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Generate impression based on findings. | Right knee pain Four views of the right knee are provided. Mild medial compartment narrowing and small tricompartmental osteophytes indicate mild to moderate osteoarthritis. There is perhaps a small joint effusion.Minimal osteoarthritic changes affect the left knee as seen on the frontal view. | Osteoarthritis as described above. |
Generate impression based on findings. | Chronic sinusitis. Dental disease. There are multiple dental fillings. There is a large cavity of the left third mandibular molar, and possibly of the right third mandibular molar as well. The maxillary teeth are not well visualized due to blurring artifact inherent to Panorex technique, but I suspect that there are ca... | Findings of poor dentition as described above. If further imaging evaluation is clinically warranted, dedicated dental radiographs are recommended. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of bilateral breast reduction. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution.... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of tongue cancer. Two standard digital views with additional left MLO view of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Linear markers are pl... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms are submitted, then an addendum to this repor... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microca... | 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. | Traumatic fall on outstretched hand with tenderness to palpation at base of thumb and thenar prominence. Fracture of carpals, metacarpals? I see no fracture. Moderate osteoarthritis affects the first carpometacarpal joint. Mild osteoarthritic changes affect scattered interphalangeal joints. A small lucency in the ulnar... | Osteoarthritic changes as described above without fracture evident. |
Generate impression based on findings. | Sepsis. Evaluate for fluid collection. Two views of the right femur show an intradurally rod and screw/nail device affixing an oblique fracture of the proximal femur with extension to the lesser trochanter in gross anatomic alignment. Mineralization along the anterolateral aspect of the fracture may represent an attemp... | Orthopedic fixation of proximal femoral fracture as described above. There is soft tissue edema, but I see no focal soft tissue opacity. Please note that radiographs are limited in their ability to assess for fluid collections. |
Generate impression based on findings. | Reason: Evaluate for steno-occlusive disease or other etiology of stroke History: posterior circulation stroke, R field cut, cognitive and short-term memory deficits 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 ... | 1.Left posterior cerebral artery occlusion at the distal p2 segment.2.There is a left cavernous segment aneurysm along the left internal carotid artery.3.Findings are compatible with a subacute infarction involving the posterior aspect of the left parahippocampal gyrus and hippocampus extending towards the splenium of ... |
Generate impression based on findings. | Status post slip/fall. Evaluate for acute process. Three views of the right ankle are provided. I see no fracture or malalignment. I see no joint effusion. Mild osteoarthritis affects the tibiotalar joint.Two views of the right tibia/fibula are provided. I see no fracture. | Mild ankle joint osteoarthritis. No fracture evident. |
Generate impression based on findings. | Reason: h/o HNC/CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Stable small micronodules and calcified pleural plaques.Unchanged basilar scarring.No evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: Severe vascular calcifications including the coronary arteries.Stable s... | 1. No evidence of metastases.2. Extensive vascular disease including the coronary arteries. |
Generate impression based on findings. | Female 59 years old; Reason: Decreasing hemoglobin, ascites, concern for intrabdominal bleed; also re-evaluate pneumonia seen on CT one month ago History: Re-eval pneumonia, decreasing hemoglobin CHEST:LUNGS AND PLEURA: Interval reduction in size of a now small right pleural effusion. Stable left pleural effusion with ... | No evidence of hematoma.1.Cirrhotic hepatic morphology. Increased attenuation of the liver on this noncontrast scan can be seen with drug toxicity or overload.2.Significant interval increase in large volume ascites, worsened from most recent chest CT, but grossly stable to slightly increased from most recent abdominal ... |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is scattered periventricular and subcortical white matter hypoattenuation are without significant change from prior exam, likely representing chronic microvascular ischemic changes. The ventricles and basal cisterns are unchanged. There is... | 1.No acute intracranial hemorrhage, mass effect or skull fracture. CT is insensitive for detection of early nonhemorrhagic stroke.2.Chronic microvascular ischemic changes are again seen. |
Generate impression based on findings. | There are bubbly secretions in the right maxillary, and right sphenoid sinuses. There is opacification of a posterior left ethmoid air cell. There is trace mucosal thickening of the left maxillary sinus, and scattered ethmoid air cells. There is mild partial opacification of bilateral mastoid air cells. There is leftw... | Finding suggesting acute right sphenoid and maxillary sinusitis. |
Generate impression based on findings. | Male 65 years old Reason: lung cancer surviellance, follow up imaging of right psoas lesion History: history of lung cancer s/p XRT, right psoas lesion ABDOMEN:LUNG BASES: Chest section of the report will be dictated separately.LIVER, BILIARY TRACT: Previously measured heterogeneous area within the left lobe now measur... | Slight interval decrease in the size of the peripancreatic low-density lesion. Otherwise no significant change from previous study. |
