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Generate impression based on findings. | Female 73 years old Reason: left TKA History: left TKA Components of a total left knee arthroplasty device are situated in near-anatomic alignment without radiographic evidence of hardware complication. There are extensive bone infarctions in the distal femur and proximal tibia.Contralateral right knee also shows a tot... | Total left knee arthroplasty device without radiographic evidence of hardware complication. |
Generate impression based on findings. | Male 28 years old Reason: left knee pain History: left knee pain Bone mineralization is normal. Alignment is anatomic. Joint space is normal. There is a small joint effusion. No acute fracture is evident. | Small joint effusion. |
Generate impression based on findings. | Female 10 years old Reason: evaluate healing of fracture out fo cast History: left ankle fractureVIEWS: Left ankle AP, lateral and oblique 3/12/15 (3 views) Healing Salter-Harris 4 fracture of the distal tibia with periosteal reaction and callus formation is in anatomic alignment. | Healing fracture of the left tibia in anatomic alignment, as described. |
Generate impression based on findings. | Foot pain. Three views of the left foot reveal no acute fracture or malalignment. There is no soft tissue swelling. | No acute fracture is evident. |
Generate impression based on findings. | 69-year-old female patient with hematuria. ABDOMEN:LUNG BASES: Nonspecific right lower lobe pleural-based micronodule is noted (series 6 image 14).LIVER, BILIARY TRACT: Cholelithiasis without CT evidence of cholecystitis.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS:... | 1.No radiographic abnormalities to account for patient's hematuria.2.Nonspecific fullness of the lower uterine cavity. Recommend correlation with physical exam. |
Generate impression based on findings. | Male, 5 years old. Evaluate hip location History: cerebral palsyVIEWS: Pelvis AP, frogleg (2 views) 3/12/2015, 1253 VP shunt catheter is again noted.Persistent bilateral coxa valga deformity.Persistent right hip dislocation on AP view, with shallow acetabular angle.On frogleg view, the left hip is well directed into th... | Bilateral coxa valga deformity with persistent right hip dislocation. |
Generate impression based on findings. | 82-year-old female patient with persistent polyp growth in a sitting: Status post removal presents with acute abdominal pain. Evaluate for perforation. 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 obser... | 1.No CT evidence of colonic perforation in this limited examination.2.Calcification at the splenic flexure between the colon and the splenic hilum is favored to represent a calcified diverticulum and less likely a splenic artery aneurysm. |
Generate impression based on findings. | Painful right knee with abnormality adjacent to growth plate on MR. An ill-defined area of sclerosis is noted anteriorly and centrally within the tibial metaphysis abutting the physis. Within this sclerotic region, a 0.3 cm lucency is present with the suggestion of a central sclerotic focus (nidus).A 0.6 cm fibrous cor... | Sclerotic lesion with central lucency in anterior central tibial metaphysis most likely an osteoid osteoma. |
Generate impression based on findings. | 72 year-old female with history of right lumpectomy and adjuvant radiation therapy in 2005 for DCIS. History of benign biopsy in the left breast in 2014. History of breast carcinoma in maternal grandmother. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breas... | 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. | Female, 7 years old. Evaluate fracture for healing Left tib fib fracture.VIEWS: Left tibia/fibula AP, lateral (2 views) 1308 Evaluation of osseous detail is again limited by overlying casting material.The oblique distal tibia fracture has persistent lateral displacement of the distal fracture fragment. There is increas... | Healing oblique distal tibial fracture with persistent lateral displacement of the distal fracture fragment. |
Generate impression based on findings. | Female 16 years old Reason: evaluate healing of fracture History: pubic ramus fractureVIEWS: Pelvis AP 3/12/15 (one views) Healing left pubic ramus fracture is in anatomic alignment. No healing fracture of the sacrum is noted. | Healing left pubic ramus fracture in anatomic alignment. |
Generate impression based on findings. | PHARYNX/LARYNX: There are post-treatment findings related to neck dissection and radiation therapy in the nasopharyngeal region. No discrete mass is identified. The oropharynx, hypopharynx, and larynx are unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass or pathologi... | 1. Redemonstration of stable posttreatment and postoperative changes without measurable residual right nasopharyngeal tumor or cervical lymphadenopathy.2. Persistent nonvisualization of the majority of the right internal jugular vein, which may have been surgically ligated provided the prior neck dissection, or more li... |
Generate impression based on findings. | Female, 2 years old. CF; recent viral illness + RSV ; r/o pneumonia/infiltrates History: Persistent cough, fatigue, reduced appetite.VIEWS: Chest AP/lateral (two views) 3/12/2015 The cardiothymic silhouette is normal.Large lung volumes. Increased bronchial wall thickening, with scattered bronchiectasis.No pleural effus... | Bronchial wall thickening and scattered bronchiectasis, compatible with a known diagnosis of cystic fibrosis. No evidence of pneumonia. |
