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Generate impression based on findings. | Evaluate for small bowel obstruction No free air. Dilated small bowel, measuring up to 3.8 cm, with air seen distally in colon. While findings may reflect diffuse ileus, mid to distal colonic obstruction not entirely excluded. Left hemipelvic anastomotic suture material present. Bilateral total hip arthroplasties. Decr... | Findings suggestive of diffuse ileus. Mid to distal colonic obstruction another differential consideration and correlation with patient's clinical history and continued followup recommended. |
Generate impression based on findings. | Female; 87 years old. Reason: r/o worsening pancreatitis and assess stent location History: abdominal pain ABDOMEN:LUNG BASES: Moderate pleural effusions with associated compressive bibasilar atelectasis, similar to prior study. Intrathoracic stomach with endoscopic clip seen postero-inferiorly.LIVER, BILIARY TRACT: St... | 1. Pancreatitis with decreased peripancreatic fluid collection status post cystogastrostomy tube placement, cyst gastrostomy located in stomach. Small, residual rimmed fluid collection is seen in the left upper quadrant.2. Decreased upper abdominal ascites, but some of the ascites appears loculated with new rim enhance... |
Generate impression based on findings. | Evaluate for obstructive pattern, history of epigastric abdominal pain Paucity of small bowel gas, may reflect fluid containing loops. Moderate air seen distally in colon. No definitive evidence of bowel obstruction otherwise. No free air seen on decubitus imaging. Right upper quadrant clips. IVC filter present. Vascul... | Paucity of small bowel gas, may reflect fluid containing loops. Moderate air seen distally in colon. No definitive evidence of bowel obstruction otherwise. No free air seen on decubitus imaging. |
Generate impression based on findings. | No acute intracranial hemorrhage. Stable appearing right cerebellar hypoattenuation compatible with prior infarct. Hypoattenuation of the subcortical and periventricular white matter compatible with age indeterminant small vessel disease. No evidence of mass, mass effect, or hydrocephalus. The imaged paranasal sinuses... | 1.No evidence of acute intracranial hemorrhage. CTs not sensitive for detection of acute nonhemorrhagic ischemia. If high clinical suspicion of CVA, consider MRI.2.Stable appearing right cerebellar hypoattenuation compatible with prior infarct.3.Subcortical and periventricular white matter age indeterminant small vesse... |
Generate impression based on findings. | Abdominal cramping. Prior partial bowel obstruction. History of Crohn's disease.VIEWS: Abdomen AP supine/upright (two views) 03/14/15 A small to moderate amount of feces is seen in the colon. Mildly to moderately dilated small bowel loops are present with air-fluid levels. No free peritoneal air is present. | Abnormal bowel gas pattern with dilated small bowel and air-fluid levels. The appearance is similar on prior exam and may be related to inflammation and partial obstruction at the level of the terminal ileum. |
Generate impression based on findings. | 8-month-old female with history of drooling, concern for foreign body.VIEWS: Chest AP/lateral; Soft tissue neck: AP/lateral (4 views) 3/13/15 Chest: The aortic arch, cardiac apex, and stomach are left-sided. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax is present. Bronchial wall thickening... | 1.7 cm star-shaped radiopaque foreign body overlies the piriform sinus/upper esophagus. A repeat lateral soft tissue neck is recommended if symptoms have resolved. If symptoms have not resolved a soft tissue CT neck is recommended.The findings were discussed with Dr. Senko in person 9:30 a.m. on the 3/14/15. |
Generate impression based on findings. | Male 45 years old; Reason: Evaluate for metastatic disease, history of headache CHEST:LUNGS AND PLEURA: Numerous bilateral pulmonary nodules, compatible with metastatic disease. Reference right lower lobe lung nodule, measuring 0.8 x 0.6 cm, image 65 series 4. Additional nodular focus located in medial left lower lobe ... | 1. Findings compatible with pulmonary, nodal and hepatic metastatic disease.2. Air seen in bladder, correlate clinically for recent intervention. |
Generate impression based on findings. | Reason: source of worsening pain L ear/face. 30F with LVAD, ANC 0 s/p chemo for relapsed AML s/p syngeneic SCT x 2 History: neutropenic fever, worsening sharp constant pain L ear/face Mucous retention cyst in the atelectatic left maxillary sinus. Otherwise imaged paranasal sinuses and mastoid air cells are clear. Right... | 1.Atelectatic left maxillary sinus, likely sequela of prior sinusitis. No evidence of acute sinusitis.2.No cervical lymphadenopathy by CT size criteria. |
Generate impression based on findings. | Patella subluxation. Question of MPFL tear, cartilage wear. Evaluate for loose bodies. MENISCI: The medial and lateral menisci are intact.ARTICULAR CARTILAGE AND BONE: There is slight heterogeneity of the articular cartilage of the patella which may reflect minimal degeneration but, this is equivocal, and we see no dis... | Findings compatible with femoral trochlear dysplasia as described above. We see no discrete cartilage defects, loose bodies, or retinacular injury. |
Generate impression based on findings. | 51-year-old female with history of shortness of breath. Evaluate for PE. PULMONARY ARTERIES: No evidence of acute pulmonary embolus.LUNGS AND PLEURA: Mild left basilar subsegmental atelectasis of unknown etiology. No focal opacities, pleural effusions or pneumothorax.MEDIASTINUM AND HILA: Heart size normal without peri... | Left basilar subsegmental atelectasis with no evidence of acute pulmonary embolus. Other incidental findings as above.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 49-year-old female with history of left retromolar squamous cell carcinoma. CHEST:LUNGS AND PLEURA: No focal opacities, pleural effusions, or suspicious nodules.MEDIASTINUM AND HILA: There is fusiform aneurysmal dilation of the central pulmonary arteries, worse in the left descending pulmonary artery which measures up ... | 1. No evidence of metastatic disease.2. Aneurysmal dilation of the central pulmonary arteries, worse in the left descending pulmonary, with a normal-appearing main pulmonary artery. These findings are of uncertain clinical significance, although unchanged when compared to prior. |
