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Generate impression based on findings. | Male 64 years old Reason: AKI, ?signs of rejection History: AKI, ?signs of rejection RENAL TRANSPLANT:LOCATION: Right iliac fossaPERITRANSPLANT TISSUES: No significant abnormality notedKIDNEY: The transplant kidney measures 13.1 cm. The parenchyma is hyperechoic. There is a 1.8-cm hypoechoic lesion in the midpole of th... | The transplant kidney parenchyma is abnormally echogenic suggesting parenchymal disease/rejection. There is a brisk systolic upstroke and normal diastolic flow of renal artery anastomosis without evidence of stenosis. Decreased velocities and blunted upstroke in segmental and arcuate arteries is demonstrated although t... |
Generate impression based on findings. | Male 51 years old Reason: 51M with renal cell carcinoma s/p resection presenting for surveillance scans. History: pulmonary micronodules and mediastinal node, assess for change CHEST:LUNGS AND PLEURA: Scattered micronodules are unchanged. None of the lesions is suspicious of metastatic disease.MEDIASTINUM AND HILA: No ... | Roughly stable mediastinal node and lung micronodules. No evidence of tumor recurrence in right renal fossa. Normal appearing left kidney. No measurable neoplasm. |
Generate impression based on findings. | Female 44 years old Reason: RUQ, r/o obstructive cholelithiases History: RUQ and epigastric abdominal pain LIVER: The liver measures 18.2 cm. There is no focal liver lesion. Hyperechoic foci within hypoechoic liver parenchyma can be seen in the setting of acute hepatitis and background hypoechoic hepatic parenchyma. Th... | Cholelithiasis. Borderline gallbladder wall thickening and trace pericholecystic fluid. Findings are equivocal for acute cholecystitis. |
Generate impression based on findings. | Male 67 years old; Reason: metastatic head and neck cancer prior to treatment, please provide measurements if applicable. History: as above ABDOMEN:LUNGS BASES: Two nodules are seen in the right lower lobe.Largest nodule seen on series 4 image 13, 1.1 x 1 cm. Previously, series image 97, 0.8 x 0.6 cm. 6 mm nodule in th... | 2.Increase in size of nodules and right lung base. compared to chest CT of 2/02/15.3.Probable hepatic cyst. |
Generate impression based on findings. | Male 56 years old Reason: evaluate abdominal pain and weight loss History: abdominal pain and weight loss CHEST:LUNGS AND PLEURA: Ill-defined micronodules in the lingula some with subtle ground glass appearance, for example series 5 image 41. Correlate with smoking history and recommend 3 month follow-up.MEDIASTINUM AN... | Groundglass nodule and other small micronodules. Correlate with smoking history and recommend 3 month follow-up for groundglass nodule.Small right hilar node. |
Generate impression based on findings. | Female 22 years old Reason: evaluate hepatic dopplers to evaluate for budd chiari History: abdominal pain, elevated tbili PORTAL VENOUS: The main portal vein is patent and demonstrates normal directional flow with peak velocity of 0.1 m/sec.HEPATIC ARTERIES: Patent with normal directional flow.HEPATIC VEINS: Patent wit... | Patent hepatic vasculature, specifically patent hepatic veins and no evidence of Budd-Chiari. |
Generate impression based on findings. | Female 22 years old Reason: elevated LFTs, IUFD History: same LIVER: The liver measures 13.5 cm in length. There is no focal liver lesion. Hepatic parenchyma is mildly hyperechoic suggestive of fatty infiltration. The main portal vein is patent and demonstrates normal directional flow with peak velocity of 0.2 m/sec.GA... | Gallbladder sludge but no evidence of cholelithiasis or acute cholecystitis. No biliary dilatation.Hyperechoic renal cortex bilaterally suggestive of medical renal disease. |
Generate impression based on findings. | Female 43 years old Reason: Outside Request: s/p Da Vinci hyst. July 2014 c/o abd/pelvic pain starting in October. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Focal fat medial segment left lobe.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS... | No findings to explain pelvic pain. |
Generate impression based on findings. | Male 20 years old Reason: Biliary obstruction History: jaundice LIVER: The liver measures 19.6 cm in length. There is no focal liver lesion. The main portal vein is patent and demonstrates peak systolic velocity of 0.3 m/sec. GALLBLADDER, BILIARY TRACT: Status post cholecystectomy. There is no intra-or extrahepatic bil... | Status post cholecystectomy. No evidence of intra-or extrahepatic biliary dilatation. |
Generate impression based on findings. | Male 35 years old Reason: acute renal failure s/p transplant not taking tacro History: Cr 7.1, abd pain RENAL TRANSPLANT: LOCATION: Right iliac fossaPERITRANSPLANT TISSUES: Mild peritransplant fluid.KIDNEY: Hyperechoic transplant parenchyma suggestive of medical renal disease.COLLECTING SYSTEM/URETER: No significant ab... | Echogenic transplant renal parenchyma suggestive of medical renal disease. Mild peritransplant fluid.Normal arterial waveform and velocities at the renal artery anastomosis. |
Generate impression based on findings. | 89 years, Male. Reason: r/o obstruction, eval stool burden History: abd pain, constipation, ? decreased flatus Moderate stool burden scattered throughout the colon. No evidence of obstruction. Generalized osteoporosis. | Moderate stool burden. |