Generate impression based on findings. | 59-year-old male patient with history of metastatic renal cancer. Evaluate for disease progression. CHEST:LUNGS AND PLEURA: Again seen are chronic left basilar interstitial opacities and volume loss. There is interval improvement and some scattered groundglass micronodules in the right upper lobe, compatible with prior... | Enlarging hypoattenuating lesion in segment 6 of the liver likely represents metastatic disease. Stable size of the osseous metastatic lesions with reference measurements as above. |
Generate impression based on findings. | Clinical question: evaluate sinuses. Signs and Symptoms: frequent sinus infections; chronic nasal congestion; mildly deviated nasal septum CT MEDTRONIC FUSION :Frontal sinuses are well pneumatized and unremarkable.Sphenoid sinus is well pneumatized and unremarkable. Patent bilateral sphenoethmoidal recesses.Ethmoid sin... | 1.No evidence of sinus disease.2.Leftward nasal septum deviation and a leftward projecting bony septal spur which is in wide contact and deforms the left inferior mucosa.3.Well pneumatized mastoid and middle ear cavities. |
Generate impression based on findings. | Female, 12 years old. History of necrotizing pancreatitis, with abdominal pain. Evaluate for pancreatic pseudocyst. ABDOMEN:LUNG BASES: Mild dependent atelectasis. No focal consolidation.LIVER, BILIARY TRACT: No focal liver lesions. No biliary ductal dilatation.SPLEEN: The splenic artery runs directly along the posteri... | 1. A large pancreatic pseudocyst extends throughout the peritoneum and has local mass effect on the stomach, pancreas, and left kidney.2. Probable splenic vein occlusion or thrombosis, with enlarged collateral vessels draining into the portal system.3. The pancreatic body and tail are not well visualized, possibly due ... |
Generate impression based on findings. | 68 year old with history of left mastectomy for breast cancer in 1999, presents today for routine follow up. No current breast complaints. 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 elements, u... | 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: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Right wrist pain. Three views of the right wrist reveal no acute fracture or malalignment. There is no significant soft tissue swelling. | No acute fracture is evident. |
Generate impression based on findings. | 59 years, Male, Reason: met prostate cancer, rising PSA, evaluate for progression History: rising PSA. There are innumerable foci of increased radiotracer uptake within the calvarium, scapula, sternum, ribs and pelvis which correspond to diffuse sclerotic metastases on CT. Lesions within the manubrium, right eighth rib... | Mild progression of diffuse osseous metastasis with new rib and manubrial lesions. |
Generate impression based on findings. | Low back pain. Right hip pain. Three views of the lumbar spine reveal disk space narrowing, vacuum disk phenomenon, and anterior osteophyte formation at L3/L4. There is mild disk space narrowing of L4/L5. No acute fracture is evident. Vertebral body heights are maintained. There is degenerative disk disease of the visu... | 1. Degenerative disk disease of L3/L4.2. Moderate osteoarthritis of the bilateral hips. |
Generate impression based on findings. | Chronic sinonasal congestion; frontal headaches; leftward deviated nasal septum; OSA on CPAP. There is mild mucosal thickening in the bilateral maxillary sinuses, partial opacification of the ethmoid sinuses diffusely, and moderate left frontoethmoid recess and inferior left frontal sinus mucosal thickening and associa... | 1. Scattered paranasal sinus opacification in a sporadic pattern with features suggestive of chronic sinusitis.2. The nasal septum is deviated slightly to the left with an associated 3 mm wide spur. 3. Nonspecific mild left frontal scalp skin thickening. |
Generate impression based on findings. | 22 year-old female with right elbow pain status post athletic injury. Three views of the right elbow demonstrate small joint effusion. Linear lucency through the head of the radius is suggestive of small nondisplaced intra-articular radial head fracture. Alignment is anatomic. | Findings are suggestive of nondisplaced intra-articular fracture of the radial head with small joint effusion. Follow-up radiographs are recommended for confirmation. |
Generate impression based on findings. | Hallux valgus. Intraoperative images of the left foot reveal two orthopedic screws within the first metatarsal and medial cuneiform affixing the first tarsometatarsal joint. There is flattening of the medial head of the first metatarsal with overlying soft tissue irregularity compatible with surgery. Alignment is anato... | Postsurgical changes of bunion correction surgery. |
Generate impression based on findings. | 64-year-old female with recent right ankle fracture-dislocation status post reduction. Two views of the right ankle demonstrate overlying cast material, which limits fine bone detail. There is been interval reduction of the known right ankle fracture-dislocation, in near-anatomic alignment. The distal fibular fracture ... | Status post reduction of right ankle fracture-dislocation in near-anatomic alignment. |
Generate impression based on findings. | Stiff. Question of a healed fracture. Three views of the right ring finger reveal a sideplate and screw device affixing a middle phalanx fracture in near anatomic alignment. The fracture line is less distinct suggestive of healing. | Healing middle phalanx fracture. |
