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Generate impression based on findings. | 65-year-old female status post cat bite to the left forearm and right hand, pain to the fifth digit of the right hand and lateral side of the left forearm. Two views of the left forearm do not demonstrate any evidence of fracture. No evidence of foreign bodies in the soft tissue of the forearm. Three views of the right... | No evidence of acute fracture, malalignment, or foreign body within the right hand or left forearm. Significant swelling and multiple foci of gas in the dorsal soft tissues of the right hand is consistent with known animal bite. |
Generate impression based on findings. | 83 years, Male. Reason: eval for interval change in ileus / abd distention History: distention Ileus type bowel gas pattern appears unchanged from the prior exam. Partially imaged right CVC tip projecting over the cavoatrial junction. There is a Dobbhoff tube with its tip projecting over the body of the stomach. Again ... | Diffuse ileus type gas pattern unchanged from the prior exam. |
Generate impression based on findings. | 7 years old, Male, Reason: Rule out pneumonia, bronchiolitis, effusions, cancer mets History: Pt w 7 days fever and cough, history of neuroblastoma in remission s/p chemo, SCT, radiationVIEWS: Chest AP/lateral (two views) 3/10/15 Interval removal of left PICC. Cardiothymic silhouette is normal. Mild peribronchial thick... | Bronchiolitis/reactive airway disease pattern. |
Generate impression based on findings. | Reason: evaluate extent of nasal bone fracture History: s/p facial trauma w/ asymmetry No convincing evidence of acute nasal bone fracture. There is mild thickening of the soft tissue above the right nasal bone, and cannot rule out chronic fracture. No other fracture is evident.Right maxillary mucous retention cyst. Fr... | No convincing evidence of acute nasal bone fracture. There is mild thickening of the soft tissue above the right nasal bone, and cannot rule out chronic fracture. No other fracture is evident. |
Generate impression based on findings. | 56-year-old male patient with right lower abdominal pain. Evaluate for appendicitis. ABDOMEN:LUNG BASES: Again noted is pleural thickening/trace pleural effusion with thickening of the fissures and ground glass opacities, appearing similar to slightly improved compared to prior examination. Valvular calcifications note... | 1.No acute intra-abdominal abnormalities to account for patient's symptoms.2.Persistent patchy basilar opacities again raise question of aspiration.3.Severe atherosclerotic changes. |
Generate impression based on findings. | Female 29 years old; Reason: eval for appy History: RLQ pain, N/V ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Diffuse hypoattenuation in the liver, suggestive of fatty infiltration.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No signi... | 1.Appendicitis. Given amount of surrounding fluid and induration, microperforation not entirely excluded, although no definitive extraluminal air seen. |
Generate impression based on findings. | 70-year-old with history of left breast cancer status post lumpectomy, radiation therapy, and on endocrine therapy. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distr... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 42-year-old recalled from screening for calcifications in the left breast. An ML view, spot compression and magnification 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 di... | Small cluster of calcifications in the left breast seen on the screening exam are of moderate to low suspicion on these views. Management options were discussed with the patient and stereotactic biopsy will be performed. If that biopsy returns a malignant result, the additional smaller cluster of calcifications may req... |
Generate impression based on findings. | Male, 67 years old, history of aggressive squamous cell carcinoma of the eyebrow. Head:An ill-defined region of skin thickening and enhancement is evident involving the left supra-orbital skin. This lesion erodes into the left orbital roof, completely traversing the frontal bone at the level of the frontal sinus.No obv... | 1.A lesion is evident within the left supraorbital skin compatible with the reported history of squamous cell carcinoma. This lesion erodes into the orbital roof, traversing the frontal bone completely at the level of the frontal sinus. A more sensitive evaluation of orbital encroachment is provided on the accompanying... |
Generate impression based on findings. | Female 48 years old; Reason: eval for obstruction, diverticulitis History: chest/abd pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Chronic right portal venous thrombosis is again noted with associated segment 7 heterogeneity. Subcentimeter segment 6 hypodensity unchanged.SPLEEN: No fo... | No evidence of bowel obstruction or other findings to account for acute abdominal pain. |
