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Generate impression based on findings. | Male 32 years old Reason: hx of necrotizing pancreatitis c/b infected pseudocyst s/p AXIOS stent and double pigtail stent placement. Please eval pseudocyst. Last imaging 12/15 History: abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Gallbladder wall is diffusely thickened and me... | Interval resolution of the fluid collections in the pelvis and in the lesser sac. Small amount of ascites and fat stranding around the pancreas persists.Significant wall thickening of the gallbladder consistent with severe acute cholecystitis. Dr. Siddiqui was notified and acknowledged about the above findings at the t... |
Generate impression based on findings. | 60 year-old female with injury to the left index finger, pain near the tip. There is a comminuted fracture of the tuft of the distal second phalanx, with mild radial and dorsal deviation of the fracture fragment. There is associated diffuse soft tissue swelling. | Comminuted fracture of the tuft of the left second distal phalanx with associated diffuse soft tissue swelling. |
Generate impression based on findings. | Male; 53 years old. Reason: staging CT: chest, abdomen, pelvis History: na CHEST: LUNGS AND PLEURA: Scattered pulmonary micronodules. No suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Normal heart size. No pericardial effusion. No visible coro... | 1. Wall thickening of the rectum compatible with patient's known rectal cancer.2. Nonspecific pelvic sidewall lymph nodes; metastatic disease cannot be excluded. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with 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 arch... | 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 treated with 4 cycles of chemotherapy. The left supraclavicular region subcutaneous fat stranding and skin thickening has essentially resolved. There is no evidence of mass lesions in the neck or significant cervical lymphadenopathy. The thyroid and major salivary glands are unremarkable. The m... | 1. The left supraclavicular region subcutaneous fat stranding and skin thickening has essentially resolved. 2. T4 vertebral body metastasis without definite associated significant spinal canal stenosis. However, a thoracic spine MRI may be useful for further evaluation, of clinically warranted. |
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 heterogeneously dense, which may obscure small masses. No suspicious masses, microcalcifications or areas of architectural distortio... | 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. | Male 73 years old; Reason: kidney stone History: stone ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: 1.1 cm cystic lesion in the periphery of the right lobe of the liver is of fluid attenuation, but is too small to accurate characterize and may represent a small cyst or hemangioma. Cholelit... | No obstructing nephroureterolithiasis. 8mm nonobstructing stone in the left kidney as described above. Fat stranding surrounding the left collecting system and stent - superimposed ureteritis not excluded. This can be correlated with lab values. |
Generate impression based on findings. | 29 years old female with metastatic colon cancer, status post hepatic resection. Evaluate for PET activity in the liver and the portion of the body. RADIOPHARMACEUTICAL: 12.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 86 mg/dL. Today's CT portion grossly demonstrates post surgical changes in the abdomen... | 1.Multiple hepatic numerous hepatic metastases with increased metabolic activity2.Metastatic hypermetabolic retroperitoneal lymph nodes. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in a daughter diagnosed at the age of 45. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. Scattered benign calcifications are... | 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. | 72-year-old female with pain and swelling, concern for inflammatory/erosive disease. There is chondrocalcinosis of the triangular fibrocartilage and the hyaline cartilage in the wrist, suggestive of calcium pyrophosphate deposition disease. There are no acute fractures, malalignment, significant erosions or inflammatio... | No acute abnormality or significant erosive/inflammatory arthritis. There is evidence of calcium pyrophosphate deposition disease in the wrist. |
Generate impression based on findings. | 51-year-old female with a history of right lumpectomy 2002 for IDC and DCIS. Patient received radiation, chemotherapy, and tamoxifen. Also with history of left benign biopsy 2009/2010 for PASH. History of breast cancer diagnosed in mother at age of 70. Three standard views of both breasts were performed digitally and r... | Stable posttherapy changes bilaterally. 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 Mamm... |
Generate impression based on findings. | 72-year-old female with pain and swelling, concern for inflammatory/erosive disease. Mild hallux valgus deformity. Mild osteoarthritic changes and degenerative cysts of the first metatarsal head. No significant bony erosions are present. No evidence of fracture or malalignment. | No acute abnormality. Mild hallux valgus deformity and mild osteoarthritic changes of the first metatarsal head. No significant erosive or inflammatory arthritis is identified. |
Generate impression based on findings. | 72-year-old female with pain and swelling, concern for inflammatory/erosive disease. There is positive ulnar variance and sclerosis of the medial aspect of the lunate, consistent with ulnar abutment syndrome.There is chondrocalcinosis of the triangular fibrocartilage and the hyaline cartilage in the wrist, suggestive o... | 1. Positive ulnar variance and associated sclerosis of the lunate is consistent with ulnar abutment syndrome. 2. Multifocal chondrocalcinosis in the wrist is suggestive of calcium pyrophosphate deposition disease. 3. There is no significant erosive/inflammatory arthritis. |
