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Generate impression based on findings. | Left facial droop (bells), also headache, hypertension. 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 mastoid air cells are clear. There is a sma... | No evidence of acute intracranial hemorrhage. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct. |
Generate impression based on findings. | History of DLBCL s/p chemotherapy in presumed complete remission. There are stable postoperative findings related to right neck dissection. There are unchanged mildly prominent cervical lymph nodes. For example, a right level 2B lymph node measures 10 mm in short axis. The thyroid and major salivary glands are unremark... | Unchanged mildly prominent cervical lymph nodes. |
Generate impression based on findings. | 87-year-old female on Coumadin with history of altered mental status. Evaluate for intracranial hemorrhage. There is no evidence of acute intracranial hemorrhage. There is mild to moderate white matter hypoattenuation. The gray white differentiation is otherwise preserved. There is mild cerebral volume loss diffusely. ... | 1. No evidence of acute intracranial hemorrhage.2. Mild to moderate white matter hypoattenuation likely representing chronic small vessel ischemic disease. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct.3. Prominent extra-axial CSF spaces, particularly in the left parietal co... |
Generate impression based on findings. | Reason: is there a bleed or metastasis. History: history brain surgery as child for tumor, now breast cancer, +headache. There is a subcentimeter focus of hyperattenuation in the anterior left pontomedullary junction. There is a cystic area that measures up to approximate 4 mm in the left parietal lobe that appears to ... | 1. Nonspecific subcentimeter focus of hyperattenuation in the anterior left pontomedullary junction. Differential considerations include acute hemorrhage, cavernous malformation, or neoplasm, for example. A brain MRI without and with contrast would be useful for further characterization.2. A cystic area that measures u... |
Generate impression based on findings. | Recent cognitive decline, seizure disorder, past aneurysm clipping. There are postoperative findings related to right internal carotid artery clipping and embolization. Streak artifact from the metal hardware obscures surrounding structures. There is no definite evidence of large acute intracranial hemorrhage or mass. ... | Postoperative findings related to right internal carotid artery clipping and embolization. No evidence of intracranial mass lesions or stigmata of normal pressure hydrocephalus. |
Generate impression based on findings. | Metastatic head and neck cancer prior to treatment. There is no evidence of acute intracranial mass or abnormal enhancement. 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 are clear. T... | No evidence of intracranial metastases. |
Generate impression based on findings. | Left-sided face and body numbness. There are punctate foci of high T2 signal in the left frontal lobe white matter. There is a nonspecific punctate focus of susceptibility effect in the right precuneus. There is no evidence of acute infarct, acute intracranial hemorrhage or mass. There is absence of the septum pellucid... | 1. Nonspecific punctate foci of signal abnormality in the left frontal lobe white matter, but no evidence of acute infarct.2. Absence of the septum pellucidum and possibly mild hypoplasia of the optic nerves may represent a mild form of septo-optic dysplasia. 3. A nonspecific punctate focus of susceptibility effect in ... |
Generate impression based on findings. | Respiratory distressVIEW: Chest AP ET tube tip at the level of the carina. Cardiothymic silhouette normal. Bilateral patchy atelectasis increased in the right perihilar region. No pleural effusion or pneumothorax. G-tube in place. | Bilateral patchy atelectasis increased in the right perihilar region. |
Generate impression based on findings. | Abdominal painVIEW: Abdomen AP Disorganized nonobstructive bowel gas pattern. No abnormal bowel dilation. No pneumatosis or pneumoperitoneum. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Evaluate chest tubeVIEW: Chest AP 3/7/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Right central line and left chest tube unchanged. Cardiothymic silhouette normal. Bilateral patchy lung atelectasis not significantly changed. No pleural effusion or pneumothorax. Marked body wall... | Left chest tube with patchy atelectasis bilaterally unchanged. |
Generate impression based on findings. | ARDSVIEW: Chest AP 3/8/15 ET tube tip below thoracic inlet and above the carina. Left upper extremity PICC with tip in the SVC. Cardiothymic silhouette normal. The pneumomediastinum is not significantly changed. Bilateral patchy lung opacities increased from prior study. No evidence of pneumothorax. Multiple surgical s... | Bilateral patchy atelectasis increased from prior study. |
Generate impression based on findings. | Evaluate pneumothoraxVIEW: Chest AP 3/8/15 Left chest port in place. Left chest tube with surgical clips projected over the left perihilar region again noted. The left apical pneumothorax has decreased in size. Patchy atelectasis in the right lower lobe and left lower lobe. Minimal amount of subcutaneous emphysema in t... | Left apical pneumothorax decreased in size when compared to the prior study. |
