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Generate impression based on findings. | Status post total hip arthroplasty. Two views of the right hip and three views of the pelvis show a right total hip arthroplasty device in near anatomic alignment without evidence of hardware complication. There appears to be a posterior fusion defect at the lumbosacral junction of doubtful clinical significance. The p... | Right total hip arthroplasty in near anatomic alignment. |
Generate impression based on findings. | Female 59 years old; Reason: NHL, re-eval and compare to previous History: NHL CHEST:LUNGS AND PLEURA: Reticular opacities and focal right basilar bronchiectasis are unchanged. No dominant lung lesion. The pleural spaces are clear.MEDIASTINUM AND HILA: Left chest wall pacer with leads terminating in the heart.Heart siz... | 1.Stable exam; no change in the sclerotic changes of the T3 vertebral body.2.Finding suggestive of chronic liver disease. |
Generate impression based on findings. | Reason: PE History: SOB, Back pain, chest pain, hx of DVT, lung ca, ovarian ca The comparison chest radiograph demonstrates no significant pulmonary masses, airspace opacities, or pleural effusions. The ventilation portion of the exam was mildly limited as the patient was not able to tolerate the ventilation mask. Allo... | High probability of pulmonary embolism. |
Generate impression based on findings. | Female 65 years old Reason: For IRB 12-2221, must use water only for oral contrast prep. Must include arterial phase Chest and Upper Abdomen. Call HIRO for questions 2-9172. Re-evaluate disease status following new systemic therapy compared to prior scan and provide bi-dimensional History: Stage IV melanoma CHEST:LUNGS... | 1.Stable examination without lymphadenopathy in the chest, abdomen, and pelvis.2.Post surgical changes in the right lung with nodularity along the surgical suture lines which may represent rounded atelectasis. |
Generate impression based on findings. | 80 years old female with a history of lung ca s/p resection. Please re-stage. RADIOPHARMACEUTICAL: 10.6 mCi F-18 fluorodeoxyglucose (FDG). BLOOD GLUCOSE (FASTING): 120 mg/dL. Today's CT portion of the neck and pelvis demonstrates no significant pathology. Please see diagnostic CT reports for details of the chest, abdom... | 1.No definite evidence of FDG avid tumor.2.Multiple normal-sized small mild/moderate hypermetabolic lymph nodes in the mediastinum and lung hila, which are nonspecific.Diagnostic CTs of the chest, abdomen, and pelvis also performed at today's visit will be reported separately. |
Generate impression based on findings. | Female; 64 years old. Reason: hematuria History: hematuria ABDOMEN: Within the limits of a non-IV contrast enhanced examination which limits the ability to evaluate solid parenchymal organs and vascular structures, the following observations can be made:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: ... | No GU calculi or other significant abnormality evident within the limits of a non-IV contrast enhanced examination.. These findings do not obviate the need for cystoscopy as clinically indicated. |
Generate impression based on findings. | Pain Two views of the right hip, two views of the left hip, and AP view of the pelvis show severe osteoarthritis affecting both hip joints. Mixed lucency/sclerosis in both femoral heads may represent avascular necrosis with articular surface collapse along the superior aspect of both femoral heads. | Severe osteoarthritis and possible osteonecrosis as described above. |
Generate impression based on findings. | Male 62 years old Reason: HCC, on therapy, eval for dz, compare to previous, please assess with triphasic liver/Section thickness: 2.5 mm or less and provide index lesion measurements for RECIST as per clinical trial History: As above CHEST:LUNGS: Unchanged left upper lobe micronodule measures 4mm (series 11 image 117)... | 1. Segment 2 arterially enhancing lesion now demonstrates washout on the delayed images compatible with hepatocellular carcinoma. 2. Stable post-ablative changes in segment 8 with stable indeterminant peripheral enhancement. |
Generate impression based on findings. | Follow-up talus fracture Three views of the left foot fail to visualize the previously seen talus fracture. The bones appear in anatomic alignment. | Talus avulsion fracture not seen |
