instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | Female 72 years old Reason: evaluate stool burden History: see above. Nonobstructive bowel gas pattern. Large stool burden. | Nonobstructive bowel gas pattern with large stool burden. |
Generate impression based on findings. | Female; 37 years old. Reason: recurrent cervical cancer History: recurrent cervical cancer CHEST:LUNGS AND PLEURA: Few scattered pulmonary micronodules. No suspicious pulmonary nodules or masses. Mild centrilobular emphysema. No pleural effusions.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Normal hea... | 1.Grossly stable large left para-aortic metastatic mass.2.Decreased omental carcinomatosis and abdominal ascites.3.Decreased left hydronephrosis status post left ureteral stent placement. |
Generate impression based on findings. | Uncuffed tracheostomy for one week, please evaluate for atelectasis.VIEWS: Chest AP on 3/9/15 (1 view/s) Tracheostomy tube tip is below the thoracic inlet. Cardiac silhouette size is normal. Worsening right mid lung opacity and development of left lower lobe atelectasis or pneumonia on a background of diffuse lung hazi... | Interval worsening in right mid lung opacity and development of left lower lobe atelectasis or pneumonia. |
Generate impression based on findings. | Abdominal distention and constipationVIEWS: Abdomen AP, upright 3/9/15 (1 view/s) Gastrostomy tube and skeletal deformities again noted. No evidence of obstruction or free air. No fecal accumulation. Mild bowel distention. | Mild bowel distention with no evidence of obstruction or free air. |
Generate impression based on findings. | There are no fractures. 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.Disc desiccation with disc height loss is present throughout sparing the T12/L1 and L1/2 levels. A prominent ... | 1.T10/11: Disc bulge/protrusion, ligamentum flavum thickening, and facet hypertrophy encroach the central canal and bilateral neural foramina. This level was not visualized on the comparison study.2.T12/L1: There is a shallow right paracentral disc protrusion without significant associated mass effect, not present on t... |
Generate impression based on findings. | Female, 82 years old, newly diagnosed lung cancer with bone and liver metastases and new intermittent tremors. Patchy non specific periventricular and subcortical hypoattenuation is seen. Allowing for mild motion artifact, no definite mass or pathologic enhancement is seen. No parenchymal edema or mass effect is detect... | Within the limits of CT and mild motion artifact, no definite intracranial metastases are detected. |
Generate impression based on findings. | Right great toe injuryVIEWS: Right great toe oblique and lateral right foot AP 3/9/15 (3 view/s) There is a Salter-Harris two fracture of the distal phalanx of the right great toe. | Salter-Harris two fracture of the distal phalanx of the right great toe. |
Generate impression based on findings. | 60 year-old female with history of right breast cancer status post mastectomy in 1992. The patient was given chemotherapy. Family history of breast cancer diagnosed in mother at age 38. No new breast complaints. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. Th... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral 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. | Leg painVIEWS: Left tibia-fibula AP and lateral 3/9/15 (two views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | 39-year-old female with history of left upper molar cavity and filling, repeated interventions, persistent fevers and leukocytosis; concern for dental abscess. Evidence of bilateral mandibular and maxillary root canals. No gross evidence of mandibular or maxillary destruction. | No gross evidence of mandibular or maxillary destruction. |
Generate impression based on findings. | 71-year-old male status post right hip hemiarthroplasty. Components of a right hip bipolar hemiarthroplasty are situated in near anatomic alignment, without fracture or dislocation. Skin staples, and surgical drain, and foci of gas in the soft tissues reflect recent surgery.Mild osteophytic changes affect the left hip,... | Right hip bipolar hemiarthroplasty in near anatomic alignment. |
Generate impression based on findings. | Left total knee arthroplasty Unchanged left total knee arthroplasty which remains in alignment. Surgical drain staples removed. No distinct effusion | Left total knee arthroplasty |
Generate impression based on findings. | Pain Interval new ORIF with a volar sideplate affixing the there intra-articular radial fracture and removal of overlying splint material improving detail. Unchanged ulnar styloid fracture fragment also in gross position. Diffuse demineralization compatible with disuse. | Distal radial fixation |