Generate impression based on findings. | There is acute hemorrhage extending from the previously seen necrotic mass inferomedially into the pons. There is increased mass effect on the fourth ventricle, however the basilar cisterns remain patent. Slight increase in size of the third and lateral ventricles is concerning for early obstructive hydrocephalus, but... | 1.Hemorrhage in the midbrain and pons arising from the known necrotic glioblastoma.2.Increased mass effect on the fourth ventricle with increase in size of third and lateral ventricles. While this is concerning for early obstructive hydrocephalus, a component of global cerebral volume loss cannot be excluded. No frank ... |
Generate impression based on findings. | Male 61 years old Reason: pre-op History: pain There is moderate to severe medial compartment joint space narrowing with near bone-on-bone apposition.Sclerotic changes in the distal femur from bone infarctions. Mechanical axis is approximately 8 degrees of varus. | Mechanical axis as detailed above. |
Generate impression based on findings. | 80 year-old female, surveillance of splenic artery aneurysm ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Splenic artery aneurysm is not significantly changed and measures 1.6 x 1.4 cm and previously measured 1.5 0.4 cm (image 20 of series 3). Measurem... | Unchanged splenic artery aneurysm. |
Generate impression based on findings. | Pain. Preop. Bone length radiographs are provided. There is 6 degrees of varus angulation. No acute fracture is identified. Three views of the right knee reveal severe medial compartment joint space narrowing. There is tricompartmental osteophyte formation and severe joint space narrowing of the patellofemoral joint. N... | 1. Varus angulation of the knee as described above. 2. Severe osteoarthritis of the right knee. |
Generate impression based on findings. | Female 32 years old Reason: r/o remaining abscess History: redness, swelling, copious purulent drainage. Subcutaneous tissues, fat and muscle planes appear normal with no visible fluid collections. No abnormal areas of vascularity. | No loculated fluid collections to suggest abscess in the area of redness and swelling along the left thigh. |
Generate impression based on findings. | The previously seen right-sided nasopharyngeal mass is no longer visualized, there is no significant residual asymmetry in appearance of soft tissues at this level.The ventricles and sulci are prominent, consistent with mild age-related volume loss. The basal cisterns remain patent. There is no midline shift or mass e... | 1. Interval complete resolution of right nasopharyngeal mass with no residual asymmetry in soft tissues.2. No acute abnormality. Probable mild chronic small vessel ischemic changes. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in mother at age 56. Two standard digital views of both breasts and additional MLO views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibrog... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 83 years, Male. Reason: abdominal distension History: abdominal distension Mild ileus type gas pattern. There is a Dobbhoff tube with its tip projecting over the body of the stomach. Calcific density projecting of the urinary bladder likely represents a urinary bladder calculus. | Nonobstructive bowel gas pattern. Dobbhoff tube with tip projecting over the body of stomach. |
Generate impression based on findings. | Female 34 years old Reason: right distal radius fracture History: fracture There is an underlying comminuted minimally displaced fracture of the ulnar margin of the distal radial metadiaphysis. There is no change in alignment. There is a lucency in the distal radial metaphysis. There is some callus formation.There is d... | Healing distal radius fracture. |
Generate impression based on findings. | 79 years, Male. Reason: eval OG History: eval OG There is a nasogastric tube with its tip projecting over the prepyloric stomach. Presumed common bile duct stent projects over the right upper quadrant. There is a nonobstructive bowel gas pattern. The pelvis is excluded from the field of view. | Nasogastric tube with its tip projecting over the prepyloric stomach. |
Generate impression based on findings. | History of breast cancer with recurrence in supraclavicular lymph node. There is no significant change in size of the right neck lymphadenopathy, with a dominant supraclavicular lymph node that measures up to 34 mm. There is associated stranding of the surrounding fat and apparent infiltration of the adjacent deltoid. ... | 1. No significant interval change in the right metastatic right neck lymphadenopathy with suggestion of extracapsular spread and/or lymphedema.2. Evidence of acute sinusitis. |
Generate impression based on findings. | Male 72 years old Reason: left THA History: left THA Two views of the left hip shows components of a total left hip arthroplasty device in near-anatomic alignment without radiographic evidence of hardware complication. The drain has been removed. Overlying skin suture staples are present. There are phleboliths in the p... | Total left hip arthroplasty device as detailed above. |
