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Generate impression based on findings. | Male 32 years old Reason: pain to finger hx of glass injury evaluate for cause or glass History: pain and erythema There is soft tissue swelling involving the palmar aspect of the distal middle finger. There is slight decreased attenuation in this region indicating soft tissue swelling. No radiopaque foreign body.The u... | Soft tissue swelling without radiopaque foreign body. |
Generate impression based on findings. | 50 year old with palpable lump in the left breast 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. A triangular marker is placed at upper outer quadrant of left breast, indicatin... | No mammographic or sonographic evidence of malignancy. Fibroadenolipoma in the left breast. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. In view of the patient's dense breasts, tomosynthesis would be beneficial at the next screening study. Results ... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in mother at age 40, maternal aunt, and maternal second cousin. 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... | Asymmetry in the left upper breast, for which additional views including laterally exaggerated CC view and spot compression views are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Male 32 years old Reason: hx of testicular cancer, evaluate for metastatic disease, please pay close attention to liver abnormality seen on previous CT scan from 8/28/14. History: see above ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality noted. Specifically no focal ... | No evidence of metastatic disease. |
Generate impression based on findings. | Female 46 years old Reason: bilateral cmc thumb pain History: as above Right hand: Bone mineralization is normal. Alignment is anatomic. Mild osteoarthritic changes affects the first carpometacarpal joint with tiny osteophytes. Mild osteoarthritis affects the second metacarpophalangeal joint with tiny osteophytes. No a... | Bilateral carpometacarpal osteoarthritis, left worse than right. |
Generate impression based on findings. | 14-year-old female evaluate healing of foot. Left foot amputation with infected stump.VIEWS: Left ankle AP, lateral (two views) 3/12/15 Two screws affix the calcaneus and a portion of the talus to the tibia and fibula without evidence of hardware complication. Amputation of the mid and forefoot has been performed. The ... | Tibiotalar joint arthrodesis without evidence of hardware complication or osteomyelitis. |
Generate impression based on findings. | Female 66 years old Reason: eval flow History: aortic dissection, AKI RIGHT KIDNEY: 9.1 cm in length. Normal echogenicity. No evidence of hydronephrosis hydroureter. Normal blood flow on color Doppler imaging.LEFT KIDNEY: 9.9 cm length. Normal echogenicity. No hydronephrosis hydroureter. Normal blood flow on limited co... | Normal kidneys. Blood flow seen to both kidneys. |
Generate impression based on findings. | Female 74 years old Reason: Hepatic mass on US please rule our HCC with triphasic CT and assess pancreatic cysts History: autoimmune hepatitis Axial CT images are obtained through the abdomen and pelvis after administration of oral contrast and 120 ml intravenous Omnipaque 350 . Coronal reformats were also generated an... | Cirrhotic, heterogeneous liver with no focal lesions suspicious for hepatocellular carcinoma per CT criteria.Multiple cystic lesions in the pancreas, largest compatible with branch type I PMN. |
Generate impression based on findings. | Female 70 years old Reason: Look for pancreatic atrophy. History: Increased flatus suggesting malabsorption. LIVER: 15.6 cm in length. Normal echotexture. No focal lesions.Flow in the portal vein is hepato- pedal, peak velocity .2 m/secGALLBLADDER, BILIARY TRACT: Gallbladder is contracted with shadowing consistent with... | Cholelithiasis in a contracted gallbladder. No biliary dilatation. |
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, unchanged in pattern and distribution. No suspicious masses... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 13-year-old female with right anterior ankle sprain.VIEWS: Right ankle AP, oblique and lateral (3 views) 3/12/15 Small joint effusion is present. No fracture or malalignment. | Small joint effusion without fracture. |
Generate impression based on findings. | 75-year-old male, evaluate for hernia or fluid collection, or other cause of pain Evaluation of solid organ pathology is limited due to lack of IV contrast.CHEST:LUNGS AND PLEURA: Innumerable new bilateral pulmonary nodules and masses. Moderate right pleural effusion. For reference a right middle lobe nodule measures 1... | 1. Numeral bilateral pulmonary nodules and masses consistent with progression of metastatic disease. 2. Moderate right pleural effusion. 3. Nonspecific retroperitoneal and mesenteric lymph nodes. |
Generate impression based on findings. | 27 year-old female with thyroid cancer with suspicious node posterior to carotid. Evaluate for change in node. RIGHT LOBE MEASUREMENTS: Status post thyroidectomy.LEFT LOBE MEASUREMENTS: Status post thyroidectomyISTHMUS MEASUREMENTS: Status post thyroidectomyRIGHT LOBE: No significant abnormality noted.LEFT LOBE: In the... | 1. Stable hypoechoic nodules in the right neck posterior to the carotid artery. 2. Hypoechoic foci in the left thyroidectomy bed unchanged. |
