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Generate impression based on findings. | 76 year old with history of left lumpectomy in 1993 for DCIS, status post radiation therapy. No current breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 23-year-old female with pain and swelling over the lateral and medial malleolus of the left ankle after falling off of a stage. Three views of the left ankle limited normal anatomic alignment. There is no evidence of acute fracture. There is moderate soft tissue swelling of the medial malleolus. | No acute fracture or malalignment. |
Generate impression based on findings. | Male, 4 months old. Respiratory distress. Evaluate for pneumonia.VIEW: Chest AP (one view) 3/11/2015, 1743 The aortic arch, cardiac apex, and stomach are left-sided.The cardiothymic silhouette is normal.Large lung volumes and moderate peribronchial thickening. Streaky perihilar opacities, most compatible with atelectas... | Bronchiolitis pattern. No specific evidence of pneumonia. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are digital mammographic images (2/2/15, 2/4/15), ultrasound images of left breast (2/4/15), images from ultrasound guided biopsy and post procedural left mammographic images (2/9/15) performed at St James Hospital. For comparison, digital mammographic ... | Biopsy proven left breast carcinoma. Given the presence of possible intraductal extension on ultrasound, breast MRI would be helpful in evaluating extent of disease.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 18 year-old male with pain and swelling over the lateral malleolus status post fall 3 days ago. Three views of the right foot and show normal anatomic alignment, without evidence of acute fracture or other abnormality.Two views of the right ankle demonstrate normal anatomic alignment and without evidence of fracture or... | No acute fracture or malalignment. |
Generate impression based on findings. | 68 year-old female patient with history of spinal stenosis/scoliosis status post posterior spinal fusion with continued leukocytosis and shortness of breath. ABDOMEN:LUNG BASES: Bilateral pleural effusions with overlying atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormali... | 1.Fluid collection in the right lateral abdominal subcutaneous tissues may represent a postoperative seroma, however, infection cannot be excluded.2.Bilateral pleural effusions. Please refer to dedicated CT chest PE performed the same day for complete chest details. |
Generate impression based on findings. | 51-year-old female with nontraumatic infection of the distal right third finger. Significant soft tissue swelling and soft tissue defect of the distal aspect of the third digit. Cortical indistinct along the palmar aspect of the distal tuft is suggestive of osteomyelitis. | Soft tissue defect and surrounding swelling of the distal third digit is compatible with stated history of felon. The cortex of the distal tuft appears indistinct along the palmar aspect, suggestive of osteomyelitis. |
Generate impression based on findings. | Status post hemi-crani, pupil inequality Interval postsurgical changes of left frontotemporoparietal craniectomy are seen with interval improvement in rightward midline shift from approximately 10 mm to 7 mm at the level of the foramen of Monro. Again seen is intraparenchymal hematoma centered within the left subinsula... | Interval postsurgical changes of left hemi-craniectomy and improvement in rightward midline shift from 10 mm to 7 mm at the level of the foramen of Monro and improvement in uncal herniation. |
Generate impression based on findings. | Female 54 years old Reason: HBV carrier, s/p chemo, on Baraclude, eval for lesions History: HBV LIVER: Coarse echotexture. 13.6 cm in length. No evidence of cirrhotic morphology. No focal lesions.Flow in the portal vein is hepatopedal, peak velocity .2 m/sec.GALLBLADDER, BILIARY TRACT: Gallbladder polyp .9 x 6 x 0.6 cm... | Coarse hepatic echotexture without evidence of focal lesions or cirrhotic morphology. No signs of portal hypertension. Stable size gallbladder polyp. |
Generate impression based on findings. | 65-year-old female with history of pleuritic chest pain and tachycardia. History of breast cancer now on tamoxifen. Evaluate for pulmonary embolus. PULMONARY ARTERIES: Technically adequate study to the level of the segmental branches. There is no evidence of acute pulmonary embolus or right heart strain.LUNGS AND PLEUR... | 1. No evidence of acute pulmonary embolus.2. Mild diffuse bronchial wall thickening may indicate bronchitis or reactive airways disease.3. 2.4 cm thyroid nodule is incompletely evaluated. If patient care warrants further imaging, a dedicated ultrasound is recommended.4. Cholelithiasis.PULMONARY EMBOLISM: PE: Negative.C... |
Generate impression based on findings. | Right lower quadrant pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Left renal cystRETROPERITONEUM, LYMPH NO... | Negative for acute, traumatic, inflammatory, or neoplastic process. |
Generate impression based on findings. | Female 93 years old Reason: eval for evidence of infectious process History: nausea, vomiting, diarrhea, leukocytosis with bandemia, elevated AG, elevated lactate ABDOMEN:LUNG BASES: Atelectasis. No effusions.LIVER, BILIARY TRACT: There is a new hypoattenuating lesion in segment 5 just dorsal to the gallbladder, measur... | Masses in the pancreas and both kidneys as measured above. At least one new lesion in the liver differential diagnostic consideration includes a neoplasm or in this clinical context abscess. No other findings to explain signs of infection.Slightly increased size of loculated fluid collections in the right lower quadran... |