Generate impression based on findings. | Progression of generalized age-related volume loss. There are areas of encephalomalacia within left greater than right parietal lobes, right frontal cortex, and left cerebellum from prior infarct. No acute intracranial hemorrhage is identified. No evidence of intracranial mass, mass-effect, or hydrocephalus. No intra-... | 1.No acute intracranial abnormality. 2.Progression of volume loss with scattered chronic infarcts. |
Generate impression based on findings. | Hypoxia. History of neuroblastoma.VIEW: Chest AP (one view) 03/14/15, 0024 Right central line tip is at junction of superior vena cava and right atrium. Left upper extremity PICC tip is at junction of superior vena cava and right atrium. Surgical clips are noted in right upper quadrant.Cardiac silhouette size is normal... | No focal lung opacity. Interval exchange of right central venous catheter. |
Generate impression based on findings. | 34 day old former 24 week gestational age patient with increased desaturation events.VIEWS: Chest and abdomen AP (two views) 03/14/15, 0900 Endotracheal tube tip is at thoracic inlet. Right PICC tip is in superior vena cava. PDA ligation clip is again seen. Feeding tube tip is at GE junction with side port in lower eso... | Focal opacity in right lower lobe may be atelectasis or pneumonia. Disorganized bowel gas pattern. |
Generate impression based on findings. | 18 day old male status post diaphragmatic hernia repair.VIEW: Chest AP (one view) 3/14/15 ET tube tip is between the thoracic inlet and carina. Left PICC tip is in the left axillary vein. NG tube has its proximal sidehole near the GE junction.Persistent right pneumothorax. Increased opacity of the right hemithorax like... | Persistent right pneumothorax with increasing opacity of the right hemithorax consistent with accumulating pleural fluid. |
Generate impression based on findings. | 12-year-old female with pain and swelling, concern for fractureVIEWS: Left ankle AP, oblique, lateral (3 views) 3/14/15 Minimally displaced Salter-Harris two fracture of the posterior tibial metaphysis. Mild lateral soft tissue swelling is present. The ankle mortise joint is normal. | Minimally displaced Salter-Harris II fracture of the posterior tibial metaphysis. |
Generate impression based on findings. | 6-year-old female with pain and difficulty ambulating.VIEWS: Left ankle AP, oblique, and lateral (3 views) 3/14/15 No fracture or malalignment. Mild soft tissue swelling. The ankle mortise joint is maintained. | Mild soft tissue swelling without fracture or malalignment. |
Generate impression based on findings. | No acute diffusion-weighted abnormality is identified. There is multiple foci of scattered T2/FLAIR signal abnormality of the bilateral periventricular and subcortical white matter, compatible with chronic small vessel ischemic disease. Evolving prior right cerebellar infarct. There is no evidence for intracranial hem... | 1.No evidence of acute infarction.2.Chronic small vessel ischemic disease.3.Evolving prior right cerebellar infarct. |
Generate impression based on findings. | Evaluate patency of TIPS VASCULAR: At hepatic venous end of TIPS, velocity measures 217 cm/sec. At midportion, velocity measures 240 cm/sec.TIPS portal venous velocity measures 132 cm/sec.Main portal vein velocity measures 46 cm/sec, normal direction flow seen.Expected reversal of flow in left portal vein, velocity mea... | 1. TIPS overall patent but elevated velocities as above. Findings nonspecific but velocities are increased compared to 6/5/14 ultrasound exam, when portal segment velocity measured 100 cm/sec, mid segment velocity measured 120 cm/sec and hepatic vein segment velocity measured 140 cm/sec, velocities now measure 132 cm/s... |
Generate impression based on findings. | Male; 71 years old. Reason: esophageal compression/cancer, evaluate for malignancy/mets History: esophageal obstruction CHEST:LUNGS AND PLEURA: 11 mm spiculated nodule in the posterior segment of the right upper lobe, suspicious for primary lung cancer versus metastasis (series 5/42). Few scattered, nonspecific pulmona... | 1. Mid esophageal cancer as detailed above.2. Right hilar, mediastinal, and retroperitoneal lymph nodes suspicious for metastatic disease.3. 11 mm spiculated right upper lobe nodule, suspicious for primary lung cancer versus metastasis. |
Generate impression based on findings. | 10 month old male status post fall and concern for fractureVIEWS: Cervical spine: AP and lateral; chest and abdomen AP (4 views) 3/14/15 Cervical spine: Mild thickening of the adenoids. Nasopharynx efface on this image performed in expiration. Cervical spine is visualized to the level of C7. Alignment is preserved. No ... | No fracture or malalignment. No acute cardiopulmonary abnormality. |
Generate impression based on findings. | VSD repair.VIEW: Chest AP (one view) 03/14/15, 0614 Epicardial pacer leads have been removed. Right internal jugular line has its tip at junction of superior vena cava and right atrium. Mediastinal surgical clips are seen.Cardiac silhouette size is upper limits of normal. Some streaky opacities are present bilaterally.... | Continued bilateral subsegmental atelectasis. |
Generate impression based on findings. | 14-year-old male with gunshot wound to left lower extremity. 11-mm bullet is again seen in the anterior soft tissues of the knee distal to the patella. Comminuted fracture of the anterior tibia at the level of the tibial tuberosity. Foci of gas and edema are seen in the soft tissues adjacent to the bullet and projectil... | 1. Comminuted fracture of the anterior tibia at the tibial tuberosity.2. Bullet in the anterior soft tissues of the knee with subcutaneous emphysema and soft tissue swelling.3. Vessels of the lower extremity are without evidence of occlusion or aneurysm. |
