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Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of right breast abscess drainage, 8 years ago. 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 and distribution. Scattered benign calcifications are present. No suspicious masses, microcalcifications or areas of architectural distortion are present. | 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.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Postoperative changes from prior synangiosis along bilateral frontoparietal scalp with interval improvement in the subcutaneous emphysema as well as soft tissue swelling. However, the edematous changes over the right frontoparietal scalp are more than expected given the time interval since the prior examination. Interval improvement in the pneumocephalus overlying the medial anterior frontal lobe. No evidence of osseous erosion or rim enhancing fluid collections to suggest osteomyelitis or abscess. There is some soft tissue stranding over the right frontoparietal scalp which may be chronic from treatment versus a flap.Over the right craniectomy site, there is evidence of bulge of the intracranial contents including brain parenchyma, sylvian fissure, and branches of the MCA which results in elevation of the subcutaneous tissues of the right scalp. An extracranial vascular branch dives into the right sylvian fissure, likely the anastomotic site. Additionally, there is a left extracranial vessel that reaches the left sylvian fissure. No underlying extra-axial collection. No abnormal enhancement within the brain parenchyma.There is mild nonspecific prominence of the lateral ventricles. Slight asymmetric prominence of the sulci is again noted. There is no midline shift or mass-effect. No evidence of acute intracranial hemorrhage. Visualized portions of the mastoid air cells are clear. | 1.Postoperative changes from prior synangiosis without evidence of an abscess or osteomyelitis. 2.Mild bulging of the intracranial contents at the site of the right craniectomy as above. If further evaluation for assessment of vascularity is needed, CTA versus MRA may be considered.3.Nonspecific stable mild prominence of the lateral ventricles.Findings relayed to Dr. Laura Holmes over the phone at approximately 1115 hrs. |
Generate impression based on findings. | Hyperthyroidism vs subacute thyroiditis vs hot nodule. The thyroid images demonstrate a mildly enlarged gland with significantly increased uniform uptake of radiotracer. A pyramidal lobe is also visualized with uniform uptake of radiotracer. The 4-hour radioactive iodine uptake is 32% and the 24-hour uptake is 52% (normal range 10-30% at 24-hours). | Diffuse significantly increased thyroid uptake is compatible with Grave's disease. |
Generate impression based on findings. | 6 month follow-up. Lung nodule. LUNGS AND PLEURA: Smoothly marginated nodule in the anterior segment of the right upper lobe is 6 x 15 mm, previously 6 x 14 mm (series 9, image 47). There is a new small focus of scarring adjacent to it. New micronodule in the right upper lobe, likely post-inflammatory (series 9, image 43).Mild interstitial opacities and calcifications in the subpleural regions of the lower lobes, unchanged.MEDIASTINUM AND HILA: Calcified subcarinal and right hilar nodes consistent with prior infection. Small nonspecific mediastinal lymph nodes, unchanged.Moderate coronary artery calcification.ICD lead in the right ventricle. Tricuspid and mitral valvuloplasty rings, unchanged.Severe cardiomegaly without a pericardial effusion.CHEST WALL: Median sternotomy.Mild degenerative changes of the spine. UPPER ABDOMEN: Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Renal cysts. Subcentimeter hypodensities in the kidneys are too small to characterize. | Right middle lobe nodule is not significantly changed, indicating it is likely benign. New micronodule in the right upper lobe is likely post-inflammatory. One additional follow-up in 6 months is recommended to confirm stability of these two nodules. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast excisional biopsy in 1981. 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 and distribution. Arterial calcifications are present. No suspicious masses, microcalcifications or areas of architectural distortion are present. | 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.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 64-year-old with history of left breast cancer and increased size of scarring versus mass in the left breast. No change was seen on the recent mammogram, but evaluation was incomplete at that time due to the fact that the patient left before her ultrasound was performed. A targeted left ultrasound was performed for the palpable area of concern in the left outer breast. A large simple fluid collection is seen at the site of patient concern. This is compatible with a postoperative seroma. There is no suspicious solid mass identified. | Large simple fluid collection compatible with seroma. No suspicious solid mass. The patient should return for annual mammography as long as these findings are compatible with physical exam.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 47-year-old female with strong family history of breast cancer. History of a benign biopsy of a left breast mass at the two o'clock position, revealing fibroadenoma, performed at University of Chicago in February 2011. Additional history of two benign stereotactic core biopsies for calcifications in the left breast upper outer quadrant, performed at an outside hospital. No current breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 8.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. An oval mass, which is proven fibroadenoma, with a wing clip is unchanged. X-shaped and S-shaped clips are present in the left upper outer quadrant, unchanged in positions. Multiple calcifications in both breasts, including within the left upper outer quadrant are stable. No suspicious mass, suspicious microcalcifications or suspicious areas of architectural distortion are noted in either breast. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Given her breast density, tomosynthesis could be of benefit. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Female 54 years old s/p injury. Rule out fracture of the right foot 4th toe. There is a comminuted nondisplaced fracture of the diaphysis of the fourth proximal phalanx. There appears to be some callus formation suggestive of partial healing. There is soft tissue swelling about the fourth toe. No additional fractures or dislocations are seen. | Healing fracture of the fourth proximal phalanx as described above. |
Generate impression based on findings. | 75-year-old with history of breast cancer status post lumpectomy and radiation. Three standard views of both breasts and lumpectomy magnification views 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. No dominant mass, suspicious microcalcifications or areas of architectural distortion in either breast. Stable postoperative distortion, density and multiple surgical clips in the right breast. Bilateral benign calcifications are stable. Benign morphology right breast mass is if anything slightly decreased in size.Benign appearing lymph node is projected over the left axilla. Postoperative change in the right axilla noted. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 69 year old female status post right lumpectomy in 2001 for DCIS,presents today for routine follow up. No current breast complaints. History of benign right breast biopsy in 2003. No family history breast cancer. 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. A linear marker has been placed on a scar overlying the central upper right breast. A biopsy clip is present within the central outer aspect of the right breast. Scattered benign calcifications are present. No dominant mass, suspicious microcalcifications or areas of architectural distortion in either breast. Benign appearing lymph nodes are projected over both axillae. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 15 year-old female with history of scoliosis. Evaluate healing after spinal fusion surgery.VIEWS: Thoracolumbar spine PA and lateral (two views) 3/5/2015 9:45 Posterior spinal fusion instrumentation is again seen with rods and hooks extending from approximately T2 to L5. Thoracic dextroscoliosis is improved measuring 27 degrees between T6 and T12, previously 24 degrees. Levoscoliosis of the lumbar spine between L1 and L4 measures 19 degrees, previously measured 11 degrees. No fractures are identified. No evidence of hardware complication. | Posterior spinal fusion surgery with no evidence of hardware complication. |