Generate impression based on findings. | Metastatic breast carcinoma CHEST:LUNGS AND PLEURA: Interval resolution of right upper lobe airspace opacity.MEDIASTINUM AND HILA: Interval increase in size of mediastinal adenopathy. Reference prevascular fluid focus best seen on image 19 of series 3 unchanged measuring 2.6 x 1.6 cm.CHEST WALL: Stable sclerotic bony m... | Progression of metastatic disease manifest by interval increase in size of mediastinal, retroperitoneal, and pelvic adenopathy as well as interval increase in size and number of bilobar hepatic metastases. |
Generate impression based on findings. | 20 year-old female with chest pain, evaluate for pulmonary embolism PULMONARY ARTERIES: Adequate pulmonary artery opacification without evidence of pulmonary embolism to the segmental arterial level. The main pulmonary artery caliber is within normal limits.LUNGS AND PLEURA: No pneumothorax. Small bilateral pleural eff... | 1.No direct evidence of acute pulmonary embolism.2.New focal opacity in the lateral basal segment of the right lower lobe is suggestive of infarct, possibly due to a recent small pulmonary embolus or vascular sludging/thrombosis secondary to sickle cell disease. 3.New right middle lobe nodular ground glass opacities ar... |
Generate impression based on findings. | 35-year-old male patient status post renal biopsy and abdominal pain. Evaluate for bleeding from renal biopsy site. Exam is not sensitive for detecting lesions in the bowel and solid organs due to the lack of oral and intravenous contrast. Given those limitations, the following observations are made:ABDOMEN:LUNG BASES:... | Nonspecific peritransplant low density fluid collection may represent urinoma or seroma and less likely hematoma. |
Generate impression based on findings. | Metastatic prostate cancer treated with 3 cycles of chemotherapy. There has been interval decrease in size bilateral cervical lymphadenopathy and partially imaged superior mediastinal lymphadenopathy. For example, the left supraclavicular lymphadenopathy now measures 23 x 20 mm, previously 86 x 53 mm, a right level 5A ... | 1. Interval decrease in size of the bilateral cervical lymphadenopathy and partially imaged superior mediastinal lymphadenopathy related to metastatic disease. 2. A lesion in the partially-imaged manubrium is compatible with metastatic disease. Please refer to the separate bone scan report for additional details. |
Generate impression based on findings. | 44-year-old female with history of swelling, pain, and fever. Evaluate for right axillary abscess. LUNGS AND PLEURA: Scattered nonspecific pulmonary micronodules are present. Mosaic attenuation of the lower lobes is nonspecific but may be secondary to obstructive small airways disease. No pleural effusions or pneumotho... | 1. Small right axillary density communicating with the skin surface likely representing a resolving abscess.2. Bulky right hilar and subcarinal lymphadenopathy or mass is nonspecific, however given patient's large ischial fossa abscess, disseminated infection is a possibility. Follow-up is recommended.3. Asymmetric lef... |
Generate impression based on findings. | Metastatic SCLS to brain. Word finding difficulty. Falls. Head:No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. Please note noncontrast CT is insensitive for small metastatic lesions. Previously seen lesions involving the bilateral frontal lobes and MRI dated 1/6/2015 are not d... | 1. No evidence of intracranial hemorrhage or mass effect. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts as well as small metastatic lesions, and MRI with gadolinium should be considered if there is continued clinical suspicion. Previously seen lesions involving the bilateral frontal ... |
Generate impression based on findings. | 65-year-old male with liver failure. Evaluate hepatic inflow and outflow for obstruction. Limited exam due to patient body habitus. PORTAL VENOUS: The portal vein is patent with appropriate directional flow. Maximal velocity at 0.21 m/s. HEPATIC ARTERIES: Patent with appropriate directional flow. The resistive index fo... | Patent inflow and outflow vasculature of the liver. |
Generate impression based on findings. | 55 year old with history of right lumpectomy with adjuvant radiation therapy and chemotherapy in 2005. History of benign biopsy of the left breast in 2010. No current breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is compo... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | There are stable post-treatment findings related to right tonsillectomy with flap reconstruction, bilateral neck dissection, radiation therapy, and right vocal cord augmentation. There is unchanged fatty degeneration of the right hemitongue, likely related to denervation. The airway is patent. The remaining salivary g... | 1. Stable post-treatment findings without convincing evidence of locoregional tumor recurrence or significant cervical lymphadenopathy.2. Contrast extravasation in the right arm without neurovascular compromise. The patient was treated with cold compresses and arm elevation. The patient was given discharge instructions... |
Generate impression based on findings. | Female 52 years old Reason: 52 y.o. female with a h/o total proctocolectomy in 2013, with non-healing perineal wound. Please eval for fistula, History: non-helaing perineal wound UTERUS, ADNEXAE: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL,... | Expected postsurgical changes. Nonobstructive parastomal hernia. No evidence of sinus tracts or fistulas. If there is a visible skin opening this could be evaluated under fluoroscopy with a fistulogram. |
Generate impression based on findings. | 41-year-old male with history of dog bite to the left lower leg. Moderate subcutaneous emphysema and soft tissue swelling along the posterior medial aspect of the mid leg. No radiopaque foreign body is identified. There is no evidence of fracture or malalignment. | Subcutaneous swelling and emphysema without acute fracture or foreign body. |
