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Generate impression based on findings. | Male; 30 years old. Reason: obstructing stones? History: prior stones, dark urine, pain Lack of intravenous and oral contrast limits sensitivity for solid organ and bowel pathology, respectively.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No signific... | Small bilateral non obstructing renal calculi. |
Generate impression based on findings. | 47 year old with history of left breast cancer and bilateral mastectomy. Physician felt a fullness in the left axilla. Focused ultrasound was performed in the left axilla. Two benign appearing lymph nodes are detected in the left axilla. No suspicious lymph nodes or other abnormal findings are seen in the left axilla. | No suspicious findings in the left axilla BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Reason: Graves disease, need uptake to calculate dose of I-131. The 4-hour radioactive iodine uptake is 59.9% and the 24-hour uptake is 67.6% (normal range 10-30%).Compared to the prior study, these values are increased, consistent with Graves' disease. | Markedly increased thyroid uptake compatible with Graves' disease, increased since the prior study. |
Generate impression based on findings. | Male 85 years old Reason: Evaluate bowel gas pattern History: abdominal distention. Air-distended stomach. Scattered small and large foci of bowel gas with a less than average stool burden. There is no evidence of a mechanical obstruction. Note is made of vascular calcifications. Mild degenerative arthritic changes aff... | Air distended stomach and scattered small and large foci of bowel gas with less than average stool burden. No evidence of a mechanical obstruction. |
Generate impression based on findings. | Female 19 days old Reason: persistence of atelectasis History: hypoxiaVIEW: Chest AP (one view) 3/10/15 at 540 hours. Hardware of the mandible, ET tube, and NG tube are again noted. Right upper extremity PICC terminates at the left innominate vein.Cardiac silhouette size is normal. Interval resolution of right lung ate... | Interval resolution of right lung opacities. |
Generate impression based on findings. | Male; 62 years old. Reason: expansion of retroperitoneal hemorrhage History: increasing abd pain and fullness Lack of intravenous contrast limits sensitivity for solid organ pathology.ABDOMEN:LUNG BASES: Mild bibasilar dependent subsegmental atelectasis. Paraseptal emphysema. Cardiomegaly.LIVER, BILIARY TRACT: No signi... | Grossly stable large right retroperitoneal hematoma. |
Generate impression based on findings. | Head: There is a new hyperattenuating lesion in the left frontal gyrus that measures up to 8 mm with surrounding edema. The ventricles are unchanged in size. There is no midline shift. There is thickening of the bilateral maxillary mucosa, right greater than left. The mastoid air cells are clear. The imaged portions o... | 1.Limited exam of the neck without definite evidence of measurable mass lesion or significant cervical lymphadenopathy based on size criteria. A PET may be useful for further evaluation, if clinically warranted.2.Partially imaged upper mediastinal lymphadenopathy and left apical cavitary lesions. Please refer to the se... |
Generate impression based on findings. | Female 53 years old; Reason: 53 y/o female with pancreatic ca. on chemo. compare to prior History: see above CHEST:LUNGS AND PLEURA: The left upper lobe lesion has undergone cavitation and now measures 1.0 x 0.7 cm (image 31/series 4) previously, 0.7 x 0.6 cm. There are numerous other pulmonary nodules. Including a lar... | 1.Slight increase in the size of the reference pulmonary lesion. Numerous pulmonary nodules remain.2.Fat infiltration of the liver limiting evaluation for metastatic disease |
Generate impression based on findings. | Female 13 years old Reason: cyst History: Pathological fracture.VIEWS: Left humerus AP and lateral 3/9/15 (two views) Healed pathological fracture of the mid diaphysis of the left humerus with posterior and medial angulation is unchanged in alignment. | Healed pathological fracture, unchanged in alignment. |
Generate impression based on findings. | 55-year-old male patient with history of bladder cancer status post cystectomy. Evaluate for metastatic disease. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No lesions are identified. Cholelithiasis without CT evidence of cholecystitis.SPLEEN: No significant abnormality notedPANCREAS: No s... | Examination is not significantly changed. No evidence of metastatic disease. |
Generate impression based on findings. | 68-year-old female with history of myeloid neoplasm, pre-allograft stem cell transplant evaluation. LUNGS AND PLEURA: Biapical scarring. Peribronchial nodules in the right upper and lower lobe are not significantly changed and are likely post infectious/scarring. Unchanged, wedge shaped density in the superior segment ... | No specific evidence for infection. Unchanged peribronchial nodules in the right upper and lower lobe are not significantly changed and are likely post infectious/scarring in etiology. |
Generate impression based on findings. | Renal mass vs cyst. Compare to renal US from 2/24. CHEST:LUNGS AND PLEURA: Mild centrilobular and paraseptal emphysema.Patchy ground glass opacities and interstitial thickening consistent with resolving hemorrhage, mildly decreased from prior.MEDIASTINUM AND HILA: Mildly enlarged mediastinal and right hilar lymph nodes... | 1. Previously noted right renal lesion on US is consistent with a column of Bertin. No renal mass.2. Short segment complete thrombus occlusion of the proximal SMA with distal reconstitution, likely through collateral flow from the IMA.3. Continued mild decrease in pulmonary hemorrhage. |
Generate impression based on findings. | 19 year-old male with injury to the left fourth digit playing basketball one month ago. There is no evidence of fracture or malalignment. No significant soft tissue swelling. Joint spaces appear well-preserved. | No acute fracture or malalignment. |