Generate impression based on findings. | 78-year-old female with history of rheumatoid arthritis. Three views of the right foot reveal diffuse demineralization. There is redemonstration of subluxation at the fifth metatarsophalangeal joint, with erosions of the proximal phalanx and metatarsal head, not significantly changed when compared to prior exam. Interv... | 1. Generalized osteoporosis. 2. Interval development of mild erosions along the lateral aspect of the right first proximal phalanx. 3. Stable appearance of erosions and subluxation at the right fifth metatarsophalangeal joint.4. Marked bilateral ulnar deviation and left silastic implants appear grossly stable.5. Interv... |
Generate impression based on findings. | 57-year-old female with known pulmonary emboli, assess for interval change provided worsening shortness of breath PULMONARY ARTERIES: Pulmonary emboli are seen within the right lower lobe segmental and subsegmental arteries. These emboli are more peripheral in location consistent with a subacute/chronic state. Near res... | 1.Subacute/chronic pulmonary emboli as described above. No evidence of acute pulmonary embolism.2.Interval resolution of right pleural effusion, left upper lobe groundglass opacity, and left lower lobe patchy opacity compatible with resolving aspiration/infection/PULMONARY EMBOLISM: PE: Positive.Chronicity: Chronic.Mul... |
Generate impression based on findings. | Pain and stiffness. Question of DJD of the elbows. Three views of the left elbow are provided. There is deformity of the radial head with osteophyte formation. There is severe joint space narrowing of the radiocapitellar and olecranon/trochlear joints, compatible with severe osteoarthritis. This has progressed compared... | Severe osteoarthritis of both elbows. |
Generate impression based on findings. | 16 months old, Male, History: Cough, congestion, feverVIEW: Chest AP (one view) 3/11/15 Mild prominence of the left cardiac border most likely represents thymus, however underlying structural abnormality cannot be excluded. Mild peribronchial thickening suggestive of bronchiolitis/reactive airway disease. | Bronchiolitis/reactive airway disease pattern. If there is clinical concern for underlying structural abnormality an echo is recommended. |
Generate impression based on findings. | Right shoulder pain. Question of right shoulder pathology. There is joint space narrowing and osteophyte formation at the acromioclavicular joint. No acute fracture or dislocation is evident. | Moderate osteoarthritis of the acromioclavicular joint. |
Generate impression based on findings. | Limited exam the oropharynx/oral cavity due to streak artifact from dental fillings. Scattered bilateral cervical lymph nodes are noted, which are minimally prominent on the right but not pathologic by CT size criteria. There are no nasopharyngeal, oropharyngeal or laryngeal masses identified. Parotid glands, submandi... | No neck mass, retropharyngeal abscess, or cervical lymphadenopathy by CT size criteria. |
Generate impression based on findings. | Intra-Op Examination is obtained for operative planning and intraoperative navigation. There is no intracranial hemorrhage, mass-effect, hydrocephalus, or herniation. Again seen is extensive areas of periventricular and subcortical white matter hypoattenuation in the white matter. Streak artifact limits detailed evalua... | Examination for operative planning and intraoperative navigation. |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, 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. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Patient has undergone left craniotomy and hematoma evacuation with immediate postoperative findings including small amount of hemorrhage in the surgical bed and soft tissue gas in the overlying scalp. The parenchymal hemorrhage centered at the left insula/external capsule has been partially evacuated, now measuring ap... | 1.Interval craniotomy and partial evacuation of the left parenchymal hemorrhage.2.There is improvement in rightward midline shift. |
Generate impression based on findings. | Male 72 years old; Reason: r/o infection. Hx: stem cell transplant History: febrile, tachycardia, diarrhea ABDOMEN:LUNGS BASES: Mild basilar scarring/atelectasis. Moderate coronary artery calcificationsLIVER, BILIARY TRACT: The liver enhances homogeneously without focal lesion. Gallbladder is unremarkable.SPLEEN: No fo... | 1.Findings suggestive of gastroenteritis.2.Severe compression deformities of T11, L1, L2, L4, and L5 of indeterminate chronicity. |
Generate impression based on findings. | Reason: evaluate for facial fractures History: s/p assault Evaluation of the oropharynx/oral cavity is limited by streak artifact from dental fillings.No evidence of fracture. There is mild swelling of the right lateral periorbital soft tissue, otherwise orbits are unremarkable. The mastoid air cells are clear. Limited... | 1.Mild swelling of the right lateral periorbital soft tissue without evidence of fracture.2.Sclerotic focus of the right maxillary bone, likely benign bone island. |