Generate impression based on findings. | 65 year old with history of right lumpectomy in 2000 for triple negative breast cancer followed by radiation and chemotherapy. No current breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandul... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 72-year-old male with history of bilateral knee pain, AVN; evaluate for progression of osteoarthritis. Four views of the left knee demonstrates normal mineralization. There is trace joint effusion. There is moderate to severe osteoarthritis, most pronounced in the medial femorotibial compartment. No acute fracture or m... | Moderate/severe osteoarthritis of the left knee, moderate osteoarthritis of the right knee; bilateral trace joint effusions. |
Generate impression based on findings. | 29-year-old female patient with abdominal pain. Evaluate for appendicitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There are subtle haziness of the gallbladder wall. No cholelithiasis.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No... | Mild thickening versus inflammatory changes involving the gallbladder wall. Recommend right upper quadrant ultrasound for further evaluation as clinically indicated. |
Generate impression based on findings. | Metastatic thyroid cancer restaging. There are postoperative findings related to thyroidectomy and neck dissection with deformity of the right subglottic larynx posterolaterally. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The salivary glands are unrem... | 1. Post-treatment findings in the neck without convincing evidence of locoregional tumor recurrence.2. Evidence of chronic sinusitis.3. Nodules in the partially-imaged lungs. Please refer to the separate chest CT report for additional details. |
Generate impression based on findings. | 25-year-old female with dyspnea PULMONARY ARTERIES: Suboptimal opacification of the pulmonary arteries limits evaluation for pulmonary embolism. Within these limitations, no large pulmonary emboli are noted in the main pulmonary arteries.LUNGS AND PLEURA: No pneumothorax or pleural effusion. No suspicious nodules or ma... | 1.Motion artifact and suboptimal opacification of the pulmonary arteries limits the examination. Within these limitations, no large pulmonary emboli are noted in the main pulmonary arteries. Repeat examination was not performed per clinical service request (Dr. Jacobs).2.Moderate bronchial wall thickening raises the qu... |
Generate impression based on findings. | 44-year-old male status post ORIF of the left elbow and left distal radius. Three views of the left elbow demonstrate a single K wire fixation of the comminuted corner process fracture. No significant callus formation is present. There is significant soft tissue swelling. The radiocarpal joint space appears widened, si... | Status post ORIF of comminuted coronoid process and distal radial fractures; no radiographic evidence of hardware complication. |
Generate impression based on findings. | Cervical spine: There is surgical fusion of C4 to C6 with mature osseous bridging across the disc spaces. The screws, plate, and spacers are intact, without evidence of hardware complication. A 4 mm wide spur projects posteriorly from the C6 body into the spinal canal. There is moderate to severe neural foramen stenos... | 1.Mature surgical fusion of C4 to C6 without evidence of hardware complication, although there is moderate to severe neural foramen stenosis from C5 to T1 bilaterally due to uncovertebral spurs.2.No significant spinal canal or neural foramen stenosis in the lumbar spine. |
Generate impression based on findings. | Female 73 years old Reason: surveillance scans History: hx of renal cell cancer The exam is not sensitive for detecting lesions in the solid organs of vasculature due to the lack of intravenous contrast. Given those limitations, the following observations are made:CHEST:LUNGS AND PLEURA: Stable micronodules.Largest nod... | No definite evidence of metastatic disease given limitations of no intravenous contrast. Findings as above are stable. |
Generate impression based on findings. | Male 12 years old Reason: follow up lung fields History: respiratory failureVIEW: Chest AP (one view) 3/12/15 at 757 hours. Thoracolumbar extra scoliosis, cholecystectomy surgical clips, ET tube and right-sided central line unchanged. Cardiac silhouette size is normal. Persistent chronic streaky opacity of the left upp... | No change in chronic streaky opacity of the left upper lobe. |
Generate impression based on findings. | Female 6 months old Reason: 6 mos old HIE, failed extubation, please eval for pneumonia and ett placement VIEW: Chest AP (one view) 3/12/15 at 807 hours. ET tube tip is at the carina or right mainstem bronchus. Gastrostomy tube again noted. Cardiac silhouette size is normal. Persistent bibasilar opacities, likely atele... | Persistent multifocal opacities. |
Generate impression based on findings. | Left submandibular gland stone and recurrent left submandibular gland infections. There is a left submandibular calculus that measures up to 16 mm. There is no evidence of associated ductal dilatation or surrounding inflammatory changes. The other major salivary glands appear unremarkable. There is no evidence of measu... | A left submandibular calculus measures up to 16 mm, without associated ductal dilatation or surrounding inflammatory changes to suggest acute infection. |
Generate impression based on findings. | 60 year-old male with multiple joint pains, concern for inflammatory arthritis. Two views of the left hand demonstrate mild joint space narrowing at the interphalangeal joints. A well-marginated lucency in the capitate and the head of the first metacarpal likely represent bone cysts. There is no evidence of fracture. N... | Imaging findings suggestive of osteoarthritis in the hands, right than left, as well as the feet. No radiographic suggestion of inflammatory arthritis. |
