instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | Tachypnea, cough, fever. Left-sided crackles.VIEW: Chest AP (one view) 03/08/15, 1513 Left-sided central line tip is at junction of brachiocephalic veins.Cardiothymic silhouette is normal. Lung volumes are large. Mild peribronchial thickening is present. No focal air space disease is identified. | Bronchiolitis/reactive airways disease pattern. |
Generate impression based on findings. | Female 88 years old Reason: Abd pain, RLQ, r/o appy/sbo History: above ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URET... | Right distal ureteral stone causing moderate right hydronephrosis. Right nephrolithiasis. |
Generate impression based on findings. | dizziness, 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 c... | 1. Normal head and neck CT angiography.2. Diffuse thyroid enlargement as described above. |
Generate impression based on findings. | CT orbits:There is left periorbital soft tissue swelling with an associated small superficial soft tissue defect. There is no underlying abnormality of the globe or intraorbital contents, and there is no associated fracture. No radiopaque foreign body is identified.Minimal mucosal thickening is present within the late... | 1.There is left periorbital soft tissue swelling with an associated small superficial soft tissue defect. There is no underlying abnormality of the globe or intraorbital contents, and there is no associated fracture. No radiopaque foreign body is identified.2.Negative CT cervical spine. Specifically, there are no CT ab... |
Generate impression based on findings. | Admit from outside hospital for septic shock, now weaned from sedation, altered mental status. Evaluate for bleed, cerebral edema. 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 ... | 1. No evidence of acute intracranial hemorrhage, mass effect, or cerebral edema. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct and intracranial infection.2. Apparent fluid within the left sphenoid sinus may represent acute sinusitis or may be related to intubation.I personal... |
Generate impression based on findings. | Male 67 years old Reason: bowel obstruction, perforation, scrotal mass History: See comments This study is limited due to lack of intravenous contrast.CHEST:LUNGS AND PLEURA: Endotracheal tube is in place. Bilateral small pleural effusions and atelectasis. Biapical scarring. Right middle lobe irregular shaped air space... | Limited study due to lack of intravenous contrast. Large left scrotal/inguinal/pelvic hematoma. Superimposed infection cannot be excluded.Small right inguinal collection.Ill-defined right middle lobe air space opacity. This lesion is of uncertain etiology. Follow-up CT in 3 months is recommended. |
Generate impression based on findings. | 41 year-old female with history of chest pain. Evaluate for pulmonary embolism. Exam is limited by patient's body habitus.PULMONARY ARTERIES: Technically adequate study to the level of the lobar branches. No acute pulmonary embolus centrally. No evidence of right heart strain. Main pulmonary artery caliber is within no... | 1. Limited exam secondary to patient's body habitus. Within these limitations, no evidence of acute pulmonary embolus to the the level of the lobar branches. Peripheral acute embolus cannot be excluded.2. Bilateral mosaic attenuation pattern with scattered nodular groundglass opacities, right greater than left and smal... |
Generate impression based on findings. | Female 18 days old Reason: Is there evidence of atelectasis History: increased O2, Pierre Robin sequence.VIEW: Chest AP (one view) 3/9/15 at 350 hours. ET tube terminates below the thoracic inlet. NG tube tip is at the stomach. Right upper extremity PICC tip is at the right internal jugular vein. Cardiac silhouette siz... | Interval improvement in right lung aeration as described. |
Generate impression based on findings. | Swelling, pain, fall. Question of fracture. Three views of the left tibia/fibula and left ankle reveal a nondisplaced fracture involving the posterior aspect of the distal tibia extending into the tibiotalar joint. The medial tibiotalar joint is not widened. There is marked soft tissue swelling about the ankle. | Nondisplaced fracture of the posterior distal tibia. |
Generate impression based on findings. | Female 18 days old Reason: assess PCVC placement History: 2 week old female s/p PCVC placement. Obstructed sleep apnea. Pierre Robin sequence.VIEW: Chest AP (one view) 3/8/15 at 2111 hrs ET tube terminates below thoracic inlet. NG tube tip is at the stomach. Right upper extremity PICC terminates at the right subclavian... | PCVC placement as described.Complete atelectasis of the right lung. |
Generate impression based on findings. | Female 39 years old Reason: Please eval for Occult infection source History: 39 F with Sarcoidosis, Sickle cell crisis, has had persistent Fevers x 4 days, Leukocytosis of 25k, tachycardia. She has low back pain, constipation, and new anemia CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA:... | Linear peripheral hypodense area in the right lobe of the liver which may represent a thrombosed distal intrahepatic portal vein branch versus mild biliary dilatation. |
Generate impression based on findings. | Male 56 years old; Reason: 56 yo with HBV screen for HCC History: RUQ ache ABDOMEN:LUNG BASES: Scattered reticular opacities, likely atelectasis or scarring.LIVER, BILIARY TRACT: Cirrhotic morphology with umbilical vein collateralization. Prominent in size, but patent portal venous system. Gallbladder is decompressed.S... | 1.Cirrhosis with evidence of portal hypertension (splenomegaly and collaterals). No suspicious hepatic lesion.2.Nonspecific small bowel wall thickening, likely related to portal enteropathy. |