Generate impression based on findings. | Left chest tube with history of resection of posterior mediastinal massVIEW: Chest AP 3/8/15 Left chest tube in place. Multiple surgical sutures project over the left perihilar region. Cardiothymic silhouette normal. Bilateral lung atelectasis improved from prior study. No pleural effusion or pneumothorax. | Bilateral atelectasis improved from prior study. |
Generate impression based on findings. | Increased oxygen requirementVIEW: Chest AP 3/8/15 Tracheostomy tube in place. The vagal stimulator device in place. Multiple surgical clips at the GE junction and G-tube in place. Cardiothymic silhouette normal. Patchy opacities in the right upper lobe and left lower lobe medially minimally increased in the right upper... | Right upper lobe opacity likely atelectasis minimally increased from prior study. |
Generate impression based on findings. | Cough feverVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Cardiac apex, aortic arch and stomach left-sided. Minimal peribronchial wall thickening with subsegmental atelectasis in the left lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | Cough feverVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Peribronchial wall thickening with subsegmental atelectasis in the right lower lobe and left lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | Evaluate for pneumothoraxVIEW: Chest AP and abdomen AP 3/7/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. The esophageal temperature probe tip in the stomach. Umbilical catheters unchanged. Cardiothymic silhouette normal. Patchy atelectasis in the right upper lobe and left lower l... | No evidence of pneumothorax. |
Generate impression based on findings. | Cough feverVIEWS: Chest AP and lateral 3/7/15 Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Peribronchial wall thickening with subsegmental atelectasis in the right lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | Female 86 years old; Reason: eval for obstruction, intraabdominal infection History: malignancy with mets, abdominal distention, vomiting and diarrhea ABDOMEN:LUNG BASES: Mild bibasal atelectasis.Reference right epicardial lymph node is stable and measures 2.9 x 1.6 cm (series 3, image 15), previously 3.0 x 1.4 cm. Add... | 1.Mesenteric disease adjacent to the splenic flexure while stable in size exerts mass effect on the colon with new resulting partial bowel obstruction.2.In the lower thorax, epicardial lymph nodes and cardiophrenic lymph nodes are stable/mildly increased.3.In the abdomen, the gastric mass, nodular hepatic implant, mese... |
Generate impression based on findings. | PainVIEWS: Right ankle AP, oblique and lateral No acute fracture or dislocation. There is a small ankle joint effusion. Marked soft tissue swelling about the ankle joint. | Marked soft tissue swelling without acute fracture. |
Generate impression based on findings. | RDSVIEW: Chest AP 3/7/15 Endotracheal tube has been removed in the interval. Cardiothymic silhouette normal. Minimal patchy atelectasis in the perihilar region and left lower lobe. No pleural effusion or pneumothorax. | Minimal patchy atelectasis bilaterally without pneumonia. |
Generate impression based on findings. | Evaluate ET tubeVIEW: Chest AP 3/7/15 ET tube tip at the level of the thoracic inlet. NG tube tip in the stomach. Right upper extremity PICC again noted. Cardiothymic silhouette normal. Patchy atelectasis in the left upper lobe and left lower lobe. No pleural effusion or pneumothorax. Multiple surgical clips in the rig... | ET tube tip at the level of the thoracic inlet. |
Generate impression based on findings. | Increased oxygen requirementVIEW: Chest AP and abdomen AP 3/7/15 ET tube tip immediately above the level of the carina. NG tube tip in the distal esophagus. The umbilical venous catheter tip in the left portal vein. Cardiothymic silhouette normal. Cardiac apex is left-sided. Diffuse atelectasis bilaterally representing... | Diffuse atelectasis bilaterally representing RDS. |
Generate impression based on findings. | Female 31 years old Reason: eval for appendicitis History: abdominal pain, nausea, anorexia, fever, chills ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signif... | Findings as above, favor focal pyelonephritis right lower pole kidney |
Generate impression based on findings. | PainVIEWS: Left hand AP, oblique and lateral There is an acute transverse fracture involving the head of the middle phalanx of the little finger. The distal fracture fragment is displaced dorsally and medially. There is associated soft tissue swelling at this region. The remainder of the examination is normal. | Acute fracture middle phalanx of the little finger. |
Generate impression based on findings. | FeverVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Minimal peribronchial wall thickening with subsegmental atelectasis in the right lower lobe. No pleural effusion or pneumothorax. G-tube in place. Right upper quadrant calcifications unchanged. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | Male 71 years old; Reason: eval stool burden vs other intraabd process History: abd pain, bounceback ABDOMEN:LUNGS BASES: Bibasilar atelectasis.LIVER, BILIARY TRACT: Gallbladder is moderately distended containing a few large and several small gallstones. There is extensive fat stranding around the gallbladder suggestiv... | Findings suggestive of acute cholecystitis as detailed above.Atherosclerotic disease. Prominent prostate. |