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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 66 years old; Reason: evaluate for acute intraabdominal process History: abdominal pain and lactate elevation ABDOMEN:LUNG BASES: 2.2 x 2.0 cm right lobe well-circumscribed nodule (3:3) is indeterminant.LIVER, BILIARY TRACT: Tiny gallbladder polyp/focal adenomyomatosis in the fundus. The common bile duct is dilate... | Dilated common bile duct with gradual normal tapering. If patient has obstructive liver function tests, MRI/MRCP is recommended for further evaluation.Indeterminant 2.2-cm nodule in the right lower lobe as described above. This can be further evaluated with dedicated CT chest or PETCT as indicated.Findings were conveye... |
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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Two focal asymmetries in the left low... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 15 months old Reason: Cardio-Pulmonary Assessment History: Status Post-Op Cardiac SurgeryVIEW: Chest AP (one view) 3/11/15 at 319 hours. ET tube tip is below the thoracic inlet. Right-sided chest tube is still present. Central line terminates at the right atrium. Mediastinal clips, pericardial drain and epicardial... | Interval development of right lung base streaky opacity, likely subsegmental atelectases and resolution of pneumopericardium. |
Generate impression based on findings. | Right frontal craniotomy with pneumocephalus and air and fluid filled surgical cavity measuring 9 mm x 30 mm, compatible with recent surgery. There is minimal blood products in the surgical cavity. There is residual underlying postoperative/tumoral vasogenic edema. Persistent mass effect on the anterior horn of the ri... | Expected postoperative changes. |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements. An ill-defined mass is seen at upper... | An ill-defined mass at upper outer quadrant in the right breast. Comparison to the outside mammogram is recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISON |
Generate impression based on findings. | There is no evidence of acute intracranial hemorrhage, extra-axial fluid collection, or subdural hematoma. There is mild patchy white matter hypoattenuation as seen previously, which may represent small vessel ischemic disease. There are no masses, mass effect, edema, or midline shift. The ventricles and sulci are sli... | No intracranial hemorrhage, mass effect, or evidence of cerebral edema. No definite CT evidence of global ischemic injury. Please note MRI would be more sensitive for detection of hypoglycemic/ischemic injury. |
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, version 9.3. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of archite... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in a maternal aunt and two maternal cousins. 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 extremely dense, which lowers the sensitivit... | 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: NSD - Screening Mammogram. |
Generate impression based on findings. | Lateral foot and ankle pain. Question of lateral process of talar fracture malunion. Comment on medial talar dome. There is a 9 x 11 x 4 mm (craniocaudal by AP by transverse) well defined lucent lesion with sclerotic margins within the medial talar dome. No acute fracture is evident. There are mild degenerative changes... | Benign appearing lesion within the medial talar dome likely represents an intraosseous ganglion. |
Generate impression based on findings. | Male, 15 years old. Reason: ? joint effusion History: pain with range of motion, no traumaVIEWS: Right elbow, AP, lateral, oblique (3 views) 3/11/2015, 0820 No significant joint effusion or soft tissue swelling.The osseous structures are normal. | No acute fracture or dislocation. No joint effusion. |
Generate impression based on findings. | 66-year-old male with shortness of breath and hypoxia PULMONARY ARTERIES: Adequate pulmonary artery opacification without evidence of pulmonary embolism. The pulmonary artery measures 2.7 cm. LUNGS AND PLEURA: Severe paraseptal emphysema is present. Mild right basilar honeycombing with traction bronchiectasis is presen... | 1.No evidence of acute pulmonary embolism.2.UIP pattern of chronic appearing interstitial lung disease with overlying peripheral opacity in the right lower lobe likely representing an element of focal organizing pneumonia. 3 month CT follow up suggested for confirmation.Indeterminate 9 mm pleural based soft tissue nodu... |
Generate impression based on findings. | Male 36 years old; Reason: eval for appendicitis, other pathology (US demonstrates ?cholecystitis) History: abd pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Normal noncontrast appearance of the liver. Hyperdense gallbladder lumen may represent sludge.SPLEEN: No significant abnormalit... | No evidence of appendicitis. |
Generate impression based on findings. | 52 year-old female patient with history of multiple abdominal surgeries presents with concern for intra-abdominal infection/diverticulitis. ABDOMEN:LUNG BASES: Trace left pleural effusion. No significant interval change in right lung base subpleural nodule (series 7 image 7), which may represent scarring.LIVER, BILIARY... | Mild dilatation of the proximal small bowel appears similar compared to prior CT scan and is suggestive of a partial chronic minimal small bowel obstruction near the anastamotic site. |