Generate impression based on findings. | 92 year old with history of left mastectomy in 2010 for ILC. Patient received radiation and hormonal therapy. No new breast complaints. Because of the patient's immobility and intolerance for compression, only CC view of the right breast was performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast paren... | Limited study. No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, right unilateral diagnostic mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Hip dysplasia.VIEW: Pelvis AP (one view) 03/10/15 Femoral head ossification centers are symmetric. They are well directed into normally formed acetabula. No fracture is identified. | Normal examination. |
Generate impression based on findings. | Male; 75 years old. Reason: eval for cause of periumbilical pain History: periumbilical pain CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. Moderate to severe upper lobe predominant centrilobular emphysema. No pleural effusions.MEDIASTINUM AND HILA: Normal heart size. No pericardial effusion. Severe... | 1. No finding to explain the patient's symptoms.2. Moderate to severe emphysema.3. Severe diverticulosis without evidence of diverticulitis.4. Prostatomegaly. |
Generate impression based on findings. | Difficulty drawing back and central line.VIEW: Chest AP (one view) 03/09/15, 2021 Left-sided Port-A-Cath has its tip in right atrium. No fracture in the tubing is seen.Cardiothymic silhouette is normal. No focal lung opacity is present. A pleural effusion is not identified. | Normal examination. |
Generate impression based on findings. | T4N2a tonsil squamous cell carcinoma treated in 2010. There are post-treatment findings in the neck. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and remaining salivary glands are unremarkable. There is mild plaque at the carotid bifurcation... | Post-treatment findings in the neck without evidence of measurable mass lesions or significant cervical lymphadenopathy. |
Generate impression based on findings. | 68-year-old female for evaluation of resolution of pneumonia seen on prior CT prior to restarting chemotherapy LUNGS AND PLEURA: No pleural effusion or pneumothorax. Interval decrease in size of multifocal groundglass, sub-solid nodules measuring up to 13 x 18 mm, previously 15 x 18 mm (series 5, image 164). Again note... | Interval decrease in size of multifocal groundglass, sub-solid nodules consistent with resolving bronchopneumonia. |
Generate impression based on findings. | 63-year-old male with metastatic head and neck cancer. CHEST:LUNGS AND PLEURA: No significant abnormality noted.Bilateral pulmonary metastases with the following measurements (series 6):Left upper lobe cavitary lesion (image 68): 2.5 x 1.8 cm, previously 2.1 x 1.3 cm. Soft tissue component is slightly decreased.Left lo... | No significant change in pulmonary nodules and mediastinal adenopathy.No new metastases are identified.Increased right lower lobe ground glass opacities, nonspecific though atypical infection is a consideration. |
Generate impression based on findings. | 64 year old female status post right lumpectomy and right axillary lymph node dissection for ER/PR positive IDC in 2013, presents today for routine follow up. Patient also received radiation and chemotherapy. Currently taking Arimidex. No current breast complaints. Three standard views of both breasts and two spot magn... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 75 years, Male. Reason: NG History: NG Interval placement of Dobbhoff tube with the tip projecting over the prepyloric stomach. There is a nonobstructive bowel gas pattern. The pelvis is excluded from the field of view. Respiratory motion artifact limits evaluation of the upper abdomen and lower chest. | Dobbhoff tube tip projecting over the prepyloric stomach. |
Generate impression based on findings. | Female, 82 years old, with slurred speech and decreased level of consciousness. Periventricular white matter hypoattenuation is again seen, a stable finding. No new evidence of parenchymal edema, mass effect or loss of gray-white distinction is seen. No intracranial hemorrhage or any abnormal extra-axial fluid collecti... | 1.Stable white matter hypoattenuation which is nonspecific but may reflect age indeterminate microvascular ischemic disease.2.No new or acute findings. |
Generate impression based on findings. | T3N2c/N3 hypopharyngeal mass treated with chemotherapy. There is persistent asymmetric effacement of the left piriform sinus associated with diffuse swelling in the hypopharyngeal region. There also appear to be secretions within the right piriform sinus. However, the assessment is limited by the lack of intravenous co... | 1. Residual asymmetric effacement of the left piriform sinus associated with swelling in the hypopharyngeal region, which likely represents treatment effects, and apparent secretions in the right piriform sinus, although the assessment is limited by the lack of intravenous contrast. 2. No evidence of significant lympha... |
Generate impression based on findings. | 64-year-old with history of left breast cancer and increased size of scarring versus mass in the left breast. No change was seen on the recent mammogram, but evaluation was incomplete at that time due to the fact that the patient left before her ultrasound was performed. A targeted left ultrasound was performed for the... | Large simple fluid collection compatible with seroma. No suspicious solid mass. The patient should return for annual mammography as long as these findings are compatible with physical exam.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Locoregionally advanced cancer centered within the right fossa of Rosenmuller and right cervical lymphadenopathy status post treatment. There are unchanged post-treatment findings with persistent edematous tissue in the right lateral nasopharyngeal recess, but otherwise no evidence of a discrete mass. There is no evide... | 1.Post-treatment findings in the neck without evidence of locoregional tumor recurrence or significant lymphadenopathy in the neck.2.Unchanged bilateral thyroid nodules.3.Dental caries. 4. Possible acute sinusitis. |
