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Generate impression based on findings. | Patient with esophageal cancer status post resection. Chemoradiation. CHEST:LUNGS AND PLEURA: Dense right upper lobe paramediastinal radiation reaction, unchanged.Stable scattered bilateral micronodules, unchanged and likely post-inflammatory.No suspicious pulmonary nodules.MEDIASTINUM AND HILA: Reference low right cer... | No evidence of recurrent or metastatic disease. Interval resolution of small bowel obstruction. |
Generate impression based on findings. | Primary hyperparathyroidism. There is physiologic distribution of the radiopharmaceutical. A subtle focus of radiotracer uptake inferior and posterior to right lower pole is suspicious for a parathyroid adenoma.The right thyroid lobe appears to measure 6.3 cm and the left lobe 5.8 cm in length. | Focus of uptake posteroinferior to the right lower pole is suspicious for a parathyroid adenoma. |
Generate impression based on findings. | Female 79 years old; Reason: Metastatic breast cancer on endocrine therapy, eval for progression. History: Metastatic breast cancer on endocrine therapy, eval for progression. CHEST:LUNGS AND PLEURA: Emphysematous changes in the upper lobes with volume loss and fibrosis in the right apex.Reference a nodule in the right... | 1.Decrease in the size of the left breast lesion. The reference measurements are provided above.2.Increase in the size of abdominal aortic aneurysm.. |
Generate impression based on findings. | Male 74 years old; Reason: rule out rectal cancer recurrence, metastases History: Rectal cancer s/p resection ABDOMEN:LUNG BASES: Minimal scarring at the lung bases.LIVER, BILIARY TRACT: Bilateral hepatic cysts. Previously described hyperdense lesion in segment 4 is not identified on today's exam. Cholelithiasis. No bi... | Stable exam with no definite metastatic disease. |
Generate impression based on findings. | 40 year-old female with right knee pain status post fall. Minimal osteoarthritis affects the right knee, unchanged compared to prior. No acute fracture or malalignment. | Minimal osteoarthritis with no acute fracture or malalignment. |
Generate impression based on findings. | 55 year-old female with SLE with severe stabbing pain in first and second toes of the left foot, numbness lateral left calf. Moderate osteoarthritis affects the first MTP joint, progressed compared to prior. Previously seen second distal phalangeal fracture has healed in the interval. No acute fracture or malalignment.... | Progressed moderate first MTP joint osteoarthritis. |
Generate impression based on findings. | 30 year-old male status post reduction left ankle fracture. Mortise and lateral only. Interval reduction and casting of the left ankle. Limited evaluation of fine bone detail due to overlying casting material. Again seen are trimalleolar fractures, now reduced to gross anatomic alignment. Soft tissue swelling. | Interval reduction and casting of the left ankle trimalleolar fractures as described above. |
Generate impression based on findings. | Status post robotic pyeloplasty of left horseshoe kidney, with bilateral grade I hydronephrosis. Evaluate for obstruction. The posterior abdominal radionuclide angiogram demonstrates prompt, symmetrical perfusion of the kidneys. Sequential renal images show a horseshoe kidney with the left kidney moiety larger than the... | Normal functioning horseshoe kidney without evidence of obstruction. |
Generate impression based on findings. | 45-year-old male with knee pain. Normal appearing right knee. No acute fracture or malalignment. | Normal right knee. |
Generate impression based on findings. | Male 2 days old Reason: evaluate lung fields, ett placement History: respiratory decompensationVIEW: Chest AP (one view) 3/6/15 at 1343 hrs. Esophageal temperature probe has been retracted or removed. Left humeral transverse fracture again noted. ET tube terminates below thoracic inlet. NG tube is in the stomach. The u... | Interval removal of esophageal temperature probe.No change in small lung volumes. |
Generate impression based on findings. | 63 year old female who has a complaint of palpable mass of the right upper outer quadrant. Patient had an FNA of this area last year resulting benign cells. Prior mammographic and sonographic workup showed normal dense parenchymal tissue without suspicious findings. No family history of breast cancer. MAMMOGRAM: Three ... | Dense parenchymal breast tissue subjacent to the area of palpable concern in the upper outer right breast. No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains benign, bilateral screening mammogram is recommended annually. Results and recommendation were discussed... |
Generate impression based on findings. | 62-year-old male with prior embolization of left renal cell carcinoma, now with elevated creatinine. RIGHT KIDNEY: The right kidney measures 10.9 cm in length. Echotexture is within normal limits. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: The left kidney measures 12.2 cm in length. There is a lobulated... | No hydronephrosis. Post-embolization changes left kidney with solid mass. |
Generate impression based on findings. | RFO trigger for BMI over 40. Thoracotomy.VIEW: Chest right lateral decubitus (one view) 03/06/15, 1324, 1326, 1320 A left chest tube is present. Multiple surgical clips are noted. There is a left pneumothorax. Partial resection of the left sixth rib is again seen. Mediastinum is shifted to the right. No unexpected fore... | No unexpected foreign body. These findings were discussed by telephone with Dr. Mark Slidell on 03/06/15, at 1340. |
