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Generate impression based on findings. | 41-year-old female with history of chest pain. PULMONARY ARTERIES: No evidence of acute pulmonary embolus.LUNGS AND PLEURA: Linear opacities in the right base likely representing scarring. There is mild bibasilar atelectasis. MEDIASTINUM AND HILA: Mild cardiomegaly. No evidence of pericardial effusion. No significant c... | 1. No evidence of acute pulmonary embolus.2. Diffusely enlarged thyroid gland. A dedicated ultrasound may be considered if clinically warranted.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Female, 10 months old. Evaluate tube placement, possible aspiration History: intubationVIEW: Chest AP (one view) 3/15/2015, 1513 Endotracheal tube with tip directed toward the right mainstem bronchus. Enteric tube with distal sideport at or slightly above the level of the GE junction.The aortic arch, cardiac apex, and ... | Patchy bilateral opacities may represent aspiration or atelectasis.Endotracheal tube with tip directed toward the right mainstem bronchus. Enteric tube with distal sideport at or above the level of the GE junction. These have both been corrected on subsequent imaging. |
Generate impression based on findings. | Left foot pain on the medial dorsal aspect. Three views of the left foot reveal no acute fracture or malalignment. There is joint space narrowing of the first metatarsophalangeal joint. | Osteoarthritis without acute fracture. |
Generate impression based on findings. | Knee pain. Evaluate for bony abnormality. Four views of the right knee reveal no acute fracture or malalignment. There is tricompartmental osteophyte formation and mild joint space narrowing. | Moderate osteoarthritis without acute fracture. |
Generate impression based on findings. | 53 years, Male. Reason: Evaluate for stool, gas History: RUQ pain Nonobstructive bowel gas pattern with above average stool burden. Patient status post right lower lobectomy. Superior and inferior endplate depression of thoracolumbar vertebral bodies suggestive of sickle cell anemia. | Nonobstructive bowel gas pattern with above average stool burden. |
Generate impression based on findings. | Previous identified brain metastases are not well identified with noncontrast CT technique. Multiple small punctate foci of hyperdensity, presumably representing calcifications, are present involving multiple cortices, and correlate with previously demonstrated foci of susceptibility effect. The ventricles and sulci a... | No CT evidence for acute intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. Known metastases not visible by noncontrast head CT technique. |
Generate impression based on findings. | 11 day old former 24 week twin gestation with bilious emesis.VIEW: Abdomen AP (one view) 03/16/15, 0727 Feeding tube tip is in stomach. Umbilical venous line tip is at junction of inferior vena cava and right atrium. Coarse opacities are present in the bases.Bowel gas pattern remains disorganized. No gas is seen on the... | Probable NEC; fixed left sided bowel loops. |
Generate impression based on findings. | Line placementVIEW: Chest AP and abdomen AP ET tube tip at the right mainstem bronchus. The umbilical venous catheter tip in the right atrium. Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Diffuse lung haziness bilaterally without focal lung opacity. No pleural effusion or pneumothorax. Disorgani... | The umbilical venous catheter tip in the right atrium. Malpositioned ET tube. |
Generate impression based on findings. | Male 56 years old Reason: evaluate for acute intraabdominal process History: abdominal pain, persistent nausea/vomiting ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLAN... | Stable moderate to marked bladder distention compatible with chronic bladder outlet obstruction. Previously noted bladder wall thickening has improved. No additional findings to account for the patient's abdominal pain. |
Generate impression based on findings. | PICC placement. 10 day old former 24 week twin gestation.VIEW: Chest AP (one view) 03/15/15, 2204 Endotracheal tube tip is below thoracic inlet left upper extremity PICC has its tip in right atrium. Feeding tube tip is distal to GE junction and not included on image. Umbilical line remains in place.Lung volumes are lar... | Probable PDA on a background of complications from surfactant deficiency. |
Generate impression based on findings. | 85 years, Male. Reason: r/o obstruction History: emesis There is a nasogastric tube with its tip projecting over the antrum of the stomach. Moderate degenerative changes of the lower lumbar spine. Retrocardiac opacity suggest atelectasis/consolidation. | There is a nonobstructive bowel gas pattern. |
Generate impression based on findings. | 61-year-old male with history of pleural effusions. PULMONARY ARTERIES: No evidence of acute pulmonary embolus.LUNGS AND PLEURA: The right bronchus intermedius is completely obstructed by tumor and debris resulting in right middle and lower lobe atelectasis. There is a large right pleural effusion also contributing to ... | 1. No evidence of acute pulmonary embolus.2. Complete obstruction of the bronchus intermedius by tumor/debris resulting in right middle and lower lobe atelectasis. Additionally, large right pleural effusion has increased in size.3. Overall increase in tumor burden.4. Large mass in the right perirenal space is incomplet... |