Generate impression based on findings. | Headache and ventricular shunt. There is a right transfrontal ventricular shunt. There is appreciable change in size of the ventricular system. However, there is new parenchymal hypoattenuation surrounding the catheter. There is no evidence of intracranial hemorrhage. There is no midline shift or herniation. The imaged... | No appreciable change in size of the shunted ventricular system. However, new parenchymal hypoattenuation surrounding the catheter may indicate a shunt-associated infection. A brain MRI may be useful for further evaluation. |
Generate impression based on findings. | 79 years, Male. Reason: eval ng tube History: eval ng tube NG tube tip and side hole in gastric fundus.Pelvis excluded from field of view. Blurring of the respiratory motion. Extensive atherosclerotic calcification aorta and splenic artery. Nonobstructive bowel gas pattern. Postsurgical changes in the chest. | NG tube tip is a been advanced the tip is in the gastric fundus |
Generate impression based on findings. | 79 years, Male. Reason: h/o ngt adjustment, eval History: see above Is excluded from field of view.NG tube tip in gastric cardia and sidehole in the distal esophagus. Follow up films have already been obtained. Nonobstructive bowel gas pattern. Vascular calcifications. Postsurgical changes. | NG tube should be advanced and follow up films of already been obtained. |
Generate impression based on findings. | 79 years, Male. Reason: confirm ngt placement History: see above NG tube projects in distal esophagus.Follow-up films have already been obtained.Pelvis excluded from field of view. There are calcifications. | NG-tube projects over the distal esophagus. |
Generate impression based on findings. | 79 years, Male. Reason: dobhoff placement History: dobhoff placement for tube feeds Pelvis excluded from field of view. Dobbhoff tube projects over the distal gastric body. Nonobstructive bowel gas pattern. Atherosclerotic calcifications. Postsurgical changes chest. Cholecystectomy clips. | Dobbhoff tube projects over the gastric body. |
Generate impression based on findings. | 67 years, Male. Reason: h/o c diff ileus, eval History: see above Probably due to respiratory motion in the upper abdomen.NG tube tip projects over the distribution of gastric antrum.Nonobstructive bowel gas pattern. No significant ileus. | Normal bowel gas pattern. |
Generate impression based on findings. | 52 years, Female. Reason: stool burden/constipation History: abdominal pain; constipation Moderate stool burden. Stool distributed primarily in the transverse colon. No evidence of obstruction.Osseous and soft tissue structures are unremarkable. | Moderate stool burden. No obstruction. |
Generate impression based on findings. | Fall on Coumadin with history of altered mental status. Head CT: 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. There is no midline shift or herniation. Th... | 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. | 77 years, Female. Reason: e/o obstruction History: abdominal pain NG tube projects over gastric fundus. Given findings and prior CT scan of 3 with 15 probably resolving obstruction. | Bowel distention diminished compared to prior CT scan on 3/4/15. |
Generate impression based on findings. | 77 years, Female. Reason: patient w/ copious diarrhea, SBO, eval for resolution, worsening of sbp History: fever, diarrhea Jejunal dilatation. Moderate gas in colon. Probably resolving obstruction given findings a CT scan.NG tube tip overlies the gastric fundus. The side hole in region of the gastric cardia. | Resolving obstruction. NG tube tip gastric fundus region. |
Generate impression based on findings. | 69 years, Male. Reason: assess for small bowel obstruction History: as above Residual barium throughout the transverse and left colon. Nonobstructive bowel gas pattern. Basilar opacities; please refer to chest x-ray report | No evidence of small bowel obstruction. |
Generate impression based on findings. | 49 years, Female. Reason: Please look at where is the capsule History: swallowed video capsule Endoscopic capsule and patentcy capsule seen in the right abdomen. Nonobstructive gas pattern. Not substantially changed from prior exam. Lung bases clear. Probable posttraumatic changes right inferior pubic ramus region. | Both capsules still present in the right abdomen. |
Generate impression based on findings. | 29 years, Female. Reason: Signs of small bowel obstruction? History: Abdominal pain N/V Nonobstructive bowel gas pattern. Osseous and soft tissue structures unremarkable except for stable calcification projecting over the lower pole of the right kidney. Note this is not seen on the CT scan of 7/26/2010. | Calcification projects over right lower pole kidney. No evidence of bowel obstruction. |
Generate impression based on findings. | 57 years, Male. Reason: abdominal pain in the setting of colon mass with recent stenting History: abdominal pain, new Angle stent in the distribution of the sigmoid colon with persistent marked dilatation of proximal large bowel and small bowel.Well-defined lucency projects over the liver of uncertain etiology. No bowe... | Despite presence of sigmoid stent, obstructive pattern process.Ill-defined lucency projects over liver of uncertain etiology. Correlate clinically and consider CT to rule out liver or peritoneal air.Discussed with hospitalist pager 9100 Dr. Krishnamoorthy. |
Generate impression based on findings. | Suspected Lemierre's disease versus neck abscess. Neck discomfort, leukocytosis, fusobacteria on blood culture. There is an extensive filling defect within the left internal jugular vein and some of the branches. There is diffuse surrounding fat stranding. There is mild left cervical lymphadenopathy, which is likely re... | 1. Left internal jugular venous thrombosis with associated inflammatory changes and pulmonary opacities are compatible with Lemierre's disease in the setting of septic thrombophlebitis and septic pulmonary emboli, but no evidence of a drainable abscess. 2. Extensive dental disease. |
