instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | 84 years, Female. Reason: eval for obstruction History: abdominal discomfort Average stool burden. No pneumoperitoneum. Nonobstructive bowel gas pattern. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 75 years, Male. Reason: Repeat XR for comparison. Now having BMs w/flatulence. Improvement? History: known colonic ileus Enteric feeding tube is looped in the stomach with tip projecting over the gastric antrum. Surgical changes from fundoplications surgery is again noted. Gas distended large and small bowel compatible... | Persistent ileus type bowel gas pattern. |
Generate impression based on findings. | 53 years, Female, Reason: r/o dissection History: chest pain, back pain, abdomal pain. CHEST:LUNGS AND PLEURA: Diffuse groundglass opacity is nonspecific but may be related to mild edema or poor inspiration, correlate with fluid status.MEDIASTINUM AND HILA: Scattered small mediastinal nodes.CHEST WALL: No significant a... | No acute findings to account for the patient's symptoms. |
Generate impression based on findings. | Basketball injury.VIEWS: Right hand PA, right little finger oblique/lateral (3 views) 03/05/15 Mild soft tissue swelling is present around the proximal interphalangeal joint of the little finger.A nondisplaced volar plate avulsion involving the middle phalanx is present. The fracture fragment a small. | Middle phalanx volar plate avulsion. |
Generate impression based on findings. | 36 years, Male. Reason: X-ray abdomen for abdominal pain to evaluate for fecal loading History: Abdominal pain Below-average stool burden. Nonobstructive bowel gas pattern. Lung bases are clear. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Fall. Evaluate for pneumonia. LUNGS AND PLEURA: Mild upper lobe predominant paraseptal and centrilobular emphysema.Mild lower lobe bronchiectasis and bronchial wall thickening with scattered mucus impaction.Mid to lower zone predominant tree in bud opacities and patchy basilar consolidation consistent with infection, l... | Findings consistent with aspiration pneumonia. |
Generate impression based on findings. | Leg pain. Rule out fracture. There is mild swelling along the lateral aspect of the ankle, but I see no underlying fracture or malalignment. | Mild soft tissue swelling without fracture evident. |
Generate impression based on findings. | Jammed thumb by basketball. Pain in a proximal phalanx and limited range of motion.VIEWS: Right hand PA, right thumb AP/lateral (3 views) 03/05/15 Soft tissue swelling is present around the fall. No fracture is identified. The bones are normal in appearance. | Normal examination. |
Generate impression based on findings. | Evaluate for cause of abdominal pain and acidosis. Note that evaluation of solid organs and lymph nodes in the abdomen and pelvis are limited due to lack of IV contrast.ABDOMEN:LUNG BASES: New bilateral pleural effusions and patchy basilar pulmonary opacities are partially visualized.LIVER, BILIARY TRACT: Status post c... | Note that for the evaluation of solid organs and lymph nodes in the abdomen are limited without IV contrast.1.Bilateral pleural effusions and adjacent consolidation which may indicate infection. Please refer to the CT abdomen and pelvis with contrast which has since become available.2.Abdominal pelvic ascites without e... |
Generate impression based on findings. | 44-year-old male with pain, lac. Evaluate for fracture. Three views of the right hand were provided. Slightly limited evaluation of fine bone detail due to overlying bandage. Given this limitation, we see no acute fracture or malalignment. | No fracture evident. If better evaluation of the digit is clinically indicated, repeat radiographs without bandage recommended. |
Generate impression based on findings. | 14-year-old male status post gunshot wound to left shoulder. Metallic foreign body compatible with bullet is lodged in the posterior aspect of the glenoid, just behind the joint space. The humeral head is intact. The remaining visualized osseous structures are normal. No significant soft tissue swelling or hematoma is ... | Bullet lodged within the posterior aspect of the glenoid. No humeral head or joint space abnormality. |
Generate impression based on findings. | Punched wall two weeks ago. Swelling.VIEWS: Right hand PA/lateral/oblique (3 views) 03/05/15 Soft tissue swelling is present on the dorsum. A boxer's fracture of the index finger is present. Periosteal reaction is present laterally. | Healing index finger boxer's fracture. |
Generate impression based on findings. | Right proximal fibular fracture. Evaluate for widening of syndesmosis. Ankle joint alignment is within normal limits. I see no widening of the syndesmosis. There is mild soft tissue swelling along the lateral aspect of the ankle. I see no fracture. | No fracture or malalignment evident. Mild soft tissue swelling. |
Generate impression based on findings. | History of lung cancer, please compare to previous measurements CHEST:LUNGS AND PLEURA: Severe centrilobular emphysema.Upper lobe bronchi demonstrate progressive wall thickening. Right perihilar groundglass surrounding the right middle and central lower lobe bronchi which may be related to interval radiation fibrosis.I... | Right thigh mediastinal lymphadenopathy measuring slightly smaller than the outside comparison examination. At the transverse arch, this measures 2.4 x 1 .8 cm, as compared to 2.7 x 2.1 cm. This causes mild compression of the right main pulmonary artery and significant compression of the right superior pulmonary vein.R... |