Generate impression based on findings. | 54-year-old female with left shoulder and hand pain status post MVC. Three views of the left shoulder demonstrate normal anatomic alignment. There is no evidence of acute fracture or significant degenerative disease. No significant soft tissue swelling.Three views of the left hand and wrist in normal anatomic alignment... | No evidence of acute fracture or malalignment in the left shoulder or hand. |
Generate impression based on findings. | Male, 17 years old. Reason: post cast films History: knee painVIEWS: Left knee AP, lateral, oblique (3 views) 3/15/2015, 1836 Overlying casting material limits fine osseous detail.A nondisplaced fracture is again seen along the medial femoral metaphysis.Alignment is anatomic | Nondisplaced fracture of the medial femoral metaphysis. Status post casting. |
Generate impression based on findings. | 14-year-old male with gunshot woundVIEWS: Left femur: AP, lateral; right femur: AP, lateral; right knee: AP, lateral; left knee: AP, lateral; pelvis: AP; chest: AP (10 views) 3/15/15 Chest: The aortic arch, cardiac apex, and stomach are left-sided. The cardiothymic silhouette is normal. No pneumothorax or pleural effus... | Through-and-through ballistic injury of the soft tissues of the left thigh with bullet situated in the posterior soft tissues of the right knee. No evidence of fracture. |
Generate impression based on findings. | 44 year old with history of right lumpectomy with sentinel node biopsy in January 2011 for IDC. Status post chemotherapy, hormonal therapy and radiation therapy. No new breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is het... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. In view of dense breast tissue and history of breast cancer in young age, breast MRI may be useful for annual screening. Results and recommendations were di... |
Generate impression based on findings. | VSD repairVIEW: Chest AP Multiple mediastinal surgical clips are present. Cardiothymic silhouette at the upper limits of normal. Minimal perihilar atelectasis not significantly changed. No focal lung opacity. No pleural effusion or pneumothorax. | Minimal perihilar atelectasis not significantly changed. |
Generate impression based on findings. | 28-year-old female with left ankle pain status post fall two days prior. Three views of the left ankle demonstrate no evidence of fracture or malalignment. There is no significant soft tissue swelling.Three views of the left foot are unremarkable. No acute fracture or malalignment. | There is no acute fracture or malalignment. |
Generate impression based on findings. | 27-year-old male with pain of the left fifth digit after injury today. Three views of the left fifth digit demonstrate a linear ossific density tiny along the dorsal fifth proximal interphalangeal joint, consistent with a tiny avulsion fracture. Alignment is anatomic. There is mild soft tissue swelling.Three views of t... | Tiny avulsion fracture along the dorsal fifth proximal interphalangeal joint. |
Generate impression based on findings. | 57-year-old male with right wrist pain. Two views of the right forearm demonstrate marked abnormality of the distal radius and ulna which are better delineated on the accompanying right wrist radiographs from the same date. There is significant soft tissue swelling of the dorsal aorta the lower aspect of the right wris... | 1.Severe degenerative changes of the right wrist, which are better delineated on the accompanying right wrist radiographs.2.Comminuted distal left fibular fracture. No evidence of medial joint space widening on stress views. |
Generate impression based on findings. | Reason: Evaluate for fracture or other trauma History: Found down; comatose The cervical vertebral bodies are appropriate in overall alignment and height. No fractures are identified in the cervical spine.The patient is status anterior fusion at C6-7.At C2-3 there is no significant compromise to the spinal canal or neu... | 1.There are multilevel degenerative changes present in the cervical spine worse at C5-6 where there is suspicion for a moderate degree of spinal stenosis. If clinically appropriate MRI cervical spine may help further evaluate this.2.The patient is status post anterior fusion at C6-7. |
Generate impression based on findings. | 29-year-old male status post anterior shoulder dislocation reduction. The humeral head articulates with the glenoid. There is a chronic Hill-Sachs deformity and a Bankart fracture, present dating back to remote films in 2012. | Glenohumeral joint in anatomic alignment. No acute fracture identified. Chronic Hill-Sachs deformity and Bankart fracture, unchanged. |
Generate impression based on findings. | 23-year-old female with pain and swelling of the right elbow. Three views of the right elbow demonstrate swelling of the soft tissues posteriorly, which may relate to known intramuscular hemangioma, or other superficial process, such as bursitis. There is no significant joint effusion, acute fracture, or malalignment e... | Mild posterior soft tissue swelling. No evidence of septic joint as clinically queried. |