Generate impression based on findings. | 65 years, Male. Reason: 65yoM with abd distention, + Cdif History: abdominal pain/distention CVC tip is projected over the right atrium/SVC junction. Enteric feeding tube projects over the pyloric region. Surgical clips in the right upper quadrant. Persistent generalized paucity of bowel gas. Nonspecific gas pattern. | Persistent generalized paucity of bowel gas. Nonspecific bowel gas pattern. |
Generate impression based on findings. | 35 years, Male. Reason: evaluate for obstruction or large stool burden History: patient with diffusely tender abdomen Paucity of bowel gas. Some nondistended fluid-filled loops of jejunum are seen. Less than average stool burden. I doubt that there is obstruction. No evidence of intramural air or free air. Small kidney... | Paucity of bowel gas. Low suspicion for obstruction. |
Generate impression based on findings. | Evaluate lumbar pedicles History: subacute compression fracture L1, planned kyphoplasty 03/9. There is a compression fracture of the L1 vertebral body with approximately 50 % loss of height and approximately 5 mm of retropulsion into the spinal canal. The pedicles appear to be intact. There appears to be diffuse osteop... | 1. Compression fracture of the L1 vertebral body with approximately 50 % loss of height and approximately 5 mm of retropulsion into the spinal canal with a background of apparent diffuse osteopenia. The pedicles of the L1 vertebra appear to be intact.2. Multilevel degenerative spondylosis, which appears to be most pron... |
Generate impression based on findings. | 98 years, Female. Reason: moved DHT History: MOVed dht Dobbhoff catheter has been advanced and is projected over the lower central abdomen, presumably gastric antrum. Trace bilateral pleural effusions and left basilar consolidation. Cholecystectomy clips noted. Nonobstructive bowel gas pattern. Enteric contrast opacifi... | The Dobbhoff catheter has been advanced and is projected in the lower central abdomen presumably this gastric body or antrum.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 35 years, Male. Reason: Nausea, vomiting, eval for obstruction History: N/V, renal failure Paucity of bowel gas. No definite evidence of obstruction. Small kidneys. Borderline cardiomegaly. Osseous and soft tissue structures otherwise unremarkable. | No evidence of obstruction. |
Generate impression based on findings. | 85 years, Male. Reason: attempt to sit patient upright - eval for free air History: n/v Pelvis excluded from field of view. Nonobstructive bowel gas pattern. No evidence of free air given the limitations. NG tube tip at cardia with side hole possibly in distal esophagus. Tube should be advanced.Multifocal opacities in ... | NG tube should be advanced. No obvious free air. |
Generate impression based on findings. | 98 years, Female. Reason: Dobbhoff placement History: dysphagia Dobbhoff catheter is projected over the gastroesophageal junction. Nonobstructive gas pattern with enteric contrast outlining the colon. | Dobbhoff catheter is projected over the gastroesophageal junction. |
Generate impression based on findings. | Female, 24 years old. Patient coded. Surgical count is correct. No unexpected radiopaque foreign bodies within the field-of-view. Nonobstructive bowel gas pattern. | No unexpected radiopaque foreign bodyThese findings were discussed by Dr. Patel by telephone with Dr. Romero, the attending surgeon, at 6:35 p.m. 03/07/15. |
Generate impression based on findings. | 70 years, Male. Reason: DHT advanced further History: DHT advanced further Dobbhoff tube in stomach coiling back with tip in the distribution of the gastric fundus.Nonobstructive bowel gas pattern. | Dobbhoff tube tip in distribution of gastric fundus |
Generate impression based on findings. | 69 years, Male. Reason: Hx of bullet lodgement; need XR to clear for MRI History: As above Generalized diffuse ileus pattern. No evidence of obstruction intramural air or free air evident. No radiopaque foreign body visible. | No radiopaque foreign body visible. |
Generate impression based on findings. | Bilateral profound sensorineural hearing loss. Cochlear implant candidate. Right: The external auditory canal is patent. The middle ear and mastoid air cells are well-pneumatized and clear. The ossicular chain is intact. The inner ear structures are unremarkable. The facial nerve describes a normal course. The jugular ... | Unremarkable temporal bone anatomy. |
Generate impression based on findings. | Worsened edema, midline shift: comatose. There is diffuse loss of grey-white matter differentiation in the bilateral cerebral hemispheres with associated effacement of the sulci. There is an unchanged focal hypoattenuating defect in the left frontal centrum semiovale. There is no evidence of acute intracranial hemorrha... | Diffuse cerebral edema and left frontal centrum semiovale infarct, but no midline shift or herniation. |
Generate impression based on findings. | Female 39 years old; Reason: eval acute infection History: h/o renal tx, febrile, recent PNA/flu - L-sided abd pain The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations were made:ABDOMEN:LUNG BASES: Left basal atelectas... | 1.New peripancreatic inflammatory changes and gas in the upper abdomen in the region of previously described pancreatic pseudocyst. The findings are suspicious for pseudocyst superinfection or fistulation to bowel. |
