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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 pacemaker generator obscures the le... | 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. | 61-year-old with history of benign biopsies. 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. No dominant mass, suspicious microcalcifications or areas of a... | 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. | Female 59 years old; History: pain LEFT ANKLE: Soft tissue swelling is noted about the ankle. No fracture or malalignment is present. LEFT FOOT: A moderate hallux valgus deformity is noted. No fracture or malalignment is present. No significant arthritic changes or specific findings are otherwise seen to account for th... | No fracture or malalignment. |
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. 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: NSC - Screening Mammogram. |
Generate impression based on findings. | Reason: 56 yo male with pancreas mass; please do pancreatic protocol CT scan with chest images to evaluate for changes and or abnormalities History: pancreas mass CHEST:LUNGS AND PLEURA: Multiple scattered calcified and noncalcified pulmonary nodules and micronodules are redemonstrated. The largest lesion in the right ... | Grossly stable exam. No definite pancreatic mass identified, although subtle malignancy cannot entirely be excluded.Interval resolution of cystic lesion between the pancreatic tail and spleen.Stable pulmonary nodules. |
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. Bilateral retropectoral saline implan... | 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. | 17 year-old female with desaturation, evaluate for consolidation. History of surgery for bowel obstruction secondary to small bowel herniation into lesser sac.VIEW: Chest AP (one view) 3/5/1511:01 Enteric tube tip and side-port in the stomach. The cardiothymic silhouette is normal.Low lung volumes with patchy basilar o... | Retrocardiac consolidation and bibasilar atelectasis. |
Generate impression based on findings. | Pain. Preoperative. Severe osteoarthritis affects the left hip, with joint space narrowing, subchondral sclerosis, and subchondral cysts. No fracture or dislocation is present.Mild osteoarthritis affects the right hip. | Osteoarthritis. |
Generate impression based on findings. | 12-year-old male with scoliosisVIEWS: Thoracolumbar spine upright in brace, PA (one view) 3/5/15 11:04 27 degrees dextroscoliosis from T8 to L3. The spinous process of T2 is 9 cm to the left of the spinous process of S1. No segmentation defects. Mild to moderate colonic stool burden. | Flexible thoracolumbar curve. |
Generate impression based on findings. | 40 year-old male with end stage renal disease, evaluation for renal transplant. Within the limits of a non IV contrast enhanced examination which limits the ability to evaluate solid parenchymal organs and vascular structures, the following observations can be made: ABDOMEN:LUNG BASES: Evaluation of the lung parenchyma... | 1.No significant atherosclerotic disease of the abdominal aorta, common iliac arteries, and external iliac arteries.2.End stage native kidneys with multiple renal cysts.3.Submucosal fat deposition in the colon likely from prior inflammation.4.Nonspecific soft tissue nodule in the superficial tissues along the left ingu... |
Generate impression based on findings. | Femoral osteotomy.VIEW: Pelvis AP (one view) 03/05/15 In the interval, a right femoral valgus osteotomy has been performed. Plate and screws compression device is noted. The right femoral head remains dislocated from the dysplastic acetabulum. The left femur is abducted and the femoral head is well directed into the ac... | Osteotomy of the proximal femur with no evidence of complication. |
Generate impression based on findings. | Breast cancer restaging.IMAGES: Submitted for interpretation are FDG PET/CT images from the skull vertex through the thighs labeled Edward hospital dated 1/20/15. (The nonenhanced CT images were obtained solely for purposes of completing the PET scan, are not of diagnostic quality and are thus not interpreted or used t... | 1.Multiple markedly hypermetabolic abdominal and pelvic lymph nodes are highly suspicious for tumor. While these may reflect metastatic breast cancer, given the somewhat atypical location, other etiologies such as lymphoma are conceivable.2.Multiple hypermetabolic lumbar spine lesions could conceivably represent tumor ... |
Generate impression based on findings. | 41 year old female with history of left lobular breast carcinoma with axillary nodal involvement status post left lumpectomy in July 2014 followed by chemotherapy and radiation. Patient reports recent swelling, pain, erythema at the site of prior lumpectomy. A targeted left ultrasound was performed for the patient’s ar... | Complicated fluid collection at the 7 o'clock position of the left breast, subjacent to the lumpectomy scar, measuring at least 5.8 cm, likely representing a seroma with possible superimposed infection.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | 84 years, Female. Reason: evaluate G tube placement and for obstruction History: vomiting Gastrostomy tube balloon and tip project over the gastric antrum. There is elevation of the right hemidiaphragm with interposition of bowel loops over the liver. Nonobstructive bowel gas pattern with above average stool burden in ... | Gastrostomy tube projects over the gastric antrum. Elevated right hemidiaphragm and interposition of bowel loops over the liver is of uncertain chronicity and current clinical significance. Recommend correlation with diaphragmatic paralysis and right upper quadrant symptoms. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are digital mammographic images with tomosynthesis (2/5/15, 2/19/15), ultrasound images (2/19/15), images from ultrasound guided biopsy of right breast (2/25/15), post-procedural right digital mammographic images (2/25/15) performed at Northwestern Memo... | Biopsy proven ADH and LCIS at posterior upper outer quadrant in the right breast. Multiple cysts in both breasts. No mammographic or sonographic evidence for malignancy in the left breast. BIRADS:4 - Suspicious Abnormality. RECOMMENDATION:X - No Letter. |