Generate impression based on findings. | 60 y/o h/o OHT with h/o aspergillosis PNA presents with ?rejection eval for infection. LUNGS AND PLEURA:Stable left lower lobe nodule measures 16 x 8 mm (series 7, image 53), from previously 15 x 9 mm. Other scattered nodules and micronodules, some calcified not significantly changed in size or numberMild paraseptal em... | Stable pulmonary nodules.New trace bilateral pleural effusions.Basilar groundglass opacities slightly increased. This finding is nonspecific; NSIP or less likely bronchiolitis obliterans are diagnostic considerations. |
Generate impression based on findings. | 71 year old with history of right mastectomy in 2006 for IDC and DCIS. Patient received Aromasin for 5 years. History of left breast surgery for papilloma. No new breast complaints. Three standard views with two spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3.... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, left unilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 83-year-old female with history of MGUS and Sjogren's syndrome, concern for lytic lesions. SKULL: No significant abnormality noted.CERVICAL SPINE: Mild degenerative disease of the C-spine. No myelomatous lesions identified.THORACIC SPINE: The thoracic spine is diffusely and severely osteoporotic. There is dextroconvex ... | Lucencies in the right humeral head and right humeral proximal metadiaphysis are suspicious for myeloma. The remainder of the skeleton demonstrates diffuse degenerative disease, but no other suspicious lesions. |
Generate impression based on findings. | 43-year-old female patient with pancreatic mass seen on ultrasound presents with abdominal distention. CHEST:LUNGS AND PLEURA: Scattered bilateral airspace opacities, most prominent in the left lower lobe.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, ... | 1.Inflammation and enlargement of the pancreatic head with bilobed cystic lesion is suggestive of pancreatitis with pseudocyst formation. Recommend correlation with lipase, IgG, and formal evaluation with EUS and aspiration as clinically indicated.2.Cystic neoplasm in the body of the pancreas may represent an IPMN.3.Fa... |
Generate impression based on findings. | Respiratory insufficiency.VIEW: Chest AP (one view) 3/10/15 at 956 hours. Right mainstem bronchus intubation. Gastrostomy tube noted. Cardiac silhouette is non sizable due to a complete atelectasis of the left ninth. Right upper lobe and right lung base atelectasis is noted as well. | Left lung, right upper lobe and right lower lobe atelectasis, likely related to ETT positioning. |
Generate impression based on findings. | 41 year-old female with new incidental pulmonary nodules. LUNGS AND PLEURA: Innumerable scattered bilateral pulmonary nodules and micronodules. For reference, the largest right sided nodule measures 7 mm in the right upper lobe (series 5, image 166). The largest left-sided nodule measures 15 mm in the lingula (image 15... | Innumerable scattered bilateral pulmonary nodules and micronodules with reference measurements above. In the absence of known malignancy and given other findings above, including lymphadenopathy, sarcoidosis is strongly favored. |
Generate impression based on findings. | 83 year old female status post right lumpectomy and complete axillary dissection in 2006 for IDC and DCIS with two palpable left axillary lymph nodes with abnormal sonographic appearance. Patient received radiation, chemotherapy, and Arimidex. Left ultrasound re-identified the target lesion for biopsy. The lesion to be... | Successful ultrasound-guided core biopsy of the two adjacent left axillary lymph nodes and clip placement. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Avascular necrosis.VIEW: Pelvis AP (one view) 03/10/15 Plate and screw devices are intact. The femoral heads and necks are broadened. The femoral heads are flattened and and fragmented. The articular surfaces are irregular. Lateral uncovering of both femoral heads is present by approximately 25%. The acetabular configu... | Lateral uncovering of femoral heads. Continued flattening, fragmentation, and irregularity of femoral heads. |
Generate impression based on findings. | 68 year old with history of right mastectomy for breast cancer in 1991, and left reduction surgery in 1991. Because of patient's immobility, ML view could not be performed. Two standard of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is mostly fatty replaced. ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, left unilateral diagnostic mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 59 year old female status post right lumpectomy in 2010 for IDC with DCIS, presents today for routine follow up. Patient received radiation and hormonal therapy (tamoxifen). No current breast complaints. No family history of breast cancer. Three standard views of both breasts were performed digitally and reviewed with ... | Stable postsurgical changes of the right breast. 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 - Diagno... |
Generate impression based on findings. | Cerebral palsy.VIEW: Pelvis AP (one view) 03/10/15 The left femoral head is superiorly positioned with respect to the dysplastic acetabulum. Right femoral head is well directed into the acetabulum. Well-healed bilateral varus derotational osteotomies are noted.A moderate amount of feces is seen in the rectosigmoid. | Dislocation of the left femoral head. |
Generate impression based on findings. | Male 66 years old; Reason: hx of bladder cancer s/p radical cystectomy, evaluate for metastatic disease with delayed imaging History: see above ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal in morphology. The right hepatic lobe lesion measures 7 mm (image 22/series 8) previo... | 1.Stable exam following cystoprostatectomy. |
