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Generate impression based on findings. | Male 18 years old Reason: 18 year old male patient diagnosed with clear cell sarcoma is here for THERASPHERES MAPPING in conjunction with nuclear medicine History: liver metastases There is free tracer activity within the right lobe of the liver consistent with patient's patient's recent mesenteric angiogram with Tc-99... | No evidence of lung shunting. Radiotracer accumulation in the right hepatic lobe consistent with patient's recent right hepatic artery infusion. |
Generate impression based on findings. | 26 year old female status post cyst removal in the thyroid in 2013, with left supraclavicular palpable mass. RIGHT LOBE MEASUREMENTS: No definite measurement can be obtained as there was history of right thyroidectomy.LEFT LOBE MEASUREMENTS: 5.6 cm x 1.4 cm x 1.5 cm.ISTHMUS MEASUREMENTS: No significant abnormality note... | 1. Benign appearing lymph node in the region of palpable left supraclavicular mass.2. Ill-defined hypoechoic tissue is noted in the region of the right thyroid lobe. Correlation with history is recommended to determine if there was partial or total right thyroidectomy performed. |
Generate impression based on findings. | right facial droop, right extremity weakness No evidence of acute ischemic or hemorrhagic lesion.Diffuse brain atrophy with prominent ventricular system and patchy low attenuations on bilateral periventricular white matter which represent non specific small vessel ischemic disease.However, more precise evaluation can b... | No CT evidence of acute ischemic or hemorrhagic lesion.Advanced non specific small vessel disease with mild to moderate age appropriate brain atrophy.Brain MRI can be considered for further evaluation. |
Generate impression based on findings. | Male; 78 years old. Reason: stone History: groin pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Punctate non... | 1. No acute abdominopelvic abnormality evident.2. Punctate nonobstructing right renal calculi. No ureteral calculi. No hydroureteronephrosis.3. Small fat-containing right inguinal hernia. |
Generate impression based on findings. | C. 7-year-old male with melena and poorly differentiated neuroendocrine carcinoma. Evaluate disease burden. CHEST:LUNGS AND PLEURA: Probable AV malformation in the right upper lobe on image 36/90. Atelectasis in the left lower lobe.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnorma... | Scattered soft tissue nodules involving the perirenal areas bilaterally, and the anterior peritoneum.Larger, lobulated soft tissue mass adjacent to the lateral right psoas muscle.A soft tissue mass extending between the left posterior ribs.A slightly rounded appearance of the pancreatic head.Gallstones. |
Generate impression based on findings. | 9-year-old female with history of renal stones. ABDOMEN:LUNG BASES: Lung bases are clear.LIVER, BILIARY TRACT: No significant abnormality noted. No intrahepatic biliary ductal dilatation is noted. The noncontrast gallbladder is normal.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADR... | 1.Interval removal of right nephroureteral stent.2.Increasing renal calculi bilaterally with the majority of the stones in the mid to lower pole regions. |
Generate impression based on findings. | which is bright on T2 and isointense on T1. It was not included on imaging on the prior exam it is associated with some enhancement following gadolinium administration. The patient has undergone left-sided craniotomy for removal of a left temporal lobe mass. There are postsurgical changes present as well as a cavity wi... | 1.Status post recent left-sided craniotomy for left temporal lobe mass removal with attendant postoperative changes. |
Generate impression based on findings. | Left wrist injuryVIEWS: Left wrist AP, lateral and oblique 3/15/15 (3 views) Cast material obscures bone detail. Left wrist joint effusion due to the elevation of the pronator fat pad. No fracture or malalignment | Joint effusion with no fracture or malalignment. |
Generate impression based on findings. | which is bright on T2 and isointense on T1. It was not included on imaging on the prior exam it is associated with some enhancement following gadolinium administration. The patient has undergone left-sided craniotomy for removal of a left temporal lobe mass. There are postsurgical changes present as well as a cavity wi... | 1.Status post recent left-sided craniotomy for left temporal lobe mass removal with attendant postoperative changes. |
Generate impression based on findings. | A minimally displaced left supraorbital frontal bone fracture is present which extends inferomedially to involve the superior orbital roof and medial orbital wall (lamina papyracea). There is significant associated overlying periorbital edema and soft tissue swelling. Ipsilateral intraorbital and underlying intracrani... | A minimally displaced left supraorbital frontal bone fracture is present which extends inferomedially to involve the superior orbital roof and medial orbital wall (lamina papyracea). There is significant associated overlying periorbital edema and soft tissue swelling. Ipsilateral intraorbital and underlying intracrania... |
Generate impression based on findings. | Status post craniotomy Since the prior exam the patient has undergone additional craniotomy on the right hemisphere. There is a small amount of intracranial air are present. There is adjacent scalp soft tissue swelling and scalp are present as well surgical staplesThere is redemonstration of subcortical white matter hy... | 1.Status-post craniotomy with associated postoperative changes2.opacification of right middle ear and narrowing of the right external auditory canal are stable when compared to the prior exam. Please correlate with patient's clinical exam findings. The possibility of an underlying lesion cannot be excluded. |
Generate impression based on findings. | Female, 23 months old. Please assess for fracture History: frontal bone fracture, < 2years of ageEXAMINATION: Skull AP/lateral, cervical spine AP/lateral, thoracolumbar spine AP/lateral, right humerus AP, left humerus AP, right forearm AP, left forearm AP, right hand PA, left hand PA, chest AP, ribs right oblique/left ... | The left frontal bone fracture is not well visualized on these images. See CT head/maxillofacial for further details. No additional fractures identified. |
