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Generate impression based on findings. | Right lower quadrant and suprapubic pain. Recurrent, ABDOMEN:LUNG BASES: No focal opacity is present. A pleural effusion is not identified.LIVER, BILIARY TRACT: Enhancement is normal. No biliary ductal dilatation is seen. The gallbladder is distended.SPLEEN: Normal in size and enhancement.PANCREAS: Normal in appearance... | Small bowel feces sign without obstruction. This may be seen in patients with cystic fibrosis, severe dehydration, and a bezoar. |
Generate impression based on findings. | 60 year-old female with history of right mastectomy. LUNGS AND PLEURA: No consolidation, pleural effusion, or pneumothorax. Right upper, left upper, left lower lobe pulmonary nodules measure up to 7 mm (right upper lobe, image 26 series 2). Subtle right posterior pleural nodularity at the level of T5.MEDIASTINUM AND HI... | Right anterior chest wall masses and right axillary lymphadenopathy are concerning for regional metastases.Few pulmonary nodules measuring up to 7 mm and subtle pleural nodularity are nonspecific though may represent metastatic disease and attention on follow-up imaging is warranted. |
Generate impression based on findings. | 20 year-old female patient with hematuria and right-sided flank pain. 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: No significant abnormality noted.LIVER, BILIA... | 1.Nonobstructive 3mm renal calculus in the superior pole of the right kidney. No hydronephrosis or perinephric fat stranding.2.Hypoattenuating lesion in the superior pole of the left kidney is incompletely characterized and is felt to most likely represent a cyst given that the patient does not have left flank symptoms... |
Generate impression based on findings. | Low back pain. Evaluate for an acute process. No acute fracture is evident. Alignment is anatomic. Vertebral body heights are maintained. | No acute fracture is evident. |
Generate impression based on findings. | 66-year-old female patient history of bladder cancer status post radical cystectomy. Evaluate for metastatic disease on delayed imaging. ABDOMEN:LUNG BASES: Interval resolution of left-sided pleural effusion. There is bilateral scarring and left lung base bronchiectasis. There are peripherally located nodular densities... | 1.Nonspecific interval increase in subcentimeter retroperitoneal lymph nodes, as described above. Otherwise, grossly unchanged examination.2.Right middle lobe nodules were not visualized on prior examination and are of uncertain clinical significance and may represent scarring. Attention should be paid to these nodules... |
Generate impression based on findings. | 80 year-old female with NSCLC. Restaging s/p XRT. CHEST:LUNGS AND PLEURA: Elongated right upper lobe mass-like lesion is unchanged. Left upper lobe nodule have decreased in size and solid component measures 8 x 4 mm (image 31), previously 10 mm. Left lower lobe nodule has decreased in size and solid component 8 x 6 mm ... | Slight interval decrease in size and solid component of left upper lobe nodules. Stable right upper lobe mass-like lesion. |
Generate impression based on findings. | Male 78 years old; Reason: follow up for colon cancer History: none CHEST:LUNGS AND PLEURA: Asymmetric bronchiectasis involving the right upper lobe. Minimal emphysematous changes.Right lower lobe pulmonary lesion measures 1.5 x 1.4 cm (image 59/series 5) previously, 1.9 x 1.4 cm.Spiculated medial right lower lobe pulm... | 1.No significant change in the size of the reference lung lesions.2.Bilateral renal calculi with thickened urothelium. |
Generate impression based on findings. | 74-year-old male patient with urothelial cancer. CHEST:LUNGS AND PLEURA: Scattered calcified and noncalcified micronodules are again noted. Left upper lobe groundglass nodule is unchanged and measures 4 mm (series 8 image 15) additional ground glass nodule in the right upper lobe measures 3 mm (series 8 image 27). Agai... | Stable lung nodules without evidence of intra-abdominal metastatic disease. |
Generate impression based on findings. | Evaluate for CVA. There is a large hematoma centered in the left Sylvian fissure measuring 6.4 cm in AP dimension. There are smaller foci of intraparenchymal hemorrhage in the left parietal lobe. There is local mass effect with effacement of the left lateral ventricle. There is left to right midline shift of 7 mm as we... | 1. Large hematoma centered in the left Sylvian fissure with smaller intraparenchymal components in the left parietal lobe, resulting in local mass effect, left to right midline shift of 7 mm as well as uncal herniation.2. Foci of hypoattenuation in the bilateral basal ganglia, which are suspicious for lacunar infarcts.... |
Generate impression based on findings. | Reason: r/o extra and intracranial vessel stenosis History: R DWI+ lesions; left CEA 05/16/2014, right CEA 12/2/2014 HEAD:There is redemonstration of chronic left occipital infarct with volume loss. There is also focal low density along the right precentral gyrus and right occipital lobe corresponding to acute infarcts... | 1.Interval improvement of bilateral carotid artery appearance status post bilateral CEA, without residual stenosis or calcification.2.Interval decreased visualization of distal reconstitution of right vertebral artery through collaterals, with chronic occlusion just distal to origin.3.Interval worsening of appearance o... |