Generate impression based on findings. | Female 15 days old Reason: Term infant now nasally intubated, please assess tube placement History: Tube placementVIEW: Chest AP (one view) 3/6/15 at 1348 hrs. Hardware of the mandible noted. Right mainstem bronchus intubation. NG tube terminates in the GE junction. Cardiac silhouette size is normal. No focal opacities... | Right mainstem bronchus intubation. |
Generate impression based on findings. | Idiopathic peripheral neuropathy with abdominal pain. Assess for tumor. Right leg weakness. The following observations are made given the limitations of an unenhanced study.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Tiny calcifications in the liver are nonspecific. Rectal abnormalities ca... | Given the limitations of an unenhanced study, no evidence of primary tumor in the abdomen or pelvis. |
Generate impression based on findings. | There is mild left posterior scalp stranding. The calvarium is unremarkable without fracture. There is no acute intracranial hemorrhage, mass effect, or midline shift. There are patchy areas of low attenuation in the cerebral hemispheres. There is mild diffuse cerebral volume loss. There is a small left maxillary rete... | 1. Small left posterior scalp contusion without evidence of acute intracranial hemorrhage or skull fracture. 2. Patchy areas of low attenuation in the cerebral hemispheres are nonspecific, but most likely represent age-indeterminate small vessel ischemic disease. However, non-contrast CT is insensitive for the detectio... |
Generate impression based on findings. | 51-year-old female with pain. Postsurgical changes of an ACL repair. No specific radiographic evidence of hardware complication. No acute fracture or malalignment. No joint effusion. The bones appear demineralized, likely related to disuse. | Postsurgical changes of an ACL repair without radiographic evidence of hardware complication. |
Generate impression based on findings. | There is diffuse cerebral parenchymal volume loss with particular prominent sulci in the bilateral parieto-occipital regions, similar to the appearance on MRI from 2010. There is no acute intracranial hemorrhage, mass effect, or midline shift. There are patchy areas of low attenuation in the cerebral hemispheres. The ... | 1. Diffuse cerebral parenchymal volume loss with particular prominent sulci in the bilateral parieto-occipital regions, which may indicate Lewy body dementia versus a variant of normal pressure hydrocephalus. A brain PET may be useful for further characterization.2. Patchy areas of low attenuation in the cerebral hemis... |
Generate impression based on findings. | Breast cancer (left) initial metastatic evaluation. Additional remote history of endometrial cancer. CHEST:LUNGS AND PLEURA: 6-mm subpleural nodule with internal lipid attenuation and angulated margins, most compatible with a subpleural lymph node (4/49). These are typically benign but should continue to be monitored.A... | 1. No conclusive evidence of pulmonary metastases. 2. Small (subcentimeter) but asymmetric lymph nodes in the left axilla and high subpectoral regions are of unclear clinical significance, consider assessment with PET scan or short-term follow-up in 3 months. 3. Peripheral subsegmental air space opacity in the right up... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts (8 images) were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Evaluate right middle lobe lung lesion. Wedge excision of T1aN0M0 stage IA adenocarcinoma. Compare to previous. LUNGS AND PLEURA: New trace left pleural effusion.Post surgical findings of right middle lobe wedge resection. A nodule at the proximal end of the surgical suture is 14 x 9 mm, unchanged from immediate prior ... | 1. Nodule along the right middle lobe surgical suture, unchanged from immediate prior study, but slowly enlarging over the past two years, suspicious for local recurrence.2. Right upper lobe subpleural nodule, similar to prior, but with increased solid component over the past few years, suspicious for a primary lung ca... |
Generate impression based on findings. | Pancreatic cancer. Evaluate for progression of metastatic disease; compare to previous scan. CHEST:LUNGS AND PLEURA: Bibasilar dependent atelectasis. No mediastinal lymphadenopathy. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Right-sided central venous catheter terminates in the proximal right atriu... | 1.Pancreatic head/body mass with extensive vascular encasement is not significantly changed.2.Interval increase in the abdominopelvic ascites and increase in the peritoneal/omental carcinomatosis.3.Likely new small segment VII liver metastatic lesion.4.Persistent gall bladder dilatation with portions of the gall bladde... |
Generate impression based on findings. | Reversal of the normal cervical lordosis. No evidence of acute fracture or traumatic subluxation. Vertebral body heights are well-maintained.Postoperative changes of laminectomy with lateral mass screws bilaterally from C3 through C6 and a left pedicle screw at C7. There are disk osteophyte complexes at most levels wi... | 1.Postoperative changes without evidence of surgical hardware complications.2.Multilevel degenerative changes with multilevel neural foraminal narrowing as detailed above.3.Incidental cystic lesion in the right parotid gland measuring up to 1.1 cm which was seen on the previous MRI examination. Further evaluation with ... |