Generate impression based on findings. | Rule out pancreatic abscess in patient with rising lipase. The following observations are made given the limitations of an unenhanced study.ABDOMEN:LUNG BASES: Bilateral small pleural effusions with overlying compressive atelectasis have increased in size. Patchy ground glass anteriorly at the left lung base. Motion ar... | Mild inflammatory changes surrounding the pancreatic head, unchanged; no evidence of peripancreatic fluid collection. Enlarging bilateral pleural effusions. Limited study secondary to lack of intravenous contrast. |
Generate impression based on findings. | Male 6 years old Reason: eval fracture healing History: finger fractureVIEWS: Right fifth digit AP, lateral and oblique 3/13/15 (3 views) Interval worsening in palmar angulation and medial displacement of the Salter Harris one fracture of the distal phalanx of the right fifth digit. | Distal phalanx Salter-Harris one fracture worsening in alignment, as described. |
Generate impression based on findings. | Slurred speech, evaluate for acute intracranial process No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. No hydrocephalus. No extra-axial collections. There are extensive areas of hypoattenuation in... | 1. No evidence of intracranial hemorrhage or mass effect. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion.2. Unchanged advanced chronic small vessel ischemic disease and chronic infarcts in the left occipital lobe a... |
Generate impression based on findings. | 27-year-old male patient with acute onset abdominal pain, nausea, diarrhea, and vomiting. Evaluate for GI pathology. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Subcentimeter hypoattenuating lesions are too small to characterize and likely represent cysts. No intrahepatic biliary ductal d... | No acute intra-abdominal abnormality to account for patient's symptoms. |
Generate impression based on findings. | Nausea vomiting and failure to thrive. 73-year-old with complex medical history. Breast and thyroid cancer. CHEST:LUNGS AND PLEURA: Stable or equivocal enlargement of right lower lobe reference nodule measuring 1.8 x 1.6 cm (image 57; series 5). Additional calcified pulmonary nodules and micronodules compatible with pr... | 1.Stable or equivocal enlargement of right lower lobe pulmonary nodule may represent metastatic disease. 2.Previously described liver lesions are no longer evident3.Other findings stable |
Generate impression based on findings. | 64 year old female who has a complaint of a tender, palpable area in the upper outer right breast. No family history of breast cancer. MAMMOGRAM: Three standard views of both breasts, and two spot compression views of the right breast, were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parench... | No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | There is moderate opacification of the right mastoid air cells and right middle ear cavity. Left mastoid air cells and left middle ear cavity are aerated. Minimal thickening along the right external auditory canal which is otherwise patent. No definite ossicular erosions although degree of opacification limits detecti... | 1.Opacification of the the right mastoid air cells and right middle ear cavity compatible with otomastoiditis. There is minimal soft tissue thickening in the right external auditory canal which is nonspecific and can be correlated by direct examination; external auditory canal is otherwise patent. No significant inflam... |
Generate impression based on findings. | 68 year old with history of right lumpectomy and complete axillary lymph node dissection in 2011 for IDC. Recent CT scan (3/11/15) showed soft tissue density in the right axilla. Focused ultrasound was performed for right axillary region. There is a circumscribed hypoechoic lesion measuring 29 x 16 mm, without increase... | No sonographic evidence for malignancy. Benign post-operative changes in the right axillary region. BIRADS: 2 - Benign finding.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Redemonstrated are post-surgical changes from a right frontoparietal craniotomy and right hemispherectomy. Dystrophic appearing calcifications are again seen along the dura, which are unchanged. Unchanged small right sided extra-axial collection. Extra-axial air has slightly increased, likely due to removal of a previ... | 1.Right sided extra-axial air has slightly increased, likely due to removal of a previously demonstrated right temporo-occipital shunt catheter. 2.Again seen is a ventriculostomy tube coursing through the left parietal lobe into the left lateral ventricle with the tip at the lateral aspect of the trigone, unchanged in ... |
Generate impression based on findings. | 17-year-old female with a history of extensive actinomyces and pelvic abscess status post drainage.EXAMINATION: MR without and with IV contrast 3/12/15 PELVIS:Uterus and Adnexa: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No sig... | 1.Previously noted fluid collection dorsal to the coccyx is significantly improved.2.Abscess anterior to the coccyx is larger in size and now crosses the midline. |
Generate impression based on findings. | Reason: ? neck History: ? fracture. cervicalgia. The cervical vertebral bodies are appropriate in overall alignment and height. No fractures are identified in the cervical spine.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal can... | 1.There is no evidence for cervical spine fracture or subluxation.2.There are degenerative changes present in the cervical spine which are worse at C4-5 where there is suspected to be some mild or moderate spinal stenosis and left sided encroachment of exiting nerve roots.3.Heterogeneously enlarged thyroid gland is a n... |
Generate impression based on findings. | Female; 48 years old. Reason: left flank pain, hx of stones and UTIs History: left flank pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Mild fatty infiltration of the liver.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant ab... | 1. No acute abdominopelvic abnormality.2. Fatty liver.3. Possible pelvic floor dysfunction correlation with pelvic physical examination is recommended. |