Generate impression based on findings. | 76 year old with history of right lumpectomy in 2000. She also received radiation therapy. History of left breast benign biopsy in 1997. 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 fi... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are digital left mammographic images (7/11/14) and ultrasound images for both breasts (7/17/14) performed at Advocate Trinity Hospital. DIGITAL LEFT MAMMOGRAPHIC IMAGES (7/11/14):The breast parenchyma is composed of scattered fibroglandular elements. A ... | 1. Hypoechoic lesion in the post-surgical region in the right axilla. 2. No mammographic evidence for malignancy in the left breast.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 78 year old female with HCC and psychosis and confusion. There is no evidence of intracranial hemorrhage. There is mild global volume loss and mild atherosclerotic calcification of the distal internal carotid and vertebral arteries. The ventricles and basal cisterns are normal in size and configuration. There is no mid... | 1.No evidence of intracranial hemorrhage or mass effect.2.Fluid-levels in the maxillary sinuses which may represent acute sinusitis.3.If there is concern for metastasis or acute infarct, MRI is suggested. |
Generate impression based on findings. | 52-year-old female with history lower back pain. Moderate degenerative disease of the lumbar spine, most significant at L5-S1, where there is significant disk space narrowing, subchondral sclerosis, and vacuum disk phenomenon; there is anterior osteophyte formation of L1 through L5. There is degeneration and sclerosis ... | Mild osteoarthritis of the lumbar spine, sacroiliac joints, and hips. There is no evidence of instability. |
Generate impression based on findings. | Right Horner's syndrome status post assault. Head: 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. There is mild right frontal scalp swelling without u... | 1. Right periorbital hematoma with a medial orbital blow out fracture, but no evidence of retrobulbar hemorrhage.2. Left facial contusion.3. No evidence of acute intracranial hemorrhage or skull fracture.4. Chronic C6 spinous process fracture, but no evidence of acute cervical spine fracture or subluxation. 5. No evide... |
Generate impression based on findings. | Male, 84 years old, altered mental status and lethargy. Multiple areas of parenchymal hemorrhage are seen, largely clustered along the bilateral cerebral convexities and along the base of the brain. Scattered subarachnoid blood product is seen within the frontal sulci and there may be some minimal subdural blood along ... | 1. Scattered areas of parenchymal hemorrhage are seen in a pattern consistent with traumatic contusions. A small amount of subarachnoid and subdural blood product is also demonstrated.2. In addition to the edema surrounding the hemorrhages, there are areas of parenchymal hypoattenuation without associated blood product... |
Generate impression based on findings. | 3 year old male. Abnormal eye movement. Evaluate for neuroblastoma. CHEST:LUNGS AND PLEURA: Minimal basilar atelectasis. No focal airspace consolidation.No suspicious pulmonary nodules or masses. No pleural effusion.MEDIASTINUM AND HILA: Normal cardiac size.No mediastinal or hilar lymphadenopathy.CHEST WALL: No focal o... | No acute abnormality. Specifically, no evidence of neuroblastoma. |
Generate impression based on findings. | 70 year old female status post left lumpectomy with reexcision in 2010 for DCIS, and right lumpectomy and in 2005 and 2009 for DCIS, presents today for 6 month follow up. Received radiation therapy and is currently on Aromasin. No current breast complaints. No family history of breast cancer. MAMMOGRAM: Three standard ... | Hypoechoic mass with internal calcifications, felt to represent the suspicious calcifications on mammography. This mass is noted at the dermal border of the left retroareolar breast, at the 6 o'clock position. Ultrasound guided biopsy of this area is recommended for definitive histologic diagnosis. Results and recommen... |
Generate impression based on findings. | 51-year-old male with history of left SER IV ankle fracture s/p surgical repair; follow-up exam. A side plate and screws affixing an oblique fracture of the distal fibula in near anatomic alignment is again demonstrated. The fracture remains visualized on the lateral view. The mildly displaced fractures of the "posteri... | Stable appearance of orthopedic fixation of the distal fibular fracture in near-anatomic alignment. The remaining fracture fragments and talar dome lucency appear similar to prior exam. |
Generate impression based on findings. | Elder abuse. Evaluate for fracture. SKULL: Two views of the skull are without acute fracture. CERVICAL SPINE: One view of the cervical spine shows diffuse osteoporosis without acute abnormality. THORACIC SPINE: One view of the thoracic spine shows multiple wedge deformities compatible with compression fractures of inde... | 1. Left scapular deformity consistent with fracture; this can be better evaluated with CT if clinically warranted. No additional acute fractures are identified.2. Multiple thoracic compression deformities of indeterminate age. |
Generate impression based on findings. | 18 year old male with left breast lump. With physical exam, left nipple appears larger than right, and there is a soft thickening behind the left nipple. Focused ultrasound of left retroareolar region detects a small amount of hypoechoic tissue consistent with gynecomastia. No solid or cystic masses are detected. | Left retroareolar thickening, consistent with gynecomastia. Clinical follow up is recommended and no further imaging assessment is needed. Results and recommendations were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 64-year-old female with history of lower back pain. Osteoarthritic disease of the lumbar spine, including large anterior osteophyte formation of L4, as well as joint space narrowing of L4/L5 with vacuum disk phenomenon and subchondral sclerosis. There is no evidence of fracture or malalignment. | Mild/moderate osteoarthritis of the lumbar spine, most significant at L4/L5. No acute fracture or malalignment. |
