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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. Stable circumscribed mass in the left 6 o'clock... | Stable bilateral asymmetries and masses. 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. | NM LUNG PERFUSION W VENT PARTICUL, 3/9/2015 4:31 PM The comparison chest radiograph performed on 3/7/15 demonstrates left chest wall ICD with no focal pulmonary opacities or pleural fluid. The ventilation images show a uniform distribution of activity on single-breath and wash-in images. There are small foci of Xe-133 ... | No scintigraphic findings to support pulmonary embolism. |
Generate impression based on findings. | 34 wga newborn. Respiratory distressVIEW: Chest and abdomen AP (two views) 3/9/2015 at 1645 hrs The aortic arch, cardiac apex, and stomach are left-sided.The cardiomediastinal silhouette is normal.Diffuse lung haziness may represent RDS or TTN. No pleural effusions, or pneumothorax.Disorganized bowel gas pattern is non... | Findings consistent with RDS or TTN. |
Generate impression based on findings. | Lumbar pain. Three views of the lumbar spine reveal no acute fracture. Alignment is anatomic. Vertebral body heights are maintained. There are lower lumbar facet arthritic changes. There is severe osteoarthritis of the left hip with bone on bone apposition. | 1. Lower lumber facet arthritic changes without fracture. 2. Severe osteoarthritis of the left hip. |
Generate impression based on findings. | NJ tube repositioning Preliminary imaging demonstrated kinked nasojejunal tube, nonobstructive bowel gas pattern. GI team including attending physician Dr. Semrad retracted the preexisting enteric tube over a guidewire. Tube was flushed with continued retraction with subsequent improvement in kinked appearance. GI team... | Fluroscopy provided for successful repositioning of NJ tube as described. |
Generate impression based on findings. | 60 year-old male status post fall down stairs on Saturday, left shoulder pain. Two views of the left shoulder reveal moderate to severe osteoarthritis affecting the glenohumeral joint. Alignment of the shoulder is within normal limits. The acromial clavicular joint appears intact. A partially visualized distal clavicul... | Moderate to severe posterior arthritis of the glenohumeral joint. Partially visualized distal left clavicular fracture. |
Generate impression based on findings. | 45 year old female transplant evaluation. Difficult scan due to patient's body habitus. LIVER: Measures 13.8 cm in length and is heterogenous in echotexture. The portal vein is probably visualized and appears patent. GALLBLADDER, BILIARY TRACT: Normal echogenicity. Gallbladder wall measures 3 mm in thickness. No perich... | Limited exam due to patient's body habitus however there is diffuse heterogeneous echotexture of the liver is nonspecific and maybe related to diffuse infiltrative disease or hepatic steatosis. |
Generate impression based on findings. | A 60 years old male with history of pituitary tumor resection in 2010, before that surgery a normal echocardiography and a non-ischemia Spect stress test were reported. Today the patient arrived to the emergency room due to one episode of chest pain 1 week ago and one this morning. The ECG showed no acute ischemic chan... | Diffuse, multifocal mixed plaque with the noncalcified components contributing to stenoses at proximal LAD (60%), mid LAD (80%), and LCx prox to OM1 (60-70%) and distal to OM1 (80%), RCA mild to moderate 2cm from ostium. |
Generate impression based on findings. | 73 year old female with discoloration. Evaluate right stump for hematoma Nonspecific increased echogenicity and thickening of the right lower extremity stump measuring 6.1 cm x 1.4 cm x 5.6 cm in comparison to the left. No loculated fluid collections are noted. | Findings are nonspecific but may be related to edema in the right lower extremity stump. No loculated fluid collection is identified. |
Generate impression based on findings. | 73 year old male with elevated liver enzymes. Evaluate for signs of cirrhosis. LIVER: Measures 13.2 cm in length. Coarse echotexture of the liver is noted and is nonspecific. GALLBLADDER, BILIARY TRACT: Status post cholecystectomy. Slight prominence of the common hepatic duct and common bile duct measuring up to 1.3 cm... | 1. Coarse echotexture of the liver maybe related to an infiltrative process or hepatic steatosis. 2. Mild prominence of the common bile duct likely related to cholecystectomy. 3. Two pancreatic cysts are noted in the head and body/tail which are nonspecific and can be further evaluated with MRI/MRCP if warranted. 4. Su... |
Generate impression based on findings. | 43 year old male with HBV, evaluate for HCC. LIVER: Measuring 14.0 cm with normal echotexture and no focal liver lesion is identified. The portal vein is patent with normal flow.GALLBLADDER, BILIARY TRACT: Normal echogenicity of the gallbladder. Gallbladder wall measures 2 mm in thickness with no pericholecystic fluid.... | 1. No focal hepatic lesions. 2. Stable gallbladder polyps. |
Generate impression based on findings. | 32 year old female with cirrhosis, HCV. Screen for HCC. LIVER: Cirrhotic liver morphology with no focal hepatic lesions. Portal vein is patent with appropriate direction of flow. GALLBLADDER, BILIARY TRACT: Cholelithiasis with no evidence of cholecystitis. No pericholecystic fluid. Sonographic Murphy's sign is negative... | 1. Cirrhotic liver morphology with no focal hepatic lesions. Splenomegaly. 2. Cholelithiasis with no evidence of cholecystitis. 3. Bilateral non-obstructing nephrolithiasis. |
