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Generate impression based on findings. | 36 years, Male. Reason: Assess for obstipation, ileus, obstruction History: 36 y.o. man with periumbilical pain, nausea, vomiting. History of abd pain and constipation Nonobstructive bowel gas pattern with average amount of stool. No dilated loop of bowel is evident. | Nonobstructive bowel gas pattern with average amount of stool. |
Generate impression based on findings. | 63 years, Male. Reason: evaluate for obstruction and for G tube position History: severe pain at Gtube site, constipation x 1 week Free air is evident over the right upper quadrant on a left lateral decubitus view, which may relate to recent G-tube placement, although clinical correlation is recommended. There is a gas... | Pneumoperitoneum, likely related to recent gastrostomy tube placement, although clinical correlation is recommended. Further evaluation with a dedicated fluoroscopic gastrostomy tube study can be considered as clinically indicated. |
Generate impression based on findings. | 31-year-old male with history of trauma to the lateral side of the left foot two days ago; continued pain. No evidence of fracture or malalignment. No significant soft tissue swelling. | No acute abnormality. |
Generate impression based on findings. | 32-year-old male with pain and swelling of the right thumb after smashing thumb in a door. Three views of the right hand demonstrate a nondisplaced fracture of the tuft of the first distal phalanx. The remainder of the first digit is in anatomic alignment. There is mild soft tissue swelling. | Nondisplaced fracture through the tuft of the distal phalanx. |
Generate impression based on findings. | Reason: stage 3 non small cell lung cancer, s/p radiation, steroids for pneumonitis History: sob CHEST:LUNGS AND PLEURA: Left upper lobe patchy airspace opacity compatible with radiation reaction, generally similar to the prior CT scan.New small left pleural effusion/pleural thickening in the apical region.Mild focal b... | New small left pleural effusion or thickening, which may be related to radiation reaction.No specific evidence of tumor recurrence. |
Generate impression based on findings. | Male, 84 years old, with history of sinonasal adenocarcinoma status post resection. Evidence of extensive sinonasal surgery is again seen. A partially calcified mass within the sphenoid sinus again shows interval increase in size, now measuring 27 x 23 mm (image 20 series 7), previously 24 x 20 mm. As before, this lesi... | 1.Continued interval growth of a partially calcified mass centered in the sphenoid cavity.2.Progressive opacification of the paranasal sinuses is also seen in which is felt to be inflammatory in nature.3.No evidence of pathologic adenopathy is detected in the neck.4.A large heterogeneous mediastinal mass, possibly rela... |
Generate impression based on findings. | History of right breast cyst. 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, unchanged in pattern and distribution. No new dominant mass, suspicious mi... | 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. | History of left lumpectomy for breast cancer in the 1970s. 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. Area of focal asymmetry in the right breast 6... | 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.Mammography is optimally performed when prior studies are available to detect changes. If the patient's... |
Generate impression based on findings. | 72 year-old female with pain in the left knee, swelling and discoloration of the left tibia/fibula. Two views of the left tibia/fibula are unremarkable. There is no evidence of fracture or malalignment. No significant soft tissue swelling.Four views of the left knee demonstrate marked narrowing of the lateral facet of ... | Unremarkable views of the tibia/fibula. Evidence of calcium pyrophosphate deposition disease in the knee, including chondrocalcinosis and marked narrowing of the lateral patellofemoral joint. |
Generate impression based on findings. | 75-year-old with history of previous left breast pain. 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 distribution. No dominant mass, suspicious microcalcifications or ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 65-year-old male status post left total knee arthroplasty, in the recovering room. Two views of the left knee demonstrate total knee arthroplasty in anatomic alignment; no evidence of fracture or dislocation. Surgical clips, surgical drain, and iatrogenic gas are present in the soft tissues. | Total knee arthroplasty in anatomic alignment. |
Generate impression based on findings. | Male, 11 months old. Reflux, evaluate aspiration risk. Feeding DifficultyEXAMINATION: Oropharyngeal motility study 3/11/2015, 0930 Beth Harrison, speech and language therapist, supervised the examination.0:57 seconds of fluoroscopy was used.Delayed pharyngeal swallow trigger, incomplete laryngeal closure, resulting in ... | Penetration and aspiration as detailed above.Please see the speech and language therapist's report for feeding recommendations. |
Generate impression based on findings. | Head: No acute fracture is evident. There is no evidence for intracranial hemorrhage or acute infarction. The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. Calcification of the basal ganglia bilaterally, likely related to age. White matter hypodensity compatible with age i... | 1.No evidence of acute fracture.2.No evidence for acute intracranial abnormality. CT is not sensitive for detection of acute nonhemorrhagic ischemia. If high clinical suspicion of CVA, consider MRI.3.Severe multilevel degenerative disease of the cervical spine without evidence of central canal stenosis. |