Generate impression based on findings. | Cough chest pain wheezingVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Peribronchial wall thickening with subsegmental atelectasis in the right lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | Hypoxia feverVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Cardiac apex and aortic arch left-sided. Peribronchial wall thickening with subsegmental atelectasis in the right lower lobe and left lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | PainVIEWS: Left foot AP, oblique and lateral No acute fracture or dislocation. No ankle joint effusion. | Normal examination. |
Generate impression based on findings. | Line placementVIEW: Chest AP and abdomen AP 3/7/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the distal esophagus. The umbilical venous catheter tip in the right atrium. The umbilical arterial catheter tip at T5/6. Cardiothymic silhouette normal. Bilateral diffuse atelectasis minimally impro... | Bilateral diffuse atelectasis improved from prior study. |
Generate impression based on findings. | Female 64 years old Reason: h/o neutropenic fever, eval for source of infection History: see above CHEST: Chest was done delayed and intravenous contrast is already washed out limiting sensitivity for vasculature. Given that limitation, following observations are madeLUNGS AND PLEURA: Areas of consolidation in the supe... | Findings consistent with multifocal areas of consolidation in the left lung concerning for pneumonia. Other findings as above. |
Generate impression based on findings. | PainVIEWS: Right humerus AP and lateral No acute fracture or dislocation. | Normal examination. |
Generate impression based on findings. | PainVIEWS: Right elbow AP, oblique and lateral No acute fracture or dislocation. No elbow joint effusion. | Normal examination. |
Generate impression based on findings. | Line placementVIEW: Chest AP and abdomen AP 3/8/15 ET tube tip below thoracic inlet and above the carina. The umbilical venous catheter tip in the right atrium. The umbilical arterial catheter tip at T6. Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Patchy atelectasis bilaterally without focal pn... | Lines placement as described above. |
Generate impression based on findings. | Respiratory distressVIEW: Chest AP 3/8/15 Cardiothymic silhouette normal. Peribronchial wall thickening with subsegmental atelectasis in the right lower lobe and left lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | Respiratory distressVIEW: Chest AP 3/8/15 ET tube tip immediately above the carina. NG tube tip at the GE junction. The umbilical venous catheter tip in the right atrium. The umbilical arterial catheter tip at T6. Cardiothymic silhouette normal. Diffuse atelectasis bilaterally left greater than right. No large pleural ... | Diffuse atelectasis bilaterally left greater than right. |
Generate impression based on findings. | MRSA reintubationVIEW: Chest AP 3/8/15 ET tube tip at the level of the thoracic inlet. NG tube tip in the distal esophagus. Right upper extremity PICC again noted. Cardiothymic silhouette normal. Patchy atelectasis in the left upper lobe and left lower lobe. No pleural effusion or pneumothorax. Multiple surgical clips ... | ET tube tip at the level of the thoracic inlet. |
Generate impression based on findings. | Female 37 years old; Reason: eval acute process History: LUQ, RLQ pain, hematemesis Images are slightly degraded by motion artifact.ABDOMEN:LUNG BASES: Subtle nodularity in the right base is nonspecific and may be infectious/inflammatory. Mildly prominent cardiophrenic lymph nodes are nonspecific.LIVER, BILIARY TRACT: ... | 1.No specific cause for patient's abdominal pain or hematemesis is identified. |
Generate impression based on findings. | CoughVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Peribronchial wall thickening with subsegmental atelectasis in the right lower lobe and left lower lobe. No pleural effusion or pneumothorax. Levoscoliosis of the thoracic spine again noted. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | DesaturationVIEW: Chest AP 3/8/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Umbilical lines unchanged. Cardiothymic silhouette normal. Diffuse atelectasis bilaterally increased in the left lower lobe. There is a small left-sided pleural effusion. | Diffuse atelectasis increased in the left lower lobe with new small left-sided pleural effusion. |
Generate impression based on findings. | Female 53 years old Reason: eval for patellar discloation, fx History: fall, knee pain. Four views of the right knee show no acute fracture or dislocation. The patella is in normal position. The extensor mechanism is intact. There is tricompartmental osteophyte formation compatible with osteoarthritic changes. | No acute fracture or dislocation. |