Generate impression based on findings. | Headache. There is no evidence of acute intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are unchanged in size and configuration. There is no midline shift. There are unchanged mildly low-lying cerebellar tonsils. There is a partially empty sella. The imaged pa... | 1. A partially empty sella and mildly low-lying cerebellar tonsils may be a manifestation of pseudotumor cerebri.2. No evidence of acute intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Cholangiocarcinoma. Recent ERCP. Rule-out retroperitoneal perforation, abscess, or fluid collection The following observations are made given the limitations of an unenhanced study.ABDOMEN:LUNG BASES: Bilateral small pleural effusions with overlying compressive-type atelectasis.LIVER, BILIARY TRACT: Pneumobilia. No dom... | Within the limitations of an unenhanced study, no evidence of abscess or free air. Perihepatic and pelvic ascites. Bilateral pleural effusions. |
Generate impression based on findings. | 49 years, Female. Reason: Locate NJT position History: as above Central venous catheter tip in the suprahepatic IVC. NJ tube tip is past the ligament of Treitz within the jejunum. Right upper quadrant pigtail biliary drain. Retrocardiac opacity and left pleural effusion is similar compared to the prior exam. Residual e... | NJ tube tip is past the ligament of Treitz within the jejunum. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two paternal aunts with breast cancer. Two standard digital views of both breasts with tomosynthesis 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 masse... | 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. | Asymptomatic female presents for routine screening mammography. Paternal grandmother with breast cancer. 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. No suspicious masses, micro... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 67 years, Female. Reason: evaluate for ileus, obstruction, gaseous distension History: diffuse abdominal pain Dobbhoff tube tip projects over the gastric body. Surgical clips project over the mid abdomen. No pneumoperitoneum. Nonobstructive bowel gas pattern. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Male; 26 days old. Reason: evaluate lungs and ETT placement History: RDS, premie on vent.VIEW: Chest AP (one view) 3/6/2015 1255 ET tube tip between the thoracic inlet and carina. Feeding tube side port at GE junction. Right jugular catheter tip in SVC. Unchanged mediastinal clip. Normal cardiothymic silhouette. Large ... | Persistent multifocal pulmonary opacities compatible with RDS. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of fibrocystic disease. Family history of breast cancer in her mother. Two standard digital views of both breasts (8 images) with tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of sc... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Benign right breast biopsy in 2004. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Ne... | Focal asymmetry and calcifications in the right lower inner breast which should be further evaluated with spot compression and magnification views with possible ultrasound.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Female; 9 months old. Reason: please evaluate NJ placement as well as possible cause for abdominal distension and desaturations History: abdominal distention, emesis, hypoxia. VIEW: Chest and abdomen AP (two views) 3/6/2015 at 1319 Chest: Left central venous catheter tip in left atrium. Normal cardiothymic silhouette. ... | 1.NJ tube tip in the third portion of the duodenum.2.Disorganized, nonobstructive bowel gas pattern.3.Persistent low lung volumes without acute abnormality identified in the chest. |
Generate impression based on findings. | Hip pain Diffuse demineralization limits sensitivity. Superimposed mild osteoarthritic is with extensive surgical vascular clips project over the upper thigh, incompletely visualized. Moderate atherosclerotic disease. Preservation of femoral head shape and alignment. | Mild osteoarthritis |
Generate impression based on findings. | 74 year old with rheumatoid arthritis. Complaining of dyspnea. PFTs? Restriction. Evaluate for ILD. LUNGS AND PLEURA: Scattered stable noncalcified and calcified micronodules, most likely postinflammatory.Few scattered small pulmonary cysts, unchanged.No evidence of interstitial lung disease, airtrapping, or bronchiect... | No evidence of interstitial lung disease or other significant acute abnormality. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of right breast benign biopsy. 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. A linear scar marker overlies the right breast ... | 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. | 68 years old male. Reason: initial staging non-small cell lung cancer. History: newly diagnosed adenocarcinoma with metastasis to left femur. Also he has diffuse low grade lymphoma. Initial staging scan for non-small cell lung cancer. RADIOPHARMACEUTICAL: 14.3 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): ... | 1.Interval increased metabolic activity in the left upper lobe lung nodule.2.Interval progression of metastatic disease in the left proximal femur.3.Stable extensive lymphadenopathy with mild metabolic activity in the neck, chest, abdomen and left inguinal region, consistent with the patient's diagnosis of CLL.4. Stabl... |
