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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, unc... | 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 re... |
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. Inter... | 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 ... |
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% (nor... | 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 ... | 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, u... | 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... | 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 upp... | 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... |
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 o... | 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 distri... | 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 ... | 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 2... | 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 ... | 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 l... | 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, ... | 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.... | 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 unremarka... | 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 eviden... | 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 hepat... | 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 ple... | 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. T... | 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 indi... |
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... | 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 ca... |
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... | 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.En... |
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/f... | 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 ... | 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 archite... | 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 calcification... | 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 mast... | 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... | 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 deter... |
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 segmen... | 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 e... | 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, microcalcificat... | 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,... | 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... | 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 f... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Stable benign calcifications are pres... | 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, microcalcificat... | 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 mas... | 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 distributio... | 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, microcalcificat... | 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, microcalcificat... | 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 hi... | 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 in... | 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 distributio... | 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 ... | 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. Relati... | 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 mamm... |
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. Wit... | 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 distributio... | 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 bi... | 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.SPLEE... | 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 breas... | 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 u... | 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 calcific... | 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... | 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 p... | 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 mamm... |
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 mea... | 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 m... | 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 herni... | 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 per... |
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 perica... | 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, microcalcifica... | 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, microcalcificat... | 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 ... | 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 ... | 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 hep... |
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 rig... | 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 distributio... | 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 sc... | 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 cont... | 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 ... | 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 no... | 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 archit... | 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 f... | 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, uncha... | 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 archite... | 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. Th... | 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 increa... | 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... |
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 archite... | 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 distributio... | 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 sep... | 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. ... | 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, microcalcificat... | 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 breas... | 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 breas... | 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, microcalcificat... | 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 s... | 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 - Diagno... |
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