Generate impression based on findings. | Clinical question: Evaluate sinuses. Signs and symptoms: History of sinus disease on recent MRI exam. Nonenhanced sinus CT:Frontal sinuses are well pneumatized and unremarkable.Ethmoid sinuses are pneumatized and unremarkable.Sphenoid sinus is well pneumatized and with patent bilateral sphenoethmoidal recesses.Bilatera... | 1.Retention cyst measuring 27 x 20 x 26-mm in left maxillary sinus.2.Unremarkable paranasal sinuses otherwise.3.Rightward nasal septum deviation and a bony septal spur which is in contact and deforms the right inferior turbinate mucosa. |
Generate impression based on findings. | Clinical question: Evaluate sinuses, assess for interval change in sinus disease. Signs and symptoms: Chronic left-sided nasal congestion and PND on the left. Medtronic nonenhanced sinus CT:Left frontal sinus is well pneumatized and without evidence of disease. There is anatomical variation of absent right frontal sinu... | 1.No evidence of sinusitis and without interval change since prior exam. 2.Tiny retention cyst of right maxillary sinus as detailed.3.Images through the nasal passage demonstrate mildly collapsed left nasal valve.4.No appreciable interval change since prior outside institute examination. |
Generate impression based on findings. | 10 years old, Female, Reason: 10 year old with t-lymphoblastic lymphoma History: Mediastinal mass LUNGS AND PLEURA: Within the left upper lobe there is a new 9 mm x 8 mm spiculated nodule (series 6, image 22). No pneumothorax, pleural effusion, or dense consolidation. The trachea and central bronchi are patent.MEDIASTI... | 1.New spiculated nodule in the left upper lobe measuring up to 9 mm is most likely malignant due to appearance on same day PET exam.2.Interval decrease in size of anterior mediastinal mass with no compression to the major airways or vascular structures. |
Generate impression based on findings. | 4 year old female. History of congenital talipes equinovarus. Bilateral developmental hip dysplasia. Evaluate scoliosis.VIEWS: Thoracolumbar spine. AP and lateral (2 views) 3/10/2015, 0018 Thoracolumbar spine has normal alignment without significant lateral curvature.No segmentation or fusion defects in the thoracolumb... | No scoliosis. |
Generate impression based on findings. | 33-year-old male with left knee pain. Two views of the left hip demonstrate normal alignment, without acute fracture or significant degenerative disease.Four nonweightbearing views of the left knee demonstrate no acute fracture or malalignment. There is no joint effusion or significant soft tissue swelling. | No acute abnormality in the left hip or knee. |
Generate impression based on findings. | Female 49 years old evaluate for radiopaque foreign body. Per operating room attending, needle counts were correct. A 12-mm curvilinear thin metallic structure projects over the mid pelvis is most likely due to an overlying staple. There is no tapering appearance suggests that this is a needle. Otherwise, no unexpected... | 12-mm curvilinear thin metallic structure projects over the mid pelvis is most likely due to an overlying staple. There is no tapering appearance suggests that this is a needle. However, clinical correlation is needed to rule out radiopaque foreign body.These findings and the need for clinical correlation were directly... |
Generate impression based on findings. | 49-year-old female with a history of dorsal talar avulsion fracture on 2/4/15; a follow-up examination. The linear density dorsal to the head of the tail is is less conspicuous on today's exam, compatible with interval healing of the dorsal talar avulsion fracture. There is no new acute fracture, malalignment, or signi... | Interval healing of dorsal talar avulsion fracture. |
Generate impression based on findings. | Newly diagnosed 8mm nodule in the left lung LUNGS AND PLEURA: Using similar measurement technique with 1 mm slice thickness, the left apical pulmonary nodule has not significantly changed in size, measuring 6 mm (5/29).Stable paraseptal predominant emphysema.Additional apical pleural parenchymal scarring unchanged. No ... | Left apical 6-mm solid nodule has not changed in size since 11/2014. No associated lymphadenopathy. Continued observation with a repeat CT in 6 months is recommended. |
Generate impression based on findings. | 24 years, Male. Reason: 24 yo with g tube History: high residuals Markedly underinflated lungs with nonspecific air space opacities, left greater than right, may represent atelectasis/aspiration/infection. Spinal hardware is unchanged in position. Midline abdominal surgical clips are noted. Patient's known ventriculoch... | Multiple dilated loops of small bowel are again identified, and likely represent ileus, unchanged from prior exam. |
Generate impression based on findings. | Clinical question: History of sinus surgery, recurrent symptoms. Signs and symptoms: History of sinus surgery, recurring symptoms. Nonenhanced Medtronic sinus CT:Well pneumatized right frontal sinus without evidence of disease. There is anatomical variation of hypoplastic left frontal sinus without evidence of disease.... | 1.No evidence of any significant sinus disease. There is interval improvement since prior exam.2.Please see detailed report above. |
Generate impression based on findings. | Head/Brain: There is no evidence of intracranial mass or area of abnormal enhancement.Left calvarial burr holes are again noted along with a stable, thin subdural collection with peripheral calcifications along the floor of the left anterior cranial fossa. There is patchy white matter hypoattenuation indicating age in... | Posttreatment changes without findings of recurrence. |
Generate impression based on findings. | Pain and stiffness. Question of extent of osteoarthritis. Two views of the right knee reveal severe joint space narrowing of the medial tibiofemoral compartment and patellofemoral joint. There is tricompartmental osteophyte formation. A large right knee joint effusion is noted. No fracture is evident.Two views of the l... | Severe osteoarthritis of both knees. |