Generate impression based on findings. | 11 months old, Male, Reason: Evaluate position of dobhoff, initial placement VIEW: Abdomen AP (one view) 3/11/15 Dobbhoff tube tip in the gastric body. Nonobstructive bowel gas pattern. No free air or pneumatosis. | Dobbhoff tube tip in the gastric body. |
Generate impression based on findings. | 64-year-old female status post left total knee arthroplasty. Two views of the left knee demonstrate total knee arthroplasty in anatomic alignment; no evidence of fracture or dislocation. Surgical clips, surgical drain, and iatrogenic gas are present in the soft tissues. | Total knee arthroplasty in anatomic alignment. |
Generate impression based on findings. | 12 years old, Female, Reason: Evaluate for fracture History: Wrist painVIEWS: Right wrist PA oblique and lateral (3 views) 3/11/15 Cortical irregularity consistent with buckle fracture of the distal radial metaphysis. No other fractures are identified. | Buckle fracture of the distal radial metaphysis. |
Generate impression based on findings. | 51-year-old male with back pain. Images of the thoracic and lumbar spine demonstrate a transcutaneous electrical nerve stimulation unit at the midthoracic spine; the wires appear intact, and the device terminates overlying the sacrum. Interpedicular screws are visualized at L2 through L4 in anatomic alignment. There is... | 1. Interpedicular screws at L2 through L4, in anatomic alignment.2. Mild compression deformity of the L1 vertebral body.3. TENS unit in the midthoracic spine, terminating over the sacrum.4. No acute fracture of malalignment. |
Generate impression based on findings. | 53-year-old female with new dyspnea on exertion and rib pain. Assess for worsening metastatic disease, including pleural effusion. CHEST:LUNGS AND PLEURA: Innumerable bilateral pulmonary metastases have increased in size and number. The reference of right upper lobe lesion measures 9 mm (image 25, series 6), previously... | Progression of disease, evidenced by increased pulmonary, osseus, and hepatic metastases, as described above.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 42 year-old female with history of pain in the sacrum since fall in 9 months ago; as well as bilateral arthralgias of the hands. Two views of the sacrum reveal degeneration at the sacroiliac joints with sclerosis of the bilateral iliac margins, consistent with osteitis condensans ilii. There is no evidence of fracture.... | 1. Sacral radiographs reveal evidence of osteitis condensans ilii.2. Radiographs of the hands are unremarkable. |
Generate impression based on findings. | Mesothelioma on observation. CHEST:LUNGS AND PLEURA: Post surgical changes of left nephrectomy and diaphragmatic mesh placement. Left hemithorax pleural thickening and volume loss consistent with mesothelioma. Left hemithorax reference measurements as follows:Level of the aortic arch (3/37) 2 o'clock position 7 mm, unc... | Left hemithorax mesothelioma with reference measurements as above. Increase in nonindex mediastinal lymph node size and in size and number of pericardial metastases. Equivocal left chest wall mass. |
Generate impression based on findings. | 69-year-old female with profound shock and worsening LFTs. Evaluate for Budd-Chiari syndrome. LIMITED ABDOMENLIVER: Measures 16.2 cm in length. Left hepatic lobe mildly complex cysts are again seen, with the previously referenced cyst now measuring 2.3 cm x 2.1 cm x 1.7 cm, previously measured 2.4 cm x 1.9 cm x 1.9 cm,... | 1. Left hepatic mildly complex cysts not significantly. If warranted, these can be definitively characterized with contrast-enhanced cross-sectional imaging. 2. Pancreatic body hypoechoic focus may represent a sidebranch IPMN but is indeterminate on this nondedicated study and may be further characterized with contrast... |
Generate impression based on findings. | Male, 14 years old. Tarsal coalition.VIEWS: Bilateral feet DP, lateral, oblique, right calcaneous view (7 views) 3/11/2015, 0938 Valgus deformity of the right metatarsophalangeal joints, most prominent at the first digit.The osseous structures and joint spaces are otherwise normal. No evidence of tarsal coalition. | Right hallux valgus deformity. No evidence of tarsal coalition.. |
Generate impression based on findings. | Mesothelioma, follow-up one CHEST:CHEST: Unchanged and persistent small areas of extrapleural nodular enhancement . Mild postsurgical pleural thickening and right basilar scarring, unchanged from previous. Reference measurements as follows:Above the level of the aortic arch (image twenty eight series three), the 3 and ... | No new findings to support tumor recurrence or interval progression. See reference measurements and descriptions above |
Generate impression based on findings. | Female 75 years old; Reason: Pleural mesothelioma. Please compare to prior exam per RECIST criteria. History: Pleural mesothelioma. ABDOMEN:LUNG BASES: Please see separate same-day CT chest report.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: Slight interval i... | 1.Difficulty in accurately measuring the reference right para-aortic lymph node, which may be due to post treatment changes, as described above. |
Generate impression based on findings. | 7 months old, Male, Reason: Feeding dysfunction? History: Coughing decreased gag responseEXAMINATION: Oropharyngeal motility study 3/11/15 Beth Harrison, speech and language therapist, supervised the examination.80 seconds of fluoroscopy was used.Thin, half strength nectar, nectar, honey and stage I purée were used to ... | Penetration without cough with thin and semi-thick. No penetration with nectar thick. No aspiration.Please see the speech and language therapist's report for feeding recommendations. |