Generate impression based on findings. | AML with pancytopenia and head contusion after fall. Motion artifact somewhat degrades image quality. There is a small left frontal scalp contusion. There is no evidence of acute intracranial hemorrhage, calvarial fracture or mass effect. The ventricles and basal cisterns are normal in size and configuration. There is ... | 1. Small left frontal scalp contusion. 2. No definite evidence of acute intracranial hemorrhage or calvarial fracture.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Male 51 years old; Reason: r/o ischemia History: abd pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Normal liver. Phrygian cap configuration of the gallbladder. Cholelithiasis. No biliary dilatation.SPLEEN: No significant abnormality noted.PANCREAS: Highly atrophic pancreas with diffus... | 1.Stable findings of chronic pancreatitis. Cholelithiasis. No findings to account for acute abdominal pain. |
Generate impression based on findings. | Male 44 years old Reason: r/o fx History: ankle pain. There is a spiral/oblique fracture of the distal fibula with near anatomic alignment of the distal fracture fragment. The fracture line appears somewhat indistinct. There is mild soft tissue swelling over lateral aspect of the joint. | Distal fibula fracture as described above. |
Generate impression based on findings. | Evaluate NG placementVIEW: Chest AP 3/7/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Cardiothymic silhouette normal. Patchy atelectasis in the left lung. No pleural effusion or pneumothorax. | NG tube tip in the stomach. |
Generate impression based on findings. | Male 63 years old Reason: Evaluate for osteomyelitis History: Left foot ulcer, pain, erythema, swelling. Three views of left foot show diffusely demineralization of the bones. A soft tissue defect compatible with patient's known ulcer is seen along the posterior plantar surface. There is no radiographic evidence of cor... | No radiographic evidence to suggest osteomyelitis. If further imaging is clinically warranted, an MRI or triphasic bone scan is recommended. |
Generate impression based on findings. | Female 58 years old; Reason: 58F with hematuria, concern for pyelo, need noncontrast, contrast, delayed images History: 58F with hematuria, concern for pyelo, need noncontrast, contrast, delayed images ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Diffuse hepatic steatosis. The gallbladder ... | 1.Unremarkable appearance of the kidneys. No findings to explain patient's hematuria.2.Diffuse hepatic steatosis. Correlation with liver function tests is recommended.3.3-mm hypoattenuating focus within the distal pancreatic body. This may represent interdigitating fat however a small IPMN cannot be completely excluded... |
Generate impression based on findings. | Placement of metallic hardware at the mandibleVIEWS: Mandible AP and lateral Bilateral mandibular distraction devices are noted with no evidence of hardware failure. ET and NG tubes noted. | Bilateral mandibular distraction devices noted with no evidence of hardware failure. |
Generate impression based on findings. | Paresthesia. Evaluate for bleed or ischemia. There is streak artifact from the coil material in the circle of Willis region. There is no evidence of acute intracranial hemorrhage or mass effect. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is a l... | 1. Sequale of circle of Willis aneurysm coil embolization, without definite evidence of acute intracranial hemorrhage within the limits of artifact. Please note that CT is insensitive for the detection of acute nonhemorrhagic ischemic event. If there is continued clinical concern and no contraindications, MRI of the br... |
Generate impression based on findings. | VomitingVIEW: Abdomen AP 3/7/15 Gastrostomy tube noted. Multiple surgical clips in the right upper quadrant. Levoscoliosis of the lumbar spine noted. Bilateral hip dysplasia with superior lateral dislocation of the femoral heads bilaterally. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperiton... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Male 47 years old Reason: 47 year old man with history of DLBCL s/p chemotherapy in presumed complete remission. History: Chronic abdominal pain. CHEST:LUNGS AND PLEURA: Few scattered micronodules, unchangedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, ... | Findings of treated lymphoma with no new sites of disease. Small stable nodes right common iliac artery and mesenteric root. |
Generate impression based on findings. | Male 49 years old Reason: Trauma History: above. Three views of the right shoulder show no acute fracture or dislocation. There is minimal osteoarthritic changes of the glenohumeral joint.Three views of the ribs show no acute fracture or malalignment.Three views of the thoracic spine show no acute fracture or malalignm... | No acute fracture or dislocation as described above. |
Generate impression based on findings. | Female 45 years old Reason: r/o fracture History: cannot bear weight, pain swelling. Mild soft tissue swelling along the medial aspect of ankle. However, there is no underlying fracture or dislocation. | No acute fracture or dislocation. |
Generate impression based on findings. | Male 23 years old Reason: r/o fracture History: pain, numbness, tingling. The right hand appears unremarkable without acute fracture or dislocation. | No acute fracture or dislocation. |