Generate impression based on findings. | Right knee pain. Four views of the right knee show moderate osteoarthritis, particularly affecting the medial compartment with joint space narrowing and osteophyte formation. There is varus deformity of the knee. There appears to be a moderate joint effusion. Mild osteoarthritis affects the left knee as seen on the fro... | Osteoarthritis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in mother at age 38. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. 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.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this re... |
Generate impression based on findings. | 17-month-old male with concern for nonaccidental trauma.VIEWS: Right shoulder: internal and external rotation; left shoulder: Internal and external rotation (4 views) 3/16/15 Right shoulder: Corner fracture is again seen at the proximal humeral metadiaphysis.Left shoulder: Corner fracture of the proximal humerus is aga... | Bilateral corner fractures of the proximal humeri. |
Generate impression based on findings. | 77 year old female with history of chest pain. PULMONARY ARTERIES: Multiple eccentric filling defects within the right upper and lower lobar arteries compatible with acute pulmonary emboli.LUNGS AND PLEURA: Subpleural mixed ground glass and airspace opacities are present within the right upper and lower lobes without a... | 1. Multiple acute pulmonary emboli in the right upper and lower lobar arteries with findings suggestive of early pulmonary infarction in the right upper and lower lobes.Discussed with Dr. Shappell at 1455 on 3/16/15.PULMONARY EMBOLISM: PE: Positive.Chronicity: Acute.Multiplicity: Multiple.Most Proximal: Lobar.RV Strain... |
Generate impression based on findings. | Male, 13 years old. R/o fracture. Football hit the right hands, right 5th finger and base of the finger pain , swelling for 2 daysVIEWS: Right hand, PA, lateral, oblique (3 views) 1323 hrs Mild widening of the physis of the fifth proximal phalanx may represent a nondisplaced Salter-Harris 1 fracture.No other evidence o... | Possible nondisplaced Salter-Harris 1 fracture of the fifth proximal phalanxl.Findings discussed via telephone with Dr Shi on 3/16/2015 at 1:45 PM. |
Generate impression based on findings. | CT CHEST AND UPPER ABD W, 3/15/2015 10:51 AM CHEST:LUNGS AND PLEURA: Stable left upper lobe groundglass/scarlike opacity (6/20). Left lower lobe subpleural nodule measures 7 mm, previously 6-mm (6/72). Other scattered punctate micronodules are stable. Emphysema. Previously new small peripheral irregular subpleural opac... | No definitive evidence of metastases. |
Generate impression based on findings. | 31 year old female who has a complaint of right breast mass x 4 weeks. Family history of breast carcinoma in her maternal grandmother. MAMMOGRAM: Three standard views of both breasts, and 2 spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma... | Circumscribed, parallel intradermal mass at the 4:00 position of the right breast, consistent with sebaceous cyst. Patient should return to her physician, Dr. Blanchard, for further clinical management as indicated. Results and recommendation discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: C - Cl... |
Generate impression based on findings. | Pain Three views of the left knee reveal severe osteoarthritis affecting the knee with near bone-on-bone apposition of the medial femoral compartment with underlying sclerosis. Minimal osteoarthritis affects the right knee as seen on the frontal view. | Osteoarthritis. |
Generate impression based on findings. | Reason: 68M w/ ICM, significant smoking hx and hx of leukemia, for LVAD vs Transplant eval History: SOB LUNGS AND PLEURA: Moderate right pleural effusion with adjacent consolidation and atelectasis. No pneumothorax.Diffuse groundglass opacity likely exaggerated by underinflation although mosaic attenuation is present..... | 1.Moderate right pleural effusion with adjacent atelectasis, no convincing evidence of pneumonia.2.Mild amount of abdominal ascites.3. Groundglass opacity may be artifact of underinflation, atypical infection such as pneumocystis or viral pneumonia is considered unlikely. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Right hip pain. Two views of the right hip and an AP view of the pelvis show severe osteoarthritis of the right hip. Note is made of a penile prosthesis and surgical clips in the pelvis. Mild osteoarthritis affects the left hip. Moderate to severe degenerative arthritis affects the lower lumbar spine. | Osteoarthritis. |