Generate impression based on findings. | Increased oxygen requirementVIEW: Chest AP Posterior spinal fusion rods again noted. The vagal stimulator device is in place. Cardiothymic silhouette normal. The left lung atelectasis has improved in the interval. Minimal patchy atelectasis left lower lobe. No large pleural effusion or pneumothorax. | Left lung atelectasis improved in the interval. |
Generate impression based on findings. | 45 year old female with third digit pain. Three views of the left hand demonstrate a well-corticated ossicle along the volar aspect of the second proximal interphalangeal joint, likely representing a sesamoid or accessory ossicle. No acute fracture or malalignment. | No acute fracture or malalignment is evident. |
Generate impression based on findings. | Male, 17 years old. Reason: knee pain History: knee painVIEWS: Right knee AP, lateral, oblique (3 views) 3/15/2015, 1543 Exam limited by suboptimal positioning.Undertubulation and demineralization, likely related to disuse.A small cortical step-off at the medial aspect of the distal femoral metaphysis. No additional fr... | Nondisplaced fracture of the medial aspect of the distal femoral metaphysis. |
Generate impression based on findings. | Male 33 years old Reason: evaluate for acute appendicitis History: RLQ abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Benign perfusion defect along the ligamentum teres. No focal parenchymal lesion or biliary ductal dilatation.SPLEEN: No significant abnormality notedPANCREAS: N... | 1. Slightly narrowed descending colon with submucosal fatty proliferation compatible with chronic inflammation. No evidence of acute inflammation.2. No evidence of appendicitis or other findings to account for the patient's right lower quadrant pain. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are digital mammographic images (2/18/15, 2/24/15), ultrasound images of right breast(2/24/15), images from ultrasound guided biopsy of right breast and post-procedural right mammographic images (3/2/15) performed at Northwestern Memorial Hospital. For ... | Biopsy proven IDC in the right breast. In view of dense breast tissue and presence of high grade carcinoma, breast MRI might be useful for pre-operative assessment.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 71-year-old male. Metastatic glucagonoma to liver. s/p Therasphere administration. CHEST:LUNGS AND PLEURA: Stable scattered calcified and noncalcified micronodules, likely postinflammatory.Near complete resolution of the right lower lobe ground-glass and airspace opacity, likely represents resolving infection and/or as... | 1. Significantly decreased enhancing component of the multiple hepatic metastases.2. Near complete resolution of the right lower lobe ground-glass and airspace opacities that likely represents resolving infection and/or aspiration. |
Generate impression based on findings. | 32-year-old male with pain to right second digit, open wound over PIP joint. Three views of the right hand demonstrates normal anatomic alignment. No evidence of acute fracture or significant soft tissue swelling. | No evidence of acute fracture or malalignment. |
Generate impression based on findings. | Female 53 years old; ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: There is a 2.4 x 1.7 cm hypoattenuating lesion in the right hepatic lobe which is incompletely evaluated on this noncontrast study but does not meet criteria for a simple hepatic cyst.SPLEEN: No significant abnormality noted... | 1.No renal stones. No specific cause for patient's hematuria is identified.2.2.4-cm hypoattenuating lesion in the right hepatic lobe which does not meet criteria for a simple hepatic cyst. If needed, further evaluation with contrast enhanced cross-sectional imaging would be helpful. |
Generate impression based on findings. | The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mas... | Negative unenhanced brain CT. Specifically, there are no CT findings to explain the patient's symptoms. |
Generate impression based on findings. | 52-year-old male with URI symptoms, right pleuritic chest pain, evaluate for infectious process/acute chest LUNGS AND PLEURA: Bibasilar atelectasis and scarring. No pleural effusion or pneumothorax. Postsurgical changes of a right lower lobectomy. No focal consolidation. No suspicious nodules or masses. Scattered nonsp... | 1.The pulmonary artery measures 3.2 cm and may be suggestive of pulmonary artery hypertension or less likely, could be enlarged from a pulmonary embolism. If there is clinical suspicious of pulmonary embolism, a CT PE or VQ scan may be obtained.2.Small loculated air collection in the right mediastinum adjacent to the p... |
Generate impression based on findings. | There are multiple dental caries with scattered periapical lucencies noted. There is cortical dehiscence of two adjacent roots of ADA #13 with an adjacent ill-defined rim-enhancing collection immediately inferior to the left zygoma measuring 17 x 13 x 12 mm. The overlying subcutaneous soft tissues are thickened with f... | 1.Periodontal disease with bony dehiscence over ADA #13 roots.2.Associated left facial phlegmon.3.Complete opacification of the left maxillary sinus and extensive opacification of the left ethmoid air cells including mucosal thickening in the sphenoid and frontal sinuses. |