Generate impression based on findings. | Left ankle pain, post splint films. Assess reduction of tibiotalar joint. Two views of the left ankle demonstrate interval casting of a previously described nondisplaced fracture of the distal tibia in near anatomic alignment. The tibiotalar joint appears intact. | Interval casting of a posterior distal tibial fracture. |
Generate impression based on findings. | Female; 63 years old. Reason: eval for infection, rising white count, hypotension History: eval for infection, rising white count, hypotension CHEST:LUNGS AND PLEURA: Large bilateral pleural effusions with associated moderate bibasilar compressive atelectasis/consolidation, increased since 2/25/14; underlying infection... | 1. New large intraperitoneal acute hematoma as detailed above.2. Large amount of abdominopelvic ascites, increased.3. Large bilateral pleural effusions with bibasilar atelectasis/consolidation, for which underlying infection cannot be excluded.Findings were discussed with Dr. Patel at 9:19 a.m. on 3/9/15. |
Generate impression based on findings. | Pain after injury. Question of fracture or dislocation. Three views of the right shoulder reveal multiple small osseous fragments projecting along the inferior margin of the glenoid; these may represent small fracture fragments or loose bodies. The shoulder is not dislocated. | Small osseous fragments along the inferior margin of the glenoid; these may reflect small fracture fragments or loose bodies. No shoulder dislocation is evident. |
Generate impression based on findings. | 73 year-old female with breast cancer. Left breast seed localization prior to partial mastectomy and sentinel node biopsy. On review of the prior studies, there is an approximately 3 cm spiculated mass in the left 12 o'clock breast, central depth with associated calcifications medial and posterior to the center of the ... | Successful seed localization of the left breast mass and associated calcifications.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 47-year-old female with shortness of breath, evaluate for pulmonary embolism PULMONARY ARTERIES: Adequate pulmonary artery opacification without evidence of pulmonary embolism. The main pulmonary artery is enlarged measuring 3.2 centimeters although measures less than the aortic caliber.LUNGS AND PLEURA: No pleural eff... | 1.No evidence of pulmonary embolism.2.Mild pulmonary edema and/or dependent atelectasis.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Patient had nasogastric tube for a long time with rising white count and hypotension. Evaluate for infection. The images are degraded by patient motion. Evaluation for abscess is limited by lack of intravenous contrast. There is mild opacification of the right ethmoid sinuses and debris within the right nasal cavity. T... | 1. Mild nonspecific opacification of the right ethmoid sinuses and left mastoid air cells. Evaluation for abscess is otherwise limited by lack of intravenous contrast. 2. The appearance of the calvarium is likely related to renal osteodystrophy. 3. Diffuse vascular calcifications are likely related to diabetic vasculop... |
Generate impression based on findings. | 53-year-old female with history right DCIS status post lumpectomy 1/2014. History of radiation and hormonal therapy. History of bilateral breast biopsies. Family history of cancer in mother diagnosed at age 68. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The br... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.Mammography is optimally performed when prior studies are available to detect changes and would be usef... |
Generate impression based on findings. | Right shoulder pain. Status post Bankart fracture of the right glenoid. Single axillary view of the right shoulder reveals no dislocation. Tiny osseous fragments project along the anterior aspect of the glenoid. | Tiny osseous fragments along the anterior glenoid may reflect fracture fragments or loose bodies. |
Generate impression based on findings. | Female 61 years old Reason: assess for esophageal abnormality; h/o esophageal dilation History: dysphagia; globus sensation in mid sternum Scout radiograph of the chest unremarkable.Double contrast visualization of the esophagus showed no morphologic abnormalities of the mucosal surfaces or mural contours. Mild narrowi... | 1.Mild narrowing at the level of the GE junction, likely within normal limits resulting in transient delay of a 13-mm barium tablet, recreating the patient's symptoms.2.Minor motor abnormality as detailed above. |
Generate impression based on findings. | Head CT: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. The visualized portions of the paranasal sinuses... | 1.Negative unenhanced brain CT.2.Negative unenhanced cervical spine CT.3.Specifically, there are no CT findings to explain the patient's unresponsiveness. |
Generate impression based on findings. | Pain after injury. Question of fracture or dislocation. Three views of the right shoulder reveal no acute fracture or malalignment. | No acute fracture is evident. |