Generate impression based on findings. | Male, 13 years old. Rule out fracture and Osgood Schlatter Disease. Bilateral anterior knee pain for 3 weeks, football for 3 yearsVIEWS: Left knee, AP, lateral, oblique (3 views) 3/16/2015, 1331 The osseous structures and joint spaces are normal.No significant joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Fluoroscopy: There was no evidence of CSF leak on fluoroscopic imaging performed immediately after contrast injection. There are post-operative findings related to left L2-L4 hemi-laminectomies. CT: There is normal alignment, with a normal lumbar lordosis. The vertebral body heights are well-maintained. Centered at th... | 1.There is no myelographic evidence for CSF leak There is a 33 x 17 mm simple appearing fluid collection within the left superficial paraspinal soft tissues at the L2-L3 level which does not fill with contrast on early or delayed imaging. It appears remote from the thecal sac. 2.Multi-level degenerative changes as deta... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of ovarian cancer diagnosed in paternal aunt. 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, unchang... | New probable bilateral cysts and/or intramammary lymph nodes. 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.I personally reviewed the Images an... |
Generate impression based on findings. | Male, 13 years old. Rule out fracture and Osgood Schlatter Disease. Bilateral anterior knee pain for 3 weeks, football for 3 yearsVIEWS: Right knee, AP, lateral, oblique (3 views) 3/16/2015, 1333 The osseous structures and joint spaces are normal.No significant joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Fracture evaluation 3 views of the left hand reveal a nondisplaced healing fracture of the proximal aspect of the first metacarpal. There is new bone formation. | Healing first metacarpal fracture |
Generate impression based on findings. | 63-year-old male with history of bladder cancer, interval examination. Evaluate for extent of metastatic disease. Within the limits of a non-IV contrast enhanced examination, the following observations can be made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality noted... | 1. Within limits of a non-IV contrast enhanced examination, no evidence of recurrent or metastatic bladder cancer. 2. Cholelithiasis and choledocho lithiasis with biliary stents in position all unchanged. 3. Dense and diffuse calcifications within the pancreas unchanged. |
Generate impression based on findings. | 11-year-old male with history of fracture, VIEWS: Left elbow AP and lateral (two views) 3/16/15 Overlying splint material obscures fine bone detail. Alignment is anatomic. A displaced fracture fragment measuring 1.2 cm is in the anterior soft tissues of the elbow. The donor site may be from the clinoid process of the u... | Chronically displaced fracture fragment is present in the anterior soft tissues of the elbow. Alignment is anatomic. |
Generate impression based on findings. | Right upper lobe nodules since 2012. LUNGS AND PLEURA: 7 x 9mm (reference level) anterior segment right upper lobe subsolid nodule unchanged in size and density (5/106). Largest transaxial measurement on the current exam is 7 x 11mm, probably unchanged allowing for differences in scan variability.MEDIASTINUM AND HILA: ... | Right upper lobe nodule unchanged and remains moderately suspicious for an indolent primary adenocarcinoma. Low dose CT recommended in 6-12 months. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. 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 fibroglandular density, unchanged in pattern and distribution. No sus... | 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. | Female; 55 years old. Reason: Metastatic pancreas cancer please assess extent of disease and provide index lesion measurements for RECIST as required by study History: As above CHEST:LUNGS AND PLEURA: Numerous bilateral pulmonary metastases, most of which have mildly increased in size. No new lesions. Reference left lo... | 1. Interval increased size of pulmonary metastases.2. Interval enlargement of mediastinal and bilateral hilar lymph nodes, which are now pathologically enlarged.3. New small right hepatic lesion suspicious for metastasis.4. Interval increased mesenteric and portacaval lymphadenopathy. |
Generate impression based on findings. | Male, 5 years old. History of rhabdomyosarcoma left orbit; end of therapy; assess for pulmonary metastasis LUNGS AND PLEURA: No pulmonary nodules or masses. Mild bronchial wall thickening. No focal consolidation. No pleural effusion.MEDIASTINUM AND HILA: The heart is normal in size without pericardial effusion.No media... | No evidence of metastatic disease. |