Generate impression based on findings. | 18 year-old male with history of MS type I who presents with vomiting and headache. Evaluate for mass. Please note CT is insensitive for evaluation of previously noted stigmata of NF1. There is symmetric abnormal low-attenuation, primarily affecting the bilateral occipital cortices which in retrospect appears to corres... | 1.No evidence of acute intracranial hemorrhage or mass. 2.Symmetric abnormal low-attenuation, primarily affecting bilateral occipital lobes which in retrospect appears to correspond to abnormalities of the cortex seen on the prior MRI examination suggestive of microgyria/migrational anomaly. It is unclear whether the f... |
Generate impression based on findings. | 54 year old woman with history of thickening of the left breast at 6'o clock for a few months. 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 ... | No mammographic or sonographic 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: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 17 year-old male with history of abdominal abscess.EXAMINATION: MR enterography without and with IV contrast 3/6/2015 ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic lesions or biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abn... | Normal examination, without evidence of active small bowel inflammation or abscess as clinically questioned. |
Generate impression based on findings. | NSCLC evaluation. CHEST:LUNGS AND PLEURA: Reference right upper lobe 6-mm nodule (series 5 image 34) is unchanged from 9/2013, most likely benign.Postsurgical findings of left lower lobe wedge resection. Previously seen mild soft tissue thickening adjacent to a cyst in the left lower lobe has resolved.No suspicious pul... | No evidence of recurrent or metastatic disease. Previously seen mild soft tissue thickening adjacent to a cyst in the left lower lobe has resolved. |
Generate impression based on findings. | 2-year-old male with syncope who hit his head. Evaluate for intracranial hemorrhage. 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. Left maxillary muc... | No evidence of acute intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | There are stable post-treatment changes in the region of the oral tongue with mild asymmetric ill-defined enhancement of the right hemitongue, but no evidence of a discrete mass. PHARYNX/LARYNX: The nasopharynx, oropharynx, hypopharynx, and larynx are unremarkable. The upper trachea and esophagus are unremarkable. The... | Stable posttreatment changes without evidence of cervical lymphadenopathy or locoregional tumor recurrence. |
Generate impression based on findings. | Evaluate bilateral lower extremities with frost bite. Cold feet, dopplerable PT signal, no palpable pulses in feet. Right foot: There is minimal uptake of radiotracer below the level of the right ankle. There is minimal soft tissue uptake within the proximal dorsum of the right foot but no appreciable uptake within the... | Overall, no appreciable uptake of radiotracer below the level of the bilateral ankles except for mild uptake within the left talus. |
Generate impression based on findings. | Chronic cough rule out interstitial lung disease. LUNGS AND PLEURA: Lobular and peribronchial air space opacities associated with very mild bronchial wall thickening in the left upper lobe apicoposterior segment. No proximal endobronchial mass is identified. Minimal bronchial wall thickening elsewhere with scattered ar... | 1. Left upper lobe air space opacities. Given the patient's age this is statistically most likely a bronchopneumonia and could be bacterial, viral or fungal in etiology. Additional differential considerations are much less likely but cannot be excluded given the protracted course of patient symptoms include endobronchi... |
Generate impression based on findings. | Heparin-induced thrombocytopenia. Altered mental status. Status post left nephrectomy competition by infected left retroperitoneal hematoma, now with dilated bowel loops. ABDOMEN:LUNG BASES: Large right sided pleural effusion with associated compressive atelectasis and smaller left pleural effusion with overlying atele... | 1.Slight interval decrease in size of left retroperitoneal hematoma after interval insertion of a pigtail drainage catheter.2.Dilated loops thought to represent chronic ileus; these are not changed substantially compared to prior.3.Bilateral effusions with overlying atelectasis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Benign calcifications are present.No suspicious masses, microcalcif... | 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. | 44-year-old female patient with globus sensation x 1 year. Evaluate for esophageal abnormality or diverticulum. Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Double contrast evaluation of the esophagus and gastric cardia/fundus revealed no morphologic a... | 1.Minor esophageal motility abnormality.2.Small nonobstructive anterior cervical esophageal web. |
Generate impression based on findings. | Non-Hodgkin's lymphoma. CHEST:LUNGS AND PLEURA: No suspicious pulmonary lesions. The pleural spaces are clear. The central airways are patent.MEDIASTINUM AND HILA: Heart size is normal. There are multiple small mediastinal lymph nodes.CHEST WALL: Large axillary and sub-pectoral lymphadenopathy which has decreased in si... | Decreased size of the reference lymph nodes in the left axillary region, mesentery, and retroperitoneum. However, significant disease remains in the abdomen and pelvis, especially along the external iliac regions. |
