instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | 72-year-old female patient with a history of endometrial cancer and left axillary node, head of pancreas nodule and pelvic mass. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Central venous catheter with tip at the cavoatrial junction. Mild to mo... | 1.Enlarging left pelvic node as well as findings concerning for increasing serosal and peritoneal metastatic disease.2.Cystic lesion in the pancreatic head favored to represent an IPMN.3.Slight prominence of the posterior bladder wall noted. Attention should be paid to this area on subsequent exams. |
Generate impression based on findings. | 91 year-old female with neck and right shoulder pain. Four views of the cervical spine demonstrate diffuse severe osteopenia. There is significant multilevel joint space narrowing most significant at C4-C5, C5-C6, C6-C7. There is no evidence of acute fracture.Three views of the right shoulder demonstrate severe deminer... | 1. Severe diffuse osteoporosis. 2. Severe multilevel degenerative disease of the cervical spine. Cross-sectional imaging is recommended for further characterization.3. Severe osteoarthritis of the right shoulder and evidence of chronic rotator cuff tear. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast biopsy. Two standard digital views of both breasts, with additional bilateral MLO views, were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Chest wall pain (unspecified) LUNGS AND PLEURA: No radiographic abnormality. Specifically no abnormal nodules, masses or air space abnormalities. No effusionsMEDIASTINUM AND HILA: No lymphadenopathy.The cardiac and pericardium are within limits.CHEST WALL: No discrete focal abnormality, however bilateral dense breasts ... | Normal exam |
Generate impression based on findings. | Female, 9 years old. Reason: Day 3 xray following Sitz Mark, please identify location of markers History: severe constipation, abdominal pain, nauseaVIEW: Abdomen AP (one view) 3/11/2015, 1325 Twelve Sitz markers identified mainly in region of the left and mid pelvis.Nonobstructive bowel gas pattern. No free air.Mild f... | Twelve Sitz markers overly the left and mid pelvis. |
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. Round markers have been placed on cuta... | 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 of both breasts were performed, with tomosynthesis, 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, micr... | 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 of both breasts were performed, with tomosynthesis, 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. A cluster of calc... | Cluster of calcifications in the central outer left breast. Additional imaging including magnification views is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Clinical question: IPH. Signs and symptoms: IPH. Nonenhanced head CT:Revisualization of a previously seen large right cerebellar ischemic stroke without change.Acute hematoma likely mostly within the left sylvian fissure is again identified and within is some interval increased size along its posterior aspect. It measu... | 1.Interval increased size of left hemispheric hematoma, surrounding vasogenic edema and overall associated mass effect as detailed.2.Mass effect includes deviation of midline to the right of approximately 9.8 mm and with effacement of basal cisterns and deviation of the left temporal lobe medially concerning for transt... |
Generate impression based on findings. | Head and neck cancer, follow-up CHEST:LUNGS AND PLEURA: Scattered moderate emphysematous changes including minimal basilar scarring. Scattered nonspecific micronodules without suspicious nodules or masses. No effusionsMEDIASTINUM AND HILA: No lymphadenopathy.The cardiac and pericardium are within limits other than mild... | No findings to suggest metastatic disease |
Generate impression based on findings. | Follow-up locally advanced non-small cell lung cancer. CHEST:LUNGS AND PLEURA: Severe centrilobular and paraseptal emphysema. No pneumothorax. Small loculated left pleural fluid collection at the base, perhaps minimally larger.Left costophrenic angle mass measures 5.1 x 3.5 cm (4/68), previously 3.2 x 2.2 cm on the mos... | 1. Interval increase in size of left lower lobe mass.2. Left hilar lymph node enlargement of unclear etiology. A though these could be reactive given the presence of nearby chronic thromboembolism with slight interval progression, the possibility of nodal metastases cannot be excluded..3. Heterogeneous attenuation patt... |
Generate impression based on findings. | Male 63 years old; Reason: renal cell carcinoma please provide measurements History: renal cell carcinoma CHEST:LUNGS AND PLEURA: No focal consolidation, pleural effusion, or suspicious nodularity. Stable left lower lobe micronodule is noted.MEDIASTINUM AND HILA: Heart size is normal with no pericardial effusion. Calib... | 1.No significant interval change in complex left renal mass, compatible with renal cell carcinoma, and destructive metastasis in region of the left posterior third rib.2.Indeterminate left adrenal nodule; metastasis not excluded. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast excisional biopsy. 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... | 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. History of benign left breast biopsy. 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. No suspic... | 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. | Female 31 years old; Reason: metastatic breast cancer - baseline prior to starting treatment. bidimensional measurements per recist 1.1 History: history of lung and nodal mets CHEST:LUNGS AND PLEURA: Fibrotic changes and architectural distortion underlying the lung parenchyma of the left breast, likely related to histo... | 1.9-cm collection near surgical clips in the left breast is of slightly increased attenuation compared to fluid. While this may represent a postoperative stroma, correlation with prior mammographic or sonographic imaging or further characterization is suggested.Similarly, a 2.5cm irregular soft tissue density surroundi... |