Generate impression based on findings. | 63 year old female status post right lumpectomy in 1991 for breast cancer, presents today for routine follow up. Patient received radiation, chemotherapy, and hormonal therapy. No current breast complaints. Family history of breast carcinoma in her sister in her 40s, and breast and ovarian carcinoma in her mother. Thre... | 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. | 89-year-old male with bandlike pain across the thoracic spine. AP and lateral views of the thoracic spine are unremarkable, without evidence of acute fracture or subluxation. Thoracic vertebral body heights and intravertebral disk spaces are preserved; alignment is preserved. The visualized ribs appear intact. | No acute abnormality, fracture, or dislocation. |
Generate impression based on findings. | Male 84 years old Reason: NGT advanced Interval advancement of NG tube with tip now in the proximal duodenum, near the junction of the second and third portions. Nondilated air-containing loops of small and large bowel, which may reflect diffuse ileus. Partially imaged lung bases show a nonspecific left basilar opacity... | Interval advancement of NG tube with its tip in the proximal duodenum. |
Generate impression based on findings. | 31-year-old male with left foot pain. There is no acute fracture or malalignment. A stieda process of the talus is present, a normal variant. | No evidence of acute abnormality. |
Generate impression based on findings. | 4 yo with hx of neuroblastoma with history of R pneumothorax and small bilateral pleural effusions on CT from OSH. LUNGS AND PLEURA: Small bilateral pleural effusions, left greater than right, slightly increased from the prior exam. Minimal associated atelectasis. No new focal consolidation.No pulmonary or pleural nodu... | Small bilateral pleural effusions, left greater than right, slightly increased from the prior exam. No pneumothorax, focal consolidation, or pulmonary/pleural nodules. |
Generate impression based on findings. | Pain in right ankle. Not fully weight bearing.VIEWS: Right ankle AP/lateral/oblique (3 views) 03/09/15 Soft tissue swelling is noted around the ankle. No fracture is seen. There may be a small joint effusion. | Soft tissue swelling. |
Generate impression based on findings. | Female 18 years old Reason: Evaluate NJ placement Interval placement of NJ tube with its tip extending past the ligament of Treitz and is coiled in left sided jejunum. There is a prominent hepatic shadow. Nonobstructive bowel gas pattern. Small left basilar atelectasis. Scattered punctate densities within the bowel may... | NJ tube with tip in the left jejunum. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history breast carcinoma in her sister and maternal aunt. Family history of uterine carcinoma in her mother. Two standard digital views of both breasts, with additional bilateral CC and left MLO views, were performed and reviewed with the aid of R2 ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 60 years old Female. Reason: recurrent metastatic breast cancer. History: metastatic breast cancer. RADIOPHARMACEUTICAL: 14.2 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 170 mg/dL. Today's CT portion grossly demonstrates a large mass in the right upper chest wall near the midline. Multiple enlarged lymph... | 1.Large right upper chest wall mass with intense FDG uptake, consistent with a metastasis.2.Nodal metastases in the right axilla, right upper chest wall at subpectoral region, right supraclavicular region and mediastinum.3.Nonspecific focus increased activity in the sigmoid colon, which can be further evaluate with the... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed with tomosynthesis and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. Scattered benign calcifications are present. No suspicious... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 93-year-old male with history of nonhealing ulcer of the first left MTP joint, with bone exposure. There is cortical irregularity of the distal first metatarsal with associated soft tissue swelling and gas in the dorsal soft tissues, new when compared to prior exam, highly suspicious for osteomyelitis.Again noted is di... | New cortical irregularity involving the medial aspect of the distal first metatarsal, with associated gas and swelling in the surrounding soft tissues; highly suspicious for osteomyelitis.Dr. Ann Zmuda was notified of findings via alpha page on 3/9/15 at 11:54am. |
Generate impression based on findings. | Female 38 years old Reason: Evaluate esophageal disorder History: Dysphagia with solids and pills, OPM showed prolonged stasis in mid-esophagus w/ recommendation of esophagram for further evaluation Bilateral pulmonary metastases and mediastinal/hilar lymphadenopathy again seen, better evaluated on the prior chest CT e... | Limited examination. 13 mm barium tablet delayed within the proximal/midesophagus, which cleared with ingestion of water. |