Generate impression based on findings. | 7-month-old male status post IR and surgical treatment of an AVM. Reason: Follow up previous left arm AVM after IR gluing and debulking. Color and spectral Doppler were performed on inflow and outflow vessels. The left upper extremity AVM is no longer visualized, nor are any feeding or branch vessels.The subclavian, ax... | Normal examination, without residual AVM or arteriovenous shunting. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of left breast abscess surgery in 1972. Family history of breast cancer in sister diagnosed at age 55 and breast cancer in paternal aunt. Two standard digital views of both breasts with tomosynthesis were performed and reviewed with the ai... | 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. | A patient submitted outside study for review. Submitted for review are mammogram and ultrasound dated 2/20/2015, images from left breast biopsy and post-procedural mammogram dated 2/24/2015 performed at Presence St. Joseph's Hopsital. For comparison, mammograms dating back to January 18, 2012 are available. DIAGNOSTIC ... | 1. Two irregular hypoechoic masses at the 12:00 and 1:00 positions of the left breast status post biopsy, with both biopsies resulting in infiltrating ductal carcinoma. 2. Consider MRI given breast density and young age at cancer diagnosis.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter... |
Generate impression based on findings. | History of invasive SCCA of posterior scalp status post resection with negative sentinel lymph node biopsy. Evaluate for metastatic disease. LUNGS AND PLEURA: Mild dependent atelectasis and evidence of prior healed granulomatous disease.No evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: Calcified medi... | No evidence of intrathoracic metastases. |
Generate impression based on findings. | Metastatic prostate cancer needs staging. Multiple new osseous metastatic lesions are noted in the ribs, spine, calvarium, and pelvis. There are two new rib lesions in the left 9th rib and right 7th rib. An existing right 5th rib lesion is larger in size. There are at least two new lesions in the pelvis in the left ili... | Progression of osseous metastatic disease. |
Generate impression based on findings. | 44-year-old male with cellulitis, induration over right leg, sepsis. Evaluate for abscess. Moderate generalized subcutaneous soft tissue edema involving the entire right lower extremity, especially the dependent portions, posterolaterally. No discrete loculated fluid collection to suggest abscess formation.Generalized ... | Generalized subcutaneous soft tissue edema but no discrete loculated fluid collection to suggest abscess. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right biopsy in 1993. History of breast cancer in maternal grandmother in her mid 50s, mother in her late 50s, and sister at 48. Prior screening MRI from 11/1/2012 within normal limits. Two standard digital views of both breasts were perf... | 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: NSD - Screening Mammogram. |
Generate impression based on findings. | History of rheumatoid arthritis, connective tissue disease, and hypersensitivity pneumonitis. Evaluate for changes in ILD. LUNGS AND PLEURA: Patchy areas of groundglass opacity with volume loss, greater in the upper zones, and mild diffuse peripheral bronchiectasis/bronchiolectasis with architectural distortion and sub... | 1. Findings consistent with ILD due to chronic hypersensitivity pneumonitis without significant interval change.2. New age indeterminate mild vertebral body compression deformities of T4 and T6. |
Generate impression based on findings. | 50 year-old female with upper abdominal pain for assessment of SMA syndrome or paraduodenal hernia Double contrast visualization of the esophagus showed no morphologic abnormalities of the mucosal surfaces or mural contours. During the exam, no spontaneous or provoked gastroesophageal reflux was observed. Fluoroscopic ... | 1.Mild motor abnormality of the esophagus.2.No evidence of SMA syndrome as clinically questioned. No specific evidence of paraduodenal hernia. |
Generate impression based on findings. | 71-year-old female with history of scleroderma and MGUS and spontaneous right hip fracture on Fosamax 2006 and osteopenia/osteoporosis. Evaluate for lytic lesions/plasmacytoma. SKULL: No discrete myelomatous lesion.CERVICAL SPINE: Multilevel degenerative arthritic changes and mild subluxations. No discrete myelomatous ... | Diffuse bone demineralization and other findings as above without discrete myelomatous lesions. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. A cluster of coarse calcifications is present within the left upper... | Benign-appearing cluster of coarse calcifications is present within the left upper breast, posterior depth. 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... |
Generate impression based on findings. | Metastatic breast cancer on Xeloda. Please assess response to treatment. There is redemonstration of osseous metastatic disease throughout the axial skeleton, including the spine, pelvis, skull, and multiple ribs which appear similar in size and distribution. | Stable osseous metastatic disease. |
Generate impression based on findings. | Thyroid cancer with prior recurrence, TG not suppressed. LUNGS AND PLEURA: No pleural fluid or pneumothorax. No focal air space opacities, suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Post surgical changes of thyroidectomy and lymph node dissection. Normal heart size. No pericardial fluid or lymphadenop... | No signs of intrathoracic metastatic disease. |
Generate impression based on findings. | Pain Tibial metaphyseal revision with a wedge shaped graft placed into a lateral osteotomy. Overall appearance is grossly similar to the intraoperative imaging in terms of size and orientation however there is a questionable additional graft fragment that projects posteriorly that may have been dislodged or fractured. ... | Tibial revision with a wedge graft inserted into an osteotomy. See description above. |