Generate impression based on findings. | Head: Stable appearing global volume loss. Chronic volume loss from right occipital lobe and right frontal lobe infarct. Interval multiple chronic appearing cerebellar infarcts, new from prior study for age indeterminant. There is also new from prior exam but chronic appearing left occipital lobe infarct. No evidence ... | 1.Volume loss from chronic right occipital lobe and right frontal lobe infarct.2.Age indeterminant right cerebellar and left occipital lobes infarcts. These infarcts are new from prior exam but appears chronic.3.Stable appearing global cerebral volume loss.4.No evidence of intracranial hemorrhage.5.No evidence of acute... |
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, version 9.3. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of archite... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Stable areas of focal asymmetry and c... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements. No suspicious masses, microcalcifications or areas of architectural distorti... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Several permeative, lytic lesions are noted throughout the calvarium. There is patchy white matter hypoattenuation likely representing age indeterminate small vessel ischemic disease. There is no evidence of acute intracranial hemorrhage, extra-axial fluid collection, or subdural hematoma. There are no masses, mass ef... | 1.No intracranial hemorrhage or mass effect. No large intracranial mass to suggest intracranial metastases. Of note no intracranial metastases were seen on prior MRI with gadolinium from 2/15/2015 which is more sensitive.2.Multiple lytic calvarial lesions likely represent metastases. There is a lytic lesion with violat... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Prior right breast benign biopsy. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Sur... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 64 year-old female with continued GI bleed, decreasing blood pressure. ABDOMEN:LUNG BASES: Moderate cardiomegaly. Low-density cardiac blood pool is typical of anemia. Severe coronary calcifications. IVC and hepatic veins are engorged, with reflux of contrast, all compatible with right heart failure. LIVER, BILIARY TRAC... | Active hemorrhage in the terminal ileum.Passive hepatic congestion, likely from right heart failure.Findings relayed via telephone to Dr. Watson by Dr. Xiong, the radiology resident on call. |
Generate impression based on findings. | 44-year-old female with right fourth finger injury at work, pain, swelling, decreased range of motion. There is no evidence of fracture or malalignment. No significant soft tissue swelling. | No acute abnormality. |
Generate impression based on findings. | 39 years, Female. Reason: abd pain, increased distension, assess for obstruction History: see above Placement of a cyst gastrostomy tube in the left upper quadrant. There is a nonobstructive bowel gas pattern. There is partially opacified stool in the right upper quadrant. There is a nasojejunal tube with its tip proje... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 21-year-old female with biopsy proven right breast fibroadenoma presents for follow-up examination. On physical examination, there is a 3 cm, firm, mobile mass along the lower outer periareolar margin of the left breast. A targeted right ultrasound was performed for the palpable area of concern. There is redemonstratio... | No significant change is size or appearance of known right breast fibroadenoma.BIRADS: 2 - Benign finding.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | 68-year-old male patient with stage IV HCC. Please provide index lesion measurements as well as the enhancing component of liver as previously seen in the lateral aspect of the mass. CHEST:LUNGS AND PLEURA: New small bilateral pleural effusions with atelectasis/scarring in the lung bases. Subtle reticular opacities in ... | 1.Slight enlargement of some reference measurements in hepatic mass with nodular peripheral enhancement consistent with the given history of hepatocellular carcinoma as described above.2.New small arterial enhancing focus in the right lobe of the liver with findings suspicious for washout may represent a perfusion anom... |
Generate impression based on findings. | 67-year-old male with history of base of tongue squamous cell carcinoma status post chemotherapy and radiation with new hypoxia, known aspiration. PULMONARY ARTERIES: Adequate pulmonary artery opacification without evidence of pulmonary embolism. Normal pulmonary artery caliber.LUNGS AND PLEURA: Biapical scarring. Cent... | 1.No evidence of acute pulmonary embolism.2.Right middle lobe and left lower lobe aspiration/infection. PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Female 32 years old; Reason: evaluate for acute intarabdominal process History: abdominal pain (persistent) ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No signif... | 1.Pre-existing complex multilocular cystic and solid lesion in the central pelvis has waxed and waned in size from as far back as 2/15/2012. Compared to the most recent study, this has increased in size. MRI may be helpful in further characterizing this lesion if indicated. |