Generate impression based on findings. | 36-year-old female with history of fibroadenoma, presents for ultrasound guided biopsy of right breast mass. Right ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a hypoechoic mass measuring 3.0 cm at the 1 o’clock position with mild increased vascularity, 2 cm from the nipple. The l... | 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. | Status post ACL reconstruction. Two views of the left knee reveal postsurgical changes of an ACL reconstruction with proximal and distal anchors. No acute fracture is identified. There is a small joint effusion. The bones are demineralized. | Postsurgical changes of ACL reconstruction. |
Generate impression based on findings. | Female 94 years old Reason: pain History: none Right wrist: Bone demineralized. Alignment is anatomic. There is mild joint space loss at the radiocarpal joint..Right hand: Bones are demineralized. Alignment is near-anatomic. There is mild to moderate interphalangeal joint space loss in moderate to severe first and seco... | Osteoarthritis of the wrist and hand. |
Generate impression based on findings. | 53 years old Female. Reason: decision about continuation of this therapy versus switching to something else. History: metastatic breast CA on chemo, followup scan. Restaging, response to therapy. Pain and numbness left arm. RADIOPHARMACEUTICAL: 12.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 85 mg/dL. T... | Interval increased activity in the left chest wall sub-pectoral lymph node, suspicious for tumor recurrence.Stable right hilar mild FDG uptake, which is most likely due to inflammatory change. Interval decreased metabolic activity in the cervical small lymph nodes, which are most likely due inflammatory changes.Diffuse... |
Generate impression based on findings. | 91-year-old male patient with history of prostate cancer and weight loss. CHEST:LUNGS AND PLEURA: Moderate centrilobular emphysema is again noted. There are scattered bilateral micronodules, some of which are calcified, compatible with prior granulomatous disease.MEDIASTINUM AND HILA: Calcified hilar lymph nodes compat... | 1.Interval decrease in prostate mass and intra-abdominal lymph nodes. 2.Left renal midpole mass is slightly enlarged compared to prior examination and continues to be concerning for neoplasm. |
Generate impression based on findings. | 63 year old female status post left lumpectomy in 2014 for IDC, presents today for routine follow up. Patient received radiation and chemotherapy. No current breast complaints. No family history of breast cancer. Three standard views of both breasts, and two magnification views of the left lumpectomy site, were perform... | Postsurgical changes of the left breast. Stable right breast mass. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMEND... |
Generate impression based on findings. | 72 year-old with history of left mastectomy for breast cancer and reconstruction 20 years ago. Skin redness and nodularity was noted at the left reconstructed breast. Skin over the region of interest was marked by Dr. Chhablani. The area to be studies is 12 - 1 o'clock position in the left reconstructed breast. Focused... | No sonographic evidence for malignancy.BIRADS: 2 - Benign finding.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 52-year-old female with history of right wrist pain. Continued interval healing of a nondisplaced scaphoid fracture, evidenced by a band of sclerosis in the area of prior lucency. The previously described cortical step-off in the distal radius is no longer well visualized, compatible with interval healing. The benign-a... | Continued interval healing of nondisplaced scaphoid and distal radial fractures. |
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. Bilateral benign calcifications, inclu... | 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. | 71 year-old female with left shoulder, elbow, and forearm pain. Two views of the left scapula thumbs are normal anatomic alignment. There is no evidence of fracture. There is mild osteophyte formation at the acromioclavicular joint. Periosteal changes are present in the scapular tip. Three views of the left elbow demon... | Mild periosteal changes in the scapular tip, without definitive fracture. If patient's pain corresponds to this region, further evaluation with CT is recommended. Unremarkable images of the left elbow and left forearm. |
Generate impression based on findings. | 60 year old female with a history of right mastectomy and sentinel lymph node biopsy in 2009 for IDC with DCIS, who has a complaint of a new right axillary/chest wall mass. No family history of breast cancer. Right ultrasound identified the target lesion for biopsy. The lesion to be targeted is a mixed echogenicity mas... | Successful ultrasound-guided core biopsy of the right axillary lesion and clip placement. Pathology is pending at this time.BIRADS: 5 - Highly suggestive of malignancy.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 54-year-old female history of laryngeal cancer and smoking. Evaluate for lung metastasis. LUNGS AND PLEURA: No suspicious pulmonary lesions identified. No focal air space opacities or pleural effusions. Hyperattenuating punctate foci in bilateral bases is nonspecific but may represent aspirated barium. Mild scarring at... | No evidence of metastatic disease to the lungs. |
Generate impression based on findings. | Fall with landing on right knee. Right knee pain. Four views of the right knee reveal no acute fracture or malalignment. There is no joint effusion. | No acute fracture is evident. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of uterine cancer diagnosed in mother. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distrib... | 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. | 80-year-old male with pain in right anterior neck and submandibular area. Evaluate for tumor or vascular abnormality In the region of of pain in the right submandibular area and right lateral neck there is a hypoechoic to nearly cystic tubular structure coursing along the right neck and connecting with the internal jug... | Findings most likely represent a superficial thrombosed venous collateral to the internal jugular vein. |