Generate impression based on findings. | 43 years, Female, Reason: history of cervical cancer, radiation planning History: none. PELVIS: FemaleUTERUS, ADNEXA: There is a large cervical mass compatible with patient's biopsy proven cervical squamous cell carcinoma measuring approximately 6.4 x 6.8 x 8.1 cm (501/36, 71/37). The lesion extends along the anterior ... | 1.Large cervical squamous cell carcinoma with extension into the parametrial tissues, bladder and upper vagina as above.2.Left internal iliac node is suspicious for metastases.3.Dilated left ureter proximal to obstructing tumor. Recommend renal ultrasound for further evaluation. |
Generate impression based on findings. | Breast mass, initial breast cancer evaluation. Question of metastases. No abnormal osseous foci are identified to indicate metastatic disease.There is soft tissue activity in the left breast likely corresponding to the patient's malignancy. Degenerative uptake is noted in the feet, knees, shoulders, and left sternoclav... | No evidence of bone metastases. Soft tissue uptake in the left breast corresponds with known breast cancer. |
Generate impression based on findings. | Possible clavicle fracture.VIEWS: Left clavicle AP/axial (two views) 03/06/15 Callus formation surrounds a fracture of the mid third of the left clavicle. Alignment is anatomic. | Healing clavicle fracture around 6 weeks of age. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Mother diagnosed with breast cancer at age 35. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. Benign calcifications are present within the left breast. Unch... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Gun shot Mild osteoarthritic changes with mild narrowing of the genohumoral distance and preservation of the humoral head. No discreet soft tissue abnormality or retained bullet fragment observed.Mild incompletely visualized rib deformity suspected right 5th or 4th rib, consider dedicated imaging if further characteriz... | Mild OA without a retained bullet |
Generate impression based on findings. | Reason: Evaluate for stenosis in blood supply to R parietooccipital region. DM. HTN. History: homonymous hemianopsia Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic a... | 1.No evidence for intracranial aneurysm.2.No evidence for cervicocerebral occlusive disease. |
Generate impression based on findings. | Dermatofibrosarcoma protuberans of the lower extremity on Gleevec. LUNGS AND PLEURA: Respiratory and cardiac motion artifact limits sensitivity for detection of pulmonary nodules. Within this limitation, no new abnormalities are identified. Probable suture line in the lingula with associated scar or atelectasis; assess... | Decrease in measurements of anterior mediastinal mass. No new sites of disease are appreciated. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts (5 images) were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural distort... | 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. | 50 year-old female patient status post fundoplication with recurrent GERD. Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Double contrast evaluation of the esophagus revealed no morphologic abnormalities of the mucosal surfaces. There are postsurgical ch... | 1.Findings concerning for fundoplication slippage.2.No reflux observed.3.Minor esophageal motility abnormality. |
Generate impression based on findings. | 66 year old female who has a complaint of left breast soreness. Physician palpated area within the lower inner left breast. Family history of breast carcinoma in her sister at age 63. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed... | No mammographic or sonographic 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. Mammography is optimally performed when prior studies are available to detect changes. I... |
Generate impression based on findings. | 59 year old woman with history of right axilla pain with possible palpable mass 6 weeks ago, no palpable mass per MD exam. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No ... | No mammographic or sonographic 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: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 56 year old female with pain and swelling. Mild osteoarthritis affects the left knee, similar to prior. | Mild osteoarthritis. |
Generate impression based on findings. | Images are somewhat limited by patient motion. Postoperative changes are again seen from a right frontal parietal craniotomy. There is a prominent right lateral frontal scalp fluid collection measuring 1.8 x 6.9 cm in greatest axial dimensions. This is increased in size since the previous exam, with thick peripheral e... | 1. Interval evolution of postoperative changes involving the right frontal lobe from tumor resection, with focal prominent area of nodularity and corresponding hyperperfusion along the posterior superior margin of the resection cavity concerning for residual/recurrent tumor.2. Increased size of right lateral frontal sc... |
Generate impression based on findings. | 53-year-old male with Crohn's colitis with colonic stricture for evaluation of length of stricture. The scout film showed a nonspecific bowel gas pattern without any evidence of obstruction or ileus. Barium flowed freely from the rectum to the cecum. There is a fixed, long segment, narrowing of the colon involving the ... | 1.Long segment stricture involving the splenic flexure with postinflammatory polyps as described above. 2.Featureless descending colon compatible with chronic colitis. |