Generate impression based on findings. | Newly diagnosed cervical esophageal cancer. There is cervical esophageal wall thickening. The trachea appears to be grossly intact. There is no evidence of significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unremarkable. There is multilevel degenerative spondylosis an... | Cervical esophageal wall thickening is compatible with the known cancer, which is otherwise better depicted on endoscopy. No evidence of gross trachea invasion or significant cervical lymphadenopathy. |
Generate impression based on findings. | Male 14 years old Reason: HCC, S/P THERASPHERE PROCEDURE History: HCC, S/P THERASPHERE PROCEDURE CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No pericardial effusion. No significant mediastinal, hilar or axillary lymphadenopathy. No appreciable coronary artery calcifications.CHEST WALL:... | 1. Findings consistent with provided history of diffuse multifocal hepatocellular carcinoma with tumor thrombus throughout the portal venous system. Allowing for differences in imaging technique overall the appearance is not significantly changed compared to prior study. 2. Splenomegaly |
Generate impression based on findings. | Born at 35 weeks via vacuum assisted vaginal delivery causing subgaleal hematoma, shoulder dystocia/left humeral fracture, and intubated at OSH for apnea after birth. Pregnancy was complicated by maternal history of diabetes and polyhydramnios. APGARs were 3, 5, 6 and 7. HIE on cooling protocol. Evaluate subdural/subga... | 1. Grossly unchanged amount of right greater than left subdural hematoma.2. Continued evolution of the extensive scalp hematomas, which have slightly increase in size overall. 3. Unchanged apparent mild hypoattenuation of the deep gray nuclei may represent hypoxic ischemic injury versus artifact. A brain MRI may be use... |
Generate impression based on findings. | Evaluate for hemorrhagic transformation, ischemia. Left sided weakness, s/p TPA and IR thrombectomy. There is now diffuse hypoattenuation throughout much of the right middle cerebral artery territory. There is calcification in the proximal right middle cerebral artery. There is also a punctate calcification in the righ... | Interval evolution of the extensive right middle cerebral artery territory with development of diffuse edema, but no significant midline shift or hemorrhagic transformation. Calcifications in the right middle cerebral artery distribution may represent embolized plaque. |
Generate impression based on findings. | Stroke on anticoagulation: weakness. There are multiple scattered areas of hypoattenuation in the bilateral cerebral hemispheres. There is no evidence of acute intracranial hemorrhage. The ventricles are unchanged in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and masto... | Multiple scattered cerebral infarcts without evidence of hemorrhagic transformation. |
Generate impression based on findings. | Vascular dementia with elevated blood pressures and associated HA. Eval for hemorrhage, CVA, other acute brain abnormality. There are multiple areas of cerebral white matter hypoattenuation, which have considerably progressed since 2007. There is no evidence of acute intracranial hemorrhage or mass. The grey-white matt... | Multiple areas of cerebral white matter hypoattenuation that have considerably progressed since 2007 likely represent small vessel ischemic disease of indeterminate age. 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. | Increasing headaches. There are left transparietal and right transtemporal ventricular shunt catheters in position. There is now a small amount of air in the scalp surrounding the left catheter reservoir device, which may be related to an intervention. The ventricular system and cystic dilatation of the superior vermia... | 1. The shunted ventricular system and cystic dilatation of the superior vermian cistern appear to be grossly unchanged since the previous day. 2. Unchanged dysmorphic appearance of the brain and cerebellum. 3. No evidence of acute intracranial hemorrhage. |
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 in the head and neck.3. Nonspecific subcentimeter left ... |
Generate impression based on findings. | Altered mental status. Evaluate for intracranial hemorrhage and stroke. There is no evidence of acute intracranial hemorrhage or mass effect. There is mild diffuse cerebral volume loss and patchy cerebral white matter hypoattenuation. There are scattered vascular calcifications. There is no midline shift or herniation.... | Mild diffuse cerebral volume loss and patchy cerebral white matter hypoattenuation, which may represent age-indeterminate small vessel ischemic disease, but 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 ... |
Generate impression based on findings. | AMS, nonverbal, eyes open. There is a posterior left temporal lobe hyperattenuating hematoma that measures up to 18 mm with mild surrounding vasogenic edema. There is scattered cerebral white matter hypoattenuation. The ventricles are unchanged in size and configuration. There is no midline shift or herniation. The ima... | 1. Acute posterior left temporal lobe intraparenchymal hematoma that measures up to 18 mm with mild surrounding vasogenic edema, but no midline shift. 2. Scattered nonspecific cerebral white matter hypoattenuation may represent small vesel ischemic disease of indeterminate age. However, non-contrast CT is insensitive f... |