Generate impression based on findings. | 62-year-old male with history of right femoral fracture, follow-up exam. Two views of the right femur again demonstrate a plate and screw device affixing a healing/healed metadiaphyseal fracture, in near-anatomic alignment, similar to prior. Interval removal of the external fixation device. There has been maturation of... | Postoperative changes of a right femoral fracture and osteotomy fixation as above. Interval removal of the external fixation device. |
Generate impression based on findings. | The reference right paratracheal lymph node (series 7, image 72) measures 11 mm, previously 14 mm. Additionally, there is bulky bilateral subpectoral and axillary lymphadenopathy which is incompletely visualized, but has increased from the prior examination. The nasopharynx, oropharynx, hypopharynx, and larynx are unr... | Mixed response with increased subpectoral and axillary lymphadenopathy. |
Generate impression based on findings. | 69-year-old female with history of neck pain. Six views of the cervical spine demonstrate slightly demineralized bones, suggesting osteopenia. The lower cervical spine is obscured on lateral views by overlying anatomy. No fracture is evident. There are small anterior and posterior vertebral body osteophytes at C5-6, an... | Degenerative arthritic disease as described above. No acute fracture is evident. If there is strong clinical concern for fracture, CT is recommended. |
Generate impression based on findings. | Call back from screening mammogram for a new mass in the right breast. An ML view and two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. A small circumscribed round mass is present at anterior upper inner aspect of the right breast. Focused ultrasound of th... | Hypo-/anechoic mass at 3 o'clock position in the right breast. Although the mass is likely a cyst, aspiration is recommended for confirmation. Results and recommendations were discussed with the patient.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | 71 year old male with recurrent bacteriuria, history of kidney transplant. Evaluate for hydronephrosis. ` RENAL TRANSPLANT: LOCATION: Right iliac fossaPERITRANSPLANT TISSUES: No significant abnormality notedKIDNEY: Transplanted kidney in the right iliac fossa is normal in echotexture measuring 12.8 cm in length. Minima... | Hydronephrosis essentially resolved. Lower pole cyst not significantly changed. |
Generate impression based on findings. | 41 year old female with history of left breast asymmetry. No family history of breast cancer. Family history of ovarian carcinoma in a maternal cousin at age 25. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibrogla... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Redemonstration of mild submandibular and submental lymphadenopathy which is stable to mildly progressed since 1/29/2013. There is slight enlargement of left 1B node measuring 10x7x11 mm previously 5x7x8 mm. Previously referenced right level Ib lymph node measures 10-mm in short axis, previously 9-mm. Additional subce... | Compared to 1/29/2013 there is slight enlargement of nonspecific mild upper cervical lymphadenopathy as detailed above. |
Generate impression based on findings. | Male 42 years old; Reason: 42 y/o male with gastric ca on chemo. please compare to prior. History: see above ABDOMEN:LUNG BASES:LIVER, BILIARY TRACT: Multiple hypoattenuating lesions throughout the liver consistent metastases. Multiple hepatic metastases are stable/mildly decreased. The reference left hepatic metastasi... | Overall regression of disease with reference measurements given above. |
Generate impression based on findings. | 75-year-old male with COPD and abnormal finding on recent CT abdomen exam LUNGS AND PLEURA: Severe centrilobular emphysema is again noted. Pleural calcification and scarring are noted in the right apex, unchanged. A 11-mm calcified granuloma in the right upper lobe is unchanged. A previously noted adjacent nodule is no... | Interval improvement in focal scar like opacity in the right lung base compatible with maturing scar. |
Generate impression based on findings. | Male 76 years old Reason: s/p esophagectomy eval for leak History: same Single contrast evaluation of the esophagus and stomach showed no evidence of contrast extravasation to suggest leak. Contrast progressed to the stomach and proximal small bowel without delay.TOTAL FLUOROSCOPY TIME: 1:39 minutes | Limited single contrast evaluation of the esophagus and stomach, without evidence of anastomotic leak. |
Generate impression based on findings. | There is mild mucosal thickening in the ethmoid air cells. There is mild, scattered mucosal thickening throughout the maxillary and sphenoid sinuses, otherwise the maxillary, sphenoid, and frontal sinuses are clear. Bilateral mastoid air cells are clear. Bilateral ostiomeatal complexes are patent. There are Haller cel... | Mild scattered sinus mucosal thickening, otherwise no significant abnormality seen. |
Generate impression based on findings. | 76-year-old female with altered mental status There is streak artifact from coil embolization in the region of the right posterior communicating artery. Redemonstrated is a left frontal approach external ventricular drain with tip in the left frontal horn, unchanged in position. There has been no significant interval c... | 1.There has been no significant interval change of a right frontal hematoma. 2.Diffuse subarachnoid as well as intraventricular hemorrhage is stable. 3.There is no interval acute hemorrhage. 4.Mild ventriculomegaly is stable. |
Generate impression based on findings. | 32-year-old male patient with newly diagnosed paraneoplastic syndrome presents with ataxia and myoclonus. CHEST:LUNGS AND PLEURA: Scattered bilateral pulmonary micronodules are not significantly change from prior examination and are compatible with prior granulomatous disease. No suspicious pulmonary nodules.MEDIASTINU... | 1.No evidence of a neoplasm in the chest, abdomen or pelvis. 2.No significant change in nonspecific small portocaval and gastrohepatic lymph nodes.3.Fatty liver.4.Stable left lower pole thyroid nodule. |
Generate impression based on findings. | The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mas... | Negative unenhanced brain CT. |
