of the humerus with the humeral head situated within the glenoid cavity. Normal variant fragmentation of the humeral ... | Normal examination. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast cyst aspiration. 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. ... | 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 65 years old Reason: achalasia? correct placement of lap band? motility disorder? mass? History: dysphagia, h/o lap band Before administering contrast, preliminary view of the lap and in inspiration and expiration showed no evidence of air-fluid level in the gastric pouch and no mobility. The angle of Phi is abn... | Suggestion of mild decreased caliber in the cervical esophagus in the AP dimension with no other abnormality to explain dysphasia.Abnormal horizontal lie of the lap band which is sometimes associated with slippage. However there was no air fluid level within the pouch and there is prompt emptying of the pouch. This is ... |
Generate impression based on findings. | Lung cancer, follow-up LUNGS AND PLEURA: No significant abnormality noted. Specifically no suspicious nodules,effusions or masses. Mild emphysemaMEDIASTINUM AND HILA: No lymphadenopathy.Postoperative changes the right lower neck, please correlate with dedicated neck CTThe cardiac and pericardium are well within limitsC... | No evidence of metastatic disease |
Generate impression based on findings. | Pain to third and fourth toes after kicking furniture. Fracture? There is an oblique fracture through the head and neck of the proximal phalanx of the fourth toe with fracture fragments in near-anatomic alignment. The bones of the third toe appear intact. | Fourth toe fracture as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, with additional bilateral MLO views, 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 dist... | 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. | 67 years, Female. Reason: assess Dobbhoff placement History: s/p Dobbhoff placement Left lower lobe opacity. Dobbhoff tube projects over the gastric body. Central venous catheter tip is in the right atrium. Surgical clips near midline abdomen. Nonobstructive bowel gas pattern. | Dobbhoff tube projects over the gastric body. |
Generate impression based on findings. | 12-year-old male status post tib/fib surgery 3 weeks agoVIEWS: Left tibia and fibula, AP and lateral (two views) , left knee, AP, oblique, and lateral (3 views) 3/4/15 12:52 Tibia and fibula: Staples affix the proximal lateral aspect of the tibia and fibula without evidence of hardware complication. No fracture is evid... | Moderate knee joint effusion. Proximal lateral tibia and fibula staples without evidence of hardware complication. |
Generate impression based on findings. | Pain in the hand. Follow-up exam. Again seen is an oblique fracture through the proximal diaphysis of the proximal phalanx of the fifth finger with minimal dorsal angulation and displacement of the distal fracture fragment. There appears to be a small amount of callus along the fracture, suggesting an attempt at healin... | Fifth finger fracture as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast carcinoma in a maternal aunt, as well of ovarian cancer in a paternal aunt in 3 paternal cousins. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed ... | 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. | 79-year-old female history of metastatic lung cancer. ABDOMEN:LUNG BASES: Moderate right pleural effusion. Multiple subcentimeter pulmonary nodules in the lung bases are suspicious for pulmonary metastases. Please see report of CT chest same date for further details. Focal left basal atelectasis.LIVER, BILIARY TRACT: M... | 1.Hypoattenuating liver and renal lesions suspicious for metastases. There is at least one new hepatic lesion with additional previously described reference regions unchanged in size.2.Diffuse osseous metastatic disease with sclerosis which may represent treatment/healing response, similar to prior. 3.Multiple pulmonar... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign bilateral excisional biopsies for cysts. Patient reports history of breast carcinoma in her mother. Two standard digital views of both breasts, with additional bilateral MLO views, were performed with tomosynthesis and reviewed with the a... | 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: NSC - Screening Mammogram. |
Generate impression based on findings. | Reason: lung transplant list annual testing History: sob LUNGS AND PLEURA: Severe apical predominant centrilobular emphysema, similar to the prior exam. Mild bronchiectasis and mild bronchial wall thickening.Scattered benign-appearing micronodules, some calcified, unchanged. No new suspicious pulmonary nodules or masse... | Severe apical predominant centrilobular emphysema, unchanged. No other acute abnormality. |