Generate impression based on findings. | Male 63 years old Reason: abdominal pain Sternotomy hardware is unchanged. Thin caliber leads in the paraspinal area are unchanged from the prior examination. Elevated left hemidiaphragm unchanged from the prior exam.Nonobstructive bowel gas pattern. Moderate to large stool burden. No free air. Incompletely evaluated p... | Nonobstructive bowel pattern with moderate to large stool burden. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Scattered benign calcifications are present. No... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 72-year-old female with history of ILD. LUNGS AND PLEURA: Redemonstrated are diffuse tree in bud opacities in the right lung. Adjacent nodular opacities in the right upper lobe have increased in size and density. Traction bronchiectasis and tree in the opacities in the right middle lobe have not significantly changed. ... | Diffuse tree in bud opacities, especially on the right, with increasing adjacent nodular opacities. This pattern is suggestive of chronic MAI infection. |
Generate impression based on findings. | Female 77 years old Reason: hx of SBO, acute tachycardia, increased WOB, evaluate for perforation History: SBO. Enteric tube tip terminates in the proximal stomach with the side-port above the GE junction; advancement by approximately 8 cm is recommended. Again seen are dilated loops of small bowel which appears slight... | 1.Radiographic evidence of worsening small bowel obstruction, correlation with clinical exam is recommended.2.Side-port of enteric tube is above the GE junction, advancement by approximately 8 cm is recommended. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 70 years old Female. Reason: h/o HNC and CRT, abnormal CT done here. History: A lung nodule found on CT. RADIOPHARMACEUTICAL: 12.6 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 101 mg/dL. Today's CT portion grossly demonstrates post surgical changes in the left neck. There is a new nodule in the left upper... | 1.New nodule in the left upper lobe with increased metabolic activity, suspicious for tumor. However, this finding is nonspecific for tumor and can be seen in infection or inflammatory change.2.Interval resolution of FDG avid tumor in the neck. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, and additional left MLO view, were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcificatio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast carcinoma in her mother at age 62, and two maternal aunts. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, un... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Ankle fracture follow-up Medial malleoli are fracture remains unchanged without evidence of new callus formation or alteration in alignment. Mild diffuse soft tissue swelling persists with continued improvement. The mortise otherwise remains intact | Healing medial malleolus fracture |
Generate impression based on findings. | Reason: ILD History: dyspnea LUNGS AND PLEURA: Basilar predominant peripheral reticulation with groundglass opacities and traction bronchiectasis have changed little since 8/8/2013.Scattered regions of air trapping are present especially in the left upper lobe, and there is basilar predominant bronchial wall thickening... | Interstitial lung disease consistent with fibrosing NSIP or atypical UIP, not significantly changed since 8/8/2013. Mosaic attenuation on expiration series does raise the question of chronic hypersensitivity pneumonitis. Possible PA hypertension. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left breast excisional biopsy. Personal history of lupus. Family history of breast carcinoma in her paternal grandmother in her 80s. Two standard digital views of both breasts, and additional left MLO view, were performed and reviewed with the a... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 62-year-old female with increasing oxygen requirement LUNGS AND PLEURA: Moderate bilateral pleural effusions with overlying atelectasis. Nonspecific micronodule in the left lower lobe is likely benign (series 6, image 77). Upper lobe predominant small centrilobular nodules are nonspecific but can be seen in aspiration ... | New, moderate bilateral pleural effusions with adjacent atelectasis.Upper lobe predominant small centrilobular nodules are nonspecific but can be seen in aspiration or respiratory bronchiolitis.Fibrin sheath vs calcification remains in the left brachiocephalic vein along the old catheter tract. Mediastinal drain presen... |
Generate impression based on findings. | Female 67 years old Reason: History of metastatic breast cancer on treatment. Evaluate for response and extent of disease. Multiple osseous foci of increased activity, including in the T4 vertebral body, anterior right sixth rib appear unchanged compared to prior exam. Increased activity in the right sacroiliac joint, ... | Osseous metastatic disease, not significantly changed from prior exam, with no new osseous metastases identified. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. There is focal asymmetry within the central slightly outer left retroareolar region. N... | Focal asymmetry with the left retroareolar breast. Correlation with prior mammograms is recommended. If prior mammograms cannot be obtained, then additional imaging including spot compression views, with possible ultrasound, is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - O... |
