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Generate impression based on findings. | 57-year-old male with pain in the left ankle, remote trauma. Three views of the left ankle demonstrate a comminuted fracture of the distal fibula, in near anatomic alignment. Mild periosteal reaction indicates likely subacute nature of the injury. There is no significant soft tissue swelling. Vascular calcifications ar... | Comminuted fracture of the distal fibula. |
Generate impression based on findings. | Fracture.VIEWS: Left wrist PA/lateral (two views) 03/16/15 The cast has been removed. Sclerosis and periosteal reaction are present at the fracture site. | Continued healing of a buckling fracture of the distal radius. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, additional MLO of both breasts, additional one CC view of the right breast and two CC views of the left breast were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatt... | 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: NSA - Screening Mammogram. |
Generate impression based on findings. | 57 yo male with right wrist pain and swelling. Three views of the right wrist demonstrate marked abnormality of the distal radius and ulna, including ulnar translocation of the lunate, marked radioscaphoid joint space narrowing and proximal migration of the capitate. There is scapholunate advanced collapse, which may b... | Severe degenerative changes of the right wrist as detailed above. |
Generate impression based on findings. | 8-week-old female with known rib fracture, concern for other fractures.EXAMINATION: Skull AP/lateral, cervical spine AP/lateral, thoracolumbar spine AP/lateral, right humerus AP, left humerus AP, right forearm AP, left forearm AP, right hand PA, left hand PA, chest AP, ribs right oblique/left oblique, pelvis AP, right ... | Redemonstration of multiple rib fractures, posterior and lateral, in various states of healing. No other fractures are identified. |
Generate impression based on findings. | Possible nonaccidental trauma. Bilateral subdural hematomas.EXAMINATION: Skull AP/lateral, cervical spine AP/lateral, thoracolumbar spine AP/lateral, right humerus AP, left humerus AP, right forearm AP, left forearm AP, right hand PA, left hand PA, chest AP, ribs right oblique/left oblique, pelvis AP, right femur AP, l... | Equivocal cranial suture widening. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of bilateral benign breast biopsies in the 1980s. Family history of breast cancer diagnosed in mother at age 71. 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... | 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. | Eight week old female with history of traumaVIEW: Chest and abdomen AP Aortic arch, cardiac apex, and stomach are left-sided. There are at least 4 posterior rib fractures on the right, ribs 6 through 10. There are least 5 right lateral rib fractures, ribs 3 through 7. The cardiothymic silhouette is normal. Vague pulmon... | Multiple posterior and lateral right rib fractures. |
Generate impression based on findings. | 46-year-old female with lung adenocarcinoma with extrinsic compression of the right mainstem bronchus now with persistent fevers LUNGS AND PLEURA: New right pleural effusion with adjacent compressive atelectasis. New multifocal predominantly perihilar opacities compatible with multifocal infection. Increased adjacent s... | 1.New multifocal consolidation in a perihilar distribution most compatible with multifocal infection in the absence of clinical signs of pulmonary hemorrhage.2.Increased mediastinal and right hilar lymphadenopathy.3.Increased compression of the right bronchus intermedius which is now occluded with variable aeration of ... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of right benign breast biopsies in 1996 and 2002. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and dis... | 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. | Male; 65 years old. Reason: evaluate for dissection History: chest pain CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCT angiogram:Mild atherosclerosis of thoracic aorta and its branch vessels, including the coronary arteries. Normal contrast opacification... | No acute aortic dissection. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. 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. Two ovoid masses in the left upper outer ... | Right breast asymmetry and suspicious calcifications and left breast masses, for which comparison with priors recommended. If the prior studies cannot be submitted then the findings will require additional diagnostic evaluation. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR... |
Generate impression based on findings. | The patient is status post right thyroid lobectomy. No concerning lesions are seen in the surgical bed. There are no thyroid nodules in the left thyroid lobe. There is no significant cervical lymphadenopathy. The salivary glands and pharyngeal soft tissues appear normal. The vasculature of the neck appears normal. The... | Findings status post right thyroid lobectomy without additional abnormalities. |