Generate impression based on findings. | left side weakness No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are u... | No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | altered mental status, post cardiac arrest, follow up No evidence of acute ischemic or hemorrhagic lesion.No change of bifrontal extra axial fluid (CSF) collection since prior exam.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effec... | No evidence of acute ischemic or hemorrhagic lesion.No change of bifrontal extra axial minimal CSF collections since prior exam. |
Generate impression based on findings. | posterior headache No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are u... | No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | 81 years, Male. Reason: ng tube replacement There is a nasogastric tube with its tip projecting over the proximal body of the stomach with the sideport at the level of the GE junction. There is a nonobstructive bowel gas pattern. The pelvis is excluded from the field of view. Low lung volumes. Patchy bibasilar atelecta... | There is a nasogastric tube with its tip projecting over the proximal body of the stomach with the sideport at the level of the GE junction, advancement of the tube by 5 cm is recommended. |
Generate impression based on findings. | 81 years, Male. Reason: evaluate ileus for improvement, worsening or SBO History: Persistent abdominal distention, N/V There is a nasogastric tube with its tip projecting over the fundus of the stomach with the side-port just distal to the gastroesophageal junction. Paucity of bowel gas without evidence of obstruction ... | Paucity of bowel gas without evidence of obstruction. |
Generate impression based on findings. | RFO trigger: evaluate for RFO Suspected RFO location: abdomen Name of suspected RFO: instruments and sponges Attending Surgeon name/pager: Nunes Upper abdomen excluded from the field-of-view. No unexpected radiopaque foreign object identified. There is a nonobstructive bowel gas pattern. There is moderate stool burden ... | No unexpected radiopaque foreign object identified.These findings were discussed with Dr. Nunes the attending surgeon on 3/8/2015 at 01:45 PM by the radiology resident on call. |
Generate impression based on findings. | The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections or subdural hematomas. Mucosal thickening is present within the right sphenoid ... | Negative unenhanced brain CT. Specifically, there are no CT findings to explain the patient's psychosis. |
Generate impression based on findings. | 84 years, Male. Reason: NGT There is a nasogastric tube with its tip projecting over the fundus of the stomach and the sideport just beyond the GE junction. Left lower lobe consolidation/atelectasis. Biventricular pacemaker leads in expected location. There is a nonobstructive bowel gas pattern. There are marked degene... | NG tube with tip projecting over the fundus of the stomach. |
Generate impression based on findings. | Right hip pain. Exam limited by shielding which obscures part of the right pelvis. There is no acute fracture or malalignment. | No acute fracture is evident. |
Generate impression based on findings. | The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections or subdural hematomas. Partial opacification is noted within the right maxillar... | Partial opacification is noted within the right maxillary sinus. Otherwise unenhanced brain CT. |
Generate impression based on findings. | 57 years, Male. Reason: abdominal pain History: abdominal distension Multiple markedly dilated loops of small bowel as well as dilatation of the ascending and transverse colon, with a paucity of bowel gas in the left lower quadrant colon proximal to the stent, consistent with large bowel obstruction, as seen on the pri... | Distal bowel obstruction as on the prior CT examination. Pneumoperitoneum not as well seen on this exam. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are diagnostic mammogram and right breast ultrasound dated 2/24/2015 performed at Advocate Sherman Hospital. For comparison, bilateral mammogram dated 3/27/2014 and right breast diagnostic mammogram and ultrasound dated 9/20/2013 are available. Patient ... | 1. Irregular, heterogeneous mass at the 12 o'clock position of the right breast is largely unchanged compared to the examination dated September 20, 2013 though suspicious in appearnce. It is unclear whether this lesion has been histologically sampled. Biopsy of this area is recommended if not already performed, either... |
Generate impression based on findings. | Right hip pain. Pain on mvts. Left hip pain. Single view of the right hip reveals no acute fracture or malalignment. There is severe osteoarthritis of the hip with joint space narrowing and osteophyte formation.Single view of the left hip reveals no acute fracture or malalignment. There is severe osteoarthritis of the ... | Severe osteoarthritis of both hips without acute fracture evident. |
Generate impression based on findings. | 16 years old, Male, Reason: sports injury with pain.VIEWS: Right Tibia-fibula AP, lateral. Right Knee AP, oblique and lateral (5 views) 3/8/15 Right Tibia-fibula: Comminuted, minimally displaced fracture involving the tibial intercondylar eminence. This is better seen on dedicated knee films. No additional fractures no... | Comminuted minimally displaced fracture involving the tibial intercondylar eminence. Please note that this fracture can be seen in setting of anterior cruciate ligament injury. |
Generate impression based on findings. | Lateral condyle fracture.VIEWS: Left elbow AP/lateral (two views) 03/09/15, 0505 100507 A splint obscures bone detail. A lateral condylar fracture is identified. The distal fracture fragment is displaced laterally and probably posteriorly. Soft tissue swelling is present. | Salter II or Salter IV fracture of the distal humerus. |