Generate impression based on findings. | Female 78 years old; Reason: Patient s/p lap left renal cyst unroofing. Pain near left port site, evaluate for port site hernia, having nausea and vomiting and pain ABDOMEN:LUNGS BASES: Severe calcified coronary artery disease. Heart borderline in size. Small left basilar consolidation/atelectasis.LIVER, BILIARY TRACT:... | 1. Findings consistent with small bowel obstruction secondary to left ventral abdominal hernia. Findings discussed with Dr. B. Alberts of urology service at 12:15 p.m. on 3/5/15. 2. Moderate-sized hiatal hernia including partially intrathoracic stomach. Contrast seen in hernia and in esophagus, may reflect reflux and c... |
Generate impression based on findings. | DCIS.IMAGES: Submitted for interpretation are images from a right breast lymphoscintigraphy labeled Lakeland Medical Center St. Joseph, dated 2/12/15. Several injections are seen to have been made in the right breast. Multiple small foci of activity are noted in the right axilla, consistent with draining sentinel lymph... | Multiple sentinel nodes identified in the right axilla. |
Generate impression based on findings. | Some areas are slightly less than optimally distended but between the two views adequate distension is achieved. Moderate residual fluid throughout the colon is weakly tagged. Mild residual mobile particulate fecal matter is identified within the colon. The sigmoid colon and descending colon are tortuous. No polyps > ... | No polyps > 6 mm or colonic masses are identified. Abdominal aortic aneurysm measuring 4.8 cm in maximum dimension.Diffuse hepatic steatosis.Findings discussed with Dr. Lissoos (by Dr. Ward) and by myself with the patient including need to address the abdominal aortic aneurysm with comparison to prior exams and follow ... |
Generate impression based on findings. | Male 62 years old; Reason: evaluate for HCC History: cirrhosis s/p therapsheres ABDOMEN:LUNG BASES: Scattered subcentimeter micronodules, largest measuring 5 mm in the left lung base.LIVER, BILIARY TRACT: Cirrhosis. Nonenhancing segment 7 hypodense lesion previously measuring 3.5 x 3.6 cm, now measures the same (11:23)... | 1.New 1.4 cm hepatic lesion suspicious for HCC. |
Generate impression based on findings. | Female 75 years old Reason: r/o fx History: pain s/p fall 6 months ago- constant LE pain Bone mineralization is normal. Alignment is anatomic. No acute fracture or malalignment.Osteoarthritis affects the knee joint. | No acute fracture. |
Generate impression based on findings. | Female 0 days old Reason: is umbilical line placed properly, eval lung fields History: Term infant on CPAPVIEW: Chest and abdomen AP (two views) 3/5/15 at 1221 hrs UVC terminates at the RA/IVC. Aortic arch, cardiac apex and stomach are left-sided. Cardiac silhouette is normal in size and shape. Minimal diffuse lung haz... | Minimal diffuse lung haziness, likely TTN.UVC positioning as described. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids/middle ears are grossly clear. | No acute intracranial abnormality. If there remains clinical concern for an acute ischemic event, MRI of the brain is recommended. |
Generate impression based on findings. | Status post fall with right facial bruise. There is no evidence of acute intracranial hemorrhage or mass effect. There is parenchymal volume loss. There is no midline shift or herniation. There are scattered punctate and confluent areas of abnormal low attenuation in the periventricular and subcortical white matter, co... | 1. No evidence of acute intracranial hemorrhage or mass effect. No skull fracture. If there is suspicion for maxillofacial fracture, dedicated maxillofacial CT can be obtained.2. Mild chronic small vessel ischemic changes. |
Generate impression based on findings. | Male 65 years old; Reason: restaging scans 18 months post investigational immunotherapy History: hx of metastatic renal cell cancer CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules nonspecific and unchanged, no suspicious lung nodule. No pleural effusion.MEDIASTINUM AND HILA: No enlarged mediastinal or hilar ad... | 1. Stable exam as above. 2. Please refer to concomitant nuclear medicine bone scan from same day for additional findings. |
Generate impression based on findings. | Tongue cancer. Post induction chemo. Measurements. CHEST:LUNGS AND PLEURA: Stable scattered micronodules, most likely postinflammatory.No suspicious nodules.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Normal heart size without pericardial effusion.No visible coronary artery calcification.CHEST WALL: R... | No evidence of metastatic disease. |
