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 heart size. No pericardial effusion. No visible coronary artery calcifications.CHEST WALL: Right chest wall Port-A-Cath with the catheter tip in the right atrium.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Retroperitoneal para-aortic metastatic mass invading the inferior left kidney and paraspinal muscles appears grossly stable in size since prior study. Interval placement of left ureteral stent with decreased left hydronephrosis. A small amount of left perinephric fluid is seen. There is atrophy and delayed enhancement of the left kidney, likely due to decreased function from chronic obstruction.RETROPERITONEUM, LYMPH NODES: See above.BOWEL, MESENTERY: Omental carcinomatosis appears slightly decreased. Reference omental nodule measures 1.2 x 0.7 cm, previously 1.8 x 1.4 cm (series 3/99).BONES, SOFT TISSUES: No significant abnormality notedOTHER: Decreased abdominal ascites.PELVIS:UTERUS, ADNEXA: Hysterectomy has been performed.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: Mild pelvic free fluid. | 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 haziness. | 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 Schmorl's node is present involving the superior endplate of T12.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.T11/12: Mild disc bulge and mild facet hypertrophy without stenosis, unchanged.T12/L1: There is a shallow right paracentral disc protrusion without significant associated mass effect, not present on the 2007 study. There is also mild facet hypertrophy. There are no stenoses.L1/2: Mild facet hypertrophy without stenosis, unchanged.L2/3: Diffuse annular disc bulge, ligamentum flavum thickening, and mild bilateral facet hypertrophy. There is new mild bilateral neural foraminal stenosis.L3/4: Trace anterolisthesis L3 on L4, diffuse annular disc bulge, ligamentum flavum thickening, moderate to severe left facet hypertrophy, and moderate right facet hypertrophy. There is mild bilateral neural foraminal stenosis. These findings are unchanged.L4/5: Grade 1 anterolisthesis L4 on L5, mild disc bulge containing a left posterolateral annular fissure, ligamentum flavum thickening, and severe bilateral facet hypertrophy. There are no significant stenoses. These findings are unchanged.L5/S1: Grade 1 anterolisthesis L5 on S1, tiny right paramedian disc protrusion not present on the 2007 exam, diffuse annular disc bulge, ligamentum flavum thickening, severe bilateral facet hypertrophy, and a small right facet effusion. There is abutment with flattening of bilateral S1 nerve sheath origins without displacement, unchanged. There is also mild/moderate bilateral neural foraminal stenosis, unchanged. | 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 the 2007 study. There are no stenoses.3.L2/3: New mild bilateral neural foraminal stenosis.4.L3/4: Trace anterolisthesis and mild bilateral neural foraminal stenosis, unchanged.5.L4/5: Grade 1 anterolisthesis and mild disc bulge containing a left posterolateral annular fissure, without stenosis, unchanged.6.L5/S1: Grade 1 anterolisthesis L5 on S1 and a tiny right paramedian disc protrusion (not present on the 2007 exam). There is abutment with flattening of bilateral S1 nerve sheath origins without displacement, unchanged. There is also mild/moderate bilateral neural foraminal stenosis, unchanged. |
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 detected. There is no evidence of intracranial hemorrhage or any abnormal extra-axial fluid collection. The ventricles are normal in size and shape. The osseous structures of the skull are intact. | 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. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Circular skin markers were placed over the left upper outer breast. A few benign calcifications are stable.No dominant mass, suspicious microcalcifications or areas of architectural distortion in the left breast. Benign appearing lymph nodes are projected over the left axilla. | 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, including subchondral sclerosis. | 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. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. A linear marker has been placed on a scar overlying the upper outer right breast, with expected volume loss and underlying postsurgical changes. Scattered benign calcifications are present. No dominant mass, suspicious microcalcifications or areas of nonsurgical architectural distortion in either breast. Benign appearing lymph nodes are projected over the left axilla. | 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, which appears slightly progressed from the prior exam and which may reflect aspiration or infection. Note is made of pacemaker leads, unchanged in position. | 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 nodules.The previously seen right pneumothorax is resolved on this exam. MEDIASTINUM AND HILA:Left subclavian central venous catheter, tip at the cavoatrial junction.No mediastinal or hilar lymphadenopathy.CHEST WALL: No significant abnormality notedUPPER ABDOMEN: Surgical clips in the right adrenal bed.Large amount of ascites, mildly increased from the prior exam. | 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 be ingested material, but are nonspecific. | 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 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. A stable benign morphology intramammary lymph node is again seen in the left upper outer quadrant. Scattered benign calcifications are present. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 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 nodes are seen in the right axilla and right upper chest wall. Post-mastectomy changes are noted in the right chest wall. There is a mucosal thickening in the left maxillary sinus. Tip of the left Port-A-Cath is in the right atrium.Today's PET examination demonstrates intense FDG uptake in the mass in the right upper chest wall near the midline with SUV Max of 13.1. Intense FDG uptake also seen in the multiple right axillary enlarged lymph nodes. Several hypermetabolic small lymph nodes also seen in the right supraclavicular region and right chest wall at subpectoral region. There is also increased metabolic activity in the several small internal mammary lymph nodes on both sides in the mediastinum.There is a focus of increased activity in the left hip at the subcutaneous tissue, which is most likely due to injection granuloma.A focus of increased activity is seen in the midline of the pelvis in the sigmoid colon, which is nonspecific.Physiological activity is seen in the liver, spleen, kidneys, intestines and bladder.Two foci of activity overlying the left chest wall and in the Port of the Port-A-Cath are most likely due to contamination. | 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 endoscopy. |
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 masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 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 diffuse demineralization. There is scattered degenerative arthritic changes, most significant in the interphalangeal joints. There is chronic periosteal reaction in the second and fourth metatarsals. | 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 examination. Vascular congestion is evident. There is mild leftward curvature of the thoracic spine. Right chest wall Port-A-Cath with tip terminating in the superior vena cava. Limited single contrast esophagram was performed secondary to the patient's nausea and vomiting. Small bolus volume limited evaluation, although there was satisfactory distention of the esophagus. No fixed narrowings or stenoses evident. There was no evidence of obstruction. A 13 mm barium tablet was delayed in the proximal/midesophagus, which cleared with water.TOTAL FLUOROSCOPY TIME: 1:19 minutes | 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 patchy airspace opacities are seen in the left lung base. | 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 suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 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. Lingular atelectasis and bronchiectasis is stable. Mild bronchial wall thickening.MEDIASTINUM AND HILA: Cardiac size is normal without pericardial effusion. Moderate coronary artery calcifications. No mediastinal or hilar lymphadenopathy. CHEST WALL: Stable benign sclerotic focus in the vertebral body of T1.UPPER ABDOMEN: Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Splenules are present. | 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 slightly increased from the prior exam, suspicious for worsening small bowel obstruction. There is no free air. | 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 areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: 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 lobe. Stable opacities are seen in the right and left upper lungs.Today's PET examination demonstrates two contiguous foci increased metabolic activity in the new nodule in the left upper lobe with SUV Max of 4.6. There is an interval mildly increased metabolic activity in the right hilum with SUV Max of 2.3.Previously identified a hypermetabolic mass in the right neck and the submental small mildly hypermetabolic lymph node have resolved. Mild FDG uptake is seen in the upper lung opacities, which are most likely due to post radiation change.Physiological activity is seen in the liver, spleen, kidneys, intestines and bladder. | 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, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 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, unchanged in pattern and distribution. Stable dense retroareolar tissue is noted bilaterally.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: 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.Left lower lobe calcified granuloma and sutures from prior left wedge resections are identified. MEDIASTINUM AND HILA: Prominent mediastinal lymph nodes remain within normal size limits, as often seen in interstitial lung disease.No visible coronary calcifications, and the heart and pericardium appear normal.The main pulmonary artery is still less than 3 cm, but larger than the aorta which is 2.3 cm raising question of PA hypertension.Calcified nodes are from prior granulomatous disease. CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absence of enteric contrast material limits sensitivity for abdominal pathology. Numerous splenic and hepatic granulomata. | 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 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 suspicious masses, microcalcifications or areas of architectural distortion are present. Benign morphology lymph nodes are present in both axillae. | 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 or respiratory bronchiolitis.MEDIASTINUM AND HILA: Median sternotomy wires and midline mediastinal drain. Right internal jugular central venous catheter tip is in the SVC. The heart size is normal. Small pericardial effusion. Scattered mediastinal measuring up to 1.0 cm (series 4, image 42). Additional calcified mediastinal and hilar lymph nodes suggestive of prior granulomatous disease. The pulmonary arteries are severely enlarged, unchanged. Fibrin sheath vs calcification remains in the left brachiocephalic vein along the old catheter tract.CHEST WALL: Mildly prominent retrocrural lymph nodes measuring up to 8 mm (series 4, image 21). No significant axillary or cardiophrenic lymphadenopathy.UPPER ABDOMEN: Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Nodularity to the left adrenal gland is present and unchanged. | 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 present with no significant residual fluid. |