Generate impression based on findings. | 20-year-old with multiple benign morphology masses in the left breast. Surgical excision is planned for multiple masses today. On review of the prior studies, two masses just lateral to the nipple are well seen. Wire localization predominantly for the more medial of these two masses is planned based on discussion with Dr. Kulkarni.The procedure, risks including bleeding, mistargeting and infection, and benefits of needle-wire localization were discussed with the patient and her mother. Questions were answered. Consent was obtained both verbally and in writing. The time out form was completed to confirm patient identity and site of procedure. The left breast was cleansed with chlorhexidine. Local anesthesia was obtained using 2% Lidocaine. Using ultrasound guidance, a 5 cm Kopans needle was placed adjacent to the medial mass. On ultrasound, adequate positioning of the needle was confirmed after adjusting depth so the needle tip was approximately 2cm deep to the center of the medial mass, with tip of the needle near the lateral mass. A spring wire was then deployed. Repeat ultrasound reveal the spring wire to be in excellent position. The mammogram and ultrasound were reviewed with Dr. Kulkarni prior to the patient's procedure. Patient tolerated the procedure well and was sent to the holding area in stable condition. Dr. Schacht performed the procedure and was present during the procedure at all times.Specimen imaging, mammography or ultrasound, was deferred after discussion with Dr. Kulkarni. She indicated no more tissue would be obtained at this time regardless of specimen imaging findings. | Successful needle localization of the left breast masses.BIRADS: 2 - Benign finding.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Nasal congestion; deviated nasal septum and nasal valve stenosis seen on endoscopy. There is minimal right and mild left mucosal thickening in the maxillary sinuses. The other paranasal sinuses are clear. The nasal cavity is clear. The nasal septum is mildly deviated to the left with an associated 5 mm wide spur. The lamina papyracea and ethmoid roofs are intact. The carotid grooves and optic canals are covered by bone. The nasopharynx, facial soft tissues, orbits, and imaged intracranial structures appear to be unremarkable. | 1. Minimal right and mild left mucosal thickening in the maxillary sinuses. 2. The nasal septum is mildly deviated to the left with an associated 5 mm wide spur. |
Generate impression based on findings. | Male 36 years old Reason: history metastatic renal cancer, assess for recurrence History: none CHEST:LUNGS AND PLEURA: Multiple lung nodules bilaterally have increased in size compared to CT exam from 11/25/2014 and are suspicious for metastatic disease.Reference left upper lobe nodule measures 1.3 x 1.5 cm (series 4, image 48), previously 0.6 x 0.9 cm.Reference right lower lobe nodule measures 1.1 x 1.3 cm (series 4, image 79), previously 1.0 x 1.2 cm.There are no new obvious lesions.No pleural effusion.MEDIASTINUM AND HILA: Prominent mediastinal lymph nodes. Reference lower paratracheal lymph node measures 1.0 x 0.8 cm (series 3, image 41), previously 1.0 x 0.6 cm. Normal heart size without pericardial effusion. No visualized coronary calcifications.CHEST WALL: Mildly prominent axillary lymph nodes bilaterally.ABDOMEN:LIVER, BILIARY TRACT: No biliary ductal dilatation. Two nonspecific hypodense lesions in the right lobe of the liver which were questionably visualized on the prior exam from 11/25/2014 but are too small to characterize.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Postsurgical changes from prior left nephrectomy. There is a soft tissue focus with foci of gas within the left renal surgical bed which likely represents a loop of bowel. No definite evidence of recurrence in the left renal surgical bed.Small hypodense focus in the right kidney which is too small to characterize but likely represents a cyst. No focal renal mass or hydronephrosis in the right kidney.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No bowel wall thickening or dilatation. No intraperitoneal free air.BONES, SOFT TISSUES: No evidence of bone metastases.OTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No evidence of bone metastases.OTHER: No significant abnormality noted | 1.Marked interval increase in the size of multiple pulmonary nodules bilaterally suspicious for metastatic disease.2.No evidence of local recurrence in the left nephrectomy surgical bed. |
Generate impression based on findings. | Female 77 years old; Reason: evaluate for diverticulitis History: lower left quadrant pain ABDOMEN:LUNG BASES: Hazy reticular opacities, likely representing atelectasis or scarring.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Subcentimeter hypodensities in both kidneys are too small to actively characterize, but likely represent cysts. Lobulated contour of both kidneys likely from prior scarring.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small hiatal hernia. Small collection of oral contrast in the transverse duodenum is felt to be within a duodenal diverticulum.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Mild thickening and pericolonic induration involving the descending colon without any obvious diverticula. No free intraperitoneal air or pericolonic fluid collections.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted. | 1.Mild thickening and induration involving the descending colon without any obvious diverticula is most compatible with a colitis, although nonspecific. |
Generate impression based on findings. | There are post-treatment findings in the neck. There is low attenuation and swelling in the glottic and supraglottic region that likely represents edema which is mildly decreased; otherwise no measurable mass lesions. There is no significant cervical lymphadenopathy. The thyroid and major salivary glands are unremarkable. There is mild atherosclerotic plaque at the carotid bifurcations. There is right internal jugular venous thrombosis, which is unchanged. Interval decrease in size of the fluid collection within the right anterior chest wall at the prior port site. The osseous structures are unchanged. There are multiple dental caries. The airways are patent. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. | 1. Post-treatment findings in the region of the larynx without discretely measurable mass lesions or significant lymphadenopathy in the neck. 2. Stable right internal jugular venous thrombosis. 3. Interval decrease in size of the subcutaneous fluid collection within the right anterior chest wall at the prior port site. |
Generate impression based on findings. | T3N0 laryngeal squamous cell carcinoma treated with FHX chemotherapy. There are post-treatment findings in the larynx with persistent ill-defined areas of low attenuation and swelling in the region of the right vocal cord that likely represents edema, but no discernible measurable mass in the larynx. There is no evidence of significant cervical lymphadenopathy. The thyroid and major salivary glands are unremarkable. There is thrombosis of the right internal jugular vein. There is mild atherosclerotic plaque at the carotid bifurcation regions without significant stenosis. There is opacification and expansion of the left ethmoid and frontal sinuses associated with dehiscence of sinus and nasolacrimal duct walls. The imaged intracranial structures are unremarkable. There is degenerative spondylosis at C5-6. There is mild pulmonary emphysema. | 1. Post-treatment findings in the larynx without convincing evidence of measurable residual mass lesion. 2. No significant cervical lymphadenopathy. 3. Chronic right internal jugular venous thrombosis.4. Unchanged expansion of the left ethmoid and frontal sinuses with associated bony dehiscence may represent a mucocele. |