Generate impression based on findings. | Female 21 years old Reason: Evaluate the pouch for healing and dynamic properties History: has a loop ileostomy. There is prompt opacification of the distal ileoanal anastomosis and J-pouch with no evidence of leak.J-pouch anal anastomosis width of approximately 8 mm . Trial squeezing-in shows ascent of the pelvic floo... | No leak.J-pouch empties only in rest room.Anal to the J-pouch anastomosis with a width of approximately 8 mm . Fluoroscopy time: 3:07 minutes. |
Generate impression based on findings. | 57 year old female status post right sphenoid wing meningioma resection. There are unchanged postoperative findings related to right orbitofrontal craniotomy for resection of a right sphenoid wing meningioma. There is postoperative pneumocephalus and unchanged mild diffuse subarachnoid hemorrhage as well as apparent pa... | 1.Unchanged postoperative findings related to right orbitofrontal craniotomy for resection of a right sphenoid wing meningioma. 2.Essentially unchanged mild diffuse subarachnoid hemorrhage.3.Unchanged non-specific paranasal sinus opacification likely represents a combination of secretions and packing material, although... |
Generate impression based on findings. | 54-year-old with history of prior screening recalls. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No dominant mass, suspicious microcalcificati... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Though most of the cysts may be of benefit on follow-up studies. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATI... |
Generate impression based on findings. | Male 28 days old Reason: Concern for aspiration History: Ex 23 weeker, self-extubatedVIEW: Chest AP (one view) 3/10/15 at 2034 hrs. ET tube terminates below thoracic inlet. Central line tip is at the right atrium. NG tube is present. Cardiac silhouette size is top normal or mildly enlarged. Bibasilar and left upper lob... | Multifocal opacities as described. There right shunt is a consideration. |
Generate impression based on findings. | 51 year old with left breast pain in the lateral breast. Physician reports a nodule in the left breast, though the patient cannot find the area of concern. She believes that the area of physician concern was also in her area of pain. Three standard views of both breasts were performed digitally and reviewed with the ai... | No mammographic evidence of malignancy. Recommend correlation with physician exam, as the patient was unable to provide definite information on the palpable area of concern. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation we... |
Generate impression based on findings. | Male 5 years old Reason: pleural effusion History: nephrotic syndromeVIEW: Chest AP (one view) 3/11/15 at 548 hours. NG tube terminates in the stomach. Cardiac silhouette size is normal. Right lung base and upper lobe ill-defined opacities, likely atelectasis or pneumonia. No effusions or pneumothorax. | Interval NG tube placement.Multifocal opacities as described. |
Generate impression based on findings. | 39-year-old female with history of sickle cell disease complaining of right upper extremity pain and weakness. Three views of the right shoulder demonstrate patchy sclerosis of the humeral head, consistent with avascular necrosis. There is no evidence of subchondral collapse. There is no fracture or malalignment eviden... | Sclerosis of the humeral head is consistent with avascular necrosis. |
Generate impression based on findings. | Male 83 years old; Reason: Pleural mesothelioma. Please compare to prior exam per recist criteria. History: Pleural mesothelioma ABDOMEN:LUNG BASES: Please see separately dictated CT chest report from the same day.LIVER, BILIARY TRACT: Interval increase in size of 1.7 x 1.6 cm hepatic hypodensity in segment 6, previous... | 1.Interval increase in size of segment 6 lesion suspicious for metastatic disease. Slightly worsened retroperitoneal lymphadenopathy as described above. Please see separate report for CT chest done on the same day. |
Generate impression based on findings. | Female 21 years old Reason: evaluate right lung field, previous h/x of focal opacity History: increased O2 requirement from baselineVIEW: Chest AP (one view) 3/11/15 at 731 hours. Neurostimulator , tracheostomy tube, abdominal surgical clips skeletal deformities are again noted. Cardiac silhouette size is normal. Persi... | No change in multifocal opacities. |
Generate impression based on findings. | Male 12 years old Reason: 12 y/o status asthmaticus and recent pneumonia with hypercarbic respiratory failure, please eval for pneumonia, atelectasis and ett positioning .VIEW: Chest AP (one view) 3/11/15 at 827 hours. Skeletal deformities, ET tube, central line and cholecystectomy clips unchanged. Cardiac silhouette s... | No change in the left upper lobe streaky opacity. |
Generate impression based on findings. | Female 6 months old Reason: 6 mos old aspiration pna with respiratory failure please eval for pna and ett placement VIEW: Chest AP (one view) 3/11/15 at 836 hours. ET tube tip is at the carina. Gastrostomy tube noted. Cardiac silhouette size is normal. Improvement in right upper, right lower, left upper left knee Muell... | Interval improvement in lung aeration as described after ET tube repositioning. |