Generate impression based on findings. | 52-year-old female with pleuritic chest pain PULMONARY ARTERIES: Adequate pulmonary artery opacification without evidence of pulmonary embolus to the segmental level. Pulmonary artery measures 2.9 cm and the aorta measures 3.6 cm.LUNGS AND PLEURA: No pleural effusion or pneumothorax. Scattered nonspecific micronodules.... | No evidence of pulmonary embolus to the segmental level.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 44-year-old male with history of right knee pain; GSW in 1991. A large focus of ossification is present in the posterior joint, likely a loose body. There is severe right knee osteoarthritis, including marked medial joint space narrowing and osteophyte formation. No acute fracture or malalignment. No significant joint ... | Severe osteoarthritis. Large ossicle within the joint, posteriorly. |
Generate impression based on findings. | Male, 17 years old. Reason: knee pain History: knee painVIEWS: Right femur, AP, lateral (2 views) 3/15/2015, 1542 Postsurgical changes of varus derotational osteotomy at the proximal femur.Diffuse osseous mineralization, likely from disuse.A small cortical step off is noted at the medial aspect of the distal femoral me... | Cortical step-off at the medial aspect of the distal femoral metaphysis, compatible with a fracture. See subsequent knee radiograph for additional images. |
Generate impression based on findings. | 54 year old with history of stereo biopsy of left breast, of which results included FEA and ADH, presents for annual mammogram. 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 elements, unchanged in pat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient and her husband. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Male, 17 years old. Reason: Right Leg pain History: Pain with knee palpationVIEWS: Pelvis AP, frogleg (2 views) 3/15/2015, 1525 GJ tubing partially visualized.Postsurgical changes of varus derotational osteotomy bilaterally.Diffuse osseous demineralization.No acute fractures. The femoral heads are directed into the ace... | Postsurgical changes with no acute fracture or dislocation. |
Generate impression based on findings. | 19 year-old female with back and left flank pain. Four views of the lumbar spine demonstrate normal anatomic alignment. There is no evidence of acute fracture. No significant degenerative disease. | No evidence of acute fracture or malalignment. |
Generate impression based on findings. | 23-month-old male with left leg injury following fall from slide and collision with another child while playing at park.VIEWS: Left tibia-fibula: AP and lateral (two views) 3/15/15 Minimally displaced predominantly obliquely oriented fracture through the tibial diaphysis. A large amount of soft tissue swelling is noted... | Soft tissue swelling and minimally displaced spiral fracture of the tibial diaphysis. |
Generate impression based on findings. | 47 year-old female with right upper extremity numbness and tingling, radiculopathy, and right shoulder pain. Three views of the cervical spine demonstrate mild disk space narrowing at C4-5 and C5-6. There is no evidence of acute fracture or malalignment. | Mild disk space narrowing in the lower cervical spine without acute fracture or malalignment. |
Generate impression based on findings. | Female, 12 years old. Evaluate bowel gas pattern, presence of obstruction History: abdominal pain, tympaniVIEW: Abdomen AP (one view) 3/16/2015, 0401 Nonobstructive bowel gas pattern.Large stool burden. | No evidence of obstruction. Large stool burden. |
Generate impression based on findings. | 39-year-old female with history of sinus tachycardia and shortness of breath. Evaluate for PE. PULMONARY ARTERIES: No evidence of acute pulmonary embolus.LUNGS AND PLEURA: Moderate-sized left pleural effusion with associated atelectasis/consolidation of the left lower lobe. The of density pleural fluid collection has i... | 1. No evidence of acute pulmonary embolus.2. Moderate left pleural effusion has increased in density with associated left lower lobe atelectasis/consolidation. Unable to exclude left pleural fistulization.3. Left infradiaphragmatic fluid collection, likely representing extension of pancreatic disease; fistulization to ... |
Generate impression based on findings. | Reason: Signs of CVA History: new seizures after drug abuse 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 parenchyma.The visualized portions of ... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction. |
Generate impression based on findings. | The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted abnormaliti... | Normal brain MRI. Specifically, there are no MRI findings of corpus callosal dysgenesis. |
Generate impression based on findings. | Reason: vessel patency History: L sided weakness Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is no significant stenosi... | 1.RVA origin stenosis.2.Subacute infarctions involving right PCA and right superior cerebellar artery territories.3.Subacute lacunar infarcts involving the right thalamus and medial aspect of the right cerebral peduncle.4.No evidence for hemorrhagic conversion.5.There is upper lung field airspace disease present please... |
Generate impression based on findings. | Exam is significantly limited by streak artifact from dental fillings and poor contrast opacification. Interval surgery with extensive anatomical distortion involving the right submental space, floor of the mouth, and right lateral tongue. This is the first postoperative study and will serve as a new baseline. There a... | 1.First postsurgical study with extensive anatomic distortion. This will serve as a new baseline.2.Resection of the pathological right level 2 lymph node. No new cervical lymphadenopathy is identified. |