Generate impression based on findings. | 34 years, Female. Reason: constipation, vomiting History: constipation and vomiting Cardiomediastinal silhouette is normal. No pleural effusion or pneumothorax. No focal pulmonary opacities. No pneumoperitoneum. Nonobstructive bowel gas pattern. Moderate stool burden mainly within the descending and transverse colon. | Nonobstructive bowel gas pattern. Moderate stool burden. |
Generate impression based on findings. | Male 55 years old; Reason: HCV, HCC, cirrhosis, S/P TACE RFA, eval for recurrence of HCC History: HCV, HCC, Cirrhosis ABDOMEN:LUNG BASES: Coronary artery calcifications.LIVER, BILIARY TRACT: Cirrhotic morphology. Status post cholecystectomy. No biliary dilatation. Patent portal and hepatic veins. A replaced right hepatic artery arises from the SMA. Redemonstrated ablation zone with nonspecific focus of central enhancement (venous coronal image 53). However, there is a new, immediately adjacent superior arterially enhancing region measuring 8 mm x 1.7 cm (venous coronal image 55) with washout suspicious for recurrence.SPLEEN: Mild splenomegaly.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Calcification of the abdominal aorta and its branches.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted. | 1.Status post hepatic ablation with new 1.7-cm, adjacent zone, suspicious for recurrence, further detailed above. |
Generate impression based on findings. | Desats despite adequate. Evaluate for PE. PULMONARY ARTERIES: No evidence of pulmonary embolism.LUNGS AND PLEURA: Patchy bilateral groundglass that are predominately dependent, likely relates to aspiration and a component of edema given presence of interlobular septal thickening. Basilar subsegmental atelectasis.No pleural effusion.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.No visible coronary artery calcification. No pericardial effusion.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Postsurgical findings of gastric bypass surgery. | No evidence of pulmonary embolism. Findings consistent with aspiration and mild pulmonary edema.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | The frontal sinuses and frontoethmoidal recesses are clear. There is scattered opacification of the bilateral anterior and posterior ethmoid air cells. The maxillary sinuses are clear. The ostiomeatal units are intact. The right sphenoid sinus is clear. There is minimal mucosal thickening of the left sphenoid sinus. There is mild deviation of the nasal septum to the left. The nasal turbinate morphology is within normal limits. The nasal cavity is clear. The lamina papyracea are intact. The roof of the ethmoids is relatively symmetric. There is hyperostosis along the posterior aspects of the bilateral porus acusticus with narrowing of the internal auditory canals. | 1. Mild paranasal sinus disease.2. Mild nasal septum deviation to the left.3. Hyperostotic lesions along the posterior aspects of the bilateral porus acusticus with narrowing of the internal auditory canals likely represent osteomas. An internal auditory canal MRI may be useful for further evaluation if clinically indicated.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | New diagnosis of NSCLC with synchronous urothelial cancer.RADIOPHARMACEUTICAL: 12.2 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 160 mg/dL. Today's CT portion grossly demonstrates right greater than left maxillary sinus mucus retention cysts or polyps. Right infrahilar soft tissue density masses are noted. A large right-sided pleural effusion with adjacent consolidation/atelectasis and apical predominant emphysema are seen. Nodularity is noted of both the adrenal glands which are not FDG avid and most likely benign. There is a markedly dilated right renal pelvocaliceal system and proximal to mid right ureter which terminates at a more subtle soft tissue density lesion in the right ureter. Severe right renal parenchymal atrophy is visualized.Today's PET examination demonstrates a medium sized markedly hypermetabolic right infrahilar mass with an SUV max of 9.4 consistent with the patient's known diagnosis of lung cancer. A small but significantly hypermetabolic adjacent right infrahilar lymph node has an SUV max of 9.2 and is consistent with an ipsilateral metastasis. The right lung base consolidation is only mildly FDG avid with an SUV max of 3.9 and is most likely post obstructive inflammation. No suspicious lesion is seen in the contralateral left chest. Mild activity corresponds to a soft tissue density in the right mid to distal ureter with an SUV max of 5.5 and likely represents the patient's known urothelial tumor. Mild vaguely linear focus in the right posterior spinal musculature at the L3 level is most likely inflammatory in etiology (SUV max of 3.4). Linear uptake along the left diaphragmatic crus is typical for benign appearing activity. No demonstrable right renal function is present. | 1.Right infrahilar lung mass consistent with the patient's known lung cancer.2.Hypermetabolic right ipsilateral lymph node consistent with metastasis.3.No contralateral or extrathoracic lung cancer metastases.4.Mildly hypermetabolic mid to distal right ureteral lesion likely represents the patient's known urothelial cancer. 5.PET/CT findings suggestive of a right ureteral obstruction presumably due to the known urothelial tumor with severe renal atrophy and no demonstrable right renal function. |
Generate impression based on findings. | 63 years, Female. Reason: Dobbhoff placement History: Dobbhoff placement Dobbhoff tube tip projects over the gastric body. Two catheters project over the right and left abdomen. A JP drain projects over the lower abdomen. Nonobstructive bowel gas pattern. Note that the pelvis is excluded from the field-of-view. | Dobbhoff tube tip projects over the gastric body. |
Generate impression based on findings. | 30 year-old female with history of recent right breast biopsies with pathology revealing acute and chronic inflammation and microabscess. Patient states area of induration has increased in size, and on physical examination today, Dr. Chhablani palpates a lymph node in the right axilla. On physical examination, there is induration and slight erythema of the upper central in the inner right breast extending from approximately the 11 o'clock position to 3 o'clock position. This area has been marked by Dr. Chhablani. Additionally, there is a firm, mobile 1.0-cm palpable mass within the low right axilla.A targeted right ultrasound was performed for the areas of concern. Within the central upper and inner right breast, there are diffuse areas of mixed echogenicity with irregular borders and diffuse increased vascularity extending from the approximate 10 o'clock to 3 o'clock positions, compatible with phlegmon. Representative images were obtained of the 12 o'clock and one o'clock positions. No focal, drainable fluid collection or discrete abscess is identified. No discrete solid mass is appreciated.Within the low right axilla, there is a single enlarged right axillary lymph node measuring 1.7 x 1.2 x 1.4 cm. The fatty hilum is maintained. There is no evidence for non-hilar flow. | Right upper central and inner breast mass with sonographic features compatible with phlegmon. No discrete abscess or drainable fluid collection is identified at this time. The findings were conveyed to Dr. Chhablani at the time of this examination, who will obtained additional tissue in clinic for additional testing.Enlarged right axillary lymph node with maintenance of the fatty hilum. This is likely reactive in nature.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | 72-year-old female with history of Schatzki's ring status post multiple dilations, most recent 01/2015, for evaluation of dysphagia and reflux Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Double contrast evaluation of the esophagus and gastric cardia/fundus revealed a small hiatal hernia. Slightly tight esophagogastric sphincter with mild delay in passage of barium pill corresponding with site of previous Schatzki ring dilation. During the exam, florid gastroesophageal reflux was observed to the level of the cervical esophagus with spontaneous resolution. Fluoroscopic evaluation of esophageal peristalsis demonstrated a primary peristaltic wave with occasional tertiary waves were also noted.TOTAL FLUOROSCOPY TIME: 5:14 minutes | 1.Small hiatal hernia with slight delay in passage of barium pill. No visible evidence of a Schatzki's ring. 2.Florid gastroesophageal reflux as described above.3.Mild motor abnormality. |