Generate impression based on findings. | 44 year old female with sickle cell disease and avascular necrosis of the humeral head status post total shoulder arthroplasty in 1997. Please evaluate prosthesis. There has been interval revision of the patient's left hemiarthroplasty device into a total left shoulder arthroplasty device since the prior CT. However, t... | Anterior dislocation of left total shoulder arthroplasty. New bony fragmentation around the humeral component of the device . |
Generate impression based on findings. | Female 72 years old Reason: Large B Cell NHL History: s/p 3 cycles of chemotherapy CHEST:LUNGS AND PLEURA: Nonspecific left upper lobe pulmonary nodule is unchanged in size and measures 5 mm (series 4, image 40). No pleural effusions. No suspicious nodules or masses. MEDIASTINUM AND HILA: Scattered mediastinal lymph no... | Marked interval improvement in the size of the supraclavicular, axillary, retroperitoneal, and pelvic lymph nodes consistent with treatment response. |
Generate impression based on findings. | 5-year-old male with history of constipationVIEW: Abdomen AP (one view) 3/4/15 12:17 Interval decrease in colonic stool burden. Nonobstructive bowel gas pattern. | Decreased colonic stool burden without evidence of obstruction. |
Generate impression based on findings. | Male 70 years old Reason: r/o abd path History: 7-8 day abd pain, 5-6/10 pain. No nausea, vomiting, no hematuria. Occasional constipation in the past. No hx of rash ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hypodense lesion in the right lobe of the liver measuring 1.6 x 1.1 cm (series 4,... | No evidence for acute inflammatory or infectious process. |
Generate impression based on findings. | 9-year-old male, twisted right ankleVIEWS: Right foot, AP, oblique, lateral (3 views) 3/4/15 Alignment is anatomic. No discrete fracture is visualized. Faint sclerosis is present within the cuboid. | No discrete fracture or malalignment. Faint sclerosis within the proximal cuboid corresponding to stress reaction seen on prior MRI. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Questionable history of breast carcinoma in her brother at age 18. 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. Bilateral ... | Bilateral asymmetries for which confirmation of stability is needed. Correlation with prior mammograms is advised. If outside mammograms cannot be obtained, further evaluation with additional imaging including spot compression views and possible ultrasound is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging ... |
Generate impression based on findings. | Female; 48 years old. Reason: Bilateral hip pain Single AP view of the pelvis demonstrates no acute fracture or dislocation. Alignment is anatomic. Mild degenerative changes are noted about both hips. Dedicated views of both hips show no additional abnormalities. | Mild osteoarthritis without evidence of fracture. |
Generate impression based on findings. | Six years status post lung resection for lung cancer. LUNGS AND PLEURA: Stable postsurgical findings of left lower lobectomy.A focal area of bronchiectasis with surrounding ground glass opacity in the right upper lobe is unchanged from 2008 and likely benign (series 4, image 23).Stable scattered micronodules, most like... | Mildly enlarged mediastinal lymph nodes, slightly increased from prior, which may be reactive; continued follow-up recommended. No evidence of recurrent or metastatic disease in the lungs. |
Generate impression based on findings. | Reason: 67F with RUL nodule s/p RULobectomy 12/29/2014 without nodule noted in specimen. CHEST:LUNGS AND PLEURA: Interval postoperative changes of a right upper lobectomy, with minimal residual foci of subcutaneous gas and a new small to moderate pleural effusion. Soft tissue opacity along the suture line likely repres... | 1. Postoperative changes of a right upper lobectomy with a moderate right pleural effusion, small loculated pneumothorax and subcutaneous emphysema. 2. The previously described right upper lobe nodule, compatible with known adenocarcinoma, is not seen on this exam following right upper lobectomy, though, given its part... |
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. Scattered benign calcifications are pr... | 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: NSC - Screening Mammogram. |
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