Generate impression based on findings. | 87 year-old female for evaluation of renal, adrenal, omental, and pulmonary masses CHEST:LUNGS AND PLEURA: Multiple scattered nonspecific micronodules are again noted (series 6, image 51). No new suspicious nodules. Right middle lobe atelectasis is again noted with air bronchograms. Unchanged sharply defined nodules in... | 1.Stable pulmonary nodules not significantly changed since the prior exam.2.Right liver lobe lesion is unchanged. No new liver lesions. 3.Interval increase in size of splenic lesion.4.No significant interval change in left kidney lesion.5.Osseous abnormalities described above without significant interval change.6.Multi... |
Generate impression based on findings. | Bad breath and sinusitis. There are bilateral maxillary sinus fluid levels. There is a punctate right anterior ethmoid sinus osteoma. The other paranasal sinuses are clear. There are opacities in the bilateral middle meati. The nasal septum is deviated slightly to the left. There is slight deformity of the right fronta... | 1. Bilateral maxillary sinus fluid levels suggest acute sinusitis in the appropriate clinical setting.2. Nonspecific opacities in the bilateral middle meati may represent a nasal polyp or mucus secretions, for example.3. Slight deformity of the right frontal process of the maxilla may be due to a prior fracture. |
Generate impression based on findings. | Reason: has had 2 episodes of fecal incontinence History: see abouve Cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. No fractures are identified in the cervical spine. No significant stenosis from extension to flexion.At C2-3 there is no significant compromise to the spinal... | 1.There is severe spinal stenosis present at L3-4 which appears to increase from flexion to more extended position associated with marked bilateral facet hypertrophy and a diffuse disk bulge.2.There is a moderate to severely there spinal stenosis at L4-5 associated with mild subluxation.3.There is bilateral encroachmen... |
Generate impression based on findings. | There is a left frontoparietal hyperdense mass with associated adjacent parenchymal edematous hypodensity which involves gray matter and underlying white matter, with mild regional mass effect. There is no midline shift and basilar cisterns remain patent.Elsewhere there are hypodense foci within the white matter and l... | 1.Left frontoparietal hematoma with adjacent edema. The differential diagnosis would include hemorrhagic transformation of stroke, hypertensive hemorrhage, hemorrhage from occult vascular malformation, or hemorrhagic metastasis.2.Small vessel ischemic disease of indeterminate ages.3.Results were discussed with Dr. Howe... |
Generate impression based on findings. | 2 days old, Female, Reason: placement of ETT History: hypoxiaVIEW: Chest AP (one view) 3/9/15 Endotracheal tube tip is approximately 1 cm above the level of the carina. UVC at the level of the diaphragm, unchanged. UAC tip at the level of T8, unchanged. NG tube in unchanged position.Unchanged near complete opacificatio... | Persistent near complete atelectasis of the left lung and right upper lobe, not significantly changed. |
Generate impression based on findings. | Reason: History of metastatic breast cancer on treatment. Evaluate for response and extent of disease. History: History of metastatic breast cancer on treatment. Evaluate for response and extent of disease. CHEST:LUNGS AND PLEURA: Increased pulmonary metastases, again most evident in the superior left upper lobe (image... | Extensive increase in pulmonary disease with multiple new sites. Significant decrease in left breast disease. Other findings grossly stable. |
Generate impression based on findings. | Reason: monitor sarcoidosis History: sarcoid history LUNGS AND PLEURA: Scattered benign appearing pulmonary micronodules, several calcified.No evidence of pulmonary sarcoidosis, or other significant pulmonary abnormality. MEDIASTINUM AND HILA: Symmetric hilar and mediastinal lymphadenopathy is unchanged, consistent wit... | 1. New ascites, possibly the result of heart failure.2. Stable mediastinal and hilar lymphadenopathy consistent with sarcoidosis, without lung parenchymal involvement. |
Generate impression based on findings. | The frontal sinus and frontoethmoidal recesses are clear. The anterior ethmoid air cells are clear. The maxillary sinuses are clear. The ostiomeatal units are clear. There is scattered opacification of the posterior ethmoid air cells. The sphenoid sinus and bilateral sphenoethmoidal recesses are clear. There is minima... | Scattered nonspecific opacification of the posterior ethmoid air cells.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 48 year-old female with left groin pain, which radiates to the knee, for more than one week. Moderate bilateral osteoarthritis of the hip joints, including asymmetric joint space narrowing, subchondral sclerosis, subchondral cyst formation, as well as osteophytosis. There is no acute abnormality or malalignment. | No evidence of fracture, malalignment, or lytic lesion as clinically queried. Moderate osteoarthritic disease of the hip joints. |
Generate impression based on findings. | Tremors. Evaluate for DBS placement. Limited examination for pre-operative planning demonstrates bilateral transfrontal brain electrode lead placement with tips near the level of the subthalamic nuclei. There is no evidence of intracranial hemorrhage. There is no midline shift or herniation. The ventricles and basal ci... | Limited CT examination for pre-operative planning with bilateral deep brain electrodes in position. |