Generate impression based on findings. | 53 year old with a left breast mass presents for left breast biopsy/aspiration. Left ultrasound re-identified the target lesion. The lesion to be targeted is a mass measuring 11 x 9 mm at the 1 o’clock position without increased vascularity, 2 cm from the nipple. The lesion was readily visible.PROCEDURE: The procedure ... | Successful ultrasound-guided aspiration of the left breast cyst. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDA... |
Generate impression based on findings. | 81 year old with history of hypertension and coronary artery disease (by cardiac CT) presenting for evaluation of atypical chest pain.CPT Code: 75574 Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of Valsalva and bifurcates into the left anterior descending and left circumflex ... | 1. There is a mild burden of overall coronary atherosclerosis, which is similar to (or just slightly worse than) before. 2. There are no obstructive coronary stenosis present; however, the mid LAD can not be evaluated due to the presence of a densely calcified plaque. 3. Mild RV/ RA dilation. This portion of the report... |
Generate impression based on findings. | 37 years, Female. Reason: s/p LPS revision History: s/p LPS revision evaluate for kinking Again seen is a lumboperitoneal shunt catheter with the tubing entering the spinal canal the L2-3 level in position unchanged the prior examination. The Codman Hakim valve is set to approximately 75 mm H2O, although precise measur... | Lumboperitoneal shunt as detailed above, with the Codman Hakim valve set to approximately 75 mm H2O. |
Generate impression based on findings. | Male, 8 years old. neuroblastoma 1 year off therapy CHEST:LUNGS AND PLEURA: No focal consolidation. No suspicious pulmonary/pleural nodules or masses.MEDIASTINUM AND HILA: The heart is normal in size. No pericardial effusion. Right-sided aortic arch with an aberrant left subclavian artery, normal variant. No mediastina... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Male 29 years old Reason: Evidence of gallstones? History: RUQ pain LIVER: The liver measures 14.3 cm in length. No focal liver lesion is identified. The main portal vein is patent and demonstrates normal directional flow with peak velocities of 0.2 m/sec.GALLBLADDER, BILIARY TRACT: No gallstones. No gallbladder wall t... | Unremarkable study. In particular no evidence of gallstones. |
Generate impression based on findings. | left side paresthesia. MRI evidence of high signal intensity on diffusion weighted image on posterior inferior pons 3D time of flight MOTSA MRA brain images with maximum intensity projections of the anterior/posterior intracranial circulation demonstrate tortuous and ectatic intracranial as well as extracranial arteria... | 1. Atherosclerotic changes of craniocervical arterial system.2. Arterial system from aortic arch to clavicle including bilateral vertebral arterial origin could not be interpreted due to significant artifact which most of them are inherent MR technique. Thus, if clinically indicated CT angiography can be considered. |
Generate impression based on findings. | 68-year-old female patient with breast cancer presents for staging. CHEST:LUNGS AND PLEURA: Right apical opacification and anterior right pleural thickening is likely secondary to radiation changes. Left major fissure nodularity is nonspecific.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Calcified rig... | 1.New soft tissue growth in the right axilla in the area of prior surgery is suspicious for recurrence. Correlation can be made with dedicated imaging.2.Likely post radiation changes/fibrosis in the right lung. |
Generate impression based on findings. | 64 year old with history of probably benign calcifications in the left breast. Three standard views, CC spot compression and two spot magnification views of the left breast were performed digitally 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, bilateral diagnostic mammogram is recommended in 6 months. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | History of bilateral breast pain and lumps. History of burn injury. The patient also states that she has long-standing right nipple discharge. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unc... | No mammographic evidence of malignancy. Clinical correlation for her symptoms is recommended. 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 - Sc... |
Generate impression based on findings. | 58-year-old with bilateral breast pain and palpable area of concern in the right upper outer breast. Three standard views of both breasts and right spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unc... | No mammographic evidence of malignancy. Correlation with physical examination is recommended, as the patient states she has not recently had a physical exam. As long as physical exam findings are benign, then routine follow-up may be reasonable. Results and recommendation were discussed with the patient.BIRADS: 2 - Ben... |