Generate impression based on findings. | Ex 25 wga patient. does baby still have silent aspiration w/ thin liquid History: h/o abnormal OPMEXAMINATION: Oropharyngeal motility study 3/9/2015 at 1203 hrs Julie Ecclestone, speech and language therapist, supervised the examination.00:56 seconds of fluoroscopy was used.Reduced root to nipple despite initial hunger... | Penetration with thin liquids via slow flow nipples and 1/2 strength nectar via standard flow nipple. No aspiration.Please see the speech and language therapist's report for feeding recommendations. |
Generate impression based on findings. | Reason: h/o glottic ca and CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Scattered punctate benign appearing micronodules.No evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: There is no mediastinal or hilar lymphadenopathy.Moderate coronary calcifications are seen, bu... | No sign of metastases or other significant abnormality. |
Generate impression based on findings. | Left first toe bleeding and pain after playing soccer for 2 daysVIEWS: Left 1st toe. AP and lateral (2 views) 3/9/2015 at 1142 hrs. No acute fracture, dislocation, or significant soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed with tomosynthesis, and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. A stable, benign morphology... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of recurrent arthritis. Personal history of uterine carcinoma diagnosed at age 28. Family history of breast carcinoma in her sister at age 60. Two standard digital views of both breasts were performed 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, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male, 65 years old, history of T4aN0M0 laryngeal SCC s/p debulking in 5/2013, s/p chemoradiotherapy. The laryngeal mucosa remains diffusely edematous. A small defect in the anterior left vocal cord is unchanged. These findings most likely represent the sequelae of prior treatment. No evidence to suggest local tumor rec... | Stable post-treatment findings with no evidence to suggest local disease recurrence or pathologic adenopathy. |
Generate impression based on findings. | Female 57 years old Reason: Lung Transplant Evaluation History: dyspnea The comparison chest radiograph performed on 3/9/15 demonstrates bibasilar atelectasis, otherwise no focal pulmonary opacities or pleural fluid. The ventilation images show a uniform distribution of activity on single-breath and wash-in images. The... | Normal symmetric ventilation and perfusion images as quantified above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 65-year-old female with colon cancer. Evaluate for evidence of disease recurrence. CHEST:LUNGS AND PLEURA: Calcified nodules consistent with healed granulomatous disease.Subpleural right upper lobe micronodule unchanged from 4/2014, likely post-inflammatory.No suspicious pulmonary nodules.No pleural metastases.MEDIASTI... | No evidence of local recurrence or metastatic disease. |
Generate impression based on findings. | Left knee: Postoperative, prosthetic assessment. Right knee: Pain. Three views of the left knee reveal a total left knee arthroplasty device in anatomic alignment without evidence of loosening or hardware complication. A loose body within the posterior joint space is again identified.Three views of the right knee revea... | 1. Left total knee arthroplasty device without evidence of loosening or hardware failure.2. Severe right knee osteoarthritis. |
Generate impression based on findings. | 78 year-old female with metastatic breast cancer CHEST:LUNGS AND PLEURA: No pleural effusion or pneumothorax. Biapical scarring consistent with radiation reaction. Reference left upper lobe nodule measures 12 x 6 (series 5, image 34) and is unchanged. Reference right lower lobe nodule measures 9 x 7 mm (series 9, image... | Slight interval increase in size of the left perihilar nodule.Slight interval increase in size of the hypodense lesion in the dome of the liver with new adjacent hypodense lesion. |
Generate impression based on findings. | Female 9 years old Reason: new PIcc on left History: infected central line. Bacteremia.VIEW: Chest AP (one view) 3/9/15 at 1150 hrs. Right IJ venous access terminate in the right atrium. Sternal wires again noted. Interval placement of left upper extremity PICC, tip is at the RA/SVC junction. Cardiac silhouette size is... | Interval left upper extremity PICC placement as described. |