Generate impression based on findings. | 73 year old female status post right mastectomy in 2009 for ILC, presents today for routine follow up. No current breast complaints. No family history of breast cancer. Three standard views of the left breast 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, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 6-month-old male with history of pulmonary hypertension in respiratory distressVIEW: Chest AP (one view) 3/16/15 Tracheostomy tube tip is at the level of the thoracic inlet. Feeding tube tip in proximal sidehole is is in the gastric body. The cardiothymic silhouette is normal. Persistent coarse diffuse bilateral pulmon... | Increasing right and left lower lobe opacities on the background of chronic lung disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of chronic nipple inversion on the left. Patient reports bilateral nipple tenderness for one month. Personal history of squamous cell carcinoma diagnosed at the age of 39. Two standard digital views and additional MLO and CC views of both breasts w... | Stable innumerable benign calcifications and circumscribed right breast mass. 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. | Reason: pt struck repeatedly to right face History: pain to right face from mandible up to temporal area There are no fractures identified involving the maxillofacial bones.The skull base foramina are intact.The orbits are intact with no abnormal mass lesions in either orbit. There is no abnormal enhancement of the opt... | 1.There is no evidence for maxillofacial fracture appreciated. 2.There are dental caries and periapical lesions present especially on the patient's molars. |
Generate impression based on findings. | Reason: History of plasmacytoma and persistent monoclonal protein; annual follow-up. SKULL: No discrete myelomatous lesions.CERVICAL SPINE: The lower cervical spine is not clearly visualized due to overlying anatomy, but we see no myelomatous lesion.THORACIC SPINE: The bones appear demineralized but no focal lesions ar... | Lytic lesion in the proximal left humerus as described above. No new lesions are identified. |
Generate impression based on findings. | 66 year old female status post right lumpectomy in 2004 for breast carcinoma,presents today for routine follow up. Patient received radiation. History of additional benign right breast biopsy. No current breast complaints. Family history of ovarian carcinoma in her mother at age 69. Three standard views of both breasts... | 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. | 22-day-old male with sepsisVIEW: Chest and abdomen AP The aortic arch, cardiac apex, and stomach are left-sided. The cardiothymic silhouette is normal. No pulmonary opacities. No pleural effusion or pneumothorax. Disorganized, nonobstructive bowel gas pattern. No pneumatosis, portal venous gas, or free air. | Normal examination. |
Generate impression based on findings. | 8-week-old female with low hemoglobin, abdominal pain, and rib fractures CHEST:LUNGS AND PLEURA: Small right pleural effusion with adjacent compressive atelectasis and consolidation. No pneumothorax, or left pleural effusion.MEDIASTINUM AND HILA: The heart size is normal without pericardial effusion. The thymus is norm... | 1.Multiple bilateral rib fractures in various states of healing. 2.The most acute appearing rib fractures are right posterior rib fractures. 3.Small right pleural effusion and adjacent consolidation and compressive atelectasis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in paternal grandmother and great aunt at age 45. 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... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. The sensitivity of mammography for detecting breast cancer is decreased in patients with dense breasts such as this patient. Physical exam assumes a more important r... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional cleavage view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious mass... | 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. | 68-year-old male with metastatic prostate cancer, rising PSA and increasing pain. Assess for disease progression. CHEST:LUNGS AND PLEURA: Multiple scattered small micronodules are seen throughout both lungs.. The referenced right upper lobe nodule previously reported as 6 mm has decreased in size (series 5, image 53) a... | 1. Decreasing size of small scattered pulmonary parenchymal lung nodules since 10/28/14 CT examination. In light of other inflammatory disease in the chest that is been resolving, it is uncertain whether these nodules represent inflammatory disease that is resolving or may have represented metastatic disease. 2. Stable... |
Generate impression based on findings. | Evaluate for episode of unresponsiveness with R gaze deviation, concern for verterobasilar insufficiency although seizure most likely History: pls see above 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 identifie... | 1.Overall there is no significant interval change. 2.50% stenosis at the origin of the left internal carotid artery.3.High-grade stenosis at the origin of the right vertebral artery with tandem intracranial RVA stenoses.4.There is encephalomalacia present along the left middle cerebral artery territory involving left t... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional left MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Focal asymmetry in... | 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. | There is post treatment change with loss of the fat planes in the parapharyngeal soft tissues, right greater than left. Additionally, there is mild edema of the supraglottic larynx and hyperemia of the mucosa of the tongue. No discrete mass is identified.A prevascular lymph node appears to have a fatty hilum and is st... | 1.Expected posttreatment changes without discrete mass or lymphadenopathy.2.Soft tissue occlusion of the bilateral anterior superior nasal cavity, persistent from the prior examinations. Further evaluation with direct visualization is recommended. |