Generate impression based on findings. | Two views of the left knee reveal a depressed medial tibial plateau fracture with sclerosis. This depression is new from the previous exam of January 30.calcifications. | Depressed medial tibial plateau fracture |
Generate impression based on findings. | 24-year-old male status post spinal surgeryVIEWS: Thoracolumbar spine PA and lateral (two views) 3/16/15 Pedicle screws traverse the posterior elements of T11 through L2 with tips in the vertebral bodies without complication. Surgical gauze overlying the field. A large soft tissue defect is noted. | Interval placement of pedicle screws of T11 through L2 with tips in the vertebral bodies without complication. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of bilateral breast reductions in 2007. Family history of cancer diagnosed in maternal aunt at age 80. 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 het... | New right upper outer quadrant, posterior depth, focal asymmetry, for which additional views, including spot compression views. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 47 years old female with a history of metastatic breast cancer. Restaging breast cancer. RADIOPHARMACEUTICAL: 12.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): N/A Today's CT portion grossly demonstrates stable lymph nodes in the left axilla and multiple lytic bony lesions in the pelvis. Diffuse decreased... | 1.Interval improvement of the hypermetabolic tumor in the left breast, and left axillary and right inguinal lymph nodes.2.Interval improvement of the multiple bony lesions in the thoracic spine, pelvis, left ribs, and right proximal femur. |
Generate impression based on findings. | Reason: s/p hepatectomy. evaluate liver. The patient is status ex vivo hepatectomy on 3/4/15 and roux-en-Y hepaticojejunostomy x 3 on 3/5/15. Angiographic images are unremarkable. There is prompt clearance of radiotracer from the blood pool and uniform accumulation of the tracer by the surgically reconstructed liver re... | Observed passage of radiotracer through the patient's hepaticojejunostomy without evidence of complication. |
Generate impression based on findings. | Reason: cause of patient's shortness of breath. History: dyspnea, orthopnea. LUNGS AND PLEURA: Mosaic attenuation of the lungs is again noted. Mild paraseptal emphysema. Bronchial wall thickening is present.Scattered nonspecific calcified and noncalcified micronodules. No suspicious nodules masses. Slightly increased s... | 1. Moderately enlarged mediastinal and hilar lymph nodes are nonspecific but may be due to lymphoma, occult infection such as histoplasmosis, or less likely amyloid deposition.2. Mild emphysema, lower lung zone predominant mosaic attenuation and bronchial thickening, likely due to small airways disease. No significant ... |
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, unchanged in pattern and distribution. Stable intramammary lymph nod... | 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. | 42 year old female who was recalled from screening mammogram for right breast asymmetry and prominent right axillary lymph nodes. Patient denies history of right axillary surgery. No family history of breast cancer. An ML view and two spot compression views of the right breast were performed digitally and reviewed with... | Simple cyst at the 8:00 position of the right breast, corresponding to mammographic asymmetry. Prominent bilateral axillary lymph nodes, suggestive of reactive nature. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annua... |
Generate impression based on findings. | 58-year-old female with history of metastatic breast cancer. CHEST:LUNGS AND PLEURA: Left lower lobe mixed solid and cavitary nodule appear similar to prior with the cavitary portion measuring approximately 8 mm, previously 8 mm (image 54 of series 4). No other pulmonary nodules are noted. No pleural effusions.MEDIASTI... | Stable right lower lobe pulmonary nodule and right hilar lymph node. |
Generate impression based on findings. | Other malaise and fatigue The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a moderate degree are present. This is stable and compared to the previous exam.No abnormal mass lesions are appreciated intracranially. No intracran... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction.3.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. 4.The exam is stable wh... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of cervical cancer diagnosed at the age of 38. 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. | Significant swelling and trismus of right jaw: right facial swelling and pain. There are multiple maxillary and mandibular dental caries associated with periodontal lucencies. There is stranding in the right cheek subcutaneous tissues and buccal fat pad. There is also diffuse swelling of the right masticator muscles. T... | 1. Extensive dental disease associated with right facial cellulitis and masticator space cellulitis with possible subcentimeter phlegmon or early abscess formation in the right retromolar trigone region with possible adjacent osteomyelitis, as well as possible mild right parotitis and right maxillary sinusitis.2. Nonsp... |