Generate impression based on findings. | Head: No intracranial hemorrhage or mass effect. There is global parenchymal volume loss. No hydrocephalus or extra-axial collections. Gray-white differentiation is maintained. There are scattered areas of hypoattenuation in the periventricular and subcortical white matter which are nonspecific but compatible with chr... | 1.No intracranial hemorrhage or mass effect. Please note CT is not sensitive for detection of acute nonhemorrhagic ischemia. If there is high clinical suspicion of infarct, consider MRI.2.Chronic left zygomatic arch and left medial orbital wall fractures. No acute fracture of the calvarium or cervical spine. |
Generate impression based on findings. | 35-year-old female with bilateral knee pain. Four views of the left knee demonstrate calcification of the medial collateral ligament, indicative of prior MCL injury. Sharpening of the tibial spine and minimal osteophyte formation is consistent with early, minimal osteoarthritis. There is no significant joint effusion o... | Bilateral minimal osteoarthritis of the knees. Small right joint effusion. |
Generate impression based on findings. | 69-year-old female with history of heel ulcer, concern for osteomyelitis. Two views of the left ankle demonstrate gas in the soft tissues overlying the heel. The cortex is fairly indistinct along the plantar aspect of the calcaneus. There is also cortical indistinctness of the lateral aspect of the calcaneus, immediate... | Findings compatible with bilateral calcaneal osteomyelitis. |
Generate impression based on findings. | Clinical question: 31yoF with h/o fall onto back of head with ongoing HA, dizzyness, and blurry vision r/o hemorrhage vs other intracranial injury. Signs and Symptoms: HA, dizziness Nonenhanced head CT: There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings. Unremarkabl... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Postop for bunion surgery. Evaluate for gangrene. There are two orthopedic screws affixing the first tarsometatarsal joint in near anatomic alignment from a bunion correction surgery. The proximal aspect of the screw entering the medial cuneiform appears to touch the navicular bone. There is postsurgical flattening of ... | 1. Postsurgical changes of a bunion correction surgery with the proximal aspect of the medial cuneiform screw touching the navicular bone. 2. Nondisplaced fracture of the lateral base of the first digit proximal phalanx. 2. Soft tissue thickening along the dorsum of the foot may represent post-operative change or cellu... |
Generate impression based on findings. | Reason: chronic sinusitis, immunosuppressed. There are postoperative findings related to endoscopic sinus surgery, including bilateral uncinectomy, sphenoidotomy, and internal ethmoidectomy. There is also evidence of septoplasty without significant nasal septal deviation. There is increased mucosal thickening within th... | 1. Postoperative findings related to endoscopic sinus surgery with overall increased pansinus opacification suggestive of acute upon chronic sinusitis.2. Postoperative findings related to cerebral aneurysm clipping. 3. Degenerative changes involving the left temporomandibular joint. |
Generate impression based on findings. | Sinus disease and neutropenic fever. There is a small amount of fluid within the left maxillary sinus. There is also mild mucosal thickening in the bilateral maxillary sinuses and mild scattered opacification of the left ethmoid air cells. The other paranasal sinuses are essentially clear. The nasal cavity is clear. Th... | 1. Findings suggestive of acute sinusitis.2. Nonspecific mild partial opacification of the bilateral mastoid air cells. |
Generate impression based on findings. | Pancreatic lesion ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Fatty infiltration of the liver. 3 x 4.3 cm segment 6 hepatic lesion best seen on image 38 of series 10 demonstrating peripheral discontinuous nodular enhancement consistent with hemangioma.SPLEEN: No significant abnormality not... | Subcentimeter nonenhancing low attenuation focus within the inferior pancreatic head. This lesion is not associated with pancreatic ductal dilatation, chronic pancreatic inflammation, or surrounding vascular abnormality. Unfortunately, this lesion is too small to characterize on CT. Would recommend correlation with MR ... |
Generate impression based on findings. | 67 year old male with right upper quadrant pain. Evaluate for cholecystitis. LIVER: Normal echogenicity of the liver measuring 19.6 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate directional flow.BILIARY TRACT: Normal echogenicity of the gallbladder. No gallbladder wall thickening. No pe... | Unremarkable examination. No evidence of cholecystitis. |
Generate impression based on findings. | Clinical question: Recent TIA versus stroke. Signs and symptoms:Left facial numbness/tingling, left arm numbness/tingling. Nonenhanced head CT:No detectable acute intracranial process. CT is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Tiny focus of low-attenuation in the left corona radiata... | No acute intracranial process. |
Generate impression based on findings. | 39-year-old female patient with left upper quadrant pain status post pancreatic cyst drainage. Assess for bleeding, worsening process, obstruction. Exam is not sensitive for detecting lesions in the solid organs due to the lack of intravenous contrast. Given those limitations, the following observations are made:ABDOME... | Interval placement of cystogastrostomy tube with persistent peripancreatic collection. No evidence of hemorrhage or other complication in this limited noncontrast examination. |