Generate impression based on findings. | 25 years, Female. Reason: Pt is a 25 yo with h/o chronic abdominal pain, associated to diarrhea. Please assess for stool burden. History: abdominal pain and diarrhea Average stool burden distributed throughout the colon. There is a nonobstructive bowel gas pattern. | Average stool burden distributed throughout the colon. |
Generate impression based on findings. | Pain. Two views of the cervical spine reveal no acute fracture. There is a reversal of the normal cervical lordosis. The vertebral body heights are preserved. A well corticated ossicle inferior to the anterior arch of C1 likely represents an accessory ossicle.Three views of the lumbar spine reveal moderate disk space n... | 1. Reversal of the normal cervical lordosis.2. Degenerative changes of the lower lumbar spine as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of cervical cancer. Family history of cervical cancer diagnosed in sister. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular den... | 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. | Back pain and cracking. History of breast carcinoma in situ. Please include a flexion/extension view to evaluate for spondylolisthesis. Four views of the lumbar spine reveal no acute fracture. The alignment is anatomic. There is disk space narrowing at L3/L4, L4/L5, and L5/S1. There is facet sclerosis and hypertrophy o... | Grade 1 anterolisthesis of L4 on L5 with flexion and additional degenerative changes as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Scattered benign calcifications are present.No ... | 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. | Left hip pain status post left hip replacement. Question of hardware displacement, other arthritis changes. Two views of the left hip reveal a total hip arthroplasty device in anatomic alignment without evidence of hardware complication. No acute fracture is evident. There is heterotopic ossification along the lesser a... | Left total hip arthroplasty without evidence of hardware complication. |
Generate impression based on findings. | Patient patient says a splinter went in, now retained. Please evaluate for metal splinter in left thumb. Three views of the left hand reveal no acute fracture or malalignment. No radiopaque foreign body is identified. There is heterotopic bone adjacent to the first interphalangeal joint. A small calcification is noted ... | No radiopaque foreign body is identified. |
Generate impression based on findings. | Clinical question: Altered mental status. Signs and symptoms: Altered mental status. Unenhanced head CT:No acute intracranial findings, CT however is insensitive for early detection of the acute nonhemorrhagic ischemic strokes.Extensive periventricular and subcortical low attenuation of white matter is highly suggestiv... | 1.No acute intracranial process.2.Extensive age indeterminate small vessel ischemic strokes |
Generate impression based on findings. | 52-year-old female patient with right lower quadrant pain x 3 to 4 weeks. Note that examination is limited by small intravenous contrast bolus. Given this limitation, the following observations can be made:ABDOMEN:LUNG BASES: Scarring and chronic appearing interstitial reticular opacities are noted in the right lower l... | 1.No acute intra-abdominal abnormalities to account for patient's pain.2.Cardiomegaly, ascites and findings compatible with hepatic congestion. Prominent mesenteric nodes are favored to be reactive to this process. |
Generate impression based on findings. | Painful right knee with abnormality adjacent to growth plate on MR. An ill-defined area of sclerosis is noted anteriorly and centrally within the femoral metaphysis abutting the physis. Within this sclerotic region, a 0.3 cm lucency is present with the suggestion of a central sclerotic focus (nidus).A 0.6 cm fibrous co... | Sclerotic lesion with central lucency in anterior central femoral metaphysis most likely an osteoid osteoma. |
Generate impression based on findings. | 69 years old Male. Reason: needing staging. History: h/o recurrent HNC. RADIOPHARMACEUTICAL: 15.2 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 152 mg/dL. Today's CT portion grossly demonstrates dependent changes/atelectasis are seen in the lung bases. Mixed sclerotic and lytic lesions in the left hemipelv... | 1.No definite evidence of FDG avid tumor.2.Subcutaneous soft tissue nodules with mild FDG uptake in the chest wall and right abdominal wall, which are nonspecific. Suggest clinical correlation. 3. Inflammatory changes in the lower lungs.4.Mixed and sclerotic lesions in the left hemipelvis with no increased metabolic ac... |
Generate impression based on findings. | 48 years, Female, Reason: Relapsed DLBCL History: 48Yrs female with relapsed DLBCL with bone involvement s/p ASCT 2/2012 in need of restaging.RADIOPHARMACEUTICAL: 14.7 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 102 mg/dL. Today's CT portion grossly demonstrates mildly enlarged bilateral jugular chain no... | 1.New hypermetabolic pelvic lymph nodes suggest disease progression.2.Hypermetabolic cervical nodes are stable.3.Hypermetabolic right axillary node is new and may represent either neoplasm or infiltration from injection. |
