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Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in mother at age 76. Personal history of recent 14 lb weight loss. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, ... | Subtle architectural distortion in the central aspect of right breast. Spot compression views (with possible tomosynthesis images) and possible ultrasound study are recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required.I personally reviewe... |
Generate impression based on findings. | 20 year-old female with pain in the fourth metacarpal x 1 month. Three views of the left hand reveal no evidence of fracture or malalignment. There is no significant soft tissue swelling. The joint spaces are preserved. | No evidence of fracture or malalignment. |
Generate impression based on findings. | 49 year-old female with left elbow pain status post fall. Three views of the left elbow reveal normal anatomic alignment without evidence of fracture, joint effusion, or significant soft tissue swelling. | No evidence of fracture, malalignment, or joint effusion. |
Generate impression based on findings. | 67-year-old male with left knee swelling. Four views of the left knee reveal no significant joint effusion, fracture, or malalignment. The joint spaces are symmetric and well preserved. Significant vascular calcifications are present. | No evidence of fracture or malalignment. |
Generate impression based on findings. | 17 years old, Male, Reason: rule out testicular torsion History: Right testicular swelling Spectral and color Doppler of the inflow and outflow vessels was performed.RIGHT TESTIS: Enlarged heterogeneous right testicle with decreased to absent vascular flow on Doppler consistent with torsion. The right testicle measures... | Enlarged heterogeneous right testicle with decreased to absent vascular flow consistent with testicular torsion. |
Generate impression based on findings. | The exam is limited due to streak artifact from surrounding stereotactic frame. The ventricles and sulci are within normal limits. Incidental note is made of prominent low-density areas within the choroid plexus in the atria, likely related to choroid plexus cysts and xanthogranulomas. There is no midline shift or mas... | Expected postoperative changes following bifrontal burr holes creation with placement of DBS electrodes. No acute intracranial hemorrhage. |
Generate impression based on findings. | Reason: 71y/o female with breast cancer; surgery 3/11/15 right breast re-excision lumpectomy and SNBX. 2 site injection: Please inject both peri-areolar and in skin adjacent to/below incision in right high axilla. History: right axillary mass and breast cancer; Inject 2 sites:both peri-areolar and in skin adjacent to/b... | Sentinel node identified in the right upper breast. |
Generate impression based on findings. | 19 yo female with ALL, b/l knee pain. VIEWS: Left knee AP, lateral (2 views) 3/10/2015, 1524 The osseous structures are normal.No joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | There is mild rightward angulation of the cranial cervical junction. The scout lateral view and the sagittal reformatted images demonstrate multilevel likely degenerative subluxations. There is 4-mm grade 1 retrolisthesis of C2 on C3, 3-mm grade 1 anterolisthesis of C3 on C4 and 2 mm of C4 on C5. There is also 4-mm gr... | 1. No definite acute fracture. Multilevel severe degenerative changes as well as subluxations as detailed above, with findings suggesting atlantoaxial and atlanto-occipital subluxations and instability; dynamic imaging may be helpful. Small ossific density just cranial to the atlantodental space is of uncertain origin,... |
Generate impression based on findings. | Bilateral shoulder replacements. Shoulder pain. Three views of the right shoulder are provided. There is a right reverse ball-and-socket shoulder arthroplasty device in near anatomic alignment without evidence of hardware loosening or failure. No acute fracture is evident. There is heterotopic ossification along the la... | Bilateral reverse ball-and-socket shoulder arthroplasties without evidence of hardware complication. |
Generate impression based on findings. | Female; 57 years old. Reason: stage iii anal cancer s/p proctocolectomy in 2012 evaluate for disease recurrence History: anal cancer CHEST:LUNGS AND PLEURA: Stable scattered pulmonary micronodules. Stable emphysematous changes. Stable scattered linear atelectasis or scarring. No new or suspicious pulmonary nodules or m... | Previously described nonspecific soft tissue density has increased in the lesser sac as detailed above. In this setting of known familial adenomatous polyposis, this finding possibly due to desmoid type fibromatosis. Further evaluation with endoscopic ultrasound and biopsy is suggested to exclude other type of mass as ... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in paternal aunt. 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, unchange... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 70 year-old female with shortness of breath and dyspnea on exertion PULMONARY ARTERIES: Adequate pulmonary opacification with bilateral pulmonary emboli, most proximal location in bilateral main pulmonary arteries extending into bilateral segmental and subsegmental arteries. The main pulmonary artery measures 2.9 cm is... | Positive for pulmonary embolism most proximal in bilateral main pulmonary arteries. Possible early infarcts in bilateral lung bases. Findings relayed to Dr. Weiss, pager 4145, at 1544 on 3/10/15.PULMONARY EMBOLISM: PE: Positive.Chronicity: Acute.Multiplicity: Multiple.Most Proximal: Lobar.RV Strain: Positive. |