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, appear similar to prior exam. No new osseous metastatic lesions are identified. | 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. No suspicious microcalcifications or areas of architectural distortion are present in the right breast. | 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 - OLD FILM FOR COMPARISON |
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 cues. Decreased bolus control with faster flow nipple results in mild anterior spillage.Penetration noted with:- Thin liquids via slow flow nipple- 1/2 strength nectar via standard flow nippleNo aspiration. | 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, but the heart and pericardium otherwise appear normal.CHEST WALL: Degenerative abnormalities affect the thoracic spine.ABDOMEN: Absence of enteric contrast material limits sensitivity for abdominal pathology. LIVER, BILIARY TRACT: Scattered hepatic cystlike hypodensities are unchanged, likely benign.SPLEEN: Splenic artery calcifications are noted.ADRENAL GLANDS: Unchanged left adrenal nodule likely benign.KIDNEYS, URETERS: No significant abnormality noted.PANCREAS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Aortic calcifications are present with moderate thrombus affecting the proximal left iliac artery. BOWEL, MESENTERY: Absence of enteric contrast material limits sensitivity for GI pathology.No gross abnormalities noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted. | 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 left breast mass is present. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 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 breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. A stable, benign morphology mass is present within the right upper outer quadrant. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 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 recurrence is seen.Elsewhere, the aerodigestive mucosa is unremarkable. No pathologic adenopathy is detected by size criteria. The salivary glands and thyroid are unremarkable. The cervical vessels enhance normally. No concerning osseous lesions are demonstrated. | 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. There is no abnormal Xe-133 retention during the wash-out phase. The perfusion images show a physiologic distribution of pulmonary perfusion.Quantitation of relative single breath ventilation (using the posterior image):Left lung: 39% (upper lung 11.8%; lower lung 10.6%)Right lung: 61% (upper lung 20.3%; lower lung 12.1%)Quantitation of relative pulmonary arterial perfusion (using anterior and posterior geometric means):Left lung: 37% (upper lung 13.1%; lower lung 4.5%)Right lung: 63% (upper lung 17.7%; lower lung 8.6%) | 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 areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: 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.MEDIASTINUM AND HILA: Scattered small mediastinal lymph nodes, unchanged. No hilar lymphadenopathy.Mild coronary artery calcification.Nonspecific thyroid nodules, unchanged.CHEST WALL: Left chest wall port tip at the cavoatrial junction.Degenerative changes of the thoracolumbar spine.ABDOMEN:LIVER, BILIARY TRACT: No suspicious hepatic mass. Prominent porta hepatis lymph nodes, unchanged. Postsurgical findings of cholecystectomy.No biliary ductal dilatation. Patent hepatic vasculature.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Scattered small retroperitoneal lymph nodes, unchanged. Mildly prominent hepatic duodenal ligament lymph nodes, unchanged.Calcified atherosclerotic disease of the abdominal aorta.BOWEL, MESENTERY: Post surgical findings of right hemicolectomy with ileocolonic anastomosis. No bowel obstruction or discrete colonic mass is evident.BONES, SOFT TISSUES: Degenerative changes of the thoracolumbar spine.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Status post hysterectomy. BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Post surgical findings of right hemicolectomy with ileocolonic anastomosis. No bowel obstruction or discrete colonic mass is evident.BONES, SOFT TISSUES: Degenerative changes of the thoracolumbar spine.OTHER: No significant abnormality noted. | 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 reveal severe tricompartmental joint space narrowing and osteophyte formation, most predominately at the patellofemoral joint. No fracture is evident. | 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 73) and is unchanged. Scattered subpleural scarring is noted bilaterally.MEDIASTINUM AND HILA: Prominent mediastinal lymph nodes not significantly changed since the prior exam. Left hilar mass measures 2.8 x 2.5 cm (series 5, image 42), previously 2.5 x 2.0 cm. Moderate coronary artery calcification.CHEST WALL: Post surgical changes of bilateral mastectomy, right breast implant, and right axillary dissection. Unchanged encapsulated fluid collection tracks along the left anterior chest wall (series 3, image 65 ). Surgical screw is noted in the right humeral head. No axillary, retrocrural, or cardiophrenic lymphadenopathy. Lucent lesion in the T12 which body is unchanged and likely represents hemangioma. Soft tissue nodule in the right posterior chest wall (series 3, image 38) is unchanged.ABDOMEN: Absence of enteric contrast material limits sensitivity for abdominal pathology. LIVER, BILIARY TRACT: Slight increase in size of hypodense lesion in the dome of the liver (series 3, image 78) now measuring 12 mm, previously 10 mm, with new adjacent hypodense lesion. Status-post cholecystectomy. SPLEEN: No significant abnormality noted. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Unchanged hypodense lesions in bilateral kidneys likely representing cysts. Atrophic left kidney is unchanged.PANCREAS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Mural plaques are unchanged in the aorta. Atherosclerotic calcification of the aorta and branch vessels without aneurysmal dilatation. Low density nodule in the mesentery is unchanged (image 123/144). BOWEL, MESENTERY: Absence of enteric contrast material limits sensitivity for GI pathology.No gross abnormalities noted.BONES, SOFT TISSUES: Degenerative changes affect the osseous structures with exaggeration of the usual thoracic kyphosis. No suspicious osseous lesions.OTHER: No significant abnormality noted. | 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 normal. No focal opacities, effusions or pneumothorax. | 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 persistent chondrocalcinosis | 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 thickening is evident within the maxillary sinuses. The maxillary outflow pathways are obscured.Mild scattered secretions and/or mucosal thickening is seen in the nasal cavity. The nasal septum is intact with a mild S-shaped curvature in the coronal plane. The turbinates are unremarkable. | 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 68/124, right lower lobe). The previously noted irregular opacity in the right upper lobe (image 53/24) is stable. Emphysema. MEDIASTINUM AND HILA: Aberrant right subclavian artery, normal anatomic variant. Marginal increase in borderline right hilar lymph node (image 57/158). Severe coronary calcification. Punctate foci of air in the pulmonary artery presumably secondary to power injection. No change in mild ectasia and atherosclerotic disease involving the aorta.CHEST WALL: Multilevel degenerative change involving the spine.ABDOMEN: Absence of enteric contrast material limits sensitivity for abdominal pathology. LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Small nonobstructing bilateral renal calculi.PANCREAS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Severe atherosclerotic disease of the aorta and its branches with areas of mural thrombus and chronic focal nonflow limiting dissection. The appearance is unchanged. BOWEL, MESENTERY: Absence of enteric contrast material limits sensitivity for GI pathology.No gross abnormalities noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted. | 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 lobe and measures 5 mm (series 6/43), previously 3 mm.Stable bibasilar subsegmental atelectasis and/or scarring. Mild emphysema. No pleural effusions.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Right jugular central venous catheter tip in the right atrium.ABDOMEN:LIVER, BILIARY TRACT: Significant interval increase in right hepatic confluent metastatic disease. Reference largest right lobe mass measures 15 x 10.5 cm, previously 11.1 x 8.3 cm (series 5/95). Reference inferior right lobe mass measures 2.3 x 3 cm, previously 1.9 x 1.7 cm (series 5/110). Reference is segment 8 mass measures 5.2 x 3.2 cm, previously 4.0 x 2.8 cm (series 5/88). The left lobe of the liver again appears relatively spared from metastatic disease. SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No change with normal-appearing right gland and slightly thickened left adrenal gland of uncertain significance.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Moderate porta hepatis lymphadenopathy is similar to prior study and suspicious for metastatic disease.BOWEL, MESENTERY: Status post right hemicolectomy with ileal-transverse colostomy unchanged in appearance.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Prior hysterectomy without other abnormality.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted. BOWEL, MESENTERY: Status post right hemicolectomy with ileal-transverse colostomy unchanged in appearance. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted. | 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 overlying gray matter of the left superior frontal gyrus and right middle frontal gyrus, representing old small cortical infarcts. There is diffuse volume loss without a specific lobar predominant atrophy pattern. There are no findings of ventricular obstruction or hydrocephalus. 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 abnormalities are identified. There are no extraaxial fluid collections or subdural hematomas. Flow voids are present within the major vessels indicating patency; left vertebral artery appears diminutive, most liekly ending in PICA. The paranasal sinuses and mastoid air cells are clear. | 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 artery appears diminutive, most likely ending in PICA. A similar appearance could be seen with distal left vertebral chronic lumenal narrowing. |
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 narrowing are noted. No significant knee effusion. | 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 thyroid are free of focal lesions. The cervical vessels opacify with evidence of atherosclerotic calcification at the carotid bifurcations.Emphysema is again seen within the lung apices. A left apical spiculated nodule has increased in size. No concerning osseous lesions are demonstrated. | 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 residual HCC anterior to this defect (arterially enhancing mass with washout) that measures 2 x 2.7 cm (series 15, image 42).Multiple peripheral arterially enhancing foci in the liver without washout likely represent THADs.Cirrhotic liver morphology.Patent hepatic vasculature.Cholecystectomy clips.SPLEEN: No significant abnormality notedPANCREAS: TIny focus of arterial enhancement in the pancreatic head, of unclear etiology, unchanged (series 15, image 57).ADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Nonobstructing left renal stone. Scattered renal cysts bilaterally.RETROPERITONEUM, LYMPH NODES: Unchanged enlarged portacaval lymph node measuring 2.2 cm (series 17, image 48), which can be related to the cirrhosis.Calcified atherosclerotic disease of the abdominal aorta.