Generate impression based on findings. | Pain, stiffness. Evaluate for inflammatory or erosive changes. Evaluate for severity of osteoarthritis. Evaluate for chondrocalcinosis. Three views of the right hand are provided. Mild osteoarthritis affects the interphalangeal joints of the fingers and thumb. Small periarticular calcifications at the PIP joint of the ... | Osteoarthritic changes affecting the hands and knees as described above. |
Generate impression based on findings. | History sarcoid valued for crying LV. Dyspnea on exertion. LUNGS AND PLEURA: Low normal lung volumes.Mosaic attenuation of the lung parenchyma with evidence of air trapping on the expiration sequence, most pronounced in the right lower lobe.Mild, nodular thickening of the fissures and interlobular septa.Peribronchovasc... | Diffuse interstitial lung disease consistent provided history of sarcoidosis. Air trapping is consistent with small airways involvement. Groundglass component consistent with alveolar involvement. No significantly enlarged mediastinal or hilar lymph nodes. Splenomegaly is not significantly changed. |
Generate impression based on findings. | Reason: Evaluate for steno-occlusive disease or other etiology of stroke History: posterior circulation stroke, R field cut, cognitive and short-term memory deficits 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 ... | 1.Left posterior cerebral artery occlusion at the distal p2 segment.2.There is a left cavernous segment aneurysm along the left internal carotid artery.3.Findings are compatible with a subacute infarction involving the posterior aspect of the left parahippocampal gyrus and hippocampus extending towards the splenium of ... |
Generate impression based on findings. | History of lung cancer with destruction of left fifth and sixth ribs now with worsening with rib pain. Evaluate for fracture. There is an expansile lytic lesion of the left fifth rib with poor visualization of a segment of the posterolateral segment of the adjacent sixth rib compatible with the stated history of neopla... | Lytic lesions of the left fifth and sixth ribs; and other findings as above. I see no fracture. |
Generate impression based on findings. | Reason: Delirium, thrombocytopenia, concern for bleed History: Thrombocytopenia, delerium. The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parench... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.s/p recent paranasal sinus surgery.3.Progression of heterogeneous appearance in the left frontal sinus and left ethmoid air cells raises the question infiltrative lesion such as fungal sinusitis. Please refer to operative findings from recent endosc... |
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. No suspicious masses, microcalcificati... | 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. | T1b N0 squamous cell carcinoma of the lung. 18 months after neoadjuvant chemotherapy followed by left upper lobe sleeve resection. Six month follow-up. LUNGS AND PLEURA: Postsurgical and post-therapeutic volume loss on the left consistent with provided clinical history. Remaining left lung is mildly emphysematous but n... | No signs of localized recurrence or metastatic disease. |
Generate impression based on findings. | Ms. Franklin submitted outside mammograms dated 1/6/2012 and 11/29/2012, from Stroger Hospital. Personal history of right lumpectomy for cancer in 1999 followed by chemoradiation therapy. Family history of breast cancer in maternal aunt. Submitted outside studies were compared to the current mammogram dated 11/26/2014.... | Stable postsurgical changes in the right breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Neck pain. Evaluate for cervical stenosis. Shoulder pain. Evaluate for osteoarthritis or impingement. Three views of the left shoulder are provided. There are tiny glenohumeral joint osteophytes, essentially within normal limits considering the patient's age. The acromioclavicular joint appears normal, and the acromioh... | Minimal degenerative arthritic changes of the shoulder and cervical spine as described above, without findings to suggest a mechanism for impingement. |
Generate impression based on findings. | Reason: hx of head trauma with plate over R skull History: LUE/facial numbness and lburry vision now resolved The CSF spaces are appropriate for the patient's stated age with no midline shift. The patient is status post right-sided craniotomy. There is a focus of encephalomalacia present along the right temporal lobe l... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Encephalomalacia along the right temporal lobe.3.Status post right-sided craniotomy. |
Generate impression based on findings. | 60 year-old female with history of follicular thyroid cancer, status post thyroidectomy. Evaluate for recurrence. RIGHT LOBE MEASUREMENTS: Status-post thyroidectomyLEFT LOBE MEASUREMENTS: Status-post thyroidectomyISTHMUS MEASUREMENTS: Status-post thyroidectomyRIGHT LOBE: Status-post thyroidectomyLEFT LOBE: Status-post ... | Status post thyroidectomy. Hyperechoic focus remains stable most consistent with residual thyroid tissue. |
Generate impression based on findings. | Pain Four views of the left shoulder are provided. Severe osteoarthritis affects the glenohumeral joint, with prominent osteophyte formation arising from the inferomedial aspect of the humeral head/neck. An additional osteophyte projects from the superior aspect of the humeral head. Relatively mild osteoarthritis affec... | Osteoarthritis and other findings as described above. |