Generate impression based on findings. | Pain and swelling. Following bowling ball falling on finger No radiographic abnormality, specifically no fracture or underlying osseous abnormality. Soft tissues unremarkable grossly yet limited without ultra digits for comparison | Normal exam |
Generate impression based on findings. | Patient fell, pain No interval change in the appearance of the right knee. The suspected suprapatellar loose body with underlying near severe osteoarthritic changes greater in the patellofemoral compartment and specifically the lateral facet appears similar. Note interval fractures observed. Small effusion and persiste... | Near severe osteoarthritic without underlying new superimposed acute or subacute fracture/abnormality |
Generate impression based on findings. | Female, 18 years old, with chronic sinusitis treated medically without resolution. The frontal sinuses are small but clear. Patchy opacification is seen through the ethmoid air cells. Mild mucosal thickening is seen within the sphenoid sinuses, and the sphenoethmoidal recesses are obscured. Mild peripheral mucosal thic... | Scattered mucosal thickening as above compatible with sinus mucosal inflammatory disease. |
Generate impression based on findings. | Check fifth metacarpal repair Continued interval healing with increased bridging callous formation involving the right fifth metacarpal neck fracture is fixed with two unchanged K wires. Mild overlying soft tissue swelling. No additional radiographic abnormalities | Continued interval healing of fifth metacarpal neck fracture |
Generate impression based on findings. | Reason: h/o palate ca and CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Interval increase in left apical irregular nodule measuring only a few millimeters on prior and 10 mm on current image 25/124. Other scattered irregular nodular opacities are stable to marginally increased (image ... | Interval increase in left apex irregular nodule suggestive of malignancy. |
Generate impression based on findings. | Female; 58 years old. Reason: 58 year old with metastatic colorectal cancer who needs to assess disease burden. History: abdominal pain CHEST:LUNGS AND PLEURA: Multiple pulmonary micronodules have slightly increased in size and are suspicious for metastases. For future reference, the largest nodule is in the left lower... | 1. Significant interval increased right hepatic confluent metastatic disease. 2. Increased size of pulmonary micronodules suspicious for metastatic disease.3. Stable moderate porta hepatis lymphadenopathy. |
Generate impression based on findings. | Images are somewhat motion degraded. Given this caveat:T2 hyperintense foci are present in periventricular and subcortical white matter locations as well as left cerebellar hemisphere without associated mass effect, restricted diffusion, or susceptibility abnormality. Small similar appearing foci appear to involve the... | 1.No restricted diffusion to suggest the presence of acute ischemia.2.Advanced chronic small vessel ischemic disease.3.Diffuse volume loss without a specific lobar predominant atrophy pattern.4.Old small cortical infarcts involving the left superior frontal gyrus and right middle frontal gyrus.5.The left vertebral arte... |
Generate impression based on findings. | Pain in ankle and knee Ankle: Ankle mortise appears intact without significant overlying acute abnormalities. Minimal soft tissue swelling cannot be excluded, largely lateral aspect.Knee: Mild mild to moderate osteoarthritic changes of the left knee similar asymmetric to the right. Osteophytes, mild sclerosis and narro... | Mild to moderate osteoarthritic changes |
Generate impression based on findings. | Male, 78 years old, history of palate cancer status post CRT. Presumed treatment related findings are again seen including asymmetry of the soft palate and mild pharyngeal mucosal edema. No discrete mass or pathologic enhancement is seen.No pathologic adenopathy is detected by size criteria. The salivary glands and thy... | 1. Redemonstration of posttreatment findings in the neck with no evidence to suggest local disease recurrence or pathologic adenopathy.2. Interval increase in size of a left apical spiculated nodule. Please refer to the dedicated chest CT for further details. |
Generate impression based on findings. | Check for aneurysmal bone cyst, check for recurrence Post curettage and packing of the distal radial left ulnar ABC appear similar without evidence of complication. No findings to suggest recurrence soft tissues are unremarkable. Mild diffuse osteopenia suspected. | Post aneurysmal bone cyst repair without evidence of tumor recurrence |
Generate impression based on findings. | HCC status post RFA. Monitoring disease response. ABDOMEN:LUNG BASES: Basilar scarring and atelectasis.Cardiomegaly with pacemaker. Coronary artery calcification.LIVER, BILIARY TRACT: Post-treatment findings of RFA ablation with defect measuring 3.7 x 3.1 cm (series 18, image 45) in the right hepatic lobe. Significant ... | RFA ablation defect with significant residual HCC anteriorly. |