Generate impression based on findings. | 59-year-old male one year status post PSF + ACDF; assess fusion. Two views of the cervical spine again demonstrate anterior and posterior orthopedic devices affixing the cervical spine, similar to prior exams. There is no specific radiographic evidence of hardware complication. On the lateral projection, straightening ... | Cervical fixation appearing similar to the prior study. |
Generate impression based on findings. | Stage IIIC ovarian cancer s/p surgery and chemo, now with rising CA 125, assess for recurrence. RADIOPHARMACEUTICAL: 13.2 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 82 mg/dL. CT images through the chest, abdomen, and pelvis demonstrate a hypoattenuating lesion along the serosal margin of the right hepat... | 1. Hypermetabolism of lesions along the serosal margin of the right hepatic lobe as well as the soft tissue nodule near the right external iliac region are consistent with tumor. 2. Additional small focus of questionable activity in the hepatic dome may also represent a small tumor deposit but is nonspecific. |
Generate impression based on findings. | 19 yo female with ALL, b/l knee pain.VIEWS: Right knee AP, lateral (2 views) 3/10/2015, 1524 The osseous structures are normal.No joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | 88 years old Female. Reason: LUL mass, most likely NSCLC. History: cough. RADIOPHARMACEUTICAL: 8.3 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 127 mg/dL. Today's CT portion grossly demonstrates a large mass in the left upper lobe. There is a small left pleural effusion. The abdominal aorta with calcifica... | 1.Hypermetabolic mass in the left upper lobe, consistent with the patient's diagnosis of non-small cell lung cancer.2.Focal FDG activity in the left lower lobe pleura or left hemidiaphragm at paraspinal region, consistent with metastasis.3.Multiple small mediastinal lymph nodes and left hilar lymph node with mild to mo... |
Generate impression based on findings. | 67 year-old female with elevated total bilirubin. Evaluate for Budd-Chiari syndrome. PORTAL VENOUS: Patent with appropriate directional flow, peak systolic velocity at 0.4 m/sec.HEPATIC ARTERIES: Patent with appropriate directional flow. Resistive index for the left hepatic artery is 0.75. Resistive index for the right... | The hepatic vasculature is patent with appropriate directional flow. Specifically the hepatic veins and IVC are patent. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Benign calcifications in both breasts have slig... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 68-year-old male with known abdominal aortic aneurysm. The abdominal aorta is patent with appropriate directional flow. Abdominal aortic measurements:Proximal aorta: 2.4 cm x 2.5 cm x 2.4 cm.Mid aorta: 2.2 cm x 2.5 cm x 2.3 cm.Distal aorta: 3.0 cm x 3.1 cm x 3.3 cm.Right common iliac artery: 1.0 cm x 1.2 cm x 1.1 cm Le... | Stable abdominal aortic aneurysm. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional left MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Benign calcifications including arterial ... | New 21 mm circumscribed lobulated mass in the left upper inner quadrant for which additional spot compression views and probable ultrasound is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EA - Additional Mammo/Ultrasound Workup Required.I personally reviewed the Images and/or pr... |
Generate impression based on findings. | Reason: ICH with SAH History: as above Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. No aneurysms or intracranial stenosis is appreciated. In general the intracranial vasculature has irregular wa... | 1.No evidence for aneurysm.2.Since the prior exam a left sylvian fissure hematoma appears to be relatively stable. It is associated with intraparenchymal blood in the left parietal lobe . There is associated left-sided uncal herniation and midline shift.3.There are foci of stenoses present along the superior division o... |
Generate impression based on findings. | Female 59 years old; Reason: history of gallbladder cancer s/p resection 2/2013, evaluate interval change History: none CHEST:LUNGS AND PLEURA: No dominant lung lesion. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal without a pericardial effusion.CHEST WALL: No significant abnormality noted.ABD... | 1.Stable exam. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left benign breast biopsy. History of bilateral inverted nipples. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Female 12 years old Reason: fracture VIEWS: Right ankle AP, lateral and oblique. 3/10/15 (3 views) Healed fracture of the distal fibula in anatomic alignment. The distal fibular physis is almost completely fused. | Healed fracture of the distal fibula as described. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Small round mass in the left upper outer quadrant is stable.No suspici... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Reason: hx left lung CA, flank pain. Evidence of recurrent disease. Also pls assess spleen. PE? History: left flank pain, SOB, hx lung cancer. PULMONARY ARTERIES: Technically adequate exam for evaluation of pulmonary embolism. No pulmonary embolus is identified.LUNGS AND PLEURA: Stable pulmonary micronodules. No focal ... | No evidence of pulmonary embolism or other significant abnormality.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 49-year-old male patient with gross hematuria. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: A horseshoe ki... | Horseshoe kidney with small bilateral likely hemorrhagic cysts. No suspicious mass lesions, hydronephrosis, or renal calculi. |