Generate impression based on findings. | Left upper quadrant abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: There is horseshoe kidney versu... | Limited study due to lack of intravenous contrast. High density mass within the collecting system of a horseshoe/cross fused ectopic kidney. Lack of intravenous contrast limits of evaluation, however, this lesion is suspicious for a neoplasm such as transitional cell carcinoma. Further evaluation with dedicated renal m... |
Generate impression based on findings. | Pain and swelling after struck by car on 3/7/2015. Question of fracture. Two views of the left tibia/fibula reveal no acute fracture or malalignment. There are degenerative changes of the knee. | No acute fracture is evident. |
Generate impression based on findings. | Male 92 years old Reason: r/o appy vs diverticulitis vs mesenteric ischemia History: RLQ pain, h/o afib ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Liver cysts are unchanged. Cholelithiasis without biliary dilatation.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormal... | Significant enlarged prostate. Bilateral pleural effusions and dependent atelectasis. Cholelithiasis. |
Generate impression based on findings. | Reason: etiology right axillary masss and numnbness History: right axillary numbness, mass LUNGS AND PLEURA: Punctate calcified granuloma in the right lower lobe.MEDIASTINUM AND HILA: Left-sided dual-lead pacemaker with tips in the right atrial appendage and RV apex. The RV lead extends into the pericardial space, ther... | No evidence of right axillary mass. There are scattered small subcentimeter nodes. Other findings as above. |
Generate impression based on findings. | 59-year-old female with history of breast cancer. Evaluate for response. CHEST:LUNGS AND PLEURA: The lungs are slightly underinflated. Slightly increased postradiation changes of bronchiectasis and fibrosis in the right upper lung. Bilateral mosaic attenuation may be the sequela of bronchiolitis. Interval development o... | 1. Necrotic appearing right axillary lymph node has increased in size now measuring 14 mm.2. Right subclavicular mass only partially visualized.3. New small right pleural effusion.4. Other findings as above. |
Generate impression based on findings. | Male 30 years old Reason: r/o fistula vs obstruction History: abd pain ABDOMEN:LUNG BASES: Right lower lobe scarring.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: B... | There is involvement of distal ileum including terminal ileum as well as rectosigmoid and left-sided colon with active Crohn's disease. MR enterography may helpful for further evaluation of small bowel involvement, clinically indicated.Bilateral renal stones. |
Generate impression based on findings. | Reason: evaluate neck for lymphadenopathy History: abnormal pet scan, h/o lymphoma Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. The left jugulodigastric node measures 13 mm short axis dimension and previously measured approximately the same. Within the ... | 1.There is waxing and waning of the size of lymph nodes in the soft tissues of the neck. A few lymph nodes are smaller but more appear to be slightly larger when compared with prior exam. Overall there is a mild degree of progression of lymphadenopathy. |
Generate impression based on findings. | Small foci of T2 hyperintensity are present within the left caudate as well as left cerebellar hemisphere without associated restricted diffusion, mass effect, or susceptibility abnormality. The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or ... | 1.No restricted diffusion to suggest the presence of acute ischemia.2.Two small foci of chronic small vessel ischemia in the left caudate as well as left cerebellar hemisphere. |
Generate impression based on findings. | Male 12 years old Reason: Eval lung fields History: aspiration event yesterday, difficult extubation.VIEW: Chest AP (one view) 3/9/15 at 631 hours. Cholecystectomy clips, central line, thoracolumbar dextroscoliosis and ET tube unchanged. Cardiac silhouette size is normal. Persistent left upper and left retrocardiac opa... | No change in multifocal opacities. |
Generate impression based on findings. | 34-year-old female with shortness of breath PULMONARY ARTERIES: The main pulmonary artery measures 2.7 cm. Adequate pulmonary opacification without evidence of pulmonary embolism.LUNGS AND PLEURA: Basilar predominant groundglass opacities and interlobular septal thickening is nonspecific but compatible with edema. Trac... | 1.No evidence of pulmonary embolism.2.Widespread severe interstitial opacity presumably secondary to pulmonary edema.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Status post fracture.VIEWS: Right thumb AP and lateral 3/9/15. (Two views) Interval cast removal. Healing epiphyseal fracture of the proximal phalanx of the right first digit is in anatomic alignment. | Healing fracture in anatomic alignment after cast removal. |
Generate impression based on findings. | Reason: 70F with small cell ung cancer with concen for metstatic lesion to liver. History: possible liver leison, need path CHEST:LUNGS AND PLEURA: Severe emphysema.Mass in superior segment of left lower lobe (image 38/91 extends into the left perihilar location. For continued reference this measures 40 x 32 mm on imag... | No definitive liver lesion is identified.Intrathoracic reference measurements as above. |
Generate impression based on findings. | 21 month old male. Eval line placement. S/p BHT.VIEW: Chest AP (one view) 3/9/2015 at 0200 ET tube with tip below thoracic inlet and above carina. Enteric tube with tip in the stomach.Patchy pulmonary opacities compatible with atelectasis, with increased lung volumes compared to prior. Cardiothymic silhouette is normal... | Enteric tube tip in the stomach, with resolved gastric distention. |