Generate impression based on findings. | 78-year-old female status post fall with left shoulder pain and limited range of motion. Three views of the left shoulder reveal diffuse demineralization of the visualized osseous structures. Osteophytes are present at the left acromioclavicular joint. There is no fracture or malalignment. | No acute fracture or malalignment. |
Generate impression based on findings. | 54 year old female with cirrhosis. HCC screening. Limited exam to patient body habitusLIVER: Diffuse increased echogenicity of the liver which limits sensitivity and evaluation for focal hepatic lesions. Liver is enlarged measuring 21.8 cm in length. GALLBLADDER, BILIARY TRACT: Common bile duct measures 6 mm in caliber... | Limited examination due to patient body habitus and diffuse increased echogenicity of the liver consistent with hepatic steatosis which limits sensitivity and evaluation for focal hepatic lesions. |
Generate impression based on findings. | 65 year old female with likely NASH, hematuria and dysfunction limited exam to body habitus. LIVER: Diffuse increased echogenicity of the liver which limits evaluation for focal hepatic lesions. Liver is enlarged measuring 24.1 cm in length. GALLBLADDER, BILIARY TRACT: Cholelithiasis with no evidence of cholecystitis. ... | 1. Poor visualization of the liver due to body habitus and hepatic steatosis which limits evaluation for focal hepatic lesions. 2. Cholelithiasis with no evidence of cholecystitis. 3. Right renal partially calcified cyst. No hydronephrosis. The left kidney is not visualized due to the limitations noted above. |
Generate impression based on findings. | 77-year-old female patient status post renal transplant transferred from outside hospital for further management of small bowel obstruction, now with fever and worsening tachycardia/tachypnea. Exam is not sensitive for detecting lesions in the bowel and solid organs due to the lack of oral and intravenous contrast. Giv... | 1.Improved bowel dilatation with persistent mild ileus pattern.2.Persistent right pleural effusion and overlying atelectasis. |
Generate impression based on findings. | Head: Redemonstrated is a large left parietal intraparenchymal hematoma without significant interval change. There is surrounding edema. There is local mass effect without midline shift or herniation. There is a small area of low attenuation within the left middle frontal gyrus with suggestion of volume loss and may b... | 1. Stable left parietal hematoma with surrounding edema and mild local mass effect. 2. No evidence of venous sinus thrombosis. Multifocal areas of abnormal leptomeningeal enhancement better appreciated on MRI from same day.3. Intracranial atherosclerotic disease with short segment moderate stenosis involving the left d... |
Generate impression based on findings. | 49-year-old female patient with history of recent hysterectomy, now with no bowel movement and diffuse abdominal tenderness. Evaluate for obstruction. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No signifi... | 1.Nodule in the right rectus muscle is concerning for an endometrial rest/endometrioma, however, cannot rule out a desmoid.2.Two discrete cystic structures in the pelvis are favored to represent cystic adnexa given location and morphology. Appearance is unusual for postoperative seromas or collections. Recommend correl... |
Generate impression based on findings. | Left fourth finger pain and swelling which started about one month ago. Three views of the left hand reveal marked soft tissue swelling about the proximal interphalangeal joint of the left ring finger. No acute fracture or malalignment of the bones of the hand are identified.Three views of the left ring finger again sh... | 1. No acute fracture is evident.2. Cortical loss along the left ring finger middle phalanx with increased FDG uptake on a prior PET is concerning for either tumor, given known osseous metastases, or infection. |
Generate impression based on findings. | 6 year old male with head trauma. There is no evidence of acute intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull is unremarkable. There is a mild amount of par... | 1.No evidence of acute intracranial hemorrhage or skull fracture.2.Small partially imaged hematoma within the right supraorbital subcutaneous soft tissues.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Rule out PE, shortness of breath PULMONARY ARTERIES: The quality of this examination is diagnostic for evaluation of pulmonary embolism. No pulmonary embolus is present. The pulmonary artery is normal in size.LUNGS AND PLEURA: Bilateral pleural effusions, moderate on the right and small on the left. Respiratory motion ... | No evidence of pulmonary embolism.Extensive centrilobular and paraseptal emphysema. Moderate right and small left pleural effusions with left ventricular enlargement. Basilar edema. Bilateral prominent hilar lymph nodes with central bronchovascular thickening which may represent edema in the setting of congestive heart... |
Generate impression based on findings. | Evaluate for PE, hypoxia PULMONARY ARTERIES: The quality of this examination is diagnostic for the evaluation of pulmonary embolism. No pulmonary embolus is present. The main pulmonary artery is dilated measuring up to 3.7 cm in diameter which are suggestive of pulmonary arterial hypertension. There are linear calcific... | No evidence of pulmonary embolism.Postoperative basilar atelectasis with small pleural effusions. Small, circumferential pericardial effusion.Centrilobular nodules with foci of ground glass are predominantly upper zone distribution may represent bronchiolitis or aspiration.Linear fragment projecting over the central le... |