Generate impression based on findings. | Female 69 years old Reason: 69 y/o F with chronic pseudoobstruction here with small bowel dilation, concern for volvulus or obstruction, please no PO contrast History: abdominal distention. The exam is not sensitive for detecting lesions in the pelvis to lack of oral contrast and in the solid organs of vasculature due ... | Favor ileus. No signs of volvulus. No intramural air or free air. Sensitivity for ischemia is limited by lack of intravenous contrast no small bowel wall thickening is seen.Moderate stool burden.Diffuse fatty liver. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of bilateral benign biopsies in 2004. 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... | Stable benign calcifications and asymmetries bilaterally. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 64-year-old female with follow-up of left lower lobe 9 mm nodule LUNGS AND PLEURA: The previously noted left lower lobe 9 mm nodule in the left lower lobe is not seen. Severe centrilobular emphysema is again noted. Calcified subpleural granuloma in the left upper lobe. Additional calcified and noncalcified nonspecific ... | 1.Previously noted 9-mm nodule in the left lower lobe is not seen on the current study.2.Severe centrilobular emphysema with bibasilar scarring and atelectasis is unchanged since prior exam. |
Generate impression based on findings. | 81-year-old female evaluate kidney size, worsening CKD ULTRASOUND KIDNEYSRIGHT KIDNEY: Small echogenic right kidney measures 7.7 cm, consistent with medical renal disease. Likely small cysts. No hydronephrosis.LEFT KIDNEY: Small echogenic left kidney measures 7.6 cm, consistent with medical renal disease. Likely small ... | Small echogenic kidneys with lack of diastolic flow consistent with severe chronic kidney disease. |
Generate impression based on findings. | 57 years old Female. Reason: evaluate for progression History: breast cancer, increasing tumor marker. RADIOPHARMACEUTICAL: 11.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 114 mg/dL. Today's CT portion grossly demonstrates interval increase in size of the left pleural effusion. New groundglass opacities... | New diffuse and nodular pleural increased activity with pleural effusion, suspicious for tumor.New osseous lesions in the C-spine and T-spine as well as right 10th rib, suspicious for metastasis.Multifocal hypermetabolic small lymph nodes in the mediastinum, suspicious for metastasis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast biopsy in 2003. Personal history of skin cancer diagnosed at age 35. Family history of breast cancer diagnosed in paternal grandmother at age 60, two paternal first cousins in their 40s, and paternal aunt at age 50. Two standa... | Left axillary distortion may relate to a prior biopsy. A technical repeat of the left MLO with any surgical scar marked is recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: R - Technical Repeat Views. |
Generate impression based on findings. | Distal radius fracture.VIEWS: Left wrist PA/lateral (two views) 03/12/15 The cast has been removed.Sclerosis and callus formation are noted at the radial metaphyseal fracture site. Alignment is near-anatomic. | Continued healing of distal radial fracture. |
Generate impression based on findings. | Female 35 years old Reason: evaluate thickening seen on CT in proximal jejunal History: crohn's disease, nausea, vomiting Scout radiograph showed a nonobstructive bowel gas pattern. Transit time to the colon was 45 minutes. Fluoroscopic evaluation showed normal mucosa throughout the small bowel, with no ulcers, sinus t... | 1.Fixed narrowing of the distal terminal ileum, likely reflecting chronic sequelae of the patient's known Crohn's disease.2.Remaining small bowel normal in caliber and morphology. |
Generate impression based on findings. | 53 year old male with thyroid cancer. Evaluate for change in nodule. RIGHT LOBE MEASUREMENTS: Status post thyroidectomy. LEFT LOBE MEASUREMENTS: Status post thyroidectomy. ISTHMUS MEASUREMENTS: Status post thyroidectomy. RIGHT LOBE: Hypoechoic nodule in the right thyroid bed measures 5 mm x 6 mm x 3 mm previously measu... | Stable hypoechoic nodule in the right thyroidectomy bed. |
Generate impression based on findings. | Female 74 years old Reason: 74 year-old female with radiation history for nasopharyngeal carcinoma, OPM noted aspiration and possible cervical esophageal stricture. Esophagram with low volume contrast to minimize aspiration risk. to assess stricture. History: as above. Single contrast evaluation of the cervical esophag... | Relative narrowing of the cervical esophagus with a short segment of narrowing seen at the level of the cervicothoracic junction as described above. The patient coughed and a small amount of aspiration was observed during the examination. |