Generate impression based on findings. | 46-year-old male with ulceration of right first toe. Three views of the right foot demonstrate soft tissue swelling and subcutaneous gas along the plantar aspect of the left first metatarsophalangeal joint. The bony cortex is intact without evidence of erosion. There is no acute fracture or malalignment. A plantar heel... | Soft tissue swelling surrounding the first metatarsophalangeal joint, without bony evidence of osteomyelitis. |
Generate impression based on findings. | There is mild nonspecific prominence of the ventricles and sulci which may suggest mild global volume loss. The basal cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal. There is no diffusion abnormality. No extra-axial fluid collection is identified.Normal flow-voi... | Essentially unremarkable noncontrast MRI brain with perhaps mild global volume loss greater than expected for the patient's stated age. |
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. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy. Family history breast carcinoma in her sister at age 68, and a maternal cousin at age 52. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is het... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 88 year-old male with history of left femur pain after multiple falls. Two views of the left femur demonstrate mild joint space narrowing and subchondral cyst formation of the left hip. There is no evidence of fracture or malalignment; no significant soft tissue swelling. | Minimal osteoarthritis of the left hip. No acute fracture or malalignment is evident. |
Generate impression based on findings. | Knee pain. Finger pain. Three views of the left ring finger reveal a fracture of the middle phalanx that is nondisplaced. No previous exams.Four views including weight-bearing of the right knee are unremarkable. | Oblique fracture left ring finger. Negative right knee examination |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of ovarian carcinoma. Family history of breast carcinoma in her maternal 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... | Focal asymmetry in the central inner left breast. Additional imaging including spot compression views and possible ultrasound is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 40 year-old male with history of cystic fibrosis now with persistent sinus tachycardia PULMONARY ARTERIES: Adequate pulmonary artery opacification without evidence of pulmonary embolism. The pulmonary artery caliber is within normal limits.LUNGS AND PLEURA: Severe bilateral upper lobe predominant bronchiectasis and bro... | 1.No evidence of pulmonary embolism.2.Slight interval increase in diffuse centrilobular nodules, mucous plugging, tree in bud opacities with areas of groundglass opacities compatible with infectious/aspiration bronchiolitis.3.Interval improvement in the nodular airspace opacities at the lung bases compatible with resol... |
Generate impression based on findings. | Shortness of breath with cough and wheezing LUNGS AND PLEURA: No significant abnormality noted, however mild bronchial wall thickening is observed. Specifically no masses or nodules. No effusionsMEDIASTINUM AND HILA: No lymphadenopathy.Mild coronary calcifications without additional cardiac or pericardial abnormalitySm... | No definite acute abnormality, however mild bronchial wall thickening is observed compatible with asthma and/or mild bronchiolitis |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of uterine carcinoma. Family history breast carcinoma in her maternal aunt, and uterine 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 al... | 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed, with tomosynthesis, 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 mas... | 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. | 58 years old Female. Reason: restaging. History: restaging PET after CT with suspicious increase in fluid collection 2/20/15. S/p gastrectomy and adjuvant CRT. RADIOPHARMACEUTICAL: 14.3 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 73 mg/dL. Today's CT portion grossly demonstrates low density lesion in the... | 1.Moderately hypermetabolic lymph nodes in the left axilla, which are nonspecific.2.Minimal FDG uptake in the right middle lobe nodular density. Suggest follow-up with CT.3.No increased metabolic activity in the left paraesophageal low attenuation lesion in the superior mediastinum, suggesting it is probably benign.4.O... |