Generate impression based on findings. | 58 years, Female. Reason: Serial assessment of recently operated abdomen. Would like to assess for perf/anastomosis leak History: increased abdominal pain, oozing and drain site Retained contrast opacifies the majority of the colon. Cholecystectomy clips project over the right upper quadrant. Suture line is seen in the... | Nonspecific lucencies over the bilateral upper flanks would be better evaluated with an upright chest or left lateral decubitus radiography. |
Generate impression based on findings. | Fever, tachypnea and cough. History of asthma.VIEW: Chest AP (one view) 3/9/15 at 0 40 hours. Cardiac silhouette size is top normal. Bibasilar opacity, either atelectasis or pneumonia and possible underlying pleural effusion of the left hemithorax. | Multifocal opacities with possible underlying left-sided pleural effusion. |
Generate impression based on findings. | Right lateral ankle pain. Question of fracture. There is a non-displaced oblique fracture of the distal fibula proximal to the tibiotalar joint. No additional fracture is identified. The medial tibiotalar joint appears intact. There is soft tissue swelling about the lateral malleolus. | Non-displaced oblique fracture of the distal fibula. |
Generate impression based on findings. | 58-year-old female experiencing seizure There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is unchanged diffuse parenchymal volume loss greater than expected for age as well as areas of low-attenuation within the periatrial white matter, most consistent with chronic small vessel ischemic di... | 1.No evidence of intracranial hemorrhage, mass, or cerebral edema.2.Redemonstrated small vessel ischemic disease of indeterminate ages.3.Diffuse parenchymal volume loss, greater than expected for age.4.Ventriculomegaly greater than expected given the degree of atrophy, but unchanged. |
Generate impression based on findings. | 40 years, Female. Reason: NGT in place? History: NGT in place, extensive vomiting There is a nasojejunal tube with its tip projecting over the proximal jejunum, past the ligament of Treitz. Mild gaseous distention of both large and small bowel consistent with mild ileus. The pelvis is excluded from the field of view. | Nasojejunal tube with its tip projecting over the proximal jejunum. Mild ileus type gas pattern. |
Generate impression based on findings. | malaise and fatigue, possible posterior fossa stroke No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorr... | No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | 22 years, Male. Reason: Abdominal pain, assess for obstruction There is a nonobstructive bowel gas pattern. Centralized air containing featureless small bowel may reflect bowel wall thickening/ascites. | Centralized air containing featureless small bowel may reflect ascites/bowel thickening. Further evaluation with contrast enhanced CT may be considered as clinically indicated. |
Generate impression based on findings. | 16 y/o with autism, pica. R/o obstruction. Identify non-food objects in GI. Constipation/stool burden.VIEWS: Abdomen upright and supine (two views) 3/8/2015 at 2134 hrs Nonobstructive bowel gas pattern. Moderate stool burden.No intraperitoneal free air.Several subcentimeter irregularly-shaped radiodense foreign bodies ... | Nonobstructive bowel gas pattern with at least two foreign objects within the ascending colon. |
Generate impression based on findings. | 65-year-old female with intracranial hemorrhage. Redemonstrated is a posterior left temporal lobe hyperattenuating hematoma that measures up to 18 mm with mild surrounding vasogenic edema. There is scattered cerebral white matter hypoattenuation. The ventricles are unchanged in size and configuration. There is no midli... | Stable posterior left temporal lobe intraparenchymal hematoma. |
Generate impression based on findings. | ataxia, right lower extremity weakness NONCONTRAST CT HEADNo evidence of acute ischemic or hemorrhagic lesion on this scan.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid colle... | Normal head CT scan.Normal head and neck CTA.Decreased size and configuration of right thyroid lesion since prior exam. |
Generate impression based on findings. | 36-year-old male with significant obstructive disease of unknown etiology LUNGS AND PLEURA: Severe, upper lobe predominant panacinar emphysema. Left greater than right lower lobe patchy airspace opacities suspicious for infection or aspiration. Mosaic pattern throughout the bilateral lungs may represent airtrapping. De... | 1.Severe, upper lobe predominant panacinar emphysema in a young patient raises question of alpha-1 antitrypsin deficiency. 2.Debris within the airway with bilateral lower lobe pulmonary opacities suspicious for aspiration/infection. |
Generate impression based on findings. | There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. Subtle increased attenuation along the anterior aspect of the left frontal lobe (seen on series 80392, image 17), is felt to be artifactual. Hypodensity is present within the white matter without associated mass effec... | 1.No CT evidence for an acute intracranial process.2.Small vessel disease of indeterminate ages. If there is clinical concern for acute ischemia, MRI would be recommended.3.Diffuse volume loss is present, without a specific lobar predominant atrophy pattern. |