Generate impression based on findings. | Clinical question: Evaluate for metastatic disease. Signs and symptoms: Waxing and waning mental status. Nonenhanced head CT:There is mild ectopia of cerebellar tonsils with crowding at the level of foramen magnum. No prior exams for comparison.There is no detectable acute intracranial process. CT however is insensitiv... | 1.No acute intracranial process.2.No finding to suggest metastatic disease on this nonenhanced study.3.Tiny focus of low-attenuation in the left frontal subcortical white matter is a nonspecific finding. 4.If clinical concern for stroke is high recommend follow-up with an MRI exam. |
Generate impression based on findings. | Clinical question: CVA. Signs and symptoms: CVA. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and grade I right-sided differentiat... | No acute intracranial process. |
Generate impression based on findings. | Clinical question: Numbness, evaluate for stroke. Signs and symptoms: As above. Nonenhanced head CT:No detectable acute intracranial process. CT is insensitive however for early detection of acute nonhemorrhagic ischemic strokes.Prominence cerebral cortical sulci and more noticeably of the cerebellar and vermian folia ... | 1.No acute intracranial process.2.Mild age indeterminate small vessel ischemic strokes.3.Suspected parenchymal volume loss. |
Generate impression based on findings. | Clinical question: No CVA. Signs and symptoms: Left-sided facial droop. Evaluate for CVA. Nonenhanced head CT:There is no detectable acute intracranial process. CT however he is being sensitive for early detection of an acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular syst... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Evaluate for hemorrhage. Signs and symptoms: AMS. Nonenhanced head CT:There is no detectable acute intracranial process. CT is insensitive for early detection of acute nonhemorrhagic ischemic strokes.There are moderate to advanced degree of a ventricular and subcortical attenuation of white matter hi... | 1.No acute intracranial process.2.Moderate to advanced age indeterminate small vessel ischemic strokes.3.Sinusitis. |
Generate impression based on findings. | Clinical question: Evaluate for hemorrhage. Signs and symptoms: Fall. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF is space as time gray ... | No acute intracranial process. |
Generate impression based on findings. | Clinical question: Rule out stroke. Signs and symptoms: Rule out stroke. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes. There is mild prominence of cerebellar and vermian folia for patient's stated age of 44. Recommen... | No acute intracranial process. |
Generate impression based on findings. | Clinical question: Mass? ICH? Signs and symptoms:Falls, AMS, HIV. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.There is significant prominence of cortical sulci and ventricular system for patient's stated ag... | 1.No detectable acute intracranial process.2.Very prominent cerebral cortical sulci and ventricular system for patient's stated age of 67 concerning for parenchymal volume loss. |
Generate impression based on findings. | Clinical question: Rule out SBH cranial fracture. Signs and symptoms: Head trauma in altercation, multiple hematomas. Nonenhanced head CT:There is no detectable acute posttraumatic intracranial or calvarial findings.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white different... | 1.No detectable acute posttraumatic intracranial or calvarial findings.2.Small right supraorbital soft tissue hemorrhage and edema. |
Generate impression based on findings. | Clinical question: Evaluate for hydrocephalus. Signs and symptoms: Altered mental status, patient with EVD. Nonenhanced head CT:The examination is severely compromised due to motion artifact. This precludes assessment for subtle parenchymal findings.Compared to prior exam there is evidence of interval decreased size of... | 1.Decreased size of supratentorial ventricular system and with a stable right frontal approach ventricular catheter.2.Supratentorial ventricles however remain still prominent.3.Stable extensive periventricular and subcortical low-attenuation white matter similar to prior study. |
Generate impression based on findings. | There is an expansile periodontal cyst arising between the splayed roots of ADA tooth number 9 and number 10 that measures up to 24 mm, without evidence of associated dental caries. There is hyperenhancement of the cyst wall lining and a focal dehiscence of the overlying buccal maxillary alveolus. There is a 5 mm thic... | Infected cystic odontogenic lesion in the left maxillary alveolus associated with left premaxillary subperiosteal abscess with extension into the inferior left orbit and left maxillary sinus with concomitant sinusitis, orbital cellulitis and myositis, and facial cellulitis.Discussed with Dr. Baroody at 8:20 AM on 3/10/... |
Generate impression based on findings. | 74 years, Female. Reason: 74F with HF, MR, CAD s/p CABG, MVR. Confirm position of Dobbhoff tube There is a Dobbhoff tube with its tip projecting over the inferior genu of the duodenum. Generalized paucity bowel gas. Epicardial pacer leads are in place. The pelvis is excluded from the field of view. One left-sided and t... | Dobbhoff tube with its tip projecting over the genu of the duodenum. |
Generate impression based on findings. | Clinical question: 60-year-old male with history of metastatic lung cancer, recent C2 -- C5 laminectomy, CVA neck pain, now with alteration of mental status. Signs and symptoms: As above. Nonenhanced head CT:There is no detectable accurate intracranial process. CT however is insensitive for early detection of acute non... | 1.No acute intracranial process. CT is insensitive for early detection of acute nonhemorrhagic ischemic strokes but2.No evidence of a metastatic lesion on this non-enhanced study.3.Findings of mild age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | 75 years, Male. Reason: NG advanced History: NG advanced NG tube has been repositioned, now looped within the mid to proximal thoracic esophagus with the tip projecting out of the field-of-view superiorly. Cardiomegaly unchanged. Pacemaker leads in appropriate position. The pelvis is excluded from the field of view. | NG tube looped in the thoracic esophagus with the tip projecting out of the field of view superiorly.These findings were relayed to Dr. Ali Mansour via telephone at 07:45 on 3/10/2015. |