Generate impression based on findings. | Male 1 day old Reason: placement of lines History: oxygen support, UAC, UVC in placeVIEW: Chest and abdomen AP (two views) 3/5/15 Esophageal temperature probe terminates at the mid esophagus. NG tube tip is in the stomach. UVC tip is at the RA/SVC junction. UAC terminates at T7.The aortic arch, cardiac apex and stomach... | Umbilical lines, esophageal temperature probe and NG tube placement as described.Bilateral diffuse lung haziness consistent with TTN versus RDS.Top normal or mildly enlarged cardiac silhouette size.Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | 51-year-old female with pain and swelling. Evaluate for fracture healing. Three weight-bearing views of the right ankle are provided. Again seen is a oblique fracture through the distal fibular diaphysis with one cortical width posterior displacement of the distal fracture fragment. Early callus formation along the fra... | Healing distal fibular fracture as described above. |
Generate impression based on findings. | Pain, swelling, bruising.VIEWS: Left foot AP/lateral/oblique (3 views) 03/06/15 No significant soft tissue swelling is identified. The bones are normal in appearance. No fracture is seen. | Normal examination. |
Generate impression based on findings. | Male 1 day old Reason: lung field status History: hypoxiaVIEW: Chest AP (one view) 3/6/15 at 124 hours. Right mainstem bronchus intubation. NG tube and umbilical lines unchanged.Cardiac silhouette size is normal. Large lung volumes and diffuse lung haziness consistent with surfactant deficiency. No evidence of effusion... | Right mainstem bronchus intubation.Persistent diffuse lung haziness consistent with RDS. |
Generate impression based on findings. | Shortness of breath, immobile, obese. PULMONARY ARTERIES: Technically limited study for evaluating PE due to body habitus. No evidence of pulmonary embolism to the lobar level.Main pulmonary artery is 31 mm suggestive of pulmonary artery hypertension.LUNGS AND PLEURA: Calcified nodules consistent with healed prior infe... | No evidence of pulmonary embolism to the lobar level or significant acute abnormality. Findings suggestive of pulmonary artery hypertension.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Male 49 days old Reason: compare to prior History: respiratory insuff , RSV infection.VIEW: Chest AP (one view) 3/6/15 at 238 hours. Cardiac silhouette size is normal. Large lung volumes. Right upper and left lower lobe opacity, likely atelectasis. Interval improvement in left upper lobe atelectasis. Peribronchial thic... | Multifocal opacities and peribronchial thickening as described. |
Generate impression based on findings. | 76 are old male with cancer at the EG junction. Initial staging CT. CHEST:LUNGS AND PLEURA: There is an irregularly marginated parenchymal density in the left upper lobe on image 21/100 which is associated with bronchiectasis and thickening of the pleura and is consistent with scarring. Patchy groundglass at the left b... | 1. Subcarinal adenopathy.2. Slight infiltrative change in the fat about the EG junction.3. Bilateral adrenal masses which are indeterminate on single phase imaging.4. Questionable liver mass. This area would be difficult to visualize by ultrasound, and given the patient's depressed renal function more complete contrast... |
Generate impression based on findings. | 9-year-old female with right-sided back pain.VIEWS: Lumbar spine AP, lateral, L5/S1 spot view (3 views) , Ribs AP, right and left oblique views (3 views) obtained on 3/6/2015 at 0052 Lumbar spine: There is no acute fracture or malalignment. Vertebral body heights and disk spaces are preserved.Ribs: No displaced rib fra... | Normal radiographs of the ribs and lumbar spine. |
Generate impression based on findings. | Right lower quadrant and right flank pain. Evaluate for appendicitis or kidney stone. ABDOMEN:LUNG BASES: Bibasilar dependent atelectasis.LIVER, BILIARY TRACT: Small gallstones but no evidence of cholecystitis.SPLEEN: Autoinfarction of the spleen compatible with sickle cell disease.PANCREAS: No significant abnormality ... | There is minimal inflammation around the appendix. However it would be unusual for appendicitis to present with air within the lumen of the appendix. Continued surveillance is recommended. If symptoms worsen, repeat imaging can be performed for further evaluation. |
Generate impression based on findings. | 78-year-old female with bilateral ankle fractures. Right ankle:Three views of the right ankle are provided. Interval removal of overlying casting material. Again seen is a plate and screw device affixing a distal fibular fracture in near anatomic alignment. The fracture lines are indistinct, which may reflect some heal... | Ankle fractures as described above. |
Generate impression based on findings. | History of PE off anticoagulation. Acute shortness of breath and chest pain. History of COPD. Also evaluate for aortic dissection. PE? PULMONARY ARTERIES: No evidence of pulmonary embolism.LUNGS AND PLEURA: Scattered stable micronodules, most likely benign and postinflammatory.Scattered areas of interstitial scarring w... | No evidence of pulmonary embolism or significant acute abnormality. Mosaic attenuation of the lungs and multifocal lung scarring may be sequela of prior PE.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Male; 11 years old. Reason: twisted left ankle History: pain, swelling.VIEWS: Left ankle AP oblique lateral (3 views) 3/6/2015 at 0113 Mild soft tissue swelling is noted about the ankle. No acute fracture or dislocation. A small joint effusion is present. | Soft tissue swelling and small joint effusion without fracture. |