Generate impression based on findings. | History of tobacco use and T3N0M0 glottic squamous cell carcinoma following radiation. Laryngoscopy: The true vocal cords were mobile bilateral with bilateral exophytic, irregular changes to the mucosal. There is irregular enlargement of the bilateral vocal cords with subglottic extension. The laryngeal cartilages and ... | 1. Irregular enlargement of the bilateral vocal cords with subglottic extension may represent residual tumor, perhaps with superimposed treatment effects. 2. Extensive dental disease.3. Nonspecific right thyroid nodule.4. Multiple nonspecific subcutaneous nodules.5. Nonspecific diffuse enlargement of the Waldeyer ring ... |
Generate impression based on findings. | Infectious process? New diagnosis of acute leukemia. Bilateral frontal and ethmoid sinuses are clear. There is a small osteoma at the left frontoethmoidal recess. Sphenoid sinuses are clear. Bilateral maxillary sinuses are small which may be related to chronic sinus disease. There is moderate opacification of the right... | 1. No imaging evidence of acute sinusitis.2. There is moderate opacification of the right maxillary sinus which is atelectatic, likely related to chronic sinus disease. No findings to suggest an aggressive sinonasal process. |
Generate impression based on findings. | CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Normal heart size. No pericardial effusion. No visible coronary calcifications.No mediastinal or hilar lymphadenopathy.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Few subcentimeter, ill-defined hypoat... | 1. Pancreatic head mass, most likely due to pancreatic adenocarcinoma, abutting the GDA and SMV as detailed above. 2. Few hypoattenuating lesion in the liver is too small to characterize. These could represent metastases, and MRI is recommended for further evaluation.Findings discussed with Dr. Olugbile by telephone at... |
Generate impression based on findings. | 52 year old female who has a complaint of new right breast lump. No family history of breast cancer. MAMMOGRAM: Three standard views, and 3 spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, ... | No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 56-year-old female patient with hepatitis C virus and cirrhosis. Evaluate for hepatic lesions. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Cirrhotic liver morphology. Multiple bilobar ill defined areas of arterial enhancement without definite washout on delayed images are again noted.Righ... | Cirrhotic liver without definite evidence of hepatocellular carcinoma. Scattered arterial enhancing foci are compatible with transient enhancement and can be followed. |
Generate impression based on findings. | Frontal sinus: The frontal sinuses are not well pneumatized and frontoethmoidal recesses are clear.Anterior ethmoids: The anterior ethmoid air cells are clear.Maxillary sinuses: The maxillary sinuses are clear. There is trace mucosal thickening along the infundibula, although both ostiomeatal units are clear.Posterior... | 1. No significant sinus inflammatory changes, with minimal sphenoid disease.2. Partially visualized intracranial structures demonstrating chronic infarct in the left coronal radiata extending into the left basal ganglia, with additional ill-defined area of abnormal low density likely representing age indeterminate isch... |
Generate impression based on findings. | 66 year old male with history of metastatic non-small cell carcinoma. CHEST:LUNGS AND PLEURA: Mild centrilobular emphysema. Postsurgical changes from left lower lobectomy with stable appearing left parahilar and paramediastinal scarring. Scattered nonspecific micronodules. No suspicious pulmonary lesions are identified... | 1. Reference right paratracheal lymph node has decreased in size measuring 8 mm, previously 12 mm.2. Questionable filling defect within the left atrial appendage. A dedicated echocardiogram is recommended to evaluate for possible thrombosis. |
Generate impression based on findings. | Acute respiratory failureVIEW: Chest AP Endotracheal tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Right central line with tip in the right atrium. Cardiothymic silhouette normal. Left lower lobe atelectasis new from prior study. No pleural effusion or pneumothorax. | Left lower lobe atelectasis new from prior study. |
Generate impression based on findings. | Reason: evaluate for vascular event History: leftward gait and weakness Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is... | 1.No evidence for intracranial aneurysm.2.No evidence for cervicocerebral occlusive disease.3.No evidence for acute internal hemorrhage mass effect or edema.4.CT is insensitive for the early detection of nonhemorrhagic cerebral infarction.5.There are multilevel degenerative changes present in the cervical spine with fi... |
Generate impression based on findings. | Male 85 years old Reason: Please eval for hole in stomach, or fistula to colon History: ho PEG tube placement, with PEG in transverse colon. Retained contrast in the large bowel limits evaluation of the study, however, within these limitations the following observations were made. Contrast opacified the stomach. There ... | No evidence of increased opacification of the colon to suggest a gastrocolonic fistula as described above. |
Generate impression based on findings. | Left DBS for right hand tremor. Intraoperative images demonstrate a left-sided deep brain stimulator that extends to the region of the left thalamus without evidence of gross intracranial hemorrhage or midline shift. There is right anterior frontal lobe encephalomalacia. A stereotactic frame is present. | Intraoperative images demonstrate a left-sided deep brain stimulator without evidence of gross intracranial hemorrhage or midline shift. |
Generate impression based on findings. | 62-year-old female patient with history of head and neck cancer. CHEST:LUNGS AND PLEURA: Again seen are multiple solid and cavitary metastatic pulmonary nodules. There is a new cavitating lesion in the right apex (series 4 image 14). Reference lesion in the left lower lobe measures 2.1 x 1.7 cm (series 4 image 61), pre... | 1.Mixed response with new cavitary lesion in the right lung apex and slight interval decrease in reference lesions in the thorax and spleen as detailed above.2.Tree in bud and ground glass opacities in the left lower lobe raise concern for aspiration. |