Generate impression based on findings. | Reason: please evaluate pituitary gland, patient cannot have MRI to to bullet in head. History of central hypogonadism History: please evaluate pituitary gland, patient cannot have MRI to to bullet in head. History of central hypogonadism There is a metal foreign body located in the sella. This creates artifact. The pi... | 1.The pituitary gland cannot be evaluated due to a foreign metal body lodged in the pituitary fossa. However, given the location of the metal foreign body within the pituitary fossa, one may infer potential injury to the pituitary gland. Please correlate with the clinical history and timing of the patient's signs and s... |
Generate impression based on findings. | Repeat right patellar dislocation. MENISCI: No significant abnormality noted.ARTICULAR CARTILAGE AND BONE: A subchondral contusion of the lateral femoral condyle is present. An anterolateral femoral condyle chondral defect is identified. Medial facet subchondral contusion is noted just at the insertion of the medial re... | Anterolateral femoral condyle chondral defect due to lateral patellar dislocation. |
Generate impression based on findings. | No suspicious tonsillar or mucosal space masses are seen. Right parotid and submandibular glands are mildly atrophic. Thyroid gland is unremarkable. The airway is patent. There is no cervical lymphadenopathy by CT size criteria. The imaged intracranial contents are unremarkable. Imaged paranasal sinuses and mastoid ai... | No evidence of locoregional recurrence. |
Generate impression based on findings. | Female; 74 years old. Reason: evaluate for fluid collections History: s/p esophagectomy for esophageal perforation CHEST:LUNGS AND PLEURA: Small left pleural effusion and mild left basilar subsegmental atelectasis. Small right hydropneumothorax with mild right basilar subsegmental atelectasis. Two right-sided chest tub... | 1. Postsurgical changes from esophagectomy with pneumomediastinum and right hydropneumothorax. Rounded opacity in the azygoesophageal recess is likely due to postsurgical change/hematoma, but attention at follow-up is recommended.2. No intra abdominal or pelvic loculated fluid collection to suggest abscess.3. Small lef... |
Generate impression based on findings. | Reason: anisocoria, decreased mental status, ?? vasospasm due to h/o SAH History: anisocoria, decreased mental status, ?? vasospasm Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. The patient is st... | 1.mild bilateral anterior cerebral artery vasospasm.2.right frontal hematoma continues to evolve3.status post ventriculostomy. The ventricles are stable in size. 4.continued evolution of subarachnoid and intraventricular blood products. |
Generate impression based on findings. | There is a right calvarial burr hole again seen with resolution of previously seen minimal pneumocephalus. A clip in the right medial temporal lobe is again identified. There is diffuse hypoattenuation in the white matter of the right temporal lobe in a vasogenic pattern extending into the insula and operculum without... | 1. Postsurgical findings from right temporal lobe biopsy again seen with resolution of minimal pneumocephalus.2. Diffuse vasogenic pattern of abnormal low density in the right frontal and temporal lobes without significant change. No acute intracranial hemorrhage or worsening mass effect. However, comparing to baseline... |
Generate impression based on findings. | Female; 64 years old. Reason: evaluate for SBO History: nausea, vomiting, diarrhea ABDOMEN:LUNG BASES: Minimal bibasilar dependent subsegmental atelectasis. Small amount of contrast within the distal esophagus, suggestive of esophageal reflux.LIVER, BILIARY TRACT: Stable indeterminant subcentimeter hypoattenuating lesi... | 1. Severe gastric distention with findings raising the question of SMA syndrome as the cause.2. Findings suggestive of a mild grade partial small bowel obstruction and a moderate grade partial colon obstruction as detailed above.3. Ascites, developing obstructive ischemia not entirely excluded. No pneumatosis, portal v... |
Generate impression based on findings. | There are unchanged posttreatment findings with improved aeration of the pharynx, and no evidence of mass lesions or significant cervical lymphadenopathy. A stable reference left level IIa lymph node measures 5 mm on series 8 image 33. The thyroid and major salivary glands are unremarkable. There is mild persistent na... | 1.No locoregional tumor recurrence or significant cervical lymphadenopathy.2.Please refer to dedicated accompanying CT chest report for further details. |
Generate impression based on findings. | 12-year-old female with lupus, pancreatic pseudocyst, and splenic thrombus seen on recent CT. Color and spectral Doppler were performed.Anechoic area within the pancreas measuring 2.2 x 1.3 x 0.8 cm represents small residual pseudocyst. The spleen is normal in echogenicity and size measuring 10.2 cm. The splenic artery... | Narrowing and compression of splenic vein resolved after drainage of pancreatic pseudocyst. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Scattered micronodules compatible with previous infection, unchanged.No suspicious nodules.MEDIASTINUM AND HILA: No significant lymphadenopathy.No visible coronary artery calcifications.No pericardial effusion.CHEST WALL: No... | No evidence of metastatic disease. |
Generate impression based on findings. | Reason: anisocoria, decreased mental status, ?? vasospasm due to h/o SAH History: anisocoria, decreased mental status, ?? vasospasm Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. The patient is st... | 1.mild bilateral anterior cerebral artery vasospasm.2.right frontal hematoma continues to evolve3.status post ventriculostomy. The ventricles are stable in size. 4.continued evolution of subarachnoid and intraventricular blood products. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is mild periventricular and subcortical white matter hypoattenuation which is nonspecific, likely representing chronic microvascular ischemic changes. The ventricles and basal cisterns are normal in size and configuration. There is no midl... | 1.Mild chronic microvascular ischemic changes with no acute intracranial hemorrhage or mass-effect. CT is insensitive for detection of early nonhemorrhagic stroke.2.Finding suggesting acute sinusitis in the proper clinical setting, with periapical lucencies of of the adjacent right maxillary molars. Recommend correlati... |