Generate impression based on findings. | MALT lymphoma CHEST:LUNGS AND PLEURA: Biapical scarring and bilateral emphysema unchanged. Interval decrease in size of right lung soft tissue mass lesions. Right upper lobe mass best seen on image 43 of series 3 now measures 4.9 x 4.7 cm; this is in comparison to 5.5 x 5.1 cm on 10/2/2014. Right parahilar mass best se... | Interval decrease in size of right lung soft tissue masses. No new adenopathy. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left breast cyst removed in 1994. Family history of breast cancer diagnosed in 3 maternal aunts. 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 hetero... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram and MRI are recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Female 21 years old Reason: stress fracture? impingement? History: hip pain Bone mineralization is normal. Alignment is anatomic. No acute fracture or dislocation. No evidence of a stress fracture. There is subtle subchondral cystic change in the pubic symphysis predominantly on the left. | Mild symphysis pubis degenerative changes. No evidence of left hip fracture as clinically questioned. |
Generate impression based on findings. | Male 75 years old Reason: evaluate for small bowel cancer recurrence, he is off chemp x 3 months History: none CHEST:LUNGS AND PLEURA: Mild apical emphysema, unchanged.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormali... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | History of right mastectomy for breast cancer presenting with pain and palpable area of concern in the left breast and axilla. Three standard views of the left breast and two spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which ma... | No mammographic evidence of malignancy. Clinical correlation is recommended for the patient's areas of pain and palpable concern. If there is continued concern for a palpable mass on physical exam, then referral to breast surgery should be considered. As long as the patient's physical examination remains normal, left u... |
Generate impression based on findings. | Male 80 years old Reason: follow up for urothelial cancer History: urothelial cancer This study is limited due to lack of intravenous contrast.CHEST:LUNGS AND PLEURA: Index left lower lobe nodule measures 4.1 by 3.3 cm on image number 16, series number 5, slightly increasing size compared to previous study. Index right... | This study is limited due to lack of intravenous contrast. Interval increase in the size of the bilateral lung metastases with interval development of new lung nodules.Index mediastinal lymph node is smaller. Abdominal findings are stable. |
Generate impression based on findings. | 66 years, Male, Reason: Evaluating disease status History: Rectal pain with growing rectal mass..RADIOPHARMACEUTICAL: 14.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 85 mg/dL. Today's CT portion grossly demonstrates bilateral opacification of the bilateral maxillary sinuses, similar to the prior exam. A... | 1.Numerous hypermetabolic liver lesions, increased from the prior exam and likely representing neoplasm.2.New peritoneal carcinomatosis and ascites.3.Progression of rectosigmoid lymphoma.4.Hypermetabolic retroperitoneal and pelvic lymphadenopathy has increased.5.Hypermetabolic gluteal fold thickening is suspicious for ... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in maternal aunt and maternal cousin. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchan... | 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. | End-stage renal disease. Prerenal transplant assessment for aortic and iliac atherosclerotic disease ABDOMEN:LUNG BASES: Moderate cardiomegaly.LIVER, BILIARY TRACT: Subcentimeter peripheral segment 4 low attenuation focus; favor benign etiology. Status post cholecystectomy.SPLEEN: Spleen absent.PANCREAS: No significant... | Moderate vascular calcification involving the common iliac arteries bilaterally. Extensive calcification involving the right external iliac artery. No significant atherosclerotic calcification involving the left external iliac artery. |
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. A few scattered benign calcif... | 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. | 77-year-old male patient with history of bladder cancer status post cystectomy and creation of neobladder and 2007. Staging evaluation and consideration of distal ureterectomy with reimplant of right ureter. Evaluation of solid organs and lymphadenopathy is limited by lack of intravenous contrast.ABDOMEN:LUNG BASES: Ch... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 34-year-old female with right elbow pain. Three views of the right elbow demonstrate moderate anterior and posterior joint effusions. Alignment is anatomic. No fracture is evident. However, occult fracture is not excluded. | Moderate anterior and posterior joint effusions. While no discrete fracture is identified, occult fracture is suspected. |