Generate impression based on findings. | Male 36 years old Reason: Crohn's disease, s/p recent stricturoplasty. partial SBO by MRI. Eval for stricture/adhesions History: Ongoing abdominal pain/diarrhea after surgery Scout radiograph showed a nonobstructive bowel gas pattern. Transit time to the colon was 45 minutes. Fluoroscopic evaluation showed normal mucos... | 1.Dilatation of the terminal ileum with associated sacculations, with a widely patent neoterminal ileum and no evidence of stricture formation.2.Distortions of the small bowel configuration in the pelvis suggests possible adhesive disease. |
Generate impression based on findings. | 85 years, Male. Reason: improvement in distension? History: distension s/p ngt decompression There is a nasogastric tube with its tip projecting over the proximal stomach. Interval improvement in stomach distention. Nonobstructive bowel gas pattern. | Interval improvement in stomach distention. |
Generate impression based on findings. | Mesothelioma, follow-up LUNGS AND PLEURA: The semisolid and ground glass nodules bilaterally again appear not significantly changed. The reference right upper lobe nodule again measures 1.4 cm in short access, unchanged when measured similarly (image 14, series 6). A more solid component is 7 mm. small to moderate pleu... | Interval increasing lymphadenopathy without significant interval changes of the reference pleural measurements, however the latter is limited due to an increase in the small associated pleural effusion. See measurements provided |
Generate impression based on findings. | Clinical question: intracranial bleed. Signs and Symptoms: on warfarin s/p fall Nonenhanced head CT:No detectable posttraumatic intracranial, calvarial of soft tissues of the scalp findings.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white differentiation. Unremarkable orbit... | Unremarkable exam. |
Generate impression based on findings. | 42 year-old female with history of pain in the sacrum since fall in 9 months ago; as well as bilateral arthralgias of the hands. Two views of the sacrum reveal degeneration at the sacroiliac joints with sclerosis of the bilateral iliac margins, consistent with osteitis condensans ilii. There is no evidence of fracture.... | 1. Sacral radiographs reveal evidence of osteitis condensans ilii.2. Radiographs of the hands are unremarkable. |
Generate impression based on findings. | 51 years, Male. Reason: dht placement History: dht placement s/p RYGB and lap band This study is limited due to the pelvis not being in the field of view and the study not centered over the Dobbhoff tube. There is a Dobbhoff tube with its tip projecting over the GE junction. There appears to be an "O-sign" of the lap b... | Limited study showing Dobbhoff tube with its tip projecting over the GE junction. Possible slippage of lap band. Consider better evaluation with fluoroscopy. |
Generate impression based on findings. | 69-year-old male patient with metastatic prostate cancer. Evaluate for disease after 3 cycles of investigational therapy. CHEST:LUNGS AND PLEURA: There is elevation of the left hemidiaphragm with overlying compressive atelectasis, new compared to prior exam. No suspicious pulmonary nodules are seen.MEDIASTINUM AND HILA... | 1.Overall interval decrease in lymphadenopathy in the thorax, abdomen, and pelvis. Reference measurements as above.2.Enlarging sclerotic osseous lesion in the manubrium and stable right rib lesion. Please refer to nuclear medicine bone scan performed the same day for complete details. |
Generate impression based on findings. | Headaches since two weeks No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. There is global parenchymal and loss, commensurate with age. No hydrocephalus. No extra-axial collections. There is opacifi... | 1. No intracranial hemorrhage or mass effect. If there is continued suspicion for intracranial mass, MRI would be more sensitive.2. Mild paranasal sinus disease with opacification in the left frontal and anterior ethmoid air cells. |
Generate impression based on findings. | History of adenoid cystic carcinoma. Assess for metastatic lesions. No osseous metastatic lesion is identified in the bilateral femurs. There are mild degenerative changes of the bilateral hips and pubic symphysis.Lytic metastatic lesions pelvic osseous metastases are not included in the field of view on this examinati... | No evidence of a metastatic lesion in the bilateral femurs. |
Generate impression based on findings. | Clinical question: Evaluate for possible CSF leak and sinus disease. Signs and symptoms: unilateral rhinorrhea, salty taste, left-sided facial pain and pressure. Headache and dizziness. Unenhanced maxillofacial CT:Examination demonstrates well pneumatized all paranasal sinuses and without evidence of mucosal thickening... | 1.All paranasal sinuses and bilateral mastoid air cells and middle ear cavities remain well pneumatized and without evidence of mucosal thickening or fluid levels.2.There is significant bony thinning (normal anatomical variation) with resultant lack of visualization of bony density of the planum sphenoidale; floor of t... |
Generate impression based on findings. | For the purposes of numbering, there are 5 lumbar type vertebral bodies. There is evidence of diffuse osseous metastatic disease with areas of sclerosis and lysis throughout the lumbar spine involving all levels, visualized pelvis, and visualized portion of T11 and T12 ribs. Compared to 2/16/2015, there is increase in... | Diffuse osseous metastatic disease which appears slightly progressed compared to CT abdomen/pelvis dated 2/16/2015. Notably, there is an enlarging lesion involving the L2 spinous process with new linear lucency violating the cortical surface most compatible with pathologic fracture. Multiple vertebral bodies demonstrat... |