Generate impression based on findings. | There is no evidence of mass lesions or significant cervical lymphadenopathy. There is no large lipoma in the posterior neck soft tissues or mass. There is diffuse prominence of subcutaneous fat. There are scattered subcentimeter lymph nodes in the neck which are not enlarged by CT size criteria. The thyroid and major... | 1.No posterior neck mass, large lipoma or significant lymphadenopathy.2.Significantly slender spinal canal likely on a developmental basis with superimposed minimal spondylotic changes which can be better evaluated on MRI if clinically indicated. |
Generate impression based on findings. | NECK: There are unchanged posttreatment findings with no mass lesions or significant cervical lymphadenopathy. The thyroid and major salivary glands are unremarkable. The airways are patent. There is mild to moderate bilateral proximal internal carotid artery stenosis with atherosclerotic calcifications. There is dens... | 1.No locoregional tumor recurrence or significant cervical lymphadenopathy.2.No evidence of intracranial metastases.3.Please refer to dedicated accompanying CT chest report for further details. |
Generate impression based on findings. | Right ovarian cystic mass seen on pelvic sonography, history of metrorrhagia PELVIS:UTERUS, ADNEXA: Multiple bilateral T1 hyperintense lobulated foci seen in adnexa, largest seen on right, measuring 2.8 x 2.3 cm. These lesions are also T2 hyperintense and in the case of the aforementioned largest focus on the right, th... | 1. Bilateral adnexal cystic lesions with "T2 shading," appearance consistent with endometriomas. 2. Fibroid uterus. |
Generate impression based on findings. | Slammed little finger in car door. Laceration.VIEWS: Right hand PA, right little finger oblique/lateral (3 views) 03/14/15 The soft tissues of the distal phalanx of the little finger are irregular and swollen. No foreign body is identified. No fracture is seen. | Soft tissue injury. |
Generate impression based on findings. | Jammed little finger. Pain and swelling in proximal interphalangeal joint.VIEWS: Left hand PA, left little finger oblique/lateral (3 views) 03/14/15 Soft tissue swelling is present around the proximal interphalangeal joint of the little finger.A 2 mm bone fragment is noted anterior to the condylar surface of the proxim... | Fracture of the proximal phalanx of the little finger. |
Generate impression based on findings. | 52 years old Female. Dual point PET scan to re-evaluate mass for biopsy. History: Lung cancer patient needs evaluation for biopsy for tissue. RADIOPHARMACEUTICAL: 12.9 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 95 mg/dL. Today's CT portion grossly demonstrates right upper and middle lung dense consolida... | 1.Numerous new lung nodules with increased metabolic activity as compared with prior FDG PET study. The reference two nodules in the right upper lobe and right middle lobe with increased metabolic activity dual-time point PET/CT scans, highly suspicious for tumor. Other new hypermetabolic nodules in both lungs may be d... |
Generate impression based on findings. | Mild leftward convexity of the lumbar spine. Minimal 2-mm anterolisthesis of L5 over S1 vertebral body. Atherosclerotic calcification of the visualized abdominal aorta and iliac arteries. Surgical clips noted in the right upper quadrant, likely from prior cholecystectomy.T11/T12: Mild posterior disk bulge without evid... | 1.2-mm grade 1 anterolisthesis of L5 over S1, which appears degenerative.2.Multilevel degenerative disc disease as above, most severe at L2/3, L3/4, and L5/S1 levels. |
Generate impression based on findings. | There is nonspecific asymmetric, right more than left, irregular partially enhancing tissue extending into the vallecula/tongue base. There is rim-enhancing subcutaneous fluid-density lesion measuring 8 mm superficial to the right parotid gland abutting the skin surface. The skin overlying the lesion also enhances. Th... | 1.Nonspecific irregular partially enhancing soft tissue extending into the vallecula from the tongue base. Given the location this is likely lingula tonsillar lymphoid tissue. Please correlate with direct visualization.2.Small rim enhancing subcutaneous lesion with overlying skin enhancement adjacent to the right parot... |
Generate impression based on findings. | Postoperative changes of left submandibular gland excision and left neck dissection. Previously seen left submandibular mass and submandibular gland are resected. There is stable small hypodense right thyroid nodule. Parotid glands are unremarkable. The airway is patent. There are no nasopharyngeal, oropharyngeal or l... | 1.Resection of the left submandibular mass with expected postoperative changes. 2.4-mm right apical pulmonary micronodule. Please see dedicated chest CT report for additional details.3.Nonspecific right thyroid lesion. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is mild periventricular and subcortical white matter hypoattenuation which is nonspecific, likely representing chronic small vessel ischemic disease. The ventricles and basal cisterns are normal in size and configuration. There is no midli... | No acute intracranial hemorrhage or mass-effect. CT is insensitive for detection of early nonhemorrhagic stroke. |
Generate impression based on findings. | Ankle pain.VIEWS: Left ankle AP/lateral/oblique (3 views) 03/14/15 Mild soft tissue swelling is noted laterally. No joint effusion is present. The bones are normal in appearance. A fracture is not identified. | Mild soft tissue swelling laterally. |
Generate impression based on findings. | Foot pain. Rule-out fracture.VIEWS: Left foot AP/lateral/oblique (3 views) 03/14/15 No soft tissue swelling is identified. The bones are normal in appearance. A fracture is not seen. | Normal examination. |
Generate impression based on findings. | Trauma.VIEWS: Cervical spine AP/lateral (two views) 03/14/15, 1701 at 1704 Vertebral body heights and disk spaces are maintained. No prevertebral soft tissue swelling is seen. No fracture or dislocation is present. | Normal examination. |