Generate impression based on findings. | 81-year-old male patient with decreased output from JP drain. Evaluate for abdominal fluid collection. Exam is not sensitive for detecting lesions in the bowel and solid organs due to the lack of oral and intravenous contrast. Given those limitations, the following observations are made:ABDOMEN:LUNG BASES: Bilateral pl... | 1.Small amount of unorganized fluid in the gallbladder fossa may represent an immature fluid collection. However, evaluation is limited by the lack of intravenous contrast.2.Interval decrease in size of organized fluid collection the pelvis.3.No significant change in splenic subcapsular fluid collection.4.Improving ile... |
Generate impression based on findings. | 75 years, Male. Reason: NG History: NG There is a nasogastric tube with its tip projecting over the body of the stomach and with its side-port at the level of the GE junction. There is a nonobstructive bowel gas pattern. The pelvis is excluded from the field of view. Cardiomegaly unchanged. AICD pacemaker leads in appr... | There is a nasogastric tube with its tip projecting over the body of the stomach and with its side-port at the level of the GE junction. |
Generate impression based on findings. | 70 years, Male. Reason: GI bleed History: GI bleed The NG tube has been removed. Tubing looped over the midline chest is of uncertain significance, and clinical correlation is recommended. Bibasilar pulmonary opacities persist. There is a generalized paucity of bowel gas. Right femoral central venous catheter tip proje... | The NG tube has been removed. Tubing coiled over the midline chest is of uncertain significance and clinical correlation is recommended. |
Generate impression based on findings. | Reason: s/p elbow dislocation VIEWS: Left elbow AP and lateral (2 views) 3/9/2015 at 1716 hrs A splint limits fine osseous detail.Interval reduction of a left elbow fracture, now in near anatomic alignment. | Reduction and splinting of left elbow fracture. |
Generate impression based on findings. | Abdominal distentionVIEW: Chest and abdomen AP (two views) 3/10/15 at 545 hours. Interval ET tube removal. NG tube terminates at the stomach. UVC tip is at the right atrium. UAC terminates at T7. Cardiac silhouette size is normal. No focal opacities, effusions or pneumothorax.Disorganized, slightly distended and nonspe... | Interval removal of ET tube , NG tube placement and repositioning of UVC as described.Disorganized, slightly distended and nonspecific abdominal gas pattern. |
Generate impression based on findings. | 70 years, Male. Reason: placement of MN tube History: massive variceal bleed There is a nasogastric tube with its tip projecting over the gastric antrum. Patchy bibasilar air space opacities are present. There are dense calcifications of the splenic artery. Vertebroplasty evident at L2. Right femoral central venous cat... | NG tube with tip projecting over the gastric antrum. |
Generate impression based on findings. | 15 years old, Male, History: R knee pain, concern for fractureVIEWS: Right Tibia-fibula AP, lateral; right knee AP, oblique and lateral (5 views) 3/9/15 Right Tibia-fibula: No fracture or malalignment. Right Knee: A lateral notch sign is present which can be seen the setting of a ligamentous injury. Knee joint effusion... | Joint effusion and lateral notch sign which can be seen in the setting of a ligamentous injury. MRI follow-up is recommended to further evaluate. |
Generate impression based on findings. | Female 6 months old Reason: Interval changes in intubated patient, pre-extubation film History: 6 m/o female with h/o HIE, stridor, g-tube dependence intubated with aspiration PNAVIEW: Chest AP (one view) 3/10/15 at 514 hours. ET tube terminates above the thoracic inlet. Gastrostomy tube noted. Cardiac silhouette size ... | Misplaced ET tube.Worsening pain left retrocardiac atelectasis. |
Generate impression based on findings. | 86 years, Female. Reason: evaluate for ileus, signs of intra-abdominal infection History: fever There is a nonobstructive bowel gas pattern. The bones appear demineralized. There are surgical clips projecting over the midline upper abdomen. There are degenerative changes of the lower lumbar spine and laminectomies at L... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Male 18 years old Reason: interval changes in pleural effusions History: 18 y/o male with MELAS trach and vent dependent here with complicated PNA on increased vent settingsVIEW: Chest AP (one view) 3/10/15 547 hours. Tracheostomy skeletal deformities are again noted. Cardiac silhouette size is normal. Interval worseni... | Interval worsening in right sided pleural effusion with persistent multifocal patchy opacities. |
Generate impression based on findings. | 62 years, Male. Reason: new DHT History: new DHT There is a Dobbhoff tube with its tip projecting over the prepyloric stomach. Artifact from a cooling blanket is present. There are sternotomy fixation wires in place. Three chest tubes are in place. There is an endotracheal tube with its tip just above the carina. A Swa... | Dobbhoff tube with tip projecting over the prepyloric stomach. |