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 heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 4-month-old male with desaturationsVIEW: Chest AP (one view) 3/16/15 The cardiothymic silhouette is normal. Increased right upper lobe , right lower lobe, left upper and lower lobe opacities which may represent atelectasis or pneumonia. | New bilateral pulmonary opacities may represent atelectasis and/or pneumonia. |
Generate impression based on findings. | Thumb pain. Three views of the left thumb show interval resection of the trapezium bone. A small lucency within the base of the left first metacarpal is likely postsurgical.Three views of the right thumb show normal appearing bones. | Postoperative changes as described above. Normal appearing right thumb. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in sister at age 53 and maternal aunt in her 50s. 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 heterogeneously dense,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | No acute intracranial hemorrhage is identified. Encephalomalacia of the left basal ganglia and left corona radiata with ex vacuo dilatation of the left ventricle. There is also encephalomalacia of the bilateral inferior frontal lobe and left anterior temporal lobe. These findings are unchanged from prior study. No evi... | 1.No evidence for acute intracranial abnormality. CT is not sensitive for detection of acute nonhemorrhagic ischemia. If there is high clinical suspicion of stroke, consider MRI.2.Prior ischemic injuries as above. |
Generate impression based on findings. | Low back pain. Five views of the lumbar spine show severe degenerative disk disease at L4/L5 and L5/S1. There is moderate degenerative disk disease at L1/L2 and L3/L4. There is multilevel facet joint osteoarthritis, particularly affecting the lower lumbar spine. There is a slight rightward curvature of the lumbar spine... | Degenerative disk disease and facet joint osteoarthritis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left breast cyst removed 25 years ago. Family history of breast cancer and ovarian cancer diagnosed in mother at age 70. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in sister. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribu... | 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, 2 years old. Limp.VIEWS: Left tibia/fibula AP, lateral (2 views) 3/16/2015, 1032 The osseous structures and joint spaces are normal.No significant joint effusions or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Female, 2 years old. Limp and foot pain VIEWS: Left foot, AP, lateral (2 views) 3/16/2015, 1033 The osseous structures and joint spaces are normal.No significant joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Reason: cause of profound hypoxia. No hx of lung dz known History: hypoxic respiratory failure LUNGS AND PLEURA: Diffuse interlobular and intralobular septal thickening with a background of groundglass opacity which increases towards the dependent portions of the lung. Mild bronchiectasis is noted in the lung bases. No... | 1.Diffuse moderate to severe Interlobular and intralobular septal thickening with background groundglass opacities and lung base bronchiectasis. Differential diagnosis includes acute CHF superimposed upon a chronic background of deposition disease such as pulmonary hemosiderosis, amyloid or drug toxicity. CT ILD protoc... |
Generate impression based on findings. | Reason: left nasal polyp History: history of left inverted papilloma removed by left medial maxillectomy Postsurgical changes of the left medial maxillectomy. There is a thick rind of soft tissue along the residual sinus walls. There is bony deficiency at the anterior inferior sinus wall, which is bridged by nonspecifi... | 1.Sequelae of sinonasal surgery.2.Thick rind of non-specific soft tissue along the remaining left maxillary sinus with anterior inferior bony deficiency. Comparison with prior exams would be helpful.3.Polypoid mucosal thickening along the left nasal septum and left ethmoid region.4.Polyps or mucous retention cysts in t... |
Generate impression based on findings. | Pain. Evaluate right wrist. Three views of the right wrist show two plate and screw devices affixing a comminuted intra-articular fracture of the distal radius. There is dorsal displacement of the distal fracture fragment. We see no evidence of hardware complication. There is a mildly displaced ulnar styloid fracture. ... | Orthopedic fixation of a distal radius fracture and other findings as above. |
Generate impression based on findings. | Female, 13 years old. Followup fractureVIEWS: Left hand PA, lateral, oblique (3 views) 3/16/2015, 0928 Redemonstration of a fracture through the proximal phalanx of the middle finger, extending from the metaphysis to the physis. The fracture fragment is not displaced. No periosteal reaction.Decreased soft tissue swelli... | Nondisplaced Salter-Harris II fracture of the proximal phalanx of the middle finger is again seen. |