Generate impression based on findings. | 69 year old female status post left lumpectomy in 2013 for invasive lobular carcinoma, presents today for routine follow up. Patient received radiation and hormonal therapy (Tamoxifen). No current breast complaints. Family history of breast carcinoma in her mother and sister. Three standard views of both breasts, 2 spo... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | CT Head: 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 unchanged in size and configuration. There is no midline shift or herniation. There is a left frontal paramedian extra-axi... | 1. Sequela of circle of Willis aneurysm coil embolization, without definite evidence of acute intracranial hemorrhage within the limits of artifact. 2. An 11 mm wide left frontal paramedian extra-axial calcified lesion may represent a meningioma. 3. A 2 mm outpouching from the A2 segment of the right anterior cerebral ... |
Generate impression based on findings. | Alignment is anatomic. There are no fractures or subluxations. The marrow signal is benign. The conus is normal in signal and morphology and terminates at an appropriate level. The visualized intra-abdominal and paraspinal contents are unremarkable.T12/L1: UnremarkableL1/2: UnremarkableL2/3: UnremarkableL3/4: Mild dis... | Mild degenerative changes without significant stenoses. |
Generate impression based on findings. | Vaso-occlusive disease.EXAMINATION: Chest AP/lateral (two views) 03/08/15 Cholecystectomy clips are identified.Cardiac silhouette size is upper limits of normal. Streaky opacities are present in both lung bases and in the perihilar regions. No definite pleural effusion is seen. | Streaky opacities in both lung bases. |
Generate impression based on findings. | 21 Month old male. Trauma; TV fell on patientVIEW: Chest AP (one view) 3/9/2015 at 0008 hrs ET tube with tip at the level of the thoracic inlet.The aortic arch, cardiac apex, and stomach are left-sided.Opacities in the right upper lobe, with elevation of the minor fissure, as well as left lower lobe opacities.No pleura... | Opacities compatible with atelectasis. Marked gaseous distention of the stomach, likely related to bag-mask ventilation. |
Generate impression based on findings. | 86-year-old female status post fall. Pain to the left posterior shoulder girdle and proximal humerus with associated ecchymosis. Deformity of the left scapular body, likely secondary to fracture. There is associated medial displacement of the glenoid and resultant soft tissue deformity. The humeral head maintains its r... | Fracture through the body of the left scapula. CT is recommended for further evaluation. |
Generate impression based on findings. | Reason: ho infiltrate on cxr, eval for infection vs infarct History: see above LUNGS AND PLEURA: Peripheral groundglass and airspace opacity in the right lower lobe (image 68/120). More dense airspace opacity in the medial right lower lobe (image 87/120).Bilateral centrilobular nodules with tree in bud opacity and bron... | 1. Peripheral groundglass and airspace opacities in the right lower lobe which may be due to aspirate or infection. The more lateral opacity, which correlates with the findings on CXR, has an appearance which could be seen with infarct or organizing pneumonia.2. 10-mm irregular nodule in right upper lobe is nonspecific... |
Generate impression based on findings. | Male 85 years old Reason: evaluate ngt History: ngt. Suboptimal images due to motion artifact. NG tube tip appears to be in the proximal stomach. There are degenerative arthritic changes of the sacrum and bilateral hips. Note is made of vascular calcifications in the pelvis. There is an overlying catheter. | NG tube tip appears to be in the proximal stomach. |
Generate impression based on findings. | 86-year-old female with fall today, presenting with pain to the left posterior shoulder girdle and proximal humerus, with associated emesis. There is deformity of the body of the left scapula, suggestive of fracture. There is associated medial displacement of the glenoid and soft tissue deformity. The humeral head main... | Evidence of fracture two left scapular body. CT is recommended for further evaluation, when clinically feasible. |
Generate impression based on findings. | Male 77 years old Reason: evaluate for obstruction History: abdominal pain. Suboptimal study due to patient motion. There is mildly dilated small bowel seen in the left abdomen with some air suggested in expected region of rectum. There is a right upper quadrant gallstone, seen on prior CT. There are pelvic surgical cl... | Mildly dilated small bowel seen in the left abdomen with some air in the rectum may reflect diffuse ileus, but partial small bowel obstruction cannot be excluded and correlation with patient's clinical history and continued follow up recommended. |
Generate impression based on findings. | Male, 75 years old, with encephalopathy. The examination was performed with a stereotactic frame in place for purposes of surgical navigation. Again seen is a large region of hypoattenuation involving prominently the white matter of the right anterior temporal lobe with spread superiorly into the operculum and insula o... | Preoperative planning examination redemonstrates a large area of mostly white matter hypoattenuation centered in the right temporal lobe. |