Generate impression based on findings. | 6 years old, Female,History: fever, cough, concern for pneumoniaVIEWS: Chest AP/lateral (two views) 3/9/15 Aortic arch, cardiac apex and the stomach are left-sided. The trachea appears patent. The cardiothymic silhouette is normal. Mild peribronchial thickening is compatible with reactive airway disease/bronchiolitis. ... | Mild reactive airway disease/bronchiolitis pattern. |
Generate impression based on findings. | 30 year-old female patient with pain and induration. Evaluate for wound infection. 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 no... | 1.Subcutaneous fluid collection in the lower anterior abdominal wall may represent a postoperative hematoma, however, cannot rule out an infected fluid collection.2.Expected postoperative appearance of the uterus. |
Generate impression based on findings. | 5 years old, Male, History: tachypnea, crackles, feverVIEWS: Chest AP/lateral (two views) 3/9/15 The aortic arch, cardiac apex, and stomach are left-sided. The cardiothymic silhouette is normal. Mild linear bibasilar opacities likely compatible with subsegmental atelectasis. Peribronchial thickening is present compatib... | Reactive airway disease/bronchiolitis pattern. |
Generate impression based on findings. | 11 year old male. Felt pop today playing soccer, r/o fx History: tendernessVIEWS: Left knee AP, lateral, and oblique (3 views) 3/9/2015, 1729 Joint effusion with pseudothickening of the quadriceps tendon. No soft tissue swelling.The osseous structures appear normal. | Joint effusion with no fracture. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are digital mammographic images (2/20/15), ultrasound images of left breast (2/20/15), images from ultrasound guided biopsy of the left breast and post procedural left mammographic images (2/24/15) performed at Lake Forest Hospital. For comparison, digi... | Biopsy proven invasive ductal carcinoma in the left breast at one o'clock position.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 68-year-old male status post fall down stairs x 3 days ago presenting with left clavicular pain. Single view of the left clavicle reveals a distal comminuted fracture, with approximately one shaft width inferior displacement of the distal fracture fragments. The AC joint appears intact. There is minimal tenting of the ... | Comminuted fracture of the distal left clavicle. |
Generate impression based on findings. | 14 year old female with hx HgbSS, CP, now with increasing secretions and crackles on exam, desats to high 90sVIEW: Chest AP (one view) 3/9/2015, 1817 Right chest port, tip at the cavoatrial junction. Gastrostomy tube in place. Cholecystectomy clips.The cardiothymic silhouette is normal.Streaky basilar opacities are inc... | Streaky basilar opacities compatible with atelectasis. |
Generate impression based on findings. | 5 years old, Male, Reason: evaluate for abscess or other infection History: abdominal pain and distention, fever, emesis, anorexia ABDOMEN:LUNG BASES: Bibasilar atelectasis present. No evidence of pleural effusion.LIVER, BILIARY TRACT: There are no focal hepatic lesions identified. The portal vessels appear patent. The... | 1.Dilated loops of opacified small bowel likely representing an early or partial obstruction. Interval follow-up abdominal radiograph is recommended to further evaluate.2.Ill-defined heterogeneous collection seen in the mid abdomen may represent small bowel with adjacent phlegmonous changes. It is conceivable that this... |
Generate impression based on findings. | Right ankle fracture. Assess ankle fracture. There is an oblique fracture through the posterior distal tibia with approximately 6 mm of superior displacement and slight dorsal angulation of the distal fracture fragment. The fracture line extends into the tibiotalar joint. There is lateral and posterior subluxation of t... | 1. Trimalleolar fracture as described above with intra-articular extension of the posterior tibial fracture. 2. Lateral and posterior subluxation of the talus relative to the tibia.3. Foci of air within the anterior medial ankle joint; correlate for an open wound or recent instrumentation. |
Generate impression based on findings. | 57-year-old female with history of multiple falls, most recently one day ago, with generalized pain in the hips, upper legs, knees. Single view of the pelvis reveals bilateral severe osteoarthritis, right greater than left, not significantly changed compared to prior exam. Subtle cortical irregularity along the right g... | Severe osteoarthritis of the hips, right greater than left. The known comminuted, minimally displaced greater trochanteric fracture on the right is difficult to visualize on this exam, but appears unchanged. No evidence of acute fracture or malalignment. |
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. A benign intramammary lymph n... | 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; 73 years old. Reason: obstruction? History: vomiting/diarrhea ABDOMEN:LUNG BASES: Minimal bibasilar dependent subsegmental atelectasis and/or scarring.LIVER, BILIARY TRACT: No focal liver lesions. Status post cholecystectomy. No biliary ductal dilation.SPLEEN: No significant abnormality notedPANCREAS: No signif... | 1. No evidence of bowel obstruction or other acute abdominopelvic abnormality.2. Stable left adrenal gland mass, most compatible with a benign myelolipoma. |
Generate impression based on findings. | Call back from screening mammogram for an asymmetry in the right breast. An ML view and two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. With spot compression, a small asymmetry at retroareolar region disperses into normal breast tissue.Focused ultrasound... | No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Medial knee pain, patient slipped on ice on 3/8/2015 patient. Unable to bear weight on knee. Question of right knee injury. Four views of the right knee reveals soft tissue swelling of the medial aspect of the knee. No acute fracture or malalignment is identified. There is no joint effusion. | Soft tissue swelling without acute fracture. |