Generate impression based on findings. | 67-year-old female with history of metastatic lung cancer, left femur pain, concern for metastases. There is mild inferomedial migration of the left femoral head with associated subchondral sclerosis, consistent with mild osteoarthritis. There is no acute fracture or malalignment. The left knee joint is unremarkable. | No evidence of metastatic disease to the left femur. Minimal osteoarthritic changes of the left hip. |
Generate impression based on findings. | Female 52 years old; Reason: s/p HIPEc and debulking for appendiceal CA History: Surveillance CHEST:LUNGS AND PLEURA: No dominant lung lesion. There are a few scattered pulmonary nodules along the right major fissure. The previously measured reference lesion has resolved. The pleural spaces are clear.MEDIASTINUM AND HI... | 1.Increase in the nodule size located between the stomach and the liver in the left upper abdomen.2.Near complete resolution of the lung lesion. |
Generate impression based on findings. | 14 years old, Female, Reason: Concern for abnormal bone process; hx sicca and on CSA for atopic dermatitisVIEWS: Thoracic spine AP, lateral, swimmer's (3 views) 3/10/15 Vertebral body heights and disk spaces are normal. Mineralization of the osseous structures is normal. No evidence of fracture or malalignment. | Normal examination. |
Generate impression based on findings. | 49 year old female with history of right breast abscess, and left breast boil status post excision, presents for routine annual follow-up. No family history of breast cancer. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely f... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 21 year old male. Abdominal pain and vomiting x 3 days: Evaluation for obstruction Hx of AML s/p stem cell transplant.VIEWS: Abdomen AP upright and supine (two views) 3/10/2015, 1305 Nonobstructive bowel gas pattern. Moderate colonic stool burden.No free air. | No evidence of obstruction. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Persistent moderate centrilobular emphysema in the upper lobes.Right-sided volume loss secondary to right lower lobe rounded atelectasis adjacent to small right pleural effusion which is reduced in quantity when compared to ... | Right posterior paratracheal mass measures slightly larger. No interval mediastinal lymphadenopathy.Chronic but decreased right pleural effusion with pleural thickening and two foci of rounded atelectasis in the right lower lobe.No new suspicious pulmonary nodule. |
Generate impression based on findings. | 65 year old female with history of nonhealing left lower extremity wound and concern for osteomyelitis. There is focal soft tissue swelling overlying the mid third of the tibia, likely corresponding to patient's known leg wound. The tibia and fibula remain well corticated, without evidence of osteomyelitis. The visuali... | Focal anterior soft tissue swelling of the lower leg without evidence of underlying osteomyelitis. |
Generate impression based on findings. | 24 day male. Cough and wheeze. R/o pneumoniaVIEWS: Chest AP/lateral (two views) 3/10/2015, 1314 The aortic arch, cardiac apex, and stomach are left-sided.The cardiomediastinal silhouette is normal.Mild peribronchial thickening and increased lung volumes compatible with reactive airway disease or bronchiolitis.No pleura... | Reactive airway disease/bronchiolitis pattern. |
Generate impression based on findings. | 44 year old female with 4-week history of right elbow and right knee pain. Four views of the right elbow demonstrate normal anatomic alignment, without fracture, joint effusion, or significant soft tissue swelling. Four views of the right knee demonstrate no acute fracture, malalignment, joint effusion or significant s... | No acute abnormality. |
Generate impression based on findings. | 52 years old Female. Reason: History of metastatic breast cancer to L5, evaluate lesion found on MRI in left intertrochanteric region of proximal femur (outside read of MRIs will also be requested). Date of PET scan is 08/27/2013 Examination from MD Anderson cancer center was submitted for interpretation. The study is ... | 1. No definite evidence of FDG avid tumor, specifically no definite abnormal FDG uptake in the lesion in the left proximal femur seen on the MRI scan from 11/26/2014. Mild FDG uptake in the region at L5 vertebral body, which is nonspecific.1.Focus of the abnormal FDG uptake in the left upper chest wall between the left... |
Generate impression based on findings. | Status post fracture.VIEWS: Left tibia-fibula AP and lateral 3/10/15 (3 views) Cast material obscures fine bone detail. No fracture line is visualized. No periosteal reaction or callus formation is noted. Alignment is anatomic. | Anatomic alignment after casting. |
Generate impression based on findings. | 66 years, Male. Reason: s/p ngt History: ngt Please note the pelvis is not included in this examination. Partially visualized lung bases demonstrate right basilar punctate pulmonary nodules. Interval placement of an NG tube with its tip and side-port in the proximal stomach. Sternotomy hardware and vascular clips are u... | NG tube tip in proximal stomach. |
Generate impression based on findings. | 7 year old male. 4th and 5th digit lt hand pain after fall. R/o fracture History: swelling, tenderness over proximal metacarpalsVIEWS: Left hand PA, lateral, oblique (3 views) 3/10/2015, 1252 Mild soft tissue swelling at the dorsum of the hand.The osseous structures are normal. | Soft tissue swelling with no acute fracture. |