Generate impression based on findings. | Susceptibility artifact from the ventricular shunt somewhat limits evaluation. There is a right frontal approach ventricular shunt catheter with the tip terminating slightly left of midline, unchanged in position. Linear adjacent T2 hyperintense foci within the same region are suggestive of prior shunt tracts.There is... | 1. Slight interval decrease in size of the lateral and third ventricles with slit-like appearance, raising the possibility of over shunting in the appropriate clinical setting. Please correlate clinically.2. Diffuse cortical thickening of the bilateral cerebral hemispheres, predominantly in the anterior distribution, w... |
Generate impression based on findings. | 44 years, Female. Reason: NGT position History: high NGT output There is a Dobbhoff tube which is coiled within the stomach with the tip projecting over the proximal body of the stomach. Residual contrast material opacifies the majority of the right colon as well as the descending colon. There is a paucity of bowel gas... | Dobbhoff tube coiled in the stomach with the tip projecting over the proximal body of the stomach. |
Generate impression based on findings. | Pain and swelling. Question of plantar fibroma. No acute fracture or malalignment is evident. Plain film is insensitive for the detection of soft tissue abnormalities. | No acute fracture is evident. |
Generate impression based on findings. | 5 years old, Male, History: 5 y/o male with PD cath, known hematoma, concern for obstructionVIEW: Abdomen AP (one view) 3/10/15 Peritoneal dialysis catheter is coiled in the pelvis. NG tube is situated with tip in the stomach. Proximal side-port of the NG tube is at or above the GE junction. Interval placement of a Fol... | 1.Persistent moderately dilated small bowel loops with passage of enteric contrast into the colon. Mild partial small bowel obstruction cannot be excluded. 2.Enteric tube with proximal side-port at or above the level of the GE junction.3.Foley catheter is present tip at the mid urethra. |
Generate impression based on findings. | 54-year-old male patient with history of left lung cancer presents with flank pain. Evaluate for evidence of recurrent disease. ABDOMEN:LUNG BASES: Left lung base scarring. Please refer to dedicated CT chest PE for complete details.LIVER, BILIARY TRACT: Multiple hypoattenuating liver lesions compatible with cysts.SPLEE... | 1.No acute intra-abdominal abnormality to account for patient's symptoms. 2.Enlarging right renal cyst and likely small left hemorrhagic cyst. |
Generate impression based on findings. | 49-year-old female with history of liver transplant. Evaluate vascular patency. PORTAL VENOUS: Patent with appropriate directional flow. Peak velocity up to 0.24 m/s. HEPATIC ARTERIES: The common, right and left hepatic arteries are patent with appropriate directional flow. Resistive index of the common hepatic artery ... | The inflow and outflow vessels of the liver are patent with appropriate directional flow. |
Generate impression based on findings. | 22-year-old female with ankle pain and swelling after fall on ice last night. Three nonweightbearing views of the left ankle demonstrate normal anatomic alignment without evidence of acute fracture, significant joint effusion or soft tissue swelling. | No evidence of acute fracture or malalignment. |
Generate impression based on findings. | Reason: h/o squamous cell cancer, evaluate for metastatic disease History: h/o squamous cell cancer LUNGS AND PLEURA: Scattered benign appearing pulmonary micronodules, with no evidence of pulmonary metastases.Minimal right middle lobe scarring is present. MEDIASTINUM AND HILA: Scattered mediastinal lymph nodes are unc... | No sign of metastases, or other significant abnormality. No significant change. |
Generate impression based on findings. | Status post fall with lateral malleolus tenderness. No acute fracture or malalignment is evident. There is a small amount of soft tissue swelling about the lateral malleolus. There is no joint effusion. | No acute fracture is evident. |
Generate impression based on findings. | Status post left total knee arthroplasty. There is a left total knee arthroplasty device in anatomic alignment. No acute fracture is evident. Foci of gas in the soft tissues is likely postsurgical. Surgical skin staples and a surgical drain are present. | Left total knee arthroplasty device in anatomic alignment. |
Generate impression based on findings. | Frontal sinus: The frontal sinus and frontoethmoidal recesses are clear.Anterior ethmoids: The anterior ethmoid air cells are clear.Maxillary sinuses: The maxillary sinuses are clear. The ostiomeatal units are clear.Posterior ethmoids: The posterior ethmoid air cells are clear.Sphenoid sinus: The sphenoid sinus and bi... | No CT evidence of acute sinusitis. Mild leftward nasal septal deviation. |
Generate impression based on findings. | 59-year-old male with esophageal cancer and pulmonary abscess status-post chemo radiation and antibiotic treatment. CHEST:LUNGS AND PLEURA: Previously noted right lower lobe thin-walled cavity with air-fluid level is no longer present. Debris is noted in the right lower lobe bronchus and distally. Right lower lobe opac... | 1.Interval increase in size of right paraesophageal mass with peripheral enhancement and central hypoattenuation which may represent necrotic tumor. Foci of air within this collection is suggestive of a fistulous connection to the right lower lobe bronchus and possible communication to the esophageal lumen.2.Debris in ... |