Generate impression based on findings. | 61 year old male with elevated alkaline phosphatase and GGT. Evaluate for cholelithiasis. LIVER: Normal echogenicity measuring 13.9 cm in length. There is a small echogenic lesion measuring 1.8 cm x 1.6 cm. BILIARY TRACT: No intra or extrahepatic biliary ductal dilatation. The common bile duct measures 2 mm in thicknes... | 1. Sludge and small stones in the gallbladder with no evidence of cholecystitis. 2. Small echogenic focus in the liver statistically favors a hemangioma however this can be definitively characterized on cross-sectional imaging if warranted. |
Generate impression based on findings. | Female 45 years old; Reason: evaluate uirnary tract UA showed microhematuria History: none ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnorm... | 1.No CT identifiable cause of microhematuria. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed, with tomosynthesis, and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. A loosely grouped cluster calcifications is present in t... | Bilateral calcifications. Correlation with prior mammogram is recommended. If prior mammograms cannot be obtained, additional imaging including magnification views is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OC - OLD FILM FOR COMPARISON |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. No suspicious masses, microcalcifications or areas of archi... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this r... |
Generate impression based on findings. | Metastatic breast cancer, stress view to check fracture Lateral stress views provided. Ankle mortise remains symmetric and intact. Specifically the medial malleolus and fracture plane is also unchanged. Suspected bridging the non-radiopaque fibrotic formation | Stability observed on stress view |
Generate impression based on findings. | Male 51 years old Reason: bladder capacity to support kidney transplant History: has not urinated in ten plus years 75 cc Cystografin was administered retrograde via a 14-French coudé urinary catheter, at which point the patient could no longer resist the urge to void. Trace contrast was present in the bladder postvoid... | 75 cc bladder volume with trace postvoid residual.Right vesicoureteral reflux to the level of the right kidney where there is mild/moderate hydronephrosis. Left vesicoureteral reflux to level of the mid/distal ureter.Nonvisualization of left kidney. Findings may be congenital in etiology and crossed fused renal ectopia... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign biopsy 2012. Family history of breast cancer in mother. Two standard digital views of both breasts (on 11 total images) were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. Bilateral mass... | Bilateral breast masses, one of which has been biopsied in the past with reported benign findings. Recommend submission of prior outside examinations for comparison. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OA - OLD FILM FOR COMPARISON |
Generate impression based on findings. | Metastatic breast cancer Left femur: Numerous scattered sclerotic foci in both proximal and distal femur appear questionably similar to prior exam, specifically the reference lesion in the intertrochanteric region it currently measures 17 mm when measured similarly, however this may be partially due to differences in t... | Interval questionable mild progression of both number and confluence of bilateral numerous sclerotic lesions; see detail provided. |
Generate impression based on findings. | History of cervical laminectomy and fusion. A bony fusion and hardware. Three-month surveillance imaging postop. Redemonstration of screws in the pedicles of C3 through C7 with posterior stabilization rods bilaterally. There has been laminectomies from C3 to C7. No acute fracture is evident. | Posterior fixation hardware and laminectomies from C3 to C7 without significant interval change. |
Generate impression based on findings. | Male 44 years old; Reason: concern for post op bleeding History: s/p nephrectomy, low hbg ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnorma... | 1.Likely postsurgical changes related to transplant nephrectomy as described above. No discrete fluid collections suggesting hematoma or abscess. |
Generate impression based on findings. | 60 year-old male with history of recent subclavian IABP placement on 3/2/15; painful limited abduction of the right shoulder beyond 90 degrees. Limited two views of the shoulder show normal anatomic alignment, without fracture or dislocation. There is probable calcification at the rotator cuff insertion on the greater ... | No evidence of acute fracture or dislocation. |