Generate impression based on findings. | Reason: e/o bleed History: new dysarthria There is redemonstration of a couple burr holes one in the left frontal bone and one left parietal bone. There is redemonstration of a thin left-sided subdural collection measuring approximately 2 mm in thickness.The CSF spaces are appropriate for the patient's stated age with ... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Status post left-sided burr holes. A thin left-sided subdural collection is stable and may represent chronic change.3.CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction. |
Generate impression based on findings. | There is diffuse, bilateral abnormality of the white matter involving the cerebrum and cerebellum as well as midbrain and pons without associated mass effect or susceptibility abnormality. There is associated restricted diffusion involving significant portions of the white matter in symmetric fashion bilaterally sugge... | 1.MRI evidence of duffuse hypomyelination/dysmyelination/demyelination with symmetric bilateral restricted diffusion suggesting components of active demyelination. Given the diffuse, symmetric, bilateral involvement of all supratentorial white matter there is no predominant pattern. Thus, the differential diagnosis wou... |
Generate impression based on findings. | Right knee pain. Four views of the right knee show moderate to severe osteoarthritis, particularly affecting the lateral and patellofemoral compartments. Ossicles projecting lateral to the distal femur likely represent loose bodies in the lateral synovial recess. There is a mild valgus deformity of the right knee. Ther... | Osteoarthritis. |
Generate impression based on findings. | 66 year old female status post left lumpectomy in 2004 for IDC and DCIS, presents today for routine follow up. Patient received radiation and chemotherapy. No current breast complaints. No family history of breast cancer. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD ... | Stable postsurgical changes of the left breast. 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 - Diagnos... |
Generate impression based on findings. | Female, 2 years old. History of fractureVIEWS: Right foot, AP, lateral (2 views) 3/16/2015, 0920 Overlying casting material limits evaluation.Cortical disruption at the lateral aspects of the distal second and third metatarsals. Soft tissue swelling at the dorsal aspect of the foot. | Fractures of the second and third metatarsals, status post casting. |
Generate impression based on findings. | Pain. Evaluate wrist out of the splint. Three views of the right wrist again show a screw traversing the fracture near the proximal pole of the scaphoid. There now appears to be bony bridging which is suggestive of healing. The proximal pole appears slightly sclerotic and we cannot exclude avascular necrosis. | Orthopedic fixation of healing scaphoid fracture but with mild proximal pole sclerosis; avascular necrosis cannot be excluded. |
Generate impression based on findings. | Reason: change in mediastinal mass? History: 15 year old with t-lymphoblastic lymphoma s/p induction chemotherapy RADIOPHARMACEUTICAL: 5.3 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 72 mg/dL. Today's CT portion demonstrates marked interval decrease in the patient's anterior mediastinal mass since the pr... | 1. Significant interval decrease in size of the patient's anterior mediastinal mass. The residual anterior mediastinal tissue demonstrates mild radiotracer uptake which is also decreased. This tissue may represent residual tumor, thymic tissue, or some combination thereof. 2. Interval resolution of pleural effusions an... |
Generate impression based on findings. | Status post total knee. Three views of the left knee again show postoperative changes of a medial unicompartmental arthroplasty removal and cement spacer placement. A small amount of cement now overlies Hoffa's fat pad which was not present on the prior study and is of uncertain clinical significance. A small joint eff... | Postoperative and osteoarthritic changes as described above. |
Generate impression based on findings. | Reason: lung cancer s/p chemorads ck response History: Headache 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... | 1.There is no evidence for brain metastases. Please note that MRI is more sensitive in detecting brain metastases relative to CT.2.No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Reason: 72 yo F smoker with hx of LLL wedge resection for granuloma with mild SOB. Eval for nodules, emphysema progression History: smoker, mild sob LUNGS AND PLEURA: Moderate centrilobular emphysema in the upper lung zones.Scattered micronodules, unchanged, compatible with previous infection.Sharply defined left lower... | Stable smoothly marginated left lower lobe nodule with minimal calcification compatible with a benign etiology.No new findings. |
Generate impression based on findings. | 60-year-old male status post fall 9 days ago, continued pain of both wrists, right knee, lower back. Three views of the left wrist reveal soft tissue swelling. There is widening of the scapholunate interval suggestive of ligamentous laxity or disruption which may be chronic in etiology. There is narrowing of the radiol... | Degenerative arthritic changes as above, we see no acute fracture. |