Generate impression based on findings. | Pain in right big toe and fourth digit after fall approximately 1 month ago. Right foot swelling. Three views right foot reveal no acute fracture or malalignment. | No acute fracture is evident. |
Generate impression based on findings. | 54 year-old female with dyspnea/left quadrant pain/right CVA tenderness. Rule out infection/obstruction/metastases. CHEST:LUNGS AND PLEURA: Right basilar consolidation has increased. Right pleural thickening and nodularity is redemonstrated. Large loculated right pleural effusion with right chest tube unchanged. Associ... | 1.New or increased right lower lobe consolidation, compatible with infection.2.Mild right-sided pulmonary edema.3.Large loculated right pleural effusion unchanged.4.Redemonstrated right pleural thickening and diffuse metastatic disease, with new osteolytic lesions of T11 and T12.5.Increased abdominal ascites and mesent... |
Generate impression based on findings. | Evaluate for trauma, concern for elder abuse. No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. There is global parenchymal volume loss. No hydrocephalus. No extra-axial collections. There are scatte... | No evidence of intracranial hemorrhage or skull fracture. |
Generate impression based on findings. | 83 years, Male. Reason: abdominal distention History: abdominal distension There is a Dobbhoff tube with its tip projecting over the body of the stomach. Numerous gas filled loops of small bowel consistent with ileus. Partially imaged right central venous catheter tip projecting over the cavoatrial junction. The rectal... | Mild diffuse ileus type gas pattern. |
Generate impression based on findings. | 84 years, Female. Reason: evolution of infx History: sirs Gastrostomy tube in place, position unchanged. There is a nonobstructive bowel gas pattern. Amorphous round calcified mass in the midline pelvis likely represents a uterine fibroid. There are dense calcifications of the abdominal aorta and its branches. Incomple... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Status post craniotomy, headache, status post right acoustic neuroma resection There are immediate postsurgical changes of right sided retrosigmoid craniotomy for resection of tumor involving the right cerebellopontine angle. There is moderate degree of pneumocephalus throughout the subarachnoid spaces. No large intrac... | 1. Postoperative changes related to right retrosigmoid craniotomy and resection of cerebellopontine angle mass. Residual lesion is suspected within the right internal auditory canal. MRI can better assess for residual tumor. There is moderate degree of pneumocephalus. There is leftward and posterior displacement of the... |
Generate impression based on findings. | 34 year old male with right testicular pain and swelling. Evaluate for torsion. RIGHT TESTIS: 4.0-cm x 2.6 cm x 2.5 cm. LEFT TESTIS: 3.8 cm x 2.4 cm x 1.8 cm.RIGHT EPIDIDYMIS: 4.8 cm x 1.3 cm x 2.0 cmLEFT EPIDIDYMIS: 1.1 cm x 1.0 cm x 0.7 cmOTHER: Asymmetric enlargement of the right epididymis which is heterogeneous in... | 1. Findings compatible with acute right-sided epididymitis with no abscess. 2. Diffuse bilateral testicular microlithiasis with no mass identified. Continued surveillance by physical examination is recommended. |
Generate impression based on findings. | Sudden pain to right shoulder that began 8 days ago. No injury. Three views of the right shoulder reveal no acute fracture or malalignment. There is moderate osteophyte formation at the acromioclavicular joint. There is a little irregularity of the humeral head which is degenerative. | Moderate osteoarthritis of the acromioclavicular joint. |
Generate impression based on findings. | Female; 36 years old. Reason: rule out mass vs hernia History: RLQ pain , recent adrenal resection on R side Lack of intravenous contrast limits the sensitivity for solid organ pathology.ABDOMEN:LUNG BASES: Minimal bibasilar dependent subsegmental atelectasis.LIVER, BILIARY TRACT: 1.9 x 1.2 cm hypoattenuating lesion at... | 1. 2.8-cm hypoattenuating right ovarian lesion, most likely a physiologic or hemorrhagic cyst.2. Postsurgical changes in the right anterior abdominal wall. Abdominal wall cellulitis cannot be excluded. |
Generate impression based on findings. | 12 yo M with CP, sz d/o, asthma intubated for respiratory failure. Evaluate ETT.VIEW: Chest AP (one view) 3/9/2015,1958 ET tube terminates at the level of the thoracic inlet. Right PICC, tip in the SVC. Cholecystectomy clips.Severe thoracolumbar dextrorotoscoliosis.Cardiac silhouette is normal in size.Persistent left u... | ET tube tip at the level of the thoracic inlet. Unchanged multifocal pulmonary opacities. |
Generate impression based on findings. | 47 year old female status post left mastectomy in 2007 for DCIS, presents today for routine follow up. No current breast complaints. No family history of breast cancer. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously den... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 72 year old female with right second toe pain and ulceration. There is bony destruction of the proximal and mid phalanx of the second toe at the proximal interphalangeal joint, with associated soft tissue swelling, as well as lucency of the distal aspect of the mid phalanx; highly suspicious for osteomyelitis. | Findings are highly suspicious for osteomyelitis of the second toe. |