Generate impression based on findings. | Large cell lymphoma with left-sided pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: AbsentPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Stable right renal scarring.RETROPERITONEUM, LYMPH NODE... | Stable examination without evidence for acute, inflammatory, or neoplastic process. |
Generate impression based on findings. | 23 year old female with history of thyroid cancer s/p surgery, I131 ablation. Evaluation for abnormal masses. RIGHT LOBE MEASUREMENTS: Status post thyroidectomy. LEFT LOBE MEASUREMENTS: Status post thyroidectomy. ISTHMUS MEASUREMENTS: Status post thyroidectomy. RIGHT LOBE: No nodules or masses are noted. LEFT LOBE: No ... | No residual or recurrent disease. No lymphadenopathy. |
Generate impression based on findings. | Male; 59 years old. Reason: Eval for stability of descending aortic aneurysm s/p repair History: s/p repair of thoracoabdominal aneurysm Postsurgical changes from graft repair of thoracoabdominal aortic aneurysm. No evidence of leak. The excluded aneurysm sac is unchanged in appearance since prior study. The distal tho... | 1. Postsurgical changes from graft repair of thoracoabdominal aortic aneurysm. No leak.2. Slightly increased size of enlarged descending thoracic aorta as detailed above.3. Left kidney mass suspicious for renal neoplasm. |
Generate impression based on findings. | Reason: ro sbo History: nausea and vomiting ABDOMEN:LUNG BASES: No focal consolidation or pleural effusions.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No signifi... | 1. Diffusely prominent small bowel loops and air seen within the sigmoid and rectum. No definite evidence of small bowel obstruction.2. Multiple drains and catheters within the abdomen/pelvis as detailed above. |
Generate impression based on findings. | 12 years old, Female, Reason: thumb injury, concern for fracture VIEWS: Left hand and thumb; hand PA, finger PA, finger lateral. (Three views) 3/10/15 Minimally displaced Salter-Harris II fractures of the dorsal aspect of the distal phalanx of the thumb as well as the volar aspect of the distal phalanx. Slight volar an... | Two Salter-Harris II fractures of the base of the distal phalanx of the thumb. |
Generate impression based on findings. | RIGHT TESTIS: 3.6 x 2.6 x 2.7 cm. Within the right testicle at the level of the previously seen hypoechoic lesion is a 1.5 x 1.6 x 2.1 cm hyperechoic focus with an internal hypoechoic portion. LEFT TESTIS: 4.2 x 2.2 x 2.6 cm. Normal echotexture. The previously seen hypoechoic lesion is no longer identified. Dystrophic... | Findings compatible with acute epididymitis on the right.Postsurgical changes in the right groin and testicle. Heterogeneous 1.6 cm hyperechoic focus with hypoechoic component in the testicle, entity most likely reflects a hematoma given patient's history, correlation with patient's procedural history recommended to co... |
Generate impression based on findings. | Abdominal pain; history of stones ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Stable segment 7 right lobe hepatic low attenuation lesionSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No cha... | Interval resolution of left hydronephrosis and proximal left hydroureter. No change in subcentimeter nonobstructing right renal stones. Nonobstructing punctate left renal stone. |
Generate impression based on findings. | Male 58 years old; Reason: r/o acute process History: abd pain CHEST:LUNGS AND PLEURA: Nodule in the right lung base measures 1.7 x 1.3 cm (image 61/series 4). There is adjacent atelectasis. Additional nodular opacities are located in the right lung base. There is extensive right pleural nodularity.MEDIASTINUM AND HILA... | 1.Right lower lobe pulmonary lesions and mediastinal lymphadenopathy suspicious for metastatic disease.2.Sclerotic lesions in the right scapula, lumbar spine and pelvis. Further investigation with a bone scan is suggested to exclude metastatic disease.3.No bowel obstruction.4.No pneumothorax.5.Enhancing lesion in the l... |
Generate impression based on findings. | 77 years, Female. Reason: eval for retained contrast History: see above There is continued passage of enteric contrast into the transverse colon and to the splenic flexure. Nonobstructive bowel gas pattern. Enteric feeding tube tip projects over the gastric body. Moderate right pleural effusion again noted. | Nonobstructive bowel gas pattern with transit of enteric contrast into the colon. |
Generate impression based on findings. | Postoperative changes are again seen from previous tracheostomy, laryngectomy and gastric pull through. There is partial fluid opacification of the gastric pull through. There is no abnormal discrete soft tissue mass or pathological enhancement.GLANDS: The postcontrast appearance of the salivary glands is unremarkable... | 1. No evidence of locoregional tumor recurrence or cervical lymphadenopathy.2. Suggestion of progression of right-sided pleural thickening and nodularity with incompletely imaged mediastinal lymphadenopathy. Please see separately dictated report for CT of the chest for further details. |
Generate impression based on findings. | 85-year-old male patient status post EVAR. ABDOMEN:LUNG BASES: Basilar atelectasis.LIVER, BILIARY TRACT: Status post cholecystectomy. Air is noted in the common bile duct and in the intrahepatic biliary system.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No signifi... | 1.Postsurgical changes from endovascular aneurysm repair as described above without evidence of leak.2.Pneumobilia possibly due to prior intervention. |