Generate impression based on findings. | Ms. Hardin submitted outside mammograms dated 5/16/2000 and 03/26/2009, from Northwestern Memorial Hospital. Submitted outside studies were compared to the current mammogram dated 12/17/2014. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of arc... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 61 years old, Male, Reason: pt with HCC needs surveillance CT scans for staging History: left sacral pain CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Patient status post liver tran... | 1.Stable exam without evidence to suggest HCC recurrence or metastatic disease.2.Mild interval decrease in biliary duct dilatation without evidence of obstruction or choledocholithiasis. |
Generate impression based on findings. | Female 54 years old Reason: esgophagogastric cancer restaging after diagnostic ex-lap revealed occult carcinomatosis - restaging History: dysphagia s/p stent, pain CHEST:LUNGS AND PLEURA: Calcified and noncalcified micronodules, unchanged.MEDIASTINUM AND HILA: There is asymmetric thickening of the distal esophagus, and... | Interval stenting of the esophageal mass. However, a cluster of stable gastrohepatic ligament nodes are still worrisome, although not pathologically enlarged by size criteria. |
Generate impression based on findings. | Malignant neoplasm of the colon with metastases to the liver evaluate for lung metastases prior to chemotherapy. LUNGS AND PLEURA: No pneumothorax or pleural fluid. Mild scarring or atelectasis at the lung bases. Sub-solid micronodule measuring right upper lobe (5/50) could reflect a small subpleural lymph node. 2-3 mm... | No conclusive evidence of pulmonary metastases; pulmonary micronodules are too small to accurately characterize but based on their size and location statistically most likely benign. Nonspecific thyroid gland nodule. |
Generate impression based on findings. | 73 year old female with history of left upper sublobar resection for squamous cell carcinoma 1.5 years ago. LUNGS AND PLEURA: Stable postoperative findings of left upper lobe sublobar resection. Left lower lobe sub-solid nodule is unchanged in size (5/52), currently measuring 6 x 3 mm. Left lung base subpleural consoli... | 1.Postoperative findings in the left upper lung are stable, without evidence of recurrent tumor.2.Emphysema and other findings as above, without interval change. |
Generate impression based on findings. | Follow-up of T3N0 squamous cell carcinoma of the right vocal cord treated via FHX completed on 7/15/2011. The lack of intravenous contrast administration limits sensitivity for the detection of tumor. Nevertheless, there is mild residual supraglottic edema, but no definite discrete mass lesions. There is no significant... | 1. No definite evidence of locoregional tumor recurrence or significant cervical lymphadenopathy, although the assessment is limited by the lack of intravenous contrast.2. Fusiform dilation of the supraclinoid internal carotid arteries, right larger than left. Dedicated vascular imaging may be useful for further charac... |
Generate impression based on findings. | 82-year-old female. Reason: Evaluate for evidence of aspiration History: History of stroke, coughing with food and wheezing Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Exam was somewhat limited by patient immobility. Limited single contrast evaluation... | 1. During the exam, a single episode of coughing was observed, but no fluoroscopic evidence of aspiration was seen. If there is continued concern for aspiration, recommend OPM.2. Esophageal dysmotility with proximal escape and tertiary contractions involving the distal third of the esophagus. |
Generate impression based on findings. | Female 53 years old Reason: s/p gastric lap band in 2008 History: same Scout image shows moderate amount of fecal matter. Gastric band has a phi angle of 33 degrees.Single contrast esophagram shows the lumen to the gastric band at approximately 8 millimeters. The proximal esophagus is mildly dilated. There is altered u... | Altered esophageal motility with moderate amount of proximal escape and moderate amount of tertiary contractions.The gastric band is in appropriate position. |
Generate impression based on findings. | Shortness of breath and pleuritic chest pain on left. PULMONARY ARTERIES: Excellent infusion quality. No evidence of acute pulmonary embolus. The main pulmonary artery is normal in caliber.LUNGS AND PLEURA: Small linear area of subsegmental atelectasis or scarring in the posterior aspect of the right upper lobe near th... | 1. No evidence of acute pulmonary embolus.2. Calcification at the origin of the right coronary artery with hypoattenuation involving the anterior wall of the right ventricle, of unclear chronicity but may indicate infarction or ischemia. Clinical service in the ED notified.3. Incompletely assessed solid nodule in the r... |
Generate impression based on findings. | 1 year old female with respiratory distress, hypoxia, increased ventilator settings. Status post NJ placement.VIEW: Chest and abdomen AP (two views) 1/9/2015, 1322 hrs. ET tube tip between the thoracic inlet and carina. Right IJ catheter tip and left upper extremity PICC tip at the cavoatrial junction. Enteric tube is ... | 1.Enteric tube coiled in the stomach, with tip in the gastric fundus.2.Increasing right pulmonary opacities. |
Generate impression based on findings. | Micrognathia. Pierre Robin sequence. There is micrognathia with approximately 10 mm of overjet and 8 mm of underbite as well as glossoptosis with narrowing of the oropharyngeal airway. A nasoenteric tube is present. The imaged paranasal sinuses and mastoid air cells are clear. The internal auditory canals are borderlin... | 1. Stigmata of Pierre Robin sequence with micrognathia with approximately 10 mm of overjet and 8 mm of underbite as well as glossoptosis with narrowing of the oropharyngeal airway. 2. The internal auditory canals are borderline narrow bilaterally. A temporal bone MRI may be useful for further evaluation, if clinically ... |