Generate impression based on findings. | Resection of left posterior mediastinal mass.VIEW: Chest AP (one view) 03/06/15, 1528 Left chest tube remains in place. Surgical clips and staples are present to the left of T5 and T6.Partial resection of left sixth rib is again noted.No pneumothorax is seen. Patchy opacities are present bilaterally with focal opacity ... | No pneumothorax after surgery. |
Generate impression based on findings. | Female 54 years old; Reason: assess for any inflammation, masses or tumors History: severe epigastric pain. Normal EGD and ultrasound ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Small hypodense hepatic foci possibly representing small cysts. The hepatic and portal veins are patent.SPLEEN:... | 1.Etiology of the patient's severe epigastric pain is not evident on the current exam. |
Generate impression based on findings. | 62 year old female who was recalled from screening mammogram for left breast calcifications. History of benign left breast biopsy 11 years ago. No family history of breast cancer. An ML view and two spot magnification views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast ... | Small cluster of calcifications within the central upper left breast, not significantly changed from October 14, 2014. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended in 6 months. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably ... |
Generate impression based on findings. | Non Hodgkin lymphoma. There is extensive cervical, upper mediastinal, and bilateral axiallary lymphadenopathy. For example, a left supraclavicular lymph node measures 14 x 27 mm, previously 18 x 30 mm, a left level 1A lymph node measures 9 x 11 mm, previously 11 x 13 mm, and a right axillary lymph node measures 21 x 35... | Extensive cervical, upper mediastinal, and bilateral axillary lymphadenopathy. However the lymph nodes are generally smaller than in 2013. |
Generate impression based on findings. | Female 69 years old Reason: locally advanced unresectable pancreatic cancer completed chemoRT in July 2014. Evalaute for interval change History: pancreatic cancer CHEST:LUNGS AND PLEURA: Unchanged calcified right lower lobe pulmonary nodule, likely reflecting sequela of prior granulomatous disease.MEDIASTINUM AND HILA... | 1.Hypoattenuating pancreatic head neck junction mass not significantly changed in size, with stable associated pancreatic ductal dilatation and increased pancreatic parenchymal atrophy.2.Unchanged gastrohepatic node, with no new sites of metastatic disease identified |
Generate impression based on findings. | Female 71 years old; Reason: 71 yr old patient with ovarian cancer 2007 TAH/BSO, 11/2011 ductal mucinous breast cancer with follow up RT, 12-18-14 radical interval debulking eval disease process History: none CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules. No dominant lung lesion. The pleural spaces are clear... | 1.Status post debulking with significant residual disease in the upper abdomen and pelvis |
Generate impression based on findings. | 34-year-old male with nausea, vomiting, abdominal pain shortly after eating. Double contrast visualization of the esophagus showed no morphologic abnormalities of the mucosal surfaces or mural contours. During the exam, no spontaneous or provoked gastroesophageal reflux was observed. Fluoroscopic evaluation of esophage... | Limited examination of the esophagus, stomach, and duodenum without significant abnormality. No evidence of gastric outlet obstruction or SMA syndrome. |
Generate impression based on findings. | Male 82 years old; Reason: enlarged left testicle History: large left testicle RIGHT TESTIS: Right testes measures 3.5 to 1.9 x 2.6 cm. No focal testicular lesion. LEFT TESTIS: Left testes measures 4.5 x 2.4 x 1.7 cm. No focal testicular lesion.RIGHT EPIDIDYMIS: 1.0 x 1.6 x 1.6 cm LEFT EPIDIDYMIS: 1.4 x 0.9 x 0.9 cmOTH... | Large left hydrocele. |
Generate impression based on findings. | Sudden onset exertional dyspnea. Evaluate for PE. PULMONARY ARTERIES: No evidence of pulmonary embolism.LUNGS AND PLEURA: Calcified nodules consistent with prior healed infection.No pleural effusion.MEDIASTINUM AND HILA: Small calcified mediastinal and hilar lymph nodes consistent with prior healed infection.Normal hea... | 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. | 18 year-old male with mid-dorsal foot pain. Evaluate for stress fracture. No acute fracture or malalignment. No periosteal reaction. Mild dorsal soft tissue swelling. | Soft tissue swelling with no underlying acute fracture or malalignment. |
Generate impression based on findings. | Evaluate pancreas. Lipase greater than thousand The following observations are made given the limitations of an unenhanced study.ABDOMEN:LUNG BASES: Bilateral small pleural effusions with overlying compressive atelectasis. Patchy ground glass anteriorly at the left lung base. Motion artifact degrades images the lung ba... | Mild inflammatory changes surrounding the pancreatic head. Given history, this is compatible with acute pancreatitis. Small bilateral pleural effusions. Limited study secondary to lack of intravenous contrast. |
Generate impression based on findings. | 59-year-old male with pain/swelling. Evaluate for acute process status post slipped/fall directly onto knee. No acute fracture or malalignment. Moderate osteoarthritis affects the right knee. Multiple small calcific densities project over the medial and lateral compartments of the joint and may represent loose bodies. ... | Joint effusion with no acute fracture or malalignment. Additional findings as described above. |