Generate impression based on findings. | Right ear: Moderate conductive hearing loss at 1000 to 2000 Hz. Speechreception threshold was 50 dB with air conduction, but 5 dB with masked bone conduction. Left ear: mild mixed hearing loss, between 500 and 4000 Hz. Speech reception threshold was 30 dB with air conduction, and 25 dB with masked bone conduction. Tymp... | The short processes of the incudes contact the mastoid septations bilaterally, which may represent ossicular fixation. |
Generate impression based on findings. | There are new scattered punctate foci of diffusion restriction along the left corona radiata, with corresponding T2/FLAIR hyperintensity. There is also associated patchy enhancement which extends into the posterior left putamen with corresponding subtle FLAIR abnormality. 3-D T1 postcontrast images are degraded by pat... | 1. Interval development of scattered foci of diffusion restriction along the left corona radiata with associated patchy enhancement and abnormal FLAIR hyperintensity. Additional patchy enhancement in FLAIR abnormality extends into the left posterior putamen. Differential diagnosis would include evolving subacute infarc... |
Generate impression based on findings. | Interval improvement of the midline shift with only trace rightward deviation. Previously seen uncal herniation has resolved. There is mild increase in external herniation at the craniectomy defect. Stable postsurgical changes of left frontotemporoparietal craniectomy. There is evolution of intraparenchymal hematoma c... | Continued evolution of the left intraparenchymal and smaller subarachnoid hemorrhage. There is continued improvement of midline shift and resolution of uncal herniation. There is mild increase in external herniation through the craniectomy defect. |
Generate impression based on findings. | Reason: hx AVM with crainiotomy >20 years ago, evaluate for bleed; needs anticoagulation for new DVT History: new DVT BLE Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. No aneurysms or intracrania... | 1.No evidence for aneurysm.2.No evidence for cerebral vascular occlusive disease.3.Please note that conventional angiography is more sensitive in the detection of residual arteriovenous malformation relative to CT angiography.4.there is no evidence for acute intracranial hemorrhage mass effect or edema.5.CT is insensit... |
Generate impression based on findings. | 57-year-old male with history of head and neck cancer. Evaluate for response. CHEST:LUNGS AND PLEURA: There are large left greater than right bilateral pleural effusions with associated compressive basilar atelectasis of bilateral lower lobes and the lingula. There is adjacent pleural and diaphragmatic nodularity and e... | 1. Overall increase in size of bilateral pleural effusions with associated atelectasis. Adjacent pleural thickening, nodularity and enhancement highly concerning for metastatic disease.2. Increasing mediastinal lymphadenopathy as above compatible with metastatic disease.3. Stable small to moderate pericardial effusion. |
Generate impression based on findings. | 55-year-old male with histoplasmosis now with cough, shortness of breath, fevers, evaluate for changes after treatment LUNGS AND PLEURA: Innumerable pulmonary nodules are noted diffusely throughout both lungs demonstrating mild to moderate interval improvement since the prior exam.. A majority of the nodules are subcen... | 1.Innumerable bilateral pulmonary nodules demonstrating mild to moderate improvement compatible with interval treatment for histoplasmosis. 2.A slight interval increase in a solitary right lower lobe subcentimeter nodule now measuring 6 mm. Further attention on subsequent studies can be given. 3.Near complete resolutio... |
Generate impression based on findings. | 54-year-old female patient with pelvic discomfort and history of accidental bladder nicking. Evaluate for mass or cyst. CHEST:LUNGS AND PLEURA: There is a lung nodule in the anterior left costophrenic angle that measures 8 x 8 mm (series 5 image 69). Trace basilar atelectasis.MEDIASTINUM AND HILA: No significant abnorm... | 1.No substantial change in left lower lobe 8mm nodule.2.No intra-abdominal abnormalities. |
Generate impression based on findings. | 65 year old female who was recalled from screening mammogram for right breast architectural distortion. Family history of breast carcinoma in her maternal grandmother. MAMMOGRAM: An ML view and two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast pa... | Subtle distortion within the upper outer right breast, without sonographic correlate. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram, with tomosynthesis, is recommended in 6 months. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benig... |
Generate impression based on findings. | History of TxN2c squamous cell carcinoma of unknown primary who is ~3 years, 8 months since completion of RT on 3/4/11. There are unchanged post-treatment findings related to left neck dissection and radiation therapy. There is no evidence of mass lesions or significant cervical lymphadenopathy. For example, a right le... | 1. No evidence of tumor or significant lymphadenopathy.2. Unchanged heterogeneous thyroid gland with multiple partially calcified nodules.3. Unchanged mild diffuse thickening of the cervical esophagus may be treatment-related edema. |
Generate impression based on findings. | 69-year-old male with history of recurrent squamous cell carcinoma of the left vocal cord. Baseline scan. CHEST:LUNGS AND PLEURA: Mild paraseptal predominant emphysema. Right basilar opacities may represent aspiration or infection. No suspicious pulmonary nodules are identified.MEDIASTINUM AND HILA: Right thyroid mass ... | 1. Innumerable subcutaneous nodules with the largest located posterior to the spinous process of T4. These are likely benign as they demonstrate no increased FDG uptake on recent PET.2. Right adrenal nodule with mild FDG activity is nonspecific and may represent an adenoma or possibly a metastatic focus. Followup imagi... |
Generate impression based on findings. | T4aN2bM0 left base of tongue carcinoma treated with chemoradiation. There are stable post-treatment findings in the neck with supraglottic mucosal edema and stranding in the subcutaneous tissues. There is no evidence of measurable mass lesions in the treatment bed. There is no evidence of mass lesions at the base of th... | No evidence of measurable tumor recurrence or significant lymphadenopathy. |