Generate impression based on findings. | Male; 62 years old. Reason: evaluate for progression. History: hemangiopericytoma. CHEST:LUNGS AND PLEURA: Bilateral likely metastatic lung nodules, unchanged. Index left lower lobe nodule measures 9-mm, unchanged (series 9/29).Index left upper lobe nodule measures 4 mm, unchanged (series 9/53).Additional smaller bilat... | 1. Slightly increased size of liver lesions and left perirenal lesion, most compatible with progressing metastatic disease.2. Either new or increased lytic lesion in the right iliac wing, most compatible with metastasis. 3. Stable lung nodules.4. Stable duodenal mass.5. Stable right paravertebral thoracic mass. |
Generate impression based on findings. | Female 17 months old Reason: leg length discrepancy History: leg length discrepancyVIEWS: Pelvis AP 3/10/15 (one views) Both round, smooth and normally formed femoral heads are well directed to a normally developed acetabulum. | Normal examination. |
Generate impression based on findings. | 48-year-old male with left foot pain and dorsal foot mass. No acute fracture or malalignment is evident. There is mild diffuse demineralization of the bones in the foot. A plantar heel spur is present. No dorsal foot mass. | No acute fracture, malalignment, or evidence of dorsal foot mass. |
Generate impression based on findings. | 13 years old, Male, Reason: Evaluate for presence of abscess History: burning/stinging with urination s/p open appendectomy BLADDER Wall Thickness: Normal Contents: Distended and normal. No debris is noted within the bladder. Distal Ureter -- SFU Grade** Right: 0 Left: 0 Ureteral Jets Right: Not observed Left: N... | No abscess seen along the incisional scar or within the pelvis. The kidneys are normal in appearance bilaterally. No debris is present within the bladder.*SFU grading system: Grade 0: No hydronephrosis. Grade 1: The renal pelvis is visualized. Grade 2: A few but not all of the calices are identified in addition to the ... |
Generate impression based on findings. | Humerus fracture.VIEWS: Left elbow AP/lateral (two views) 03/10/15 The K wires have been removed. The fracture line is less distinct. Periosteal reaction/callus formation has increased. Alignment is unchanged with lateral displacement and slightly posterior angulation. | Continued healing of distal humeral fracture. |
Generate impression based on findings. | Interval significant improvement of previously seen beaking/bridging of the frontal bones, with now a rounded contour. There are scattered small osseous gaps along the expected course of the coronal sutures, presumably postoperative. Small osseous irregularities are seen along the paramedian frontal bones as well, lik... | 1.Expected postoperative changes with residual small osseous gaps scattered along the coronal sutures. Improved frontal bone contour.2.Slight calvarial indentation along the lambdoid suture.3.Intracranial structures are grossly unremarkable. |
Generate impression based on findings. | 64-year-old female patient with history of GIST. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Cardiac size within normal limits without pericardial effusion.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Multiple subc... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 52-year-old male with left lower lobe mass LUNGS AND PLEURA: Centrilobular emphysema is again noted. Biapical scarring. Bilateral pleural thickening with scarring. Pleural calcifications in the right lung base. Unchanged, round atelectasis in the posterior basal basal segment of the left lower lobe.MEDIASTINUM AND HILA... | No significant change in appearance of left lower lobe round atelectasis. No change in right calcified plaques and bilateral pleural thickening/scarring. |
Generate impression based on findings. | Reason: prostate cancer, high-risk disease History: as above No abnormal osseous foci are identified to indicate metastatic disease.Areas of radiotracer activity in the mid cervical spine, lumbar spine, knee joints, and ankle joints are consistent with degenerative changes. | No evidence of bone metastasis. |
Generate impression based on findings. | Reason: prostate cancer S/P 3 cycles on treatement -restaging. Please complete PCWG2 form No abnormal osseous foci are identified to specifically indicate metastatic disease. A small focus of activity in the right inferior calvarium was also present on the prior study, but appears somewhat sharper on the right lateral ... | 1. No specific evidence of bone metastasis.2. Small focus of activity in the right inferior calvarium also present on the prior study appears somewhat sharper on the right lateral skull view on this exam. This appearance is not typical of metastatic disease but is nonspecific. Continued close attention to this region o... |
Generate impression based on findings. | 75-year-old female with pain of the right midfoot. There is mild hallux valgus deformity. Incidental note is made of a small accessory navicular bone. A plantar heel spur is present. There is no acute fracture or malalignment. | No acute abnormality. |
Generate impression based on findings. | Reason: r/o adenoma History: primary hyperparathyroidism. Best seen on SPECT images is a small focus of activity posterior to the upper pole of the right thyroid gland which may indicate a parathyroid adenoma.Physiologic cardiac and salivary gland uptake is observed. | Small focus of activity posterior to the upper pole of the right thyroid gland is nonspecific and may indicate a parathyroid adenoma. |