Generate impression based on findings. | The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted abnormaliti... | Negative noncontrast brain MRI. Specifically, there are no MRI findings to explain the patient's seizure. |
Generate impression based on findings. | Female 49 years old Reason: See capsule History: Swallowed video capsule. Endoscopic capsule and patency capsule are again seen in the right abdomen, unchanged in position. Nonobstructive bowel gas pattern.Lung bases are clear. Right Port-A-Cath tip at the cavoatrial junction. Postsurgical changes in the right abdomen.... | Endoscopy capsule and patency capsule still present in right abdomen, unchanged in position from prior exam. |
Generate impression based on findings. | 71-year-old female status post left mastectomy on 7/13/2012 4 IDC and DCIS. Patient received radiation, chemotherapy, and hormone therapy. History of stereotactic biopsy of the right breast with benign histology. Family history of breast cancer in sister, two maternal aunts, and 3 maternal cousins. Three standard views... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, unilateral right 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. | Left lateral ankle pain following twisting left ankle with swelling. Three views of the left ankle reveal no acute fracture or malalignment. There is mild soft tissue swelling about the lateral malleolus. | Soft tissue swelling without acute fracture. |
Generate impression based on findings. | Male, 75 years old, status post brain biopsy. Sequelae of recent biopsy are seen including a burr hole in the right cranial vertex, a small amount of pneumocephalus, and the presence of a biopsy marker along the medial right temporal lobe.Hypoattenuation is demonstrated affecting primarily the white matter of the right... | Expected findings status post biopsy of a right temporal lesion. |
Generate impression based on findings. | 34 year old female with known bilateral breast cysts. Family history of breast carcinoma in her paternal aunt. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. Multiple partially circums... | Multiple bilateral simple appearing cysts. No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is suggested annually, but based on her age, clinical exams only until the age 40 could also be considered if her exam remains st... |
Generate impression based on findings. | There are postoperative findings related to endoscopic sinus surgery. The frontal sinus and frontoethmoidal recesses are clear. The anterior ethmoid cavities are clear. The right maxillary sinus is clear. There is mild mucosal thickening of the left maxillary sinus. The neo-infundibulae are grossly patent. The posteri... | 1. Sequela of endoscopic sinus surgery.2. Mild mucosal thickening of the left maxillary sinus. 3. Post-surgical changes related to remote bifrontal craniotomy with areas of hypoattenuation in the frontal lobes. A brain MRI may be useful for further evaluation if clinically indicated and there are no contraindications.I... |
Generate impression based on findings. | Female; 67 years old. Reason: preop redo MVR History: SOB VESSELS:See report from cardiac CT for measurements of vessels in the chest.SUPRARENAL ABDOMINAL AORTA: 1.7 X 1.8 cmINFRARENAL ABDOMINAL AORTA: 1.3 X 1.4 cmRIGHT COMMON ILIAC ARTERY: 9 X 7 mmRIGHT EXTERNAL ILIAC ARTERY: 7 X 7 mmRIGHT COMMON FEMORAL ARTERY: 7 X 6... | 1.No acute abdominopelvic abnormality.2.Hepatosplenomegaly.3.Cholelithiasis.4.Atherosclerosis of the abdominal aorta and its branch vessels, as detailed above.5.Noncardiac chest findings will be reported separately by an attending chest radiologist and included as an addendum to the cardiac CT report. |
Generate impression based on findings. | 20 year-old male in pedestrian versus MVA accident. Complains of "pain posteriorly and the lower portion of the cranium." Normal appearance of the calvarium and proximal cervical spine. No fracture is identified. | No acute fractures identified. |
Generate impression based on findings. | First MTP joint pain. Question of DJD versus gout versus pseudogout. Three views of the right foot reveal mild osteophyte formation and joint space narrowing of the first metatarsal phalangeal joint. No bone erosions are seen. No acute fracture is evident. There is a plantar heel spur. | Mild osteoarthritis of the first metatarsal phalangeal joint. |
Generate impression based on findings. | Redemonstrated is hypodensity within the white matter without associated mass effect. 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 colle... | 1.Stable small vessel ischemic disease of indeterminate ages.2.No acute intracranial hemorrhage.3.No intracranial mass, mass effect, or midline shift. |
Generate impression based on findings. | Female 44 years old Reason: Evaluate gas pattern History: emesis. Body habitus and portable technique limits evaluation. Partially imaged underinflated lung bases. There is a paucity of small bowel gas. There appears to be dilated loops of air containing bowel, measuring up to 5 cm, in the mid to left abdominal soft ti... | Partial small bowel obstruction with possible increase in dilated loops of small bowel in the ventral hernia. Follow up with CT is recommended for improved evaluation given patient's body habitus. |