Generate impression based on findings. | 11 year old female, suspected sepsisVIEW: Chest AP (one view) CT 3/5/15 10:15 Low lung volumes and basilar atelectasis without specific evidence of pneumonia. Severe thoracolumbar levoscoliosis. Distended loops of bowel in the upper abdomen. | Severe scoliosis and basilar atelectasis without specific evidence of pneumonia. |
Generate impression based on findings. | 10-year-old male with VP shunt, yearly check: Patient with behavioral issues. Evaluate connectivity and setting on valve.VIEWS: Shunt series: Skull AP/lateral (two views), chest AP/lateral (two views), abdomen AP/lateral (two views) 3/5/2015 Shunt catheter is again seen with its tip in the middle crania fossa, exiting the right parietal calvarium and projecting along the subcutaneous tissues of the right neck, right hemithorax and right abdomen with its tip projecting over the midline of the abdomen. No evidence of kinking or discontinuity are noted throughout the radiopaque portions of the catheter. G-tube in place. Cardiothymic silhouette normal. No focal lung opacity. Moderate stool burden. Nonobstructive bowel gas pattern. | No evidence of shunt malfunction. |
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, version 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Bilateral reduction surgery 13 - 14 years ago. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements. Multiple benign calcifications are present in both breasts. There is an oval asymmetry at superior posterior aspect of the left breast.No suspicious microcalcifications or areas of architectural distortion are present. | An oval asymmetry at superior posterior aspect of the left breast. Spot compression views and possible ultrasound study are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Postoperative changes of previous sinus surgery. The left frontal sinus is under-pneumatized. Right frontal sinus is clear.Mild bilateral anterior and posterior ethmoid sinus opacification.Mild bilateral maxillary sinus opacification. Bilateral ostiomeatal units are patent.The sphenoid sinuses are clear.Bilateral mastoid air cells and middle ear cavities and there are no air-fluid levels. No specific osseous changes of chronic sinusitis. The lamina papyracea are intact bilaterally. The floor of the anterior cranial fossa and cribriform plate region are unremarkable. The nasal septum is midline; however, the left nasal valve is narrowed. Bilateral orbits and the posterior nasopharynx appear unremarkable. Chronic bilateral mandibular rami fractures. | Mild sinus disease as above without specific osseous changes of chronic sinusitis. |
Generate impression based on findings. | 42-year-old female with reported history Crohn's disease diagnosed 15 years ago with stricture noted at 65 cm from the anal verge. The scout film showed a nonobstructive bowel gas pattern without any evidence of obstruction or ileus. Barium flowed freely from the rectum to the cecum. The distal colon and rectum appears featureless with absence of haustral markings. There is an approximately 10 cm long stricture in the mid transverse colon that is attenuated to about 4 mm in diameter. A small polyp is noted just proximal to the stricture (series 13). At the distal portion of the stricture, a pseudodiverticulum is noted along the superior wall of the colon (series 17). A 3.4 cm long fixed narrowing is noted in the sigmoid/descending colon that is attenuated to approximately 11 mm in diameter. No evidence of ulceration, edema, or mass lesions. Small amounts of barium and air were refluxed into the terminal ileum. Spot films of the terminal ileum were normal. The appendix was not visualized. No significant tortuosity or redundancy of the colon is noted.TOTAL FLUOROSCOPY TIME: 5:55 minutes | 1.Long segment stricture in the transverse colon as described above. 2.Short segment stricture in the sigmoid/descending colon. 3.Featureless distal transverse, descending colon, and rectum without evidence of active disease. Differential includes Crohn's disease versus ulcerative colitis. Clinical correlation to determine the type of colitis is recommended. |
Generate impression based on findings. | Female 57 years old; Reason: 57 y/o F Hx of breast cancer and Hep C w/ known liver mass eval mass and etiology of abdominal pain and worsening ascites History: Abdominal pain, worsening ascites ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: 1.3 x 1.6 cm enhancing lesion in the lateral segment of the left hepatic lobe (3:17) is indeterminate, given the presence of only a portal venous phase. Vague focus of peripheral enhancement (3:36) is indeterminate, but may be perfusional.SPLEEN: Couple granulomas. Small splenule is also noted with a granuloma.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Mild to moderate calcification of the abdominal aorta and its branches.BOWEL, MESENTERY: No ascites.BONES, SOFT TISSUES: Right fat containing inguinal hernia.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted. | 1.Indeterminant 1.6-cm enhancing liver lesion. Given concurrent history of breast cancer and hepatitis C, further evaluation with MRI is recommended to further evaluate this lesion. 2.No acute abdominal or pelvic pathology. No ascites. |
Generate impression based on findings. | Relapsed LyG/DLBCL in need of restaging.RADIOPHARMACEUTICAL: 13.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 106 mg/dL. Today's CT portion grossly demonstrates a right chest port catheter terminating in the SVC. There is bibasilar atelectasis and postsurgical changes in the left lung base. Today's PET examination demonstrates no suspicious FDG avid uptake in the neck, chest, abdomen, or pelvis. | No evidence of FDG avid tumor. |
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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 60-year-old female with right breast asymmetries on prior mammogram. No family history of breast cancer. Three standard views of both breasts, and an additional left CC view 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 asymmetries are again seen within the right retroareolar region, and are decreased in size and conspicuity when compared to prior examinations. No dominant mass, suspicious microcalcifications or areas of architectural distortion in either breast. | Decrease in size and conspicuity of previously identified right breast asymmetries. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Stable benign calcifications are present bilaterally.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 70 years, Male. Reason: eval ett placement, Dobbhoff placement History: Dobbhoff placement Retrocardiac opacity. Dobbhoff tube tip projects over the gastric antrum. Nonobstructive bowel gas pattern. Note that the pelvis is excluded from the field-of-view. | Dobbhoff tube tip projects over the gastric antrum. |