Generate impression based on findings. | Female 41 years old; Reason: r/o acute process History: abd pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETE... | 1.Postsurgical changes in the stomach with a new hiatal hernia.2.Recommend upper GI for further evaluation of the gastric band and stomach. |
Generate impression based on findings. | Female 85 years old; Reason: please r/o pyelonephritis and abnormal kidney pathology History: hx of multiple myeloma here with fever, nausea/vomiting, +UA ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal morphology. The gallbladder is distended.SPLEEN: No significant abnormalit... | 1.Right hydronephrosis due to an obstructing 8mm proximal ureter stone.2.Soft tissue mass in the stomach |
Generate impression based on findings. | There is an NG tube and a tracheostomy. There are post-operative findings related to recent bilateral mandibular osteotomies with mandibular distractors in place. Streak artifact in these regions limits soft tissue evaluation. There is no evidence of gross focal fluid collection within these limitations. There is mild... | Post-operative findings related to recent bilateral mandibular osteotomies. Streak artifact in these regions limits soft tissue evaluation, however, there is no evidence of gross focal fluid collection within these limitations. |
Generate impression based on findings. | Female 77 years old; Reason: concern for bowel ischemia vs diverticulitis or other infectious etiology History: abdominal pain, nausea, vomiting, lactic acidosis ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver has normal morphology. Nonspecific subcentimeter hypodense lesion noted at th... | 1.No bowel obstruction or a focal inflammatory change.2.Calcifications of the gallbladder fundus, if patient has right upper quadrant pain, consider ultrasound. |
Generate impression based on findings. | 59-year-old female with history of chest pain and shortness of breath. PULMONARY ARTERIES: No evidence of acute pulmonary embolus.LUNGS AND PLEURA: Diffuse subsegmental basilar predominant atelectasis.MEDIASTINUM AND HILA: The heart size is normal without pericardial effusion. No evidence of right heart strain. There i... | 1. No evidence of acute pulmonary embolus.2. Basilar interstitial opacities compatible with atelectasis.3. Severe coronary artery calcifications.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 55 year-old with history of right lumpectomy for breast cancer in 1999, status post radiation and chemotherapy. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. No dominant mass,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 1-day-old female. Evaluate UVC placement and lungs.VIEW: Chest and abdomen AP Nasogastric tube with tip in the gastric body. UVC with tip in the splenic vein.The aortic arch, cardiac apex, and stomach are left sided. The cardiothymic silhouette is normal. No pulmonary opacities. Portal venous gas is likely iatrogenic f... | UVC tip is likely in splenic vein. |
Generate impression based on findings. | 58 year old female status post right mastectomy in 2004 for IDC with DCIS, presents today for routine follow up. Patient received radiation, chemotherapy, and hormonal therapy (Femara). No current breast complaints. No family history of breast cancer. Three standard views of the left breast were performed digitally and... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral 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. | 85 years, Male. Reason: dobhoff History: dobhoff Pelvis is not included in the field-of-view and there is retained contrast in the right hemicolon. There is a Dobbhoff tube with its tip projecting over the proximal stomach, just distal to the gastroesophageal junction. There is a G-tube projecting over the left upper q... | Dobbhoff tube with its tip projecting over the proximal stomach, just distal to the gastroesophageal junction. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left benign breast stereotactic guided biopsy in 1993. Personal history of basal cell carcinoma of the face. Family history of breast cancer diagnosed in maternal aunt at age 40. Two standard digital views of both breasts and tomosynthesis were ... | 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. | 18 year-old male with right upper quadrant pain. Evaluate for appendicitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS,... | No abnormality seen and no findings seen to account for patient's symptomatology. |
Generate impression based on findings. | Female 76 years old Reason: new EC fistula, evaluate area that is fistulizing to skin CHEST:LUNGS AND PLEURA: Stable subpleural reticular changes in the left upper lobe and slightly increased perihilar cystic changes in the right upper lobe.MEDIASTINUM AND HILA: A right paratracheal lymph node is not significantly chan... | 1.Small bowel enterocutaneous fistula in the left lower quadrant with extensive subcutaneous left lower quadrant complex collection consisting of inflamed soft tissue, extravasated oral contrast, and air. There is an additional small internal fluid collection tracking from the area of the fistula inferiorly along the s... |