Generate impression based on findings. | 78-year-old female with history of left mastectomy in 2008 for DCIS. No new breast complaints. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Stable p... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, unilateral right 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. | Left shoulder pain. Question of DJD versus rotator cuff syndrome. Three views of the left shoulder reveal no acute fracture or malalignment. There is mild osteophyte formation at the acromioclavicular joint. | Mild degenerative changes of the acromioclavicular joint. |
Generate impression based on findings. | 20 year-old male in pedestrian versus MVA accident. Complaint of pain in from posterior lower ribs to the third/fourth lumbar vertebra level. Normal appearance of the lumbar spine. No evidence of fracture or dislocation. | No evidence of fracture or dislocation. |
Generate impression based on findings. | Female; 64 years old. Reason: please re-evaluate extent of metastatic disease in pt with metastatic pancreatic cancer History: diarrhea CHEST:LUNGS AND PLEURA: New diffuse patchy peripheral groundglass opacities with tree-in-bud, most suggestive of infectious bronchiolitis. Some of these opacities are more solid-appear... | 1. New pulmonary and pleural metastatic disease.2. Findings suggestive of infectious bronchiolitis.3. Enlarged right hilar lymph node may be reactive versus metastatic.4. Increased size of pancreatic tumor and retroperitoneal lymphadenopathy.5. New mild abdominopelvic ascites.6. Increased narrowing of the proximal main... |
Generate impression based on findings. | 20 year-old male in pedestrian versus MVA accident. Small wound along the anterior aspect of the hand, proximal to the carpal bones. Normal appearance of the osseous structures in the right hand and wrist. No evidence of fracture or dislocation. No significant soft tissue swelling is identified. | No acute fracture or malalignment. |
Generate impression based on findings. | 20 year-old male in pedestrian versus MVA accident. Patient complains of pain along the third PIP joint and first carpometacarpal joints of the left hand. Normal appearance of the osseous structures in the right hand and wrist. No evidence of fracture or dislocation. No significant soft tissue swelling is identified. | No acute fracture or malalignment. |
Generate impression based on findings. | 20 year-old male in pedestrian versus MVA accident. Patient complains of pain along the medial aspect of the left knee joint. Normal appearance of the osseous and soft tissue structures of the knee. No evidence of fracture or malalignment. No joint effusion is identified. | No evidence of fracture or malalignment. |
Generate impression based on findings. | 34-year-old female with recent fall after slipping on the eye as, left ankle and heel pain. No fracture or dislocation is identified. There is no significant soft tissue swelling. | No fracture or dislocation. |
Generate impression based on findings. | Status post slipped on ice and twisting of right ankle, patient describes pain and swelling in the lateral aspect of the right ankle. Lateral soft tissue swelling without acute fracture or dislocation. | Lateral soft tissue swelling without acute fracture or dislocation. |
Generate impression based on findings. | Reason: peds trauma History: tv fell on him ABDOMEN:LUNG BASES: Scattered consolidation at the bilateral lung bases, most compatible with dependent atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signi... | 1. No evidence of solid organ or hollow viscus injury. No free air or free fluid.2. Right sided undescended testis. |
Generate impression based on findings. | Fracture.VIEWS: Left ankle AP/lateral/oblique (3 views) 03/09/15 Cast has been removed. Alignment is anatomic. Salter fracture of distal fibula is healing. There is demineralization. | Healing fracture in anatomic alignment. |
Generate impression based on findings. | Reason: newly Dx Sigmoid mass with concern for primary Colon Ca; CT chest for staging purposis History: staging LUNGS AND PLEURA: Basal mild atelectasis and scarring with trace pleural effusions. No evidence of pulmonary metastases.MEDIASTINUM AND HILA: Hiatal herniaCHEST WALL: No significant abnormality noted. | No evidence of pulmonary metastases.There is ascites, pneumoperitoneum and a presumed bowel obstruction which is incompletely visualized on chest CT. This was communicated to Dr. Shogan by the on call radiology resident 8:10pm 3/8/15. Please see separate A/P CT report. |
Generate impression based on findings. | 58-year-old female with past medical history of diabetes, presenting with swelling of the right foot for 3 days, open sore to the fourth digit; patient denies pain. There is redemonstration of dorsal subluxation of the first metatarsal phalangeal joint. Chronic healed fracture deformity is of the second metatarsal and ... | 1.Interval development of foci of gas in the dorsal soft tissues of the foot, highly suspicious for infection. There is no definitive bony destruction to suggest osteomyelitis. However, if clinical suspicion for osteomyelitis persists, MRI is suggested.2.Chronic fracture deformities of the second metatarsal and proxima... |
Generate impression based on findings. | 69-year-old female with history of fall, pain in the left knee. A joint effusion is present. There is no fractures or malalignment. | Joint effusion without acute fracture or malalignment. |
Generate impression based on findings. | 65-year-old female with history of probable left breast fibroadenoma. Family history of breast cancer diagnosed in mother at age 39 and maternal aunt at age 70. No current breast complaint. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is he... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 37-year-old male with recent fall, pain in the right knee. No evidence of fracture or malalignment. No significant joint effusion or soft tissue swelling is present. | No evidence of fracture or malalignment. |