Generate impression based on findings. | Female; 38 years old. Reason: Pancreas cancer please assess to previous imaging and provide index lesion measurements for RECIST History: As above CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. Scattered pulmonary micronodules are unchanged. No pleural effusions or pneumothorax.MEDIASTINUM AND HILA:... | 1.No significant interval change in the pancreatic head mass which encases the superior mesenteric artery and occludes the superior mesenteric vein.2.No significant interval change in hepatic metastatic disease.3.Stable portacaval lymph node. |
Generate impression based on findings. | 15 year old female w/ hyperextension knee injury. +swelling. History: swelling, tenderness, unable to bear weight.VIEWS: Right knee AP, oblique, lateral, sunrise (4 views) 3/10/2015 at 1025 Small joint effusion between the quadriceps tendon and the anterior surface of the femoral epiphysis. No soft tissue swelling.The ... | Small joint effusion with no fracture. |
Generate impression based on findings. | There is an oblique, linear fracture through the posterior left mandibular body, immediately anterior to the angle, with minimal displacement. The fracture extends through the root of the posterior-most left lower molar (ADA 17). The mandibular condyles are appropriately positioned and the subcondylar regions appear n... | 1.Left mandibular body fracture extending through the root of the posterior most inferior molar.2.Extensive overlying soft tissue swelling and hemorrhage, inseparable from the masticator muscle and extending into the submandibular space.3.Large bony septal spur contacting and deforming the mucosa of the left middle tur... |
Generate impression based on findings. | Sickle cell anemia, venoocclusive disease, left lower extremity pain, and left shoulder pain. Question of avascular necrosis. Three views of the left shoulder reveal patchy sclerosis of the superior medial aspect of the humeral head compatible avascular necrosis, which appears similar to the prior study. An additional ... | 1. Redemonstration of patchy sclerosis within the left humeral head compatible with avascular necrosis, unchanged from the prior examination.2. Patchy sclerosis within the distal tibial metaphysis which likely represents osteonecrosis. |
Generate impression based on findings. | 51-year-old male patient with history of bladder cancer status post cystectomy with neobladder urinary diversion. Evaluate for metastatic disease with delayed imaging. ABDOMEN:LUNG BASES: No suspicious pulmonary nodules.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANC... | Stable examination without evidence of metastatic disease. |
Generate impression based on findings. | Female 47 years old Reason: h/o small and large bowel crohns disease, s/p multiple resection. evaluate for stricturing or acute inflammation History: new symptoms of constipation, nausea alternating with diarrhea. Scout radiograph showed a nonobstructive bowel gas pattern. Transit time to the colon was 45 minutes. Fluo... | 1.Multifocal non-obstructing adhesions.2.Interval progression in marked dilation of left upper quadrant blind ending pouch as described above.3.These findings might account for the patient's symptoms. |
Generate impression based on findings. | TMJ ankylosis and severe mandibular hypoplasia: trismus. Multiple attempts at mandibular lengthening with distraction (x4) and costochondral grafting. There are postoperative findings related to prior orthognathic surgery, with screws and plates in the mandibular body. There is marked deficiency and irregularity of the... | 1. Postoperative findings related to prior orthognathic surgery for retromicrognatia with apparent nonunion of the osteotomies, 12 mm of overjet and glossoptosis that results in pharyngeal airway narrowing, as well as bony ankylosis between the mandible the skull base and zygomatic arches bilaterally. 2. Anomalous cour... |
Generate impression based on findings. | Fall, trauma. Question of fracture. Three views of the right shoulder reveal no acute fracture or dislocation. There is mild osteophyte formation at the acromioclavicular joint.Two views of the right humerus reveal no acute fracture. | 1. No acute fracture or dislocation is evident.2. Mild osteoarthritis of the acromioclavicular joint. |
Generate impression based on findings. | Reason: evaluate sinus History: right sided nasal polyp, possible antrochoanal polyp Exam is limited by lack of contrast. There is complete opacification of the right maxillary sinus as well as right middle and inferior meatus measuring 19 Hounsfield units, likely mucoid. There is widening of the ostiomeatal complex wi... | Fluid-density complete opacification of the right maxillary sinus extending through the ostiomeatal complex into the nasopharynx. No evidence of bony erosion or destruction, compatible with chronic benign process, most suggestive of an antrochoanal polyp as clinically suspected. |
Generate impression based on findings. | 56-year-old female with left ankle and foot pain. There is mild hallux valgus deformity, as well as joint space narrowing and subchondral sclerosis of the first metatarsophalangeal joint, consistent with osteoarthritis. A plantar heel spur is present. There is no acute fracture or malalignment. | No acute fracture or malalignment. Mild hallux valgus deformity; osteoarthritis of the first MTP joint. |
Generate impression based on findings. | 72-year-old male patient with history of prostate cancer, status post treatment. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules. Pleural based left lower lobe nodule is unchanged (series 5 image 70). Scattered nonspecific nodules, some of which are calcified.MEDIASTINUM AND HILA: No mediastinal or hilar lympha... | 1.No evidence of recurrent or metastatic disease.2.Heterogenous liver attenuation is suggestive of patchy fatty infiltration. |