Generate impression based on findings. | 69 year old female status post right lumpectomy in 2012 for DCIS at outside institution, presents today for routine follow up. Patient received radiation, and Arimidex therapy. History benign bilateral breast biopsies. No current breast complaints. No family history of breast cancer. Three standard views of both breast... | Stable postsurgical changes of the right breast. 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 - Diagno... |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are digital mammographic images (9/18/14, 11/18/14), ultrasound images of right breast (11/18/14), images from ultrasound guided biopsy of right breast and post procedural right mammographic images (12/5/14), images from ultrasound guided wire localizat... | Right breast cancer, status post wire localization.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Male 48 years old Reason: Cholangiocarcinoma please assess and provide index lesion measurements for RECIST prior to start of chemo History: As above CHEST:LUNGS AND PLEURA: 5-mm left lower lobe nodule (series 5 image 63). This lesion is too small to characterize and was not included on the previous exam field-of-view.... | 1.Slight interval increase in size of right hepatic lobe mass and satellite nodule compatible with worsening tumor burden.2.Upper abdominal and retroperitoneal lymphadenopathy is not significantly changed by measurement but now has more convex borders suggesting interval increase in volume.3.Subcentimeter pulmonary nod... |
Generate impression based on findings. | Male 59 years old Reason: Abnormal Liver function Test. Evaluate for Disease. History: Abnormal Liver function Test. Evaluate for Disease. LIVER: The liver measures 18.3 cm in length. The parenchyma is diffusely hyperechoic suggestive of fatty infiltration. There is poor penetration of the liver secondary to diffuse hy... | Diffusely hyperechoic hepatic parenchyma suggestive of diffuse fatty infiltration. Due to resulting poor penetration of the liver evaluation for underlying liver lesion is limited. If there is high clinical concern consideration should be given to cross-sectional imaging. |
Generate impression based on findings. | 65 year old female status post last mastectomy in 2002 for IDC with DCIS, presents today for routine follow up. Patient received chemotherapy. History of right reduction mammoplasty in 2002. No current breast complaints. Family history of ovarian carcinoma in her mother and two maternal aunts. Three standard views, and... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Additionally, given the patient's history and breast density, annual MRI screening might be useful. Results and recommendation were discussed with the pati... |
Generate impression based on findings. | Female 41 years old Reason: asses hiatal hernia and lap band position s/p rygb (02) and lap band (06) History: post prandial abd pain, n Given the reported history Roux-en-Y gastric bypass and subsequent Lap band, we suspect that the gastric remnant has dilated. The portion of the gastric remnant proximal to the gastri... | Post surgical changes related to Roux-en-Y gastric bypass and subsequent gastric banding, with dilatation of the gastric remnant, and herniation of a portion of the gastric remnant above the diaphragm. |
Generate impression based on findings. | Alignment is anatomic. There are no fractures or subluxations. There are no osseous dysplasias. The marrow signal is benign. The conus is normal in signal and morphology and terminates at an appropriate level. The visualized intra-abdominal and paraspinal contents are unremarkable. Upon prone maneuvering, the conus an... | There is a tiny right paramedian disc protrusion at T12/L1 without significant associated mass-effect and no resulting stenosis. |
Generate impression based on findings. | 2-year-old male history of hydronephrosis and reflux. BLADDER Wall Thickness: Normal Contents: Distended and normal. Distal Ureter -- SFU Grade** Right: 0 Left: 0 Ureteral Jets Right: Not observed Left: Not observedKIDNEYS Cortical Echogenicity: Normal Medullary Echogenicity: Normal Pelvicaliceal System -- S... | Left grade 1 renal pelvis dilatation. Normal appearance of the kidneys.*SFU grading system: Grade 0: No hydronephrosis. Grade 1: The renal pelvis is visualized. Grade 2: A few but not all of the calices are identified in addition to the renal pelvis. Grade 3: Virtually all the calices are seen. Grade 4: Grade 3 and par... |
Generate impression based on findings. | Reason: 51y/o female with neck mass; possible neck lipoma vs excess fat History: 51y/o female with neck mass; possible neck lipoma vs excess fat LUNGS AND PLEURA: Dense left perihilar groundglass opacity involving the left upper and left lower lobes, of uncertain chronicity. This appearance is most commonly associated ... | 1.Patchy left perihilar groundglass opacity involving the upper and lower lobes, suggestive of aspiration and/or infection, but of uncertain chronicity. 2. Moderately enlarged nonspecific mediastinal and left axillary lymph nodes.3. No evidence of a mass in the visualized portion of the neck or mediastinum. |
Generate impression based on findings. | Reason: HNSCC. restaging, Compare to previous History: as above CHEST:LUNGS AND PLEURA: Stable calcified and noncalcified benign-appearing micronodules.No suspicious nodules or masses.Mild centrilobular and paraseptal emphysema is unchanged. No pleural effusion or pneumothorax.MEDIASTINUM AND HILA: The heart size is no... | No evidence of metastatic disease. No significant interval change.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Female; 51 years old. Reason: 51 y/o met colon ca on chemo. compare to prior. History: see above CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.CHEST WALL: Right-sided chest port with catheter tip at the superior cavoatrial junction. New l... | 1. New left internal mammary lymphadenopathy.2. Significantly increased hepatic metastases.3. Significantly increased carcinomatosis with new moderate ascites.4. Small splenic infarct. |