Generate impression based on findings. | headache and vomiting with recently diagnosed ITP CLINICAL INFORMATION:disturbance of skin sensationCOMPARISON: None.TECHNIQUE: MRI brain without contrast and MRA brain without contrast were performed. | No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The pa... |
Generate impression based on findings. | Abdominal pain. Right upper quadrant and flank pain. Evaluate for stones. The following observations are made given the limitations of an unenhanced study.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No signif... | No kidney stones. No findings to explain right upper quadrant abdominal pain. |
Generate impression based on findings. | weakness and slurred speech No evidence of acute ischemic or hemorrhagic lesion.Focal encephalomalacia on the left internal capsule anterior limb indicating chronic ischemic infarction.Patchy low attenuation on bilateral mainly frontal subcortical white matter and periventricular white matter could represent non specif... | 1. Small chronic ischemic infarction on the left internal capsule anterior limb.2. Patchy bifrontal white matter low attenuations could represent non specific small vessel disease but other white matter lesions cannot be completely excluded. thus, brain MRI can be considered for further imaging evaluation if clinically... |
Generate impression based on findings. | 50 years, Male, Reason: incarcerated hernia History: abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETER... | Narrow neck ventral hernia containing a loop of transverse colon. There are surrounding inflammatory changes, but no evidence of obstruction. |
Generate impression based on findings. | Abnormal right kidney ultrasound. Please evaluate. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No evidence of ... | Slight malrotation of the right kidney. No evidence of renal calculi or masses. |
Generate impression based on findings. | 2-year-old female with respiratory failure.VIEW: Chest AP (one view) 3/6/2015 at 0533 ET tube tip between the thoracic inlet and carina. Right PICC tip in the SVC. A gastrostomy tube is present. Surgical clips are noted about the GE junction.Normal cardiothymic silhouette. Patchy bilateral pulmonary opacities and proba... | Small right apical pneumothorax and patchy bilateral pulmonary opacities, not significantly changed. |
Generate impression based on findings. | Abdominal pain, RLQ. ABDOMEN:LUNG BASES: Bibasilar dependent atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONE... | Gas and fluid within the endometrial cavity is nonspecific but suspicious for possible endometritis, which be further evaluated with a pelvic ultrasound. |
Generate impression based on findings. | Female; 3 months old. Reason: r/o obstruction History: cryingVIEW: Chest and abdomen AP (two views) 3/6/2015 at 0411 Chest: Normal cardiothymic silhouette. Mild diffuse lung haziness and subsegmental atelectasis in the right upper lobe. No pleural effusion or pneumothorax.Abdomen: Disorganized but nonobstructive bowel ... | 1.Disorganized but nonobstructive bowel gas pattern.2.Mild diffuse lung haziness and right upper lobe subsegmental atelectasis. |
Generate impression based on findings. | Altered mental status after injury. Head: There is no evidence of acute intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear.... | 1. No evidence of acute intracranial hemorrhage or skull fracture.2. No evidence of cervical spine fracture.3. Nonspecific opacification of the partially-imaged lungs. |
Generate impression based on findings. | Female 74 years old Reason: Metastatic breast cancer needs re-evaluation and compare to prior scans. Per RECIST 1:1 bi-dimensional measurements where applicable. History: Metastatic breast cancer needs re-evaluation and compare to prior scans. Per RECIST 1:1 bi-dimensional measurements where applicable. CHEST:LUNGS AND... | Liver metastases increasing in size and number. Other metastatic disease appears roughly stable. |
Generate impression based on findings. | 59 year old woman with history of right ILC s/p mastectomy in 1999, no current complaints. Three standard views of the left breast 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. Benign calcif... | 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. | Chest pain. Malignancy. Metastatic gastric cancer. Evaluate for PE. PULMONARY ARTERIES: No evidence of pulmonary embolism.LUNGS AND PLEURA: Scattered stable micronodules, most likely postinflammatory.No suspicious nodules.No focal airspace consolidation or pleural effusion.MEDIASTINUM AND HILA: No mediastinal or hilar ... | No evidence of pulmonary embolism or significant acute abnormality.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 54 years, Male, Reason: r/o acute intraabdominal process History: sudden onset of hematemesis x 2 and abdominal pain after moving a car yesterday, +ventral hernia, a/so GSW s/p exlap. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality... | No acute abnormalities. Widemouth ventral hernias as noted above. |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with moderate age-related volume loss. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are scattered punctate and confluent areas of abnormal low density in the periventricular and subcortical white matter, consistent with slightly... | No acute intracranial abnormality. Slightly progressed mild chronic small vessel ischemic changes. if there remains clinical concern for an acute ischemic event, MR brain is recommended. |