Generate impression based on findings. | Female; 78 years old. Reason: follow-up on lung cancer on treatment History: None ABDOMEN:LUNG BASES: Small right pleural effusion with mild underlying right basilar subsegmental atelectasis. Surgical clips in the right hilum and near the distal esophagus. Please see report from dedicated CT chest performed concomitant... | No evidence of metastatic disease in the abdomen and pelvis. Please see report from dedicated CT chest performed concomitantly. |
Generate impression based on findings. | Spinal fusion Interval posterior fixation of L4-5 with bilateral pedicular screws affixing a grade 1 antral listhesis. Interposed graft material. Mild sclerosis and otherwise unchanged lumbar appearance.Moderate atherosclerotic changes of the aorta. Detail is somewhat limited due to extensive overlying gas and stool. C... | Interval L4-5 fixation |
Generate impression based on findings. | Shoulder fracture Minimal heterotopic bone without significant interval change in the mildly angulated proximal right humeral diaphyseal oblique fracture. Mild osteoarthritic to shoulder | Mild interval healing without significant change in alignment |
Generate impression based on findings. | Follow-up fracture Motion degrades sensitivity along with extensive overlying cast material, however tomographic imaging was additionally supplied. No significant change in alignment observed, specifically gross alignment is observed involving the distal radial fracture. Mild widening of the scapholunate space raises t... | Anatomic alignment persists |
Generate impression based on findings. | 47-year-old female with pain after recent fall. Two views of the left hand demonstrate a 3 to 4-mm fragment of bone along the volar aspect of the fifth PIP joint, compatible with a mildly displaced volar plate fracture, which is best seen on the oblique view. A poorly defined lucency in the lunate may represent may bon... | 1.Mildly displaced volar plate avulsion fracture of the base of the middle phalanx of the fifth finger.2.Mild soft tissue swelling anterior to the bilateral patellae. 3.Small left knee joint effusion. |
Generate impression based on findings. | 87 year old female who has a complaint of diffuse left breast tenderness. 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 parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and di... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 73-year-old female, smoker, right rib cage pain. Three views of the rib cage do not demonstrate fracture or focal rib lesion. Degenerative arthritic changes are present in the lower lumbar spine. Please refer to the chest radiograph report of the same date for details regarding the posterior pleural-based mass in the r... | No rib fracture or focal rib lesion. Please refer to accompanying chest radiograph report for details regarding right lung masses.Findings were relayed via alpha page to Dr. Mindy Schwartz at the time of dictation. Kristen, the nurse for Dr. Schwartz, was also notified at 10:30 a.m. by the Thoracic Radiology Section. |
Generate impression based on findings. | Male; 46 years old. Reason: elevated PSA - 115- will have prostate biposies for confirmation of prostate cancer History: elevated PSA - 115- will have prostate biopsies for confirmation of prostate cancer ABDOMEN:LUNG BASES:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPA... | 1. No evidence of metastatic disease in the abdomen and pelvis.2. Prostatomegaly. |
Generate impression based on findings. | Pain Interval progressing and now near severe osteoarthritic with tricompartmental changes greater than medial compartments. Changes include narrowing, sclerosis and osteophytes. No significant effusions. Of additional note is a poorly defined calcific density projected behind the right knee, possibly a loose body with... | Near severe osteoarthritis with a questionable Baker's cyst and loose body on the right |
Generate impression based on findings. | Male 14 years old Reason: eval fracture healing History: s/p ORIFVIEWS: Left knee AP, lateral and oblique 3/13/15 (3 views) Interval cast removal. Hardware of ORIF of the proximal tibial tuberosity and metaphyses these unchanged. Minimal periosteal reaction along the lateral, posterior and medial aspects of the proxima... | Healing tibial proximal metaphyseal fracture with no evidence of hardware complications. |
Generate impression based on findings. | Call back from screening mammogram for developing masses in the right breast. CC, ML views and two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. A large circumscribed round mass is present at upper outer quadrant, and a circumscribed round mass is present ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. In view of patient's dense breasts, tomosynthesis should be utilized at the time of next screening study. Results and recommendations were discussed with the patie... |
Generate impression based on findings. | Pain Left tibial rod is observed with two fixation screws both proximally and distally. Small scattered minimal fragments and an associated healing transverse fracture through the mid fibula also identified. Fracture planes are moderately well visualized although edges and distinct compatible subacute timing. | Well-positioned left tibial IM rod |
Generate impression based on findings. | 69-year-old female patient with history of diffuse large B-cell lymphoma status post chemotherapy. CHEST:LUNGS AND PLEURA: Severe upper lobe predominant emphysema. Scattered nonspecific micronodules noted. No suspicious pulmonary nodules.MEDIASTINUM AND HILA: Reference small pretracheal lymph node measures up to 6 mm a... | No significant interval change compared to prior examination. |
Generate impression based on findings. | DLBCL post chemotherapy. There has been further interval decrease in size of the cervical lymphadenopathy. For example, a right level 2A lymph node measures 10 x 8 mm, previously 13 x 11 mm, and contains punctate calcifications. The thyroid and major salivary glands are unremarkable. The major cervical vessels are pate... | 1. Further interval decrease in size of the cervical lymphadenopathy. 2. Extensive pulmonary emphysema. |