Generate impression based on findings. | Stress view of the right ankle. Assess fracture. Single AP stress view of the right ankle again demonstrates a nondisplaced oblique fracture of the distal fibula. The medial tibiotalar joint does not appear to widen on the stress view. There soft tissue swelling about the lateral malleolus. | No widening of the medial tibiotalar joint with stress. |
Generate impression based on findings. | Male 1 day old Reason: re-evaluate UVC placement, lung fields History: 40 wk infant with FIO2 requirement and UVC pulled back.VIEW: Chest and abdomen AP (two views) 3/9/15 at 612 hours UVC terminates at the RA/IVC junction. NG tube tip is at the stomach. Cardiac silhouette size is normal. No focal opacities, effusions ... | Interval repositioning of UVC as described. |
Generate impression based on findings. | 11 week old, former 29-30 weeks gestational age patient. Abdominal distention. Evaluate for NECVIEW: Abdomen AP (one view) 3/9/2015, 0620 Enteric tube with distal sideport beyond the GE junction.Mild gaseous distention of multiple loops of bowel in a disorganized pattern, slightly decreased in prominence from prior.No ... | Mild gaseous distention of multiple loops of bowel, without pneumatosis intestinalis, portal venous gas, or pneumoperitoneum. |
Generate impression based on findings. | Male 1 day old Reason: evaluate UVC placement History: newly placed UVC. Respiratory distress.VIEW: Chest and abdomen AP (two views) 3/8/15 at 1825 hrs. NG tube terminates in the stomach. UVC tip is at the RA/SVC junction. Cardiac silhouette size is normal. No focal opacities, effusions or pneumothorax.Disorganized, no... | Misplaced UVC.Interval resolution of haziness.Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | 11 week old, former 29-30 weeks gestational age patient. Abdominal distention. Evaluate for NECVIEW: Abdomen AP (one view) 3/8/2015 at 2159 hrs Enteric tube with distal sideport beyond the GE junction.Gaseous distention of the stomach.Mild to moderate gaseous distention of multiple loops of bowel in a disorganized patt... | Mildly to moderately dilated bowel loops, without pneumatosis intestinalis, portal venous gas, or pneumoperitoneum. |
Generate impression based on findings. | 2 years old, Female, History: fever, cough concern for pneumonia.VIEWS: Chest AP/lateral (two views) 3/8/15 The aortic arch, cardiac apex, and stomach are left-sided. The cardiothymic silhouette is normal. Scattered foci of peribronchial thickening consistent with reactive airway disease/bronchiolitis. No consolidation... | Reactive airway disease/bronchiolitis pattern. |
Generate impression based on findings. | Female 2 days old Reason: 29 week infant intubated, previous CXR showing potential pleural effusion. Please evaluate for effusion, focal infiltrate, pneumothorax History: Respiratory distress, intubatedVIEW: Chest AP (one view) 3/8/15 at 2014 hrs. ET tube, umbilical lines and NG tube unchanged. Cardiac silhouette is no... | Complete atelectasis of the left lung and right upper lobe. |
Generate impression based on findings. | 63-year-old male with recent fall, open wound, pain, and feeding tube right fifth digit. There is a comminuted, predominantly transverse, fracture involving the base of the proximal fifth phalanx, with ulnar displacement of the distal fracture fragment, and associated dorsal soft tissue swelling.There is a nondisplaced... | 1.Comminuted fracture along the proximal fifth phalanx, with ulnar displacement of the distal fracture fragment. 2.Nondisplaced fracture at the base of the fifth metacarpal.3.Significant degenerative disease, most significant at the first carpometacarpal joint.4.Suggestion of calcium pyrophosphate deposition disease of... |
Generate impression based on findings. | Left ankle injury. Unable to dorsiflex the foot. Question of fracture. Three views of the left ankle and foot reveal no acute fracture or malalignment. No significant soft tissue swelling is identified. | No acute fracture or malalignment is evident. |
Generate impression based on findings. | 70 year old female status post left mastectomy in 2014 for invasive ductal carcinoma, presents today for routine follow up. She received radiation, chemotherapy, and hormonal therapy. No current breast complaints. No family history of breast cancer. Three standard views of the right breast were performed digitally and ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Hypodensities are present within the white matter without associated mass effect. There is mild diffuse volume loss without a specific lobar atrophy pattern. There are no findings of ventricular obstruction or hydrocephalus. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemor... | 1.No CT evidence for acute intracranial process.2.Small vessel ischemic disease of indeterminate ages.3.Mild diffuse volume loss without a specific lobar atrophy pattern. |
Generate impression based on findings. | 15 years old female. History: chest painVIEWS: Chest AP/lateral (two views) 3/8/15 The aortic arch, cardiac apex, and stomach are left-sided. Cardiomediastinal silhouette is normal. No focal opacities to suggest infection. No displaced fractures are identified. At the level of the aortic arch there is a double density,... | Normal examination. |
Generate impression based on findings. | 6 month old male. Persistent emesis. Assess for air fluid levels, obstruction. VIEWS: Abdomen AP and left lateral decubitus (two views) 3/5/2015, 2218 Several mildly dilated loops of bowel containing air-fluid levels. Stool and gas within the rectum.No pneumatosis intestinalis, portal venous gas, or free intra-abdomina... | Abnormal bowel gas pattern, with dilation and air-fluid levels. |