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, version 9.3. The breast parenchyma is mostly fatty replaced. An intramammary lymph node is present at upper outer quadrant in the right breast. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 5-year-old female with painVIEWS: Right foot, AP, oblique, and lateral (3 views) 3/5/15 10:20 Alignment is anatomic. No fracture or other specific finding to account for the patient's pain. | Normal examination. |
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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 30 year old female with history of the right midfoot fracture concerning for Lisfranc injury. There is no evidence of acute fracture or dislocation. The Lisfranc joint is unremarkable. Alignment is anatomic. The soft tissues are within normal limits. | No evidence of Lisfranc injury as clinically queried. |
Generate impression based on findings. | 15-year-old male with multiple spinal lesions, especially cervical, painful episodes. Evaluate for evidence of eosinophilic granuloma. CHEST:LUNGS AND PLEURA: No pulmonary nodules or masses. No pleural effusion or pneumothorax.MEDIASTINUM AND HILA: Heart size is normal with no pericardial effusion. No mediastinal or hilar adenopathy.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Liver is normal with no evidence of intra-or extrahepatic biliary ductal dilatation.SPLEEN: Spleen is normal.PANCREAS: Pancreas is normal. No evidence of pancreatic ductal dilatation.ADRENAL GLANDS: Normal bilateral adrenal glands.KIDNEYS, URETERS: Normal bilateral kidneys.RETROPERITONEUM, LYMPH NODES: Retroperitoneum is normal. No evidence of lymphadenopathy.BOWEL, MESENTERY: Normal caliber of the bowel with no evidence of obstruction.BONES, SOFT TISSUES: There are multiple osseous lesions predominantly in the visualized cervical and upper thoracic spine. There is compression deformity of T11 vertebral body as well as superior and inferior end plate deformities ranging from T6 to the visualized lower cervical spine. OTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: Normal. BLADDER: Normal.LYMPH NODES: No evidence of pelvic lymphadenopathy.BOWEL, MESENTERY: Normal caliber of the bowel with no evidence of obstruction.BONES, SOFT TISSUES: No osseous lesions are noted in the lumbar spine and pelvis.OTHER: No significant abnormality noted | Multifocal spinal lesions predominantly involving the thoracic and visualized lower cervical spine. There is compression deformity of T11 vertebral body. |
Generate impression based on findings. | 14-week-old male (ex-29 weeker) with chronic lung disease, not tolerating O2 wean, with tachypnea, coughing, increased work of breathing. Evaluate for volume status and acute process.VIEW: Chest AP (one view) 3/5/2015 Feeding tube tip crossing below the left hemidiaphragm and is transpyloric but extending beyond the inferior margin of the image.Cardiothymic silhouette is mildly enlarged. Lung volumes are enlarged with hemidiaphragms at the level of the 10th posterior ribs. Coarse bilateral opacities are again seen which appear unchanged. Streaky opacities of right upper lobe and right lung base likely atelectasis. | Likely atelectasis on background of chronic lung disease. |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. A circumscribed round mass is seen at upper outer quadrant in the right breast, likely a re-accumulation of previously seen cyst.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | ET tube, NG tube, esophageal temperature probe and UAC unchanged. UVC terminates at the right atrium. Transverse fracture of the proximal diaphysis of the left humerus with medial angulation.Cardiac silhouette size is normal. Persistent left-sided medial pneumothorax with no focal opacities, or effusions. | Interval repositioning of UVC.Persistent small left-sided medial pneumothorax. Left humerus fracture |
Generate impression based on findings. | 2-year-old male with history of right renal cyst and Wilm's tumor status-post left nephrectomy, 12 months off therapy. LIVER: Normal echogenicity of the liver with no focal hepatic lesions noted. GALLBLADDER, BILIARY TRACT: Normal echogenicity of the gallbladder with no pericholecystic fluid. Gallbladder wall measures 1 mm in thickness. The common bile duct measures 2 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: The tail of the pancreas is obscured by bowel gas. The remaining visualized pancreas is normal in echogenicity with no evidence of pancreatic ductal dilatation.SPLEEN: Normal echogenicity of the spleen measuring 7.9 cm in length.KIDNEYS: Right kidney measures 7.1 cm in length and contains a right renal cyst in the upper pole measuring 3.5 cm x 2.7 cm x 2.9 cm previously measured 3.7 cm x 2.9 cm x 3.1 cm. The left kidney is surgically absent.ABDOMINAL AORTA: No significant abnormality noted.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: No significant abnormality noted. | Right renal cyst unchanged. No evidence of recurrent disease. |
Generate impression based on findings. | Mandibular distractor placement.VIEWS: Mandible AP/lateral (two views) 03/05/15 In the interval, osteotomies of the mandibular bodies have been performed. Distractors are in place. The plates are closely approximated. Micrognathia is noted.A tracheostomy tube is present. | Postoperative changes with no evidence of complication. |
Generate impression based on findings. | 59 years, Male. Reason: 59yoM with abdominal distention/nausea r/o gastric distention History: nausea Enteric feeding tube tip is the ligament of Treitz. Interval removal of nasogastric tube. Additional surgical drain tip projects over the right upper quadrant. Two biliary drains project over the gastric antrum. Relative paucity of bowel gas. IVC filter noted. | Relative paucity of bowel gas with enteric feeding tube tip past the ligament of Treitz. |
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, version 9.3. The breast parenchyma is heterogeneously dense. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Mammogram works best when searching for changes. Submission of prior mammogram is, therefore, recommended for future reference. If the patient submits her old mammograms, we can compare them with the current study to establish stability.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Male 52 years old Reason: left flank pain and left abd pain. renal stone? History: as above Limited exam secondary to lack of oral and intravenous contrast. Evaluation of vascular and solid organ pathology is suboptimal without intravenous contrast. Evaluation of bowel pathology is suboptimal without oral contrast. Within these limitations, the following observations can be made:ABDOMEN:LUNG BASES: Bibasilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Hypoattenuating left adrenal nodule measuring up to 1.6 cm consistent with a benign adenoma.KIDNEYS, URETERS: No hydronephrosis or perinephric fat stranding bilaterally. No evidence of renal calculus.RETROPERITONEUM, LYMPH NODES: Mild atherosclerotic calcifications of the abdominal aorta and its branches.BOWEL, MESENTERY: Small calcifications within the appendix which may represent scattered appendicoliths without evidence of inflammation. No evidence of bowel obstruction or intraperitoneal free air.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: Scattered diverticula.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted | Limited exam secondary to lack of oral and intravenous contrast making evaluation of vascular and solid organ pathology suboptimal. Within this limitation, there is no hydronephrosis, perinephric inflammation, or nephroureteral stones. |