Generate impression based on findings. | 55 year old male with history of cryptogenic cirrhosis and hepatocellular carcinoma, HTN, HPL, prior smoker who presents for coronary CTA as evaluation for liver transplant.CPT Code: 75574 Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of Valsalva and bifurcates into the left a... | 1. There are no significant coronary artery stenoses present.2. There is mild coronary atherosclerosis.This portion of the report pertains to the heart and great vessels only. The remaining soft tissues of the thorax and upper abdomen will be interpreted by the attending chest radiologist and included as an addendum to... |
Generate impression based on findings. | 9 years old, Female, Reason: New patient exam for evaluation History: bilateral renal stones with flank pain BLADDER Wall Thickness: Normal. The decompressed bladder has a loop of bowel which abuts the anterior/superior surface. Contents: The bladder is compressed with normal internal components. Distal Ureter -- SFU... | No hydronephrosis or shadowing calculi bilaterally.*SFU grading system: Grade 0: No hydronephrosis. Grade 1: The renal pelvis is visualized. Grade 2: A few but not all of the calices are identified in addition to the renal pelvis. Grade 3: Virtually all the calices are seen. Grade 4: Grade 3 and parenchymal thinning. *... |
Generate impression based on findings. | Cough LUNGS AND PLEURA: Gunshot pellets in the right upper and lower chest wall provided extensive artifact limiting sensitivity. Other than mild scarlike changes no additional intrapulmonary abnormality, specifically no nodules or masses observed. No effusionsMEDIASTINUM AND HILA: No lymphadenopathyMild coronary and a... | Degenerative changes without superimposed new or acute pulmonary abnormality |
Generate impression based on findings. | Female, 10 years old. Reason: eval for fx History: ankle pain sportsVIEWS: Left ankle, AP, lateral, oblique (3 views) 3/11/2015, 1400 The osseous structures and joint spaces are normal.No significant joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast biopsy. 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. No suspicious masses, microcalcifications or are... | 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. History of benign left breast biopsy and cyst aspiration. Family history of breast carcinoma in her maternal aunt at age 50. Two standard digital views of both breasts were performed, with tomosynthesis, and reviewed with the aid of R2 CAD 9.3. The breast ... | 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. | Weight loss, cough and right-sided chest pain LUNGS AND PLEURA: A large mildly spiculated right upper lobe mass is observed along the right pleural surface with associated thickening and osseous involvement. The mass measures 5.3 x 4.0 cm axially with extension towards the hilar region. Central heterogeneity suggest ne... | Suspicious right upper lobe mass with associated contralateral nodules and suspected lymphangitic spread of a primary malignancy. Additional lesions are observed in the liver |
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. Single cluster of calcifications in the upper o... | 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. | There is mild prominence of the ventricles and sulci, likely relating to mild global volume loss. The cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal or pathological enhancement. There is no diffusion abnormality. No extra-axial fluid collection is identified.Nor... | Unremarkable contrast enhanced MRI brain. No MR evidence of intracranial metastatic disease. |
Generate impression based on findings. | Male, 57 years old, with history of lung cancer. A soft tissue nodule is identified just adjacent to and contiguous with the posterior margin of the left parotid gland measuring 16 x 11 mm (image 33 series 8), correlating to hypermetabolic uptake on PET.A bulky heterogeneous mass is present in the right supra-clavicula... | 1.Bulky supraclavicular and mediastinal metastatic deposits.2.A nodule along the posterior margin of the left parotid gland may also represent a site of metastatic adenopathy, less likely a primary parotid lesion. |
Generate impression based on findings. | Female; 60 years old. History: metastatic breast cancer. Focal increased activity in the sternum corresponds to large chest wall mass seen on recent CT which invades the sternum. No additional abnormal osseous foci are identified. | Increased sternal activity corresponding to large chest wall mass seen on recent CT, suspicious for metastasis. No new osseous lesions identified. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed, with tomosynthesis, 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 architectur... | 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. | Status post revision of right TEA 2012. There are components of a total elbow arthroplasty device in near anatomic alignment. There is no evidence of hardware complication or significant interval change. The proximal radius and ulna have been resected. No acute fracture is identified. | Right total elbow arthroplasty device without evidence of hardware complication. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed, with tomosynthesis, and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Scattered benign calcifications are present. Asymmetery is presen... | 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. | Reason: metastatic prostate cancer on chemo eval for progression History: metastatic prostate cancer Multiple foci of increased radiotracer uptake are again noted throughout the axial skeleton, not significantly changed since the prior study. Specifically, abnormal uptake is noted in the sternum, calvarium, right proxi... | No significant interval change in abnormal radiotracer activity as detailed above, consistent with stable metastatic disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Asymmetry is present in the upper right breast. Additional asymmetry is seen in the lo... | Asymmetries within the upper and lower right breast, as above. Correlation with prior mammogram is recommended. If prior mammograms cannot be obtained, additional imaging including spot compression views, and possible ultrasound, is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: O... |
Generate impression based on findings. | Global cerebral volume loss is noted. Symmetric enlargement of the ventricles compatible with generalized volume loss. Mild white matter hypodensities compatible with age indeterminate small vessel ischemic disease. No acute intracranial hemorrhage is identified. No evidence of acute infarction. No evidence of intracr... | 1.Generalized cerebral volume loss.2.No acute intracranial abnormality. CTs not sensitive for detection of acute nonhemorrhagic ischemia. If high clinical suspicion of CVA, consider MRI. |
Generate impression based on findings. | There are stable posttreatment changes within the neck. 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 submandibular gland appears overall lower ... | Stable post-treatment changes, without evidence of mass or significant cervical lymphadenopathy. |
Generate impression based on findings. | Female, 10 years old. Reason: eval for interval change osteochondroma History: knee painVIEWS: Left knee AP, lateral (2 views) 3/11/2015, 1414 A broad-based exophytic osteochondroma arises from the posterior aspect of the distal left femoral metadiaphysis.No significant joint effusion or soft tissue swelling.No acute f... | An osteochondroma arises from the posterior distal left femur. No prior images available for comparison. If prior outside images can be obtained, comparison can be made. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast carcinoma in her maternal aunt. Two standard digital views of both breasts were performed, with tomosynthesis, and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small 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: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history breast carcinoma in her sister at age 59. 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. A round marke... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Female; 75 years old. Reason: history of L UPJ obstruction, assess for renal function/change. The posterior abdominal radionuclide angiogram demonstrates decreased perfusion to the left lower pole. Sequential renal images show an enlarged left kidney. There is prompt uptake and excretion of the radiopharmaceutical by b... | 1.Delayed post-diuretic tracer clearance from the left kidney, compatible with persistent mild UPJ obstruction.2.Enlarged left kidney with decreased lower pole perfusion and decreased split function since prior exam, suggestive of worsening renal function. 3.Delayed tracer clearance from right kidney, which resolves st... |
Generate impression based on findings. | Lower back pain. Question of fracture. There is severe degenerative disease at L4/L5 and L5/S1, which appears progressed from the prior exam. There is redemonstration of minimal anterolisthesis of L4 on L5. Multilevel anterior osteophytes are noted. Moderate to severe facet joint osteoarthritis is noted within the lowe... | Severe degenerative changes of the lower lumber spine, progressed from prior, as described above. |
Generate impression based on findings. | 42 years old Male. Reason: Evaluate disease status. History: 42 year old man with newly-diagnosed lymphoma, likely follicular. Evaluate extent of disease with particular attention to bones which were abnormal on recent MRI. RADIOPHARMACEUTICAL: 11.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 96 mg/dL. T... | 1.Numerous hypermetabolic osseous lesions in the skeleton, highly suspicious for metastasis.2.Mildly hypermetabolic normal-sized lymph nodes in the neck and axillary regions, which are nonspecific. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast carcinoma her maternal grandmother. Two standard digital views of both breasts were performed, with tomosynthesis, 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. History of benign left breast biopsy. Two standard digital views of both breasts were performed, with tomosynthesis, and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and di... | 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. | Cervicalgia. There is a posterior cervical sideplate with screws into the pedicles of C3-C6. There is a corpectomy of C4-C6 with an anterior sideplate and metal cage of bone graft. Amorphous bone graft material is also noted along the posterior aspect of the cervical spine. Alignment is unchanged. Numerous surgical cli... | Postoperative changes of anterior and posterior cervical fusion without significant interval change. |