Generate impression based on findings. | Male 12 years old Reason: evaluate hand for fracture History: HAND INJURYVIEWS: Right hand AP, lateral and oblique 3/13/15 (3 views) There is a buckle boxer fracture of the fifth metacarpal with normal anatomic alignment. | Buckle broke up fracture of the fifth metacarpal as described. |
Generate impression based on findings. | Diffuse large B-cell lymphoma. Evaluation for SCT. SKULL: No suspicious lesions are identified. A left hearing aid is noted.CERVICAL SPINE: No suspicious lesions are identified. There is anterior osteophyte formation from C3-C6 and slight anterolisthesis of C4 on C5.THORACIC SPINE: No suspicious lesions are identified.... | 1. No suspicious osseous lesions are identified.2. Degenerative changes as noted above. |
Generate impression based on findings. | Male 9 years old Reason: acute abd r/o appendicitis History: abd pain w/ guarding, testicular painVIEWS: Abdomen AP supine and upright on 3/13/15 1030 hrs (two views) Normal abdominal gas pattern. No evidence of free air or obstruction. No ascites. Visualized osseous structures look intact. | Normal examination. |
Generate impression based on findings. | Male 3 years old Reason: Screen for tumors of the liver, kidney, and adrenal gland History: Beckwith-Wiedemann syndromeEXAMINATION: Sonogram abdomen 3/13/15 LIVER: Normal echotexture with no evidence of intra-or extrahepatic biliary duct dilatation.GALLBLADDER, BILIARY TRACT: No evidence of gallbladder stones or sludge... | Normal examination. |
Generate impression based on findings. | Male 63 years old Reason: prostate cancer History: prostate cancer Two foci of increased radius tracer uptake in the right lateral eighth and ninth ribs, in linear pattern consistent with fractures from traumatic injury. Otherwise no suspicious foci of increased uptake. | Increased uptake in the right lateral ribs in linear pattern most consistent with traumatic injury, correlate with patient history. Otherwise no specific findings to suggest osseous metastatic disease. |
Generate impression based on findings. | Male 12 years old Reason: r/o fx History: Fell on the concert floor with the left arm hit the ground last pm; Left write and low forearm swelling and pain sinceVIEWS: Left forearm AP and lateral left wrist AP, lateral and oblique 3/13/15 (5 views) There is a buckle fracture of the distal metaphyses of the left radius a... | Buckle fracture of the distal radius. |
Generate impression based on findings. | Call back from screening mammogram for enlarged lymph node in the left axilla. Focused ultrasound for the left axillary region was performed. Detected is an enlarged lymph node measuring 21 mm with thickened cortex measuring 8 mm. Blood flow pattern of this lymph node is normal. Other than this enlarged lymph node, the... | Abnormally enlarged lymph node in the left axilla. Ultrasound-guided core needle biopsy is recommended. Results and recommendations were discussed with the patient.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | 42-year-old female with history of influenza/bacterial pneumonia/ARDS now with persistent sepsis LUNGS AND PLEURA: Low lung volumes. Again seen is diffuse dense ground glass opacity with consolidation surrounding the tracheobronchial tree. Diffuse bronchiectasis is noted. The overall findings appear worse compared to t... | Low lung volumes with diffuse groundglass opacity and traction bronchiectasis compatible with ARDS appears worse compared to the prior exam. |
Generate impression based on findings. | Metastatic follicular carcinoma of the thyroid (metastatic to the lungs) and invasive ductal carcinoma of the breast T1cN0M0. History of thyroid resection and chemotherapy. There is no appreciable change in size of a heterogeneous mass within the inferior right thyroid resection bed that extends inferiorly into the med... | 1. No significant change in the recurrent thyroid cancer, but the metastatic cervical lymph nodes appear to have slightly decreased in size. 2. Multiple lungs lesions are compatible with metastases. Please refer to CT chest report for additional details. 3. The mass along the planum sphenoidale is largely excluded from... |
Generate impression based on findings. | 83-year-old female with history of bilateral ankle pain and swelling status post fall. Three views of the left ankle demonstrate soft tissue swelling. There is an oblique fracture through the medial malleolus, the margins of which are indistinct, with adjacent periosteal reaction, which suggests a subacute fracture. Sp... | Medial malleolar fractures and other findings as described above. |
Generate impression based on findings. | Male 19 years old Reason: CF exacerbation admission: evaluate for interim changes VIEWS: Chest PA/lateral (two views) 3/13/15 at 1052 hrs Central line tip is at the right atrium. Gastrostomy tube noted. Cardiac silhouette size is normal. Persistent increased AP diameter of the chest. Peribronchial thickening and bronch... | Ill-defined left retrocardiac airspace opacity on a background of changes from cystic fibrosis. |
Generate impression based on findings. | Restricted diffusion, matching ADC hypointensity, associated with T2 hyperintensity is present involving bilateral supratentorial hemispheric cortices, internal capsules, as well as basal ganglia. Symmetric bilateral susceptibility abnormality is noted within the putamen and caudate bilaterally.There are a few scatter... | 1.Restricted diffusion, matching ADC hypointensity, associated with T2 hyperintensity is present involving bilateral supratentorial hemispheric cortices, internal capsules, as well as basal ganglia, providing evidence for diffuse cytotoxic edema which can be seen in the setting of hypoglycemic encephalopathy.2.Symmetri... |
Generate impression based on findings. | 15-year-old female with lymphoma status post induction chemotherapy. LUNGS AND PLEURA: Interval resolution of bilateral pleural effusions. Interval removal of left chest tube. Significant interval improvement in lower lobe consolidation and atelectasis bilaterally. No suspicious pulmonary nodules or masses. There is no... | 1.Persistent filling defect in the left internal jugular vein extending into the brachiocephalic.2.Significant interval decrease in size of anterior mediastinal mass.3.Significant interval improvement in bilateral pleural effusions and lower lobe consolidation.4.Hepatomegaly and decreased attenuation of the hepatic par... |