Generate impression based on findings. | Trauma.VIEW: Pelvis AP (one view) 03/14/15, 1659 The femoral head ossification centers are well directed into normally formed acetabula. No fracture is seen. | Normal examination. |
Generate impression based on findings. | Trauma.VIEW: Pelvis AP (one view) 03/14/15, 1903 Femoral heads are well directed into normally formed acetabula. No fracture is identified. | Normal examination. |
Generate impression based on findings. | 51 years old, Female, Reason: evaluate for PE History: hemoptysis PULMONARY ARTERIES: Technically adequate study to the first order subsegmental level. No pulmonary emboli are identified. Reflux of contrast hepatic veins suggest right heart disease. The main pulmonary artery and descending thoracic aorta are within nor... | 1. No evidence of pulmonary embolism. 2. New left lower lobe consolidation suggests infection.3. Mildly enlarged retrocrural lymph nodes.4. Severe centrilobular emphysema.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Abdominal pain. Free fluid and right lower quadrant. ABDOMEN:LUNG BASES: Subsegmental atelectasis is seen in left lower lobe. No airspace disease is present. No pleural effusion is identified.LIVER, BILIARY TRACT: Enhancement is normal. No biliary ductal dilatation is identified. The gallbladder is distended and normal... | Right pyelonephritis. |
Generate impression based on findings. | There is diffuse thickening and enhancement of the soft tissues along predominantly the cartilaginous left external auditory canal which is significantly narrowed down to 1 mm, although there is also focal thickening along the osseous portion of the canal. The thickening along the posterior wall of the osseous portion... | Diffuse thickening of soft tissue along the walls of the left external auditory canal with severe narrowing of the cartilaginous portion down to a lumen at 1 mm. Mild involvement of the auricle with prominent pre-and postauricular soft tissue thickening and likely reactive lymph nodes, with extension along the mastoid ... |
Generate impression based on findings. | 35 years old, Male, Reason: r/o PE History: tachycardic, hemoptysis PULMONARY ARTERIES: Technically adequate study to the first order subsegmental level. No evidence of pulmonary embolus. No evidence of right heart strain.LUNGS AND PLEURA: Extensive right middle lobe opacity with air bronchograms compatible with atelec... | 1. No pulmonary embolism. 2. Right middle lobe consolidation concerning for infection. 3. Small hiatal hernia.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, significant scalp soft tissue swelling or skull fracture. However, there is diffuse grainy appearance with hypoattenuation in the right frontal, parietal and occipital lobes as well as the left occipital and parietal lobes. Apparent minimal sulcal effacement in the righ... | 1.No acute intracranial hemorrhage or skull fracture.2.Apparent hypoattenuation predominantly in the right cerebral hemisphere which is heavily favored to be artifactual. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is a small focus of hypoattenuation in the left external capsule probably representing age indeterminate ischemic degenerative change. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or her... | Minimal probable age indeterminate ischemic degenerative changes with acute intracranial hemorrhage or skull fracture.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Female 43 years old; Reason: Evaluate for acute pancreatitis, history of abdominal pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Focal fat infiltration along the ligamentum teres. Hepatic segment 8/5 subcentimeter hypoattenuating lesion, too small to characterize. Patent portal veins,... | 1. Mild periceliac haziness of fat and haziness of fat around uncinate process and near junction with pancreatic head, may be seen in setting of early acute pancreatitis. Findings discussed with ED physician Dr. Saint-Hilaire at 8:30 a.m. on 3/15/15.2. Probable physiologic dominant follicle in right ovary and fibroid u... |
Generate impression based on findings. | There is mild motion artifact limiting evaluation. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration; however, there is minimal asymmetry of the lateral ventricles with the left lateral ventricle being slightly more prominen... | 1. Motion degraded study with no acute intracranial hemorrhage or mass effect. CT is insensitive for detection of early nonhemorrhagic stroke.2. Near complete opacification of the left maxillary sinus. Please correlate clinically.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with ... |
Generate impression based on findings. | 76 years old, Female, Reason: evaluate for PE, ILD History: SOB, hypoxia PULMONARY ARTERIES: Pulmonary opacification adequate to the early segmental level without evidence of pulmonary embolism. Main pulmonary artery is dilated measuring 3.1 cm (series 7, image 102) collection is seen the setting of pulmonary hypertens... | 1. No evidence of pulmonary embolism to the early segmental level.2. Small right pleural effusion and scattered groundglass opacities may related to infection and/or atelectasis.3. Partially visualized known abdominal aortic dissection.4. Unchanged pulmonary nodules.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not appl... |
Generate impression based on findings. | Trauma. Middle finger tenderness.VIEWS: Left hand PA/lateral (two views) 03/14/15, 1918 and 1919 Mild soft tissue swelling is present around the proximal phalanx of the middle finger. No fracture is identified. The bones are normal in appearance. | Soft tissue swelling around the proximal phalanx of the middle finger. |
Generate impression based on findings. | There is a large peripherally enhancing fluid density necrotic mass within the right neck which extends from the right supraclavicular region up to the approximate C4 level, centered near the level of the larynx. The mass measures 6.6 x 8.9 cm in greatest axis dimensions, by 6.0 cm CC. There is a thick rind of enhanci... | 1. Findings most suggestive of a primary malignancy involving the supraglottic larynx with likely large necrotic pathologic lymph node or nodal conglomerate within the right neck, which is indistinguishable from overlying right sternocleidomastoid muscle which likely is directly infiltrated. Associated mass effect upon... |