Generate impression based on findings. | Reason: 68 yo w/ NSCLC History: f/u baseline CHEST:LUNGS AND PLEURA: Left upper lobe mass with endobronchial spread (series 5, image 91) now measures 4.9 x 4.0 cm, previously 4.3 x 2.4 cm in its largest dimension. Previously noted peripherally located necrotic left upper lobe mass is no longer visualized. This peripher... | 1.Interval increase in left upper lobe mass with evidence of lymphangitic spread. Interval increase in mediastinal and hilar lymphadenopathy with endobronchial spread and mass effect on the right airway and pulmonary arteries as described above.2.Interval increase in size and number of multiple pulmonary nodules.3.Inte... |
Generate impression based on findings. | 12 yo M with CP, sz d/o, GT-dep, asthma with abdominal distension. Evaluate for obstruction. VIEW: Abdomen AP (one view) 3/9/2015 at 2000 hrs Gastrostomy tube in place. Surgical clips in the right abdomen.Nonobstructive bowel gas pattern.Thoracolumbar dextrorotoscoliosis. Partial dislocation of the left hip.Left pulmon... | No evidence of obstruction. |
Generate impression based on findings. | 29-year-old male with pain in the left wrist after "deflecting a large object." Three views of the left wrist do not reveal any evidence of acute fracture or malalignment. The joint spaces are preserved. There is no significant soft tissue swelling.Three views of the left hand reveal no acute abnormality. There is no f... | No acute fracture or malalignment. |
Generate impression based on findings. | Fall. 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 imaged paranasal sinuses and mastoid air cells are clear. The skull and scalp soft tissues ar... | No evidence of acute intracranial hemorrhage or skull fracture. |
Generate impression based on findings. | 67-year-old female with history of thyroid cancer. Evaluate for nodules and abnormal nodes. RIGHT LOBE MEASUREMENTS: Status post thyroidectomy.LEFT LOBE MEASUREMENTS: Status post thyroidectomy.ISTHMUS MEASUREMENTS: Status post thyroidectomy.RIGHT LOBE: As above. No residual or recurrent thyroid tissue is noted. LEFT LO... | No residual or recurrent thyroid disease is present. No lymphadenopathy. |
Generate impression based on findings. | 76-year-old female with generalized left hip pain after fall on 3/6/15. Three views of the pelvis reveal degeneration and sclerosis of the right sacroiliac joint. The left sacroiliac joint is within normal limits. The hip joints are unremarkable. No evidence of fracture or malalignment.Two views of the left hip are wit... | No evidence of acute fracture or malalignment. Degenerative changes are present in the right sacroiliac joint. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in paternal grandmother at age 80. Two standard digital views of both breasts and one additional MLO view of the right breast were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is compose... | 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.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 30 day old male former week gestational age. Hypoxia, increased WOB. Evaluate ETT placement, presence of effusion/atelectasis VIEW: Chest AP (one view) 3/10/2015, 0217 ET tube tip at the level of the thoracic inlet. Enteric tube with sideport above the level of the GE junction. Right IJ catheter tip in the SVC. Unchang... | Unchanged complications of surfactant deficiency. |
Generate impression based on findings. | 55-year-old male with neutropenic fever, pleuritic CP, LUQ discomfort (known splenomegaly). Evaluate for PNA and source of LUQ discomfort. CHEST:LUNGS AND PLEURA: New 8mm left upper lobe nodule likely infectious (series 4, image 39). Scattered micronodules, some calcified. No focal consolidation. Trace left pleural eff... | 1.Bilateral perinephric stranding was not seen previously and is nonspecific though infection cannot be excluded.2.New small volume perihepatic ascites.3.8mm left lower lobe nodule is likely infectious, possibly fungal.4.Stable osseous changes of known myelofibrosis.5.Stable marked splenomegaly. |
Generate impression based on findings. | Patient is status post left craniotomy with overlying soft tissue swelling, pneumocephalus and small extra-axial collection in the left hemisphere. Metallic streak artifact from the grid limits the evaluation of the underlying parenchyma. No large intracranial hemorrhage. There is minimal rightward midline shift. The ... | 1. Expected postsurgical changes of left-sided craniotomy and grid placement. Left frontal cortical malformation better seen on prior MRI.2. Minimal rightward midline shift. No large hemorrhage. |
Generate impression based on findings. | Hip pain. Question of osteoarthritis. Two views of the left hip reveal no acute fracture or malalignment. Surgical clip and fallopian tube occlusion device noted within the pelvis. | No acute fracture or significant findings of osteoarthritis. |
Generate impression based on findings. | Female 33 years old; Reason: evaluate for TOA/new pelvic abscess History: abdominal pain, history of pelvic abscess ABDOMEN:LUNG BASES: Postsurgical changes in the sternum.LIVER, BILIARY TRACT: Liver is normal in morphology. There are multiple calcified gallstones which is not present prior.SPLEEN: No significant abnor... | 1.Angulated bowel loops with mild bowel wall thickening likely due to adhesions.2.Mesenteric pelvic fluid and bilateral adnexal lesions. Further evaluation with pelvic sonography is suggested.3.Small retroperitoneal lymph nodes4.Cholelithiasis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal aunt and ovarian cancer in maternal aunt. 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, ... | 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.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Male 73 years old Reason: abdominal distention rule out ileus History: abdominal distention rule out ileus. There appears to be a moderate amount of gas within the small bowel, suggestive of ileus. Intrathoracic stomach as seen on prior CT. Focal calcification in the left upper quadrant is compatible with splenic ringl... | Moderate amount of gas within the small bowel, suggestive of ileus. |
