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Generate impression based on findings. | Left tonsillar mass. There is an infiltrative mass that involves the left tongue base and palatine tonsil with extension into the soft palate, oral tongue, and across the midline. There also appears to be extension towards the supraglottic larynx, with effacement of the pre-epiglottic fat. Overall, the mass measures up... | 1. An infiltrative mass that measures up to 45 mm compatible with squamous cell carcinoma involves the left tongue base and palatine tonsil with extension into the soft palate, oral tongue, and across the midline, as well as extension towards the supraglottic larynx, with effacement of the pre-epiglottic fat. 2. Extens... |
Generate impression based on findings. | There is an unchanged extensive area of hypoattenuation in the right cerebral hemisphere and encephalomalacia involving the periventricular white matter, the right parietal lobe, insula and temporal lobe, consistent with chronic infarct. There is ex vacuo dilatation of the right lateral ventricle, but the ventricular ... | 1. No acute intracranial hemorrhage or mass. 2. Extensive chronic right-sided infarct in the MCA distribution. Please note that CT is insensitive for the detection of acute nonhemorrhagic ischemic event. If there is continued clinical concern and there is no contraindication to MRI, MRI of the brain is recommended. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign left stereotactic biopsy and prior left cyst aspiration. Two standard digital views with an additional left MLO view of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of sca... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 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 heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses, microcalcificati... | No mammographic evidence of malignancy. Physical examination is of increased importance for patients with dense breasts. As long as the patient's physical examination remains normal, routine 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 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Scattered benign calcifications, including arte... | 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. |
Generate impression based on findings. | Baseline exam for pre-heart transplant evaluation LIVER: The liver measures 14.8 cm in length. No masses. Portal vein is patent with flow towards the liver on color Doppler imaging.GALLBLADDER, BILIARY TRACT: No significant abnormality noted.PANCREAS: No significant abnormality noted.SPLEEN: The spleen measures 12.6 cm... | Normal appearing abdominal ultrasound examination. |
Generate impression based on findings. | 66-year-old male with history of tachycardia and hypoxia. Evaluate for PE. Additional history given per service, patient with known invasive capillary thyroid carcinoma and recent radical resection with tracheostomy. PULMONARY ARTERIES: No pulmonary embolus.LUNGS AND PLEURA: Multiple bilateral areas of pleural thickeni... | 1.No pulmonary embolus.2.Multiple foci of pleural thickening and calcific plaque formation, likely related to prior asbestos exposure.3.Predominantly dependent mild scarring/bronchiectasis and scattered ground glass opacities, may represent the sequela of aspiration.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not appl... |
Generate impression based on findings. | Male 42 years old; Reason: gastric cancer - rescan after txt completion History: gastric cancer CHEST:LUNGS AND PLEURA: Previously described 6-mm nodule in the left lung measures 5-mm (series 5, image 52) and demonstrates ground glass attenuation. A 3mm nodule in the right middle lobe is also less conspicuous on today'... | 1.Decrease in size of subcentimeter pulmonary nodules.2.Stable/mild decrease in size of multiple hepatic metastases.3.Mild decrease in reference periaortic lymph node. 4.Stable gastric thickening.5.Stable left hydronephrosis and proximal hydroureter.6.Stable diffuse sclerotic metastases. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis 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. Scattered benign calcificatio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 64-year-old male history of cerebral infarction. Please note that this study was submitted for independent interpretation and was performed at Roseland Community Hospital. There is no evidence of acute intracranial hemorrhage. There is a small chronic infarct within the right occipital lobe. Mild periventricular and su... | 1.Chronic infarct within the right occipital lobe.2.Mild age indeterminate ischemic small vessel disease. |
Generate impression based on findings. | Metastatic thyroid cancer evaluate for treatment. CHEST:LUNGS AND PLEURA: Diffuse pulmonary metastases, some of which appear larger. Left upper lobe lesion measures 15 mm, unchanged (6/24).Second left upper lobe nodule 13 x 14 mm, previously 12 x 13 mm (6/27).Right upper lobe nodule 12 x 12 mm (6/27), previously 11 x 1... | 1. Diffuse pulmonary metastases with no significant change in size of reference lesion measurements.2. Stable mild mediastinal and moderate right hilar lymphadenopathy.3. Skeletal metastases are extremely subtle and difficult to visualize however cortical break through in the right iliac wing lesion appears new since p... |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with moderate age-related volume loss. There is no midline shift or mass effect. There is no intracranial hemorrhage. There minimal scattered areas of abnormal low density in the periventricular and subcortical white matter, consistent with mild age-indeterminate smal... | No acute intracranial hemorrhage. Mild age-indeterminate small vessel ischemic changes, including a more focal area in the left superior frontal gyrus with cortical involvement and no significant focal volume loss, possibly representing more acute ischemia. If there remains clinical concern for an acute ischemic event,... |