Generate impression based on findings. | Knee injury. Question of fracture. Four views of the left knee reveals no acute fracture or malalignment. There are mild osteoarthritic changes of the knee. | 1. No acute fracture is evident.2. Mild osteoarthritis. |
Generate impression based on findings. | 27-year-old female with lower back pain. Two views of the lumbar spine demonstrate pars defects are present at L5- S1 without significant anterolisthesis. Normal anatomic alignment is maintained. There is no evidence of acute fracture. | Pars defects at L5-S1, without significant anterolisthesis. |
Generate impression based on findings. | A left frontal burr hole is again seen from previous biopsy. Again seen is a large heterogeneous left frontal lobe mass involving grey and white matter. There is minimal if any residual enhancement along the left anterolateral margin of the mass. There remains a persistent area of a near CSF signal intensity anteriorl... | 1. Redemonstration of large left frontal lobe tumor, with perfusion imaging suggesting also focal hyperperfusion along the left anterolateral margin of the mass corresponding to ill-defined residual enhancement. Continued attention to this area is recommended on follow-up exams.2. Subtle progressive decreased extent of... |
Generate impression based on findings. | Clinical question: New onset of headache, renal failure and right eye pain. Signs and symptoms: As above. Nonenhanced head CT:Detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricles and the gra... | Negative nonenhanced head CT. |
Generate impression based on findings. | Female 53 years old Reason: Confirm Dobbhoff tube placement History: as above There is a Dobbhoff tube with the tip projecting over the body of the stomach, with the guidewire still in place. The Dobbhoff tube appears kinked just distal to the guidewire. Epicardial pacer leads in place. Swan-Ganz catheter with tip in t... | Dobbhoff tube with the tip projecting over the body of the stomach, with the guidewire still in place. The Dobbhoff tube appears kinked just distal to the guidewire. |
Generate impression based on findings. | 57 year old with recent history of left breast pain, but no pain today. Whole breast ultrasound for left breast was performed. No abnormal findings are detected. | No sonographic evidence for malignancy. Clinical follow up is recommended. BIRADS: 1 - Negative.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 66 years, Male, Reason: staging/mediastinal History: new dx RML lung cancer.RADIOPHARMACEUTICAL: 12.6 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 103 mg/dL. Today's CT portion grossly demonstrates a large right middle lobe mass as described on the prior CT. There are moderate coronary artery calcificatio... | 1.Hypermetabolic right middle lobe mass consistent with patient's known adenocarcinoma.2.Mildly hypermetabolic subcarinal and right hilar nodes, tumor involvement cannot be excluded. There is also a minimally hypermetabolic right axillary node which is less suspicious for tumor.3.Mildly hypermetabolic left adrenal glan... |
Generate impression based on findings. | Fracture. There are postsurgical changes of the distal fibula with plate and syndesmotic screws without evidence of hardware complication. The fracture line is not clearly evident suggestive of near complete healing. Alignment is anatomic. The bones appear demineralized and there is soft tissue swelling about the later... | Orthopedic fixation of healing fractures. |
Generate impression based on findings. | Female 1 day old Reason: eval ETT placement History: intubated for MRI, right arm weakness.VIEW: Chest AP (one view) 3/12/15 at 1529 hrs. ET tube terminates below thoracic inlet. Aortic arch, cardiac apex and stomach are left-sided. Cardiac silhouette is normal in size and shape. Right upper lobe atelectasis. No effusi... | ET tube positioning as described.Right upper lobe atelectasis. |
Generate impression based on findings. | Right fifth digit injuryVIEWS: Right hand AP and right fifth finger lateral and oblique 3/12/15 (3 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | 79-year-old male with history of left leg pain, preop bone length assessment. Left bone length study reveals 4 degrees of varus angulation of the knee compared to the neutral mechanical axis. There is severe osteoarthritic effecting the left knee as well as moderate osteoarthritis affecting the left hip. | Four degrees of varus angulation of the knee compared to the neutral mechanical axis. |
Generate impression based on findings. | Pain. Three views of the right knee reveal no acute fracture or malalignment. There is minimal osteophyte formation of the lateral tibial femoral compartment and the patellofemoral compartment. The joint spaces are preserved.Three views of the left knee shows no acute fracture or malalignment. There is minimal osteophy... | 1. Grade 1/2 anterolisthesis of L3 on L4.2. Mild osteoarthritis of the bilateral knees. |
Generate impression based on findings. | 50 year-old female with right knee pain and stiffness. Four views of the right knee demonstrate moderate osteoarthritis of the knee, most significant in the medial femorotibial compartment, with joint space narrowing, subchondral sclerosis, and osteophyte formation, which has progressed from remote films from 2007 and ... | Moderate osteoarthritis. |