Generate impression based on findings. | 50 year old female. Fallopian tube cancer. CHEST:LUNGS AND PLEURA: Scattered pulmonary nodules, including the right lower lobe reference 3 mm nodule (series 4, image 51), unchanged and likely post-inflammatory.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Severe coronary artery calcification.Trace peric... | Stable examination with no new sites of disease. |
Generate impression based on findings. | 15 year old male. Asthma and cough.VIEWS: Chest PA/lateral (two views) 3/16/2015, 0934 The cardiothymic silhouette is normal.Mild peribronchial thickening and mildly increased lung volumes compatible with reactive airway disease or bronchiolitis.No focal pulmonary opacities, pleural effusions, or pneumothorax.The aorti... | Reactive airway disease/bronchiolitis pattern. |
Generate impression based on findings. | Reason: evaluate for bleed History: AMS. Cardiac arrest 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 the ... | 1.No evidence for acute intracranial hemorrhage, mass effect or edema.2.CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction.3.Streak artifacts from tubing surrounding the patient's head create artifacts which may obscure subtle abnormalities4.Use of portable scanner is associated with ... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy. Family history of ovarian cancer diagnosed in maternal grandmother. 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, wh... | Increase in right upper outer amorphous calcifications in a segmental fashion. Additional spot magnification views are recommended for additional evaluation.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: ED - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Reason: History metastatic prostate cancer, increasing sx and PSA, assess for disease progression History: bony pain, sacrum There is a new faint focus of activity in the right mid-proximal femoral diaphysis. Additional faint foci in the more distal right femur correlate to orthopedic fixation. The focus in the left mi... | 1. New faint focus of activity in the right mid-proximal femoral diaphysis is suspicious for a new tumor deposit. 2. Increased activity of the metastatic focus in the left mid-distal femoral diaphysis since the prior study. 3. Other lesions in the pelvis, spine, and right hip do not appear significantly changed since t... |
Generate impression based on findings. | Reason: hx of lung ca and AVM of brain please re-evaluate History: see above The patient is status post frontal craniotomy. There is encephalomalacia present along the left frontal lobe. Surgical clips are present along the medial to the left frontal lobe.There is redemonstration of encephalomalacia along the left occi... | 1.No evidence for acute intracranial hemorrhage, mass effect or edema.2.There is no evidence for brain metastases. Please note that MRI is more sensitive in detecting brain metastases than CT.3.The patient is status post frontal craniotomy and surgical clip placement adjacent to the left frontal lobe.4.Foci of encephal... |
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, unchanged in pattern and distribution. Be... | 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. | Female 69 years old; Reason: /o HNC ca and bladder mass, h/o CRT, compare to previous, measurements pls CHEST:LUNGS AND PLEURA: Moderate to severe centrilobular emphysema. Right middle lobe opacity which may represent atelectasis/scarring. This is somewhat more prominent than on prior studies. MEDIASTINUM AND HILA: Mil... | 1.Previously described bladder masses have resolved.2.Bilaterally prominent common iliac chain lymph nodes. |
Generate impression based on findings. | 66 years, Male. Reason: location of OG tube History: new OG Pelvis is not included in the field-of-view. There is a nasogastric tube with its tip projecting over the antrum of the stomach. Again seen is a paucity of bowel gas, which is incompletely evaluated on this examination. Please refer to same day chest radiograp... | Nasogastric tube with its tip projecting over the antrum of the stomach. |