Generate impression based on findings. | 78 year old female status post left mastectomy in 1990 for breast carcinoma, presents today for routine follow up. Patient received chemotherapy. No current breast complaints. No family history of breast cancer. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. T... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 65-year-old with history of benign masses but no new problems. 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. No new dominant mass, suspicious microcalcif... | 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. | Male 78 years old Reason: bilateral knee pain History: bilateral knee pain. Right knee: Bone mineralization is normal. Alignment is anatomic. There is mild to moderate medial compartment joint space loss, moderate extensor compartment joint space loss and tricompartmental osteophytes. No joint effusion. No acute fractu... | Moderate bilateral knee osteoarthritis. |
Generate impression based on findings. | History of of prostate cancer with rising PSA level. There is a new small focus of activity in the right fourth posterolateral rib, new from previous. While this could represent a new fracture, it has some features (i.e. wider than tall) of some suspicion for a metastasis. The patient describes a recent fall with pain ... | A single new right rib lesion is indeterminate and could represent a new fracture or a metastasis. A non-contrast chest CT can be performed for further evaluation. |
Generate impression based on findings. | History of ethesioneuroblastoma and thyroid cancer. Evaluate disease status.RADIOPHARMACEUTICAL: 9.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 114 mg/dL. Today's CT portion grossly demonstrates post-surgical changes of bilateral antrectomies with mucosal thickening of the bilateral maxillary sinuses. T... | Large markedly hypermetabolic mass in the inferior spinal canal from the L5 to mid sacral level is markedly progressed from the previous examination. This is compatible with tumor progression, likely a drop metastasis from ethesioneuroblastoma. Conceivably, but less likely, this could represent a synchronous primary tu... |
Generate impression based on findings. | Personal history of bilateral renal tumors and pulmonary cysts. LUNGS AND PLEURA: Multiple pulmonary cysts distributed throughout the lungs bilaterally.No pneumothorax.Calcified nodules consistent with prior infection.Noncalcified scattered micronodules, likely also post-inflammatory, though special attention should be... | Multiple pulmonary cysts, which given history of multiple renal masses, raises the possibility of Birt-Hogg-Dube syndrome, although lymphangioleiomyomatosis or simple cysts would be more common diagnoses. Scattered micronodules, likely post-inflammatory, special attention on follow-up scans to confirm stability. |
Generate impression based on findings. | History bilateral reduction mammoplasty in 1997 with axillary surgery. History of benign left breast biopsy. No current breast complaints. Family history of breast carcinoma in her sister at age 46 and maternal aunt at age 65. Three standard views of both breasts were performed digitally and reviewed with the aid of R2... | 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.The sensitivity of mammography for detecting breast cancer is decreased in patients with dense breasts ... |
Generate impression based on findings. | Left index finger slammed in door. Rule out fracture.VIEWS: Left hand PA, left index finger oblique/lateral (3 views) 03/05/15 Moderate soft tissue swelling is present around the index finger. No fracture is identified. The bones are normal in appearance. | Soft tissue injury. |
Generate impression based on findings. | Adenoma on ultrasound. Just posterior to the inferior right thyroid pole there is a small vague focus of activity which appears to correspond to the thyroid nodularity on ultrasound. This is suspicious but equivocal for a right sided parathyroid adenoma. | Findings suspicious but equivocal for a right sided parathyroid adenoma posteroinferiorly. |
Generate impression based on findings. | Female 71 years old; Reason: 71F with history of bilateral renal masses, s/p LEFT partial nephrectomy; please assess for left sided recurrence and growth of right sided mass History: as above ABDOMEN:LUNG BASES: Mild cystic changes. Stable pulmonary micronodule in the periphery of the left lower lobe (8:7)LIVER, BILIAR... | 1.Slight interval increase in size of right enhancing renal mass, suspicious for renal for carcinoma. Status post partial left nephrectomy with expected postsurgical changes. |
Generate impression based on findings. | 90 year old male with history prostate cancer with rising PSA, evaluate for metastatic disease. ABDOMEN:LUNG BASES: Cardiomegaly. Reference right lower lobe subpleural nodule (series 4, image 30) measures 1.0 x 1.8 cm, previously 1.0 x 1.8 cm. Reference left lower lobe/lingular nodule (series 4, image 18) measures 0.6 ... | 1.Stable enlarged prostate without specific evidence of new metastatic disease. Nuclear medicine bone scan more sensitive for detection of osseus metastases. 2.Stable nonspecific basilar pulmonary nodules. 3.Moderate left inguinal hernia containing nonobstructed large bowel. |
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. 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: NSC - Screening Mammogram. |