Generate impression based on findings. | Male 65 years old; Reason: post op vad, abdominal distension, ileus History: post op vad, abdominal distension, ileus LVAD device projected over the chest and upper abdomen. Multiple lines and tubes project over the chest. Status post median sternotomy.Hyperdense appearance of both kidneys likely due to retention of in... | 1.Enteric tube terminates in the region of the first portion of the duodenum |
Generate impression based on findings. | 64 year old female with history of non-small lung cancer status post radiation therapy. CHEST:LUNGS AND PLEURA: Severe centrilobular emphysema. Left lower lobe post radiation changes appear stable (5/47). Left upper lobe scarring is also unchanged (5/26). Focal nodular thickening in the right upper lobe (5/27) measures... | Stable post therapeutic changes, without evidence of recurrent tumor. |
Generate impression based on findings. | Male, 81 years old. Reason: prostate cancer s/p prostatectomy Scout film demonstrated no abnormal calcification.300mL Cystografin was administered by gravity via the Foley catheter.The urinary bladder was suboptimally distended. No mucosal abnormality was evident. No evidence of vesicoureteral reflux or extravasation o... | Cystogram showing post-surgical changes without evidence of contrast leak from the urinary bladder or urethra. |
Generate impression based on findings. | ORBITS: No acute orbital bone fracture is identified. The globes are intact. There is no evidence of intraorbital hematoma or stranding. No significant soft tissue swelling is identified. The temporomandibular joints are intact. There are postoperative sinonasal findings from bilateral maxillary antrostomies and ethmo... | 1.No acute orbital wall fracture, acute intracranial hemorrhage or skull fracture.2.Advanced periventricular and subcortical white matter hypoattenuation which is nonspecific, and may represent age indeterminate small vessel ischemia, although given the extensive degree of involvement for patient's age, differential di... |
Generate impression based on findings. | Ms. Hardin submitted outside mammograms dated 5/16/2000 and 03/26/2009, from Northwestern Memorial Hospital. Submitted outside studies were compared to the current mammogram dated 12/17/2014. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of arc... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 43 years old Reason: Assess for malignancy, other abdominal pathology History: Lower abdominal pain, weight loss Within the limits of a non IV contrast enhanced examination which limits ability to evaluate solid parenchymal organs and vascular structures, the following observations can be made: ABDOMEN:LUNG BASE... | No evidence of malignancy as clinically questioned. No specific finding seen to account for patient's abdominal pain and weight loss. However, examination suboptimal for the detection of malignancy without intravenous contrast. |
Generate impression based on findings. | 76 years old female with metastatic breast cancer to bone and adrenal. Followup scan, on therapy. Restaging and evaluating response to therapy. RADIOPHARMACEUTICAL: 13.4 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 96 mg/dL. Today's CT portion grossly demonstrates stable small nodular densities in the rig... | 1.Stable osseous metastasis as described above.2.Resolving nodular densities in the right middle lobe and left lingular lobe, which may represent inflammatory change or decreasing tumor. |
Generate impression based on findings. | 77-year-old male with restaging for widely metastatic prostate cancer and renal cell carcinoma. Numerous foci of tracer uptake at the skull, spine, bilateral ribs, pelvis, bilateral proximal humeri, clavicle, scapula and proximal femurs are relatively stable, consistent with diffuse metastatic disease. There is increas... | Stable diffuse metastatic bone disease. |
Generate impression based on findings. | 72 years old, Female, Reason: restaging CT after maintenance chemotherapy (known peritoneal metastasis found intraoperatively) History: none CHEST:LUNGS AND PLEURA: Scattered micronodules are unchanged. Appearance of the right lower lobe subsegmental atelectasis unchanged.MEDIASTINUM AND HILA: Tracheobronchial calcific... | 1.Persistent evidence of peritoneal carcinomatosis with a small amount of free fluid.2. New right hydronephrosis and hydroureter proximal dilatation of the ureter which is presumably secondary to narrowing by peritoneal implant or scarring.Discussed findings with Dr. Catenacci at time of dictation. |
Generate impression based on findings. | 4-year-old female with remote history of anoxic encephalopathy, admitted for severe failure to thrive. Patient has disorganized feeding, poor PO intake.EXAMINATION: Oropharyngeal motility study 1/9/2015, 1015 hrs. Julie Ecclestone, speech and language therapist, supervised the examination.65 seconds of fluoroscopy was ... | Oral and pharyngeal deficits, as above.Please see the speech and language therapist's report for feeding recommendations. |
Generate impression based on findings. | History of esophageal cancer status post resection assess for recurrence or metastatic disease. CHEST:LUNGS AND PLEURA: Granuloma in the left lower lobe unchanged. Very mild subpleural reticulation is in the lung periphery, not significantly changed. No evidence of honeycombing. No suspicious nodules or masses.MEDIASTI... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Male; 76 years old. Reason: lumbar disc bulge History: lumbar disc bulge Three standing views of the lumbar spine demonstrate interval postsurgical changes from posterior spinal fusion with rods and screws, as well as intravertebral spacer device, at L5-S1. Hardware appears intact without evidence of loosening.Moderate... | Postsurgical and degenerative arthritic changes as described above. |