Generate impression based on findings. | NSCLC with left neck/shoulder discomfort. Known DJD. The images are degraded by motion artifact.Nevertheless, there is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. There is unchanged mild enlargement and heterogeneity of the thyroid gland. The salivary glands ar... | 1. No significant lymphadenopathy in the neck.2. Partially-imaged pulmonary opacities. Please refer to the separate chest CT report for additional details. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: No significant abnormality noted. Mild dependent atelectasis is noted.MEDIASTINUM AND HILA: There is no mediastinal or hilar lymphadenopathy.There no visible coronary calcifications, and the heart and pericardium appear... | No sign of metastases, or other significant abnormality. |
Generate impression based on findings. | 44-year-old female with a history of left lumpectomy in 2012 for DCIS. Patient received radiation therapy. No new 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 fibroglandular elements, unchanged i... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Hemangioma liver ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant change in large right posterior segment hepatic lobe lesion again consistent with hemangioma measuring 9.4 x 11.4 cm. other bilobar low attenuation foci also stable.No ductal dilatation. Hepatic vessels patent.SPLE... | Stable right lobe hemangioma and other bilobar low attenuation hepatic foci. Interval resolution of loculated left pelvic subcutaneous tissue collection. |
Generate impression based on findings. | 25 years old Male. Reason: large pelvic mass, presumed lymphoma. History: large pelvic mass, presumed lymphoma. RADIOPHARMACEUTICAL: 9.0 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 80 mg/dL. Today's CT portion grossly demonstrates a large likely retroperitoneal pelvic and left inguinal masses, bilateral ... | 1.Extensive hypermetabolic lymphadenopathy in the neck, mediastinum, abdomen, pelvis, left inguinal region and right proximal thigh, as well as hypermetabolic masses in the pelvis, consistent with patient's diagnosis of lymphoma.2.Multiple hypermetabolic renal lesions, suspicious for tumor involvement.3.Osseous metasta... |
Generate impression based on findings. | Reason: evaluate ET placement History: evaluate ET placement, re-intubatedVIEW: Chest AP (one view) 3/10/2015, 1108 Enteric tube with proximal sideport above the level of the GE junction. ET tube tip below the thoracic inlet and above the carina.The cardiac silhouette is enlarged.Diffuse pulmonary opacities compatible ... | Diffuse pulmonary edema with increasing cardiac size is concerning for left to right shunt; patent ductus arteriosis is the most common consideration. |
Generate impression based on findings. | Scoliosis.VIEWS: Spine supine AP/lateral (two views) 03/10/15 A gastrostomy tube is present. There is a moderate amount of feces in the rectosigmoid. The left femoral head is displaced superiorly from the dysplastic acetabulum.Right curve between T6 and L4 measures 115 degrees. Hyperlordosis of the lumbar spine is note... | Right thoracolumbar curve of 115 degrees. |
Generate impression based on findings. | Reason: Additional burden of disease s/p chemoRT History: Persistent laryngeal mass RADIOPHARMACEUTICAL: 12.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 100 mg/dL. Today's CT portion demonstrates asymmetric laryngeal mucosal thickening. A tracheostomy tube is in place. There are scattered calcified and ... | 1. Focal hypermetabolism in the right superior larynx at the level of and just below the right hyoid bone is highly suspicious for residual tumor. 2. No evidence of metastatic disease in the chest, abdomen, or pelvis. 3. Basilar pulmonary opacities with mild activity are most compatible with atelectasis and prior infla... |
Generate impression based on findings. | 67-year-old male with metastatic lung carcinoma to left chest and pleura CHEST:LUNGS AND PLEURA: Significant decrease in loculated left basilar pleural effusion. Reference spiculated left lower lobe nodule cannot be accurately measured due to surrounding atelectasis and pleural effusion.Previously noted superior segmen... | 1.Significant interval decrease in loculated left basilar pleural effusion.2.Interval decrease in mediastinal lymphadenopathy as described above.3.Interval decrease in opacity in the superior segment of the left lower lobe as described above. |
Generate impression based on findings. | 49-year-old female with history of esophageal cancer and malignant pleural effusion PULMONARY ARTERIES: Adequate pulmonary artery opacification without evidence of pulmonary embolism segmental arteries. The main pulmonary artery is within normal limits.LUNGS AND PLEURA: Unchanged large right pleural effusion with adjac... | 1.No evidence pulmonary embolism.2.New right lower lobe ground glass opacities may reflect aspiration or edema.3.Unchanged large right and small left pleural effusions.PULMONARY EMBOLISM: PE: Negative..Chronicity: Not applicable..Multiplicity: Not applicable..Most Proximal: Not applicable..RV Strain: Not applicable.. |
Generate impression based on findings. | Hip dysplasia.VIEWS: Pelvis AP/frog leg (two views) 03/10/15 The femoral head articulates with a pseudoacetabulum bilaterally. The acetabula are dysplastic. Bilateral coxa valga is present.A moderate amount of feces is seen in the rectosigmoid. | Bilateral developmental hip dysplasia. |
Generate impression based on findings. | 57 year old female status post right lumpectomy and axillary lymph node dissection in 2006 for IDC, presents today for 6 month follow up. Patient received radiation and chemotherapy. History of bilateral reduction mammoplasty in 2004 and June 2014. No current breast complaints. Family history of breast carcinoma in her... | Postsurgical changes of the left breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended in 6 months. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic ... |
Generate impression based on findings. | Reason: HNSCC. Compare to previous. 12-1972 study. History: as above. CHEST:LUNGS AND PLEURA: Centrilobular emphysema again noted. Increased moderate right and new trace left pleural effusions are present with increased compressive atelectasis as well as right basilar consolidation.Reference lesions are as follows (ser... | Mild interval progression in size of pulmonary metastases.Increased right lower lobe consolidation.Increased moderate right and new trace left pleural effusions. |