Generate impression based on findings. | Reason: any evidence of local, regional, or distant recurrence of NSCLC History: prior non small cell lung cancer of the right middle lobe CHEST:LUNGS AND PLEURA: Moderate apical predominant centrilobular emphysema.Right middle lobe necrotic mass measures approximately 59 x 35 mm (series 3, image 51), previously 74 x 3... | 1. Mild decrease in right perihilar necrotic mass, with stable to mildly decreased mediastinal lymph nodes.2. No new sites of disease identified. |
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. | 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. | History of metastatic breast cancer on treatment. Compare to prior imaging, evaluate for response and extent of disease. Diffuse bone metastases are again noted affecting the axial and proximal appendicular skeleton, including the spine, skull, ribs, pelvis and right proximal femur which are stable. No new lesions are ... | Diffuse bone metastases without significant interval change and no new lesions. |
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. 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: 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 heterogeneously dense, unchanged in pattern and distribution. There is a stable focal asymmetry in the medial right breast ... | 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. | 3-year-old male, evaluate healingVIEWS: Right forearm AP and lateral (2 views) 3/5/15 13:38 Circumferential callus formation and periosteal reaction involving the distal radius and ulnar diaphyseal fractures compatible with healing. Alignment is near-anatomic. | Healing both bone forearm fracture in near-anatomic alignment. |
Generate impression based on findings. | Female 68 years old; Reason: lumbar fusion T10-S1 Posterior stabilization rods with screws entering T10, T11, T12, L1, L2, L3, L4, L5, and S1, with decreased scoliosis compared to the prior study. Intervertebral disk spacer devices are present at L1/L2, L2/L3, L3/L4, and L4/L5. No radiographic evidence of hardware comp... | Postoperative changes of the thoracolumbar spine, as above. |
Generate impression based on findings. | There is herniation of a portion of right medial orbitofrontal gyrus measuring up to 9 mm in width into the right ethmoid air cells through a defect in the right anterior cranial fossa measuring 7 mm. There is mild scattered paranasal sinus mucosal There are multiple prominent arachnoid granulation in the bilateral gr... | Subcentimeter right anterior cranial fossa encephalocele. |
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. Stable calcified masses are seen in both breasts No suspiciou... | 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: NSA - Screening Mammogram. |
Generate impression based on findings. | Metastatic thyroid cancer. CHEST:LUNGS AND PLEURA: Diffuse pulmonary metastases, some of which are mildly decreased in size.Reference left upper lobe nodule is 13 mm (5/24), previously 15 mm.Second left upper lobe nodule is 10 x 13 mm (5/26), previously 13 x 14 mm.Right upper lobe nodule is 9 x 10 mm (series 5, image 2... | Mild decreased size of some of the diffuse pulmonary metastases. Additional findings, including intrathoracic lymphadenopathy and nonspecific bone lesions, not significantly changed. No new sites of 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. The breast parenchyma is composed of scattered fibroglandular elements. No suspicious masses, microcalcifications or areas of architectural distorti... | 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 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. | Brain: No CT evidence of acute large territorial ischemia. No acute intracranial hemorrhage. There are no extraaxial fluid collections or subdural hematomas. The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. Mild mucosal thickening of the maxillary sinuses bilaterally; oth... | 1. No evidence of acute intracranial hemorrhage, mass, or cerebral edema.2. Patent anterior and posterior circulations without significant stenosis of 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. 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. | History of metastatic renal cell cancer. Restaging scans 18 months post investigational immunotherapy. There is a stable distribution of multiple foci of increased radiotracer uptake within the manubrium, sternum, right inferior ribs, left superior ribs, bilateral humeri, and mid left tibia. No new lesions are identifi... | Stable multifocal osseous metastases without new lesion. |
Generate impression based on findings. | 49 year old woman with history of end-stage renal disease with innumerable bilateral renal cysts on recent CT, evaluate for malignancy. ABDOMEN:LUNGS BASES: Trace pericardial effusion, similar to prior. LIVER, BILIARY TRACT: Liver measures 18 cm in craniocaudal dimension.SPLEEN: There is an approximately 1 cm low-atten... | 1.Innumerable renal cysts bilaterally which may reflect acquired cystic disease, most of which are simple benign cysts. There are, however, at least 3 lesions on the right and one lesion on the left which are higher in attenuation than simple fluid but enhance less than 10 Hounsfield units. Favor benign complex cysts, ... |
Generate impression based on findings. | Refractory Hodgkin's Lymphoma RADIOPHARMACEUTICAL: 9.7 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 89 mg/dL. Today's CT portion grossly demonstrates no definite lymphadenopathy in the neck, chest, abdomen or pelvis. Right chest wall port with catheter extending to the right atrium. Again seen is a stable... | Essentially complete interval response to therapy without convincing FDG avid tumor currently. Punctate right retrocrural hypermetabolic focus is considered most likely inflammatory but attention can be paid to this region in future follow-up exams. |