Generate impression based on findings. | 7-month-old male with DORV with PS s/p central shunt. History of respiratory infections.VIEWS: Chest AP/lateral (two views) 1/9/2015, 1221 hrs. Improved retrocardiac atelectasis.No focal pulmonary opacity or pneumothorax.Engorged central vasculature and pulmonary edema suggestive of left to right shunt.Minimal blunting... | No evidence of pneumonia. |
Generate impression based on findings. | Ms. Franklin submitted outside mammograms dated 1/6/2012 and 11/29/2012, from Stroger Hospital. Personal history of right lumpectomy for cancer in 1999 followed by chemoradiation therapy. Family history of breast cancer in maternal aunt. Submitted outside studies were compared to the current mammogram dated 11/26/2014.... | Stable postsurgical changes in the right breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | DVT. History of pulmonary nodules, follow up. LUNGS AND PLEURA: Right lower lobe nodule in the costophrenic angle continues to decrease in size, now 9-mm (6/251).Additional nodular densities in the periphery of the right lower lobe are not significantly changed.Subpleural scarlike opacity in the lingula (6158) is uncha... | 1. Continued decrease in size of the right lower lobe nodule, favoring a post infectious or postinflammatory lesion.2. New peripheral scarlike lesion in the lingula, similar in appearance to abnormalities elsewhere in the lingula and right lower lobe which have not significantly changed from the prior study. This may r... |
Generate impression based on findings. | Female; 40 years old. Reason: eval for fx History: fall, multiple myeloma Five views of the lumbar spine demonstrate normal vertebral body height and alignment. No evidence of acute fracture or malalignment. Minimal degenerative disk disease L5-S1. Mild facet joint arthritic changes in the lower lumbar spine.Single AP ... | 1. Small lucencies in both partially visualized proximal femurs suspicious for multiple myeloma.2. No acute fracture or malalignment of the pelvis and hips. |
Generate impression based on findings. | 50 year old female. Reason: 50 yr old female with dysphagia, gerd Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Double contrast evaluation of the esophagus and gastric cardia/fundus revealed no morphologic abnormalities of the mucosal surfaces or mural ... | 1. Moderate esophageal dysmotility with breakup of the primary peristaltic wave and tertiary contractions predominantly involving the distal esophagus. 2. No gastroesophageal reflux was observed during the exam. |
Generate impression based on findings. | Ms. Allen submitted outside mammogram dated 12/08/2011, from Cook County Hospital. Submitted outside study was compared to the current mammogram dated 12/01/2014. The breast parenchyma is composed of scattered fibroglandular density. The previously identified circumscribed mass in the right upper outer breast, 11:00 po... | Stable benign masses bilaterally. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 72-year-old female with elevated calcium and hyperparathyroidism. Evaluate for parathyroid adenoma. On early images, there is a small focus of increased radiotracer activity immediately inferior to the lower pole of the left thyroid which exhibits delayed washout. These findings are suspicious for parathyroid adenoma. ... | 1. Findings highly suspicious for parathyroid adenoma inferior to lower pole of the left thyroid.2. Nonspecific asymmetric soft tissue thickening within the right hypopharynx region. Clinical correlation is suggested. |
Generate impression based on findings. | Male; 57 years old. Reason: pain History: same Four views of the right humerus demonstrates tiny glenohumeral joint osteophytes, indicating minimal osteoarthritis. Mild spurring of the greater tuberosity is also seen. The acromioclavicular joint is within normal limits. No acute fracture or malalignment is evident. | Degenerative arthritic changes as described above. |
Generate impression based on findings. | 35-year-old female. Reason: Mild gastroparesis. Evaluate for possible small bowel inflammation History: abdominal pain, nausea Scout radiograph showed a nonobstructive bowel gas pattern.Double contrast visualization of the esophagus showed no morphologic abnormalities of the mucosal surfaces or mural contours. Fluorosc... | Normal fluoroscopic examination of the esophagus, stomach, small bowel, and proximal colon. |
Generate impression based on findings. | 43-year-old female who is recalled from screening for right upper breast asymmetry seen only on MLO view. Right breast MLO, ML, and spot compression views 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 patte... | 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. | 68-year-old male with history of lung cancer status post chemo radiation and surgery. CHEST:LUNGS AND PLEURA: Moderate upper lobe predominant emphysema.Right upper lobe posttherapeutic changes and volume loss, similar to prior. Right upper lobe masslike region in the medial aspect of the apex (coronal image number 39 a... | 1.Right upper lung posttherapeutic changes and right apical masslike opacity are not significant changed.2.Mediastinal lymph nodes are slightly smaller than prior.3.No new evidence of metastatic disease. |
Generate impression based on findings. | 49-year-old female with palpable left breast lump for approximately 3 years at the 8 o'clock position who presents for evaluation. BILATERAL DIGITAL DIAGNOSTIC MAMMOGRAM: Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is extremely dense, whic... | Patient's palpable region of concern is most consistent with underlying ribs. No mammographic or sonographic 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: 1 ... |
Generate impression based on findings. | Male; 29 years old. Reason: left knee pain History: left knee pain Four views of the left knee including weight-bearing views demonstrate a notched appearance of the lateral femoral condyle on the lateral view, suspicious for hyperextension and impaction injury in this location and which can be associated with ACL inju... | Notched appearance of the lateral femoral condyle, suspicious for an impaction injury and possible ACL injury. |