Generate impression based on findings. | 6 years old male. History: fused right kidney BLADDER Wall Thickness: Normal Contents: Distended and normal. Distal Ureter -- SFU Grade** Right: 0 Left: 0 Ureteral Jets Right: Observed Left: ObservedKIDNEYS Cortical Echogenicity: Normal Medullary Echogenicity: Normal Pelvicaliceal System -- SFU Grade* Righ... | Ectopic left kidney fused to the lower pole of the right kidney without evidence of hydronephrosis.*SFU grading system: Grade 0: No hydronephrosis. Grade 1: The renal pelvis is visualized. Grade 2: A few but not all of the calices are identified in addition to the renal pelvis. Grade 3: Virtually all the calices are se... |
Generate impression based on findings. | Male, 85 years old, with right upper extremity swelling, probable DVT which may need anticoagulation. Need to reevaluate a left sided subdural hematoma seen in December of 2014. A hypoattenuating subdural collection along the left cerebral hemisphere has not significantly changed in quantity or distribution measuring b... | 1. A hypoattenuating subdural collection along the left cerebral hemisphere has not significantly changed in thickness or extent. No new intracranial hemorrhage is suspected.2. Progressive encephalomalacia within the left frontal lobe, as well as progressive hypoattenuation along the left lateral ventricle, are seen. T... |
Generate impression based on findings. | 67-year-old female with history of metastatic breast cancer on treatment for evaluation of response and extent of disease CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary nodules compatible with metastases are not significantly changed since the prior exam. Reference left lower lobe subpleural nodule measures 10 x ... | 1.Stable metastases with no new sites of disease. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previuos measurements History: none CHEST:LUNGS AND PLEURA: Right apical bronchiectasis and scarring, not appreciably changed. Mild bronchiolitis in the right lower lobe has resolved. Linear areas of scarring in the right upper and left lower lobes. Right pleural plaques. Unchanged s... | Post op change in left chest wall. Otherwise stable CT with no change in borderline right supraclavicular lymph node. |
Generate impression based on findings. | Metastatic melanoma. Surveillance scan. CHEST:LUNGS AND PLEURA: Unchanged pulmonary nodules, including the right middle lobe reference nodule that is 0.6 x 0.7 cm (series 5, image 63), previously 0.6 x 0.8 cm and reference left lower nodule that is 0.6 x 0.7 cm (series 5, image 59), previously 0.5 x 0.6 cm.Other scatte... | Stable examination with no new sites of disease. |
Generate impression based on findings. | 67-year-old female with history of lumpectomy 3/2014. Patient received radiation and hormonal therapy. History of additional bilateral breast biopsies with benign histologies. No new breast complaints. Three standard views of both breasts and additional laterally exaggerated, spot magnified laterally exaggerated and sp... | Expected postsurgical changes from left lumpectomy. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Dia... |
Generate impression based on findings. | Fractures.VIEWS: Right forearm PA/lateral (two views) 03/09/15 A cast has been applied. Both bones fracture of the mid forearm is again seen. Minimal anterior angulation of the distal fracture fragments is noted. | Both bones fracture of mid forearm in cast. |
Generate impression based on findings. | Male, 63 years old, with history of T3N2c SCC or the left tonsil. The mucosal tissues of the supraglottic larynx remain edematous compatible with treatment effect. There is a persistent retropharyngeal effusion. Edema of the soft palate has improved. No tonsillar masses are identified without the benefit of IV contrast... | No evidence to suggest progressive disease in the neck. |
Generate impression based on findings. | Check fracture alignment Interval removal of cast material. The largely transverse and intra-articular distal radial and ulnar styloid fractures remain aligned. Fracture planes remain distinct compatible subacute timing. No definite callus formation. | Anatomic alignment preserved involving the distal radial and ulnar fractures |
Generate impression based on findings. | The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted abnormaliti... | Negative noncontrast brain MRI. Specifically, there are no MRI findings to explain the patient's seizure activity. |
Generate impression based on findings. | History of pain and check fracture healing Interval removal of cast material. The distal ulnar fracture continues to demonstrate near complete healing with bridging callus formation. No change in alignment or mild radiocarpal and more marked triscaphe osteoarthritic changes | Healing distal ulnar fracture and osteoarthritis |
Generate impression based on findings. | Fracture.VIEWS: Left elbow AP/lateral (two views) 03/09/15 Alignment is anatomic. The fracture has healed. | Healed lateral condyle fracture. |
Generate impression based on findings. | Pain Continued healing of the fourth metacarpal neck fracture without alteration alignment. Moderate to more pronounced degenerative changes of the first MTP with relative preservation of the mid foot and hindfoot structures. | Healing fourth metacarpal neck fracture |