Generate impression based on findings. | 62 year-old female with history of adenoid cystic carcinoma left submandibular gland. CHEST:LUNGS AND PLEURA: Nonspecific 2-mm right upper lobe micronodule. No suspicious pulmonary nodules or pleural effusions.MEDIASTINUM AND HILA: The heart size is normal with no significant pericardial effusion. Mild coronary artery ... | Nonspecific 2-mm right upper lobe nodule, likely infectious, otherwise no evidence of metastatic disease. |
Generate impression based on findings. | Female 83 years old Reason: eval for cause of anorexia, weight loss, malnutrition, ? malignancy History: anorexia, weight loss, malnutrition, ? malignancy CHEST:LUNGS AND PLEURA: Scattered reticular and groundglass opacities in the right upper lobe with more focal semi-solid nodule that measures 11 x 5 mm (series 4 ima... | 1. Numerous hypodense lesions within the liver compatible with malignancy. While no definite primary lesion is identified, the associated capsular retraction raises the possibility of cholangiocarcinoma. 2. Multifocal mediastinal and hilar lymphadenopathy. The majority of this is likely related to the patient's sarcoid... |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary nodules have increased in size.A right middle lobe nodule (series 4/52) measures 10 mm in long axis, increased from 8 mm previously.A left lower lobe nodule measures 17 mm in long axis (series 4/... | Progression of pulmonary and mediastinal metastatic disease. |
Generate impression based on findings. | Intracranial hemorrhage The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a 50 x 66 mm axial dimension hyperdense lesion centered in the left basal ganglia which is associated with a significant mass effect. There is approximately 14 mm shift of the third ventricle towards the ... | 1.Since the prior exam the patient has developed a very large hemorrhage centered in the left basal ganglia associated with smaller hemorrhagic foci in in the upper brainstem as well as bilateral intraventricular blood and posterior fossa subarachnoid blood. There is associated mass-effect with subfalcine, transtentori... |
Generate impression based on findings. | Male 68 years old Reason: new diagnosis CML, epigastric fullness, please eval for liver size, spleen size, or other abnormality Please eval all liver vessels and aorta ivc as well for clot History: epigastric fullness, lower limb swelling DVT negative. LIMITED ABDOMENLIVER: The liver measures 17.8 cm in length and demo... | 1. No evidence of hepatosplenomegaly.2. Patent hepatic vasculature.3. Bilateral pleural effusions and trace ascites. |
Generate impression based on findings. | 52 year old female who has a complaint of left breast abscess for 6 months. No family history of breast cancer. MAMMOGRAM: Three standard views of both breasts, with additional bilateral MLO and cleavage views, were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scatte... | Sinus tract extending from the left nipple to the cutaneous opening at the 7 o'clock periareolar region. This may represent healing abscess, or persistent fistulous tract. Surgical consultation and continued surgical management is advised. BIRADS: 2 - Benign finding.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | 67-year-old female with intracranial hemorrhage experiencing altered mental status. Redemonstrated is a large intraparenchymal hematoma in the left insula and frontal parietal operculum, without significant interval change when allowing for differences in slice selection and angulation. As before, there is mild surroun... | No significant interval change in large left frontal parenchymal hematoma with localized mass effect and minimal midline shift. |
Generate impression based on findings. | Male 32 years old Reason: 32 year old patient with pain to palmar of the right finger sp laceration to finger with glass evaluate for foreign body. History: pain and erythema Focused US performed over the right middle finger. No evidence of echogenic foreign body. No fluid collection or edema within the subcutaneous ti... | No evidence of echogenic foreign body or collection within the soft tissues of the right middle finger. |
Generate impression based on findings. | Reason: h/o larynx ca and CRT, compare to previous, measurements pls History: none There is redemonstration of a thickening of the laryngeal mucosal tissues which appear stable when compared with previous exam.Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy.2.There is redemonstration of a superior endplate compression of T3 which is stable since the prior exam but new since the April 2014 exam. |
Generate impression based on findings. | 5 year old male with left orbit rhabdomyosarcoma treated at outside hospital partial resection in March 2014 followed by proton therapy and chemotherapy. HEAD: There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift, herniation, ... | 1.Mild non-specific stranding of the left extraconal fat and mild thinning of the left medial orbital wall of uncertain significance. Comparison with outside prior imaging is recommended. 2.No evidence of intracranial metastasis. |