Generate impression based on findings. | 22 year old female with AML. Pre BMT baseline. History of latent TB LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No focal airspace consolidation. No pleural effusions or pneumothorax.MEDIASTINUM AND HILA: Continued mild improvement in mediastinal lymphadenopathy. A reference right paratracheal lymph nod... | 1. Continued mild improvement in mediastinal lymphadenopathy.2. No evidence of infectious process or other acute abnormality. |
Generate impression based on findings. | 69 year-old female with left foot pain, concern for gout. Three views of the left foot redemonstrate evidence of triple arthrodesis with fusion of the subtalar joint, calcaneocuboid joint, and the talonavicular joint. There is moderate osteoarthritis seen at the navicular/cuneiform articulation. No fracture is evident.... | 1. No radiographic evidence of gout.2. Findings related to triple arthrodesis of the left foot are unchanged when compared to remote prior. 3. Moderate osteoarthritis of the left first metatarsophalangeal joint.4. Soft tissue swelling of the lateral right ankle.5. No acute fracture or malalignment. |
Generate impression based on findings. | 65 years, Male. Reason: 65M with abd distention, eval for megacolon History: abd distention Blurring due to respiratory motion limits sensitivity of this exam. There is a paucity of bowel gas. There is a nasogastric tube with its tip projecting over the prepyloric stomach. | Persistent paucity bowel gas. |
Generate impression based on findings. | 16 years old, Female, Reason: Postoperative evaluation fractured ankleVIEWS: Left ankle AP, oblique and lateral (3 views) 3/10/15 Overlying cast obscures fine bone detail. Interval placement of plate and screws device along the fractured fibula which is now in anatomic alignment. A single screw does not traverse the pl... | Interval placement of plate and screws device along the fractured fibula which is now in near anatomic alignment. |
Generate impression based on findings. | 56-year-old female patient with stage IIIc rectal cancer status post therapy completed August 2014. Evaluate for recurrent disease. Note the examination is limited by patient motion artifact. Repeat images of the chest and abdomen were performed during delayed phase imaging.CHEST:LUNGS AND PLEURA: Stable bilateral subc... | Stable examination without evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Status post left total knee arthroplasty. There is a left total knee arthroplasty device in anatomic alignment. There is no evidence of acute fracture. Foci of gas in the soft tissues is likely postsurgical. Surgical skin staples overlie the knee. A surgical drain is noted. | Left total knee arthroplasty device in anatomic alignment. |
Generate impression based on findings. | 10 years old Female. Reason: Restaging exam. History: T cell lymphoblastic lymphoma undergoing maintenance chemotherapy. RADIOPHARMACEUTICAL: 3.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 76 mg/dL. Today's CT portion grossly demonstrates stable soft tissue masses in the right anterior mediastinum. Ther... | 1.New hypermetabolic nodule in the left upper lobe, which can be due to infection or tumor.2. New nonspecific focus of FDG uptake in the splenic flexure of the colon without definite CT correlation.3. Stable anterior mediastinal mass with mild FDG uptake, which can be due to posttherapy change. However tumor cannot be ... |
Generate impression based on findings. | Severe pain and decreased range of motion. Assess degree of osteoarthritis in the left hip. No acute fracture is evident. There is medial joint space narrowing and osteophyte formation of the left hip. Surgical clips noted in the soft tissues of the left leg. | Moderte osteoarthritis of the left hip. |
Generate impression based on findings. | Chronic bilateral shoulder pain, status post rotator cuff surgery and multiple steroid injections. Three views of the right shoulder reveal no acute fracture or dislocation. There is mild osteophyte formation at the acromioclavicular and glenohumeral joints.Three views of the left shoulder reveal no acute fracture or d... | 1. Mild right acromioclavicular and glenohumeral joint osteoarthritis.2. Moderate left glenohumeral joint osteoarthritis with a possible loose body. |
Generate impression based on findings. | 65 year-old female with right upper and right lower quadrant abdominal pain. LIVER: Normal echogenicity measuring 16.4 cm in length. GALLBLADDER, BILIARY TRACT: There is adenomyomatosis of the gallbladder. No pericholecystic fluid. No gallbladder wall thickening. Sonographic Murphy's sign is negative. Minimal prominenc... | Minimal prominence of the extrahepatic ducts with no obvious obstructing lesion. |
Generate impression based on findings. | 49 year old female status post right mastectomy in 2011 for IDC, presents today for routine follow up. Patient received radiation and chemotherapy. History of left breast mastopexy in 2012. No current breast complaints. No family history of breast cancer. Three standard views of the left breast were performed digitally... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 15 month old male. Status Post-Op Cardiac SurgeryVIEW: Chest AP (one view) 3/10/2015, 1400 New ET tube, with tip below the level of the thoracic inlet and above the carina. Enteric tube terminates in the stomach. New right IJ catheter with tip at the cavoatrial junction. New right chest tube. New epicardial pacer leads... | Postoperative changes in the heart and mediastinum, with improved pulmonary vascular engorgement. |
Generate impression based on findings. | Pain and swelling post fall. Evaluate for fracture of right fourth digit. There is a non-displaced fracture of the dorsal aspect of the base of the distal phalanx. | Non-displaced fracture of the dorsal aspect of the base of the distal phalanx. |