Generate impression based on findings. | Elevated calcium and PTH levels. Please assess for parathyroid adenomas. There is heterogeneous uptake of radiotracer in the mid to lower pole of the right thyroid gland which is likely related to known thyroid cancer. There is suggestion of subtle punctate focus of increased activity posterior to the right upper pole ... | 1. Findings suspicious but equivocal for a parathyroid adenoma posterior to the right upper pole vs parathyroid hyperplasia as described above. 2. Heterogeneous right mid to lower pole uptake is presumably related to known thyroid cancer. |
Generate impression based on findings. | 67-year-old female history of vertigo. Evaluate posterior circulation. Head without contrast: There is no evidence of acute intracranial hemorrhage. There is mild periventricular and subcortical white matter hypoattenuation. The gray-white differentiation is preserved. There is a 6-mm round focus of hypoattenuation in ... | 1. Mild age indeterminant small vessel ischemic disease. If there is clinical concern for acute ischemic infarction, an MRI should be obtained.2. Mild atherosclerotic calcifications of the cavernous carotid arteries bilaterally, but otherwise unremarkable CT angiogram. |
Generate impression based on findings. | Female, 49 years old s/p debridement and distal Propella flap. RFO Trigger: incorrect count. Suspected RFO Location: Abdomen. Suspected RFO: 8 needles missing. Per Dr. Gottlieb, needles were not microneedles. Bilateral percutaneous nephroureterostomy tubes noted. Bilateral nephroureterostomy stents draining to right lo... | No unexpected radiopaque foreign bodies. Findings were discussed with microsurgery fellow at 1333 on 3/5/2015. |
Generate impression based on findings. | Reason: SCLC restaging History: restaging LUNGS AND PLEURA: Severe apical predominant paraseptal emphysema.Multilobulated perihilar mass in the left upper lobe is decreased from the prior exam, measuring 3.3 x 2.6 cm (series 7, image 60), previously measuring 4.6 x 3.8 cm. no new pulmonary nodules or masses.Basilar sub... | 1. Interval decrease in size of left upper lobe mass compatible with the known history of small cell lung cancer.2. Mildly decreased hilar lymphadenopathy, and decreased size of a presumed metastatic left adrenal nodule. No new sites of disease identified.3. Severe emphysema. |
Generate impression based on findings. | Bilateral internal jugular veins are well opacified without evidence of thrombus as clinically questioned. The right internal jugular vein is larger than the left, a normal variant. The parotid and submandibular glands are normal in size and symmetric bilaterally without masses. There are no nasopharyngeal, oropharyng... | No evidence of a left internal jugular vein thrombus as clinically questioned. |
Generate impression based on findings. | Male 72 years old; Reason: hx of kidney cancer s/p nephrectomy, now with vomiting x 3 months History: see above ABDOMEN:LUNG BASES: Partially visualized fluid-filled and concentrically thickened distal esophagus is nonspecific. The gastric cardia may also be slightly thickened.LIVER, BILIARY TRACT: Segment 5 hepatic le... | 1.No evidence of recurrent disease.2.Gastroesophageal wall thickening, and fluid filled esophagus, further described above, are nonspecific, but endoscopy is suggested for further evaluation to exclude neoplastic/infectious process. |
Generate impression based on findings. | 70 years, Male. Reason: eval dobhoff advancement, interval insertion of OGT History: above Dobbhoff tube tip projects over the distal descending duodenum. Orogastric tube tip projects over the gastric body and the sidehole projects over the gastroesophageal junction. Nonobstructive bowel gas pattern with moderate stool... | Dobbhoff tube tip projects over the distal descending duodenum. Orogastric tube tip projects over the gastric body and the sidehole projects over the gastroesophageal junction. |
Generate impression based on findings. | Grade 1 retrolisthesis of L1 over L2. Grade 1 anterolisthesis of L4 over L5. Mild leftward curvature of the lumbar spine. No acute fracture or traumatic subluxation. Vertebral body heights are well-maintained. The visualized intra-abdominal and paraspinal contents are unremarkable.T12/L1: Mild disk bulge without signi... | 1.Multilevel degenerative changes with no significant central spinal canal stenosis.2.Multilevel neural foraminal narrowing as detailed above. |
Generate impression based on findings. | Female 69 years old Reason: 69 y/o F with FL grade IIIb s/p chemo now with ?evidence of disease. Please reassess History: please compare with previous PET/CT from 12/2014 from OSH to determine whether the abdominal LAD has progressed. Thanks. CHEST: LUNGS AND PLEURA: Bibasilar atelectasis. No suspicious masses or nodul... | 1.Findings consistent with lymphomatous involvement of the small bowel which has increased since prior exam from December 2014. Questionable lymphomatous involvement of the thickened distal esophagus.2.Partial small bowel obstruction with prominence of small bowel just proximal to the segment affected with lymphomatous... |