Generate impression based on findings. | 50 years old, Female, Reason: Evaluate for PE History: tachycardia, SOB, CP PULMONARY ARTERIES: Technically adequate study to the first-order subsegmental level without evidence of pulmonary embolism. No evidence right heart strain.LUNGS AND PLEURA: Mild bibasilar atelectasis present. No pleural effusion, pneumothorax,... | 1.No evidence of pulmonary embolism.2.Mediastinal and axillary lymphadenopathy is not significantly changed.3.Resolution of right basilar opacity since 6/9/14.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | There is mild right anterior frontal superficial and deep scalp soft tissue swelling near the midline. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses ... | Mild frontal scalp/subgaleal soft tissue swelling without intracranial hemorrhage or skull fracture.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Desaturations and abdominal pain.VIEWS: Chest AP/lateral (two views) 03/14/15, 2013 and 1957 Cardiothymic silhouette and pulmonary vascularity are normal. The aortic arch, cardiac apex, and stomach are left-sided. No focal lung opacity is present.Contrast material opacifies the upper pole renal collecting systems. | No pneumonia. |
Generate impression based on findings. | Right lower quadrant pain, evaluate for hernia or testicular cause of pain RIGHT TESTIS: Measures 4.9 x 3.3 x 2.3 cm. Echotexture mildly heterogeneous, no focal parenchymal lesion. No sonographic evidence of torsion or acute orchitis.LEFT TESTIS: Measures 4.3 x 2.9 x 2.5 cm. Echotexture heterogeneous, no focal parenchy... | Findings consistent with an abscess located lateral to testicle in right thigh as described. |
Generate impression based on findings. | Trauma.VIEWS: Lumbar spine AP/lateral (two views) 03/14/15, 2047 and 2049 Vertebral body heights and disk spaces are maintained. Alignment is normal. No fracture is identified.A moderate amount of feces is seen within the colon. | Normal examination. |
Generate impression based on findings. | 52 years old, Female, Reason: eval for blood clot History: chest pain PULMONARY ARTERIES: Pulmonary opacification is adequate to the first order subsegmental level without evidence of pulmonary embolism. No evidence of right heart strain.LUNGS AND PLEURA: No suspicious pulmonary nodules. Mild compressive bibasilar atel... | 1.No pulmonary embolism.2.Large confluent right mediastinal lymphadenopathy concerning for lymphoma or metastasis.3.Large heterogeneous left thyroid lobe is amenable to biopsy.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable... |
Generate impression based on findings. | Trauma.VIEWS: Thoracic spine AP/lateral (two views) 03/14/15, 2046 and 2050 Vertebral body heights and disk spaces are maintained. No fracture is present. | Normal examination. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is minimal periventricular and subcortical white matter hypoattenuation which is nonspecific, representing chronic small vessel ischemic changes. There is crowding of soft tissue at the foramen magnum with low-lying cerebellar tonsils. The... | 1. No acute intracranial hemorrhage. Minimal chronic small vessel ischemic changes. MR may be obtained if there remains clinical concern for an acute ischemic event.2. Low lying cerebellar tonsils with moderate crowding. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this repo... |
Generate impression based on findings. | Tibial plateau tenderness. Motor vehicle collision with pedestrian.VIEWS: Left knee AP/lateral/oblique (3 views) 03/14/15, 2059, 2100, 2103 No joint effusion is seen. No fracture is identified. The bones are normal in appearance. A bone island is present in the proximal tibia. | Normal examination. |
Generate impression based on findings. | Male 36 years old Reason: s/p kidney transplant with drop in urine output Suboptimal exam secondary due to postoperative pneumoperitoneum.RIGHT ILIAC FOSSA TRANSPLANT KIDNEY: Measures approximately 9.4 cm. No hydronephrosis. Parenchymal echogenicity within normal limits. No shadowing intrarenal echogenic focus seen to ... | Limited exam secondary due to postoperative pneumoperitoneum.Intrarenal resistive indices within normal limits. Site of anastomosis not well assessed. If there is clinical concern for stenosis, repeat sonographic imaging recommended. Visualized renal vein patent. No hydronephrosis or perinephric fluid delineated. |
Generate impression based on findings. | Motor vehicle collision and tibial plateau tenderness. No soft tissue swelling is identified. A joint effusion is not present. The bones are normal in appearance. Bone island in the proximal tibia is again visualized. | Normal examination. |
Generate impression based on findings. | Fall on outstretched hand with impact to elbow. Swelling of olecranon and elbow pain with extension/flexion.VIEWS: Left elbow AP/lateral/oblique (3 views) 03/14/15 A small joint effusion is present. No fracture is identified. The bones are normal in appearance. | Small joint effusion. |
Generate impression based on findings. | 63 years old, Female, Reason: concern for PE History: SOB, elevated D-dimer, PULMONARY ARTERIES: Technically adequate study to the level of the first or subsegmental pulmonary arteries without evidence of pulmonary embolus. The main pulmonary artery and descending thoracic aorta are within normal limits. Reflux of cont... | 1.No evidence of pulmonary embolism.2.Basilar predominant septal thickening likely represents mild pulmonary edema.3.Significant reflux of contrast hepatic veins suggest right heart insufficiency.4.Nonspecific mediastinal lymphadenopathy.5.Apparent filling defect in the right internal jugular vein may represent an exam... |