Generate impression based on findings. | Clinical question: Rule out hemorrhage. Signs and symptoms: Acute confusion, poor historian possible fall. Nonenhanced head CT:No detectable acute intracranial process. CT however is been sensitive for early detection acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system... | 1.No acute intracranial process.2.Mild age indeterminate small vessel ischemic strokes |
Generate impression based on findings. | Clinical question: Rule out new hemorrhage. Recent surgery. Signs and symptoms: vomiting and headaches. Nonenhanced head CT: Expected postoperative changes of a right anterior frontal and temporal craniotomy for clipping of an aneurysm. Focus of encephalomalacia in the anterior right temporal lobe is again noted withou... | 1.No accurate new finding since prior exam. 2.Improvement of post operative changes of right anterior temporal and frontal craniotomy as detailed. |
Generate impression based on findings. | Clinical question: Evaluate for acute process. Signs and symptoms: Acute onset of headache. Nonenhanced head CT:There is no detectable acute intracranial process. Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter differentiation.Unremarkable calvarium, orbits, visuali... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Evaluate intracranial hemorrhage. Signs and symptoms: Recent brain surgery, fever and headache. Nonenhanced head CT:Extensive post operative changes of a wide left suboccipital craniectomy with placement of a metallic mesh at the craniectomy site is again noted. Surgical cavity in the left cerebellum... | 1.No evidence of new or acute finding since prior study.2.Stable post operative changes of left suboccipital craniectomy for removal of tumor as detailed. |
Generate impression based on findings. | Clinical question: Contusion. Signs and symptoms: As above. Nonenhanced head CT:Diffuse patchy foci of parenchymal low attenuation some containing acute blood product and consistent with multiple foci of contusion are again identified. There is subtle decreased density of the hemorrhage in the area of contusion in the ... | 1.Diffuse bilateral hemispheric hemorrhagic foci of contusion without significant interval change since prior study.2.No convincing evidence of any new hemorrhage.3.Stable normal size of ventricular system with maintained midline. |
Generate impression based on findings. | Clinical question: NF1, Chiari, hydrocephalus status post third ventriculostomy. Signs and symptoms: Headache and vomiting. Nonenhanced head CT:Images through posterior fossa demonstrates significant herniation of cerebellar tonsils through the foramen magnum with resultant complete effacement of subarachnoid space and... | 1.No evidence of acute intracranial hemorrhage or midline shift. 2.Stable findings of Chiari malformation since prior study.3.Significant supratentorial hydrocephalus without convincing evidence of interval change.4.Extensive periventricular low-attenuation white matter without convincing evidence of change since prior... |
Generate impression based on findings. | 35-year-old female patient with left lower quadrant pain and left ovary not visualized on ultrasound. Evaluate for tubo-ovarian abscess. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormali... | Normal appearing left ovary, unchanged compared to prior examination. Likely physiologic right ovarian cyst, recommend correlation with recent pelvic ultrasound. |
Generate impression based on findings. | 77 years, Female. Reason: 77F admitted with partial SBO, assess for persistent obstruction History: see above There is a nonobstructive bowel gas pattern. There is a right lower quadrant ostomy in place. Residual contrast opacifies the majority of the large bowel. Surgical clips project over the bilateral hemipelvis. P... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Altered mental status, status post coiling of basilar tip aneurysm Residual contrast from recent procedure limits evaluation for small hemorrhage. No obvious intracranial hemorrhage is appreciated. No intracranial mass or mass-effect is seen. Evidence of stent-assisted coiling of basilar tip aneurysm is noted. There is... | Residual contrast from recent procedure limits evaluation for small hemorrhage. No obvious hemorrhage or mass effect is appreciated. No hydrocephalus. If there is suspicion for acute ischemia, consider MRI for further evaluation. |
Generate impression based on findings. | RFO trigger: Incorrect count Suspected RFO location: Abdomen Name of suspected RFO: lap sponges Attending Surgeon name/pager: Dr. Choi/9578 Body Mass Index (BMI): 20.28 There is a nasogastric tube with its tip projecting over the fundus of the stomach. Diffuse dilatation of both large and small bowel likely reflecting ... | 1.No unexpected radiopaque foreign object identified.2.Diffuse dilatation of both large and small bowel likely reflecting postoperative ileus/residual air from prior obstructionThese findings were relayed to Dr. Choi via telephone at 18:00 on 3/10/2015 by the radiology resident on call. |
Generate impression based on findings. | Clinical question: AMS, concern for acute CVA. Signs and symptoms: AMS. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection acute nonhemorrhagic ischemic strokes.Extensive low attenuation of left hemispheric white matter and ex acute dilatation of the lef... | 1.No acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes2.Chronic appearing ischemic changes similar to prior MRI exam. |