Generate impression based on findings. | Reason: status post embolic coil occlusion of an anterior communicating artery, 3T Scanner History: 6 month follow up MRA brain:Antegrade flow is present in the distal internal carotid arteries, the distal vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries.The diame... | 1.Findings are suggestive early recanalization into the aneurysm coils at the base of the ACOMA aneurysm by approximately a millimeter. |
Generate impression based on findings. | Reason: pt assaulted this AM, struck on left mandible and unable to move jaw History: pain and decreased ROM There is a comminuted fracture of the left mandible at the junction of the body and the ramus with a cortex width's displacement (4mm) of the fractured ends. Fracture transverses the alveolar space of the left t... | Right and left mandibular fractures as above.Findings discussed with Dr. Shappell 3/16/2015 9:45AM |
Generate impression based on findings. | 25-year-old male with right lower quadrant pain. Rule-out appendicitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URE... | 1. No evidence for appendicitis. 2. Scattered slightly prominent mesenteric lymph nodes of uncertain significance. 3. Small bilateral inguinal hernias containing only mesenteric fat. |
Generate impression based on findings. | 85 years, Male. Reason: s/p dobhoff, eval for kink History: dobhoff Study is limited because the pelvis is not included in the field-of-view and there is retained contrast in the right hemicolon. There is a Dobbhoff tube which has been advanced in the interval and its tip is projecting over the proximal body of the sto... | Dobbhoff tube has been advanced and its tip projects over the proximal body of the stomach. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in sister in her 40s. 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 a... | 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. | 85 years, Male. Reason: dobhoff History: dobhoff Pelvis is not included in the field-of-view and there is retained contrast in the right hemicolon. There is advancement of the Dobbhoff tube with its tip projecting over the proximal body of the stomach. Again seen is a G-tube projecting over the left upper quadrant. Ret... | There is advancement of the Dobbhoff tube with its tip projecting over the proximal body of the stomach. |
Generate impression based on findings. | 28 years, Female. Reason: Evaluate stool, bowel gas pattern for obstruction History: abdominal pain. Nonobstructive bowel gas pattern. Average stool burden. Visualized lung bases are unremarkable | Nonobstructive bowel gas pattern. Average stool burden. |
Generate impression based on findings. | Status post trauma to right lower extremity one month ago with residual pain in a likely resolving hematoma. Two views of the right tibia/fibula reveal no acute fracture or malalignment. There is osteoarthritis of the knee. No soft tissue swelling is seen. Vascular calcifications are noted. | No acute fracture is evident. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. A few scattered benign calcifications are present in both breasts. S... | Small focal asymmetry in the left upper outer quadrant, for which comparison with priors performed at an outside hospital is recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISON |
Generate impression based on findings. | Left-sided low back pain. Question of etiology. Five views of the lumbar spine reveal no acute fracture. There is degenerative disk disease with joint space narrowing and anterior osteophyte formation at L3/L4, L4/L5, and L5/S1. | Degenerative changes of the lower lumber spine as described above. |
Generate impression based on findings. | 64-year-old male with GI bleeding, mass confirmed to be tumor on biopsy, for evaluation of metastasis from colon cancer Limited study due to respiratory motion.LUNGS AND PLEURA: Small bilateral pleural effusions with adjacent atelectasis. Focal peripheral consolidation in the left upper lobe (series 4, image 78) may re... | 1.Bilateral pleural effusions with adjacent atelectasis.2.Focal peripheral consolidation in the left upper lobe may represent infection or less likely an infarct. No suspicious nodule or mass |
Generate impression based on findings. | 28 year-old female with indeterminate left breast lesion on screening MRI. BRCA gene mutation positive. Family history of breast carcinoma in her mother at age 53, maternal great aunt at age 40, and maternal cousin at age 22, as well as her paternal great aunt at age 79. On subtraction images, there is redemonstration ... | Successful MR guided core needle biopsy of the left breast 2 o'clock enhancing lesion. Successful clip placement. Pathology is pending.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 68 year old female with invasive SCC of the lip There are post-treatment findings in the left neck and maxillofacial region, including left upper lip resection, partial maxillectomy with an associated left oroantral fistula, neck dissection, and radiation therapy. There is unchanged non-specific ill-defined tissue with... | 1.Multiple regions of unchanged non-specific soft tissue within the left infratemporal fossa, left retro-maxillary region and level II, and anterior to the mandible bilaterally as well as anterior to the hyoid that were hypermetabolic on prior PET. A small enhancing nodule anterior to the hyoid was not present on the p... |