Generate impression based on findings. | 50 year-old female with mammographic abnormality and extensive non-mass enhancement within the right breast on MRI. Recent benign right breast biopsies. Additional tissue is requested. Right ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is an irregular, hypoechoic mass measuring 2.4 c... | Successful ultrasound-guided core biopsy of the right breast lesion and clip placement. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of uterine cancer diagnosed 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 composed of scattered fibroglandular density, unchanged in pattern and distr... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | For the purposes of numbering, there are 5 lumbar type vertebral bodies. Vertebral body heights are maintained. Again seen is dextroscoliosis of the lumbar spine with apex at L2 and levoscoliosis with apex at L4-L5 similar to prior MR. There is evidence of prior right-sided laminotomies at L4-L5 and L5-S1 levels. Exte... | 1. Multilevel degenerative changes and scoliosis appear similar to prior MRI. No acute compression fractures.2. No high grade spinal canal stenosis at any level, which was better assessed on prior MRI. 3. Multilevel neural foramina stenosis as detailed above-- worse on the left at L1-L2 and L2-L3 and on the right at L4... |
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. Breast volume has decreased bilaterall... | 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 year-old male with head and neck cancer CHEST:LUNGS AND PLEURA: Scar-like opacity in the left lower lobe is unchanged measuring 15 x 11 mm (series 5, image 89).Previously noted adjacent 7-mm nodule in the left lower lobe is not present on the current study and likely represents resolved atelectasis.There is debris i... | 1.Persistent scar like opacity in the upper lobe. Interval resolution of adjacent 7-mm nodule.2.Mild bronchial thickening with associated debris in the lower lobe is increased since prior exam and suggestive of chronic aspiration.3.No evidence of metastases. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in a maternal cousin. Patient complains of bilateral breast pain, left greater than right. Two standard digital views of both breasts and additional MLO and CC views of both breasts were performed and reviewed with... | 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. | 10-year-old female status post bilateral VDROsVIEWS: Pelvis AP and frog leg (two views) 3/12/15 Bilateral femoral varus derotational osteotomies appear healed. Bilateral blade plate and screw devices are present without evidence of hardware complication. Both femoral heads are well directed into their respective acetab... | Bilateral VDROs appear similar to the prior exam without complication. |
Generate impression based on findings. | 30 year-old male with history of right third toe fracture. There is redemonstration of a comminuted fracture of the distal phalanx involving the tuft and base of the phalanx, in near-anatomic alignment. The fracture at the base is not well-visualized on this study, indicative of interval healing. The degree of soft tis... | Interval healing of fracture of the third distal phalanx as detailed above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in mother and cervical cancer diagnosed in daughter. 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 scatter... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural distortion are pre... | 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. | 36-year-old female with explant left total hip. AP view of the pelvis and two views of the left hip show no acute fracture. Postoperative changes of a left total hip arthroplasty removal and cement spacer placement appear similar to those seen on the prior study. Three cerclage wires fixing a proximal femoral fracture ... | Postoperative changes and findings compatible with sickle cell anemia as described above. No evidence of acute fracture. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Scattered calcifications including arterial calcifications are present... | 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. | Prostate carcinoma with rising PSA CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No change in extensive sclerotic skeletal metastases.ABDOMEN:LIVER, BILIARY TRACT: Bilobar subcentimeter low-attenuation foci unchanged; favor benign etiology.SPLE... | Stable examination. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Stable focal asymmetry in the left upper outer ... | 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. Family history of breast cancer diagnosed in mother at age 53, maternal great aunt at age 40, maternal cousin at age 22, and paternal great aunt at age 79. BRCA mutation. Two standard digital views of both breasts were performed and reviewed with the aid o... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Please see the separately dictated MRI for those results. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Circular markers are placed over both breasts. New heart monitoring de... | 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. | 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. A circular skin marker was placed over the righ... | 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. | 55-year-old male with shortness of breath and cough LUNGS AND PLEURA: No pleural effusion or pneumothorax. Focal groundglass opacity likely represents atelectasis or scarring adjacent to an osteophyte associated with the nearby vertebral body. Subpleural scar-like nodule in the left lower lung (series 9, image 131) mea... | Multiple scattered nonspecific micronodules. No evidence for pneumonia or other significant abnormality. |