Generate impression based on findings. | 69 years, Female. Reason: h/o abdominal pain, shock, ruling out luminal pathology before considering mesenteric ischemia History: see above There is a nasogastric tube with its tip projecting over the body of the stomach. There is a nonobstructive bowel gas pattern. Centralization of the bowel gas pattern suggests asci... | Nonobstructive bowel gas pattern with findings suggestive of ascites. Bilateral pleural effusions. |
Generate impression based on findings. | Clinical question: Patient with history of left MCA stroke, now with worsening symptoms: Signs and symptoms: As above. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute non-hemorrhagic ischemic strokes.There is a large well demarcated focus of ... | 1.No acute intracranial process.2.Large chronic left basal ganglia lacunar infarct with ex vacuo dilatation of adjacent ventricle.3.Unremarkable exam otherwise. |
Generate impression based on findings. | 53-year-old male patient with concern for cholangiocarcinoma on recent ERCP. ABDOMEN:LUNG BASES: Mosaic attenuation in the lung bases may be due to expiratory phase imaging. Right lung base scarring. Small left pleural effusion. There is a 9-mm soft tissue nodule in the left lower lobe (series 9 image 15).LIVER, BILIAR... | 1.Continued intrahepatic biliary duct dilatation without CT evidence of an obstructive lesion to suggest cholangiocarcinoma.2.Suspicious lesion in the upper pole of the right kidney concerning for a primary renal neoplasm.3.Left lower lobe nodule. Recommend follow up as clinically indicated.4.Diffuse urinary bladder wa... |
Generate impression based on findings. | 53 years, Female. Reason: r/o acute abnormalities History: abdominal pain There is a nonobstructive bowel gas pattern. Cholecystectomy clips project over the right upper quadrant. Suture material is seen in the left upper quadrant. There are mild degenerative changes the lower lumbar spine. The lung bases are clear. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 89 years, Male. Reason: 89yo M s/p pancreatic duct stent, assess for passage. History: pancreatitis There is a pancreatic duct stent in place, position unchanged from the prior CT examination. Common bile duct stent position also unchanged. There is a nonobstructive bowel gas pattern. Respiratory motion blurring limits... | Pancreatic duct stent and common bile duct stent positions unchanged from the CT examination. |
Generate impression based on findings. | 26 years, Female. Reason: 26yo with Bradbury-Eggleston syndrome, h/o gastroparesis. Abd pain, n/v. R/o obstruction, obstipation History: abd pain, NV There is a nonobstructive bowel gas pattern. Left chest wall generator with pacemaker leads in expected location. Undissolved pills are noted in the left quadrant. | There is a nonobstructive bowel gas pattern. |
Generate impression based on findings. | 42 year-old recall from screening for distortion in the left breast. An ML view, MLO view and two spot compression views of the left breast were performed digitally 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 distribut... | 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. | Trauma, R/O intracerebral hemorrhage No evidence of acute ischemic or hemorrhagic lesion on this scan.However, if clinically indicated, brain MRI can be considered since petechial hemorrhage can be found higher sensitivity and specificity with MRI scan.The ventricles, sulci, and cisterns are symmetric and unremarkable.... | No evidence of acute ischemic or hemorrhagic lesion.Brain MRI can be considered if clinically indicated. |
Generate impression based on findings. | 5 month old female. Tachypnea, fever, incr WOB. Eval for pneumonia VIEWS: Chest AP/lateral (two views) 3/10/2015, 1804 The aortic arch, cardiac apex, and stomach are left-sided.The cardiomediastinal silhouette is normal.Peribronchial thickening and increased lung volumes compatible with reactive airway disease or bronc... | Reactive airway disease/bronchiolitis pattern. No evidence of pneumonia. |
Generate impression based on findings. | 48-year-old female with chest pain and shortness of breath PULMONARY ARTERIES: Pulmonary artery opacification without evidence of pulmonary embolism. Pulmonary artery measures 2.0 cm, within normal limits.LUNGS AND PLEURA: No pleural effusion or pneumothorax. Small bleb in the right lower lobe and scattered cysts. Nons... | No evidence of pulmonary embolism.PULMONARY EMBOLISM: PE: Negative. Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Reason: r/o fx History: pain and swelling. 13 year old female.VIEWS: Left knee AP, lateral, oblique (3 views) 3/10/2015, 1837 Knee joint effusion.No significant soft tissue swelling.The osseous structures are normal. | Joint effusion, with no acute fracture. |
Generate impression based on findings. | 13 years old, Male, History: traumaVIEWS: Left tibia-fibula AP, lateral; left knee AP, lateral; left femur AP, lateral; right femur AP, lateral. (Eight views) 3/10/15 Left tibia-fibula: No fracture or malalignment.Left knee: No fracture or malalignment. Left femur: The femoral head is well seated within the acetabulum.... | Normal examination. No fracture is identified. |
Generate impression based on findings. | hypertension with headache No evidence of acute ischemic or hemorrhagic lesion.No change of moderate degree non specific small vessel ischemic disease.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra... | No evidence of acute ischemic or hemorrhagic lesion.Moderate degree non specific small vessel ischemic disease. No change since prior exam. |