Generate impression based on findings. | 81 year old with history of right breast cancer status post mastectomy in 1999. Patient received radiation and chemotherapy. No new breast complaints. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is mostly fatty replaced, unchanged in p... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, left unilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Female 54 years old Reason: unexplained hematuria History: hematuria. ABDOMEN:LUNG BASES: Few small scattered hypodense lesions in the liver are too small to characterize likely cysts.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality noted... | No definite findings to explain hematuria. Prominent gonadal vein on the left and left adnexal veins. |
Generate impression based on findings. | There is diffuse lymphadenopathy of the left cervical and supraclavicular lymph nodes more prominent on the left measuring up to 1.2-cm in diameter. There is diffuse enlargement of the left parotid gland likely due to underlying lymphadenopathy. The other salivary glands appear to be unremarkable. The thyroid gland al... | 1. Diffuse left cervical and supraclavicular lymphadenopathy. Differential considerations include an atypical infection, autoimmune process, or neoplasm.2. Partially imaged prominent soft tissue in the anterior mediastinum likely represents thymic tissue. However, a dedicated chest CT may be useful for further characte... |
Generate impression based on findings. | 55-year-old male with chronic diarrhea and abdominal pain ABDOMEN:LUNG BASES: Mild basilar scarring/atelectasis.LIVER, BILIARY TRACT: Status post cholecystectomy. Enlargement of the left hepatic lobe with prominence of the fissures and diffuse hypoattenuation suggesting cirrhosis.SPLEEN: Slightly enlarged with small no... | 1. No specific findings to account for the patient's chronic diarrhea and abdominal pain.2. Cirrhotic liver morphology.3. End-stage renal disease. |
Generate impression based on findings. | Renal carcinoma status post left partial nephrectomy ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Stable bilobar subcentimeter low attenuation foci. Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant a... | Stable examination without evidence for acute, inflammatory, or metastatic process. |
Generate impression based on findings. | 53 years, Male, Reason: s/p RALP/BPLND on 10/31/15 with subsequent History: s/p RALP/BPLND on 10/31/15 with subsequent. The posterior abdominal radionuclide angiogram demonstrates prompt, perfusion and uptake of the left kidney and decreased perfusion and uptake of radiotracer on the right. Excretion of contrast the ri... | Delayed uptake and excretion of the right kidney compatible with obstruction. |
Generate impression based on findings. | 53-year-old male with history of right knee pain and left wrist pain; evaluate position of wrist screw. Four views of the right knee demonstrate mild joint space narrowing in the medial femorotibial compartment, consistent with mild osteoarthritis. There is a large joint effusion as well as significant soft tissue swel... | 1. Significant soft tissue swelling and large joint effusion of the right knee, without evidence of discrete fracture.2. Mild osteoarthritis of the right knee.3. Unchanged appearance of surgical fixation of the scaphoid and lunate. |
Generate impression based on findings. | Status post shunt placement. Evaluate ventricles. There is a right paramedian frontal approach ventricular shunt catheter with the tip in the right frontal horn. Expected postsurgical changes are seen along the shunt tract. Direct comparison of the ventricular system is limited due to motion artifact on the prior study... | 1.No significant interval change in size of the mildly prominent ventricular system compared to 3/10/2015. No intracranial hemorrhage or new mass effect.2.Unchanged extensive periventricular and subcortical low-attenuation white matter, which may represent advanced chronic small vessel ischemic changes. |
Generate impression based on findings. | 70-year-old female patient with history of metastatic renal cancer to the lungs status post stereotactic radiosurgery. Evaluate for disease burden. CHEST:LUNGS AND PLEURA: Left subpleural apical mass measures up to 0.4 cm in size (series 6 image 10), previously 0.9 x 0.8 cm. Left apical scarring. Other scattered micron... | 1.Interval decrease in size of left apical/paramediastinal mass compatible with metastatic disease.2.Stable scattered pulmonary micronodules.3.Status post right nephrectomy without evidence of local recurrence. |
Generate impression based on findings. | Head CT: There is diffuse subcortical white matter hypoattenuation suggesting small vessel ischemic disease. There is encephalomalacia in the superior right frontal lobe and in the left cerebellar hemisphere, likely chronic infarct. Mild prominence of the sulci and the ventricles indicates age related volume loss. The... | 1.Tumor recurrence in the oral surgical bed measuring up to 6 cm and extending across the midline and to the tongue base. This mass extends anteriorly over the mandibular arch and there is irregularity of the underlying bone.2.Increased size of level 1A lymph nodes, which may be due to metastatic disease.3.Occlusion of... |
Generate impression based on findings. | 81 years, Male. Reason: assess bowel gas problem History: pain, ileus Limited study, patient's flanks and lateralmost aspects of abdomen are excluded in this exam. Multiple dilated air containing loops of small bowel with collapsed colon. Though this patient appears to be post-operative, these findings are worrisome fo... | Bowel gas pattern suggestive of small bowel obstruction favored over ileus. Please refer to subsequent CT exam for additional findings. |
Generate impression based on findings. | 89 years, Male. Reason: evaluate for obstruction vs ileus History: abdominal pain, constipation Mild gaseous distention of the small bowel and large bowel suggestive of possible mild ileus-type gas pattern. Two curvilinear radiodensities project over the inferior pelvis, which are of uncertain significance. There are m... | Possible ileus type gas pattern and below-average stool burden. |