Generate impression based on findings. | Male 2 years old Reason: evaluate for healing fracture History: right supracondylar fractureVIEWS: Right elbow AP, lateral and oblique 3/5/15 (3 views) Cast material obscures fine bone detail. Two K wires are affixing a healing supracondylar fracture to near-anatomic alignment. | Status post casting and pinning as described. |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 14-year-old male with bilateral hip dysplasia. Evaluate healing after VDRO.VIEWS: Pelvis AP (one views) 3/5/2015 10:31 Interval removal of rectal catheter. Spica cast is in place.Blade plate and screw devices affix the femoral varus derotational osteotomies. The femoral heads are well positioned within the acetabula bilaterally. The bilateral acetabula are dysplastic. | The femoral heads are well directed into the acetabula. |
Generate impression based on findings. | Male 74 years old; Reason: Pt has known pancreatic head cystic lesion - cystadenoma on EUS - please eval for changes in cyst History: Pancreatic cyst ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Stable 1.7-cm hypodensity in the medial segment of the left hepatic lobe is likely a cyst.SPLEEN: No significant abnormality noted.PANCREAS: Redemonstrated exophytic pancreatic head mass with well defined transition zone and smaller cystic components measuring up to 1.4 cm with central punctate calcification. Mass measures 4.8 x 5.8 cm (4:49), previously 5.7 x 4 .5 cm. No vascular invasion. No associated pancreatic ductal dilatation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Couple subcentimeter hypodensities are too small to actually characterize in the right kidney, but likely cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:PROSTATE/SEMINAL VESICLES: Nonspecific heterogeneity of the prostate gland.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Scattered colonic diverticula without evidence of diverticulitis.BONES, SOFT TISSUES: Grossly stable appearing multilevel degenerative of the spine.OTHER: No significant abnormality noted. | 1.Slight interval increase in size of cystic pancreatic head mass favoring serocystadenoma with no significant suspicious change in morphology. |
Generate impression based on findings. | 70 years, Male. Reason: OG tube placement History: OG tube placement Enteric feeding tube tip projects over the pyloric area. General paucity of bowel gas. Vertebroplasty cement is noted in the L3 vertebral body. Heterotopic ossification projects over the right hip. | Enteric feeding tube tip projects over the pyloric area. |
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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. A mass in the upper inner right breast is stable.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 53 years, Female. Reason: Eval NJ placement History: NJ placed Enteric feeding tube is past the ligament of Treitz as seen on prior CT abdomen. Percutaneous pigtail surgical drain projects over the left upper quadrant. Tubing projects over the mid pelvis. Nonobstructive bowel gas pattern. | Enteric feeding tube is past the ligament of Treitz. |
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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. A small calcified mass in the right upper outer quadrant is unchanged. A biopsy clip in the left retroareolar region is again noted. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 55 years, Female. Reason: carcinomatosis History: abdominal pain bloating There are persistently dilated loops of small bowel in the left hemiabdomen with a small amount of air in the colon. Surgical clips and suture material project over the mid abdomen, pelvis and right hemiabdomen. Multiple small dystrophic calcifications project over the right hemiabdomen and are of uncertain etiology. Scoliosis again noted. | Multiple dilated loops of small bowel and air in the colon. Partial small bowel obstruction cannot be excluded. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, and an additional left MLO view, were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. The previously described known cyst in the lateral right breast is significantly decreased in size from prior examination. | 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. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is heterogeneously dense. No suspicious masses, microcalcifications or areas of architectural distortion are present. Mildly prominent lymph nodes are noted in both axillae. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Mammogram works best when searching for changes. Submission of prior mammogram is, therefore, recommended for future reference. If the patient submits her old mammograms, we can compare them with the current study to establish stability.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Male 67 years old; Reason: r/o fx History: pain after fall Moderate to severe osteoarthritis affects the acromioclavicular joint, with an undersurface spur at the acromion. No fracture or malalignment is present. | AC joint osteoarthritis, without fracture or malalignment. |
Generate impression based on findings. | Nuss bar removal. Sudden onset severe chest pain.VIEWS: Chest PA/lateral (two views) 03/05/15 Residual pectus deformity is noted.Cardiac silhouette and pulmonary vascularity are normal. No focal lung opacity is present. No pneumothorax or pleural effusion is identified. | No evidence of complication after surgery. |
Generate impression based on findings. | Right base of tongue T2N2b squamous cell carcinoma status post induction. There is interval decrease in size of the right cervical lymphadenopathy. For example, a right level 2A lymph node now measures 11 x 12 mm, previously 30 x 35 mm. There is also marked interval decrease in size of the tongue base mass that may measure up to 7 mm, previous.y 30 mm, although tumor is difficult to delineate from the background of lingual hyperplasia. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. The osseous structures are unchanged. The airways are patent. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. | Marked interval decrease in size of the tongue base tumor and right cervical lymphadenopathy. |
Generate impression based on findings. | 42 year-old female patient with dysphagia and odynophagia. Scout radiograph of the chest showed no mediastinal widening or pleural effusions. Right basilar atelectasis and posterior fusion hardware noted.Double contrast evaluation of the esophagus and gastric cardia/fundus revealed no morphologic abnormalities of the mucosal surfaces or mural contours. During the exam, trace spontaneous gastroesophageal reflux was observed and spontaneously cleared. Fluoroscopic evaluation of esophageal peristalsis demonstrated a normal primary peristaltic wave. After administration of a 13-mm barium pill there is transient hang up of the pill in the midesophagus and subsequent hang up of the pill at the gastroesophageal junction. The patient had associated transient reproduction of cervical esophageal symptoms.TOTAL FLUOROSCOPY TIME: 5:29 minutes. | Hang up of barium pill at the gastroesophageal junction without associated anatomic or esophageal motor abnormalities. |