Generate impression based on findings. | Worsening pressure ulcer. Any signs of osteomyelitis?VIEWS: Left foot AP/lateral (two views) 03/14/15, 1631 and 1632 A soft tissue defect is present on the posterior aspect of the heel. No bone destruction is identified. Demineralization is seen. A pes cavus deformity is noted. Muscular atrophy is present. | No bone destruction to suggest osteomyelitis. Soft tissue defect. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation.There is complete opacification of the left maxillary sinus and near complete opacification of the left ethmoid air cells, and partia... | 1.No acute intracranial hemorrhage or mass-effect.2.Extensive left paranasal sinus opacification as described above suggesting acute sinusitis in the proper clinical setting. Particularly, there is asymmetric prominent rind of increased soft tissue attenuation just superficial to the left maxillary sinus walls (incompl... |
Generate impression based on findings. | Status post liver transplant with biliary atresia LIVER: Measures 13.9 cm. Heterogeneous coarsened echotexture.VASCULAR:Main portal vein patent with normal directional flow, velocity measures 20 cm/sec.Patent left portal vein with normal directional flow, velocity measures 21 cm/sec.Right portal vein patent with normal... | Patent hepatic vasculature, see above.Liver measuring 13.9 cm with coarsened echotexture. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is nonspecific periventricular and subcortical white matter hypoattenuation, similar to prior exam, suggesting chronic small vessel ischemic changes. There is persistent diffuse prominence of the ventricular system which is similar to prio... | No acute intracranial hemorrhage. Stable chronic small vessel ischemic changes and diffuse prominence of the ventricular system which may be ex vacuo in etiology without significant change. Right temporal occipital encephalomalacia.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree wit... |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. | No acute intracranial hemorrhage or skull fracture.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is minimal patchy periventricular white matter hypoattenuation which likely representing age indeterminate small vessel ischemic changes. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or ... | Mild age indeterminate small vessel ischemic changes with no acute intracranial hemorrhage or mass-effect. CT is insensitive for detection of early nonhemorrhagic stroke.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | There is redemonstration of a metallic density bullet fragment within the soft tissues or the right paramedian high convexity frontal scalp. The previous immediate posttraumatic changes have resolved. Associated streak artifact limits evaluation of surrounding structures. The ventricles and sulci are within normal lim... | Interval resolution of previously seen immediate posttraumatic changes, with persistent bullet fragment in the right paramedian frontal scalp. No acute intracranial hemorrhage. |
Generate impression based on findings. | HEAD: There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is mild nonspecific prominence of the lateral ventricles. The remaining ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells a... | 1.No acute intracranial hemorrhage or skull fracture.2.The basion-dental interval appears somewhat prominent, just beyond the upper limits of normal (8.5 mm) at 9 mm. However, there is no surrounding soft tissue hematoma or fat infiltration. This is felt to be at the upper limits of normal, however correlation with cli... |
Generate impression based on findings. | Dobbhoff tube placement Dobbhoff tube seen in gastric antrum. Additional enteric tube seen with side-port in gastric body and tip located in same location as that of Dobbhoff tube, in gastric antrum. Incompletely imaged air containing nondilated small bowel and some air suggested in sigmoid colon, no definitive evidenc... | Enteric tubes as above. |
Generate impression based on findings. | Male, 36 years old. Retained foreign body Right-sided pelvic drains and right-sided nephroureteral stent. Nonobstructive bowel gas pattern.Sternotomy hardware and wires. Small left basilar atelectasis/consolidation.No unexpected radiopaque foreign body. | No unexpected radiopaque foreign body. Findings were relayed to attending surgeon Dr. Piotr Witkowski at 13:37 on 3/14/15 by the oncall radiology resident. Small left basilar atelectasis/consolidation. |
Generate impression based on findings. | Evaluation is limited due to lack of contrast. The thoracic spine is in normal alignment, with a normal thoracic kyphosis. The vertebral body and disk heights are well maintained. No worrisome focal marrow signal abnormality is appreciated. The spinal cord is of normal caliber and signal.There is no significant disk b... | Unremarkable noncontrast MR appearance of the thoracic and lumbar spine. |
Generate impression based on findings. | Fever and pressure ulcer on heel. VIEWS: Right ankle AP/lateral (two views) 03/14/15, 1954 and 1953 A soft tissue defect is noted posterior to the calcaneus. Demineralization is seen. A pes cavus deformity is present. No bone destruction is present. Replacement of muscles by fat is identified. | No evidence of osteomyelitis. |
Generate impression based on findings. | Female 28 years old; Reason: Assess for renal stone History: flank pain with hematuria ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Mildly prominent gallbladder, measuring 3.4 cm and containing some layering sludge. No secondary signs of acute cholecystitis.SPLEEN: No significant abnormal... | 1. No hydronephrosis.2. Multiple prominent mesenteric lymph nodes, measuring up to 8 to 9 mm around mesenteric root with minimal mesenteric fat haziness, findings suggestive of mesenteric adenitis. 3. Fecalized distal ileum and distal ileum prominent measuring upper limits of normal at 3 cm, but tapers gradually both p... |
Generate impression based on findings. | Desaturation.VIEW: Chest AP (one view) 03/15/15, 0251 Complete atelectasis of the left lung is noted and a left bronchus cut off sign is seen. The right lung is well aerated and herniates across the midline. Cardiac silhouette size cannot be evaluated.Vagal nerve stimulator device in left chest has leads extending into... | Complete atelectasis of left lung. |