Generate impression based on findings. | 57-year-old female for lung transplant evaluation Visually there was significant and progressive gastric emptying. Using anterior and posterior geometric means, residual gastric activity at the following postprandial intervals was calculated as follows:30 mins: 62 % of peak activity (normal >70 %)1 hour: 52 % of peak a... | Gastric emptying within normal limits. |
Generate impression based on findings. | 33-year-old male with history of ventricular peritoneal shunt for Dandy-Walker cyst. There is no evidence of acute intracranial hemorrhage. A right frontal approach ventricular catheter is present with tip in the expected location of the foramen of Monro. There is stable supratentorial ventriculomegaly measuring 6.8 cm... | 1.Stable right frontal approach ventricular shunt catheter.2.Ventriculomegaly without significant interval change.3.Other abnormal findings are stable. |
Generate impression based on findings. | 68 year old female with history of COPD, sleep apnea, hepatitis C, presenting with shortness of breath and new lung nodules. Evaluate for malignancy. LUNGS AND PLEURA: Left upper lobe spiculated solid nodule (5/21) measuring 18 x 15 mm. Minimal subsegmental basilar atelectasis. Mild apical predominant emphysema. No add... | 1.Left upper lobe spiculated solid nodule, which is suspicious for a pulmonary malignancy.2.Several small mediastinal lymph nodes as above.3.No additional evidence of metastatic disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in paternal cousin. Two standard digital views with additional left MLO view of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unch... | 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. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. Coarse benign calcifications are identified in the left bre... | 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: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural ... | 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. |
Generate impression based on findings. | Male, 43 years old, with syncope and head trauma, subarachnoid hemorrhage seen on prior head CTs. No intracranial hemorrhage is seen. No evidence of parenchymal edema or mass effect is detected. Gray-white differentiation is preserved. The ventricles are stable and normal in size.Opacification of the left maxillary sin... | No significant changes and in particular no evidence of intracranial hemorrhage. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with an additional left MLO view 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. Coarse benign ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 83-year-old male with history of metastatic prostate cancer. Tobacco abuse. Concern for left upper lobe mass on chest radiograph. LUNGS AND PLEURA: Scattered, nonspecific pulmonary micronodules. No left upper lobe mass or consolidation to correspond with the chest radiograph. Mild upper lobe predominant emphysema. Mild... | 1.No left upper lobe mass or consolidation to correspond with chest radiograph findings, however increased mediastinal fat deposition and overlying heterotopic bone may account for the previously seen opacity.2.Scattered nonspecific pulmonary micronodules, with mild emphysema and dependent scarring. Given this patient'... |
Generate impression based on findings. | 59-year-old male on hormone therapy for breast growth who presents for baseline examination. No current breast complaints. Three standard views of both breasts and two left spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may ... | No mammographic evidence of malignancy. Follow up to be directed by the clinical service. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis 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. No suspicious masses, microca... | 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. |
Generate impression based on findings. | 64-year-old male with history of prostate cancer. Evaluate for rib lesions. LUNGS AND PLEURA: Mild apical predominant emphysema. No consolidation or pleural effusion. Scattered micronodules, nonspecific. No suspicious nodules or masses.MEDIASTINUM AND HILA: Heart size within normal limits. No pericardial effusion. Mild... | Subtle focal sclerosis of the left seventh rib anteriorly, without abnormality of the left eighth rib. Nonspecific, but could conceivably represent metastatic prostate cancer. No additional findings to suggest metastatic disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in sister. 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. No suspicious masses, micro... | 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. |
Generate impression based on findings. | Female; 42 years old. Reason: View of joint space, concern for inflammation vs. benign cyst History: 2nd finger MCP joint swelling and pain The bones and joints appear normal. No acute fracture or malalignment is evident. No erosions or other specific findings to suggest inflammatory arthritis. | Normal appearance of the bones.Findings were text paged to pager 3050 at 10 a.m. on 1/9/15. |
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 heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses, microcalcificati... | 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: NSC - Screening Mammogram. |
Generate impression based on findings. | Cystic fibrosis lung transplant workup. LUNGS AND PLEURA: Postsurgical changes of right lower lobectomy. Asymmetric lung volumes, left greater than right. Moderate diffuse bronchiectasis, endobronchial fluid and debris in a pattern consistent with cystic fibrosis. Within the anterior the lingula, there is a small area ... | 1. Severe bronchiectasis with endobronchial fluid and debris in a pattern consistent with cystic fibrosis. Unable to exclude postobstructive pneumonia in the anterior lingula. Bronchiolitis in the right middle lobe near the costophrenic angle laterally may be postobstructive or infectious. 2. Postsurgical changes of ri... |