Generate impression based on findings. | Mesothelioma, please follow-up LUNGS AND PLEURA: Nodular pleural thickening in the right lower hemithorax again consistent with known mesothelioma. Reference measurements are as follows:1. At the level of the aortic arch (image 32 series 5), the two o'clock measurement remains 2 mm, unchanged. The 5 o'clock measurement... | Stable mesothelioma disease and involvement. Reference measurements provided |
Generate impression based on findings. | Neutropenia, cell transplant with fever and tachycardia rule out infection. LUNGS AND PLEURA: No pleural fluid or pneumothorax. Mild cylindrical bronchiectasis and scarring in the lower lobes. Prominent subpleural lymph nodes along the right minor and major fissures.8mm subpleural nodular scarring or consolidation alon... | No conclusive signs of pneumonia; subpleural consolidation in the right lower lobe is associated with bronchiectasis and has an appearance most suggestive of cryptogenic organizing pneumonia. If the patient remains symptomatic, short-term CT follow-up may be obtained. |
Generate impression based on findings. | Male 56 years old; Reason: metastatic prostate cancer on chemotherapy, evaluate for progression History: metastatic prostate cancer on chemo CHEST:LUNGS AND PLEURA: Unchanged scattered bullae.MEDIASTINUM AND HILA: Multiple prominent mediastinal lymph nodes. Reference mediastinal/left paratracheal lymph node seen and un... | 1. Findings suspicious for new hepatic metastatic disease.2. Stable left adrenal nodularity, suspicious for metastatic involvement. 3. Additional nodal reference lesion demonstrate mixed response as above.4. Innumerable sclerotic osseous lesions, compatible with metastatic disease, increased in appearance from prior st... |
Generate impression based on findings. | Female 50 years old; Reason: Pt with stage IIIC mucinous ovarian cancer s/p 6 cycles of chemotherapy with possible progressive disease in liver. History: none CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDO... | 1.Significant worsening of hepatic metastatic disease. |
Generate impression based on findings. | 76-year-old male with right shoulder pain. Four views of the right shoulder demonstrate subchondral cyst formation and mild joint narrowing of the glenohumeral joint, consistent with osteoarthritis. There is osteophyte formation of the acromioclavicular joint. There is no evidence of fracture or malalignment. | Mild degenerative changes of the right shoulder. No acute abnormalities. |
Generate impression based on findings. | RFO trigger: Organ Transplant Suspected RFO location: abdomenName of suspected RFO: sponges,sharps, instruments Attending Surgeon name/pager: Dr. Renz Two surgical drains project over the right hemiabdomen. There is new pneumoperitoneum in the right upper quadrant, presumably postoperative in etiology. Numerous surgica... | No unexpected radiopaque foreign object identified.These findings were discussed via telephone with Dr. Renz at 12:30 on 3/11/2015. |
Generate impression based on findings. | Cancer follow-up. Currently with cough and shortness of breath CHEST:LUNGS AND PLEURA: Postsurgical and post radiation changes appear similar with a small focal fluid collection adjacent to the surgical clips along the major fissure projects in the left upper lobe. Margins remain discrete and unsuspicious, specifically... | Postoperative and post radiation changes without additional new abnormality and small adjacent suspected fluid collection |
Generate impression based on findings. | S.O.B., assess progression of lung infiltrates. LUNGS AND PLEURA: Small pleural effusions, unchanged. Mild bronchial wall thickening. Minimal were lung zone septal thickening and subsegmental atelectasis. Mosaic attenuation of lung parenchyma seen on the prior study has resolved. Bronchiectasis and scarring in the post... | 1. Significant interval improvement in pneumonia. Though not specific, the pattern seen on the prior study may be seen with mycoplasma pneumonia; correlate with labs to exclude acute on chronic pancreatitis.2. Chronic hilar and interlobar lymphadenopathy, bronchiectasis, bronchial wall thickening and bilateral lower lu... |
Generate impression based on findings. | Lung cancer, follow-up CHEST:LUNGS AND PLEURA: The reference soft tissue focus adjacent to the right lower lobe bronchus remains 10 mm when measured similarly (image 63 series 4). The described metastatic lesion also appears unchanged and similar in overall contours with less bulkiness, measuring 3.5 x 1.3 cm (image 71... | No interval change in stable reference measurements. No new suspicious abnormalities |
Generate impression based on findings. | Female, 59 years old, history of esophageal squamous cell carcinoma. Compare previous. 13-0311 protocol. Head:A rim enhancing lesion within the left superior frontal gyrus has increased in size now measuring 19 x 17 mm, previously 14 x 13 mm. The extent of surrounding vasogenic edema has also increased from the prior e... | 1. Interval increase in the size of an enhancing lesion within the left superior frontal gyrus with associated increasing edema.2. Redemonstration of posttreatment findings in the neck with no evidence to suggest progressive disease.3. Lung metastases are better assessed on dedicated chest imaging. |