Generate impression based on findings. | Altered mental status, patient unstable, artificial heart, CVVH Portable technique limits evaluation of subtle abnormalities. Please also note examination includes supratentorial structures and upper part of the posterior fossa.Again seen a small extra-axial collection in the right parieto-occipital region measuring up... | 1. Portable head CT demonstrates slight evolution of small subdural hematoma in the right parieto-occipital region. No new intracranial hemorrhage or new mass-effect is identified. Please note the lower posterior fossa was not imaged and previously seen areas of low-attenuation in the bilateral cerebellar hemispheres c... |
Generate impression based on findings. | Status post total elbow arthroplasty 2006. Assess prosthesis. There is a total left elbow arthroplasty device with an interlocking screw within the proximal ulna in near anatomic alignment. There is interval increased bone resorption around the distal humeral component and new bone resorption around the ulnar component... | Interval increased lucency around the humeral and ulnar components of the left total elbow arthroplasty device is suspicious for loosening. |
Generate impression based on findings. | Limited imaging was obtained for stereotactic localization purposes. There is susceptibility artifact along the left temporal occipital calvarium relating to the extracranial portion of the stimulator. An extracranial electrode extends extracranially to more anteriorly and superiorly located susceptibility at the left... | 1. Evidence of indwelling deep brain stimulator, with tip electrode in the ventral left thalamus, approximately 8-9 mm from midline.2. Susceptibility identified just caudal to the level of the left paramedian midbrain likely centered in the left red nucleus with associated encephalomalacia and volume loss. This may rel... |
Generate impression based on findings. | Postop. Prosthetic assessment. Two views of the right hip reveal a right total hip arthroplasty device situated in anatomic alignment. There is no evidence of hardware complication. No acute fracture is evident.An additional AP view of the pelvis reveals severe osteoarthritis of the left hip with subchondral sclerosis,... | 1. Right hip total arthroplasty device without hardware complication.2. Severe left hip osteoarthritis. |
Generate impression based on findings. | Evaluate ankle fracture Three views of the left ankle reveal a comminuted fracture of the fibula and a comminuted fracture of the tibia. There is an intramaxillary 10 and the fibula. There is a sideplate with multiple screws fixing the fracture fragments of the tibia. The bones appear in near-anatomic alignment.Two add... | Comminuted fractures of the left ankle in near-anatomic alignment. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of cervical carcinoma. 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. A mass is present in the central, slightly inner left breast. Scatter... | Mass within the central, slightly inner left breast. Additional imaging including spot compression views, and possible ultrasound, is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EA - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Male; 69 years old. Reason: metastatic prostate cancer, evaluation of disease after 3 cycles of investigational therapy. New focus of increased activity in the right lower anterior 9th rib, with less intense foci of increased activity located in the right 7th and 8th ribs in a linear configuration. There has been inter... | 1.Interval increase in size of left manubrial lesion, suspicious for progression of metastatic disease. 2.New foci of increased activity in the lower right ribs as described above. These may represent fractures from prior trauma given their linear configuration but please correlate with patient history. |
Generate impression based on findings. | Postop. Prosthetic assessment. Two views of the left hip reveal a left total hip arthroplasty device situated in anatomic alignment. Minimal lucency around the acetabular component of the device is unchanged since the initial postop radiograph. There is small amount of heterotopic ossification about the greater trochan... | 1. Left total hip arthroplasty device without significant interval change.2. Moderate osteoarthritis of the right hip. |
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. Scattered benign calcifications are present. No suspicious masses, microcalcifications... | 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. | Female 25 years old; Reason: r/o SBO; intraabdominal fluid collection History: abdominal tenderness and vomiting; subjective f/c; s/p ex lap 2/2 intestinal perforation and SBO 3/5 ABDOMEN:LUNGS BASES: Patchy atelectasis in the lung bases appearedLIVER, BILIARY TRACT: Enhancing right hepatic lobe lesion previously noted... | Mild focal, short segment small bowel dilatation proximal to the anastomotic site may represent a mild focal ileus. Developing or low-grade obstruction cannot be excluded. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast aspirations. 