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. Stable asymmetries in the lef... | 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 67 years old Reason: s/p Dobbhoff replacement History: hypernatremia There is a Dobbhoff tube with its tip projecting over the antrum of the stomach. There is mild gaseous distention of multiple loops of small bowel as well as gas within the colon consistent with mild ileus. The heart is enlarged. Pacemaker leads ... | Dobbhoff tube with its tip projecting over the antrum of the stomach. |
Generate impression based on findings. | Status post elbow hardware removal. Interval removal of orthopedic hardware affixing the olecranon. There are chronic changes of the radial head. Soft tissue swelling is noted about the elbow along with foci of gas which is presumably postoperative. No acute fracture is evident. The bones appear demineralized. | Hardware removal as described above. |
Generate impression based on findings. | Pain at C5. Question of DJD. Degenerative disk disease is noted with disk space narrowing at the C4/C5 and C5/C6 levels, similar to the prior study. Mild bony neuroforaminal narrowing at these levels is also noted due to endplate spurring. No acute fracture is evident. | Degenerative disease of the lower cervical spine as described above. |
Generate impression based on findings. | Cough. Rule out acute chest.VIEWS: Chest PA/lateral (two views) 03/12/15 Cardiothymic silhouette and pulmonary vascularity are normal. The aortic arch, cardiac apex, and stomach are left-sided.Mild peribronchial thickening is present. Subsegmental atelectasis is seen in the right upper lobe. No focal air space disease ... | Bronchiolitis/reactive airways disease pattern.No pneumonia or evidence of acute chest. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in 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 density, unchanged in pattern and d... | Left focal asymmetry for which further evaluation with spot compression and possible ultrasound is recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Clinical question: Chronic rhinitis. Signs and symptoms: Nasal congestion and discharge. Medtronic sinus CT:Examination demonstrates no evidence of acute or chronic sinus disease.Patent bilateral ostiomeatal units of maxillary sinuses and bilateral sphenoethmoidal recess of the sphenoid sinus.There is a thin band of so... | 1.No evidence of acute or chronic sinus disease.2.A thin soft tissue and bony septation traverses the right maxillary sinus and a coronal plane and traversing the entire sinus AP represent an anatomical variation.3.Fine corrugated appearing mucosal lining of the nasal passage. |
Generate impression based on findings. | 62-year-old female with history of T3 N0 EBV positive nasopharyngeal squamous cell carcinoma status post chemoradiation CHEST:LUNGS AND PLEURA: Reference left lower lobe subpleural nodule is unchanged measuring 4 mm (series 4, image 157). Additional scattered nonspecific micronodules. No suspicious nodules or masses ar... | Stable examination without definitive evidence of metastases. Unchanged reference measurements as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. BRCA mutation carrier. History of MRI guided biopsy in the left breast in 2009. Family history of breast cancer diagnosed in sister at age 26. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast par... | 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. | Asymptomatic female presents for routine screening mammography. History of right breast aspiration in 2011. Family history of breast cancer diagnosed in sister at age 55. 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 fib... | 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 and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. A circular skin marker was placed over the righ... | 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 right breast biopsy. Family history of breast cancer diagnosed in maternal aunt and ovarian cancer diagnosed in paternal grandmother. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of... | 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. | 72-year-old female with history of bronchiectasis, MAI. LUNGS AND PLEURA: Mild biapical scarring. Mild emphysema in the upper lobes, left greater than right. No pleural effusion or pneumothorax. Diffuse bronchiectasis with mucus plugging most pronounced in the upper lobes. There are scattered areas of tree-in-bud opaci... | Increase in diffuse bronchiectasis and mucous plugging with increased tree in bud opacities is nonspecific but consistent with clinical diagnosis of MAI. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Examination slightly limited by patient's left shoulder immobility. Two standard digital views of both breasts and additional left MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandula... | 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. | 69-year-old male, follow-up RCC CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are unchanged.MEDIASTINUM AND HILA: Atherosclerotic calcifications of the coronary arteries. No mediastinal or hilar lymphadenopathy.