Generate impression based on findings. | 75-year-old male with cough, evaluate for pneumonia versus right lung mass LUNGS AND PLEURA: Right upper, middle, and lower lobe opacities suspicious for multifocal pneumonia. Bilateral small pleural effusions, right greater than left with overlying atelectasis. Blood pool is hypodense to cardiac muscle suggestive of a... | 1.Right multifocal pneumonia with no specific evidence of a mass. 2.Bilateral small pleural effusions, right greater than left.3.Severe coronary artery calcification. |
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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements. No suspicious masses, microcalcifications or areas of architectural distorti... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Mammogram works best when searching for changes. Submission of prior mammogram is, therefore, recommended for future reference. If the patient submits her old mamm... |
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, version 9.3. The breast parenchyma is heterogeneously dense. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Mammogram works best when searching for changes. Submission of prior mammogram is, therefore, recommended for future reference. If the patient submits her old mamm... |
Generate impression based on findings. | 62-year-old female patient with nausea, vomiting, abdominal pain and decreased bowel movements. Evaluate for small bowel obstruction. ABDOMEN:LUNG BASES: There is elevation of the left hemidiaphragm, unchanged. Right lung base atelectasis and scarring. Mild prominence of the pulmonary artery.LIVER, BILIARY TRACT: Statu... | 1.Findings compatible with partial small bowel obstruction with element of malrotation and likely transition area in the left lower quadrant presumably from adhesive disease near postsurgical scarring.2.Mild hydronephrosis of left transplanted kidney. Nephrographic appearance is within normal limits.3.No significant in... |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, 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. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements. There is a cluster of coarse, but linearly arranged calcifications in the le... | A cluster of coarse, but linearly arranged calcifications in the left retroareolar region. A round asymmetry at middle lateral aspect in the right breast on CC view. Comparison to the outside mammogram is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISON |
Generate impression based on findings. | Male, 14 months old. Reason: Intermediate risk Neuroblastoma; received 8 cycles of chemotherapy; assess for response to therapy History: Neuroblastoma CHEST:LUNGS AND PLEURA: No suspicious pulmonary/pleural nodules or masses. No focal consolidation.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.The heart... | Post surgical changes in the retroperitoneum, without evidence of recurrent or metastatic disease. |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense. No suspicious masses, microcalcifications or areas of archit... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. A benign mass in the left upper outer quadrant with interval ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 56-year-old female with shortness of breath, cough, hemoptysis LUNGS AND PLEURA: Central airways are patent. Patchy right lung opacity with dense perihilar and right lower lobe consolidation is more compatible with pneumonia rather than edema. Patchy left lung groundglass opacity may represent aspirated blood. Left low... | 1.Bilateral opacities compatible with pneumonia and atelectasis possibly secondary to aspiration. 2.Small right pleural effusion. |
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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements. No suspicious masses, microcalcifications or areas of architectural distorti... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of archite... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 26-year-old female patient with diffuse abdominal pain x 6 months. Evaluate for acute intra-abdominal process. 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: N... | No acute intra-abdominal abnormalities to account for patient's symptoms. |
Generate impression based on findings. | 7 years old, Female, ventilator requirements changeVIEWS: Chest AP (one views) 3/11/15 Tracheostomy tube is in position. Severe rotodextroscoliosis of the thoracolumbar spine.Cardiothymic silhouette is enlarged. No pleural effusion. Left lung atelectasis is likely chronic. No definite new pulmonary opacities. | Likely chronic left lung atelectasis. |
Generate impression based on findings. | 14 month old male with neuroblastoma status post 8 cycles of chemotherapy. There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracr... | No evidence of osseous lesion, however, these were better assessed on the prior MRI. |
Generate impression based on findings. | Reason: Please obtain low dose CT. This is surveillance from her carcinoid. History: previous carcinoid LUNGS AND PLEURA: Postsurgical changes/scarring from prior right lobectomy and left lingular wedge resection. Scattered unchanged pulmonary micronodules including a 5-mm left lower lobe nodule, unchanged from 2011. N... | Postsurgical findings and stable small nodules with no specific evidence of recurrent disease. |