Generate impression based on findings. | Male 73 years old; Reason: concern for drive line infection History: pain, vad LVAD device projects over the left upper abdomen. Postsurgical changes with clips in the right upper abdomen. Additional controller device projects over the pelvis.Bowel gas pattern is nonobstructive. Mild gaseous distention of the small bow... | 1.Small bowel ileus. |
Generate impression based on findings. | The colon is mildly distended apart from the proximal sigmoid colon on the supine view, but mostly collapsed on the prone and decubitus views. Residual fluid throughout the colon is well tagged with oral contrast. The sigmoid colon is markedly tortuous. No polyps > 10 mm or colonic masses are identified. There is abno... | No polyps > 10 mm or colonic masses are identified, but given the patient risk factors, I recommend repeat attempt to optimize prone and if necessary decubitus view distension to rule out 6 mm polyps and evaluate the collapsed sigmoid colon. This was discussed with the patient and scheduled.Nonspecific terminal ileum t... |
Generate impression based on findings. | 52-year-old female with history of left breast cancer who presents for ultrasound guided needle localization prior to surgery. On review of the prior studies, there is a left breast hypoechoic mass at approximately 6 o'clock position. No clip was placed during the outside hospital biopsy and the lesion is mammographica... | Successful needle localization of the left breast malignancy.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 10-year-old male. Distal tibia fracture. Evaluate fracture healing.VIEWS: Right ankle AP/oblique/lateral views (3 views) 1/9/2015. Healing distal tibial fracture in anatomic alignment. | Healing distal tibial fracture. |
Generate impression based on findings. | Biopsy-proven left breast cancer on neoadjuvant Femara. Assess response to treatment. BILATERAL DIGITAL DIAGNOSTIC MAMMOGRAM: 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... | Interval decrease in size of multifocal left breast cancer and left axillary lymph nodes. Results were discussed with the patient and her daughter.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | Male 74 years old Reason: increasing synthetic and intrinsic function tests per physician pt may have lung ca please eval liver for masses vs cirrhosis History: asymptomatic, rule out tumor infiltration LIVER: The liver measures 14.7 cm in length. The hepatic parenchyma is coarse and heterogeneous with nodularity of th... | 1. Findings suggestive of chronic liver disease with cirrhosis and mild splenomegaly. |
Generate impression based on findings. | Exam is somewhat limited by difficulty in patient positioning.PHARYNX/LARYNX: The nasopharynx, oropharynx, hypopharynx, and larynx are unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass or pathological enhancement.GLANDS: The right parotid gland remains asymmetrically... | Persistent asymmetric prominence of the right parotid gland as compared to lower volume left, without inflammatory changes to suggest sialadenitis. No evidence of cervical lymphadenopathy or mass. |
Generate impression based on findings. | 82-year-old male with history of headache. Evaluate for intracranial hemorrhage. No evidence of acute intracranial hemorrhage. Moderate periventricular and white matter hypoattenuation compatible with age indeterminate ischemic small vessel disease. The gray white differentiation is preserved. The ventricular configura... | 1.No evidence of acute intracranial hemorrhage. 2.Moderate age indeterminate ischemic small vessel disease. |
Generate impression based on findings. | Nasopharyngeal mass on endoscopy; asymmetric lingual tonsil hypertrophy; globus sensation and choking for many years. Maxillofacial: There is mild diffuse prominence of the adenoids. There appear to be secretion within the left lateral nasopharyngeal recess. Otherwise, no discrete mass is discernible. The paranasal sin... | 1. Diffuse nonspecific prominence of the adenoids. Although no discrete mass is discernible on CT, MRI of the nasopharynx may be useful for further evaluation.2. No evidence of sinusitis or mastoiditis.3. No evidence of significant lymphadenopathy in the neck. |
Generate impression based on findings. | Female, 59 years old, with CSF rhinorrhea, surgical planning examination for left frontal skull base repair. Evidence of endoscopic sinus surgery is redemonstrated. Again seen is a partially calcified nodule bridging a defect within the left posterior ethmoid region, adjacent to an area of left inferior frontal encepha... | Multiple findings are redemonstrated including a partially calcified soft tissue nodule bridging a defect in the posterior left ethmoid region, dehiscence of the right tegmen tympani with opacification of the right middle ear cavity and mastoid air cells, and dehiscence of the lateral wall of the sigmoid sinus notch. |
Generate impression based on findings. | Lung cancer, evaluation of lung nodule. CHEST:LUNGS AND PLEURA: 16 x 10 mm irregular nodule in the inferior lingula containing fluid, soft tissue and lipid elements. Vascular structures and inferior to the lesion appear prominent, best appreciated on the high resolution images and there is a prominent vein leading from... | 1. Indeterminate irregularly marginated nodule in the inferior lingula. If the patient does not have a tissue diagnosis of pulmonary neoplasm, differential considerations would include atypical appearance of an arteriovenous malformation in addition to neoplasm given the presence of an enlarged draining vein.2. Incompl... |