Generate impression based on findings. | Head: No acute fracture is evident. There is no evidence for intracranial hemorrhage or acute infarction. The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. Calcification of the basal ganglia bilaterally, likely related to age. White matter hypodensity compatible with age i... | 1.No evidence of acute fracture.2.No evidence for acute intracranial abnormality. CTs not sensitive for detection of acute nonhemorrhagic ischemia. If high clinical suspicion of CVA, consider MRI.3.Severe multilevel degenerative disease of the cervical spine without evidence of central canal stenosis. |
Generate impression based on findings. | Male 63 years old; Reason: evaluate for small bowel mass/tumor which may be causing obscure bleeding - no source on EGD, colon, VCE History: anemia ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significa... | 1. Left lower quadrant small bowel loops not well distended and collapsed, image 106 series 3, making assessment suboptimal. Within these limitations, no enhancing small bowel mass seen. No evidence of bowel obstruction. Visualized terminal ileum within normal limits. |
Generate impression based on findings. | Squamous cell carcinoma of eyebrow. LUNGS AND PLEURA: Minimal scattered scarring without additional discrete acute intrapulmonary abnormalities. Specifically, no suspicious nodules or masses. No effusions. Minimal scattered suspected scarring and emphysematous changes, with minimal atelectasis in both bases. MEDIASTINU... | No suspicious findings to suggest intrapulmonary metastatic disease. |
Generate impression based on findings. | Lung cancer, follow-up CHEST:LUNGS AND PLEURA: Interval enlarging right pleural effusion with underlying compression atelectasis. No definite distinct superimposed focal new intrapulmonary new nodules or masses this limited evaluation. The right spiculated nodule in the apex again measures 2.5 cm when measured similarl... | Enlarging right pleural effusion yet without underlying thoracic and extensive lymphadenopathy changes, however new metastatic disease observed in both adrenals greater on the right. |
Generate impression based on findings. | Back pain Three views of the thoracic spine are provided. Vertebral body heights are maintained. Alignment is anatomic. No acute fracture is evident.Five views of the lumbar spine are provided. There are posterior stabilization rods extending from L4 to L5. There is a slight anterolisthesis of L5 on S1. No acute fractu... | 1. Postoperative changes of a L4/L5 posterior spinal fusion without evidence of hardware complication.2. Slight anterolisthesis of L5 on S1. |
Generate impression based on findings. | 46 year old female with knee pain status post fall. Four views of the right knee demonstrate a small joint effusion. There is no evidence of fracture or malalignment. Osteophyte formation and mild joint space narrowing suggests osteoarthritis. | Small joint effusion without evidence of acute fracture or malalignment. |
Generate impression based on findings. | Evaluate for fracture. Three views of the right second toe reveal an nondisplaced dorsal fracture of the distal phalanx. This is unchanged from the previous exam of February 20 | fracture of the second distal phalanx unchanged from previous |
Generate impression based on findings. | Postop. Prosthetic assessment. Three views of the right knee reveal a right total knee arthroplasty device in anatomic alignment without evidence of loosening or hardware complication. No acute fracture is evident.AP view of the bilateral knees also demonstrates a left total knee arthroplasty device situated in anatomi... | Right total knee arthroplasty device without evidence of hardware complication. |
Generate impression based on findings. | Assess fracture Three views of the left ankle reveal a spiral fracture of the distal fibula that extends down to the joint. Fracture is in near-anatomic alignment. In addition, there is a small bone fragment adjacent to the medial malleolus that may represent an avulsion fracture. No change from previous exam of Februa... | Ankle fractures unchanged from previous exam |
Generate impression based on findings. | Status post reverse TSA, latissimus transfer. There is a right shoulder reverse ball and socket arthroplasty device in anatomic alignment. There is no evidence of hardware complication or significant interval change. No acute fracture is evident. Absence of the distal clavicle is presumably postsurgical in nature. A li... | Postoperative changes of a right total shoulder arthroplasty. |
Generate impression based on findings. | Left shoulder pain. Assess left shoulder for bony causes of left shoulder pain. No acute fracture or dislocation is evident. There is mild osteophyte formation at the acromioclavicular joint. | Minimal acromioclavicular joint osteoarthritis. |
Generate impression based on findings. | Sarcoidosis, sickle cell disease iron overload, chronic liver failure, pulmonary hypertension, hypoxic respiratory failure. LUNGS AND PLEURA: No significant change in sarcoidosis-related interstitial lung disease since the 2011 examination, including a focal area of cystic bronchiectasis containing fluid in the right c... | 1. Mild bronchiolitis/pneumonitis pattern in the right lung. Differential diagnosis absent a clinical history of hemoptysis includes follicular bronchiolitis (a rarer but described complication), cellular bronchiolitis from causes such as viral or mycoplasma pneumonia, acute alveolar hemorrhage is considered less likel... |
Generate impression based on findings. | Male 82 years old; Reason: urothelial carcinoma-s/p cystoprostatectomy- ileal conduit urinary diversion on 10/3/14 History: urothelial carcinoma-s/p cystoprostatectomy- ileal conduit urinary diversion on 10/3/14 ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: The liver is normal in morphology... | 1.Findings of a soft tissue cystic/solid mass in the right hemipelvis its imaging features are suspicious for a necrotic node. |