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. Stable benign intramammary ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 59 years old Female. Reason: lung cancer staging evaluation. History: lung nodule, staging evaluation. RADIOPHARMACEUTICAL: 10.9 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 109 mg/dL. Today's CT portion grossly demonstrates interval increase in size of the right lower lobe nodule. Groundglass nodule is s... | 1.Increased metabolic activity in the right lower lobe, suspicious for lung cancer.2.Right upper lobe ground glass nodule on CT with no definite abnormal FDG uptake, slight increased size as compared with prior study. Suggest follow-up with CT.3.Nonvisualization of the smaller the right lower lobe nodule on PET. This n... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast carcinoma in her maternal aunt at age 74. 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 almost entirely fatt... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Pain. Evaluate for arthritis. Five views of the left knee reveal a unicompartmental arthroplasty with replacement of the medial joint in anatomic alignment without evidence of hardware complication. There is patchy sclerosis of the lateral femoral condyle. No acute fracture is evident. Five views of the right knee reve... | 1. Left knee medial unicompartmental arthroplasty without evidence of hardware complication.2. Patchy sclerosis in the right femoral condyles, right medial tibial plateau, and left lateral femoral condyle may be reactive sclerosis related to osteoarthritis or possibly may be due to osteonecrosis. |
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. Scattered benign calcifications are pr... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Male; 36 years old. Reason: eval GB History: RUQ pain Angiographic images are unremarkable. Prompt clearance of radiotracer from the blood pool and uniform accumulation of the tracer by the liver is present. There is normal excretion of tracer into the intrahepatic ducts, common bile duct, and duodenum, indicating hepa... | Findings suspicious for acute cholecystitis as detailed above. |
Generate impression based on findings. | Follow-up right apical lesion found to be concerning on prior outside PET/CT LUNGS AND PLEURA: Gross stability minimal improvement in decreased fullness observed involving the asymmetric right apical scarring previous described as a mixed density with solid components. When measured similarly, the lesion again measures... | No specific superimposed new findings to suggest an acute pulmonary process, such as pneumonia. See detail provided |
Generate impression based on findings. | Clinical question: Progressive endometrial cancer brain metastases. Signs and symptoms: As above. Unenhanced head CT:Examination demonstrate no evidence of abnormal parenchymal or meningeal enhancement to suggest metastases disease.Calvarium is also negative for any lytic or sclerotic lesion to suggest metastases.Unrem... | Negative unenhanced head CT. |
Generate impression based on findings. | 58 year old female, pre 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 minutes: 72.3 % of peak activity (normal >70 %)1 hour: 48.4 % ... | Gastric emptying within normal limits. |
Generate impression based on findings. | Check for pneumonia. Hypersensitivity pneumonitis LUNGS AND PLEURA: Interval moderate improvement in the previously described subpleural reticular changes and traction bronchiectasis. Associated diminishing adjacent ground glass components are also markedly improved. No new superimposed focal air space abnormality. No ... | Interval improving basilar predominant interstitial changes likely representing residual chronic findings with interval resolution of a superimposed process and improved overall aeration. |
Generate impression based on findings. | Female, 17 years old. Reason: r/o Pulmonary hemorrhage, vasculitis History: 17 yo neuro lupus, chest pain LUNGS AND PLEURA: A few scattered small nodules along the fissures and additional scattered pulmonary micronodules measuring up to 2mm, compatible with intrapulmonary lymph nodes, postinfectious nodules, or other b... | No acute abnormality. Specifically, no evidence of pulmonary hemorrhage or vasculitis. |
Generate impression based on findings. | 53-year-old male patient with history of abdominal pain radiating to left testicle that is intermittent. ABDOMEN:LUNG BASES: There is a soft tissue density in the posterior medial right lower lobe that appears to arise from the posterior mediastinum, is incompletely visualized, demonstrates heterogeneous enhancement, a... | 1.No acute intra-abdominal abnormality to account for patient's symptoms.2.Partially visualized mass appears to be arising from the mediastinum. Recommend dedicated CT chest for further evaluation. |
Generate impression based on findings. | 75-year-old male with pulmonary fibrosis, right middle lobe pneumonia on admission now with worsening shortness of breath and increased O2 requirement LUNGS AND PLEURA: Bilateral pleural effusions are present. Severe basilar predominant bronchiectasis with superimposed groundglass opacities. Intralobular septal thicken... | Interlobular septal thickening with groundglass opacities and pleural effusions is compatible with pulmonary edema superimposed on chronic interstitial lung disease. A repeat examination after appropriate fluid management is recommended for more accurate evaluation for ILD progression. No specific signs of pneumonia; a... |