Generate impression based on findings. | Fall. Head: There is no evidence of acute intracranial hemorrhage or mass. There are extensive cerebrovascular calcifications. There is extensive nonspecific cerebral white matter hypoattenuation. There are a few scattered chronic lacunar infarcts. There is diffuse cerebral volume loss. There is no midline shift or her... | 1. Extensive cerebrovascular calcifications, chronic lacunar infarcts, and nonspecific cerebral white matter hypoattenuation that likely represent small vessel ischemic disease, but no evidence of acute intracranial hemorrhage or skull fracture.2. Extensive degenerative spondylosis without evidence of cervical spine fr... |
Generate impression based on findings. | 35 years, Female, Reason: r/o acute process History: abd pain, vomiting. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hepatomegaly.SPLEEN: No significant abnormality notedPANCREAS: Cystic lesion in knee pancreatic head measures 1.1 x 1.0 cm, stable. Cystic lesion in the pancreatic tail meas... | 1.No acute abnormalities.2.Moderate to severe ascites is slightly increased.3.Pancreatic IPMN's are grossly unchanged.4.Non-specific pelvic and inguinal lymphadenopathy. |
Generate impression based on findings. | Suspected sepsis. One year and 10 month old former 29 week gestational age patient with history of NEC and bowel resection.VIEW: Chest AP (one view) 03/06/15, 0829 Lung volumes are large. Mild peribronchial thickening is seen. No focal airspace disease is present. Cardiothymic silhouette is normal.Left central line tip... | Bronchiolitis/reactive airways disease pattern, a new finding. |
Generate impression based on findings. | Reason: bleed? mass? History: syncope? The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. Periventricular and subcortical white matter hy... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction.3.Periventricular and subcortical white matter changes of a mild to moderate degree are nonspecific. At this age they are most likely vascular related. |
Generate impression based on findings. | Abdominal pain and sepsis. ABDOMEN:LUNG BASES: Scattered bibasilar atelectasis.LIVER, BILIARY TRACT: Cholelithiasis within a collapsed gallbladder.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Mild bilateral ureteral d... | 1.Markedly enlarged uterus with a large hypoattenuating mass, likely representing a degenerative fibroid. This mass causes mild ureteral dilatation and caliectasis. CT is non-specific for evaluating uterine masses and can be further evaluated with ultrasound if clinically warranted.2.Heterogeneously enhancing 1.9 centi... |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with moderate age-related volume loss. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are scattered punctate and confluent areas of abnormal low density in the periventricular and subcortical white matter, consistent with stable m... | No acute intracranial abnormality. Stable moderate 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. | Fracture.VIEWS: Left thumb PA/lateral/oblique (3 views) 03/06/15 Proximal phalanx metaphyseal fracture of has developed more sclerosis. Callus formation is present around the metaphysis and diaphysis. Alignment is unchanged with posterior angulation of the fracture fragment. | Continued healing of fracture of proximal phalanx. |
Generate impression based on findings. | Right pleural effusion with shortness of breath LUNGS AND PLEURA: Large right pleural effusion which appears partially organized. Small left pleural effusion, also partially loculated anteriorly. No specific evidence of empyema. These pleural effusions are new since the previous abdominal exam of 12/2014. Within the in... | Large right and small left, partially organized pleural effusions. No evidence of empyema. These are new since the abdominal examination from 12/2014.Near complete atelectasis of the right middle and lower lobes.Increased nodular density within the in superior aspect of the left upper lobe that is contiguous with the p... |
Generate impression based on findings. | Reason: AMS, evaluate for pathology, h/o meningitis History: AMS The lateral ventricles and third ventricle are enlarged. Biventricular diameter on coronal imaging to the level of foramina of Monro is currently 46 mm and was previously 40 mm. Third ventricular diameter has increased from 12 mm to 15 mm appeared the tem... | 1.Since the prior exam from end of November the lateral and third ventricles have increased in size.2.Periventricular hypodensities continue to be present and have progressed since the prior exam. One possibility is that these hypodensities represent so-called subependymal migration of cerebrospinal fluid associated wi... |
Generate impression based on findings. | Tachycardic, history of lung cancer. Assess for PE. PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery diameter is 35 mm suggestive of pulmonary artery hypertension.LUNGS AND PLEURA: Large left perihilar/upper lobe mass invading into the mediastinum and obstructing the left mainstem bronchus a... | 1. No evidence of pulmonary embolism.2. Large left perihilar/upper lobe mass consistent with primary lung malignancy. There is significant mediastinal tumor invasion and obstruction of the left mainstem bronchus. Post-obstructive pneumonitis and edema in the upper lobe and complete collapse of the lower lobe. Ipsilater... |
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. There is a hypoplastic right maxillary sinus which is completely opacified. There is mild mucosal thicke... | No acute intracranial abnormality. |