Generate impression based on findings. | Postop for prior fracture. There is near complete healing of a proximal middle phalanx fracture. There continues to be volar displacement of the middle phalanx in respect to the proximal phalanx at the PIP joint. A small dorsal avulsion fragment remains at the dorsal aspect of the PIP joint. | Persistent volar displacement of the middle phalanx with near complete healing of the middle phalanx fracture. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. A few scattered coarse benign calcifications ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in mother at age 88. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern an... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Reason: 56 yo with ho aml and fungal pna History: 56 yo with ho aml and fungal pna LUNGS AND PLEURA: Linear scarring and atelectasis in right middle lobe, improved. Emphysema. Calcified granulomas. No new opacityMEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.UPPER AB... | No evidence of pneumonia. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed, with tomosynthesis, and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Scattered benign calcifica... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 47 years old Reason: dysphagia with solids History: dysphagia Scout radiograph of the chest unremarkable.Double contrast evaluation of the esophagus and gastric cardia/fundus revealed no morphologic abnormalities of the mucosal surfaces or mural contours. During the exam, no spontaneous reflux was observed. Trac... | 1.2 mm web in the cervical esophagus resulting in a luminal diameter of approximately 5 mm in AP dimension, as detailed above.2.Trace provoked gastroesophageal reflux. |
Generate impression based on findings. | Shoulder pain. Cholangiocarcinoma history and patient fell Mild to moderate degenerative changes including narrowing of the acromiohumeral distance testing chronic rotator cuff injury however no additional underlying osseous abnormality. Specifically no lytic or blastic lesions observed. No immediate acute fractures, h... | Suspected chronic rotator cuff injury and mild to moderate osteoarthritic changes without superimposed acute abnormality |
Generate impression based on findings. | 62 year old male with new right leg weakness. On heparin for stroke with left-sided weakness. There is no evidence of acute intracranial hemorrhage. Redemonstrated are areas of encephalomalacia within the left occipital lobe and left cerebellar hemisphere from chronic ischemic infarcts. There is moderate periventricula... | 1. No evidence of acute intracranial hemorrhage.2. CT is insensitive for the detection of non-hemorrhagic acute infarct. |
Generate impression based on findings. | Pain after fall. Question of fracture. An external splint is in place. There is a nondisplaced oblique fracture through the epiphysis of the distal fibula. The fracture line appears to communicate with the fibulotalar joint. There is diffuse soft tissue swelling about the ankle. | Nondisplaced oblique fracture of the distal fibular epiphysis. |
Generate impression based on findings. | 98 years, Female. Reason: 98 y/o Dobbhoff placement History: sob Interval retraction of the Dobbhoff tube with the tip now terminating over the body of the stomach. Residual contrast material opacifies the imaged colon. There is a relative paucity of bowel gas. There is levoscoliosis of the lumbar spine. Marked degener... | Dobbhoff tube with the tip terminating in the body of the stomach. |
Generate impression based on findings. | Female 73 years old Reason: 73y/o female with breast cancer; surgery 3/9/15 at 12pm in DCAM Left breast seed local partial mastectomy with SNBx History: breast cancerRADIOPHARMACEUTICAL: The left breast was prepared in a sterile manner. A total of 0.5 mCi Tc-99m filtered sulfur colloid was injected in four periareolar ... | Sentinel node identified in the left axilla. |
Generate impression based on findings. | 18 years old, Male, had pain in patient with sickle cell, concern for AVN.VIEW: Pelvis AP and frog leg. (Two view) 3/9/15 No fracture or malalignment. No evidence of sclerosis within the femoral head or subcortical lucency to suggest AVN. | Normal examination. |
Generate impression based on findings. | Cystic mass on left radial head, wrist pain, swelling. Exclude bony injury, joint involvement. Three views of the left wrist reveal no acute fracture or malalignment. The bones of the wrist appear normal. | No acute fracture is evident. |