Generate impression based on findings. | 76 years old, Female, Reason: eval for retroperitoneal bleed History: h/o metastatic small cell lung CA, retroperitoneal bleed ABDOMEN:LUNG BASES: Pleural based right lower lobe nodule measures 1.7 x 1.2 cm (series 4, image 9) and is not significant changed since prior study. Patchy groundglass opacity in the right low... | 1.Left upper quadrant hematoma abutting the pancreatic tail is significantly decreased in size compared to prior study.2.Evolving left perirenal space hematoma is also significant smaller.3.IVC filter with incompletely occlusive thrombus unchanged from prior study.4.Diffuse bowel wall edema the descending and sigmoid c... |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with moderate age-related volume loss. There is incidental cavum septum pellucidum et vergae. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are scattered punctate and confluent areas of abnormal low density in the periventricular... | No acute intracranial abnormality. Stable minimal chronic small vessel ischemic changes. |
Generate impression based on findings. | LIVER: Diffusely decreased echogenicity of the liver suggestive of hepatitis. The liver is 16 cm in length. No focal hepatic lesion is identified. Hepatopetal flow with a main portal vein velocity of 20 cm/sec.GALLBLADDER, BILIARY TRACT: No gallstones. Diffuse gallbladder wall thickening measuring 6 mm. Murphy's sign ... | 1. Diffusely decreased liver echogenicity suggestive of hepatitis. 2. Gallbladder wall thickening, likely related to liver disease or hypoalbuminemia; acute cholecystitis is much less likely given negative Murphy's sign and no cholelithiasis. 3. Small amount of ascites. |
Generate impression based on findings. | 53-year-old female with history of left breast stereotactic core needle biopsy in 2011 demonstrating ADH. History of benign ultrasound guided left breast biopsy in 2009 with pathology of fibroadenoma. History of benign surgical excision of the right breast. No new breast complaints. Three standard views of both breasts... | Stable post biopsy changes in both breasts. 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 ... |
Generate impression based on findings. | Female 38 years old Reason: 1 year evaluation, post islet cell transplant , please evaluate portal vein History: 1 year evaluation, post islet cell transplant LIVER: The liver measures 18.5 cm. Normal echogenicity. No focal liver lesion identified. The main portal vein is patent and demonstrates normal directional flow... | Patent portal vein with normal directional flow. |
Generate impression based on findings. | 64 year old female with left elbow, left knee, and back pain. Four views of the left elbow demonstrate tiny osteophytes, considered within normal limits for the patient's age. Otherwise, the bones appear normal. Alignment is within normal limits. No evidence of elbow joint effusion.Four views of the left knee, includin... | Mild degenerative arthritic changes of the left elbow, left knee, and lumbar spine as described above. |
Generate impression based on findings. | Left shoulder displacementVIEWS: Left humerus AP and lateral, left shoulder internal and external rotation There is an acute fracture involving the humeral neck with minimal lateral displacement of the distal fracture fragment. No definite evidence of dislocation. There is associated marked soft tissue swelling. | Acute humeral neck fracture as described above. |
Generate impression based on findings. | Non-small cell lung cancer pre-chemo. CHEST:LUNGS AND PLEURA: Left upper lobe is collapsed by a centrally obstructing mass which is difficult to distinguish from adjacent collapsed lung, measuring approximately 5.4 x 5.3 cm on coronal image 91 and up to 5.7-cm on sagittal image 84. Small pleural fluid collections, left... | 1. Left upper lobe mass measures at least 5.7-cm, extending to the hilum and causing lobar collapse.2. Finding suspicious for lymphangitic tumor spread throughout the right lung. Additional nodules in the right lung are compatible with metastases.3. Small pleural and pericardial fluid collections.4. Diffuse mediastinal... |
Generate impression based on findings. | Male 41 years old Reason: hx of gastric cancer s/p resection, now s/p 2 months adjuvant chemotherapy. Restaging. History: none CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Unchanged prominent right hilar node.CHEST WALL: Right chest Port-A-Cath with tip terminating at cavoatrial junctio... | 1.No definite metastases identified.2.Hypoattenuating lesion in the right hepatic lobe, which may reflect focal fat, although metastatic disease is not excluded. This lesion was not hypermetabolic on the prior PET examination, although appears slightly more conspicuous on today's exam. Further evaluation with MRI can b... |
Generate impression based on findings. | 6 year-old female. History of Wilms tumor status post chemotherapy. LIVER: Normal echogenicity. No focal hepatic mass is identified. The liver is 11 cm in length.GALLBLADDER, BILIARY TRACT: No biliary ductal dilatation. No cholelithiasis or gallbladder wall thickening.PANCREAS: The pancreatic head and neck demonstrates... | Status post right nephrectomy with no evidence of recurrence. |
Generate impression based on findings. | No definite intra-axial or extra-axial mass is identified. There is focal T1 and T2 hypointensity along the frontal convexities, more than than on the right with a plaque like appearance. Findings are best visualized on coronal T2 and sagittal T1-weighted images. There is no corresponding enhancement. These are felt t... | 1. No definite focal extra-axial mass. Areas of plaque-like hypointensity along the frontal convexity dural margin which more likely represent asymmetric dural mineralization given its bilaterality. CT could be obtained for confirmation.2. Stable size of incidental simple appearing pineal cyst measuring slightly greate... |