Generate impression based on findings. | Reason: 45M with history of nasopharyngeal CA s/p XRT. Routine surveillance evaluation. History: history of nasopharyngeal CA s/p XRT Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopat... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy |
Generate impression based on findings. | Reason: AMS History: AMS The patient is status-post left-sided craniectomy. There is redemonstration of a hematoma centered in the left sylvian fissure associated with small foci of intraparenchymal hemorrhage in the adjacent left insular cortex and the left parietal lobe. There is associated bulging of the left hemisp... | 1.Status-post left-sided craniectomy. There is continued evolution of blood products in the left sylvian fissure and adjacent brain parenchyma.2.Foci of hypoattenuation in the bilateral basal ganglia are suspicious for chronic lacunar infarcts.3.Encephalomalacia in the right cerebellar hemisphere is likely related to c... |
Generate impression based on findings. | 81 years old Female. Reason: History: breast cancer with liver metastasis. Please evaluate response to therapy. RADIOPHARMACEUTICAL: 13.3 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 118 mg/dL. Today's CT portion grossly demonstrates decreased size of the right breast mass and right axillary lymph nodes. ... | 1.Interval significant improvement of FDG avid tumor in the right breast and right axilla lymph nodes.2.Interval progression of hepatic metastasis.3.Resolution of right 6th and 10th ribs and L1 vertebral body lesions.4.Inflammatory changes in the right upper lung, inguinal lymph nodes and a subcutaneous soft tissue den... |
Generate impression based on findings. | VESSELS:SINUS OF VALSALVA: 4.0 X 4.0 x 3.5 cmSINOTUBULAR JUNCTION: 3.5 3.7 cmASCENDING THORACIC AORTA AT LEVEL OF MAIN PULMONARY ARTERY: 3.5 X 3.6 cmASCENDING THORACIC AORTA IMMEDIATELY PROXIMAL TO THE INNOMINATE ARTERY: 3.4 X 3.3 cmPROXIMAL DESCENDING THORACIC AORTA IMMEDIATELY DISTAL TO THE LEFT SUBCLAVIAN ARTERY: 2... | 1.Left lower lobe subsegmental atelectasis.2.Dense aortic valvular and coronary artery calcifications with cardiomegaly.3.Vascular measurements of the thoracic aorta as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is extremely dense, which lowers the sensitivity of mammography, unchanged in pattern and distribution. Benign coarse calcification in ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. The sensitivity of mammography for detecting breast cancer is decreased in patients with dense breasts such as this patient. Physical exam assumes a more important r... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, additional right CC view, and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Sc... | 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. | Injury Three views of the right foot show no acute fracture or dislocation. There is perhaps mild soft tissue swelling along the dorsum of the foot, but otherwise the foot appears normal for age. | No fracture is evident. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of bilateral benign breast biopsies. Two standard digital views of both breasts and additional right MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. Li... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of vulvar cancer diagnosed at age 53, status post surgery and radiation. 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 almost entirely fatty, u... | 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: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed and paternal grandmother, aunts, great-aunt, and two cousins. 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... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. The sensitivity of mammography for detecting breast cancer is decreased in patients with dense breasts such as this patient. Physical exam assumes a more important r... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of right benign breast biopsy. Family history of breast cancer diagnosed in 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 heterogeneously dense, which may ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Patient fell to the ground today after hearing a pop in his right knee. Patient unable to ambulate. Pain to the anterior-proximal knee. Four nonweightbearing views of the right knee show no acute fracture, malalignment, or joint effusion. | No specific radiographic findings to account for the patient's pain. If further imaging is clinically warranted, MRI may be considered. |
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 almost entirely fatty, unchanged in pattern and distribution. Benign ductal and arterial calcifications in both breasts are stable.N... | 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: NSA - 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, unchanged in pattern and distribution. Stable benign intramammary lymph node in the ri... | 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. | Mitral stenosis and recent shortness of breath, left upper lobe opacity. LUNGS AND PLEURA: Large loculated left pleural fluid collection with associated compressive atelectasis. The pleural fluid is partially loculated within the major fissure, the majority of the fluid is loculated medially and near the lung base. Sma... | Large loculated left pleural fluid collection with associated compressive atelectasis, but no signs of pneumonia or other new finding. Moderate pericardial fluid collection. Please refer to separately reported abdominal ultrasound. |