Generate impression based on findings. | 72-year-old male status post right total hip arthroplasty. Portable image of the right hip demonstrates interval right total hip arthroplasty in near-anatomic alignment, with surgical drains and iatrogenic gas in the soft tissues.Portable image of the pelvis demonstrates the aforementioned right total hip arthroplasty ... | Interval right total hip arthroplasty in near-anatomic alignment. |
Generate impression based on findings. | 43-year-old male patient with infection. Exam is not sensitive for detecting lesions in the solid organs due to the lack of intravenous contrast. Given those limitations, the following observations are made:CHEST:LUNGS AND PLEURA: Scattered diffuse ground glass nodules, right lung greater than left, are again noted. In... | 1.Ground glass opacities in the lungs likely represent infectious or inflammatory etiology.2.Stable left adrenal nodule may represent myolipoma versus adenoma.3.Stable cardiomegaly and support devices. |
Generate impression based on findings. | Male; 67 years old. Reason: CT scan after chemotherapy for locally advanced pancreatic cancer History: surveillance ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Minimal intrahepatic biliary ductal dilatation.SPLEEN: Spleen is upper limits of normal.PANCREAS: Again seen is a mass in the reg... | No interval change in size of pancreatic body mass with associated vessel encasement. No new sites of disease. |
Generate impression based on findings. | 73-year-old male with left hip pain. Two views of the left hip demonstrate severe osteoarthritis including near bone-on-bone joint space narrowing, extensive osteophyte formation, subchondral sclerosis and subchondral cysts. Prominent osteophytes exhibit mass effect on the femoral head resulting in superolateral sublux... | Severe osteoarthritis of the left hip. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Benign calcification... | 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: NSC - Screening Mammogram.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this re... |
Generate impression based on findings. | 65-year-old female with bilateral lung masses, hemoptysis LUNGS AND PLEURA: Left upper lobe mass measuring 2.8 x 2.9 cm and series 4, image 80). Superior segment right lower lobe mass measures by 5.1 x 4.0 cm (series 3, image 50). This mass compresses the bronchus intermedius, particularly the lower lobe bronchus. Bila... | Left upper and right lower lobe mass with mediastinal and hilar lymphadenopathy as described above. |
Generate impression based on findings. | 72 year old female with history of right lumpectomy with adjuvant radiation therapy in 2000 presents for annual diagnostic mammogram. No current breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. Study is limited due to her difficulty in standing. ... | 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. | 48 year old female with known right breast asymmetry presents for routine annual follow-up. No current breast complaints. Family history of breast carcinoma in her sister. 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 scattere... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | No acute intracranial hemorrhage is identified. No evidence of intracranial mass, mass-effect, or midline shift. No intra- or extra-axial fluid collections. The ventricles and sulci are normal in size without evidence of hydrocephalus. The imaged portions of the paranasal sinuses and mastoid air cells are clear. The i... | Intracranial structures are unremarkable. No evidence of intracranial or calvarial metastatic disease. |
Generate impression based on findings. | Female 9 years old Reason: post-op History: fractureVIEWS: Left elbow AP and lateral on 3/10/15 (two views) Interval cast removal. Stable position of 4 K wires affixing a healing supracondylar fracture to anatomic alignment. Periosteal reaction and some callus formation is noted. | Healing fracture with no evidence of hardware complication after cast removal. |
Generate impression based on findings. | 85 years, Male. Reason: Evaluate NG tube position History: NG tube Interval placement of NG tube with its tip overlying the fundus of the stomach. The stomach appears less distended compared to prior exam. Bowel gas pattern is otherwise unchanged from to prior exam, nonspecific less than average stool burden. No eviden... | NG tube with tip overlying proximal stomach. Interval decrease in distention of stomach. |
Generate impression based on findings. | Fracture.VIEWS: Left foot AP/lateral (two views) 03/10/15 A cast obscures bone detail. There appears to be sclerosis at the sites of the fractures of the proximal first, second, third, and fourth metatarsals. Alignment is anatomic. | Healing metatarsal fractures. |
Generate impression based on findings. | 35-year-old female with metastatic triple positive breast cancer. Surveillance exam. CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary nodules and micronodules are present, which continue to decrease in size and number. The reference lesions are the largest remaining lesions and measure as follows (series 5): 6 mm n... | Continued improvement in pulmonary metastases. |
Generate impression based on findings. | 49 years, Female. Reason: 49 yo F s/p liver transplant History: dobhoff placement NJ tube tip is past the ligament of Treitz, within the jejunum. Right lower quadrant surgical changes noted. Residual enteric contrast is seen residing in the right lower quadrant, most likely in the cecum. Nonobstructive gas bowel patter... | NJ tube tip is past the ligament of Treitz and within the jejunum. |