Generate impression based on findings. | 41-year-old female with neck pain. Four views of the cervical spine demonstrate multilevel degenerative changes, including mild joint space narrowing and C3-C4, C4-C5, C5-C6 as well as mild anterior osteophyte formation. There is bilateral neural foramina narrowing of C5-C6. There is no evidence of malalignment or acut... | 1.Mild multilevel degenerative disease of the cervical spine.2.Bilateral neural foramina narrowing of C5-C6. |
Generate impression based on findings. | Reason: source of fever History: neutropenic fever LUNGS AND PLEURA: Prior patchy groundglass opacities have progressed throughout the lungs with right upper lobe atelectasis or even fibrosis.The distribution is still upper lobe predominant.Small pleural effusions have developed.MEDIASTINUM AND HILA: No significantly e... | Progression of pulmonary opacities are suggestive of drug reaction, or diffuse pulmonary hemorrhage especially in light of the patient's thrombocytopenia and anemia. Although considered less likely, the etiologies still includes atypical infection although pleural effusions are uncharacteristic of pneumocystis pneumoni... |
Generate impression based on findings. | 60 -year-old male with history of bilateral hip pain, concern for arthritis. Two views of the right hip demonstrate mild joint space narrowing and osteophyte formation, compatible with minimal osteoarthritis. No evidence of fracture or malalignment. No significant soft tissue swelling.Two views of the left hip demonstr... | Bilateral mild osteoarthritis. |
Generate impression based on findings. | Rheumatoid arthritis. Three views of the right hand are provided. There are hardware components of a right total wrist arthroplasty and ulnar head prosthesis situated in near anatomic alignment without evidence of hardware complication. The wrist is held in flexion similar to the prior exam. Again seen is severe narrow... | Inflammatory and osteoarthritic degenerative changes as above, without significant progression. |
Generate impression based on findings. | 45-year-old female with right elbow pain, possible ulnar nerve compression. Four views of the right elbow demonstrate mild osteoarthritis. No significant joint effusion or soft tissue swelling. There is no discrete fracture or evidence of malalignment. | Mild osteoarthritis without acute fracture, malalignment, or joint effusion. |
Generate impression based on findings. | Status post laryngectomy for laryngeal cancer with postoperative radiation therapy. There are postoperative findings related to total laryngectomy, bilateral neck dissection, and tracheostomy, with a tracheostomy tube in position, as well as findings related to radiation therapy. There is no evidence of measurable mass... | Post-treatment findings in the neck without discernible evidence of locoregional tumor recurrence. |
Generate impression based on findings. | 91 years, Male, Reason: eval for disease progression, hx of prostate cancer with rising psa History: pain, weakness, weight loss. Hypermetabolic right rib lesion is unchanged on the prior exam and is likely benign. Additional right rib lesions seen previously are not visualized on this exam. Regions of increased radiot... | No definite evidence of osseous metastasis. |
Generate impression based on findings. | 50 year-old female with neck pain. Two views of the cervical spine demonstrate multilevel disk space narrowing, most pronounced at C3-C4 and C4-C5 and C5-C6. There is mild anterior osteophyte formation of C3 through C6. There is no evidence of cervical instability, acute fracture or malalignment. | Mild multilevel degenerative disease. No evidence of cervical instability. |
Generate impression based on findings. | 40 year-old male with history of left fourth metacarpal fracture. Three views of the left hand demonstrate a healing subacute oblique fracture through the mid-diaphysis of the fourth metacarpal, in anatomic alignment. There is no evidence of other fracture or malalignment. There is no significant soft tissue swelling. | Subacute oblique fracture of the fourth metacarpal in anatomic alignment. |
Generate impression based on findings. | Frontal sinus: The frontal sinus and frontoethmoidal recesses are clear.Anterior ethmoids: The anterior ethmoid air cells are clear.Maxillary sinuses: The right maxillary sinus is clear. There is polypoid mucosal thickening in the left maxillary sinus. The ostiomeatal units are clear.Posterior ethmoids: The posterior ... | Minimal mucosal thickening in the left maxillary sinus with polyp versus mucous retention cyst. Paranasal sinuses are otherwise clear. |
Generate impression based on findings. | Status post laryngectomy for laryngeal cancer with postoperative radiation therapy. There are postoperative findings related to total laryngectomy, bilateral neck dissection, and tracheostomy, with a tracheostomy tube in position, as well as findings related to radiation therapy. There is no evidence of measurable mass... | Post-treatment findings in the neck without discernible evidence of locoregional tumor recurrence. |
Generate impression based on findings. | History of CRT for tonsil/soft palate cancer in 2010, complicated by ORN of mandible requiring right fibular free flap in 2012, began treatment of deep neck space infection in 10/2014 with linezolid, but eventually required removal of mandibular hardware and neck debridement on 12/30. He started to develop facial edema... | 1. Postoperative findings related to segmental right mandibulectomy and reconstruction with interval demineralization of the right mandibular ramus with associated pathological fracture, as well also development of extensive periosteal reaction along the right mandibular ramus and portions of the fibular graft suggesti... |