Generate impression based on findings. | Oral cavity cancer and CRT. CHEST:LUNGS AND PLEURA: Prominent subpleural lymph nodes along the caudal aspect of the right major fissure. No suspicious lesions.MEDIASTINUM AND HILA: Atherosclerotic calcification of the thoracic aorta and its branches. No lymphadenopathy. Physiologic volume of pericardial fluid. No visib... | No evidence of metastatic disease. |
Generate impression based on findings. | T4aN2bM0 left buccal mucosa and upper lip treated with chemoradiation. There are postoperative findings related to left marginal mandibulectomy and left upper lip reconstruction. There is ill-defined soft tissue in the left upper lip surgical bed region, but no definite gross mass lesions. There is a persistent defect ... | Postoperative findings in the oral cavity region without definite gross tumor and no evidence of significant residual lymphadenopathy in the neck. |
Generate impression based on findings. | POD#0 EVD placement for communicating hydrocephalus. There has been interval insertion of a right transfrontal ventricular catheter that terminates in the right lateral ventricle. There is now pneumoventricle, but otherwise no significant change in size of the dilated third and lateral ventricles. There is also persist... | Interval ventricular catheter insertion without significant interval change in size of the ventricular system and presumed transependymal CSF flow, but no evidence of acute intracranial hemorrhage. |
Generate impression based on findings. | Facial weakness. Evaluate for CVA. There is no evidence of acute intracranial hemorrhage or mass effect. There are scattered punctate and confluent areas of abnormal low attenuation in the periventricular and subcortical white matter, consistent with age-indeterminate small vessel ischemic changes. There is mild parenc... | 1. No evidence of acute intracranial hemorrhage or mass effect.2. Mild age-indeterminate small vessel ischemic changes. Please note that CT is insensitive for the detection of acute nonhemorrhagic ischemic event. If there is continued clinical concern, MRI of the brain is recommended. |
Generate impression based on findings. | Nausea and vomiting. Lower abdominal pain. Possible lymphoma. The following observations are made given the limitations of an unenhanced study.ABDOMEN:LUNG BASES: Mild interstitial scarring. No masses.LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: Multiple hypodense splenic lesions, larger compared to prior ... | 1.No specific findings to account for the patient's symptoms. 2.Increasing renal cysts suggestive of acquired renal cystic disease. 3.Marked interval atrophy of the right iliac fossa transplant kidney.4.Enlarging hypodense splenic nodules; lymphoma remains a consideration. |
Generate impression based on findings. | 3-D T1 post contrast images are minimally limited by patient motion. The ventricles and sulci are within normal limits. The cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal or pathological enhancement. There is no diffusion abnormality. No extra-axial fluid collec... | 1. Unremarkable contrast-enhanced MRI of brain and noncontrast MRA head.2. Near complete opacification of right sphenoid sinus due to a large Meckel's retention cyst. |
Generate impression based on findings. | Metastatic breast cancer on endocrine therapy. Evaluate for progression. Again seen is abnormal uptake of radiotracer in the right sternum, which appears increased from the prior exam. A faint focus of increased uptake in the anterior right 6th rib as described before is unchanged and non-specific. There is increased h... | 1. Interval increased uptake in the right sternum is suspicious for metastatic disease.2. Heterogeneous right frontal bone uptake is also suspicious for metastatic disease. |
Generate impression based on findings. | Post averaging just from previous right anterior temporal lobectomy for tumor resection are again seen. There is a stable CSF signal intensity circumscribed resection cavity in the right middle cranial fossa with subtle surrounding FLAIR hyperintense. The ventricles and sulci are within normal limits. The cisterns rem... | Continued stable appearance of postoperative changes involving the right middle cranial fossa, without evidence of tumor recurrence. |
Generate impression based on findings. | 36-year-old female with pain at the medial malleolus. Evaluate for fracture. Minimal soft tissue swelling about the medial malleolus. No underlying acute fracture or malalignment. | Soft tissue swelling without acute fracture or malalignment. |
Generate impression based on findings. | 48-year-old male status post left knee unicompartmental arthroplasty. Interval post surgical changes of a left medial unicompartmental arthroplasty device in anatomic alignment. No radiographic evidence of hardware complication. Skin staples, drain, and foci of gas within the overlying soft tissues likely reflect recen... | Postsurgical changes without radiographic evidence of hardware complication. |
Generate impression based on findings. | 54-year-old female with right thigh mass, evaluate for interval change. Again seen is a large anterior thigh mass underlying the rectus femoris and between the vastus medialis and vastus lateralis, predominantly of fat density with some internal septations, appearing similar to prior. No underlying osseous involvement.... | Large anterior thigh mass appearing similar to prior, likely representing a benign lipoma. |
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