Generate impression based on findings. | Hip dysplasia.VIEWS: Pelvis AP/frog leg (two views) 03/12/15 Blade plate and screws devices is present in the left proximal femur.The left femoral head is displaced from the dysplastic acetabulum. Right femoral valgus deformity is present. The femoral head is well directed into the acetabulum. Limited external rotation... | Unchanged exam with left developmental hip dysplasia and limited range of motion. |
Generate impression based on findings. | 85 years, Male. Reason: NGT placement History: above Study is limited because the pelvis is not included in the field-of-view. There is a nasogastric tube with its tip projecting over the proximal stomach, just beyond the gastroesophageal junction. There is a G-tube with contrast that is coiled in the left upper quadra... | NG tube with its tip projecting over the proximal stomach, just beyond the GE junction. There is focal narrowing or filling defect in the tubing which may reflect incomplete filling or kinking in the tubing and clinical correlation is recommended. |
Generate impression based on findings. | 77 years, Female. Reason: hx partial SBO, assess status History: above. Nonobstructive bowel gas pattern with right lower quadrant ostomy unchanged in position. Interval decrease in residual left hemicolon contrast. Surgical clips project over the bilateral hemipelvis. Scoliosis of the lumbar spine. Punctate radiodensi... | Nonobstructive bowel gas pattern. Punctate radiodensity in the liver shadow of uncertain clinical significance, may reflect air in the biliary system; clinical correlation with patient's history is recommended. |
Generate impression based on findings. | 68-year-old male patient with history of gastric cancer status post gastric bypass. Evaluate for recurrent disease. CHEST:LUNGS AND PLEURA: Multiple nonspecific micronodules are not significantly changed compared to prior.MEDIASTINUM AND HILA: Mild coronary artery calcifications again noted. Atherosclerotic changes aff... | 1.New fluid collection in the anterior abdomen favored to represent a postoperative collection, such as a hematoma, as opposed to an abscess.2.Multifocal small bowel dilatation and angulation of bowel loops without transition point likely due to adhesive disease. |
Generate impression based on findings. | Reason: GSW 2mo prior s/p rod placement with purulent drainage . Two views of the right tibia and fibula redemonstrate an intramedullary rod with interlocking screws affixing a comminuted fracture of the distal tibial diaphysis; the alignment appears unchanged. There is no radiographic evidence of hardware complication... | Orthopedic fixation of distal tibial fracture in near-anatomic alignment. New findings along the lateral aspect of the proximal fracture may represent progressive healing, however, osteomyelitis cannot be excluded on this exam. |
Generate impression based on findings. | 64 year old female with history of right ankle pain status post fall. Two views of the right ankle demonstrate fracture-dislocation of the right ankle including fractures of the medial and lateral malleoli, with posterior displacement of the distal fibular fracture fragment. An additional small fracture fragment is pre... | Fracture-dislocation of the right ankle as detailed above. Post-reduction films are recommended. |
Generate impression based on findings. | 84-year-old female with history of right ankle pain (over the navicular bone and medial malleolus) status post fall. Three views of the right ankle demonstrate a fracture to the distal tip of the medial malleolus. A fleck of bone projected into a stent in the distal fibula may represent an avulsion fracture. A well cor... | 1. Medial malleolus fracture; questionable fracture of the distal fibular tip.2. Severe right osteoarthritis, moderate to severe left osteoarthritis of the knees. No joint effusion or fracture. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. In the left upper outer quadrant, there are two circumscrib... | 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 r... |
Generate impression based on findings. | 55 years, Female, Reason: 54 year-old female with regurgitation; rule out delayed gastric emptying History: as above. 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... | Gastric emptying within normal limits. |
Generate impression based on findings. | 81-year-old male with green drainage from midline incision status post recent partial cystectomy ABDOMEN:LUNG BASES: Basilar atelectasis and consolidation as well as coarse pleural calcifications.LIVER, BILIARY TRACT: No focal hepatic lesions. Status post cholecystectomy. Mild perihepatic ascites.SPLEEN: No significant... | 1. Abdominal fluid collection as described above.2. Post operative changes of partial cystectomy and right hemicolectomy. |
Generate impression based on findings. | 50 years, Female, Reason: 50 y. o w extensive DCIS need T-99 at 7:30 am on 3/12 for SLBX History: RT breast DCIS.RADIOPHARMACEUTICAL: The right breast was prepared in a sterile manner. A total of 0.52 mCi Tc-99m filtered sulfur colloid was injected subcutaneously. Following injection, intraoperative probe localization ... | Successful right breast injection for intraoperative identification of sentinel lymph node. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Scattered small asymmetries i... | 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. | 61 year old with history of left lumpectomy for breast cancer in February 2010 followed by radiation, presents today for routine follow up. No current breast complaints Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Subarachnoid hemorrhage due to ruptured right posterior communicating artery aneurysm status post coiling with stent placement, right EVD placement c/b tract hemorrhage and catheter clogging requiring left EVD placement. EVD OTD now at 15 versus 10. There is streak artifact from coil embolization in the region of the r... | 1. Unchanged ventricular size compared to 3/6/2015. 2. Continued evolution of diffuse subarachnoid hemorrhage, right greater than left anterior frontal and left peripheral cerebellar hematomas. |