Generate impression based on findings. | Female 48 years old; Reason: post surgical complications History: abdominal pain, vomiting, recent TAH, hx of cholelithiasis ABDOMEN:LUNGS BASES: Small basilar atelectasis.LIVER, BILIARY TRACT: Cholelithiasis with dominant calcified 2.4 cm stone, no secondary signs of acute cholecystitis. Area of hepatic segment IVb va... | 1. Status post hysterectomy. Bilateral adnexal cysts with largest on right side and mildly complex, measuring 3.9 x 3.6 cm (more inferiorly located) and 2.8 x 2.8 cm (more superiorly located). These cystic foci may be benign complex or hemorrhagic cysts but further assessment with dedicated pelvic sonography recommende... |
Generate impression based on findings. | Respiratory failure and cerebral palsy. Intubated.VIEW: Chest AP (one view) 03/15/15, 0431 Endotracheal tube tip is above the thoracic inlet. A gastrostomy tube is present. Right upper quadrant surgical clips are noted.Right upper extremity PICC is coiled upon itself at the costal border.Cardiothymic silhouette is norm... | Persistent left lower lobe airspace disease may be pneumonia. |
Generate impression based on findings. | There is redemonstration of an area of increasingly expansile T2/STIR hyperintensity within the cervical cord, now extending from C3-C4 down to the C7-T1 level, previously from C4-C5 down to the upper C7 level. The mass demonstrate some mild heterogeneous intrinsic T1 hyperintensity. There is no convincing residual en... | 1. Since prior outside imaging, significant progression of cervical expansile intramedullary mass without definite enhancement, now extending from C3-C4 down to C7-T1. Complete effacement of CSF within the thecal sac from C4-C5 to C6-C7. Postoperative changes are noted from recent biopsy of now known tumor with likely ... |
Generate impression based on findings. | Female 26 years old; Reason: acute abdomen History: abdominal pain, bloody peritoneal dialysate ABDOMEN:LUNGS BASES: Hypoattenuated appearance of intracardiac blood pool consistent with anemia.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnorm... | 1. Right greater than left heterogeneous adnexal prominence, may be related to underlying hemorrhagic/physiologic follicles, further evaluation with dedicated pelvic sonography recommended.2. Scattered foci of pneumoperitoneum, presumably postprocedural in etiology, right abdominal approach catheter seen with tip coile... |
Generate impression based on findings. | VSD repair.VIEW: Chest AP (one view) 03/15/15, 0942 Right internal jugular line has been removed. Mediastinal surgical clips are again seen.Cardiothymic silhouette is normal. Subsegmental atelectasis is present in both lung bases. | Persistent subsegmental atelectasis. |
Generate impression based on findings. | HEAD: There is no intracranial mass or suspicious enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is trace right maxillary sinus mucosal thickening. The skull and extracranial soft tissues are unremarkable. There are bilateral lens imp... | 1.Stable findings in the neck with two unchanged masses/enlarged lymph nodes, inferior to the right thyroidectomy bed and at the right paratracheal level with no new mass or worsening cervical lymphadenopathy.2.No evidence of intracranial metastases.3.Numerous bilateral pulmonary metastases again seen. Please refer to ... |
Generate impression based on findings. | Wooden door fell on toes of right foot.EXAMINATION: Right foot AP/lateral/oblique (3 views) 03/14/15 The bones are normal in appearance. No fracture is identified. No significant soft tissue swelling is seen. | Normal examination. |
Generate impression based on findings. | Feeding difficulties.EXAMINATION: Abdomen AP (one view) 03/14/15 Feeding tube tip is at the duodenojejunal junction. Right upper quadrant drain is in place. Multiple surgical clips and staples are noted in right upper quadrant. An IVC stent is seen.Bowel gas pattern is disorganized. No significantly dilated bowel loops... | No evidence of obstruction. |
Generate impression based on findings. | Epigastric pain, no bowel movement in 5 days Right upper quadrant surgical clips, compatible with prior cholecystectomy. Average stool burden. Mildly prominent small bowel seen in both left and right abdomen measuring up to 4 cm on right side, air seen distally in colon. Findings are nonspecific and may be related to i... | Mildly prominent small bowel seen in both left and right abdomen measuring up to 4 cm on right side, air seen distally in colon. Findings are nonspecific and may be related to ileus but partial or developing small bowel obstruction not entirely excluded. Correlation with patient's clinical history and continued follow-... |
Generate impression based on findings. | Decubitus ulcer. Evaluate for bone involvement.EXAMINATION: Left elbow AP/lateral (two views) 03/14/15 There appears to be a flexion contracture. Demineralization is noted. No bone destruction is seen. The soft tissues are thinned posterior to the olecranon. Muscular atrophy is noted. | No bone destruction. |
Generate impression based on findings. | Evaluate J-tube placement Left pelvic drainage catheter. Relative paucity of bowel gas with air containing bowel seen in right abdomen, may be located in mildly dilated (measuring 3.4 cm) small bowel or nondistended colon. Small air seen in pelvis may be located in rectum or underdistended bladder, correlate with clini... | Relative paucity of bowel gas, may reflect fluid containing bowel, small gas seen in right hemiabdomen as above.Left basilar atelectasis/consolidation and pleural effusion. |
Generate impression based on findings. | Marked skin thickening of the medial posterior upper thigh. There are foci of air within the posterior thickened skin (Series 80516, image 56 and 67). Extensive subcutaneous edema extends through the entire right lower extremity. A poorly organized fluid collection is present within the subcutaneous fat of the medial ... | 1.Findings are most consistent with extensive cellulitis and possible early abscess formation.2.Partially visualized heterogeneous soft tissue collection within the anterior pelvis may represent bowel, however if there is clinical concern for intra-abdominal pathology abdominal CT is recommended. |
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