Generate impression based on findings. | Male 56 years old Reason: neuroendocrine cancer of the pancreas. Please measure all measurable lesions using recist criteria 1.1 History: pre chemo ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffuse fatty infiltration of the liver, unchanged. Previously described reference lesion in the d... | Liver metastases increasing in size and number. Stable pancreatic masses. Possible carcinomatosis. Roughly unchanged hernias. |
Generate impression based on findings. | Male; 2 days old. Reason: Is there evidence of a pneumothorax? History: 38 weeks on vent with history of pneumothorax. VIEW: Chest AP (one view), left humerus AP and lateral (two views) 3/6/2015 0543 Humerus: Complete transverse fracture of the mid humeral diaphysis, with ventral and medial angulation of the distal fra... | 1.Transverse humeral shaft fracture as described above.2.Significant interval improvement in bilateral pleural effusions and associated atelectasis. |
Generate impression based on findings. | Images are limited by susceptibility artifact along the posterior inferior head. The ventricles and sulci are prominent, consistent with moderate age-related volume loss. The basal cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal or pathological enhancement. There... | 1. No evidence of intracranial metastatic disease.2. Incidental focal prominence of CSF signal along the anteromedial left middle cranial fossa with bony remodeling which may relate to an arachnoid cyst.3. Prominent maxillary sinus mucosal retention cysts with moderate-severe fluid opacification of bilateral mastoid ai... |
Generate impression based on findings. | 50 years, Male. Reason: Rule out intestinal obstruction History: Nausea \T\ vomiting Gastrostomy tube projects over the gastric body. Scattered coiled tacks, surgical clips, and a right iliac stent is again noted. Multiple air-fluid levels within dilated bowel. No pneumoperitoneum. | Findings concerning for small bowel obstruction. If symptoms persist, CT may be considered. |
Generate impression based on findings. | Female, 35 years old, status post craniotomy. A left pterional craniotomy has been performed. Skin staples, intracranial air, and a small amount of mixed attenuation extraaxial fluid subjacent to the craniotomy are compatible with recent surgery. An aneurysm clip has been placed along the left anterior clinoid process.... | Expected findings status post left sided craniotomy and aneurysm. |
Generate impression based on findings. | 50 year-old male with foot pain bilaterally, especially left heel. Right foot:Three views of the right ankle again demonstrate multiple foci of mineralization in the ankle joint compatible with synovial osteochondromatosis, appearing similar to the 2009 study. Small ossicles are now also seen in the soft tissues adjace... | 1.Osteoarthritis as described above.2.Synovial osteochondromatosis of the right ankle as described above. |
Generate impression based on findings. | Newly diagnosed head and neck cancer, compare to previous, post op CT neck for baseline scan CHEST:LUNGS AND PLEURA: Nodular fissural density on the right (5/54) most compatible with an intrapulmonary lymph node.Minimal apical pleural parenchymal scarring. No suspicious pulmonary nodules or pleural effusion.MEDIASTINUM... | Small right nodular fissural density compatible with an intrapulmonary lymph node. No suspicious pulmonary nodules.Small supraclavicular lymph nodes. No subpectoral or axillary lymphadenopathy. |
Generate impression based on findings. | 2-day-old male with sepsis, oliguria and increasing creatinine. BLADDER Wall Thickness: The bladder is almost completely collapsed. Contents: Small amount of fluid. Distal Ureter -- SFU Grade** Right: 0 Left: 0 Ureteral Jets Right: Not observed Left: Not observedKIDNEYS Cortical Echogenicity: Echogenic renal cor... | 1.Right grade 1 and left grade 2 hydronephrosis with echogenic debris in the bilateral collecting systems, likely secondary to history of sepsis.2.Hypoechoic splenic lesion which may represent infarct or intraparenchymal hematoma, also seen on recent exam.*SFU grading system: Grade 0: No hydronephrosis. Grade 1: The re... |
Generate impression based on findings. | 61 years, Male, Reason: 61M hx PCa s/p RALP c/b infected lymphocele s/p IR drain placement. Repeat CT to evaluate resolution of abdominopelvic fluid collection History: IR drain placed for infected lymphocele.. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality noted.SP... | Pelvic fluid collections are overall unchanged, likely a lymphocele/seroma. Adjacent fat stranding and wall enhancement again noted. |
Generate impression based on findings. | 58-year-old male with pain in shoulder/clavicle region. Left clavicle:Two views of the left clavicle demonstrate a comminuted fracture of the distal left clavicle. The distal clavicle and fracture fragments are elevated relative to the acromion perhaps indicating disruption of the coracoclavicular ligament and likely t... | Distal left clavicular fracture as described above. |
Generate impression based on findings. | 76-year-old female with history of subarachnoid hemorrhage and right EVD removal. Stable appearing left frontal EVD catheter. Bilateral anterior frontal and left peripheral cerebellar hematomas and diffuse subarachnoid hemorrhage are stable in size and appearance. Blood products in the dependent portions of the lateral... | 1. Unchanged left frontal EVD catheter.2. Stable bilateral anterior frontal, left peripheral cerebellar hematomas and diffuse subarachnoid hemorrhage. |