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Multiple unchanged hypoa... | No significant change from the prior study. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in 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 density, unchanged in pattern and d... | 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. | 38-year-old male patient with history of metastatic renal cell carcinoma. Evaluate for progression of disease. CHEST:LUNGS AND PLEURA: Reference left lower lobe pulmonary nodule currently measures 5.1 x 3.3 cm (5 image 81), previously 2.9 x 2.2 cm. The remainder of the pulmonary nodules have also grossly increased in s... | Mixed response with interval decrease in reference right hilar lymph nodes and interval increase in pulmonary lesions, abdominal lymph nodes, as well as left renal bed mass. |
Generate impression based on findings. | 75-year-old male, renal cell carcinoma, SBRT to mediastinum CHEST:LUNGS AND PLEURA: Unchanged 5-mm left lower lobe micronodule (image 18, series 4).MEDIASTINUM AND HILA: Heterogeneous right thyroid nodule measures 3.4 cm and previously measured 3.0 cm (image 10, series 3.). Reference right subcarinal lymph node measure... | Stable reference measurements. Slightly enlarged right thyroid nodule. |
Generate impression based on findings. | The cervical spine is in normal alignment, with straightening of the normal cervical lordosis. The vertebral body and disk heights are well-maintained. No worrisome focal marrow signal abnormality is appreciated. There is a focus of T1 and T2 hypointensity along the right paramedian inferior endplate of C5, likely a f... | Very minimal cervical spondylotic changes, with mild central spinal canal stenosis at C4-C5 and abutment of the ventral cord without significant deformity. |
Generate impression based on findings. | Head: There are no masses, mass effect, or abnormal parenchymal enhancement. There is no intracranial hemorrhage. The ventricles and sulci are normal in size. The skull base foramina are grossly unremarkable. There is mild opacification of the ethmoid air cells and a small mucus retention cyst in the left maxillary si... | Stable appearance of left nasal ala resection with further resolution of regional treatment effect. |
Generate impression based on findings. | 63 years, Male, Reason: assess for bony mets History: prostate cancer. Increased activity within the right aspect of the L3 vertebral body and bilaterally within the L4 vertebral body. There is also increased activity along the right aspect of a lower cervical vertebral body.There is subtle mildly increased activity wi... | 1.Foci of increased activity within the lumbar spine and lower cervical spine are likely degenerative.2.Foci of increased activity along the bilateral ribs is also most likely degenerative, however continued follow-up of these regions is recommended to exclude neoplasm.3.No definite suspicious areas to suggest osseous ... |
Generate impression based on findings. | Clinical question: Evaluate sinuses. Signs and symptoms cord frequent sinusitis; barotrauma with flying; deviated nasal septum exam. Medtronic sinus CT:Frontal sinuses demonstrate minimal mucosal thickening in the dependent portion of right sinus.Ethmoid sinuses demonstrate minute bilateral tiny foci of mucosal thicken... | 1.Extensive chronic bilateral maxillary sinus disease and including retention cysts and occluded right ostiomeatal unit.2.Minute chronic sinusitis of other paranasal sinuses as detailed.3.Significant leftward nasal septum deviation, leftward projecting bony septal spur which is in contact and mildly deforms the mucosa ... |
Generate impression based on findings. | Radius fracture.VIEWS: Left wrist PA/lateral (two views) 03/12/15 The cast has been removed.Sclerosis at and callus formation around the radial metaphyseal fracture have increased. Alignment is near anatomic. | Healing distal radial fracture. |
Generate impression based on findings. | Male 55 years old Reason: OA History: OA Right knee: Moderate to severe osteoarthritis affects the right knee with near bone-on-bone apposition. There are tricompartmental osteophytes. No acute fracture or malalignment. No joint effusion.Left knee: Moderate osteoarthritis affects left knee with moderate medial compartm... | Moderate to severe right knee and moderate left knee osteoarthritis. |
Generate impression based on findings. | Male 44 years old Reason: knee pain, ankle pain History: same Right lower extremity: There is diffuse soft tissue swelling. The underlying tibia and fibula are intact. No evidence of osteomyelitis or acute fracture.Right ankle: There is moderate midfoot osteoarthritis. The joint space the ankle is normal. No acute frac... | Soft tissue swelling without underlying fracture. |
Generate impression based on findings. | Pain. Preop for right total hip arthroplasty with Stryker robotic system. CT images of the right hip reveal osteonecrosis of the right femoral head with articular collapse. There is moderate medial joint space narrowing.CT images of the pelvis demonstrate moderate left hip osteoarthritis. Limited images of the bilatera... | AVN of the right femoral head with collapse as described above. |