Generate impression based on findings. | Female 71 years old Reason: hypercalcemia and elevated parathyroid. There is physiologic distribution of the radiopharmaceutical. No abnormal focus of activity consistent with an enlarged parathyroid gland is seen. The right thyroid lobe appears to measure 4.3 cm and the left lobe 3.4 cm in length. | No scintigraphic evidence for parathyroid adenoma. |
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 almost entirely fatty. Benign calcifications are present. No suspicious masses, microcalcifications or areas of architectural distor... | 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. | Pain Four views of the right knee reveal no acute fracture or malalignment. The joint spaces are preserved.Four views of the left knee reveal no acute fracture or malalignment. There is mild joint space narrowing of the medial compartment with weight-bearing. | Mild osteoarthritis of the left knee. |
Generate impression based on findings. | Basketball player with no definite injury. Knee pain. Tenderness along patellar ligament and inferior patella. Pain with extension. Possible anterior drawer sign.EXAMINATION: Right knee AP/lateral/oblique (3 views) 03/09/15 A joint effusion is present. An indentation is noted in the articular surface of the lateral fem... | Joint effusion and lateral condylar notch sinus just anterior cruciate ligament injury. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left breast benign biopsy in 1998. 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. Linear scar marker overlies the left bre... | 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; 56 years old. Reason: Hx of FCL History: Compare to previous CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Mediastinal lymphadenopathy has mildly decreased. Index right paratracheal lymph node measures 1.6 x 1.1 cm, previously 1.8 x 1.3 cm (series 5/31).CHEST WALL: No significan... | Decreased mediastinal and retroperitoneal lymphadenopathy. Grossly stable mesenteric lymphadenopathy. No new sites of disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Three standard digital views of both breasts with tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Multiple skin markers overlie either breast.No suspicious masses,... | 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 re... |
Generate impression based on findings. | Intraoperative film. Single AP film of the pelvis demonstrates a right total hip arthroplasty device being constructed in the operating room. The acetabular component is complete while the femoral component is still in progress. There is a soft tissue defect about the right hip. | Intraoperative construction of a right total hip arthroplasty device. |
Generate impression based on findings. | Reason: evaluate ILD History: cough soboe fibrosis LUNGS AND PLEURA: Nonspecific peripheral predominant bilateral reticulonodular interstitial abnormality. No significant airtrapping on expiratory phase imaging. No significant honeycombing and only very mild equivocal bronchiectasis in scattered areas. Scattered puncta... | Nonspecific peripheral predominant bilateral reticulonodular interstitial abnormality. No significant honeycombing and only very mild equivocal bronchiectasis in scattered areas. The findings nonspecific. The imaging findings could be seen in NSIP or chronic hypersensitivity pneumonitis. They are not typical of UIP. |
Generate impression based on findings. | Pain. Evaluate left hand. Three views of the left hand reveal no acute fracture or malalignment. There is slight negative ulnar variance. | No specific findings to account for the patient's pain. |
Generate impression based on findings. | 35-year-old female with history of right medial breast pain for 4 months. 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. No dominant mass, suspicious microcalcifications or areas of architectur... | No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually starting age 40. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: T - Take Appropriate Action - No Let... |
Generate impression based on findings. | Pain. Question of arthritis. Three views of the right knee reveal mild osteophyte formation and joint space narrowing of the lateral tibiofemoral compartment. No acute fracture or malalignment is evident. Single AP radiograph of the included left knee is grossly unremarkable. | Mild osteoarthritis of the right knee, predominantly of the lateral tibiofemoral compartment. |
Generate impression based on findings. | Female 67 years old Reason: Evaluate for parathyroid for adenoma vs hyperplasia History: hypercalcemia Posterior inferior to and abutting the right thyroid lobe there is focal increased radiotracer uptake measuring approximately 1.4 x 1.1 cm which persists on delayed images, consistent with parathyroid adenoma.The righ... | Findings compatible with right parathyroid adenoma. |
Generate impression based on findings. | 85-year-old male with ILD seen chest radiograph LUNGS AND PLEURA: Biapical scarring. Patchy multifocal severe linear interstitial disease with traction bronchiectasis and honeycombing, worst in the apices. No pleural effusions. Mild mosaic pattern on expiratory sequence suggestive of mild air trapping. Severe left uppe... | Pulmonary fibrosis with severe traction bronchiectasis and honeycombing. The distribution is not typical of UIP/IPF though this is still a consideration, as is asbestosis, given the evidence of asbestos related pleural disease. Chronic hypersensitivity pneumonitis is an alternative consideration. |
Generate impression based on findings. | Knee pain. Four views of the right knee reveal no acute fracture or dislocation. There is narrowing of the lateral tibiofemoral compartment with standing. There is mild osteophyte formation at the lateral tibiofemoral and patellofemoral compartments.Three views of the left knee reveal lateral tibiofemoral compartment j... | Moderate osteoarthritis of the bilateral knees. |