Generate impression based on findings. | 17 years old Male. Reason: disease status evaluation. History of recurrent Hodgkin's lymphoma s/p 2 cycles chemotherapy. RADIOPHARMACEUTICAL: 10.9 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 88 mg/dL. Today's CT portion grossly demonstrates interval decrease in size, and number of the multiple lymph node... | 1.Significant interval improvement of the hypermetabolic lymphadenopathy in the bilateral axillary regions, bilateral inguinal regions and pelvis.2.Interval decreased size of the post procedural changes in the left inguinal region. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of ovarian cancer diagnosed in maternal grandmother. Two standard digital views of both breasts and additional MLO views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered f... | 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. | Male 74 years old; Reason: eval for progression History: prostate cancer on therapy CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules. No dominant lung lesion. The pleural spaces are clear.MEDIASTINUM AND HILA: Calcific coronary artery disease.CHEST WALL: No significant abnormality notedOTHER: ABDOMEN:LIVER, BIL... | 1.Stable exam with a right L3 vertebral body sclerotic lesion. |
Generate impression based on findings. | Malignant neoplasm thyroid gland restaging exam on oral investigational therapy. CHEST:LUNGS AND PLEURA: Left lower lobe module measures 16 x 27 mm (6/71), previously 15 x 20 mm, not significantly changed. Overall size and number of pulmonary nodules not significantly changed.MEDIASTINUM AND HILA: Right paratracheal ly... | No significant change in pulmonary or nodal metastases. |
Generate impression based on findings. | 67 year old with history of right mastectomy in 2011 for invasive ductal carcinoma and DCIS. Patient received chemotherapy and radiation. History of 3 benign left breast biopsies in the 1960s. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchym... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, left unilateral 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. | 70 year-old female with known right breast carcinoma since 2013, on an aromatase inhibitor. Assess response to therapy. On physical examination, marked skin dimpling and retraction is noted at the one o'clock position, 6 cm from the nipple. A targeted right ultrasound was performed for the patient’s area of concern. At... | Vague hypoechoic lesion remains at the site of index malignancy. Today this measures 0.3 cm (previously 1.0 cm). Patient should continue no follow up with oncologists and surgeon as clinically indicated.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | 65-year-old asymptomatic female presents for diagnostic mammography. History of a benign left breast biopsy in 1995. History of large right breast fibroadenoma. No family history of breast cancer. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchym... | Stable large right breast fibroadenoma. Stable left breast calcifications. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RE... |
Generate impression based on findings. | Focal left-sided chest pain under nipple, evaluate for pulmonary, bony or soft tissue abnormality. LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No visible coronary artery calcifications on this non-cardiac-gated study.CHEST WALL: Very subtle focal area of sclerosis in the anterolateral left ... | Two very subtle lesions in the anterior/anterolateral left third rib; anterior lesion is lucent while the anterolateral lesion is sclerotic. Given the presence of pain, correlation with bone scan and PSA levels are recommended although statistically these are most likely benign. |
Generate impression based on findings. | 56 year old with history of right lumpectomy in 2007 at an outside institution. Patient received radiation and chemotherapy. 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 composed of scattered fibroglandular ele... | 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. | Rule-out fracture. Pain in foot and ankle.VIEWS: Left foot AP/lateral/oblique (3 views) 03/16/15 No significant soft tissue swelling is present. The bones are normal an apparent. A fracture is not seen. | Normal examination. |
Generate impression based on findings. | Female, 5 months old. Evaluate Hickman placement History: line pulled previously, replacedVIEWS: Chest AP/lateral (two views) 3/16/2015, 1249 Left IJ venous catheter tip at the cavoatrial junction.The cardiothymic silhouette is normal.No focal pulmonary opacities, pleural effusions, or pneumothorax. | Catheter tip at the cavoatrial junction. |
Generate impression based on findings. | Metastatic lung cancer. Compare with prior to evaluate progression. ABDOMEN: LUNG BASES: Please see separate chest CT report LIVER, BILIARY TRACT: No significant abnormality noted SPLEEN: No significant abnormality noted PANCREAS: No significant abnormality noted ADRENAL GLANDS: No significant abnormality noted KIDNEYS... | Stable examination. No acute, inflammatory, or metastaticintra-abdominal process. Please see separately dictated CT chest. |
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