Generate impression based on findings. | 11-year-old female with history of headache and altered mental status. There is no evidence of acute intracranial hemorrhage. The gray-white differentiation is preserved. No mass or mass effect. The basal cisterns are intact. There is moderate mucosal thickening of the right sphenoid sinus. The remaining visualized par... | No evidence of acute intracranial hemorrhage, mass, or mass-effect. |
Generate impression based on findings. | 62 year old female with history of persistent asthma. Evaluate for nasal polyposis. There is a small amount of fluid within the dependent aspect of the right sphenoid sinus with an air-fluid level. The frontal sinuses are under-pneumatized. The remaining paranasal sinuses are clear with atrophic appearing sinonasal muc... | Small amount of fluid within the right sphenoid sinus, but otherwise atrophic appearing sinonasal mucosa without evidence of nasal polyps. |
Generate impression based on findings. | History of MALS syndrome, status post release. Now with persistent abdominal pain. Visually there was significantly delayed gastric emptying. Using anterior and posterior geometric means, residual gastric activity at the following postprandial intervals was calculated as follows:30 mins: 75 % of peak activity (normal >... | Markedly delayed current gastric emptying. |
Generate impression based on findings. | 74 years, Female. Reason: ALS pt having PEG placement, r/o ileus History: ALS pt having PEG placement, r/o ileus Nonobstructive bowel gas pattern. Note that the transverse colon overlies the stomach. Wire closure material projects over the lower abdomen and pelvis. Numerous wires are fractured with migration of some wi... | Nonobstructive bowel gas pattern. Note that the transverse colon overlies the stomach. |
Generate impression based on findings. | 58 years, Male. Reason: dobhoff History: dobhoff Dobbhoff tube tip and OG/NG tube tip project over the gastric body. General paucity of bowel gas noted. Numerous drains and tubes project over the abdomen and pelvis. | Dobbhoff tube tip and OG/NG tube tip project over the gastric body. |
Generate impression based on findings. | There is a small left PICA territory hypoattenuation which is new compared to the prior examination but too small to characterize if this is an acute finding. Additional remote small left superior cerebellar stroke. There is a region of encephalomalacia corresponding to the previously noted low attenuation in the left... | 1.New small left PICA territory stroke which is too small to determine for age. If further characterization is needed, MRI examination may be considered.2.No acute intracranial hemorrhage. 3.Left frontal lobe encephalomalacia consistent with remote stroke.4.Findings consistent with moderate small vessel ischemic diseas... |
Generate impression based on findings. | 22 day old male with localized swelling. Evaluate line placement.VIEW: Chest and Abdomen AP (two view) 3/5/3015 12:26 Feeding tube with side port at the GE junction. Right upper extremity PICC tip in the right atrium. ET tube tip at the thoracic inlet. Left upper extremity PICC tip in the cephalic vein.Cardiothymic sil... | 1. Bilateral pulmonary opacities unchanged.2. ET tube at the thoracic inlet. Feeding tube with side port at the GE junction. |
Generate impression based on findings. | 40 years, Male, Reason: SCLC restaging History: SCLC restaging. ABDOMEN:LUNG BASES: For findings in the lung, please see dedicated chest CT performed on the same day.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: There is diffuse pancreatic hypoattenuation with m... | 1.Left adrenal lesion, suspicious for metastases.2.Pelvic lymphadenopathy.3.Peritoneal implants are suspicious for carcinomatosis.4.Diffuse pancreatic hypoattenuation corresponding to diffuse increased activity on PET may represent pancreatitis versus diffuse infiltration of tumor.5.For findings in the lung, please see... |
Generate impression based on findings. | Shortness of breath. PULMONARY ARTERIES: Large saddle pulmonary embolus extending into the bilateral main pulmonary arteries and all lobar branches. Extension into many segmental and subsegmental arteries. The main pulmonary artery is upper normal in caliber.LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. ... | Large saddle pulmonary embolus extending into the bilateral main pulmonary arteries and all lobar branches and multiple segmental branches. Findings compatible with right heart strain. No specific evidence of pulmonary infarct.PULMONARY EMBOLISM: PE: Positive.Chronicity: Acute.Multiplicity: Multiple.Most Proximal: Main... |
Generate impression based on findings. | 25-day-old male with abdominal distention. Evaluate bowel gas pattern. VIEW: Chest and Abdomen AP (two view) 3/5/2015 12:52 ET tube tip at the thoracic inlet. Feeding tube with side port at the GE junction. Interval removal of UVC catheter. Mediastinal clips unchangedCardiothymic silhouette is normal. Large lung volume... | 1. Multifocal patchy pulmonary opacities unchanged. Disorganized nonspecific bowel gas pattern. 2. ET tube tip at the thoracic inlet. Feeding tube with side port at the GE junction. |
Generate impression based on findings. | 58 year old female who has a complaint of palpable abnormality within the right breast in July 2014, demonstrated to be oil cysts on sonographic examination, presents for follow-up right breast ultrasound and routine annual bilateral mammogram. Three standard views of both breasts were performed digitally and reviewed ... | Stable oil cysts within the upper central to inner right breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATI... |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with mild age-related volume loss. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are scattered punctate and confluent areas of abnormal low density in the periventricular and subcortical white matter, consistent with stable minim... | No acute intracranial hemorrhage. Stable mild chronic small vessel ischemic changes. If there remains clinical concern for an acute ischemic event, MRI of the brain is recommended. |