Generate impression based on findings. | 18 year-old male with history of trauma to the left jaw. An oblique fracture through the angle of the left mandible extends to the root of the third left mandibular molar. There is associated mild periapical lucency. | Oblique fracture through the angle of the left mandible. |
Generate impression based on findings. | Female; 78 years old. Reason: GIST: Restaging CHEST:LUNGS AND PLEURA: Left upper lobe nodule (series 8/86) has mildly increased in size and currently measures 6 x 5 mm, previously 4 x 5 mm on 12/2/14 and 4 x 4 mm on 7/1/14. A small, predominantly linear opacity just medial to this nodule is also mildly increased in siz... | 1. Nonspecific left upper lobe pulmonary nodule and adjacent linear opacity has mildly increased in size. The etiology may be post infectious or inflammatory scarring, but metastasis cannot be entirely excluded. Attention at follow-up is recommended.2. Stable right renal solid mass, suspicious for renal cell carcinoma.... |
Generate impression based on findings. | Status post fracture.VIEWS: Left femur AP and lateral 3/9/15 (two views) Cast material obscures fine bone detail. Healing left femur fracture with profuse callus formation , mild overlapping , medial displacement and dorsal angulation is unchanged in alignment. | Healing fracture, unchanged in alignment. |
Generate impression based on findings. | 21 year old female with right breast 2:00 position palpable area of concern, possible fibroadenoma. Right ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a hypoechoic area measuring 20 mm at the 2 o’clock position without increased vascularity, 3 cm from the nipple. The lesion was re... | Successful ultrasound-guided core biopsy of the right breast lesion and clip placement. This is most likely a fibroadenoma or other benign etiology. Pathology is pending at this time.BIRADS: 3 - Probably benign finding.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 26-year-old male with pain and swelling of the second and third PIP joints x 3 weeks since injury to the right hand while ice climbing. There is no acute fracture or dislocation. The joint spaces appear well preserved. There is mild soft tissue swelling surrounding the second and third proximal interphalangeal joints. | Soft tissue swelling surrounding the second and third proximal interphalangeal joint, without acute fracture or malalignment. |
Generate impression based on findings. | Scoliosis.EXAMINATION: Spine AP (one view) 03/10/15 A gastrostomy tube is present. A small to moderate amount of feces is noted in the rectosigmoidLeft curve between T11 and L4 measures 35 degrees. | Increase in left thoracolumbar curve. |
Generate impression based on findings. | 36 year old male with right upper quadrant pain, history of gallstones. LIVER: Liver is normal in echogenicity measuring 18.2 cm in length. Main portal vein is patent with appropriate directional flow. No focal hepatic lesions. GALLBLADDER, BILIARY TRACT: Gallbladder is mildly distended with no evidence of gallbladder ... | 1. Findings are suspicious for acute cholecystitis in the appropriate clinical setting with no evidence of shadowing calculi. 2. Increased echogenicity of the kidneys suggestive of parenchymal dysfunction. Left renal cyst with associated calcification. Findings were discussed with ER physician Dr. Benjamin Savitch by p... |
Generate impression based on findings. | 18 year-old female with right thumb pain. Two views of the right thumb reveal normal anatomic alignment. There is no fracture or dislocation. There is no significant soft tissue swelling. | No acute fracture or malalignment. |
Generate impression based on findings. | 63-year-old female with left foot pain; history of left foot fracture. There is an oblique spiral fracture through the body of the fifth metatarsal, with mild medial and dorsal displacement of the distal fracture fragment. There is a linear metallic foreign body in the soft tissues overlying the fifth proximal phalanx.... | Oblique spiral fracture through the body of the fifth metatarsal with mild medial/dorsal displacement of the distal fracture fragment. Metallic foreign body in the soft tissues overlying the fifth proximal phalanx. |
Generate impression based on findings. | Pain. Preoperative evaluation for right total hip arthroplasty MAKO robotic system. CT images of the right hip reveal severe superior joint space narrowing, subchondral sclerosis, and subchondral cyst formation. No fracture is evident.CT images of the pelvis show joint space narrowing, sclerosis, and subchondral cyst f... | 1. Severe right hip osteoarthritis and moderate left hip osteoarthritis.2. Degenerative changes of the lower lumber spine, left sacroiliac joint, and pubic symphysis. |
Generate impression based on findings. | 41 year old with history of right breast ILC status post modified radical mastectomy and chemoradiation in 2009. No breast symptoms currently. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern a... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, left unilateral diagnostic mammogram is recommended annually. In view of patient's history of breast cancer in young age, breast MRI is useful for screening. Results and recommendations were discussed with the pa... |
Generate impression based on findings. | Reason: followup lung CA, s/p resection, RT. Also bronchiectasis and repeated infections. History: some cough LUNGS AND PLEURA: Decreased centrilobular nodules in the posterior left lower lobe. Near complete resolution of the previous patchy foci of consolidation within the left costophrenic angle.Stable small right pl... | Persistent fluid filled cavity in the right lower lobe with associated atelectasis and consolidation slightly decreased adjacent to the medial wall.Improved bronchiectasis and centrilobular nodules within the left lower lobe, most likely related to recurrent aspiration/infection. Near resolution of previous consolidati... |