Generate impression based on findings. | pT4aN1 left buccal mucosa squamous cell carcinoma status post treatment. There are interval post-treatment findings, including left mandibulectomy, flap reconstruction, neck dissection, tracheostomy, and radiation therapy effects. There is no definite evidence of residual tumor or significant lymphadenopathy in the nec... | Interval post-treatment findings without definite evidence of residual tumor or significant lymphadenopathy in the neck. |
Generate impression based on findings. | Heart transplant rule-out pneumonia, evaluate right pleural effusion. Motion artifact degrades image quality.LUNGS AND PLEURA: A right chest tube terminates at the lung apex, no pneumothorax or pleural fluid.New consolidation in the right lower lobe.Moderate left pleural effusion with associated compressive atelectasis... | 1. No right pleural effusion, but there is a new area of right lower lobe consolidation which may represent pneumonia.2. Left pleural fluid collection and intra-abdominal fluid have increased in volume.3. Slight decrease in size of right prepectoral loculated fluid collection. Development of adjacent soft tissue strand... |
Generate impression based on findings. | Ms. Allen submitted outside mammogram dated 12/08/2011, from Cook County Hospital. Submitted outside study was compared to the current mammogram dated 12/01/2014. The breast parenchyma is composed of scattered fibroglandular density. The previously identified circumscribed mass in the right upper outer breast, 11:00 po... | Stable benign masses bilaterally. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 62 years old, Female, Reason: Assess vasculature prior to kidney transplant History: Serial monitoring of known aortoiliac calcifications ABDOMEN:LUNG BASES: Reticular nodularity of the left lung base may represent a focus of atelectasis. Coronary artery calcifications are present.LIVER, BILIARY TRACT: No significant a... | 1.Severe dense calcific atherosclerotic disease of the aorta and its branches as detailed above not significantly change from prior study.2.Bilateral renal hypodensities are unchanged. Some of these may represent complex cysts although their complexity is not fully evaluated without IV contrast. |
Generate impression based on findings. | 72-year-old female with left upper lobe lung nodule. Previous history of carcinosarcoma of the uterus.RADIOPHARMACEUTICAL: 12.3 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 91 mg/dL. Today's CT portion of the neck grossly demonstrates no significant abnormality. Today's CT portion of the pelvis grossly de... | 1.Moderately hypermetabolic focus in the left upper lobe consistent with patient's known history of lung cancer. 2.No other suspicious FDG-avid lesion in the chest, abdomen, or pelvis.Diagnostic CTs of the chest and abdomen also performed at today's visit will be reported separately. |
Generate impression based on findings. | Reason: recurrent infarction? History: transient facial droop and spinning dizziness The CSF spaces are appropriate for the patient's stated age with no midline shift. Is a 20 x 34 mm axial dimension a hypodense focus present in the interest of the left insular cortex and adjacent left frontal lobe which was also prese... | 1.No evidence for acute intracranial hemorrhage, mass effect or edema.2.Are compatible with a focus of infarction now in a more chronic stage involving insular cortex and frontal lobe as indicated above. |
Generate impression based on findings. | 29-year-old female with left lower extremity swellingRADIOPHARMACEUTICAL: A total of 0.49 mCi Tc-99m filtered sulfur colloid was divided into two injections over the dorsum of the left foot. A total of 0.50 mCi of Tc-99m filtered sulfur colloid was divided into two injections over the dorsum of the right foot. Asymmetr... | Slight delay in transit of radiotracer in the left lower extremity relative to the right. |
Generate impression based on findings. | Male; 27 years old. Reason: r/o fx, disloc History: hip pain after bumping countertop 16 x 8 mm calcific density projecting just lateral to the femoral head with sharp and somewhat indistinct borders, suspicious for small avulsion fracture fragment with the donor site potentially being the anterior-inferior iliac spine... | Findings suspicious for avulsion fracture from the anterior inferior iliac spine. |
Generate impression based on findings. | Female 26 years old; Reason: r/o renal injury History: left flank pain s/p fall directly to flank ABDOMEN:LUNG BASES: No significant abnormality noted. No rib fractures.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted. No laceration.PANCREAS: No significant abnormality not... | 1.No acute abdominal or pelvic pathology. |
Generate impression based on findings. | Reason: acute onset of neurologic deficit r/o stroke History: acute onset of neurologic deficit r/o stroke The CSF spaces are appropriate for the patient's stated age with no midline shift. Small hypodense foci are present along the right frontal lobe involving gray and white matter. One is located along the postcentra... | 1.Small lesions are present in the right frontal lobe and parietal lobe which are suspicious for subacute infarction though could represent alternative entity such as infection or neoplasm. If clinically appropriate MRI may be helpful.2.No evidence for acute intracranial hemorrhage. |
Generate impression based on findings. | 37-year-old male with history of UPJ obstruction status post pyeloplasty The posterior abdominal radionuclide angiogram demonstrates prompt, symmetrical perfusion of the kidneys. Sequential renal images show the right kidney to be of normal size and morphology while the left kidney is enlarged and dilated. There is pro... | Dilated left kidney without evidence for obstruction. |