Generate impression based on findings. | Female 36 years old; right knee pain and popping. Foot drop and pain. RIGHT KNEE: No fracture or malalignment is present. No significant degenerative changes are noted. No joint effusion is evident.RIGHT FOOT: The bones appear demineralized. The distal aspect of the great toe distal phalanx is irregularly marginated, l... | 1. Irregular margins of the right great toe distal phalanx, which may reflect prior erosions/osteomyelitis seen in 2013. However, given the apparent soft tissue swelling about the great toe, this may reflect ongoing osteomyelitis in the appropriate clinical setting. 2. No specific findings in the right knee or left foo... |
Generate impression based on findings. | Bilateral profound sensorineural hearing loss . Right: The external auditory canal is patent. The middle ear and mastoid air cells are well-pneumatized and clear. The ossicular chain is intact. There is perhaps mild stenosis of the round window. The inner ear structures are unremarkable. The facial nerve describes a no... | 1. Perhaps mild stenosis of the round window, which is of indeterminate significance. Otherwise, no evidence of bony inner ear anomalies.2. RIght cerebellomedullary angle cistern arachnoid cyst. |
Generate impression based on findings. | One day old male with increased FiO2 requirements, desaturation. Evaluate lung fields or evidence of worsening pneumothorax.VIEW: Chest and abdomen AP (two views) 3/5/2015 13:05 Esophageal temperature probe is noted. ET tube tip at the thoracic inlet. Feeding tube tip in the stomach. UAC tip unchanged. UVC tip in the I... | Bilateral atelectasis and pleural effusions with abdominal ascites raise the question of fluid overload. |
Generate impression based on findings. | 68-year-old female with history of recurrent sinusitis. There are postoperative changes of bilateral ethmoidectomy, bilateral uncinectomy/antrostomies, bilateral anterior maxillary wall defects and right inferior turbinate resection. There is mild mucosal thickening of the remaining ethmoid air cells. There is moderate... | 1. Moderate to severe mucosal thickening of the maxillary sinuses with adjacent osseous findings suggestive of chronic sinus disease.2. Extensive postoperative changes of the paranasal sinuses as above. |
Generate impression based on findings. | Syncope and left leg weakness No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. There is hypoattenuation involving the left frontoparietal centrum semi-ovale and corona radiata compatible with chroni... | 1. No evidence of intracranial hemorrhage or mass effect. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion.2. Chronic small vessel ischemic disease with lacunar infarcts in the basal ganglia. Chronic infarcts involvi... |
Generate impression based on findings. | 49-year-old female with intermittent epigastric pain, evaluate for obstruction/adhesions The scout radiograph demonstrated a biliary drain in the right upper quadrant. Scattered, mildly dilated small and large bowel loops with air-fluid levels. Amorphous stool is noted in the descending colon. Evaluation of small bowel... | Diffuse dilation of small bowel without a notable transition point. Partially obstructive adhesive disease in the right lower quadrant with pain on palpation. |
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. No suspicious masses, microcalcifications or areas of architectural distorti... | 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 64 years old; Reason: evaluate for distal fibula fracture. Again seen is the nondisplaced spiral fracture of the distal fibula, which appears similar to the prior study. The medial and lateral aspects of the ankle mortise appear normal. These soft tissue swelling about the ankle is minimally decreased. | Right fibular fracture, as above. |
Generate impression based on findings. | There are lobulated areas of intrinsic T1 hyperintensity which appear overall similar to the prior exam along the posterior inferior margin of the left thalamic known AVM. This is consistent with embolic material. There is slight decreased extent of irregularly shaped intrinsic T1 hyperintensity at the level of the at... | 1. Interval significant increased extent of perinidal vasogenic edema extending into the left internal and external capsules as well as the mesial left temporal lobe white matter, although overall nidal dimensions are clearly decreased. Findings may relate to interval change in venous drainage/thrombosis associated wit... |
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. Diffuse benign calcifications are unchanged in both breasts.N... | 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. | Female 79 years old; Reason: S/p Rt TKA Two views of the right knee demonstrate hardware components of a right total knee arthroplasty device situated in near-anatomic alignment. There is no radiographic evidence of hardware complication. Skin staples, surgical drain, and foci of soft tissue gas reflect recent surgery. | Right total knee arthroplasty. |