Generate impression based on findings. | Left foot pain. There is narrowing of the first metatarsophalangeal joint with associated osteophyte formation, consistent with osteoarthritis. No acute fracture or dislocation. | Mild osteoarthritis at the first metatarsophalangeal joint. No evidence of acute fracture or dislocation. |
Generate impression based on findings. | Uncontrollable pain on left side. Evaluate for fracture. Three views of the ribs reveal no acute fracture. | No acute fracture is evident. |
Generate impression based on findings. | 87 years, Female. Reason: NJ tube placement History: as above There is a nasojejunal tube with its tip projecting over the proximal jejunum. Cholecystectomy clips are present in the right upper quadrant. There is a nonobstructive bowel gas pattern. There is a small left pleural effusion. There is levoscoliosis of the t... | Nasojejunal tube with its tip projecting over the proximal jejunum. |
Generate impression based on findings. | 20 year-old male with lower back pain. Two views of the lumbar spine do not reveal any evidence of acute fracture or malalignment. The joint spaces are well preserved. No significant degenerative disease is present. | No evidence of spondylolysis, as clinically queried. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in paternal cousin at age 32. History right 3 o'clock cluster of cysts. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obta... | 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.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this re... |
Generate impression based on findings. | 46-year-old male with history of right heel pain x 1 week. There is no evidence of fracture or malalignment. Boehler's angle is within normal limits. A small plantar heel spur is present. Soft tissues are unremarkable. | No acute fracture or malalignment. |
Generate impression based on findings. | Again seen is a fracture involving the floor of the anterior cranial fossa in the right frontal bone with buckling and displacement of the superior orbital roof and supraorbital ridge. There is stable underlying retro-orbital hematoma and extra-axial hematoma along the right cerebral convexity measuring 3 mm, slightly... | 1.No new hemorrhage from 3/9/15. 2.Comminuted right frontal bone fracture with stable retro-orbital and extra-axial hematoma. Decreased anterior extraconal swelling.3.Left temporal bone fracture with diastases of the occipitomastoid suture. Stable adjacent subarachnoid hemorrhage and left cerebellar contusion. Slightly... |
Generate impression based on findings. | Right distal fibula fracture. Evaluate fracture lateral malleolus and for any medial clear space widening. Three views of the right ankle reveal a nondisplaced of oblique fracture of the distal fibula. The fracture line is less distinct on this examination. There is no widening of the medial tibiotalar joint with weigh... | 1. Continued soft tissue swelling with a distal fibula fracture.2. No evidence of medial tibiotalar joint space widening with weightbearing |
Generate impression based on findings. | Female 76 years old; Reason: r/o fluid collection History: abd pain and fevers ABDOMEN:LUNG BASES: Heart size is enlarged. There are pacer leads within the right heart chamber. Small bilateral pleural effusions and bibasilar atelectasis.LIVER, BILIARY TRACT: Liver has a nodular contour suggestive of chronic liver disea... | 1.Findings of a large right hepatic lobe abscess with perfusion abnormality involving the right hepatic lobe representing infection or infarction.2.Splenic bed abscess. |
Generate impression based on findings. | 58 years, Male. Reason: location of NG/NJ tube placed yesterday History: s/p NG/NJ tube placement The pelvis is excluded from the field of view. There is a nasojejunal tube, which has retracted compared to the prior examination with the tip now just beyond the ligament of Treitz. Two cyst gastrostomy tubes are in place... | Interval retraction of the nasojejunal tube with the tip now projecting just beyond the ligament of Treitz. |
Generate impression based on findings. | 25-year-old male patient with pelvic mass. CHEST:LUNGS AND PLEURA: Scattered nonspecific micronodules are noted.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. The cardiac size is within normal limits.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality no... | 1.Large likely retroperitoneal pelvic mass causing left ureteral obstruction is favored to represent lymphoma given morphology and patient's age. Sarcoma is considered less likely.2.Bilateral renal cysts are incompletely characterized.3.Left percutaneous nephrostomy tube in place without evidence of hydronephrosis. |
Generate impression based on findings. | 24 year-old female with right knee and ankle pain after skating injury. Three views of the right ankle reveal normal alignment comment there is no evidence of acute fracture or significant soft tissue swelling.Four nonweightbearing views of the right knee reveal normal alignment, no evidence of fracture or dislocation.... | No acute abnormality. |
Generate impression based on findings. | Male 0 days old Reason: Please evaluate for lung disease. IDM requiring O2 History: no lines - increasing respiratory distress; increasing O2 requirementVIEW: Chest and abdomen AP (two views) 3/10/15 Aortic arch, cardiac apex and stomach are left-sided. There is a bell-shaped appearance of the chest. Cardiac silhouette... | Disorganized, , likely age related and nonspecific abdominal gas pattern. |
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