Generate impression based on findings. | 49-year-old female with history of chronic sinusitis. Postoperative changes of prior sinus surgery including bilateral antrostomies and partial ethmoidectomies.The frontal sinuses are clear bilaterally. Minimal mucosal thickening of the maxillary sinuses bilaterally. Mild mucosal thickening of the anterior and posterio... | 1.Stable mild sinus opacification without outlet obstruction.2.Status post paranasal sinus surgery. |
Generate impression based on findings. | 83 years Female with right neck dissection with wound infection. Evaluate for abscess. There are extensive inflammatory changes with skin thickening throughout the right neck soft tissues, with multiple small fluid collections suspicious for phlegmon/abscess formation. One such collection inferior to the right parotid ... | 1. Extensive inflammatory changes throughout the right neck soft tissues with likely small abscesses and possible sinus tract formation as described above.2. Postoperative changes of neck dissection and left nasal tumor resection as described. |
Generate impression based on findings. | Thumb injury.VIEWS: Right thumb PA/lateral/oblique (3 views) 03/06/15 A small curvilinear ossification is noted immediately adjacent to the lateral aspect of the epiphysis of the proximal phalanx. No soft tissue swelling is identified. | Accessory center of ossification of the epiphysis of the proximal phalanx. |
Generate impression based on findings. | Female, 35 years old, status post aneurysm clipping. Evidence of recent left pterional craniotomy is again seen. Intracranial air, and a small amount of mixed attenuation extraaxial fluid subjacent to the craniotomy, remain evident and are compatible with recent surgery. An aneurysm clip is in place along the left ante... | Redemonstration of expected finding status post aneurysm clipping. |
Generate impression based on findings. | Pain. Follow-up fracture. Again seen is a nondisplaced fracture of the proximal fibular diaphysis, with increased callus formation compared with the prior study, indicating further interval healing. | Healing proximal fibular fracture. |
Generate impression based on findings. | Evaluation is somewhat limited due to lack of intravenous contrast and dedicated vascular imaging.Corresponding to an area of retrospective fat density on prior CT, there is a large pedunculated T1 hyperintense oval structure residing within the posterior nasopharynx extending into the oropharynx, which demonstrates d... | Large pedunculated fat signal intensity mass which traverses the entire length of the widened right eustachian tube to bulge into the right middle ear, with pedunculated portion residing in the nasopharynx and oropharynx. Correlation with previous CT imaging demonstrates asymmetric attenuation of the lateral wall of th... |
Generate impression based on findings. | Swelling and pain. Knee effusion, fracture? There is a large joint effusion, but I see no acute fracture. Severe osteoarthritis affects the knee, particularly the patellofemoral joint, and there are several small chronic appearing ossicles along the lateral margin of the patella. There is chondrocalcinosis of the menis... | Degenerative arthritic changes and large joint effusion, without fracture evident. If there is strong clinical concern for fracture, CT may be considered. |
Generate impression based on findings. | Left shoulder pain The acromioclavicular joint appears slightly widened which may reflect prior mild separation, but I see no adjacent soft tissue swelling on the current study to suggest an acute injury. The bones appear slightly demineralized. I see no fracture or frank osteoarthritic changes. Glenohumeral joint alig... | Slight widening of the acromioclavicular joint may reflect an old injury, but I otherwise see no specific findings to account for the patient's shoulder pain. |
Generate impression based on findings. | Hip pain Two views of the right hip show severe osteoarthritis.The AP view of the pelvis shows severe osteoarthritis of the right hip. Relatively mild osteoarthritis affects the left hip. There is a transitional lumbosacral vertebra with hypertrophy of the transverse processes that articulate with the underlying sacrum... | Osteoarthritis. |
Generate impression based on findings. | Male, 69 years old, squamous cell carcinoma of the left cheek. Mild subcutaneous infiltration and skin thickening/retraction along the left cheek are again seen compatible with the history of a resected squamous cell carcinoma.Since the prior examination, a partial left parotidectomy has been performed along with a lef... | Findings are seen consistent with prior resection of a squamous carcinoma from the left cheek as well as interval left partial parotidectomy and left neck dissection. No evidence to suggest recurrent primary tumor or new adenopathy is detected. |
Generate impression based on findings. | 45 year old female presents for routine screening mammography. History of breast cancer in maternal aunt and paternal grandmother. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, u... | 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. | Testicular cancer. Rule out metastases. ABDOMEN:LUNG BASES: No significant abnormality noted. The nodular opacities at the right lung base on the prior examination have resolvedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL... | No CT evidence of metastatic disease. |