Generate impression based on findings. | 1 year old female with suspected magnet ingestion.EXAMINATION: Chest and abdomen AP (two views), 1/9/2015, 1314 hrs. No radiopaque foreign body is identified.Aortic arch, cardiac apex, and stomach are left-sided. No focal pulmonary opacity, pleural effusion, or pneumothorax.Nonobstructive bowel gas pattern. No pneumato... | No radiopaque foreign body. |
Generate impression based on findings. | 73-year-old female with back pain, hip pain, and knee pain. Three standing views of the lumbar spine demonstrate moderate degenerative disk disease L3-4, L4-5, and L5-S1. Moderate facet joint arthritic changes of the lower lumbar spine. Vertebral body heights are preserved. There is grade 1 anterolisthesis of L4, likel... | 1. Degenerative and postsurgical changes as described above. Increased soft tissue swelling about the left knee with soft tissue emphysema, which may be postsurgical in etiology. However, clinical correlation is recommended for the possibility of infection, which is of moderate concern given the interval change.2. Mult... |
Generate impression based on findings. | Female 41 years old Reason: Abdominal pain s/p liver biopsy History: Abdominal pain ABDOMEN:LUNG BASES: Diffuse bibasilar ground glass opacities present on the prior examination. There is mild right basilar bronchiectasis. Subcentimeter cardiophrenic nodes are unchanged from the prior examination.LIVER, BILIARY TRACT: ... | 1.Postprocedural changes related to transjugular liver biopsy including portal venous gas and contrast within liver, without evidence of complication.2.Cirrhosis with associated sequelae of portal hypertension.3.Cavernous transformation of the portal vein.4.Groundglass opacities appearing similar to the prior CT examin... |
Generate impression based on findings. | There are post-treatment findings including left base of tongue and floor of mouth resection with myocutaneous flap reconstruction and denervation left hemitongue atrophy and mandibulotomy with hardware. There is increased size of ill-defined mass centered within the left parapharyngeal space adjacent to the surgical ... | 1.Overall slight interval tumor progression of extensive tumor in the neck, including along the surgical margins in the left parapharyngeal space, bilateral cervical lymph nodes, subcutaneous tissues in lower neck dermis and right parietal scalp, as well as intramuscular metastases within the neck and left lateral rect... |
Generate impression based on findings. | ALL requiring intrathecal chemotherapy. The procedure, indications, benefits, risks/complications and alternatives were described to the patient and informed consent was obtained. The patient was placed in the prone position and the inferior back was prepped with Betadine, draped and anesthetized with 1% lidocaine subc... | Successful fluoroscopically-guided lumbar puncture and intrathecal chemotherapy injection without complication. |
Generate impression based on findings. | 91 year-old female status post fall, evaluate for fracture No fracture is identified. Mild degenerative arthritic changes affect the right and left hip as well as the pubic symphysis. Moderate degenerative changes affect the lower lumbar spine. The sacrum is obscured by bowel gas. | No fracture or dislocation. |
Generate impression based on findings. | 75 year old female with history of base of tongue cancer. CHEST:LUNGS AND PLEURA: Right upper lobe pleural-based density (5/46) is unchanged in size, at 13 x 6 mm, and may represent scarring. No pleural effusion or suspicious nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart size wi... | Right upper lobe subpleural nodule is stable in size. No interval change or evidence of metastatic disease. |
Generate impression based on findings. | Two masses on the left nipple. History of benign left breast biopsy in 2002 with histology of fibroadenoma. BILATERAL DIGITAL DIAGNOSTIC MAMMOGRAM: Three standard views of both breasts and 5 left spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed o... | Two circumscribed solid masses on either side of the left nipple. Surgical consultation is recommended. Stable left breast fibroadenoma. Results and recommendations were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | 41-year-old male with left knee pain Left knee: Mild sharpening of the tibial spines especially within normal limits for the patient's age. Small joint effusion.Right ankle: Alignment is anatomic. No fracture or other specific findings to account for the patient's symptoms. There is mild pes planus deformity.Left ankle... | 1. Minimal arthritic changes and small left knee joint effusion..2. Mild right pes planus deformity. |
Generate impression based on findings. | 68 year old male with history of Crohn's disease, enterovesical fistula, and small bowel obstruction. Abdomen:LIVER, BILIARY TRACT: Scattered nonenhancing foci in the liver are too small to characterize. No biliary ductal dilatation. SPLEEN: No significant abnormality noted.PANCREAS: Scattered punctate cystic lesions i... | Findings compatible with acute-on-chronic inflammation in the neo-terminal ileum as described above, presumably due to active Crohn's disease at this site. |
Generate impression based on findings. | Female 35 years old Reason: pancreatic cancer with lung mets. Please measure all measurable lesions using recist criteria History: pre chemo CHEST:LUNGS AND PLEURA: Stable to slightly improved cluster of predominantly left-sided pulmonary nodules, suggestive of aspiration or infection.MEDIASTINUM AND HILA: The heart si... | 1.Pancreatic head/body mass as detailed above, with extensive vascular encasement.2.Stable to slightly improved pulmonary nodules most likely affecting aspiration/infection/pneumonitis.3.Unchanged nonspecific sclerotic focus in the L4 vertebral body. |