Generate impression based on findings. | 60-year-old male with history of left iliac stent. Evaluate aorta, assess for claudication. Appropriate directional flow is visualized within the abdominal aorta with the following measurements:Proximal Aorta: 2.8-cm x 2.2 cm x 2.7 cm.Mid aorta: 1.8-cm x 2.2 cm x 1.8 cm.Distal aorta: Mildly ectatic infrarenal abdominal... | Atherosclerotic calcification in the abdominal aorta. No evidence of aneurysm or claudication. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of bilateral benign breast biopsies. Family history of breast cancer diagnosed in sister and maternal aunt. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Obscured mass in the right central outer breast, mid depth.No suspicious microcalcific... | Obscured mass in the right central outer breast, mid depth, for which additional views, including spot compression views are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Male 58 years old Reason: asymptomatic left external iliac artery aneurysm History: asymptomatic left external iliac artery aneurysm, 1 year surveillance ANGIOGRAPHY: The thoracic aorta is normal in size and contour. There is a common origin of the celiac axis and superior mesenteric artery. Celiac axis otherwise has c... | 1.Stable saccular aneurysm arising from the distal left common iliac artery with measurements as described.2.Uncomplicated colonic diverticulosis. |
Generate impression based on findings. | Female 75 years old; Reason: gi bleed , r/o GAVE History: gi bleed ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URE... | 1.Focus equivocal for GI bleed within the descending colon as detailed above. |
Generate impression based on findings. | 50-year-old female presents for annual follow up of right breast, and short-term follow-up of left breast calcifications. History implants. Family history of breast carcinoma in her mother at age 79. Three standard views of both breasts, and 2 spot magnification views of the left breast were performed digitally and rev... | Left 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 Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Patient reports milky discharge; stopped nursing in 7/2012. 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 patt... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Clinical correlation is recommended for her reported nipple discharge. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Previously demonstrated right hemispheric extra-axial collection has resolved. No evidence of acute interval hemorrhage. No midline shift. Periventricular and subcortical hypoattenuation is unchanged from the prior exam likely reflecting moderate age indeterminate small vessel ischemic disease. Prominent ventricles an... | Previously demonstrated right hemispheric extra-axial collection has resolved. No evidence of acute interval hemorrhage. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left breast benign biopsy. Family history of breast cancer diagnosed in paternal aunts at age 35, 45, and 52 and paternal cousins. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast pare... | Stable benign intramammary lymph node and benign calcifications. 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; 44 years old. Reason: evaluate for diverticulitis History: abdominal pain and bloody diarrhea ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant... | Possible mild mesenteric lymphadenitis, but otherwise unremarkable examination. |
Generate impression based on findings. | Female, 4 years old. Reason: r/o pna History: first time wheezerVIEWS: Chest AP/lateral (two views) 3/16/2015, 0259 The aortic arch, cardiac apex, and stomach are left-sided.The cardiothymic silhouette is normal.Peribronchial thickening and increased lung volumes compatible with reactive airway disease or bronchiolitis... | Reactive airway disease/bronchiolitis pattern. No evidence of pneumonia. |
Generate impression based on findings. | 48 year-old female. History of Hodgkin's lymphoma with increasing abdominal pain. CHEST:LUNGS AND PLEURA: Mild centrilobular and paraseptal emphysema. Stable right middle lobe micronodule. No suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: Stable mediastinal and left hilar lymphadenop... | 1. Significantly increased number and size of diffuse hepatic metastases.2. Stable lymphadenopathy in the chest and abdomen. |
Generate impression based on findings. | 68 years, Female. Reason: abdominal pain, no bowel movement x 2 days History: as above Above average stool burden distributed throughout the colon. Spinal fixation hardware in place. The stomach is mildly distended with gas. Partially imaged pacemaker lead. There is a nonobstructive bowel gas pattern. | Above-average stool burden. |
Generate impression based on findings. | 22 year-old female with multiple lacerations to the hand after punching glass. Three views of the left hand/wrist demonstrate normal anatomic alignment without acute fracture. No radiopaque foreign body is present.Three views of the right hand/wrist demonstrate normal anatomic alignment without acute fracture. No radio... | No acute fracture, malalignment, or radiopaque foreign body. |