Generate impression based on findings. | Pain. Assess prosthesis Four views of the left shoulder reveal a reverse ball and socket arthroplasty in anatomic alignment. No change is seen from the previous exam. There are bullet fragments noted. The gas collection that was seen on the previous exam is no longer present | Reverse total shoulder arthroplasty in anatomic alignment |
Generate impression based on findings. | Female, 16 years old. Reason: eval for fx History: ankle painVIEWS: Right ankle, AP, lateral, oblique (3 views) 3/11/2015, 1209 The osseous structures and joint spaces are normal.No significant joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Low back pain radiating down right leg. There is no acute fracture. There is mild disk space narrowing and anterior osteophyte formation throughout the lumbar spine. Vertebral body heights are maintained. Partially imaged right hip arthroplasty device. | Degenerative changes as above. |
Generate impression based on findings. | 54-year-old male with concern for rheumatoid arthritis. Three views of the left hand demonstrate normal anatomic alignment. No rheumatologic erosions are identified. There is no significant soft tissue swelling or fracture. Incidental note is made of a nonfused ulnar styloid fragment.Three views of the right hand demon... | No radiographic evidence of rheumatoid arthritis. |
Generate impression based on findings. | Right proximal femur replacement for osteosarcoma. Evaluate for hardware complications. Two views of the right femur show a proximal femur resection with hardware components of a right hip hemiarthroplasty and endoprosthetic reconstruction with a long femoral stem. No evidence of hardware complication. Heterotopic ossi... | Postoperative changes of right proximal femur resection and endoprosthetic reconstruction without evidence of hardware complication or tumor recurrence. |
Generate impression based on findings. | Prostate cancer. Left-sided rib pain Three views of the ribs reveal patchy widespread sclerosis in the ribs and in the vertebrae. There also areas of sclerosis in the pelvis. The previous bone scan from February 10 reveals widespread osseous metastasis. Incidental note is made of an old right clavicle fracture. | Widespread sclerotic metastases |
Generate impression based on findings. | 6 years old, Male, Reason: evaluate kyphosis History: kyphosisVIEWS: Lumbar spine lateral (one views) 3/11/15 Thoracic kyphosis is minimally improved measuring 50 degrees (previously 56 degrees) from T1 to L1. Mild straightening of the lumbar lordosis is again noted. No fracture or subluxation. Vertebral body heights a... | Minimally improved thoracic kyphosis. |
Generate impression based on findings. | 72-year-old female with bilateral knee and left shin pain. Four views of the right knee demonstrate joint space narrowing, subchondral sclerosis, loose body in the joint and osteophyte formation, consistent with severe tricompartmental osteoarthritis, which has progressed when compared to prior into 2011. No significan... | Severe bilateral tricompartmental osteoarthritis, which has progressed when compared to previous study. The left tibia and fibula are unremarkable. |
Generate impression based on findings. | Female, 15 years old. Reason: Evaluate for fracture History: left wrist pain x 1 yearVIEWS: Left wrist AP, lateral, oblique (3 views) 3/11/2015, 1308 The osseous structures are normal.Mild posterior displacement of the ulnar head, a normal variant.No significant joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | 41-year-old female with right upper quadrant and left upper quadrant tenderness, rising bilirubin, ascites. Evaluate for venoocclusive disease, infectious process. LIMITED ABDOMENLIVER: Normal echogenicity measuring 21.1 cm in length. No focal hepatic lesions. BILIARY TRACT: Gallbladder is normal in echogenicity. Thick... | 1. Hepatic veins are patent with normal directional flow however there is blunting of the waveforms most apparent in the right hepatic vein which may be seen in the setting of venoocclusive disease. 2. Increased echogenicity of the kidneys suggestive of parenchymal dysfunction. 3. Hepatosplenomegaly.4. Thickened gallbl... |
Generate impression based on findings. | Female, 82 years old, history squamous cell carcinoma status post glossectomy. Assess for recurrence. Again seen are postoperative findings related to left hemiglossectomy and flap reconstruction with bilateral neck dissections.Ill-defined, mildly hyperenhancing soft tissue fullness has become more prominent along the ... | 1.Ill-defined mildly enhancing soft tissue fullness has progressed at the base of tongue, adjacent to the surgical flap anastomosis, projecting posteriorly to involve the vallecula and epiglottis. The nature of this tissue is uncertain but direct visual inspection is recommended to exclude progressive neoplastic diseas... |
Generate impression based on findings. | 36-year-old female with history of systemic sclerosis and known ILD LUNGS AND PLEURA: Diffuse, basilar predominant pulmonary fibrosis with associated paraseptal emphysema. Peripheral honeycombing in the lung bases with traction bronchiectasis. Diffuse ground glass opacities in the spared lung parenchyma with interlobul... | No significant change in fibrosing NSIP pattern as described above. Overlying pulmonary edema pattern not significantly changed since the prior exam. |