Generate impression based on findings. | Worsening headaches with severe vertigo and vision changes. There is no evidence of intracranial hemorrhage within the limitations of post-contrast technique. There is no evidence of enhancing mass or mass effect. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is scattered opacification of the posterior left ethmoid air cells. The remaining imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. | No evidence of intracranial hemorrhage within the limitations of post-contrast technique. Otherwise, no evidence of intracranial mass or mass effect. Please note that CT is insensitive for the detection of acute nonhemorrhagic ischemic event. If there is continued clinical concern, MRI of the brain is recommended.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | History of laryngeal cancer and CRT. CHEST:LUNGS AND PLEURA: Stable scattered noncalcified micronodules, most likely postinflammatory. Calcified nodules consistent with prior healed infection.No suspicious pulmonary nodules.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Normal heart size without a pericardial effusion.Postsurgical findings of CABG. Severe native coronary artery calcification.CHEST WALL: Median sternotomy with sternal nonunion, unchanged.Mild degenerative changes of the thoracic spine with stable upper thoracic vertebral body compression deformities.ABDOMEN: Absence of enteric contrast material limits sensitivity for abdominal pathology. LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.PANCREAS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No retroperitoneal lymphadenopathy. Calcified atherosclerotic disease of the aorta without aneurysm.BOWEL, MESENTERY: Absence of enteric contrast material limits sensitivity for GI pathology.No gross abnormalities noted.BONES, SOFT TISSUES: Interval resolution of subcutaneous nodule in the right posterior abdominal wall, which was likely an injection granuloma. New injection granuloma in the left lower abdominal wall.OTHER: No significant abnormality noted. | No evidence of metastatic disease. |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 83 years old Reason: bilateral hip pain History: hip pain Right hip: Bone mineralization is decreased. Mild osteoarthritis affects the right hip with joint space loss. No acute fracture or malalignment.Left hip: Bone mineralization is decreased. Mild osteoarthritis affects the left hip with joint space loss. No acute fracture or malalignment. There are two subtle lucencies in the left proximal femur the largest measuring 8 mm.Bilateral vascular calcifications.Multiple phleboliths in the pelvis. | 1.No acute fracture or malalignment.2.Nonspecific lucent foci in the left femur. If the patient has persistent pain, follow up imaging MRI can be performed. |
Generate impression based on findings. | 63-year-old male with history of cancer of the ampulla of Vater. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Non-enhancing low-attenuation lesion in hepatic segment 7 (series 11, image 36) measures 1.5 x 2.1 cm, similar to prior. Interval cholecystectomy. Biliary stent in common bile duct with distal tip in duodenum. Expected pneumobilia without intrahepatic biliary ductal dilatation. The common bile duct remains dilated, similar to prior.SPLEEN: Soft tissue attenuation nodule adjacent to the spleen in the region of the pancreatic tail which appears like splenic parenchyma on all 3 phases likely intra-pancreatic splenule. PANCREAS: Evaluation of the pancreatic head region slightly limited by metallic streak artifact. No discrete pancreatic or periampullary lesions are identified. Reference portacaval lymph node (series 11, image 51) measures 1.4 x 2.8 cm, previously 1.2 x 2.5 cm. ADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Bilateral hypoattenuating renal lesions, stable, most likely cysts but too small to characterize. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Small bilateral fat containing inguinal hernias. Visualized osseous structures stable in appearance with multilevel degenerative disease and age indeterminate compression deformities of L1 and L3 vertebral bodies.OTHER: No significant abnormality notedPELVIS:PROSTATE/SEMINAL VESICLES: Prostatic calcifications. BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: Small bilateral fat containing inguinal hernias. Visualized osseous structures stable in appearance with multilevel degenerative disease and age indeterminate compression deformities of L1 and L3 vertebral bodies.OTHER: No significant abnormality noted | 1.Interval cholecystectomy. Common bile duct stent in place. Common bile duct dilation without intrahepatic biliary ductal dilatation appearing similar to prior.2.No discrete pancreatic or periampullary lesions are identified.3.Mild interval increase in size of reference portacaval lymph node.4.Stable indeterminate hepatic segment 7 lesion. Lesion can be further evaluated with MRI if clinically indicated. |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense. A small asymmetry is present at posterior central in the right breast on CC view. No suspicious microcalcifications or areas of architectural distortion are present. | A small asymmetry at posterior central in the right breast on CC view. Spot compression views and possible ultrasound study are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. There is a percutaneously placed marking clip in the upper inner quadrant of the right breast.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 35 years old ankle fracture Postsurgical changes along the lateral aspect of the calcaneus with removal of the broken screw head and replacement. There has been some bony bridging across the calcaneal fracture.The medial cuneiform plate and surgical anchors near the navicular are unchanged. | Postsurgical changes in the calcaneus. |
Generate impression based on findings. | Preoperative for right total hip arthroplasty Severe osteoarthritis affects the right hip, with subchondral sclerosis and cyst formation. No fracture is present.The left total hip arthroplasty device appears in near anatomic alignment. | Osteoarthritis. |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. Multiple bilateral scattered calcifications and dense calcifications in a benign mass in the left breast at the 12 o'clock position again noted.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Male 80 years old Reason: Pr s/p liver resection, developed fluid collection. Has IR drain in place. Evaluate fluid collection. History: none Limited exam secondary to lack of intravenous and oral contrast. Lack of intravenous contrast makes evaluation of vascular and solid organ pathology suboptimal. Lack of oral contrast makes evaluation of bowel pathology suboptimal. Within these limitations, the following observations can be made:ABDOMEN:LUNG BASES: Small right pleural effusion which appears loculated. Again seen are the postsurgical changes adjacent to the right hemidiaphragm.LIVER, BILIARY TRACT: Redemonstrated are post surgical changes from resection of the right hepatic lobe mass. Percutaneous drain is in place adjacent to the hepatic surface, unchanged in position. Small residual fluid pocket again measuring approximately 2.8 x 1.1 cm adjacent to the surgical resection margin (series 5, image 49).SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Mild atherosclerotic calcifications of the abdominal aorta and its branches.BOWEL, MESENTERY: Previously seen pockets of gas within the wall of the lesser curvature of the stomach wall are no longer visualized. No evidence of frank perforation. No intraperitoneal free air or fluid.BONES, SOFT TISSUES: Postsurgical changes in the anterior abdominal wall.OTHER: No new drainable fluid collections in the upper abdomen. The main pulmonary artery is enlarged measuring up to 42 which may represent pulmonary arterial hypertension.PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: Right posterior lateral bladder diverticulum.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Mild induration along the prior surgical incision in the pelvis. Degenerative changes affect the lumbar spine. Sclerotic changes involving inferior endplate of L2 vertebral body.OTHER: No drainable fluid collections in the pelvis. | 1.Small, stable perihepatic fluid collection. No new drainable fluid collections.2.Persistent small right pleural effusion which appears loculated. 3.Enlarged main pulmonary artery which may represent pulmonary arterial hypertension. |