Generate impression based on findings. | 47 year old with family history of breast cancer presents for routine diagnostic mammogram Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious mass, suspicious microca... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. In view of her dense breast, tomosynthesis would be beneficial in next screening mammogram. Results and recommendations were discussed with the patient.BIRADS: 1 -... |
Generate impression based on findings. | Male 68 years old Reason: hx of cirrhosis per OSH records? elevated bilirubin History: see above LIVER: Coarse echotexture. No evidence of cirrhotic morphology. 16.8 cm in length. Prominent hepatic veins suggestive of right-sided heart failure.No focal lesions.Flow in the portal vein is hepatopedal.GALLBLADDER, BILIARY... | No evidence of cirrhotic morphology. Moderate generalized ascites, bilateral pleural effusions. Prominent hepatic veins suggestive of right-sided heart failure. Intrinsically normal liver. Left renal cyst. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional right CC view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No 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: NSC - Screening Mammogram. |
Generate impression based on findings. | 44-year-old male with history of testicular cancer status post chemotherapy CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are again noted. No suspicious nodules or masses. Left lower lobe suture is again noted.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.CHEST WALL: No significant abnormalit... | Scattered pulmonary micronodules. No lymphadenopathy. |
Generate impression based on findings. | 67-year-old female presents for routine screening mammography. History of bilateral breast biopsies. Family history of breast cancer diagnosed in maternal aunt at age 70. Personal history of colon cancer diagnosed at age 64. Patient complains of left breast tenderness. Two standard digital views of both breasts and tom... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 54 years old; Reason: Please evaluate if fluid collection has resolved from a possible anastomotic leak. Continues with drain in place and output is 5 cc/day for the last several weeks. History: currently none other than 5 cc output from drain. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY T... | 1.Marked decrease in size of abscess collapsed around the catheter. No new collections. Decrease in mesenteric fat stranding around the surgical region.2.Stable hypoattenuating fluid density lesion in the body of the pancreas. Rule out IPMN. (Message left with Megan Smith for Michele Rubin). |
Generate impression based on findings. | 81-year-old male with increasing oxygen requirement, tachycardia, recent postop PULMONARY ARTERIES: Pulmonary artery opacification is adequate to the segmental level without evidence of pulmonary embolism. Main pulmonary artery caliber is within normal limits.LUNGS AND PLEURA: Trace bilateral pleural effusion with depe... | 1.No evidence of pulmonary embolism.2.Trace pleural effusion with lateral dependent atelectasis.3.Evidence of asbestos exposure as described.Findings discussed with Blake Alberts at 1051 on 3/12/15.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV ... |
Generate impression based on findings. | Female, 19 years old. History of recurrent osteosarcoma s/p chemotherapy, amputation, bilateral thoracotomies. Off therapy evaluation LUNGS AND PLEURA: Postsurgical findings of a left upper lobe and right lower lobe resection, with stable local scarring.A punctate micronodule along the minor fissure (series 5, image 13... | Stable exam, without evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 79-year-old male with history of anal cancer Evaluation of solid organ pathology is limited due to lack of IV contrast.CHEST:LUNGS AND PLEURA: Status post right upper lobectomy. Apical scarring. Unchanged mild right lower lobe bronchiectasis. No suspicious nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar... | No evidence of metastatic disease. Stable postoperative changes of right upper lobectomy. |
Generate impression based on findings. | 45 year old presents for pre-transplant screening. Hand-held ultrasound for both breasts was performed. Patient was on a wheelchair during the study. No abnormal findings including solid or cystic masses are detected in either breast. | No sonographic evidence for malignancy in both breasts. BIRADS: 1 - Negative.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Patient complains of occasional right breast pain during her cycle. Family history of breast cancer diagnosed in sister age 54 and ovarian cancer diagnosed in maternal aunt in her 40s. Two standard digital views of both breasts were performed and reviewed ... | 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. | History of left mastectomy for invasive ductal carcinoma, mucinous type, and DCIS in 2011. History of multiple benign right breast biopsies. History of breast carcinoma in sister diagnosed at the age of 56 and two paternal aunts. No new breast complaints. Three standard views of the right breast were performed digitall... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, right unilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 48 years, Female, Reason: preop MVR History: SOB/ edema. CHEST:LUNGS AND PLEURA: No focal consolidation or pleural effusion. No suspicious nodules or masses.MEDIASTINUM AND HILA: Mildly enlarged precarinal node measuring a 1.5 x 1.1 cm (9/27). Prominent thymic tissue.CHEST WALL: Prominent bilateral axillary nodes, the ... | 1.Enlarged heterogeneous uterus most likely represents multiple leiomyomas, however a pelvic MRI is recommended for further evaluation.2.Prominent axillary, mediastinal and inguinal nodes are nonspecific. |