Generate impression based on findings. | 64-year-old female with shoulder pain Glenohumeral alignment is anatomic. No fracture is evident. | No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | 59 years old, Female, Reason: Pt with h/o relapsed CLL History: Evaluation of disease status prior to treatment regimen CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Significant interval increase in size of innumerable mediastinal lymph nodes. Significant interval increase in s... | Marked increase in widespread lymphadenopathy including supraclavicular, mediastinal, hilar, axillary, retroperitoneal, mesenteric, and pelvic lymphadenopathy. |
Generate impression based on findings. | Lung cancer. LUNGS AND PLEURA: Postsurgical volume loss consistent with right upper lobectomy. Asymmetric vascularity in the upper lung zones with decreased appearance on the right appearing similar to previous. Moderate to severe underlying emphysema. Right lower lobe linear area of spiculation with internal bronchiec... | 1. Stable appearance of the right lower lobe with no signs of localized recurrence.2. No lymphadenopathy. |
Generate impression based on findings. | Complex regional pain syndrome on her left side and subsequent hearing loss. Right: The external auditory canal is patent. The middle ear and mastoid air cells are well-pneumatized and clear. The ossicular chain is intact. The inner ear structures are unremarkable. The facial nerve describes a normal course. The jugula... | Unremarkable temporal bones. |
Generate impression based on findings. | 49-year-old male, closed car on right elbow 4 months ago, with continued pain Alignment is anatomic. No fracture is identified. There is no significant joint effusion. | No fracture or dislocation. |
Generate impression based on findings. | Short-term follow-up for high probability benign calcifications in the right upper outer quadrant. History of breast cancer in two paternal cousins. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular densit... | Stable right breast calcifications. 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.RECOMMENDATION: ND - Diagnostic Mammogra... |
Generate impression based on findings. | 52 year old female with breast cancerRADIOPHARMACEUTICAL: The left breast was prepared in a sterile manner. A total of 0.49 mCi Tc-99m filtered sulfur colloid was injected in four periareolar injections. A focus of increased activity is noted in the left axilla, representing the sentinel nodes. This region was marked w... | Sentinel node identified in the left axilla. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views (total of 8 images) and tomosynthesis (in MLO projections) of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, micro... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms are submitted, then an addendum to this repor... |
Generate impression based on findings. | Reason: dyspnea, eval for LVRS, valve placement, enrollment in the study History: dyspnea LUNGS AND PLEURA: Severe paraseptal and centrilobular emphysema, with a marked upper lobe predominance.Nodular regions of pleural thickening, calcified on the left, of little clinical significance.Mild right base linear scarring.M... | Severe centrilobular and paraseptal emphysema with a marked upper lobe predominance. |
Generate impression based on findings. | Recall from screening for asymmetry in the left lower outer quadrant. LEFT UNILATERAL DIGITAL DIAGNOSTIC MAMMOGRAM: A ML view and two spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses... | Cluster of the left breast cysts. 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.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in cousin. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No s... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in two maternal great aunts. Two standard digital views and tomosynthesis 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... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 59-year-old female with CLL currently on clinical trialRADIOPHARMACEUTICAL: 10.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 142 mg/dL. Today's PET examination demonstrates diffuse, extensive lymphadenopathy in bilateral neck, supraclavicular, axillary, and chest wall chains. There is also prominent medi... | 1.Moderate new hypermetabolic activity in the neck, chest, abdomen, and pelvis may be consistent with CLL but is suspicious for FDG avid lymphoma.2.Worsening of mesenteric lymphadenopathy with increase in size, number, and activity suspicious for transformation to FDG avid lymphoma.Diagnostic CTs of the neck, chest, ab... |
Generate impression based on findings. | Reason: h/o parotid cancer s/p chemorads and surg ck response History: facial droop CHEST:LUNGS AND PLEURA: Right middle lobe subpleural nodule unchanged as far back as 7/2/2013 and likely is benign.However, there is a new 15 x 9 mm left lower lobe subpleural nodule image 72/91, barely visible in hindsight on the prior... | 1. New left lower lobe nodule suspicious for metastasis.2. New severe right hydronephrosis, with obstruction below the lower margin of the image/pelvic brim.3. Stable left adrenal nodule possibly still benign. |
Generate impression based on findings. | 70 year-old male with history of right upper lobe squamous cell carcinoma, status post chemoradiation CHEST:LUNGS AND PLEURA: Right apex and right major fissure radiation fibrosis are similar to prior. Right lung base/costophrenic angle nodule (5/37) measures 4 mm, previously 6 mm. Left lower lung linear opacities, wit... | 1.Posttherapeutic findings, without interval change. No evidence of metastatic disease or malignancy recurrence.2.Left lower lung linear opacities, with mild associated bronchial wall thickening, likely related to aspiration. |
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