Generate impression based on findings. | Female 53 years old; Reason: eval for GB path, pancreatitis, obstruction History: epigastric abd pain, vomiting ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Status post cholecystectomy. Hypoattenuating area in the medial segment of the left hepatic lobe suggestive of focal fat.SPLEEN: No s... | 1.Ascending colitis. Given the associated ascites consider infectious etiology. |
Generate impression based on findings. | Female 86 years old Reason: eval for right wrist fracture History: snuffbox tenderness after FOOSH. Three views of the right wrist show no acute fracture or dislocation. Moderate osteoarthritic changes affect the carpal bones and the metacarpophalangeal joints. | No acute fracture or dislocation. |
Generate impression based on findings. | Male 70 years old Reason: pt with HCC; needs surveillance scan off therapy for 6 wk holiday History: HFS CHEST:LUNGS AND PLEURA: Emphysematous changes and granulomatous disease right lung, unchanged. Basilar atelectasis or scarring.MEDIASTINUM AND HILA: Atherosclerotic disease with mild coronary artery calcification. S... | Cirrhotic morphology with multifocal hepatic lesions as measured. Some lesions might be minimally increased in size. No new lesions seen.Other findings are stable including cholelithiasis, retroperitoneal adenopathy, splenomegaly and generalized ascites. |
Generate impression based on findings. | Male 71 years old Reason: r/o fx History: fall. Two views of the right hip and two views of the right femur show a fracture of the femoral neck with associated foreshortening and anatomic alignment of the distal fracture fragment. There is no dislocation of the hip joint. Moderate osteoarthritic changes affect the righ... | Femoral neck fracture as described above. |
Generate impression based on findings. | TraumaVIEW: Chest AP and pelvis AP The patient is lying on a back board. Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. No focal lung opacity. No pleural effusion or pneumothorax. Disorganized nonobstructive bowel gas pattern. The pelvis is partially obscured by bowel gas and within this limitatio... | Pelvis partially obscured by bowel gas and within this limitation no acute fracture noted. |
Generate impression based on findings. | Female 56 years old Reason: r/o fx History: fall. Three view of the right thumb show no definite fracture or malalignment. 1 mm radiodensity along the ulnar aspect of the base of the proximal phalanx, seen only on the AP view, is unlikely to be an avulsion fracture fragment as there is no evidence of the site or overly... | No definite fracture or malalignment as described above. |
Generate impression based on findings. | New headaches and dizziness. Evaluate for intracranial abnormality. There is no evidence of acute intracranial hemorrhage or mass effect. There are a few internal carotid arteries calcifications. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged ... | No evidence of acute intracranial hemorrhage or mass effect. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | TraumaVIEWS: Cervical spine AP and lateral The patient is rotated in this radiograph. There is a C-spine collar in place. The cervical spine is visualized from C1 to C5 in the lateral projection. Within these limitations described above, the alignment of the cervical spine is normal without acute fracture. There is mil... | Limited exam due to rotation and the entire cervical spine is not completely visualized in this exam. Recommend repeat radiograph as clinically indicated. |
Generate impression based on findings. | Headache. Evaluate for bleed. There is no evidence of acute intracranial hemorrhage or mass effect. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are u... | No evidence of acute intracranial hemorrhage or mass effect.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Male 21 years old Reason: eval for interval change in position of bullet History: left ankle pain and numbness. There is no acute fracture or dislocation. Radiodensities within the ankle joint correspond to bullet fragments, and appear unchanged in position when compared to prior exam. | No interval change in bullet fragments as described above. |
Generate impression based on findings. | Female 58 years old Reason: Left Hip pain History: Left Hip pain. No acute fracture or dislocation. The hip joint appears unremarkable. | No acute fracture-dislocation. |
Generate impression based on findings. | Female 32 years old; Reason: abdominal pain - concern for incarcerated hernia with mesh from previous repair History: abdominal pain ABDOMEN:LUNG BASES: Trace bilateral pleural effusions.LIVER, BILIARY TRACT: Hepatomegaly.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS... | 1.Severe mural thickening and inflammation of the terminal ileum, cecum, ascending and proximal transverse colon . Differential considerations include infectious, inflammatory or ischemic. Favor infectious given the severe associated mural thickening. |