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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. A small cluster of calcifications at upper outer quadrant in the right breast is unchanged. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: chest pains atypical and previous abnormalities on the left History: see above LUNGS AND PLEURA: Only a linear scar is still present in the lingula.Scattered benign appearing micronodules are unchanged.No significant pulmonary or pleural abnormality is present.MEDIASTINUM AND HILA: No significant abnormality noted.No visible coronary calcifications.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. | No significant abnormality. Residual lingular scar. No further CT follow up is recommended at this time. |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Concern for parathyroid adenoma, elevated PTH, osteoporosis. On the early image, there is a medium to large focus extending from the thyroid isthmus inferiorly. This most likely represents inferior extension of normal thyroid tissue. however, immediately inferior to this in the anterior mediastinum midline is a small focus of activity which is highly suspicious for a slightly ectopically located parathyroid adenoma despite the essentially complete washout on delayed images. | Findings very suspicious for a slightly ectopically located parathyroid adenoma in the midline superior anterior mediastinum just inferior to what appears to be nodular inferior extension of thyroid tissue off of the isthmus. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of reduction surgery for both breasts in 2011. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. There is a stable small focal asymmetry at upper outer quadrant in the right breast. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 4-year-old male with tooth chipped, possible aspirated fragment. Evaluated for foreign body.VIEWS: Chest AP/lateral (two views) 3/5/2015 Cardiothymic silhouette is normal. No focal opacities. No pleural effusion or pneumothorax. No evidence of radiopaque foreign body within the air way or upper GI tract. | No radiopaque foreign body is present. |
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, version 9.3. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 40 year-old female with left facial numbness and history of left facial droop which is now resolved. There is no evidence of acute intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal 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 are unremarkable. | No evidence of acute intracranial hemorrhage or mass. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct. |
Generate impression based on findings. | Metastatic breast cancer on treatment. CHEST:LUNGS AND PLEURA: Large right pleural effusion, increased from prior. Associated pleural nodularity and thickening consistent with pleural metastases, unchanged.Trace left pleural effusion, slightly increased.Numerous bilateral pulmonary nodules are stable to slightly increased.Reference right perifissural nodule cannot be accurately measured due to obscuration by adjacent increased right middle lobe atelectasis.Left upper lobe subpleural and paramediastinal opacities consistent with post radiation change, increased at the apex.Small amount of dependent debris in the trachea. MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Right chest wall port tip in the right atrium.Normal heart size without a pericardial effusion.Small high right paratracheal diverticulum, unchanged.CHEST WALL: Postsurgical findings of left mastectomy and axillary dissection, unchanged. No axillary lymphadenopathy.Diffuse sclerotic osseous metastases, not significantly changed.ABDOMEN: Absence of enteric contrast material limits sensitivity for abdominal pathology. LIVER, BILIARY TRACT: Multiple bilobar hepatic metastases. Although the reference left hepatic lesion is slightly smaller at 14 x 18 mm, previously 20 x 22 mm (series 3, image 100), there are nonreference lesions that are significantly larger and new metastases such as in the caudate lobe.SPLEEN: No significant abnormality noted.ADRENAL GLANDS: Left adrenal nodule is 19 x 21 mm (series 3, image 98), previously 16 x 22 mm.KIDNEYS, URETERS: Subcentimeter hypoattenuating kidney lesions, too small to characterize and unchanged.PANCREAS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Calcified atherosclerotic disease of the abdominal aorta and branch vessels.BOWEL, MESENTERY: Absence of enteric contrast material limits sensitivity for GI pathology.Calcified left periaortic nodule is 16 x 19 mm (series 3, image 129), previously 18 x 19 mm.Increased prominence of peritoneal soft tissue nodularity (series 3, image 148), suspicious for peritoneal carcinomatosis.BONES, SOFT TISSUES: Diffuse sclerotic osseous metastases, not significantly changed.OTHER: No significant abnormality noted. | 1. Significantly increased size and number of hepatic metastases.2. Stable to slight increase in numerous pulmonary nodules. Increase size of malignant large right pleural effusion.3. Increased peritoneal soft tissue nodularity suspicious for peritoneal carcinomatosis.4. Left adrenal metastasis is slightly increased in size. |
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, version 9.3. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Developing oil cysts are seen at upper outer quadrant in the left breast.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: 62y/o F with R hip pain Two views of the right hip demonstrate mild osteoarthritis. No fracture or malalignment is present. | Mild osteoarthritis. |
Generate impression based on findings. | Chronic nasal congestion and PND; deviated nasal septum; h/o nasal fracture; questionable polyp on right side seen on endoscopy. There may be a punctate osteoma in the right frontal sinus. Otherwise, the paranasal sinuses are clear. The nasal cavity is also clear. There is deformity of the nasal skeleton. The nasal septum is deviated to the right with a small associated spur. There is a paradoxical right middle turbinate. The lamina papyracea and ethmoid roofs are intact. The carotid grooves and optic canals are covered by bone. The nasopharynx, facial soft tissues, orbits, and imaged intracranial structures appear to be unremarkable. | 1. The nasal septum is deviated to the right with a small associated spur. Otherwise, no convincing evidence of sinonasal polyposis.2. Deformity of the nasal skeleton is compatible with prior fracture. |
Generate impression based on findings. | Male 48 years old Reason: L shoulder pain, limited ROM of abduction and extension (both active and passive) - assess for obvious rotator cuff tear, adhesive capsulitis History: L shoulder pain, limited ROM of abduction and extension (both active and passive) - assess for obvious rotator cuff tear, adhesive capsulitis. Three views of the right shoulder show no acute fracture or dislocation. There are no specific radiographic findings to account for patient's symptoms. | No radiographic findings to account for patient's symptoms, although adhesive capsulitis cannot be excluded on the basis of radiographic studies. |
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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. A few small masses in the right breast are unchanged.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral 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. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. Extensive vascular calcifications are again seen in the breasts.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 43 year old female status post right lumpectomy in 2006 for invasive ductal carcinoma with nodal involvement, presents today for routine follow up. The patient received radiation and chemotherapy. Additional history of benign right breast biopsy. No current breast complaints. No family history of breast cancer. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Linear markers have been placed on scars overlying the upper outer right breast and right low axilla, with expected underlying postsurgical changes including surgical clips. An X-shaped biopsy clip is noted within the lumpectomy bed, from reported prior benign biopsy. Scattered benign calcifications are present. No dominant mass, suspicious microcalcifications or areas of nonsurgical architectural distortion in either breast. | Stable postsurgical changes of the right breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
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