Generate impression based on findings. | 56-year-old female with injury to the left fifth digit, persistent pain/swelling x 2 weeks. There is no evidence of fracture or malalignment of the fifth digit. There is congenital fusion of the distal interphalangeal joint. | No acute abnormality. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution.... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | There is no evidence of acute intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation.The calvaria and skull base appear to be intact. There mucosal thickening and partial opacification wit... | 1. No acute intracranial hemorrhage or skull fracture.2. Maxillary sinus mucosal thickening and partial opacification may represent acute sinusitis versus less likely hemosinus.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Female 75 years old Reason: f/u enlarged lymph nodes History: hx endometrial cancer CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are unchanged.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SP... | Slight interval decrease in the size of the pelvic index lymph nodes. |
Generate impression based on findings. | 39 year old female with elevated creatinine. Evaluate transplanted kidney function/blood flow. RENAL TRANSPLANT: Left iliac fossa transplanted kidney. LOCATION: Left iliac fossaPERITRANSPLANT TISSUES: No significant abnormality notedKIDNEY: Slightly increased parenchymal echogenicity. At the inferior pole there is a 1.... | 1. Left iliac fossa transplanted kidney with slightly increased parenchymal echogenicity is nonspecific and suggestive of medical renal disease. Inferior pole cyst with calcification appears similar to prior study. 2. Mild increased resistive index of the right renal artery at the midportion and anastomosis with approp... |
Generate impression based on findings. | 53 years, Female. Reason: Dobbhoff Dobbhoff tube with the tip projecting over the body of the stomach, with the guidewire still in place. Epicardial pacer leads in place. Swan-Ganz catheter with tip in the main pulmonary artery. Two right-sided chest tubes and two left-sided chest tubes in place, positions unchanged. S... | 1.Dobbhoff tube with tip projecting over the body of the stomach with guidewire still in place.2.Extensive pulmonary opacification, please see chest radiograph report from the same day for full evaluation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in her niece. Two standard digital views of both breasts with repeat left MLO were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Left AICD obscures ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast carcinoma in her sister. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 62 years old Reason: Evaluate for hematoma compressing lumbar plexus or femoral nerve History: New R leg weakness. Heparin gtt for stroke. This study is limited due to lack of intravenous contrastABDOMEN:LUNG BASES: Left lower lobe subsegmental atelectasis. Cardiomegaly.LIVER, BILIARY TRACT: No significant abnorma... | Large right-sided retroperitoneal hematoma extending from the right inguinal region to the level of the diaphragm compressing the right external iliac and right common iliac vessels.Dr. Rubeiz was notified and acknowledged about the above findings at the time of the dictation. |
Generate impression based on findings. | Pain in back. Entire spinal column. Obesity.VIEWS: Thoracic spine AP/lateral/swimmer's (3 views) 03/09/15 Minimal loss of height anterior height of T11 is present. Vertebral the other vertebral body heights are normal. No fracture is seen. Alignment appears normal.The BMI is abnormally increased. | Minimal wedging of T11. This may be acute or chronic and may or may not be of any clinical significance. |
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... | Fluid is present throughout the paranasal sinuses, bilateral mastoid air cells, and right middle ear cavity. Otherwise negative noncontrast brain MRI. Specifically, there are no MRI findings to explain the patient's seizure activity. |
Generate impression based on findings. | Reason: recent visual changes with new/different headache, dilitation in left PCA (per Dr. Bernard note) History: visual disturbances, headaches Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the gre... | 1.There are small arterial bulges present associated with the left posterior communicating artery at its origin and at its junction with the left posterior cerebral artery which are stable when compared to the prior exam.2.No evidence for cervicocerebral occlusive disease. |
Generate impression based on findings. | 10 year old male. Pain, dislocation. Evaluate for fracture.VIEWS: Left elbow AP, lateral, and oblique (3 views) 3/9/2015 at 1327 hrs. A fracture through the physis of the distal humerus with lateral displacement of the epiphyseal structures, including the internal epicondyle and capitellum.A linear density proximal to ... | Salter-Harris 2 fracture of the distal humerus, with lateral displacement of the epiphyseal structures, and a small fracture fragment off of the medial aspect of the distal humerus metaphysis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed, with tomosynthesis, and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. There is stable asymmetry within the central uppe... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.