Generate impression based on findings. | There is no evidence of acute intracranial hemorrhage. Areas of white matter hypoattenuation suggests small vessel ischemic disease of indeterminate age. The ventricles and sulci are mildly prominent, likely from age-related volume loss. There is no CT evidence of acute cerebral or cerebellar cortical infarct. There a... | No acute intracranial abnormality. It should be noted, however, that non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct. |
Generate impression based on findings. | 70 year female with new diagnosis of acute leukemia, evaluate for infectious process LUNGS AND PLEURA: Calcified micronodule adjacent to the minor fissure may represent a granuloma. No suspicious nodules or masses. No specific evidence for infection. No pleural effusion or pneumothorax. Minimal right upper lobe atelect... | 1.No specific evidence for infection as clinically questioned. 2.Heterogeneous nodular left upper lobe punctate calcification. Consider ultrasound if clinically warranted. |
Generate impression based on findings. | 62-year-old female patient with concern for malignancy given 30-pound weight-loss, lung nodule seen on chest radiograph, and incidental adrenal mass on MRI spine. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: There are diffuse mediastinal lymphadenopathy. A reference pretracheal lymph n... | 1.Findings compatible with a left adrenal myelolipoma.2.Significant mediastinal lymphadenopathy is of uncertain etiology. Consider lymphoma; further work up is recommended.3.Incidental right lower lobe thyroid nodule. |
Generate impression based on findings. | Rheumatoid arthritis. Evaluate for erosions. Three views of the left hand are provided. No acute fracture or malalignment is identified. No erosive changes are seen. There is minor negative ulnar variance.Three views of the right hand are provided. No acute fracture or malalignment is identified. No erosive changes are... | No erosive changes are identified. |
Generate impression based on findings. | Male 53 years old Reason: Crohn's disease, new significant dilation of small bowel noted on CT scan from 11/2014. Determine if high-grade short segment stenosis at the anastomosis. History: abdominal discomfort. Scout radiograph showed a nonobstructive bowel gas pattern. Transit time to the colon was one hour. Series 1... | No radiologic signs of active disease. Chronic short segment small bowel stricture in the left lower quadrant appears unchanged from 2011. |
Generate impression based on findings. | Shoulder pain. Four views of the left shoulder reveal a total shoulder reverse ball and socket arthroplasty device in anatomic alignment without evidence of hardware complication. There is mild increased heterotopic bone formation along the inner proximal humerus. No acute fracture is identified. Surgical skin staples ... | Reverse total shoulder arthroplasty device without evidence of hardware complication. |
Generate impression based on findings. | Pain, stiffness. Evaluate for inflammatory or erosive arthritis. Three views of the left hand are provided. No acute fracture or malalignment is evident. Mild juxta-articular osteopenia cannot be excluded, however, no erosive changes are seen. There is minor negative ulnar variance. A small ossification adjacent to the... | Mild juxta-articular osteopenia of the hands cannot be excluded, however, there are no other radiographic findings such as erosions to suggest an inflammatory or erosive arthropathy. |
Generate impression based on findings. | 49-year-old female with cough, short of breath, fatigue, elevated WBC for evaluation of pneumonia LUNGS AND PLEURA: No pneumothorax. No pleural effusion.Mild bronchial thickening and mild bronchiectasis at the lung bases. Mosaic attenuation. No convincing evidence of infection.MEDIASTINUM AND HILA: Tracheostomy tube is... | Mosaic attenuation bilaterally may be due to chronic thromboembolic disease or small airways disease. A dedicated CT examination with ILD protocol may be considered for confirmation. No convincing evidence of infection. Signs of severe pulmonary arterial hypertension and right heart strain. |
Generate impression based on findings. | Postop ankle. Three views of the left ankle with weight-bearing reveal a side plate and screw device affixing the distal fibula along with a syndesmotic screw and two screws affixing the medial malleolus. Alignment is anatomic. The fracture lines are indistinct suggestive of healing. The ankle mortise is intact. There ... | Orthopedic fixation of multiple healing ankle fractures. |
Generate impression based on findings. | Redemonstrated is a small focus of T2 hyperintensity involving the medial right frontal lobe (best seen FLAIR imaging series 801 image 22-25/28) which involves cortical gray matter. It does not have significant mass effect, with no signal abnormality on other sequences, and does not enhance. Given differences in techn... | 1.Redemonstrated is a small focus of T2 hyperintensity involving the medial right frontal lobe which involves cortical gray matter. It does not have significant mass effect, with no signal abnormality on other sequences, and does not enhance. Given differences in technique, there has been no significant interval change... |
Generate impression based on findings. | Male 46 years old Reason: elevated PSA- 115- will have prostate biopsies for confirmation History: elevated PSA- 115- will have prostate biopsies for confirmation No abnormal osseous foci are identified to indicate metastatic disease. | No evidence of bone metastases. |
Generate impression based on findings. | Multinodular goiter. There are postoperative findings in the lower neck. There is a markedly enlarged heterogeneous thyroid gland, left lobe larger than right, that extends from the level of the suprasternal notch to the level of the thyrohyoid membrane. There is mild deviated of the trachea to the right without signif... | Multinodular goiter without significant trachea narrowing or substernal extension. |
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