Generate impression based on findings. | 14-year-old female with migraines and right temporal arachnoid cyst, evaluate for change in size Redemonstrated is an extra-axial mass in the anteromedial right middle cranial fossa which is CSF intensity on all sequences without restricted diffusion, consistent with an arachnoid cyst. There has been no interval change... | Stable right temporal arachnoid cyst. Otherwise unremarkable brain MRI. |
Generate impression based on findings. | 20 year-old female status post fall two days ago, presenting with pain, swelling, and decreased range of motion at the first digit, as well as second and third metatarsals. No acute fracture or malalignment. The soft tissues are unremarkable. | No acute fracture or malalignment. |
Generate impression based on findings. | Right shoulder pain, right upper extremity weakness. Three views of the right shoulder reveal no acute fracture or malalignment. | No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Reason: PER JUDY FISCHER AT THE DOCTOR'S OFFICE - CT MUST BE SEPARATE FROM OTHER REQUESTED CT SCANS/metastatic breast cancer History: assess response to 4 cycles of chemotherapy for metastatic breast cancer LUNGS AND PLEURA: Post-XRT changes in left upper lobe. Minimal scarring or atelectasis at the lung bases. Scatter... | Interval decrease in left supraclavicular lymph node. Stable thoracic spinal metastases. |
Generate impression based on findings. | Female; 65 years old. Reason: 65 y/o F with SLL with diffuse lymphadenopathy, please assess for progression. History: none CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Left supraclavicular lymphadenopathy is stable. Reference lymph node measures 1.8 x 1.5 cm, unchanged (series 3/5).Pre... | Slightly decreased prevascular and retrocrural lymphadenopathy, but lymphadenopathy elsewhere in the chest, abdomen, and pelvis is grossly stable. No new sites of disease. |
Generate impression based on findings. | Reason: Horner's syndrome History: anisocoria LUNGS AND PLEURA: Azygos pseudo-lobe, normal variant, otherwise unremarkable. MEDIASTINUM AND HILA: Residual thymic tissue normal for age, otherwise unremarkable mediastinum.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absence of enteric contrast material lim... | No significant abnormality. Specifically, no evidence of an apical lung lesion. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts (12 images) were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. 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 re... |
Generate impression based on findings. | 43-year-old male with cough, evaluate interstitial lung disease LUNGS AND PLEURA: Bilateral patchy basilar predominant ground glass and airspace opacities with moderate traction bronchiectasis. No honeycombing is evident. No pleural effusion or pneumothorax. No evidence of airtrapping on expiratory sequence. Some of su... | Interstitial disease/fibrosis with ground glass opacity and traction bronchiectasis, consider NSIP. |
Generate impression based on findings. | Tachypnea and VSD. History of diaphragmatic hernia repair. Is there pulmonary edema?VIEW: Chest AP (one view) 03/09/15, 1401 Feeding tube tip is distal to GE junction and not included on image. Right upper extremity PICC is no longer seen. Opacity in right chest, extending to the level of right bronchus, persists. A bo... | Continued opacity in the right chest with bowel loop now in right chest. Recurrent hernia cannot be excluded. |
Generate impression based on findings. | 49-year-old female with history of fractures in the middle phalanx of the third and fourth digits, 6 months ago. Three views of the left third digit demonstrate near-indistinct obliquely oriented fracture of the head and neck of the middle phalanx, consistent with interval healing; alignment is near-anatomic.Three view... | Continued interval healing of third and fourth middle phalanx fractures. |
Generate impression based on findings. | Reason: metastatic breast CA to lung, mediastinum, liver. On chemo. Followup; History: cough, shortness of breath on exertion CHEST:LUNGS AND PLEURA: Stable mild reticulonodular opacities at the right apex.Moderate right pleural effusion, stable.Atelectasis and scarring in the left lower lobe, unchanged.MEDIASTINUM AND... | Increase in hepatic disease though thoracic reference measurements are stable. |
Generate impression based on findings. | Redemonstrated is compression deformity of the L2 vertebral body, as demonstrated on 2014 lumbar spine x-ray, with mild residual edematous signal. There are no other compression fractures.There appears to be nerve root ectasia throughout the thoracolumbar spine without associated conus signal abnormality.There is hete... | 1.Redemonstrated is compression deformity of the L2 vertebral body, as demonstrated on 2014 lumbar spine x-ray, with mild residual edematous signal. There are no other compression fractures.2.There appears to be nerve root ectasia throughout the thoracolumbar spine without associated conus signal abnormality. This appe... |
Generate impression based on findings. | New right sided painless neck mass with long smoking history and no recent infections. There is extensive right cervical lymphadenopathy. For example, a right level 2 lymph node measures 30 x 40 mm. There is mild diffuse enlargement of the palatine tonsils bilaterally. The thyroid and major salivary glands are unremark... | 1. Extensive right cervical lymphadenopathy may represent a neoplastic process, such as lymphoma or metastatic disease, versus perhaps less likely an inflammatory or infectious process.2. Nonspecific prominence of the bilateral palatine tonsils. Endoscopy may be useful for further evaluation.3. Extensive dental disease... |