Generate impression based on findings. | FractureVIEWS: Right elbow AP, oblique and lateral There is a screw through the medial epicondyle new from prior study. There is periosteal reaction along the distal humerus reflecting interval healing. A small bony fragment is seen immediately anterior to the distal humerus not significantly changed. The overlying spl... | Interval fixation medial epicondyle fracture as described above. |
Generate impression based on findings. | Female; 51 years old. Reason: eval for degenerative changes History: right hip pain Single AP view of the pelvis with two views of both hips demonstrate minimal narrowing of the left hip joint and tiny osteophytes, indicating minimal left hip osteoarthritis. No significant osteoarthritis of the right hip is evident. Th... | Minimal left hip osteoarthritis and perhaps mild right hip dysplasia as described above. |
Generate impression based on findings. | Adenovirus difficulty breathingVIEW: Chest AP Cardiothymic silhouette normal. The patchy opacities in the lingula not significantly changed. There is new atelectasis in the right upper lobe. No pleural effusion or pneumothorax. | Patchy opacities in the lingula not significantly changed with new atelectasis in the right upper lobe. |
Generate impression based on findings. | 75-year-old male status post L4/5 fusion There are posterior rods with screws entering the L4 and L5 vertebral bodies. No hardware complication is evident. A spacer device is present at C4/5 with associated bone graft material. Small anterior osteophytes are present along the vertebral bodies. The bones are slightly de... | Postoperative changes of L4/5 fusion as described above. |
Generate impression based on findings. | Female; 54 years old. Reason: PAIN History: PAIN Three views of the right wrist demonstrate interval removal of overlying cast. There is mild soft tissue swelling about the wrist. Slight demineralization of the bones, which may be due to disuse. Comminuted, mildly impacted distal radius fracture with intra-articular ex... | Distal radius and ulnar fractures as described above. |
Generate impression based on findings. | 75-year-old male with right knee pain There is mild sharpening of the tibial spines and minimal medial joint space narrowing. There may be a small joint effusion, but this is equivocal. Similar findings affect the left knee as seen on the frontal view. | Minimal osteoarthritis essentially within normal limits for the patient's age. |
Generate impression based on findings. | 70 year-old female with pain Soft tissue swelling is present along the lateral aspect of the joint. No fracture is evident. | Soft tissue swelling without fracture evident. |
Generate impression based on findings. | 52 year-old female status post C5-6 ACDF The cervicothoracic junction is not well seen on the lateral view due to overlying anatomy. There is an anterior plate with screws entering the C5 and C6 vertebral bodies. No hardware complication is evident. Bone graft is noted at the C5/6 disk space. Alignment is within normal... | Postoperative changes of C5/6 ACDF. |
Generate impression based on findings. | Male 65 years old; Reason: assess for ileus History: bilious output from ng tube Enteric tube terminates underneath the left hemidiaphragm in the region of the proximal gastric body.The bowel gas pattern is nonobstructive. | 1.Enteric tube terminates in the region of the proximal gastric body. |
Generate impression based on findings. | 75 year old female with history of non-small cell lung cancer. CHEST:LUNGS AND PLEURA: Mild apical predominant emphysema. Minimal atelectasis of the lingula. Stable scattered pulmonary micronodules, some of which are calcified. No pleural effusion, consolidation, or new masses. Postoperative findings in the right upper... | 1.Nodularity of the right upper lung suture line is unchanged.2.No lymphadenopathy or new suspicious nodules/masses. |
Generate impression based on findings. | 56-year-old male, history of fall, unable to move left upper extremity Mild osteoarthritis affects the shoulder. We see no acute fracture or dislocation. A couple of old left healed rib fractures are identified. | No acute fracture or dislocation. |
Generate impression based on findings. | 80-year old female with right breast cancer. Lymphoscintigraphy needed for right sentinel lymph node biopsy.RADIOPHARMACEUTICAL: The right breast was prepared in a sterile manner. A total of 0.5 mCi Tc-99m filtered sulfur colloid was injected in four periareolar injections. Several foci of increased activity are noted ... | Sentinel nodes identified in the right axilla. |
Generate impression based on findings. | 73 year old female with history of benign stereotactic core needle biopsy 8/2011 revealing apocrine metaplasia, calcium oxalate and focal fibroadenomatoid change. History of ovarian cancer in sister and breast cancer in maternal niece. No current breast complaints. Three standard views of both breasts were performed di... | Interval decrease in the size of left breast masses. 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 - Scr... |
Generate impression based on findings. | 16 year-old female with recurrent ALL and necrotizing pancreatitis. Evaluate for LLQ fluid collection. ABDOMEN:LUNG BASES: No significant abnormality noted. Central venous catheter tip in the right atrium.LIVER, BILIARY TRACT: No focal hepatic lesion is identified. No biliary ductal dilatation. Hyperattenuating foci an... | 1. Significantly decreased size of left perisplenic collection, which has undergone interval drainage. No measurable residual collection.2. Interval development of small amount of nonloculated fluid in the cul-de-sac extending into the right hemipelvis. Small amount of mesenteric fluid. |