Generate impression based on findings. | Male 59 years old Reason: persistent hypoxia, pulmonary edema History: see above. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus. There is no right heart strain.LUNGS AND PLEURA: Small bilateral pleural effusions with overlying compressive atelectasis. Scattered punctate micronodul... | 1.No pulmonary embolus.2.Bilateral small pleural effusions with overlying atelectasis.PULMONARY EMBOLISM: PE: No pulmonary embolus.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Status post fall. Evaluate for bleed. The images are degraded by patient motion. There is a small right frontal scalp contusion. There is no evidence of acute intracranial hemorrhage, mass effect or calvarial fracture. There is encephalomalacia in left MCA distribution and the bilateral cerebellar hemispheres, left gre... | 1. Small right frontal scalp contusion. 2. No evidence of acute intracranial hemorrhage or skull fracture.3. Chronic infarcts in the left MCA territory and left greater than right cerebellar hemispheres and diffuse small vessel ischemic disease, which may have slightly progressed. However, non-contrast CT is insensitiv... |
Generate impression based on findings. | Female 67 years old Reason: Evalulate for PE History: Shortness of breath s/p R distal subclavian vein. PULMONARY ARTERIES: Technically adequate study without evidence of a pulmonary artery embolus. There is no evidence of right heart strain.LUNGS AND PLEURA: There is bilateral apical scarring. There is moderate to sev... | No pulmonary embolus. Emphysema. Scattered areas of bronchial wall thickening and ground glass opacity may be due to bronchiolitis, edema, or aspirate. A micronodule is noted in the right lower lobe. It is nonspecific but most likely benign. In smokers, however, 1 year CT follow up is recommended. PULMONARY EMBOLISM: P... |
Generate impression based on findings. | Female 38 years old; Reason: eval acute infection/abscess History: abd pain, N/V/D, h/o Crohn's The study is limited by motion artifact.ABDOMEN:LUNG BASES: Bibasal atelectasis. Trace right pleural effusion.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No signi... | Mild thickening of the descending colon and portions of the transverse colon with mild associated inflammatory changes. This appearance can be seen with acute on chronic colitis, likely relating to patient's known inflammatory bowel disease. |
Generate impression based on findings. | Altered mental status. Evaluate for intracranial hemorrhage or stroke. There is no evidence of acute intracranial hemorrhage or mass effect. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift. The cerebellar tonsils may be slightly low-lying, although assessment of this re... | 1. No evidence of acute intracranial hemorrhage or mass effect. Please note that CT is insensitive for the detection of acute nonhemorrhagic ischemic event. If there is continued clinical concern and there are no contraindications, MRI of the brain is recommended.2. The cerebellar tonsils may be slightly low-lying, alt... |
Generate impression based on findings. | Male 59 years old; Reason: eval acute process History: RLQ/R side, R flank pain, no blood in urine CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Right-sided Port-A-Cath with tip in the distal SVC. Bibasal atelectasis. Asymmetric left gynecomast... | 1.3-mm obstructing right VUJ calculus with mild right hydronephrosis and perinephric stranding.2.Asymmetric gynecomastia, increasing over prior studies. Underlying mass should be excluded. |
Generate impression based on findings. | Assaulted with loss of consciousness while intoxicated. CT HEAD: There is no evidence of acute intracranial hemorrhage, calvarial fracture or mass effect. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells a... | 1. No evidence of acute intracranial hemorrhage or calvarial fracture.2. Left cheek contusion, but no evidence of retrobulbar hemorrhage or maxillofacial fractures. 3. No evidence of cervical spine fracture or subluxation.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this rep... |
Generate impression based on findings. | Fall, left forehead injury. There is left scalp swelling and subcutaneous stranding. The underlying calvarium appears to be intact. There is no evidence of acute intracranial hemorrhage or mass. There is mild patchy cerebral white matter hypoattenuation, which may represent small vessel ischemic disease. There is mild ... | Left frontal scalp contusion, but no evidence of acute intracranial hemorrhage or skull fracture. |
Generate impression based on findings. | Female 32 years old Reason: Neuroendocrine cancer with liver mets. s/p TheraSpheres History: compare to last CT CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Multifocal masses wit... | Progression of disease in the liver and peritoneum. Retroperitoneal nodes more prominent as well. |
Generate impression based on findings. | Male 54 years old Reason: massive PE? cardiac tamponade? pneumo? cardiac arrest unknown etiology History: as above. PULMONARY ARTERIES: Technically adequate study. There is an acute appearing pulmonary embolus in the right main pulmonary artery. Additional acute appearing pulmonary emboli are seen in the right lower lo... | 1.Bilateral acute appearing pulmonary emboli with evidence of right heart strain.2.Large right-sided hydropneumothorax with multiple anterior rib fractures and pneumomediastinum.3.Findings communicated to ED by Dr. Patel at 10:55pm 3/7/15.PULMONARY EMBOLISM: PE: Bilateral, predominantly upper lobe.Chronicity: Acute.Mul... |