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: Bilateral large bladder diverticula.LYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: Unchanged low density focus in the right iliopsoas muscle, likely an iliopsoas bursa (series 17, image 147).OTHER: No significant abnormality noted | 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 thickness. The gallbladder contains echogenic sludge and small stones. There is no pericholecystic fluid. Gallbladder wall measures 2 mm in thickness. Sonographic Murphy's sign was negative. PANCREAS: The tail of the pancreas is obscured by overlying bowel gas however the remaining portions are normal in echogenicity. SPLEEN: Normal echogenicity measuring 8.2 cm.RIGHT KIDNEY: Normal echogenicity measuring 10.1 cm. LEFT KIDNEY: Normal echogenicity measuring 11.0 cm. OTHER: No significant abnormalities noted. | 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 abnormality noted.KIDNEYS, URETERS: No significant abnormality noted. Tiny, less than 5-mm hypodensity off the mid left kidney is too small to adequately characterize, probably a cyst.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: No significant abnormality noted. Cystic lesions in the adnexa, less than 4 cm, likely functional, if this patient is premenopausal.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted. | 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 the upper outer right breast. A small cluster of calcifications is present in the central left breast, far posterior depth, seen on MLO view. No suspicious masses, microcalcifications or areas of architectural distortion are present in the left breast. | 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 architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. 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 report will be made.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
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, no significant postvoid residual present.Reflux was noted to the level of the right kidney, where there was blunting and mild/moderate dilatation of the renal calices. Additionally, left-sided reflux was evident to the level of the mid/distal left ureter. The left kidney was not visualized, similar to the prior examination. These findings may be congenital in etiology and crossed fused renal ectopia among differential considerations, particularly given relatively more prominent appearance of portion of renal collecting system in right abdomen inferiorly. | 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 among differential considerations. |
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 masses are present, one of which has been biopsied on the right and with associated coarse calcifications. Additional scattered benign calcifications in both breasts.No suspicious microcalcifications or areas of architectural distortion are present. Benign appearing lymph nodes are present in both axillae. | 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 technique. There are however multiple new smaller lesions scattered within the femoral head and proximal diaphysis. No distinct single lesion is suspicious for impending fracture, however femoral neck lesions are will soon be confluent and concerning.Right femur: IM rod and heterotopic bone adjacent to the greater trochanter appear unchanged. Diffuse scattered lesions are again observed again with mild increasing concern for confluence, specifically involving the distal metaphysis and best observed on the lateral projection. Overlying moderate degenerative changes. | 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 abnormality noted.KIDNEYS, URETERS: Atrophic native kidneys. Incompletely characterized stable hypodensity in the right lower pole.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Large hiatal hernia.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Mild edema/anasarca of the right upper leg.OTHER: Interval removal of transplanted kidney in the right lower quadrant with residual presumedly post surgical change, including induration of the fat and mesentery, and a few prominent, likely reactive lymph nodes. Additionally, in the in the post transplant nephrectomy bed there is induration and gas with no definite fluid collection measuring approximately 3.8 x 4.3 cm (3:120). Additionally, there the right rectus muscle is asymmetrically thickened compared to the left with gas and induration tracking to the skin surface at the site of incision. | 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 tuberosity.Surgical staples are present in the right upper thorax. Pacemaker wires are partially visualized. | 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 are stable. Bilateral asymmetries are also stable.No suspicious masses, microcalcifications or areas of architectural distortion are present. Benign appearing lymph nodes are present in both axillae. | 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 and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: 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 ABDOMEN: Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Right adrenal nodule is unchanged. | 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 calcifications are present. A stable, benign morphology mass is present within the far posterior upper outer right breast. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 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. Trace esophageal reflux was noted just proximal to the GE junction patient during rotation. Fluoroscopic evaluation of esophageal peristalsis demonstrated a normal primary peristaltic wave.A 2 mm web was noted in the cervical esophagus approximately at the level of the C5-6 level, resulting in a narrowed luminal diameter of approximately 5 mm in AP dimension.TOTAL FLUOROSCOPY TIME: 2:32 minutes | 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, however diffuse demineralization mildly limits sensitivity.Right jugular port observed | 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 periventricular and subcortical white matter hypoattenuation. There is diffuse cerebral volume loss. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and scalp soft tissues are unremarkable. There are calcifications of the intracranial arteries. | 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 degenerative changes involving lower lumbar spine. Bilateral pleural effusion, unchanged from prior examination. Left retrocardiac opacity suggests atelectasis/consolidation. Patchy biapical opacities incompletely imaged. | 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 injections. A focus of increased activity is noted in the left axilla, representing the sentinel node(s). This region was marked with an indelible marker. | 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. Scattered benign calcifications are present. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 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 with bubbly material in the left maxillary sinus and fluid within the anterior ethmoid air cells. | 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.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Left renal cyst is unchanged.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Status post hysterectomy.BLADDER: No significant abnormality noted.LYMPH NODES: The index left external iliac node now measures 1.7 x 0.8 cm on image number 160, series number 3, slightly smaller compared to previous study. Other pelvic nodes are also either stable or slightly decreased in size.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted. | 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 cm x 1.1 cm cyst with punctate calcification appearing similar to prior study. COLLECTING SYSTEM/URETER: No significant abnormality notedURINARY BLADDER: Partially decompressed limiting evaluation. VASCULAR DOPPLER DATA: Color and spectral Doppler were performed on inflow and outflow vessels. Right renal artery with mild increased resistive indices at the midportion with a resistive index of 0.83 and at the anastomosis with a resistive index of 0.85. The remaining portion of the artery and veins are patent with appropriate flow and waveforms. OTHER: No significant abnormality noted | 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 appropriate waveform and flow. |
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. Sternal fixation hardware in place. Multiple surgical clips project over the hilum.Extensive bilateral diffuse pulmonary opacities appearing similar to the prior examination. Generalized paucity of bowel gas. | 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 the axilla.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: 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 distribution. Multiple, bilateral, benign morphology masses are present. Scattered benign calcifications are present. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 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 abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: There is a large right retroperitoneal hematoma extending to the level of the diaphragm from the right inguinal region. It involves the right iliopsoas muscle. The hematoma measures 7.3 by 4.9-cm image number 81, series number 4. Right-sided common iliac and external iliac vessels are compressed by the hematoma.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted | 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 abnormalities are identified. Myelination is mature. There are no extraaxial fluid collections or subdural hematomas. Flow voids are present within the major vessels indicating patency. Fluid is present throughout the paranasal sinuses, bilateral mastoid air cells, and right middle ear cavity. | 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 great vessels from the aortic arch. On the basis of NASCET criteria there is no significant stenosis at the carotid bifurcations. There is no significant stenosis along the course of the vertebral arteries.There are multilevel degenerative changes present in the cervical spine worse at C4-5 where there are endplate and uncovertebral osteophytes narrowing the spinal canal and left neural foramen. This is stable when compared to the prior exam.Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. No aneurysms or intracranial stenosis is appreciated. The right posterior communicating artery is medium to large size. The right P1 segment is medium size. The right P1 segment is similar in diameter to the right posterior communicating artery. The left posterior communicating artery is very small there is 2.5mm infundibulum at the origin of the left posterior communicating artery. At the junction of left posterior communicating artery to the left P1 segment is mild bulging of the left P1 segment which is stable compared to the prior exam.The anterior communicating artery and the posterior communicating arteries are identified and are intact.CT head:The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized portions of the paranasal sinuses demonstrate mild mucosal thickening. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. There are scleral calcifications present adjacent to the insertion sites of the right ciliary body most likely representing scleral plaque. Incidental note is made of hyperostosis frontalis interna. | 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 the internal epicondyle is likely a small fracture fragment off of the medial aspect of the distal humerus metaphysis.Corticated fragments at the medial aspect of the joint likely represent the external epicondyle.Soft tissue swelling. A joint effusion cannot be evaluated due to lack of a true lateral image. | 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 upper right breast. Scattered benign calcifications are present. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 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.