Generate impression based on findings. | Male 46 years old Reason: POEMS syndrome, ?organomegaly History: POEMS syndrome, abdominal distention with superficial venous pattern over abdomen.Hypercoagulable state on warfarin LIVER: The liver measures 18.5 cm. The parenchyma is echogenic and heterogeneous, as noted on prior study but no definite mass is identifie... | Heterogeneously echogenic hepatic echotexture which may relate to fatty infiltration. No focal mass is identified however sensitivity is reduced in the presence of diffuse fatty infiltration. No other evidence of organomegaly. |
Generate impression based on findings. | 63 years old, Male, Reason: restaging CT after gastric cancer resection (R1) s/p adjuvant CRT completed 4/2013. Compare to 12/2013 scan. History: none CHEST:LUNGS AND PLEURA: Scattered micronodules. No suspicious pulmonary nodules or masses are identified.MEDIASTINUM AND HILA: Scattered subcentimeter mediastinal lymph ... | Single new lesion in the right lobe of the liver which is new from prior study and suspicious for metastasis. Recommend liver MRI for further evaluation. |
Generate impression based on findings. | 11-year-old male with left knee pain with "pop" sounds for 3 weeks, basketball player for 4-5 years, no clear history of injury. Ankle pain with walking for 2 weeks.VIEWS: Left knee AP/lateral/oblique, left ankle AP/lateral/oblique, right ankle AP/lateral/oblique (9 views), 1/9/2015, 1027 hrs. Left knee:No joint effusi... | Normal examination. |
Generate impression based on findings. | 69-year-old male with history of non-small cell lung cancer now with worsening performance status. LUNGS AND PLEURA: Right upper lobe mass (4/32) measures approximately 39 x 37 mm, previously 39 x 39 mm. In the coronal plane, the lesion currently measures 59 mm, previously 64 mm. Adjacent atelectasis limits accuracy of... | 1.Necrotic right upper lobe mass measures slightly smaller than previous exam however adjacent atelectasis and coarse interstitial abnormality appears worse..2.Improving lymphadenopathy.3.Small right pleural effusion has decreased in size. |
Generate impression based on findings. | 67 years old, Male, Reason: history of cholangiocarcinoma s/p resection (R1) 7/19/12 s/p adjuvant CRT completed 4/2013. Evaluate for recurrence. History: none CHEST:LUNGS AND PLEURA: Stable nonspecific thickening of the minor fissure. Bibasilar atelectasis. No suspicious pulmonary masses or nodules.MEDIASTINUM AND HILA... | 1. Stable examination without evidence of recurrent disease or distant metastasis.2. Bilateral fat containing inguinal hernias. |
Generate impression based on findings. | Recall from screening mammogram for calcifications in the right upper outer quadrant. A ML view and 3 spot magnification views of the right 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... | Suspicious calcifications in the right breast. Stereotactic core needle biopsy is recommended. Results and recommendations were discussed with the patient and Dr. Patricia Kurtz.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | Female 37 years old Reason: evaluate vasculature to support kidney transplant History: history of 2 kidney transplants with 2 tx nephrectomies ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: There are severe atherosclerotic calcifications of the splenic ... | 1.Coarse atherosclerotic calcifications of the bilateral external, internal and common iliac arteries as well as the abdominal aorta. 2.Pancreatic tail seen high in the left upper quadrant, the shape and position of which is irregular. Although felt most likely congenital in etiology, MRI can be considered for further ... |
Generate impression based on findings. | 84-year-old female with history of lung cancer. Restaging exam. Additional history per EPIC "Stage IV adenocarcinoma lung with mets to the brain s/p only XRT to lung, R neck venous thrombus". LUNGS AND PLEURA: Centrally necrotic right hilar mass with epicenter in the lower lobe measuring 6.3-cm in maximal length (coron... | Right hilar necrotic mass with mediastinal invasion and associated lymphadenopathy as above. Indeterminate left adrenal gland nodule. |
Generate impression based on findings. | Thyroid cancer, hilar mass on CT and PET. LUNGS AND PLEURA: Suture lines from prior resections and main right middle and left upper lobes.No fluid or pneumothorax. Unchanged two to 3-mm calcified and noncalcified micronodules in the right lower lobe. No new nodules are appreciated.MEDIASTINUM AND HILA: Left lower parat... | Lower left paratracheal lymphadenopathy measures larger. No new sites of disease are appreciated. |
Generate impression based on findings. | 61 years Male Reason: r/o liver path History: asymptomatic; hep B carrier LIVER: Estimated length of 13.2 cm. Coarse heterogenous echotexture is again noted without focal lesions. Patent main portal vein with normal directional flow.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted. Common bile duct measur... | Coarsened heterogenous echotexture compatible with chronic liver disease without focal lesion. No substantial interval change compared to prior. |
Generate impression based on findings. | 52 year-old female with history of right lumpectomy and sentinel node biopsy in May 2011 after neoadjuvant chemotherapy for right breast invasive ductal carcinoma. Patient is status post radiation therapy. Three standard views of both breasts and a right laterally exaggerated CC view were performed digitally and review... | Stable postsurgical changes in the right upper outer breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION:... |