Generate impression based on findings. | Interval increase in the size of the epidural right frontal lesion since the prior study now measuring 1.8 x 1.1 cm in axial dimension (series 3 image 41), now with peripheral enhancement. Additionally, there is apparent mild dural/subdural space widening measuring 3-4 mm along the right frontal convexity. Other mixed... | 1. Increased size of right frontal epidural lesion since the prior study. Additionally there is now suggestion of mild dural/subdural space widening which may represent fluid, soft tissue, or a combination of both. This could be further evaluated by MRI as clinically warranted. 2. Other mixed lytic/sclerotic calvarial ... |
Generate impression based on findings. | There are postoperative findings related to prior left cerebral convexity subdural hematoma decompression with a residual subdural collection that measures up to 5 mm in width. Otherwise, there is no evidence of acute intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The vent... | Postoperative findings related to prior left cerebral convexity subdural hematoma decompression with a residual subdural collection that measures up to 5 mm in width. Otherwise, no evidence of acute intracranial hemorrhage.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this re... |
Generate impression based on findings. | 31 years, Female, Reason: Assess for location of rectovaginal fistula History: Air from the vagina. PELVIS: FemaleUTERUS, ADNEXA: Uterus and vagina are normal appearing. There is a small amount of fluid between the vagina and rectum, however no discrete rectovaginal fistula is identified.BLADDER: No significant abnorma... | No evidence of a rectovaginal fistula. |
Generate impression based on findings. | 74 year old woman with history of right breast DCIS s/p lumpectomy 2007, no new complaints. History of sister with breast cancer. Three standard views of both breasts with additional CC and MLO view of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed o... | 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. | 75-year-old male. Malignant neoplasm of the penis. Urothelial SCC in remission needs restaging. CHEST:LUNGS AND PLEURA: Calcified granulomas. No suspicious pulmonary nodule or masses. No pleural effusion.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.CHEST WALL: No significant abnormality notedABDOMEN:LI... | No CT evidence of metastatic disease. |
Generate impression based on findings. | 46 years, Female. Reason: ileus? History: distended abd There is gaseous distention of the large and small bowel, compatible with an ileus type bowel gas pattern. A drain projects over the right upper quadrant. Left lower extremity central venous catheter noted. Right basilar lung opacities are better evaluated on ches... | Ileus type bowel gas pattern. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 60 year-old female with myeloma, screening survey as baseline prior to start of new chemotherapy. SKULL: Although there are no discrete myelomatous lesions, there is a mottled appearance to the calvarium, which may represent myelomatous deposits, appearing similar to prior. Small lucent lesion in the mandibular ramus m... | Findings compatible with multiple myeloma, appearing similar to the prior exam. |
Generate impression based on findings. | 56 years, Female. Reason: evaluate for obstrucion versus ileus versus gaseous distension History: diffuse abdominal pain, decreased stool output, abdominal distension Centralized loops of air distended compatible with ascites and ileus. TIPS and cholecystectomy clips are unchanged. Interval removal of Dobbhoff tube. Ri... | Persistent ileus type bowel gas pattern. |
Generate impression based on findings. | 50 years, Female, Reason: hx of right lower quadrant abdominal pain and microscopic hematuria, evaluate etiology for hematuria and evaluate gallbladder History: abdominal pain (right sided). ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant ... | 1.No findings to account for patient's hematuria.2.Minimal mucosal hyperenhancement of the rectum may suggest a nonspecific colitis. |
Generate impression based on findings. | 54-year-old female with history of benign right breast biopsy. No new breast complaints. No family history of breast cancer. BILATERAL DIAGNOSTIC MAMMOGRAM: 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 fibroglandula... | Interval enlargement of a hypoechoic mass at the two o'clock position of the left breast. While this may represent a fibroadenoma, ultrasound guided core needle biopsy is recommended for definitive histologic diagnosis. Results recommendation were discussed with the patient.BIRADS: 4 - Suspicious Abnormality.RECOMMENDA... |
Generate impression based on findings. | 73 year old female patient with failed optical colonoscopy. The scout film shows a nonspecific bowel gas pattern without any evidence of obstruction or ileus. Barium flowed freely from the rectum to the cecum. There is no evidence of obstructing or constricting lesions. Tortuous sigmoid and descending colon was noted. ... | 1.Tortuous sigmoid and descending colon.2.Diverticulosis most prominent in the sigmoid and descending colon without polyps or masses. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of maternal grandmother with breast cancer. Two standard digital views of both breasts with additional bilateral MLO views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this re... |