Generate impression based on findings. | Pain Bilateral moderate right over left osteoarthritic changes with narrowing, sclerosis and osteophytes. Specifically a focal ossific densities are projected adjacent to the superior acetabulum bilaterally, and may represent a loose bodies. Only serial imaging will confirm. Relative preservation of the femoral head sh... | Moderate osteoarthritic changes involving the right hip and SI joint over the left side. See detail provided |
Generate impression based on findings. | 61 year old female with history of atypical ductal hyperplasia, presents for routine annual examination. No current breast complaints. History of benign left breast biopsy. No family history of breast cancer. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The brea... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Patient fell, check for fractures Moderate osteoarthritic changes more pronounced involving the medial compartment with narrowing, sclerosis and osteophytes. Small knee effusions are also observed without superimposed findings to support distinct intra-articular fractures. However an oblique non-displaced proximal righ... | Proximal right fibular nondisplaced fracture. Dr. Weber contacted (4143) |
Generate impression based on findings. | 76-year-old female with multinodular goiter with recent CT noting mediastinal lymphadenopathy CHEST:LUNGS AND PLEURA: No pleural effusion or pneumothorax. Multiple micronodules measuring up to 5 mm are present and unchanged. Minimal bibasilar dependent subsegmental atelectasis.MEDIASTINUM AND HILA: Large multinodular t... | No significant mediastinal lymphadenopathy as clinically questioned. On our review of the prior CT there does not appear to be significant lymphadenopathy and there has been no change. There may have been a transcription error on the prior report and "no" was omitted prior to "significant lymphadenopathy".Large goiter ... |
Generate impression based on findings. | 72-year-old female with family history of breast cancer diagnosed in mother age 42, maternal aunt at age 62 and maternal grandmother at 62. The patient is on hormonal therapy. No current breast complaints. Three standard views of both breasts and two additional spot compression MLO view of the left breast were performe... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Shoulder pain Mild osteoarthritic changes without distinct superimposed acute abnormality. Changes include narrowing, sclerosis and osteophytes. No definite dislocation, however there is a mild anterior orientation of the humeral head, please correlate with physical exam and history | Mild osteoarthritis |
Generate impression based on findings. | Internal fixation Two screws fixate a proximal radial head fracture in anatomic alignment. Fracture plane remains distinct compatible with subacute timing | Radial head fracture fixation |
Generate impression based on findings. | Hand pain Mild osteoarthritis of the radiocarpal joint and first MCP with relative preservation of the remaining articulations. Mild ulnar subluxation of the radiocarpal joints also observed.Old questionable deformity of the second and fifth metacarpal diaphysis, possibly an old remote injury and fractures. Please corr... | Mild osteoarthritic changes without acute superimposed abnormalities. Suspected old fractures |
Generate impression based on findings. | 78 year-old female with history of metastatic breast cancer. CHEST:LUNGS AND PLEURA: Scattered nonspecific pulmonary micronodules. Mild right dependent atelectasis. No focal air space opacities, pleural effusions, or pneumothoraxMEDIASTINUM AND HILA: Scattered prominent mediastinal lymph nodes. Reference right hilar ly... | 1. Unchanged CT with no definitive evidence of metastatic disease.2. Other findings as above. |
Generate impression based on findings. | Female 65 years old Reason: Metastatic cholangiocarcinoma please compare to previous scan and provide index lesion measurements History: As above CHEST:LUNGS AND PLEURA: Bilateral mild bronchiectasis, not significantly changed. No new nodules.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No signifi... | Minimal interval increase in the size of the patient's known hepatic cholangiocarcinoma. No other significant change from previous study. |
Generate impression based on findings. | 58 years old female with a history of gastric resection and positive pathology for diffuse B cell lymphoma. Evaluating for metastatic disease. RADIOPHARMACEUTICAL: 14.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 79 mg/dL. Today's CT portion grossly demonstrates left pleural effusion and compression atel... | 1 .Increased metabolic activity in the soft tissue densities in the left upper quadrant of the abdomen at gastrohepatic ligament, peripancreatic and perigastric regions, suspicious for nodal metastasis.2. Increased metabolic activity in the stomach, which is nonspecific.3. Increased activity in the on the abdominal cat... |
Generate impression based on findings. | Elbow pain following a fall Transverse olecranon fracture and old deformity of the radial neck. Suspected acute or subacute proximal ulnar lesion with a more remote radial abnormality. Mild distraction of the ulnar lesion is noted, approximately 3 mm. Please correlate with patient's known history. | Ulnar fracture with questionable old remote deformity of the radial neck. Pager 3715 contacted |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.