Generate impression based on findings. | 65-year-old female with history of breast cancer with recurrence in supraclavicular lymph nodes. Evaluate for extent of disease. CHEST:LUNGS AND PLEURA: There is mild biapical and parenchymal scarring. Postradiation changes are present in the anterolateral right lung. No suspicious pulmonary nodules are appreciated. No... | 1. Heterogenously enhancing right supraclavicular lymph node conglomerate compatible with patient's biopsy proven metastatic breast cancer is incompletely imaged. Please refer to same day neck CT for further details.2. No evidence of additional metastatic disease in the chest or imaged upper abdomen. |
Generate impression based on findings. | 79-year-old male patient with history of renal cell carcinoma on chemo holiday. Evaluate for progression. Exam is not sensitive for detecting lesions in the solid organs due to the lack of intravenous contrast. Given those limitations, the following observations are made:CHEST:LUNGS AND PLEURA: Lingular mass currently ... | Interval increase in lingular pulmonary lesion compatible with metastatic disease and new bilateral pleural effusions. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy at age 28. History of chronic right nipple inversion. Family history of breast cancer diagnosed in mother at age 50. Patient reports right breast pain. Two standard digital views of both breasts and tomosynthesis were ... | 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. | Female, 7 years old. Reason: Evaluate degree of stool burden History: hx constipation and anorectal malformationVIEW: Abdomen AP (one view) 3/12/2015, 1016 Nonobstructive bowel gas pattern.Moderate stool burden. | Moderate stool burden. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left benign breast biopsy in 2011. 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. B... | 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 64 years old Reason: patient is s/p radical cystectomy and ileal conduit. She is had several days of persistent nause and inability to tolerate PO. Eval for intraabdominal pain postop. History: As above ABDOMEN:LUNG BASES: Right lower lobe linear atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted... | Distal small bowel obstruction with transition point in the right lower quadrant.Dr. Aldertes was notified and acknowledged about the above findings at the time of the dictation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, additional two MLO views of both breasts, and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Scattered benign calcific... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 55 years old Reason: Cirrhosis, eval for HCC History: Cirrhosis LIVER: Coarse echotexture with some nodular character. No discrete masses. 18.3 cm in length.Flow in the portal vein is hepatopedal, peak velocity .2 m/sec.GALLBLADDER, BILIARY TRACT: No intrahepatic or extrahepatic biliary dilatation. No evidence of ... | Cirrhotic morphology. Splenomegaly. No evidence of ascites. |
Generate impression based on findings. | 81-year-old male with history of tongue cancer for screening CHEST:LUNGS AND PLEURA: Apical scarring/fibrosis likely due to radiation. Unchanged mild emphysema.Scattered calcified granulomata and mild basilar scarring/subsegmental atelectasis.Mild vascular bronchiectasis and areas of bronchial wall thickening are prese... | 1.New 10-mm nodular opacity in the right lower lobe is favored to be postinfectious in etiology. Attention to this nodule on follow-up studies is recommended.2.Minimal tree in bud opacities in the lung bases may represent bronchiolitis from aspiration or infection |
Generate impression based on findings. | 55-year-old with history of left breast cancer status post mastectomy presents for routine follow-up. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. N... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Focal asymmetry in the right ... | No mammographic evidence of malignancy. Bilateral focal asymmetries, not significantly changed. 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. | Male 29 years old Reason: CT angio pelvis to evaluate aorta and iliac vessels for kidney transplant History: Pre-kidney transplant evaluation ABDOMEN:LUNG BASES: New centrilobular nodular opacities in the right lower lobe suspicious for pneumonia.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Enlarged sp... | Again noted moderate atherosclerotic calcifications involving the aortic bifurcation and bilateral proximal common iliac arteries, lateral external iliac arteries calcification, more on the right compared to the left. |
Generate impression based on findings. | Physician palpated a lump in the right breast. The skin over the palpable lump is marked by Dr. Chhablani. Focused ultrasound did not detect any abnormalities at the area of palpable concern. Just below the area of concern, there is a large dystrophic calcifications, which makes a strong shadowing. | No sonographic evidence of malignancy BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 43-year-old male patient with history of left renal cell carcinoma status post nephrectomy. Routine surveillance. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Cholelithiasis without CT evidence of cholecystitis.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality n... | No evidence of local recurrence or metastatic disease. |
Generate impression based on findings. | 14-year-old male with right foot and ankle injury.VIEWS: Right foot AP, oblique, lateral (3 views) 3/12/15 No significant soft tissue swelling. No fracture or malalignment is identified. | No fracture or malalignment. |
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