Generate impression based on findings. | 13 years old, Male, Reason: Concern for Fracture History: Pediatric TraumaVIEWS: Pelvis AP, C-spine AP and lateral, chest AP (4 views) 3/10/15 Pelvis: No evidence of fracture or malalignment. Femoral heads are well directed into the acetabula.C-spine: No subluxation or acute fracture. Vertebral heights and disk spaces ... | Normal chest, cervical spine and pelvis. |
Generate impression based on findings. | 10 month old. Female. Rule out osteo of left tarsals/phalynx - 5 digits History: L abscess, cellulitis left lower extremity, swelling from just below knee to toesVIEWS: Left foot, AP, lateral, oblique (3 views) 3/10/2015, 1914 Diffuse soft tissue swelling of the foot.The osseous structures are normal. | Soft tissue swelling with no radiographic evidence of osteomyelitis. |
Generate impression based on findings. | right facial droop with weakness 3D time of flight MOTSA MRA brain images with maximum intensity projections of the anterior/posterior intracranial circulation demonstrate normal ICAs, MCAs and ACAs. Vertebrobasilar system appears to be normal.3D MRA neck post-gadolinium images with maximum intensity projections of the... | Normal brain MRA and Neck MRA.Specifically there is no evidence of arterial significant luminal stenosis or aneurysm formation. |
Generate impression based on findings. | 10 months. Female. Rule out osteo involvement of left tib/fib History: L abscess, cellulitis left lower extremity, swelling from just below knee to toesVIEWS: Left tibia/fibula, AP, lateral (2 views) 3/10/2015, 1912 Soft tissue swelling of the lower leg, mainly at the anterior and lateral aspects.The osseous structures... | Diffuse soft tissue swelling, without radiographic evidence of osteomyelitis. |
Generate impression based on findings. | Neck CTA: The left common carotid and right brachiocephalic trunk are tortuous in the supraclavicular space but are patent without significant stenosis, aneurysm, or dissection. There is antegrade flow in the bilateral vertebral arteries, within the bilateral common, internal and external carotid arteries. There is mi... | Tortuous intracranial and extracranial vasculature including within the supraclavicular spaces. There are mild atherosclerotic changes. No significant stenosis, dissection or vascular malformation is appreciated in the neck. |
Generate impression based on findings. | 59 years, Female. Reason: NGT placement History: as above Limited study; the pelvis not included in the field-of-view. There is a nasogastric tube with its tip projecting over the antrum of the stomach. Please refer to same day chest radiograph for thoracic findings. | NG tube tip and projecting over the antrum stomach. |
Generate impression based on findings. | 10 months. Female. Rule out L ankle osteo involvement of abscess History: Abscess, cellulitis left lower extremity, swelling from just below knee to toesVIEWS: Left ankle AP, lateral (2 views) 3/10/2015,1913 Diffuse soft tissue swelling around the ankle.The osseous structures are normal. | Diffuse soft tissue swelling, with no radiographic evidence of osteomyelitis. |
Generate impression based on findings. | 33-year-old male patient with fever, diaphoresis, persistent vomiting. Evaluate for acute infectious process. ABDOMEN:LUNG BASES: Diffuse bilateral ground glass opacities in the right lung base noted.LIVER, BILIARY TRACT: Severe fatty infiltration of the liver. Nonspecific prominence of porta hepatis and portocaval lym... | 1.Ground glass opacities in the right lung base raise concern for infectious etiology versus aspiration.2.No acute intra-abdominal abnormalities to account for patient's symptoms. |
Generate impression based on findings. | 12 year old male. r/o PNA, PTX History: fever, cough, right sided painVIEWS: Chest PA/lateral (two views) 3/10/2015, 1947 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 ... | Reactive airway disease/bronchiolitis pattern. No evidence of pneumonia. |
Generate impression based on findings. | 13 year old male. Eval for ileus History: swollen, firm abdomenVIEW: Abdomen AP (one view) 3/10/2015, 2043 Lumbar-peritoneal shunt tips project over the T12-L1 disc space and left lower quadrant. Gastrostomy tube in place.Pneumoperitoneum, and subcutaneous gas in the left abdominal wall likely related to recent shunt p... | Diffuse gaseous distention of small and large bowel, without evidence of obstruction.Likely postsurgical pneumoperitoneum and subcutaneous gas |
Generate impression based on findings. | 40 year-old seen with recent wrist fracture, post splinting. Interval casting of the right wrist, resulting in obscuration of fine bone detail. The previously described fracture line is not well-visualized on this study. The bones are in anatomic alignment. | Interval splinting of right wrist nondisplaced fracture in near-anatomic alignment. |
Generate impression based on findings. | 48 year-old female with pain and swelling in the right wrist status post fall. There is an oblique, nondisplaced distal radius fracture with associated soft tissue swelling. The carpal bones are intact without evidence of fracture or malalignment. The joint spaces in the wrist and visualized portions of the hand are we... | Nondisplaced oblique distal radius fracture and associated soft tissue swelling. |
Generate impression based on findings. | 16 year old female. Fall with sciatic nerve pain.VIEWS: Lumbar spine AP, lateral (2 views) 3/10/2015, 2031 No post-traumatic subluxation or acute fracture identified.Straightening of the lumbar lordosis likely related to pain.The vertebral body and disc space heights are maintained. No spondylolysis or spondylolisthesi... | No acute fracture or subluxation. |