Generate impression based on findings. | Bone deformityVIEWS: Right hand AP lateral and oblique 3/6/15 (3 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Three year old female with failure to thrive. Please note that originally scheduled upper GI examination to assess anatomy was canceled given patient's normal upper GI from 2011.VIEW: Abdomen AP (one view) 3/6/2015 at 0929 Feeding tube tip in gastric antrum. Nonobstructive bowel gas pattern. No pneumatosis, pneumoperit... | Normal examination. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of bilateral benign biopsies. Maternal grandmother with breast cancer. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchang... | Microcalcifications in the left breast for which further evaluation with spot magnification views is recommended. Finding and recommendation were communicated to Dr Oyler via email on 3/6/15.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 41-year-old female with history of Crohn's colitis status post total abdominal colectomy and completion proctectomy with symptoms of intermittent small bowel obstruction. The scout film shows a nonobstructive bowel gas pattern. Fluoroscopic evaluation showed normal mucosa throughout the small bowel, with no ulcers, sin... | Normal examination of the small bowel without evidence of active disease. |
Generate impression based on findings. | 72-year-old female with mycosis fungoides here for dysphagia. Scout radiograph of the chest showed tortuous aorta and blunting of the left costophrenic angle, likely a small pleural effusion. Large calcified subcarinal lymph node and additional scattered granulomas compatible with prior granulomatous disease.Tracheal a... | 1.Large mass located in the right pyriform sinus as described above. 2.Silent tracheal aspiration, likely secondary #1. 3.Midesophageal diverticulum.4.Mild motor abnormality of the esophagus. 5.Prominent cricopharyngeal bar at C4-C4 level. Findings discussed with Dr. Curran at the completion of the study by Dr. Dachman... |
Generate impression based on findings. | pT3N1 squamous cell carcinoma of the right oral tongue, status post surgery, FHX completed on 10/30/13, and radiation therapy. There are post-treatment findings in the oral cavity region. There is patchy enhancement in the treatment bed without discernible evidence of a measurable tumor. There is no evidence of residua... | Post-treatment findings in the oral cavity without convincing evidence of locally recurrent tumor or significant cervical lymphadenopathy. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. No suspicious masses, microcalcifications or areas of architectural distortio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 62-year-old female with history of HCV complicated by cirrhosis, hypothyroidism who presents for worsening confusion. Evaluate for cerebral edema. There is a newly apparent subcentimeter focus of hyperattenuation in the pons. The grey-white matter differentiation appears to be intact. The ventricles are unchanged in si... | 1.Newly apparent subcentimeter focus of hyperattenuation in the pons. Differential considerations include hemorrhage, a vascular abnormality, or perhaps neoplasm. Further evaluation with MRI may be considered if clinically indicated.2.No convincing evidence of cerebral edema. However, CT is insensitive for evaluation o... |
Generate impression based on findings. | 60 year-old male with hepatomegaly and elevated liver function. LIMITED ABDOMENLIVER: Liver is slightly enlarged but normal in echotexture. No focal hepatic abnormality.BILIARY TRACT: The gallbladder contains mobile, echogenic material. On today's study there is vague shadowing suggestive of small gallstones, without g... | Small gallstones.Patent vasculature.Mild hepatomegaly.Bilateral pleural effusions.Ascites.Mildly echogenic kidneys. |
Generate impression based on findings. | 64 years, Female, Reason: eval of AAA and SMA stenosis History: known AAA and SMA stenosis. ABDOMEN:LUNG BASES: Basilar atelectasis.LIVER, BILIARY TRACT: Hepatic hypodensity is too small to characterize.SPLEEN: Focal hyperenhancing splenic lesion measured 1.1 cm (8/32) is unchanged.PANCREAS: Hypodensity within the head... | 1.Large juxtarenal abdominal aortic aneurysm and aortobifemoral bypass is stable in size.2.SMA is patent with areas of mural thrombus and calcification.3.Iliac and femoral aneurysms are stable.4.Stable thrombosis of right femoral-popliteal stent and left internal iliac artery.5.Stable right-sided hydronephrosis with ne... |
Generate impression based on findings. | Mesothelioma status post pleurectomy decortication. CHEST:LUNGS AND PLEURA: Postsurgical findings of right pleurectomy and diaphragmatic mesh. Significant nodular pleural soft tissue thickening in the right hemithorax, greatest at the base, and multiloculated fluid collections now consistent with residual mesothelioma.... | 1. Significant right hemithorax pleural nodular thickening consistent with residual mesothelioma, reference measurements provided as above. Multifocal extrathoracic extension of tumor into the right chest wall.2. Large infiltrative mediastinal tumor.3. Mottled sclerosis and erosions of right T7 and T8 ribs suspicious f... |
Generate impression based on findings. | Memory loss. Evaluate for organic pathology. There is no definite evidence of intracranial hemorrhage within the limitations of post-contrast technique. There is no evidence of intracranial mass. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. There is... | No evidence for acute intracranial hemorrhage or mass or edema. |
Generate impression based on findings. | Rule out polyps and signs of malignancy. Given the low radiation dose and lack of IV contrast, the exam is not sensitive for findings outside the colon. Given that limitation, the following observations are made: Cardiomegaly. Changes secondary to LVAD.Hypoattenuating renal lesions likely represents simple cysts. New n... | Inadequate bowel preparation. The patient will be rescheduled for repeat CT colonography. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.