Generate impression based on findings. | Female 50 years old Reason: assess for esophageal dysfunction History: pain and difficulty swallowing Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Double contrast evaluation of the esophagus and gastric cardia/fundus revealed no morphologic abnormaliti... | 2.Esophageal motility disorder with proximal escape and tertiary contractions.3.Osteophyte at the C4-5 disk space that impresses upon the posterior aspect of the larynx. |
Generate impression based on findings. | Follow up bilateral spiculated nodules, no diagnosis (TBBX, FNA attempted). LUNGS AND PLEURA: Severe upper lobe predominant centrilobular and paraseptal emphysema. Bilateral scarlike lesions in the upper lobes containing nodularity and spiculation.Left upper lobe lesion increased in size, measuring 4.1 x 3.3-cm (5/23),... | 1. Increase in size of left upper lobe mass; growth and lobulated appearance are consistent with malignancy. The presence of fiducial markers raises the question of interval RT which could result in overestimation of lesion size.2. Additional lesions measured stable to minimally smaller and should continue to be monito... |
Generate impression based on findings. | History of right lumpectomy in 2006 for infiltrating ductal carcinoma. Patient received radiation and Arimidex. No new breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchange... | Stable post surgical changes of the right breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic ... |
Generate impression based on findings. | Male; 30 years old. Reason: eval for fx History: pain after fall, scd Five nonweightbearing views of the left knee demonstrate osteonecrosis of the left distal femur resulting in fragmentation of the articular surface of the medial femoral condyle, grossly similar to prior study from 12/13/14. In addition to the ossicl... | Osteonecrosis of the left distal femur with potential loose body as described above and similar to prior study. No acute fracture or malalignment is evident. |
Generate impression based on findings. | 47 years old, Male, Reason: eval for GI bleeding History: low hemoglobin with abdominal distention Lack of IV contrast limits evaluation of abdominal parenchyma and vessels. Within these limitations the following observations are made:ABDOMEN:LUNG BASES: Bibasilar atelectasis and trace left pleural effusion.LIVER, BILI... | 1. Left retroperitoneal hematoma.2. Dilated colon likely represents postop ileus. 3. Diffuse hepatic steatosis.Discussed findings with Dr. Gina Bradley at 11:30 on 1/9/14 |
Generate impression based on findings. | 21-year-old male with history of Ewing sarcoma, now off therapy.VIEWS: Chest PA and lateral (two views), left tibia/fibula AP/lateral (two views) 1/9/2015, 1043 hrs. Chest:No focal pulmonary opacity, pleural effusion, or pneumothorax. Normal cardiothymic silhouette.Left tibia/fibula:Distal fibular resection and anchors... | No evidence of disease recurrence or metastasis. |
Generate impression based on findings. | Male 55 years old Reason: evaluate vasculature to support kidney transplant History: poor/absent distal pulses ABDOMEN:LUNG BASES: Calcified right upper lobe nodule suggestive of prior granulomatous disease. There are atherosclerotic calcifications of the coronary arteries.LIVER, BILIARY TRACT: No significant abnormali... | 1.There are mild atherosclerotic calcifications of the bilateral common iliac arteries. There are moderate atherosclerotic calcifications of the internal iliac arteries and their branches. There are trace atherosclerotic calcifications of the left external artery, and no significant atherosclerotic calcifications of th... |
Generate impression based on findings. | Right nasal adenocarcinoma status post resection of tumor 10/7/13, then ethmoidectomy with probable T2N0 squamous cell carcinoma treated with chemoradiation. There are postoperative findings related to sinonasal tumor resection. There is persistent diffuse opacification of the paranasal sinuses, mainly in the form of m... | Postoperative findings related to sinonasal tumor resection with persistent diffuse paranasal sinus opacification without definite recurrent tumor. |
Generate impression based on findings. | Male 67 years old Reason: 67 year old male with history of necrotizing pancreas. Complicated pseudocyst formation and drain pulled in clinic on 12/19/14. F/u CT Scan ion 3 weeks. History: abdominal pain This study is limited due to lack of intravenous contrastABDOMEN:LUNG BASES: No significant abnormality notedLIVER, B... | Limited study due to lack of intravenous contrast. Internal drainage and near complete resolution of the peri-splenic fluid collection. Left retroperitoneal collection has also decreased in size compared to previous study. Other findings are stable. |
Generate impression based on findings. | T4aN3M1 squamous cell carcinoma of the base of the tongue with lung metastases. There is no significant change in size of the ill-defined right tongue base lesion, which measures up to approximately 20 mm. However, there is interval increase in size and heterogeneity of the adjacent left lingual tonsil, There is no sig... | 1. Although the right tongue base lesion does not appear to be significantly changed, there is interval increase in size of the left lingual tonsil, which is nonspecific, but tumor progression cannot be excluded.2. No significant interval change in the treated bilateral cervical lymphadenopathy. 3. Unchanged right apic... |
Generate impression based on findings. | Tonsillar squamous cell carcinoma, status status post chemoradiation. Also history of lung and prostate cancers. Again seen are posttreatment changes of chemoradiation with interval improvement in previously seen supraglottic edema. No appreciable airway narrowing. There is no evidence of mass lesions or significant ce... | 1. No evidence of mass lesions or significant cervical lymphadenopathy in the neck.2. Partially imaged right upper lobe consolidation with air-bronchograms similar to prior . Please refer to the separate chest CT report for additional details. |