Generate impression based on findings. | 59 year-old female with melena evaluate for source of small bowel bleeding ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Unchanged dilatation of the common bile duct. Cirrhotic liver morphology. Status post cholecystectomy. Possible calcified lymph node in the porta hepatis. Gastroesophageal... | 1. Cirrhosis and gastroesophageal varices consistent with portal hypertension. No active GI bleed or bowel lesion identified.2. Moderate abdominal and pelvic ascites. |
Generate impression based on findings. | Reason: evaluate sinuses History: chronic nasal congestion; sinus pain/pressure versus headache Mild right maxillary and trace left maxillary sinus mucosal thickening. There is also small focal thickening of the left sphenoid sinus. The osteomeatal complexes are normal with intact uncinate processes and patent infundib... | Mild right maxillary and trace left maxillary sinus mucosal thickening. There is also small focal thickening of the left sphenoid sinus. Otherwise normal exam. |
Generate impression based on findings. | Paralysis agitans. Intra-operative CT. Limited intra-operative CT of the head demonstrates a pre-existing right frontal approach deep brain stimulator electrode and interval placement of a left frontal approach deep brain stimulator electrode with tips in the region of the subthalamic nuclei. There is no acute intracra... | Pre-existing right frontal approach deep brain stimulator electrode with interval placement of a left frontal approach deep brain stimulator electrode, with tips in the region of the subthalamic nuclei. |
Generate impression based on findings. | 44-year-old female with history of left breast Phyllodes tumor status post excision. History of right breast fibroadenoma and benign, enlarged right axillary lymph node. No family history of breast cancer. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast ... | Stable postsurgical changes of the left breast. Stable right breast mass and right axillary lymph node. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient... |
Generate impression based on findings. | Avascular necrosis.VIEW: Pelvis AP (one view) 03/12/15 The left femoral head is flattened, sclerotic, irregular, and broadened. The femoral neck is also broadened. The joint space is widened. Lateral uncovering of the femoral head is present. The femoral head height is increased in comparison to the prior exam. The ace... | Increase in ossification of left femoral head. |
Generate impression based on findings. | 83-year-old male patient with history of microscopic hematuria. ABDOMEN:LUNG BASES: Scattered pulmonary micronodules and basilar scarring.LIVER, BILIARY TRACT: Multiple small hypoattenuating lesions in the liver parenchyma are too small to characterize and likely represent cysts.SPLEEN: No significant abnormality noted... | No radiographic abnormalities to account for patient's microscopic hematuria. |
Generate impression based on findings. | 40 year-old female with diarrhea, nausea, abdominal pain after EGD ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: The gallbladder is collapsed and poorly visualized. No focal hepatic lesion. Mild hepatic biliary prominence which is of unclear etiology.SPLEEN: No significant abnormality notedP... | 1. Nonspecific apparent sigmoid wall thickening, which may be due to underdistention or underlying colitis. No evidence of perforation.2. Atherosclerotic calcification of the iliac bifurcation, pronounced for the patient's age.3. Mild intrahepatic biliary prominence, correlate with liver function tests. |
Generate impression based on findings. | Male, 16 years old. Trauma to left mandible.VIEWS: Mandible Panorex (1 views) 3/12/2015 No evidence of fracture or temporomandibular joint dislocation.No significant soft tissue abnormality or focal dental lesions. | No radiographic evidence of traumatic injury. |
Generate impression based on findings. | Status post right mastectomy for breast cancer in 1980, presents today for routine follow up. No current 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 composed of scattered fibroglandular elements, unchanged in patt... | 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: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | There are bilateral enlarged submandibular, submental, and jugulodigastric chain lymph nodes. For reference, right level 1B lymph node measures 2.3 x 1.4 cm (series 6 image 41), and left level 2A lymph node measures 1.9 x 1.2 (series 6 image 49). There are scattered bilateral supraclavicular lymph nodes, but none of t... | 1.Bilateral cervical lymphadenopathy, concerning for lymphoma recurrence given the provided history. 2.Prominence of adenoidal soft tissue and palatine tonsils, which may also represent lymphoma involving Waldeyer's ring vs. reactive lymphoid tissue.3.Enlarged left thyroid lobe with possible inferior pole nodule and is... |
Generate impression based on findings. | Metastatic progressive breast cancer with superior mediastinal adenopathy and left supraclavicular adenopathy, rule out brain metastases. There is interval increase in size of the ill-defined left supraclavicular lesion, which measures approximately 14 x 20 mm, previously 16 x 11 mm. There is also increase in the upper... | 1. Interval increase in size of the left supraclavicular and upper mediastinal lymphadenopathy. Please refer to the separate chest CT report for additional details.2. No significant interval change in the appearance of the osseous metastases. |