Generate impression based on findings. | 67-year-old female patient status post right nephrectomy for clear cell renal carcinoma. ABDOMEN:LUNG BASES: Moderate coronary artery calcifications are noted. No suspicious appearing pulmonary nodules.LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant ab... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Right knee pain.VIEWS: Right knee AP, lateral and oblique 3/12/15 (3 views) There no evidence of fracture, malalignment or soft tissue swelling. No joint effusion. Mild cortical irregularity of the distal and medial metaphysis of the right femur is of uncertain clinical significance. | No fractures. |
Generate impression based on findings. | 57 year-old female with right knee pain. Four views of the right knee demonstrates severe tricompartmental osteoarthritis of the right knee, with bone-on-bone joint space narrowing, extensive osteophyte formation, subchondral sclerosis and subchondral cysts. There is mild varus deformity of the knees bilaterally. There... | Severe bone-on-bone osteoarthritis, right greater than left. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are digital mammographic images (1/9/15) performed at Evanston Hospital. For comparison, digital mammographic images (2/23/12) are available. Two standard views of both breasts were obtained. The breast parenchyma is heterogeneously dense, unchanged in ... | No mammographic evidence of malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Male 7 days old Reason: eval line UA position History: premature infant UV removedVIEW: Abdomen and chest AP (two views) 3/12/15 at 1558 hrs. ET tube tip is at the right mainstem bronchus or carina. The UAC terminates at T9. NG tube tip is at the stomach. Interval the UVC removal. Cardiac silhouette size is normal. Lar... | Interval removal of UVC.Misplaced ET tube.Bilateral diffuse lung haziness and large lung volumes unchanged.Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | 68-year-old female with pain in the left basilar joint. Three views of the left hand demonstrate joint space narrowing, subchondral sclerosis, and mild radial subluxation of the basilar joint. There is mild joint space narrowing of the radiocarpal and intercarpal joints, as well. There is no evidence of acute fracture ... | Moderate osteoarthritis of the wrist, most pronounced at the basilar joint. |
Generate impression based on findings. | 75-year-old female with history of metastatic breast cancer. Evaluate for response. CHEST:LUNGS AND PLEURA: Large right pleural effusion has become more loculated in the interval. Focus of gas density within this collection is likely iatrogenic. The adjacent pleural tissue demonstrates irregular thickening and enhancem... | 1. Malignant right pleural effusion has become loculated in the interval. Focus of gas within this collection is likely iatrogenic.2. Previously identified enlarged right cardiophrenic lymph nodes are no longer visualized.3. Unchanged hepatic lesions are likely benign.4. No measurable tumor. Fluid in the minor fissure ... |
Generate impression based on findings. | 37-year-old male with a history of bilateral shoulder and knee pain. Three views of the right shoulder are within normal limits. There is no evidence of acute fracture or malalignment. There are no significant degenerative changes.Three views of the left shoulder are within normal limits. There is no evidence of acute ... | No significant degenerative disease of the shoulders or knees. No acute abnormality. |
Generate impression based on findings. | Male 18 years old Reason: hx tib plateau fx s/p fixation and removal VIEWS: Left knee AP, lateral and oblique 3/12/15 (3 views) Healed tibial plateau fracture is in anatomic alignment. Round lucencies from previous hardware on the proximal diaphysis of the left tibia are still present. | Healed fracture, in anatomic alignment. |
Generate impression based on findings. | Redemonstrated is a burr hole in the right cranial vertex with a small amount of pneumocephalus and a clip in the medial right temporal lobe, compatible with recent biopsy. Again seen is diffuse hypoattenuation involving the white matter of the right temporal lobe extending to the insula and operculum. There is increa... | 1. Diffuse vasogenic edema involving the right frontal lobe of uncertain etiology, possibly related to spread of the temporal lobe process or worsening infectious/inflammatory process. Mild increased vascularity of the right cerebral hemisphere, which is likely reactive. 2. Postbiopsy changes of the temporal lobe.3. Mo... |
Generate impression based on findings. | 92 year-old male for assessment of aortic diameter, previously noted small aneurysm LUNGS AND PLEURA: Bibasilar dependent atelectasis. No suspicious nodules or masses are identified. No pleural effusion or pneumothorax.MEDIASTINUM AND HILA: Moderate cardiomegaly without pericardial effusion.Severe coronary artery calci... | Fusiform aneurysmal dilatation of the aorta at the diaphragmatic inlet measuring up to 4 cm. Aneurysmal dilatation of the ascending aorta measuring up to 4.2 cm. demonstrates no recent change from the prior exam demonstrates gradual increase in caliber when compared to CT 10/17/14. |
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