Generate impression based on findings. | 13 years old, Male, Reason: Intra-Abdominal Injury History: Pediatric Trauma ABDOMEN:LUNG BASES: Mild partially visualized patchy groundglass and tree in bud opacities in the left lower lobe may represent atelectasis and/or aspiration.LIVER, BILIARY TRACT: No significant abnormality noted. No focal hepatic lesion. No e... | 1.No solid organ injury, free fluid, or hemoperitoneum. No fractures identified. 2.Mild patchy groundglass opacities in the left lower lobe may represent atelectasis and/or aspiration. |
Generate impression based on findings. | 57-year-old male with right knee and hamstring pain. No evidence of fracture, malalignment, or joint effusion or significant soft tissue swelling. The joint space is preserved. | No acute fracture or malalignment is evident. |
Generate impression based on findings. | 51-year-old female patient with abdominal sacrocolpopexy 3 days prior. Now with leukocytosis. ABDOMEN:LUNG BASES: Mild elevation of the right hemidiaphragm with right lung base atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormalit... | 1.Subcutaneous fluid collection and air raise concern for infection.2.Nonspecific mild small bowel dilatation without transition point may represent mild reactive ileus. |
Generate impression based on findings. | Alignment is anatomical. No evidence of acute fracture or subluxation. Vertebral body heights are preserved. The visualized intracranial contents are unremarkable. No paraspinal soft tissue swelling. No mass or significant spinal canal stenosis is identified. Mild degenerative changes of the cervical spine, most notab... | 1.Minimal degenerative changes of the cervical spine and lower lumber spine. 2.No mass or significant spinal canal stenosis is identified. 3.No specific findings to account for the patient's pain. |
Generate impression based on findings. | Female 27 years old; Reason: eval for stone History: chronic rt CVAT ABDOMEN:LUNGS BASES: Low-density cardiac blood pool is can be seen in anemia.LIVER, BILIARY TRACT: No focal hepatic lesion.SPLEEN: Noncontrast appearance of the spleen is normal.PANCREAS: No focal pancreatic lesion.ADRENAL GLANDS: No adrenal thickenin... | No evidence of renal or ureteral stone. No other abnormalities to account for patient's symptoms. |
Generate impression based on findings. | 64 year-old female with tachycardia and dyspnea PULMONARY ARTERIES: Adequate pulmonary artery opacification without evidence of pulmonary embolism. The pulmonary artery measures 3.2 cm. The aorta measures 3.5 cm.LUNGS AND PLEURA: No pleural effusion or pneumothorax. No suspicious nodules or masses. Minimal bibasilar sc... | No evidence of pulmonary embolism. Enlarged pulmonary arteries suggestive of pulmonary artery hypertension.Moderate to severe coronary artery calcification.Left ventricular hypertrophy with thinning at the apex may represent a prior infarct.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not a... |
Generate impression based on findings. | 21-year-old male with pain over the "tarsal bones while running," swelling on the lateral side of the first toe. No acute fracture or malalignment is evident. There is no significant soft tissue swelling.There are degenerative changes including osteophyte formation at the talonavicular joint, as well as a talar beak an... | No evidence of fracture or malalignment. A talar beak and positive "C-sign" are suggestive of tarsal coalition in this 21-year-old male. CT of the foot is recommended for further evaluation. |
Generate impression based on findings. | 16 year old female. Pain s/p fall on ischial tuberosity.VIEWS: Pelvis, AP, frogleg (2 views) 3/10/2015, 2011 No post-traumatic fracture or dislocation.The femoral heads are well directed into the acetabula. | No acute fracture or dislocation. |
Generate impression based on findings. | 69-year-old recalled from screening for a focal asymmetry in the right breast. Three standard views and spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distributio... | 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. | Headaches, status post craniotomy. Compared to MRI dated 2/24/2014, interval postsurgical changes of resection of right parietal extra-axial mass extending into the scalp are seen. Expected postsurgical changes include air and blood products within the surgical bed. There is hypoattenuation within the right parietal lo... | Expected postsurgical changes of resection of extra-axial right parietal mass compatible with known recurrent meningioma. MRI can better assess for residual tumor. |
Generate impression based on findings. | 57 year old female with right frontal meningioma status post resection with post-operative aphasia., There are postoperative findings related to right orbitofrontal craniotomy for resection of a right sphenoid wing meningioma. There is subjacent pneumocephalus and mild diffuse subarachnoid hemorrhage as well as apparen... | 1.Postoperative findings related to right orbitofrontal craniotomy for resection of a right sphenoid wing meningioma. 2.Mild diffuse subarachnoid hemorrhage.3.Non-specific paranasal sinus opacification likely represents a combination of secretions and packing material, although CSF could have a similar appearance. |
Generate impression based on findings. | 16 year old female with history of MALS status post surgery now with diffuse abdominal pain, dehydration. CT Angiography: There is no evidence of aortic aneurysm, dissection, or significant stenosis. The origins of the great vessels, celiac axis, SMA, and renal arteries are patent. Given the scan protocol, it is weight... | No evidence of significant celiac artery narrowing. |
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