Generate impression based on findings. | 47-year-old male with acute left knee pain. A joint effusion is present. There is evidence of previous ACL reconstruction, with interference screws in the lateral distal femur and the medial proximal tibia. There is mild osteoarthritic disease in the left knee including subchondral sclerosis and osteophyte formation. T... | Evidence of previous ACL reconstruction, without acute fracture or malalignment. A joint effusion is present. |
Generate impression based on findings. | 39 year old female who has a complaint of bilateral breast pain, greatest on the left. Family history of breast carcinoma in her sister at age 38. MAMMOGRAM: Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may o... | Dense parenchymal tissue in both upper outer quadrants, at the patient's stated areas of pain, without discrete abnormality. Right simple breast cyst.No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually... |
Generate impression based on findings. | 66 year old female with thyroid cancer, s/p remote partial thyroidectomy, left supraclavicular fossa nodes on previous US. Evaluate for abnormal nodes, masses RIGHT LOBE MEASUREMENTS: Status post right thyroidectomy with small amount of residual thyroid tissue measuring 0.3 cm x 0.5 cm x 0.8 cm with no internal vascula... | 1. Likely asymmetric swelling of the left neck supraclavicular musculature with no definite masses identified. This can be further characterized on MRI if clinically warranted. 2. Multiple lymph nodes in the neck, however a nodule at level 4 in the left neck does not contain a fatty hilum and may represent an additiona... |
Generate impression based on findings. | Female 51 years old Reason: Evaluate the location of the 10-11 enterocutaneous fistulae to the small bowel There is an extensive network of interconnected subcutaneous sinus tracts. At least 3 of the sinus tracts, which originate in the midline, are connected to an amorphous collection, which measures up to 15 cm in cr... | Extensive interconnected network of subcutaneous sinus tracts, at least three of which connect to a large amorphous collection as detailed above. This examination probably underestimates the extent of disease. The enterocutaneous fistula formation confirmed on the prior small bowel study was not able to be reproduced w... |
Generate impression based on findings. | 30 year-old female with family history of breast cancer diagnosed in sister at age of 27. Negative genetic testing. No current breast complaints. Three standard views of both breasts and additional CC and ML spot magnification views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The b... | Indeterminate loosely clustered calcifications in the right 3 o'clock position for which stereotactic guided biopsy is recommended. Results and recommendations were discussed with the patient. Given her strong family history in a sister at 27, annual screening MRI should also be strongly considered. The patient is also... |
Generate impression based on findings. | Female, 53 years old, chronic nasal congestion and sinus pressure and pain, not improved with medical management. The frontal sinuses and frontoethmoidal recesses are clear. The ethmoid air cells are clear. The sphenoid sinuses are clear though the sphenoethmoidal recesses are not well seen.The maxillary sinuses are cl... | No evidence of significant active sinus inflammatory disease. |
Generate impression based on findings. | Female 49 years old Reason: evaluate for obstruction History: dilated bowel on CXR, fever Air containing loops of small bowel are dilated up to 5 cm, new from the prior exam, with relative paucity of gas in the colon; these findings are suggestive of small bowel obstruction. There is no intramural or subdiaphragmatic a... | Small bowel obstruction with air containing loops of small bowel dilated to 5 cm. |
Generate impression based on findings. | Female 53 years old, evaluate for RFO following removal of RFO. Bibasilar airspace opacities likely reflect atelectasis. Previously seen retained hemostat is not identified on this exam. No retained radiopaque foreign object is identified. Prominent small and large bowel loops are nonspecific, and may reflect ileus; po... | No retained radiopaque foreign object. These findings were discussed by telephone with Dr. Alverdy the attending surgeon on 3/09/2015 at 1523. |
Generate impression based on findings. | Pain. Evaluate for fracture. Three views of the left ankle reveal a non-displaced spiral fracture of the distal fibula. The fracture line appears indistinct. There is minimal periosteal reaction suggesting healing, unchanged. There are extensive vascular calcifications. | Redemonstration of a nondisplaced distal fibular fracture without significant interval change. |
Generate impression based on findings. | Spitting blood after forceful talking: evaluate sinuses for an abnormality. There is a right maxillary sinus retention cyst that measures up to 30 mm. The paranasal sinuses are otherwise clear. The nasal cavity is also clear. The nasal septum is deviated slightly towards the left. The lamina papyracea and ethmoid roofs... | Right maxillary sinus retention cyst. The paranasal sinuses are otherwise clear |
Generate impression based on findings. | 40 year-old female with history of benign lymph node in the right axilla. Family history of breast cancer diagnosed in mother age 65. No current breast complaints. 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 fibrog... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 46 your old female with recent fall and ankle fracture, status post reduction in emergency department. Overlying cast material limits fine bone detail. A trimalleolar fracture is present, with a spiral fracture of the distal fibula, posterior malleolus fracture, and a nondisplaced comminuted fracture of the medial mall... | Status post reduction and casting of trimalleolar fracture in near anatomic alignment. |