Generate impression based on findings. | 66-year-old male with head and neck cancer CHEST:LUNGS AND PLEURA: Unchanged biapical scarring. No significant change in small ground glass opacities within the right lung base (series 4, image 250). Interval resolution in cluster of micronodules in the posterior basal segment of the left lower lobe. Unchanged scattere... | No evidence of metastatic disease. No significant interval change since the prior exam. |
Generate impression based on findings. | 85-year-old male with cervical esophageal cancer. CHEST:LUNGS AND PLEURA: Stable left apical and bilateral paramediastinal fibrotic changes, right greater than left. No consolidation or suspicious nodularity. Trace bilateral pleural effusions. MEDIASTINUM AND HILA: Moderate cardiomegaly; the right atrium and the ventri... | 1.Increased intrahepatic and extrahepatic biliary ductal dilatation and pancreatic ductal dilatation of unclear etiology.2.No specific evidence of metastatic disease.3.Gastrostomy tube balloon is partially retracted into its tract.Findings discussed with Dr. Saloura at 3:59 PM on 3/10/2015. |
Generate impression based on findings. | Hip dislocation.EXAMINATION: Pelvis AP/frog leg (two views) 03/10/15 The femoral heads are well directed into normally formed acetabula. No fracture is identified. | Normal examination. |
Generate impression based on findings. | Right hip pain. Two views of the right hip show a right total hip arthroplasty device in anatomic alignment without evidence of loosening or hardware failure. There is heterotopic ossification about the greater trochanter. No acute fracture is evident. Vascular calcifications are noted.Two views of the right femur agai... | Right total hip arthroplasty device without evidence of hardware complication. |
Generate impression based on findings. | Female 80 years old; Reason: evaluate for metastasis. History: leiomyosarcoma of intestine. CHEST:LUNGS AND PLEURA: Scattered, nonspecific micronodules and peripheral reticular opacities and honeycombing, not significantly changed.MEDIASTINUM AND HILA: Redemonstrated cardiomegaly. Coronary artery calcifications. Pulmon... | 1.No significant change from prior study.2.Prominence of the pulmonary artery could be secondary to underlying pulmonary artery hypertension. Correlate clinically. |
Generate impression based on findings. | Neck pain, crepitus, limited range of motion with rotation. Question of osteoarthritis, structural abnormality, or chronic problem. Five views of the cervical spine reveal no acute fracture or dislocation. Vertebral body heights are maintained. There is ossification of the anterior longitudinal ligament. There is narro... | Anterior syndesmophyte formation of the cervical spine; this appearance raises the question of a seronegative spondyloarthropathy. |
Generate impression based on findings. | Lumbar pain. Three views of the lumbar spine reveal no acute fracture. Vertebral body heights are maintained. There is severe degenerative disk disease of L3/L4 and L4/L5. Alignment is anatomic. | Severe degenerative disk disease of the lower lumbar spine as above. |
Generate impression based on findings. | 57-year-old female with history of DCIS with pulmonary nodule. Follow-up exam. LUNGS AND PLEURA: Single left lower lobe 4-mm pulmonary nodule is stable from exam dated 6/27/2013. No new or suspicious pulmonary nodules identified.MEDIASTINUM AND HILA: Heart size is normal with no pericardial effusion. No mediastinal or ... | Solitary 4-mm left lower lobe pulmonary nodule, stable for one year, likely an intrapulmonary lymph node. It has been almost one year since this examination was performed. |
Generate impression based on findings. | Follow-up examination. History of first MTP joint fusion. There is a plate and screw device affixing the first metatarsophalangeal joint in anatomic alignment. There is no evidence of hardware complication or change in position from the previous study. Mild osteoarthritis affects the interphalangeal joints. | Orthopedic fixation of the first MTP joint as above. |
Generate impression based on findings. | Pain and fall 3 weeks ago. Question of fracture. There is a healing left inferior pubic ramus fracture. There is a left total hip arthroplasty device situated in anatomic alignment. There is no evidence of loosening or hardware complication. aMinimal heterotopic ossification is noted superior to the greater trochanter,... | 1. Healing left inferior pubic ramus fracture; a pelvic radiograph should be obtained to assess for additional fractures. Findings communicated via phone to G. Borrelli at 1308 hrs on 3/10/2015.2. Left total hip arthroplasty device without evidence of complication. |
Generate impression based on findings. | Motor vehicle accident on 2/11. Continued pain. Rule-out fracture.VIEWS: Left shoulder internal rotation/external rotation/Y (3 views) 03/10/15 The humeral head is normally positioned with respect to the glenoid fossa. No fracture is identified. The bones are normal in appearance. | Normal examination. |
Generate impression based on findings. | Follow-up for radius and ulnar fractures. Cast material obscures fine bone detail. There is redemonstration of a comminuted distal radius fracture in near anatomic alignment. The ulnar styloid fracture is in near anatomic alignment. | Distal radius and ulnar styloid fractures in near-anatomic alignment. |
Generate impression based on findings. | Impingement. Question of shoulder arthritis. No acute fracture or dislocation is evident. There is irregularity of the posterior lateral humeral head which is likely degenerative. There is mild osteophyte formation at the glenohumeral and acromioclavicular joints. | Mild osteoarthritis of the left shoulder. |
Generate impression based on findings. | Cervical radiculopathy. Question of DJD. No acute fracture is evident. There is moderate to severe degenerative disk disease affecting the entire cervical spine. The neural foramina appear grossly patent on the oblique views. Vertebral body heights are maintained. | Degenerative disk disease of the cervical spine. |
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