Generate impression based on findings. | Reason: Evaluate for subluxation History: neck trauma The patient has an os odontoideum. The patient is status post posterior fusion and laminectomies at C1 - C2. Cerclage wires are noted at C1 -C2. No osseous bridging is noted at the fusion site.Compared to the previous exam, the alignment between C1 and C2 has change... | 1.The patient has an os odontoideum. The patient has undergone posterior fusion at C1-2. No osseous fusion is noted. Since the previous examination the alignment between C1 and C2 has changed. The anterior arch of C1 as well as the os odontoideum are subluxed posteriorly relative to the C2 vertebral body. There is no a... |
Generate impression based on findings. | Lung cancer status post radiation check response CHEST:LUNGS AND PLEURA: Interval progression of post therapeutic of volume loss related to radiation therapy. The solid component of the index right upper lobe nodule measures 2.5 x 1.3 cm (5/35), previously 0.7 x 0.9 cm.The associated thin walled cyst is unchanged howev... | 1. Assessment of the peripheral right upper lobe lesion is complicated by superimposed radiation reaction. The solid components appear larger and produces occlusion of the adjacent airways. Correlation with PET scan is suggested to distinguish active tumor from radiation reaction. Measurements are provided in the body ... |
Generate impression based on findings. | Humeral fractureVIEWS: Left shoulder two views The acute fracture involving the humeral neck again noted. The humeral head appears to be inferiorly displaced in relation to the glenoid. There is marked soft tissue swelling. | The humeral head appears to be inferiorly displaced likely representing inferior dislocation in relation to the glenoid. |
Generate impression based on findings. | There is mild restricted diffusion involving the left hippocampus, left insular cortex, and pulvinar of the left thalamus, most compatible with postictal change. There is mildly increased FLAIR hyperintensity in the left hippocampus. There is minimal fullness involving the left amygdala. No discrete mass or evidence o... | 1. Persistent abnormal enhancing thoracic cord lesion from T10 to T12 compared to outside MRI from 10/2014. Surrounding T2 hyperintensity compatible with edema is seen from T8 to the T12-L1 level and is improved in the interval. There is small component of enhancement which appears extramedullary and may possibly repre... |
Generate impression based on findings. | Male 62 years old Reason: pt with known pancreatic cancer. please eval for progression History: pancreatic cancer CHEST:LUNGS AND PLEURA: Subcentimeter nodule in the left lower lobe, best seen on image number 51, series number 5, new from previous study, nonspecific.MEDIASTINUM AND HILA: Small mediastinal lymph nodes a... | Slight interval increase in the size of the patient's known pancreatic head mass with now new encasement of hepatic artery |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal cousin and maternal aunt. Two standard digital views of both breasts with additional bilateral MLO were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibrogland... | New asymmetry in the left lateral breast seen on the CC view. Additional imaging, including spot compression views and possible ultrasound, are recommended for further evaluation.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Pain. Fracture follow-up. Again seen is a comminuted fracture of the proximal humerus with slight anteromedial displacement and posterolateral angulation of the distal fracture fragment. The fracture plane through the surgical neck of the humerus remains visible, although slightly less distinct on the current study tha... | Proximal humerus fracture as described above. |
Generate impression based on findings. | Male 77 years old Reason: restaging widely metastatic PC and RCC History: restaging widely metastatic PC and RCC CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormal... | Interval decrease in the size of the metastatic retroperitoneal lymph nodes.Complex left upper pole renal mass, slightly increased to unchanged compared to previous study. |
Generate impression based on findings. | Reason: s/p left ICH. eval for vascular abnormality History: ICH 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.Atherosclerotic calcifications ... | 1.No evidence for aneurysm.2.No evidence for cerebral vascular occlusive disease3.A left postcentral gyrus hemorrhage is stable compared to the prior exam.4.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. |
Generate impression based on findings. | Shoulder dislocation? Glenohumeral joint alignment is normal. Acromioclavicular joint alignment is normal. I see no fracture. | Normal-appearing shoulder without malalignment. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign breast biopsy. Family history of breast cancer in cousin. 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, u... | 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. |
Generate impression based on findings. | Status post ALIF July 2014. Fusion status. Again seen is a spacer device at L4/5 containing bone graft material that appears similar to that seen on the prior study. I see no frank interbody fusion at this time. Mild degenerative disk disease affects L5/S1. Vertebral body heights are preserved. Alignment is within norm... | Postoperative changes of ALIF as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in paternal grandmother and aunt. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandul`ar density. N... | 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. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural ... | 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. |
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