Generate impression based on findings. | Female 86 years old Reason: chronic constipation abdominal pain, evaluate for stool burden and gas pattern History: abdominal bloating. Severe degenerative arthritic changes affect the lower lumbar spine and hips. There is a nonobstructive bowel gas pattern. There is a moderate stool burden. Radiodense material along t... | Nonobstructive bowel gas pattern with moderate stool burden. |
Generate impression based on findings. | Female 61 years old Reason: metastatic breast cancer History: evaluate bone metastasis. Pt has completed 2 months of chemotherapy Multiple foci of increased radiotracer uptake in lower lumbar spine consistent with osseous metastatic disease. Foci of increased radiotracer in the left proximal humerus, and left distal hu... | Findings consistent with osseous metastatic disease in the lumbar spine and left humerus. |
Generate impression based on findings. | 65 year old male with HCV with elevated liver enzymes. LIVER: The liver is enlarged measuring 16.1 cm in length with slightly increased echogenicity. Portal vein is patient with appropriate flow and waveform. GALLBLADDER, BILIARY TRACT: The gallbladder is normal in echogenicity with no pericholecystic fluid. Gallbladde... | 1. Hepatic steatosis. 2. Left sided nephrolithiasis with no evidence of hydronephrosis. |
Generate impression based on findings. | 33-year-old female with history of breast cancer for follow-up of CT scan 1/12/15 CHEST:LUNGS AND PLEURA: Scattered small opacities in the right lobe are again noted, not significantly changed since the prior exam. There is an 8-mm pulmonary nodule (series 5, image 54) in the right upper lobe that may be post infectiou... | Unchanged scattered pulmonary opacities are nonspecific and may be postinfectious or inflammatory in etiology. Follow-up in 6 to 12 months is recommended to ensure stability. |
Generate impression based on findings. | Male, 59 years old, with altered mental status and possible left arm weakness. A small region of hypoattenuation along the posterior limb of the right internal capsule appears to be more prominent than on the prior examination.Elsewhere in the brain, nonspecific periventricular hypoattenuation is again seen, along with... | 1. A developing region of hypoattenuation within the posterior limb of right internal capsule could represent evolving acute or subacute ischemia. Correlation with MRI, if possible, should be considered.2. Redemonstration of nonspecific white matter hypoattenuation which may reflect age indeterminate microvascular isch... |
Generate impression based on findings. | 57-year-old female with altered mental status There is no acute intracranial hemorrhage. Redemonstrated is encephalomalacia within the right posterior temporal-occcipital lobe and right basal ganglia. Chronic small lacunar infarct in the left frontal periventricular white matter is also unchanged. Mild periventricular ... | 1. No evidence of acute intracranial hemorrhage or mass effect. 2. Multiple bilateral chronic infarcts as detailed above. No CT evidence of acute territorial, cortical infarct. |
Generate impression based on findings. | Pain after fall. Four views of the left knee reveal severe tricompartmental osteophyte formation. There is severe medial tibiofemoral and patellofemoral joint space narrowing. There are several well corticated ossific densities within the lateral, medial, and suprapatellar joint spaces which may represent loose bodies.... | 1. Severe osteoarthritis without acute fracture evident.2. Large joint effusion. |
Generate impression based on findings. | Left wrist pain. Assess for SLAC wrist. Four views of the left wrist reveal an intrascaphoid headless compression screw without evidence of hardware complication. No acute fracture is evident. There is relative sparring of the radiolunate joint. However, there is selective narrowing of the radioscaphoid articulation. | Selective narrowing of the radioscaphoid articulation which is suggestive of early scaphoid lunate advanced collapse. |
Generate impression based on findings. | Male; 81 years old. Reason: r/o SBO, eval cause of ongoing ileus, constipation History: Ab distention, nausea Limited evaluation of the solid organs without intravenous contrast.ABDOMEN:LUNG BASES: Scattered pulmonary micronodules, some of which are calcified. Mild bibasilar subsegmental atelectasis and/or scarring. Tr... | Findings suggestive of passive congestion. Large amount of abdominopelvic ascites. No bowel obstruction or evidence of ileus. |
Generate impression based on findings. | 18 years old, Female, Reason: Evaluate for fracture or other abnormality History: pain and swelling from injuryVIEWS: Right wrist PA, oblique, lateral (3 views) 3/9/15 No fracture or malalignment. No significant soft tissue swelling. | No fracture or malalignment. |
Generate impression based on findings. | 29-year-old female with right knee pain. There is no joint effusion, acute fracture, or malalignment. The soft tissues are unremarkable. | No evidence of acute fracture or malalignment. |
Generate impression based on findings. | 45 years, Female. Reason: Pancreatic pseudocysts on NJT feedings with persistent LLQ pain, please evaluate. There is a nasojejunal tube with its tip projecting past ligament of Treitz in the proximal jejunum. There is a nonobstructive bowel gas pattern. There is a generalized paucity bowel gas. Left upper quadrant cyst... | Nonobstructive bowel gas pattern. Nasojejunal tube with its tip projecting over the proximal jejunum. |