Generate impression based on findings. | 48 year-old male with head and neck cancer CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules compatible with metastatic disease. Unchanged right apical scarring. Right posterior pleural-based scarring appears to be cavitary, new since the prior exam. These areas are slightly more coalesced since the prior exam. No new... | 1.Slight interval increase in right pleural-based preference nodules as described above. No new pulmonary nodules.2.Unchanged right pleural effusion.3.Slight interval decrease in size of mediastinal hilar lymphadenopathy. |
Generate impression based on findings. | 43 year old female status post right mastectomy in 2013 for DCIS, presents today for routine follow up. No current breast complaints. No family history of breast cancer. 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 den... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient and her husband.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
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. Asymmetry in the left posterior central aspect. No microcalcificatio... | Asymmetry in the left posterior central aspect, for which comparison with prior is recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISONI personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 36 years old Female. Reason: rule out recurrent disease. History: recurrent cervical cancer restaging. RADIOPHARMACEUTICAL: 15.0 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 89 mg/dL. Today's CT portion grossly demonstrates a right internal jugular central venous catheter with tip at the cavoatrial juncti... | 1.No evidence of FDG avid tumor.2.Interval resolution of hypermetabolic lung nodule in the right upper lobe. |
Generate impression based on findings. | Ovarian carcinoma with rising CEA 125 CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Stable thyroid isthmic nodule.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: 2.6 x 0.8 cm low-attenuation serosal lesion adjacent to the medial aspect of the right lobe of the... | Medially located right hepatic lobe serosal lesion somewhat more conspicuous on the current examination. Slightly increased soft tissue focus right external iliac region within the pelvis. These may represent early metastatic foci. |
Generate impression based on findings. | Female 64 years old; Reason: 64 y/o female with colon ca on Xeloda. Compare to prior History: colon ca CHEST:LUNGS AND PLEURA: There are few scattered pulmonary micronodules. There are no dominant lesions. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No mediastinal l... | 1.Fatty liver without change in the reference hepatic lesion. Its interval stability and imaging features suggest a benign lesion. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of ovarian cancer. Prior history of bilateral breast biopsies with benign histologies. Family history of breast cancer diagnosed in paternal grandmother in her 70s. Two standard digital views of both breasts, additional right MLO view, and... | 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: NSC - Screening Mammogram.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this re... |
Generate impression based on findings. | Asymptomatic female with dense breasts presents for whole breast ultrasound for dense breast screening. Family history of breast cancer in maternal grandmother and paternal aunt. 3-D whole breast ultrasound was performed for both breasts and images were reviewed on an independent workstation. There is no suspicious sol... | No sonographic evidence for malignancy.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Inflammatory polyarthritis. Question of prior erosion, erosion surveillance. Three views of the left hand are provided. Mild osteoarthritis affects the basilar joint, similar to the prior study. No erosions are identified.Three views of the right hand are provided. Mild osteoarthritis affects the basilar joint. No eros... | No evidence of erosive changes of the hands or feet. |
Generate impression based on findings. | Clinical question: Septal perforation. Signs and symptoms: Chronic sinusitis. Medtronic fusion sinus CT:Frontal sinuses demonstrate minimal mucosal thickening in the dependent segment.The ethmoid sinuses demonstrate patchy foci of opacification bilaterally (right greater than left).Sphenoid sinus demonstrate minute bec... | 1.Extensive left maxillary sinusitis with occluded left ostiomeatal unit.2.Minimal chronic sinusitis of other sinuses.3.Small anterior nasal septum soft tissue defect measuring 12-mm in AP and 9-mm in cranial cephalad axis. |
Generate impression based on findings. | 64-year-old male with abdominal pain and metastatic pancreatic cancer. CHEST:LUNGS AND PLEURA: Innumerable bilateral pulmonary metastases are present, increased in size and markedly in number from the previous exam. No focal consolidation or pleural effusion is present.MEDIASTINUM AND HILA: Heart size is normal with no... | 1.Increased extension of primary pancreatic tail malignancy with resulting new splenic infarcts.2.Marked interval progression of pulmonary and hepatic metastases. |
Generate impression based on findings. | Male; 66 years old. Reason: history of urteral cancer, small bowel obstruction History: small bowel obstruction ABDOMEN:LUNG BASES: Trace right pleural effusion with mild right basilar dependent subsegmental atelectasis.LIVER, BILIARY TRACT: Mildly distended gallbladder, which may be due to fasting state. No biliary du... | 1. High-grade distal small bowel obstruction. 2. Findings suspicious for right femoral DVT, for which ultrasound is recommended. |