Generate impression based on findings. | Lung cancer, follow-up following chemotherapy CHEST:LUNGS AND PLEURA: Continued interval improvement of the large necrotic lingular mass, which again extends to left side of the mediastinum, currently measuring 4.5 x 4.1 cm (image 49 series 3) with additional decreased in fullness in left lobularity. Associated decreas... | Interval improvement with decreased reference measurements and no new superimposed acute abnormalities |
Generate impression based on findings. | 72 year-old female status post T10-L2 spinal fusion. Two views of the lumbar spine demonstrate intrapedicular screws at T12 through L3 with posterior stabilization rods, not significantly changed when compared to prior. Associated laminectomy and underlying degenerative changes are stable. Alignment is near-anatomic. I... | Stable appearance of surgical fixation of T12 through L3, without radiographic evidence of hardware complication. |
Generate impression based on findings. | Male, 67 years old, history of base of tongue squamous cell carcinoma status post CRT with fibrosis, status post multiple esophageal dilatations with dysphagia and aspiration risk. Left lower lobe crackles noted on the exam. Treatment related findings are again seen including mild low attenuation thickening of the phar... | 1. Redemonstration of a colitis findings in the neck with no evidence of recurrent mucosal tumor or pathologic adenopathy.2. Reflux of enteric contrast into the esophagus is noted incidentally. |
Generate impression based on findings. | Female 64 years old; Reason: r/o hematoma History: anemia ABDOMEN:LUNGS BASES: Minimal atelectasis/scarring in the lung bases.LIVER, BILIARY TRACT: No focal hepatic lesion. Gallbladder filled with contrast material.SPLEEN: Calcified splenic granuloma.PANCREAS: Hypodense pancreatic lesions better characterized on recent... | 1.Small to moderate likely blood product in pelvis and Morison's pouch. No clear etiology is identified.2.Areas of wedge shaped hypodensities in the right kidney; while this may be artifactual from retained contrast, pyelonephritis should be excluded clinically.Findings related to on to Dr. Mansour at 4:26 p.m. on 3/11... |
Generate impression based on findings. | 44-year-old female with history of AML, lung nodules status post chemotherapy. Please evaluate lung nodules from 1/4 and 1/14 LUNGS AND PLEURA: Interval decrease in size of right-sided nodules with surrounding groundglass (series 5, image 87 and 151). Persistent peripherally located right lower lobe nodule (series 5, i... | 1.Interval decrease in size of right-sided nodules with surrounding groundglass likely post-infectious. 2.Persistent peripherally located right lower lobe nodule likely infectious in etiology is unchanged since the prior exam. |
Generate impression based on findings. | HNC and CRT. CHEST:LUNGS AND PLEURA: Centrilobular emphysema. Mild paramediastinal radiation reaction. Dependent atelectasis in the costophrenic angles. Small left pleural fluid collection is new.MEDIASTINUM AND HILA: Circumferential proximal to mid esophageal wall thickening with interval stent placement. No pneumomed... | 1. New indeterminate hepatic lesions, recommend dedicated hepatic CT for further characterization.2. Interval enlargement of low right paratracheal lymph node. Additional lymph nodes not significantly changed in size but have an abnormal enhancement pattern, indeterminate.3. No pulmonary metastases.4. Circumferential l... |
Generate impression based on findings. | 76-year-old female with 3 week history of right hip pain requiring walker. Two views of the right hip demonstrates mild degenerative changes of the right hip, including subchondral sclerosis and joint space narrowing. There is no evidence of acute fracture or malalignment. | Mild degenerative changes without acute abnormality. |
Generate impression based on findings. | Cervical spine alignment is anatomic. Vertebral body heights are normal. There is no fracture or subluxation. There is no CT evidence of significant spinal canal or neural foraminal stenosis at any level. The visualized soft tissues in the neck appear normal. The partially visualized skull base appears normal. | No CT evidence of cervical spinal canal stenosis. If there is high clinical suspicion of extrinsic cord compression, a myelogram could be considered. |
Generate impression based on findings. | 12 years old, Female, Reason: Evaluate shunt setting, lumbo peritoneal shunt VIEWS: Shunt series: abdomen AP/lateral (two views) 3/11/15 Intraspinal catheter tip is at T8/T9 level. Catheter exits the spinal canal at L3-L4. There is no evidence of discontinuity or kinking of the shunt catheter. The programmable valve sy... | Valve set at 60 mm of water. No discontinuity or kinking of the shunt catheter. |
Generate impression based on findings. | CT HEAD:There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. CTA HEAD: There is a marked d... | Findings suggestive of early/mild Moya Moya. Continued follow-up with MRA is suggested. |
Generate impression based on findings. | 75-year-old female with lumbar pain. Two views of the lumbar spine demonstrate mild scoliosis. Hardware components related to a total left hip arthroplasty are evident; redemonstration of increased density in the left acetabulum, presumably bone graft versus cement. No evidence of acute fracture or malalignment. | No evidence of acute fracture or malalignment. |