Generate impression based on findings. | Reason: 06/14 follow up patchy infiltrate LUL, significant amount of consolidation and atelectasis LLL. History: follow up LUNGS AND PLEURA: Significant interval decrease, but not complete resolution of left upper lobe opacity with minimal residual interstitial thickening and nodularity. Left lower lobe consolidation h... | Significant interval decrease, but not complete resolution of left upper lobe opacity with minimal residual interstitial thickening and nodularity. Left lower lobe consolidation and pleural effusion has resolved. Continued follow-up is recommended. |
Generate impression based on findings. | 20 year-old female with history of right shoulder pain and bilateral knee pain. Two views of the right shoulder fail to demonstrate acute fracture or malalignment. The joint space appears preserved. The soft tissues are unremarkable.Four views of the right knee reveal no acute abnormality. There is no evidence of fract... | No acute abnormality of the bilateral knees or right shoulder. No fracture or malalignment is identified. The soft tissues appear unremarkable. |
Generate impression based on findings. | Male 16 years old Reason: Evaluate intracardiac mass seen on TTE History: 16 y/o M recently diagnosed with spinal mass, multiple DVTs in LUE now with mass seen on TTE. There is an hypodense, nonenhancing occupying mass in the left axillary vein, left internal jugular and left innominate vein as well IVC and azygos vein... | 1.Likely massive thrombus of the left axillary, subclavian, IJ and innominate vein, as well azygos and IVC, which is and a the date 990,000 9099 thrombus getting into the right atrium and ventricle. The very unlikely possibility of intramural mass due to invasion or metastases may be contemplated.2.Pericardial effusion... |
Generate impression based on findings. | 49 year old female status post right lumpectomy in 2011 for IDC with DCIS, presents today for routine follow up. She received radiation and chemotherapy. History of additional benign right breast biopsy. No current breast complaints. No family history of breast cancer. Three standard views of both breasts, and 2 spot c... | 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. | 44-year-old male with multiple myeloma on clinical ductile, evaluate myelomatous lesions and soft tissue structures anterior aspect of the distal esophagus. LUNGS AND PLEURA: Bibasilar atelectasis and/or scarring. No pleural effusion or pneumothorax. Nonspecific bilateral scattered micronodules measuring up to 3 mm.MED... | Possible decrease in size of soft tissue density mass anterior to and possibly arising from the esophagus. This likely represents a remnant of the resected lesion. A duplicated esophageal cyst may be considered. Outside hospital images may be submitted for proper consideration if clinically warranted. |
Generate impression based on findings. | Abdominal pain. Evaluate for intestinal obstruction. VIEWS: Abdomen name of views (two views) 3/9/2015 at 1538 hrs Interval placement of enteric tube, with proximal sideport above the level of the GE junction.Peritoneal dialysis catheter tip in upper mid pelvis. Surgical sutures in the right lower quadrant.Moderately d... | Enteric tube with proximal sideport above the level of the GE junction. Bowel obstruction. |
Generate impression based on findings. | Reason: spitting blood after forceful speaking History: as above LUNGS AND PLEURA: No evidence of significant hemorrhage or other cardiopulmonary abnormality. The central airways are normal.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absence of ente... | No evidence of significant hemorrhage or other cardiopulmonary abnormality. The central airways are normal. |
Generate impression based on findings. | Right foot ulcer. Evaluation for osteomyelitis, non-healing foot ulcer. Three views of the right foot reveal mild joint space narrowing and osteophyte formation at the first metatarsophalangeal joint. There is a soft tissue irregularity along the medial first digit. There is no evidence of underlying cortical destructi... | Soft tissue irregularity along the medial great toe without evidence of osteomyelitis. |
Generate impression based on findings. | Male 34 years old Reason: H/o HL s/p 4 cycles of chemo; please restage History: masses CHEST:LUNGS AND PLEURA: Scattered micronodules are unchanged.MEDIASTINUM AND HILA: Small/borderline enlarged mediastinal lymph nodes are unchanged.CHEST WALL: Index left axillary lymph node measures 1.3 by 1.1-cm image number 27, ser... | Slight interval decrease in the size of the index lesions and lymph nodes. Sclerotic bone lesions and right ischial expansile lesion are unchanged. There etiology is unknown but may present lymphoma involvement of the bone. |
Generate impression based on findings. | 65 year old male with new onset anuria. History of kidney transplant in 2005. Evaluate for hydronephrosis. RENAL TRANSPLANT: Right iliac fossa. LOCATION: Right iliac fossaPERITRANSPLANT TISSUES: No significant abnormality notedKIDNEY: No significant abnormality notedCOLLECTING SYSTEM/URETER: No significant abnormality ... | Findings are suspicious for significant renal artery stenosis involving the anastomosis and extending just proximal to that. Findings were discussed by interventional radiology attending Dr. Rakesh Navuluri with the transplant team, who are aware of the findings. |
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 almost entirely fatty. Asymmetry in the far posterior depth of the medial breast on the CC view is indeterminate, but could represen... | Asymmetry in the medial breast, posterior depth, for which comparison with priors is recommended. If this finding cannot be proven stable, further evaluation with spot compression and possible ultrasound will be needed. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OA - OLD FILM FOR COMPARIS... |