Generate impression based on findings. | History of prostate cancer, HTN, HLD, diastolic HF, CVA, OA, who presents with altered mental status. There is encephalomalacia in the bilateral cerebellar hemispheres, right greater than left. There are multiple punctate defects in the bilateral basal ganglia. There is extensive patchy cerebral white matter hypoattenu... | Chronic-appearing bilateral cerebellar hemisphere and basal ganglia lacunar infarcts, as well as small vessel ischemic disease, but no evidence of acute intracranial hemorrhage. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct. |
Generate impression based on findings. | CoughVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Peribronchial wall thickening with subsegmental atelectasis in the right lower lobe and left lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | PainVIEWS: Right knee AP, oblique and lateral No acute fracture or dislocation. No knee joint effusion. There are cystic cortical well defined lesions involving the medial and lateral aspects of the distal femur likely to represent non-ossifying fibroma. | No acute fracture or dislocation. |
Generate impression based on findings. | PainVIEWS: Pelvis AP and frog leg No acute fracture or dislocation. No evidence of slipped capital femoral epiphysis. The femoral heads are seated within the acetabula. | Normal examination. |
Generate impression based on findings. | Altered mental status. Evaluate for bleed. 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 chronic small vessel ischemic changes. The ventricles and bas... | 1. No evidence of acute intracranial hemorrhage or mass effect.2. Diffuse age-indeterminate small vessel ischemic changes. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct.3. Partially-calcified pannus and erosions in the adjacent dens similar to the prior MRI. This may represe... |
Generate impression based on findings. | Right Horner's syndrome status post assault. 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. There is mild right frontal scalp swelling without u... | 1. Right periorbital hematoma with a medial orbital blow out fracture, but no evidence of retrobulbar hemorrhage.2. Left facial contusion.3. No evidence of acute intracranial hemorrhage or skull fracture.4. Chronic C6 spinous process fracture, but no evidence of acute cervical spine fracture or subluxation. 5. No evide... |
Generate impression based on findings. | Neurofibromatosis type 1 with headache. Evaluate for bleed. There is no evidence of acute intracranial hemorrhage or mass effect. The ventricles are mildly asymmetric, but without evidence of acute hydrocephalus. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The ... | 1. No evidence of intracranial hemorrhage or mass effect.2. Innumerable dermal nodules, compatible with neurofibromas. Evaluation for potential intracranial stigmata of neurofibromatosis is otherwise limited with non-contrast CT.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with t... |
Generate impression based on findings. | Reason: if there are pockets of effusion to drainage History: sob LUNGS AND PLEURA: Very small effusion at left lung base, unchanged. The majority of the complete left hemithoracic opacification is due to consolidated lung and tumor. This is increased in comparison to 3/1/2015.Right pleural effusion has decreased, ther... | Small collection of pleural fluid at left base unchanged. Interval decrease in right effusion s/p pleural catheter placement.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | DesaturationVIEW: Chest AP 3/8/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. The umbilical arterial catheter tip at T7. Cardiothymic silhouette normal. Minimal patchy atelectasis in the right upper lobe. No pleural effusion or pneumothorax. | Minimal patchy atelectasis in the right upper lobe. |
Generate impression based on findings. | Abdominal pain elevated CRP ABDOMEN:LUNG BASES: No focal lung opacity or pleural effusion.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: There is incomplete rotation... | Marked inflammatory changes at the right lower quadrant increased from prior study. The previously noted fluid collection at the right lower quadrant has decreased in size. There is an additional oblong shape low attenuation area at the right lower quadrant with minimal faint enhancement and this may represent a phlegm... |
Generate impression based on findings. | Evaluate for stroke. There are foci of hypoattenuation in the right basal ganglia, left posterior limb of the internal capsule and pons, similar to prior study. There are scattered punctate and confluent areas of abnormal low attenuation in the periventricular and subcortical white matter. There is no evidence of acute... | 1. No evidence of intracranial hemorrhage or mass effect.2. Small vessel ischemic disease and chronic lacunar infarcts in the right basal ganglia, posterior limb of the left internal capsule, and pons, similar to the prior study. Please note that CT is insensitive for the detection of acute nonhemorrhagic ischemic even... |
Generate impression based on findings. | Intracranial hemorrhage. Head CT: There is no significant interval change in the posterior left temporal lobe hyperattenuating hematoma with mild surrounding vasogenic edema. The ventricles are unchanged in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cel... | 1. No significant interval change in the posterior left temporal lobe intraparenchymal hematoma with mild surrounding vasogenic edema. 2. No evidence of cerebral aneurysm, vascular malformation, active contrast extravasation, or significant steno-occlusive lesions. |