Generate impression based on findings. | Hip/back pain. Assess for osteoarthritis. Three views of the sacroiliac joints are unremarkable. Five views of the lumbar spine reveal no acute fracture. Alignment is anatomic. Vertebral body heights are maintained. | No specific evidence of osteoarthritis of the sacroiliac joints or lumbar spine. |
Generate impression based on findings. | No discrete mass is appreciated in the sublingual space. Please note prior MRI and PET studies are not available for comparison. There is irregular nodular contour involving the right submandibular gland anteroinferiorly which may be related to post surgical change. There is a 3-mm hyperdense structure within the righ... | 1.Postsurgical changes involving the right sublingual and submandibular spaces. Mild nodularity involving the right submandibular gland may be postsurgical. No discrete mass is appreciated to suggest gross residual tumor. Comparison with prior PET and MRI would be helpful however to better assess for residual tumor. No... |
Generate impression based on findings. | 65-year-old female with history of localized renal cancer, assess for recurrence CHEST:LUNGS AND PLEURA: Minimal bibasilar dependent atelectasis. MEDIASTINUM AND HILA: Reference right paratracheal lymph node is not significantly changed measuring 10 mm (series 3, image 31) with a fatty hilum favoring benign etiology. A... | 1.Amorphous lesion in the left renal surgical bed with slightly increased soft tissue components is of unclear etiology. A dedicated renal protocol examination is recommended given limitation in assessment by this technique protocoled for thoracic pathology. 2.No evidence of pulmonary metastasis. 3.Sensitivity of this ... |
Generate impression based on findings. | 54-year-old male with cervicalgia. Multilevel degenerative changes in the cervical spine, including disk space narrowing at C4/C5 and C5/C6, with anterior osteophyte formation. There is no evidence of acute fracture or malalignment. No significant soft tissue swelling. | There is no acute fracture or malalignment. |
Generate impression based on findings. | Head and neck cancer CHEST:LUNGS AND PLEURA: Unchanged postsurgical scarring observed in the right lung base secondary to resection. No suspicious new nodules or masses or evidence of recurrence yet two stable small sub centimeter nodules in the right lower lobe (arrows). No effusions. Mild scarring and/or atelectasis ... | No evidence of interval change or metastatic disease. |
Generate impression based on findings. | Hand pain. Evaluate for inflammatory arthritis. Three views of the left hand reveal no acute fracture or or malalignment. No evidence of erosive change. Three views of the right hand reveal no acute fracture or malalignment. No evidence of erosive change. | No specific radiographic evidence of an inflammatory arthropathy. |
Generate impression based on findings. | 46 year old female with history of distal fibular fracture, status post surgical fixation. Three views of the right ankle again demonstrate sideplate and screws affixing the distal fibular fracture, in near-anatomic alignment. The fracture lines are nearly nonvisible, consistent with interval healing. There is also int... | Continued interval healing status post orthopedic fixation of distal fibular fracture in near-anatomic alignment. |
Generate impression based on findings. | 20 year-old female patient with GI bleed. Evaluate location. ABDOMEN:LUNG BASES: Left basilar atelectasis/scarring.LIVER, BILIARY TRACT: Again seen is focal fatty infiltration in the region of the ligament of teres.SPLEEN: No significant abnormality noted.PANCREAS: Findings suggestive of pancreatic divisum, a normal va... | 1.Findings compatible with intraluminal gastrointestinal bleed in a loop of ileum that is matted and thickened in the pelvis.2.Additional findings appear similar compared to prior exam. |
Generate impression based on findings. | Metastatic thyroid cancer restaging CHEST:LUNGS AND PLEURA: Bilateral pulmonary nodules, the majority of which are unchanged however the index lesion on the left (5/37) has increased in size from 4 to 6-mm. Dominant lesion near the right hilum measures 15 mm, previously 12-mm (5/43, not index lesion). No new nodules or... | Although the majority of the pulmonary nodules are unchanged, a few measure larger. |
Generate impression based on findings. | Pain. Two views of the left femur reveal no acute fracture or malalignment.Two views of the right femur reveal no acute fracture or malalignment. | No specific findings to account for patient's symptoms. |
Generate impression based on findings. | 36-year-old female status post orthopedic fixation of trimalleolar fracture. Three views of the left ankle demonstrate interval placement of fibular sideplate and screw fixation of the distal fibular fracture as well as syndesmotic fixation screw and two K wires in the medial malleolus, in near-anatomic alignment. The ... | Hardware components related to trimalleolar fracture fixation in near-anatomic alignment. Interval healing of fracture fragments. |
Generate impression based on findings. | Back pain. Two oblique views of the lumbar spine reveal no acute fracture or malalignment. There are bilateral iliac horns consistent with Fong's disease, " nail-patella syndrome". | 1. No acute fracture is evident.2. Bilateral iliac horns compatible with Fong's disease. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.