Generate impression based on findings. | Female; 61 years old. Reason: metastatic breast cancer/liver and bone metastates History: assess response to 4 cycles of chemotherapy for metastatic Breast CA ABDOMEN:LIVER, BILIARY TRACT: Multiple hepatic metastases are unchanged. Reference right lobe lesion measures 2.3 x 2 cm, unchanged (series 3/96). No new liver l... | 1. Stable hepatic and lumbar spine metastases.2. increased sclerosis of the left ischium metastasis since 10/17/13, likely due to treatment change.3. No new sites of disease in the abdomen and pelvis.4. See separate report from CT chest performed concomitantly. |
Generate impression based on findings. | 86-year-old female for follow-up of nodule noted on CT scan 4/9/2014 LUNGS AND PLEURA: Again noted is a smoothly marginated 9-mm nodule in the lingula not significantly changed since the prior exam. Numerous upper lobe ground glass lobular and peribronchial nodules. Reference measurements as follows:Right apical nodule... | 1.Unchanged left upper lobe groundglass nodule suspicious for adenocarcinoma in situ/MIA.2.Unchanged ground glass nodules likely representing atypical adenomatous hyperplasia as described above.3.Unchanged 9-mm nodule in the lingula.4.New left lower lobe opacity may reflect aspiration.5.Follow-up of these lesions are r... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Known history of bilateral cysts. 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 composed of scattered fibroglandular density, unchanged in pattern and distribut... | Bilateral circumscribed masses compatible with history of known cysts. 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. | Retropharyngeal abscess, tonsillar abscess: focal left side neck pain. There is swelling of the left palatine tonsil with diffuse surrounding fat stranding and mild oropharyngeal airway narrowing. There is also a hypoattenuating area that measures up to 10 mm in the lateral left tonsillar fossa. There is mild right ton... | Left palatine tonsillitis with evidence of a developing peritonsillar abscess that measures up to 10 mm and associated reactive left cervical lymphadenopathy and mild oropharyngeal airway narrowing. |
Generate impression based on findings. | 34 years old Male. Reason: evaluate for response. History of Hodgkin Lymphoma s/p 4 cycles of chemotherapy. For re-staging. RADIOPHARMACEUTICAL: 12 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 113 mg/dL. Today's CT portion of the neck demonstrates multiple small lymph nodes in the neck and a mucosal thick... | 1.No evidence of FDG avid tumor on the current study.2.Interval complete resolution of FDG avid tumor seen on prior study.Diagnostic CTs of the chest, abdomen, and pelvis also performed at today's visit will be reported separately. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of bilateral breast reductions in 1991. Family history of breast cancer diagnosed in two sisters. 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 composed... | 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. 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 suspicious masses, microcalcificati... | 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. | 15 months old male, history of tracheostomy, concern for infection.VIEW: Chest AP (one view) 3/9/15 Tracheostomy and gastrostomy tube unchanged. The cardiothymic silhouette is normal. Large lung volumes are present. Pulmonary vascularity is abnormal secondary to chronic lung disease. Hazy opacity within the right lower... | Hazy opacity in the right and left lower lobes may represent infection and atelectasis. |
Generate impression based on findings. | 53 years old male presents with right hilar mass c/w primary lung cancer and cough. RADIOPHARMACEUTICAL: 10.6 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 96 mg/dL. Today's CT portion grossly demonstrates confluent right hilar tumor and mediastinal lymphadenopathy with epicenter in the paramediastinal rig... | 1.Hypermetabolic tumor in the right lung hilum with extensive metastatic lymphadenopathy in the right hilum and mediastinum.2.Extensive osseous metastasis in the skeleton. |
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. Bilateral asymmetries are unchanged. No suspici... | 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. | Female; 57 years old. Reason: metastatic breast cancer History: abdominal pain- metastatic breast cancer CHEST:LUNGS AND PLEURA: Moderate predominantly upper lobe centrilobular emphysema. Minimal bibasilar subsegmental atelectasis. Scattered pulmonary micronodules are stable. No new suspicious pulmonary nodules or mass... | 1. Right breast cancer, better depicted on recent MRI of the breast.2. Stable mildly enlarged right axillary and subpectoral lymph nodes.3. Increased diffuse osseous metastatic disease. |
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 composed of scattered fibroglandular density, unchanged in pattern and distribution. Scattered benign calcificatio... | 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. | 56 are old female with history of right knee pain. There is mild bilateral osteoarthritic changes including mild joint space narrowing, osteophyte formation, and sharpening of the tibial spines. No fracture or dislocation is evident. | Mild bilateral osteoarthritis. No evidence of fracture or malalignment. |
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 almost entirely fatty, unchanged in pattern and distribution. Scattered benign calcifications in both breasts are stable.No suspicio... | 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. |
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