Generate impression based on findings. | Male 61 years old Reason: persistent bacteremia, WBC tag study w/ right iliac fossa uptake, concern for psoas muscle abscell History: persistent bacteremia ABDOMEN:LUNG BASES: Bilateral small pleural effusions and dependent atelectasis. Cardiomegaly. Previously described right lower lobe nodule is slightly increased in... | Slight interval increase in the size of the right lower lobe pulmonary nodule. Etiology of this nodule is unknown.Atrophic poorly perfusing kidneys.Generalized anasarca, ascites and pleural effusion. No evidence of right iliac fossa abscess is questioned. |
Generate impression based on findings. | Male 30 years old; Reason: eval appy History: R-sided abd pain, F/N/V/D ABDOMEN:LUNG BASES: Couple scattered reticular opacities, likely atelectasis or scarring.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: 3.4 x 3.8 cm fluid attenuation cystic lesion in the spleen, nonspecific.PANCREAS: Mild fatty atr... | 1.Diffuse colonic thickening, most pronounced in the cecum and ascending colon, further described above. These findings are suggestive of a nonspecific colitis, but in conjunction with a moderate length segment loop of thickened ileum, inflammatory bowel disease cannot be excluded, and is favored. |
Generate impression based on findings. | Female 45 years old with epigastric pain, back pain, elevated lipase and history of acute on chronic pancreatitis. Evaluate extent of pancreatitis, pathology, common duct obstruction, pancreatic cyst ABDOMEN:LUNG BASES: No pulmonary nodules or masses are noted. No pleural effusion or pneumothorax.Left breast partially ... | 1. Findings compatible with acute on chronic pancreatitis. Interval thrombosis of the splenic vein with development of collaterals.2. Pancreatic duct and hypodense lesions appear more prominent compared to prior study with no obvious mass lesion identified. Recommend MRI/MRCP after resolution of the acute findings to e... |
Generate impression based on findings. | 31-year-old female with headache and possible shunt infection. Redemonstrated is a right transfrontal ventricular shunt with hypoattenuation surrounding the catheter. The ventricles are unchanged in size or shape. There is no abnormal enhancement. There is no evidence of acute intracranial hemorrhage. There is no midli... | Stable right ventricular shunt and ventricular sizes, without ventricular dilatation, and no associated abnormal enhancement. |
Generate impression based on findings. | 16 days old, Male, History: neonatal fever, mother with unknown GBS status, concern for pneumonia. Constipation and blood in stool.VIEWS: Chest and abdomen AP (two views) 3/8/15 Aortic arch, cardiac apex, and stomach are left-sided. No focal pulmonary opacities to suggest pneumonia. Cardiothymic silhouette is within no... | No pneumonia. No NEC. |
Generate impression based on findings. | headache, dizziness, right lower extremity weakness No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrh... | No evidence of acute ischemic or hemorrhagic lesion.If clinically indicated, brain MRI can be considered for further evaluation. |
Generate impression based on findings. | 21-year-old female with history of chest pain and shortness of breath. Evaluate for pulmonary embolism. PULMONARY ARTERIES: Technically adequate study. No acute pulmonary embolus. No evidence of right heart strain. Main pulmonary artery size is within normal limits.LUNGS AND PLEURA: No focal air space opacities, pleura... | 1. No evidence of acute pulmonary embolus.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Leg pain, redness. Assess for gas, pain out of proportion, concern for necrotizing fasciitis. There is diffuse, circumferential subcutaneous fat stranding involving the lower leg extending from the knee to the partially visualized ankle. No foci of gas are identified to suggest gas forming organisms. No loculated/drain... | Extensive subcutaneous stranding compatible with inflammation and/or edema of the lower leg without evidence of osteomyelitis. |
Generate impression based on findings. | Female 49 years old Reason: r/o stone History: pain on right side, suprapubic pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Bilateral mild thickening of the ... | No evidence of renal stones |
Generate impression based on findings. | 30-year-old male with elevated d-dimer and shortness of breath, evaluate for pulmonary embolism PULMONARY ARTERIES: Technically adequate examination without evidence of pulmonary embolism. The main pulmonary artery measures 2.6 cm.LUNGS AND PLEURA: No pleural effusion or pneumothorax. Scattered, left greater than right... | 1.No evidence of pulmonary embolism.2.Nonspecific, nodular groundglass opacities are nonspecific but may represent edema, aspiration or atypical infection.3.Left adrenal nodule likely represents an adenoma.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applic... |
Generate impression based on findings. | Male; 57 years old. Reason: Ill defined lucency over liver on AXR; rule out liver or peritoneal air. History: Abdominal distension ABDOMEN:LUNG BASES: New small pleural effusions and mild bibasilar dependent subsegmental atelectasis. Please see report from CT chest performed concomitantly.LIVER, BILIARY TRACT: Stable i... | 1. Interval increased small bowel dilation, increased ascites, and new pneumoperitoneum. These findings are highly suspicious for interval viscus perforation, likely involving the sigmoid colon which is off the field-of-view since the pelvis was not included on this examination.2. New small pleural effusions and mild b... |
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