Generate impression based on findings. | Head: There is enlargement of the right foramen rotundum, vidian canal, and foramen ovale with poor delineation of the posterior margin of the right foramen ovale, which is stable from 11/14. Meckel's cave appears symmetric. There is questionable asymmetric enhancement and fullness of the right cavernous sinus, stable... | 1.Interval progression of left mandibular destruction now with wide lingual cortical defect by soft tissue invasion, presumably from the left submandibular gland as surrounding fat planes are somewhat effaced, versus metastatic disease. Floor of mouth is difficult to evaluate for extension of tumor across midline from ... |
Generate impression based on findings. | 3 years old, Female, hip subluxationVIEW: Pelvis AP and frog leg (one view) 3/1115 Overlying material obscures fine bone detail portions of the pelvis. Femoral heads are round and smooth and well directed into a normally formed acetabula. The acetabular coverage is greater than 60% of the femoral head. | No subluxation. |
Generate impression based on findings. | 57-year-old male with history of peritoneal mesothelioma, signs of left-sided sciatica. Two views of the lumbar spine demonstrate normal anatomic alignment, without evidence of fracture. Sclerosis of multiple lumbar facet joints as consistent with degenerative disease. A sclerotic focus in the T12 vertebral body likely... | Degenerative lumbar facet joints without evidence of acute abnormality or malalignment. |
Generate impression based on findings. | Assess for fracture. Snuffbox tenderness Five views of the left wrist are unremarkable. No radiographic bodies. No fractures. | Negative left wrist examination |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history breast carcinoma in her maternal grandmother at age 70. Family history of ovarian carcinoma in her paternal aunt in her 80s. Two standard digital views of both breasts were performed, with tomosynthesis, and reviewed with the aid of R2 CAD 9... | 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. | Patient with HIV and concern for PCP pneumonia. History dyspnea LUNGS AND PLEURA: Exam with marked limitation secondary to motion.No distinct focal area of consolidation or air space abnormality, however multiple small areas largely the both bases are suspected with additional atelectasis. Two distinct focal and subcen... | Questionable nonspecific interpulmonary changes including small nodules in the right upper lobe within limitations outlined above. Concern for infection and possible serial follow-up imaging is indicated to confirm |
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. There is redemonstration of a stable asymmetry ... | 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. | 76-year-old female status post total knee arthroplasty, postop follow-up. Three views of the right knee demonstrate the hardware components of a right total knee arthroplasty device in near-anatomic alignment, without evidence of hardware complication, similar to prior exam. There is no evidence of acute fracture or ma... | Bilateral total knee arthroplasty in anatomic alignment. |
Generate impression based on findings. | History of T1N2b SCC R tonsil p16+ , Post chemoradiation. Again seen are post-treatment findings including soft tissue thickening along the fascial planes and fat-stranding in the right neck. No measurable tumor in the right tonsillar fossa. There is no significant lymphadenopathy in the neck. For example, the right le... | Post-treatment findings in the neck without evidence of recurrent tumor. No significant lymphadenopathy in the neck. |
Generate impression based on findings. | Non-small cell lung cancer. CHEST:LUNGS AND PLEURA: Left upper lobe proper is largely collapsed by paramediastinal radiation fibrosis. Unchanged appearance. No new or suspicious nodules. Small left pleural effusion, minimally larger.MEDIASTINUM AND HILA: Mild rightward mediastinal shift. Loculated pericardial fluid col... | 1. Unchanged exam, no specific evidence of recurrent or metastatic disease. 2. Suspected small transverse colon polyp.3. Severe coronary artery calcifications. |
Generate impression based on findings. | 36 years, Female. Reason: sbo? constipation? History: RLQ pain Dense calcifications of the bilateral renal arteries. There is a nonobstructive bowel gas pattern. A peritoneal dialysis catheter has been removed. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. Scattered benign calcifications are present. No suspicious masses, microcalcifications or areas of architectu... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this re... |
Generate impression based on findings. | Female 81 years old; Reason: 81 y/o female with colon ca on Xeloda. pls compare to prior History: see above CHEST:LUNGS AND PLEURA: Spiculated left upper lobe nodule not significantly changed, measuring 9 x 7 mm (series 4, image 25) from previously 8 x 8 mm. Stable scattered bilateral micronodules. No focal consolidati... | 1.Increased size and number of hepatic metastases.2.Unchanged spiculated left upper lobe pulmonary nodule, remains suspicious neoplasm particularly primary lung malignancy. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history breast carcinoma in her mother. 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. Circumscribed masses are present in bot... | Bilateral masses and left focal asymmetry for which comparison to prior studies is needed. If those are not submitted, then the clustered masses and left focal asymmetry will require additional work up. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISON |
Generate impression based on findings. | Right shoulder pain. Evaluate for osteoarthritis. Three views of the right shoulder reveal no acute fracture or dislocation. An approximately 3 x 2 cm well ossification inferior to the acromion may represent heterotopic ossification. There is osteophyte formation at the inferior glenohumeral joint. | Moderate osteoarthritis of the glenohumeral joint. |
Generate impression based on findings. | Shortness of breath LUNGS AND PLEURA: Focal pleural soft tissue density along the lateral aspect of the left upper lung (image 24 series 4) measures under 2 cm. Hounsfield counts straddle water density with questionable fat. The benign appearance remains unchanged, including overall size and tissue characteristics when... | Numerous grossly stable small tracheal soft tissue nodular abnormality grossly unchanged since 6/25/14. Appearance remains compatible with patient's history of tracheal papillomas without immediate additional complication. |
Generate impression based on findings. | 67 years, Male. Reason: 67 yo M with h/o c.diff infection, with ileus, eval recurrent ileus History: AMS, There is a nonobstructive bowel gas pattern. There is a Dobbhoff tube with its tip projecting over the antrum of the stomach. Cardiomegaly unchanged. | There is a nonobstructive bowel gas pattern. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast carcinoma in her maternal grandmother and aunt. 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 ... | 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. | 43 years, Female. Reason: assess for constipation History: 43 y.o. woman with history of gas/bloating abd distension There is a average stool burden distributed throughout the colon. There is a nonobstructive bowel gas pattern. | Average stool burden distributed throughout the colon. |
Generate impression based on findings. | Male 72 years old Reason: esoph cancer s/p chemorads ck response History: none. Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.A single contrast evaluation of the esophagus and gastric cardia/fundus showed a focal segment of smooth centric esophageal nar... | Focal segment of smooth centric esophageal narrowing just above the GE junction, with sliding hiatal hernia. |
Generate impression based on findings. | Clinical question: Renal cell carcinoma, please provide measurements. Signs and symptoms: Renal cell carcinoma. Unenhanced head CT:Examination demonstrate no areas of abnormal density or enhancement of the brain parenchyma or leptomeninges to suggest metastases disease. Calvarium also is negative for lytic or sclerotic... | 1.Negative pre-and post enhanced brain MRI and in particular no evidence of metastases.2.Nasal septum deviation to the left and a left ward projecting bony septal spur resulting in deformity of the left inferior turbinate mucosa. |
Generate impression based on findings. | 86-year-old male status post fall with new back pain, concern for fracture. Two views of the thoracic and two views lumbar spine demonstrate compression fracture of T12, which is stable when compared to remote exam in 2009. There is multilevel degenerative changes and anterior bridging osteophyte formation. Bilateral n... | Chronic compression fracture of T12, stable in appearance from 2009. No evidence of acute fracture or malalignment. |
Generate impression based on findings. | 55-year-old male with histoplasmosis now with cough, shortness of breath, fevers, evaluate for changes after treatment LUNGS AND PLEURA: Innumerable pulmonary nodules are noted diffusely throughout both lungs not significantly changed since the prior exam.. A majority of the nodules are subcentimeter in size. There is ... | 1.Innumerable bilateral pulmonary nodules with slight interval increase in a right lower lobe nodule now measuring 6 mm. Further attention on subsequent studies can be given. 2.Near complete resolution of bilateral lower lobe consolidation. Persistent left lower lobe focal opacity. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, with additional bilateral CC and MLO views, 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. Sc... | 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. | 11 years old, Male, Reason: rule out free air History: abdominal pain s/p EGDVIEW: Chest AP and Abdomen AP (two view) 3/11/15 Chest: The aortic arch, cardiac apex, and stomach are left-sided. Cardiothymic silhouette is normal. No focal lung opacities. No pneumomediastinum. No pleural effusion or pneumothorax.Abdomen: N... | Normal chest and abdomen. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, with additional left CC and bilateral MLO views, 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... | 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. | 52-year-old female with concern for hallux valgus. There is mild hallux valgus deformity. No evidence of acute fracture or malalignment. No significant soft tissue swelling. | Mild hallux valgus deformity. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast carcinoma in her maternal grandmother. 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. Focal asymmetry in the... | Left focal asymmetry for which comparison to prior studies is recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISON |
Generate impression based on findings. | Male 32 years old evaluate for radiopaque foreign object. There is no radiopaque foreign object seen on this examination.Superficial skin staples. There is a right-sided pigtail catheter with its tip projecting over the epigastric region. Right upper quadrant surgical clips, compatible with cholecystectomy, are noted. ... | No radiopaque foreign object is identified.These findings were discussed by telephone with Dr. Stephan Wyers, the attending surgeon, on 3/11/2015 at 12:45 pm. |
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