Generate impression based on findings. | 71 years, Male. Reason: s/p colectomy. ?ileus History: nausea There is diffuse gaseous distention of the small bowel measuring up to 3.8 cm in diameter. This may reflect a postoperative ileus, although distal obstruction is not excluded. Pneumoperitoneum is presumably postoperative in etiology, clinical correlation is ... | 1.Diffuse gaseous distention of the small bowel may represent postoperative ileus, although distal obstruction is not excluded.2.Pneumoperitoneum is presumably postoperative in etiology, clinical correlation is recommended. |
Generate impression based on findings. | Male, 10 years old. Reason: evaluation for possible fracture History: pain and swelling; limpingVIEWS: Left knee AP, lateral, oblique (3 views) 3/16/2015, 0338 The osseous structures and joint spaces are normal.No significant joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | No acute intracranial hemorrhage, extra axial fluid collection, mass effect, or herniation. No hydrocephalus. There is a chronic right MCA infarct with associated volume loss and ex vacuo dilatation of the right frontal horn.Several small polyps versus mucosal retention cysts are again seen within both maxillary antra... | No evidence of intracranial hemorrhage, mass, or cerebral edema. Non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in mother at age 84. 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. No suspicious ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this r... |
Generate impression based on findings. | Female, 5 years old. Reason: r/o pna History: cough and sickle cell ptVIEWS: Chest PA/lateral (two views) 3/16/2015, 0347 The cardiomediastinal silhouette is normal.Mild peribronchial thickening and increased lung volumes compatible with reactive airway disease or bronchiolitis.No focal pulmonary opacities, pleural eff... | No evidence of acute chest syndrome. |
Generate impression based on findings. | Reason: 3T Scanner, s/p aneurysm coiling, remaining unruptured aneurysm History: Confusion, disorientation MRA brain:Antegrade flow is present in the distal internal carotid arteries, the distal vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries.The patient is asses... | 1.No evidence for anterior communicating artery aneurysm recurrence.2.Stable left middle cerebral artery 2-mm aneurysm. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of right breast benign biopsy. Two standard digital views of both breasts, additional left MLO view, and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, un... | Two focal asymmetries in the right upper outer quadrant, mid and posterior depth, for which additional views, including spot compression views are recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Male, 6 years old. Reason: r/o pna History: cough and feverVIEWS: Chest AP/lateral (two views) 3/16/2015, 0615 The cardiomediastinal silhouette is normal.Mild peribronchial thickening and increased lung volumes compatible with reactive airway disease or bronchiolitis.No focal pulmonary opacities, pleural effusions, or ... | Bronchiolitis/reactive airway disease pattern. No evidence of pneumonia. |
Generate impression based on findings. | Male 65 years old Reason: h/o AAA including femoral anuerysms; please also eval for ascending aortic aneurysm ANGIOGRAPHY: The ascending thoracic aorta is upper limit normal in size measuring 3.9 cm in diameter. Minimal atherosclerotic disease affects the aortic arch. The descending thoracic aorta is normal in caliber.... | 1.Stable infrarenal abdominal aortic aneurysm status post stent graft placement without evidence of endo- leak.2.Stable left common iliac aneurysm status post stent graft placement. 3.Stable right common iliac aneurysm status post stent graft placement.4.Minimal interval increase in size of partially thrombosed right i... |
Generate impression based on findings. | 58 year old with history of three left breast benign biopsies. Family history breast cancer in sister at age of 38 and maternal grandmother. No current breast complaints. 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 scattere... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Reason: 1.65mm in depth melanoma of posterior back, needs lymphoscintigraphy for sentinel node biopsy RADIOPHARMACEUTICAL: The posterior right shoulder/back area was prepared in a sterile manner. A total of 0.5 mCi Tc-99m filtered sulfur colloid was injected in four peri-lesional sites. Two adjacent foci of increased a... | Two adjacent sentinel lymph nodes identified in the right axilla. |
Generate impression based on findings. | ARDS. 2-year-old former 24 week gestational age patient.VIEW: Chest AP (one view) 03/16/15, 0819 Left upper extremity PICC tip is in superior vena cava. Surgical clips are noted at the GE junction.Cardiothymic silhouette is normal. Patchy bilateral air space disease continues. No pneumothorax or pleural effusion is see... | Unchanged bilateral opacities. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional cleavage view of both breasts (nine total images) were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Sever... | Several new focal asymmetries in the left breast, for which additional spot compression views and possible ultrasound are recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EA - Additional Mammo/Ultrasound Workup Required. |
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