Generate impression based on findings. | Right Horner's syndrome status post assault. 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. There is mild right frontal scalp swelling without u... | 1. Right periorbital hematoma with a medial orbital blow out fracture, but no evidence of retrobulbar hemorrhage.2. Left facial contusion.3. No evidence of acute intracranial hemorrhage or skull fracture.4. Chronic C6 spinous process fracture, but no evidence of acute cervical spine fracture or subluxation. 5. No evide... |
Generate impression based on findings. | History of myelofibrosis with headache. Evaluate for bleed. There is no evidence of acute intracranial hemorrhage or mass effect. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. There is minima... | 1. No evidence of acute intracranial hemorrhage or mass effect.2. Bilateral temporomandibular joint degenerative changes. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Female 36 years old Reason: 36yo female with Crohn's ileocolitis. Evaluate for active ileal disease History: abdominal disease ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADREN... | No CT findings of inflammatory bowel disease. Other findings as above. |
Generate impression based on findings. | Trauma. The images are mildly degraded by patient motion artifact. Nevertheless, 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. There is partial opaci... | No discernible evidence of acute intracranial hemorrhage or skull fracture. |
Generate impression based on findings. | Increasing seizure frequency on Keppra. Evaluate for recurrence of pinealoblastoma. Redemonstrated are post-surgical findings related to pineoblastoma resection with right occipital lobe encephalomalacia and ex vacuo dilatation of the right occipital horn. There is no discernible evidence of measurable mass within the ... | 1. Post-surgical findings related to pineoblastoma resection with no discernible evidence of a measurable mass within the pineal region. However, MRI may be more sensitive if there are no contraindications.2. No evidence of acute intracranial hemorrhage.I personally reviewed the Images and/or procedure with the Residen... |
Generate impression based on findings. | ConstipationVIEW: Abdomen AP Disorganized nonobstructive bowel gas pattern. Minimal amount of fecal burden. Gastrostomy tube in place. There is scoliosis involving the thoracolumbar spine. The right femur is superiorly and laterally dislocated unchanged from prior study. | Minimal amount of fecal burden without obstruction. |
Generate impression based on findings. | CT HEAD: There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is absence of the septum pellucidum with suggestion of mild hypoplasia of the optic nerves. There is no midline shift... | 1. No acute intracranial abnormality. Absence of the septum pellucidum with suggestion of mild hypoplasia of the optic nerves may represent a mild form of septo-optic dysplasia. 2. No evidence of intracranial aneurysm or high grade stenosis.3. No evidence of high grade internal carotid artery stenosis.I personally revi... |
Generate impression based on findings. | CT HEAD: There is s persistent apparent focal hypoattenuation in the upper medulla. There is no evidence of intracranial hemorrhage or mass. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. There is unchanged mild ossification of the dura in the right ... | 1. No acute intracranial hemorrhage. Apparent hypoattenuation in the medulla may represent an infarct or artifact. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct.2. No evidence of intracranial aneurysm or flow-limiting stenosis. No evidence of vascular malformation or venous ... |
Generate impression based on findings. | Male 85 years old Reason: soft tissue infection around PEG site History: purulent drainage around PEG site Extensive edema throughout the subcutaneous soft tissues surrounding the PEG tube without discrete drainable fluid collection. | Diffuse cellulitis surrounding the subcutaneous portion of the PEG tube. No drainable fluid collection. |
Generate impression based on findings. | Female 63 years old Reason: 63F with hx of left clear cell RCC s/p left partial nephrectomy in 2010. Now with new left flank pain History: left flank pain, history of RCC. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCRE... | Postsurgical changes left kidney. Previously seen nephrolithiasis and hydroureter on the right are resolved. Exophytic lesion lower pole right kidney likely cysts.Leiomyoma uterus.Broad-based left abdominal wall hernia nonobstructive, unchanged. |
Generate impression based on findings. | Female 21 years old Reason: eval for PE History: HgSS, tachycaric, hypoxic, chest pain. PULMONARY ARTERIES: Technically adequate study without evidence of a pulmonary embolus. There is no right heart strain.LUNGS AND PLEURA: A left lower lobe peripheral airspace opacity may represent chronic scarring, atelectasis, or m... | 1.No evidence of pulmonary embolus.2.Left basilar opacities likely reflect atelectasis and scarring. PULMONARY EMBOLISM: PE: No pulmonary embolus.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
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