Generate impression based on findings. | Female 17 years old Reason: AO root dissection and enlargement Partial visualization of the lung parenchyma shows no evidence of focal opacities effusions or pneumothorax.Aorta: The aortic arch is left sided. The brachiocephalic vessels branch normally from the arch. Visualized portions of the aorta demonstrate no evid... | Normal targeted angio ct of the ascending aorta with no evidence of dissection or aneurysm.Dr. Peter Varga was present during the elaboration of this report and agrees with the findings. |
Generate impression based on findings. | 22-year-old male with history of polymyositis. Evaluate for methotrexate toxicity. LUNGS AND PLEURA: Redemonstrated are diffuse centrilobular groundglass nodules which are slightly more conspicuous when compared to the prior CT. There are also scattered subpleural reticular opacities. No evidence of air trapping on exp... | 1. Diffuse bilateral centrilobular ground glass nodules and subpleural reticulation have slightly increased in conspicuity. These findings are nonspecific but may indicate progressive early interstitial lung disease. Findings are not typical for methotrexate lung toxicity.2. Small hiatal hernia. |
Generate impression based on findings. | 65 -year-old female with history of nasal ala cancer s/p chemoradiation. LUNGS AND PLEURA: Scattered calcified granulomata.No suspicious nodules or masses.MEDIASTINUM AND HILA: Right chest port tip is in the SVC.Calcified mediastinal lymph nodes suggestive of prior granulomatous disease.No evidence of mediastinal or hi... | No evidence of metastases or other significant abnormality. |
Generate impression based on findings. | 71 years old Female. Reason: evaluate extent of disease. History: abdominal pain, new diagnosis of adenocarcinoma, possible metastatic gallbladder cancer and also with a large adnexal mass. RADIOPHARMACEUTICAL: 14.4 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 84 mg/dL. Today's CT portion grossly demonstr... | 1.Hypermetabolic large mass in the pelvis, consistent with the patient's diagnosis of ovarian cancer.2.Nodal metastasis in the abdomen and pelvis.3.Hepatic metastasis.4.Hypermetabolic lymph nodes in the mediastinum and bilateral lung hila, suspicious for nodal metastasis.5.Probable inflammatory lymph nodes in the neck ... |
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. Compare ventricular size. There is streak artifact from coil embolization in the region of the righ... | 1. Unchanged mildly dilated ventricles.2. Continued evolution of diffuse subarachnoid hemorrhage and right anterior frontal hematoma. |
Generate impression based on findings. | 63 years, Female, Reason: melanoma - multiple lesions of unclear etiology seen on CT scan. Request PET to assess for hypermetabolic activity that would suggest active cancer. History: pt with melanoma and new skin mets - please eval disease status and compare to previous imaging.RADIOPHARMACEUTICAL: 12.1 MCi F-18 fluor... | 1.Hypermetabolic liver lesions are suspicious for metastases.2.Focus of increased activity within the left mid abdomen which is surrounded by small bowel loops is suspicious for metastases.3.Left adrenal gland is only mildly hypermetabolic and neoplasm is considered unlikely.4.Postsurgical changes in the subcutaneous t... |
Generate impression based on findings. | Female 57 years old Reason: eval frac History: pain There is a fracture through the base of the cyst proximal phalanx the fracture fragments and mild dorsal angulation. There is some callus formation indicating ongoing healing. | Healing fifth proximal phalanx fracture. |
Generate impression based on findings. | Male, 15 years old. Evaluate for SCFE History: 1 week hip painVIEWS: Pelvis AP, frogleg (2 views) 3/12/2015, 1339 The osseous structures and joint spaces are normal.The femoral heads are well directed into the acetabula. Normal alignment of the epiphyses and respective metaphyses. Near complete growth plate closure at ... | No evidence of SCFE or other acute abnormality. |
Generate impression based on findings. | Left fifth toe proximal phalanx fracture. There is redemonstration of a fracture of the distal fifth digit proximal phalanx. The fracture line is indistinct suggestive of healing. Alignment is anatomic. | Healing fifth digit proximal phalanx. |
Generate impression based on findings. | Ankylosing spondylitis B27 positive. Five views of the cervical spine reveal mild straightening of the normal cervical lordosis. There is no significant syndesmophyte formation. Vertebral body heights are maintained. No acute fracture is evident.Single AP view of the pelvis reveals mild sclerosis about the bilateral sa... | 1. Increased ankylosis of the superior right sacroiliac joint.2. New anterior L5-S1 syndesmophyte formation.3. Patchy sclerosis of the bilateral femoral necks; if the patient reports hip pain, MRI may be considered for further evaluation. |
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