Generate impression based on findings. | 67 year old female status post fall 3 days ago with left shoulder, elbow, wrist, and right hand pain. Left shoulder: The bones appear demineralized. There is no fracture or malalignment. Multiple subchondral cysts in the humeral head and glenoid as well as joint space narrowing and inferior osteophyte formation suggest... | 1. Diffuse demineralization, compatible with osteoporosis. 2. Osteoarthritis of the left shoulder. 3. Mild degeneration of the triscaphe and basilar joints in the right wrist. 4. No acute fracture or malalignment. |
Generate impression based on findings. | 67 year old male with right flank pain LIVER: Coarse echotexture of the liver measuring 15.3 cm in length. There is a benign-appearing cyst in the left hepatic lobe measuring 2.0 cm x 1.7 cm x 1.6 cm.GALLBLADDER, BILIARY TRACT: Normal echogenicity of the gallbladder. No gallbladder wall thickening. No pericholecystic f... | Coarse echotexture of the liver suggestive of parenchymal dysfunction/fatty infiltration. Benign appearing cyst in the left hepatic lobe. |
Generate impression based on findings. | The internal auditory canals are symmetrical and normal in size and signal intensity. The inner ears are normal, with normal T2 signal and no pathological enhancement. No abnormal mass or abnormal enhancement is seen within the cerebellopontine angle, cisterns bilaterally or within the internal auditory canals. Incide... | 1. No pathologic enhancing mass or significant abnormality of the internal auditory canals. 2. Non-specific foci and confluent areas of high T2/FLAIR signal in the subcortical and periventricular white matter, which likely represent at least moderate chronic small vessel ischemic disease. |
Generate impression based on findings. | Female 60 years old; Reason: met anal cancer s/p lung resection of tumor in December 2014. Evaluate for disease recurrence History: anal cancer CHEST:LUNGS AND PLEURA: Postsurgical changes in the right lower lobe from resection of the previously seen nodule. No new pulmonary nodules. There is mild upper lobe emphysemat... | 1.Status post resection of the right lower lobe pulmonary lesion; no specific evidence of metastatic disease. |
Generate impression based on findings. | Clinical question: AMS. Signs and symptoms: AMS. Nonenhanced head CT:There is no detectable acute intracranial hemorrhage, edema, mass-effect, midline shift or hydrocephalus. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular ... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | 77-year-old male patient with history of prostate cancer and pancreatic cancer, status post distal pancreatectomy and splenectomy. Please obtain a baseline postsurgical CT scan. Per EPIC, surgery was approximately 1.5 months ago. CHEST:LUNGS AND PLEURA: Trace bibasilar atelectasis.Scattered micronodules are not signifi... | 1.Postsurgical changes from distal pancreatectomy and splenectomy with postsurgical collection anterior to the pancreatic resection bed.2.No significant change in retroperitoneal and pelvic lymphadenopathy. |
Generate impression based on findings. | Reason: HNSCC. Compare to previous. 13-0311 protocol. History: as above CHEST:LUNGS AND PLEURA: There are multiple pulmonary masses with reference measurements as follows:Right upper lobe: 6.8 x 7.9 cm (5/26), as compared to 6.3 x 7.2 cmLeft upper lobe: 3.6 x 4.8 cm (5/33), as compared to 3.1 x 4.2 cmLingula: 7.2 x 10.... | Interval growth of the 3 reference pulmonary masses.Increased left hilar lymphadenopathy.Low-density lesion within the caudate suspicious for new hepatic metastasis. |
Generate impression based on findings. | 15 year old male. Fracture/post-op VIEWS: Right ankle AP, lateral, oblique (3 views) 3/10/2015, 1454 Two surgical screws in place in the tibial epiphysis, without evidence of hardware complication. Alignment is anatomic.No periosteal reaction or callus formation. No joint effusion. | Healed distal tibial fracture without hardware complication. |
Generate impression based on findings. | Pain No acute fracture or malalignment is evident. The ankle mortise is intact. No soft tissue swelling or joint effusion. | No acute fracture is evident. |
Generate impression based on findings. | Pain. Question of dislocated TSA. The humeral component of a left total shoulder arthroplasty device is subluxed superior to the glenoid component. No acute fracture is evident. No evidence of dislocation. | Superior subluxation of the humeral component relative to the glenoid component of a total left shoulder arthroplasty device. |
Generate impression based on findings. | 53-year-old female with history of bilateral breast cysts and multiple bilateral cyst aspirations. No current breast complaints. No family history of breast cancer. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, whic... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Knee pain. There is no acute fracture or malalignment. The joint spaces are preserved. There is a large joint effusion. | Large joint effusion without acute fracture. If there is concern for internal derangement, MRI may be considered for further evaluation |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of bilateral breast reductions. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. Asymmetric breast tissue, greater on the left, may be postsurgery in ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this re... |
Generate impression based on findings. | Hand pain. Evaluate for inflammatory arthritis (RA), gout. Three views of the right hand are provided. No bone erosions are identified. No acute fracture is evident.Three views of the left hand are provided. No bone erosions are identified. No acute fracture is evident. Four views of the right foot are provided. No bon... | No radiographic evidence of erosive changes of the hands or feet. |
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