Generate impression based on findings. | Female 77 years old; Reason: right knee pain Moderate osteoarthritis affects the right knee with tricompartmental joint space narrowing and osteophytes, similar to the prior study. A large right knee joint effusion is present.Moderate osteoarthritis affects the left knee as seen on frontal views. | Osteoarthritis, as above |
Generate impression based on findings. | 57-year-old female with history of headache. There is no evidence of acute intracranial hemorrhage. The gray white differentiation is preserved. The basal cisterns are intact. There is no mass or mass effect. There is a small osteoma within the right frontal sinus. The remaining visualized paranasal sinuses and mastoid... | No evidence of acute intracranial hemorrhage, mass or mass effect. |
Generate impression based on findings. | Head CT: There are multiple supratentorial and infratentorial metastatic lesions, some of which are essentially stable in size and some of which have grown since December 2014. No new discrete lesions are identified. Low attenuation surrounding the largest lesion in the left paracentral lobule consistent with vasogeni... | 1. Multiple intracranial metastases, some of which have increased slightly in size. Please refer to the concurrent brain MRI brain for additional details. 2. Stable postoperative findings related thyroidectomy and neck dissection with persistent ill-defined soft tissue along the inferior right carotid sheath, which may... |
Generate impression based on findings. | Fracture Again seen is a nondisplaced oblique fracture of the distal aspect of the little finger proximal phalanx. The fracture line is less distinct, indicating some interval healing. | Healing fifth finger fracture, as above. |
Generate impression based on findings. | Female 50 years old Reason: sl fixation History: pain and stiff. Three views of the right wrist show an orthopedic screw traversing the scaphoid and lunate bones without radiographic evidence of hardware complication. Suture anchors overlying the first metatarsophalangeal joint are compatible with prior ligamentous rep... | Scapholunate fixation without radiographic evidence of hardware complication. |
Generate impression based on findings. | 5 year old female with headaches, occasional vomiting. History of VP shunt Delta valve. Evaluate connections.VIEWS: Shunt series: Skull AP/lateral (two views), chest AP/lateral (two views), abdomen AP/lateral (two views) 3/5/2015 14:23 Right posterior parietal ventriculoperitoneal shunt with tip projecting into the fro... | No evidence of shunt malfunction. |
Generate impression based on findings. | Male 65 years old Reason: pre-op History: pain There is severe medial compartment joint space narrowing with bone on bone apposition. There are tricompartmental osteophytes. No joint effusion, acute fracture.Mechanical axis of the left knee is 13 degrees of varus.In the right knee there is severe medial compartment joi... | Severe left knee osteoarthritis and mechanical axis as detailed above. |
Generate impression based on findings. | Male 28 years old; Reason: left knee pain There is no fracture or malalignment. No degenerative changes are seen. No joint effusion is evident. | No specific findings to account for the patient's pain. |
Generate impression based on findings. | Male 56 years old Reason: right sided back pain, hx of smoldering multiple myeloma, r/o myelomatous lesions History: right sided back pain Thoracic spine: The bones are demineralized. There is a mild scoliosis. No acute compression fracture is evident.Lumbar spine: The bones are mildly demineralized. There are mild deg... | No acute compression deformity. If pain persists consider MRI. |
Generate impression based on findings. | Female 54 years old Reason: 54 y/o GastroEsophageal Ca, on chemo. Compare to prior. History: see above CHEST:LUNGS AND PLEURA: Calcified and noncalcified micronodules, unchanged.No pleural effusions. No suspicious nodules or masses.MEDIASTINUM AND HILA: Redemonstrated is asymmetric thickening of the distal esophagus co... | 1.Asymmetric thickening of the distal esophagus consistent with the patient's known history of esophageal cancer2.Interval migration of the esophageal stent into the gastric body/antrum. No evidence of gastric perforation or obstruction.3.Cluster of stable gastrohepatic ligament nodes continue to be suspicious for regi... |
Generate impression based on findings. | Female 56 years old Reason: fell on the ice History: rule out fracture. There is anterior wedging of the T12 vertebral body and superior end plate depression of the L4 vertebral body which may represent compression fractures of indeterminate age. Tiny anterior vertebral body osteophytes are seen at L2 and L4. | Compression fractures of indeterminate age. Cross-sectional imaging is recommended for further evaluation. |
Generate impression based on findings. | 6-year-old male status post NG tube placement, unable to flushVIEW: Abdomen AP (one view) 3/5/15 14:39 NG tube side port in the distal thoracic esophagus. A VP catheter is coiled in the right upper quadrant. Cystostomy and Foley catheter tips in the bladder. Catheter overlying the right lower quadrant likely represents... | Misplaced NG-tube. |
Generate impression based on findings. | Female 71 years old Reason: pre-op History: pain Osteoarthritis affects the right knee with osteophytes. The mechanical axis is 4 degrees of varus | Mechanical axis as detailed above |
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