Generate impression based on findings. | Male 69 years old; Reason: hx bladder cancer s/p cystectomy/ ileal conduit in December 2014, assess for recurrence History: hx bladder cancer s/p cystectomy/ ileal conduit in December 2014, assess for recurrence ABDOMEN:LUNG BASES: Coronary artery calcifications and calcified left hilar lymph nodes. Calcified granuloma... | 1.No evidence of recurrence.2.Sequela of granulomatous disease in the lungs. |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements. No suspicious masses, microcalcifica... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 12 years old, Female, Reason: eval for fx History: knee pain, sports injuryVIEWS: Left and right knee bilateral AP, left lateral, sunrise, right lateral (5 views) 3/11/15 Left knee: No fracture or malalignment. No knee joint effusion. No significant soft tissue swelling is noted. Right knee: No fracture or malalignment... | Normal examination. |
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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Stable benign calcified and noncalcif... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard and pushback views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular elements. Shape and contour of bilateral silicone implants appear unremarkable.... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Mammogram works best when searching for changes. Submission of prior mammogram is, therefore, recommended for future reference. If the patient submits her old mamm... |
Generate impression based on findings. | 61-year-old male with interstitial findings on chest radiograph LUNGS AND PLEURA: Scattered calcified granulomata. Predominantly subpleural and basilar interstitial thickening, fibrosis and mild traction bronchiectasis is seen. Minimal honeycombing is noted in the periphery and lung bases. Based on radiographs, there h... | 1.Diffuse pulmonary fibrosis with predominantly subpleural and basilar distribution with moderate to severe UIP pattern. These findings may be related to idiopathic pulmonary fibrosis or secondary to other underlying disease.2.Evidence of prior granulomatous disease.3.Severe coronary artery calcification.4.Incompletely... |
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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. A developing mass is present in the l... | A developing mass in the left breast at anterior upper outer aspect. Spot compression views and possible ultrasound study are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Male, 15 years old. Reason: r/o fx History: right knee pain on and off for 3 months and worse with daily pain for 2 weeks after fell and hit to the madsVIEWS: Right knee, AP, lateral, oblique (3 views) 3/11/20 15, 1036 No significant joint effusion or soft tissue swelling.The osseous structures are normal. | Normal examination. |
Generate impression based on findings. | Encephalopathy, status post brain biopsy, leg weakness There are expected immediate postsurgical changes of right transfrontal biopsy. Postsurgical changes include small amount of pneumocephalus along the surgical tract. No large intracranial hemorrhage or new mass-effect is appreciated. Tiny hyperdensity/bone fragment... | Expected postsurgical changes of right transfrontal biopsy. No large hemorrhage, significant mass effect, or herniation |
Generate impression based on findings. | Female 43 years old; Reason: 43 yr old female with Stage IV clear cell CA. 3/2014 TAH/BSO. S/P 4 cycle topotecan/carbo. Please assess current disease status and compare with previous scans. History: none CHEST:LUNGS AND PLEURA: Stable medial right lower lobe subpleural nodule, measuring 12 x 6 mm (3 come image 50), fro... | Two stable mesenteric masses. However a third, 3.7-cm right presacral mass is new or increased from previous exam.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Reason: aneurysm? History: explosive headache. HEAD:Redemonstration of nonspecific partially empty sella. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect or midline shift. No evidence of acute hemorrhage. The osseous structures... | 1.Intracranial and cervical vasculature is within normal limits.2.Redemonstration of a partially empty sella, which is nonspecific but can be associated with pseudotumor cerebri. |
Generate impression based on findings. | Male, 14 years old. Reason: eval for spondylolysis History: lbpVIEWS: Lumbar spine AP, lateral, obliques (4 views) 3/11/2015, 1048 The imaged osseous structures are normal.The vertebral body and disc heights are maintained.No spondylolysis or spondylolisthesis. | Normal examination. |
Generate impression based on findings. | 88-year-old male with arm pain status post fall. Two views of the right humerus demonstrate an oblique, spiral fracture through the proximal humeral diaphysis with posterolateral displacement of the distal fracture fragment. There is significant associated soft tissue swelling.Two views of the right shoulder demonstrat... | Oblique spiral fracture through the proximal humeral diaphysis with posterolateral displacement of the distal fracture fragment. |
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