Generate impression based on findings. | Reason: Assessing for tumor location History: has T3N2c BOT cancer CHEST:LUNGS AND PLEURA: No pleural effusion or pneumothorax. Multiple scattered calcified nodules compatible with prior granulomatous disease. No suspicious nodules or masses.MEDIASTINUM AND HILA: Heart size is normal. Trace pericardial effusion. Severe... | 1.No evidence of metastatic disease.2.Evidence of prior granulomatous disease. |
Generate impression based on findings. | Reason: eval for progression History: prostate cancer The focus of increased activity involving posterior left 10th rib first observed on 6/3/2014 remains unchanged. No discrete new areas of uptake are identified. Scattered areas of degenerative radiotracer uptake are also unchanged. | Unchanged nonspecific focal increased uptake in the posterior left 10th rib. No new discrete lesions to specifically suggest progression of disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of colon cancer diagnosed at age of 45. Family history of breast cancer diagnosed and maternal grandmother and aunt. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma i... | 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. | Male, 79 years old, oral cavity cancer restaging. A rim resection of the left anterior mandible has been performed with excision of the previously seen gingival space mass at this location. Although this is the first postoperative examination, no definite evidence of locally recurrent tumor is seen.Postoperative findin... | 1.Postoperative findings compatible with left mandibular gingival space tumor resection and left neck dissection.2.No evidence of local tumor recurrence or new pathologic adenopathy is seen. |
Generate impression based on findings. | Pain and tenderness. Fall 3 weeks ago. Three views of the pelvis reveal a total hip arthroplasty in anatomic alignment No evidence of complicationsNote is made of deformity of the left ischium secondary to an old fracture. | Left total hip arthroplasty in anatomic alignment. No acute fractures or dislocations. |
Generate impression based on findings. | 51 years, Female. Reason: eval abdomen, r/o sbo History: gib Gas filled loops of large bowel with a paucity of small bowel gas. No definite evidence of obstruction. | No definite evidence of obstruction. |
Generate impression based on findings. | Reason: ho esoph cancer sp chemorads ck response History: none CHEST:LUNGS AND PLEURA: Calcified right lower lobe granuloma.No suspicious nodules or effusions.MEDIASTINUM AND HILA: No significant lymphadenopathy.Mild thickening of the midesophagus, unchanged.No visible coronary artery calcification.No pericardial effus... | Mild residual thickening of the midesophagus with no sign of metastatic disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left breast aspiration in 2009. 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. Circular skin ma... | 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 31 years old Reason: bladder healed s/p cystomy on 3/8 History: none. Scout film demonstrated no abnormal calcification.Cystografin was administered by gravity via the Foley catheter and maximal distention was achieved at 375 cc, at which point the examination was terminated secondary to patient discomfort.No mu... | Normal cystogram, as above. |
Generate impression based on findings. | Malignant neoplasm of tonsil. CHEST:LUNGS AND PLEURA: Stable punctate micronodules, some of which are calcified. No new pulmonary nodules.MEDIASTINUM AND HILA: Calcified nodes consistent with healed granulomatous disease. Mild coronary artery calcifications.CHEST WALL: No significant abnormality noted.ABDOMEN: Absence ... | No evidence of pulmonary metastases. |
Generate impression based on findings. | History of T2N1 esophageal cancer squamous cell carcinoma status post chemoradiation. History also includes NPH and bilateral subdural hematomas. There is unchanged patchy stranding of the fat adjacent to the right aspect of the lower cervical esophagus, which is likely treatment-related. Otherwise, the esophagus appea... | Post-treatment findings in the neck without evidence of measurable locoregional tumor recurrence or significant cervical lymphadenopathy. |
Generate impression based on findings. | 64-year-old male with history of laryngeal cancer status post CRT. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are unchanged. No suspicious pulmonary nodules identified. No pleural effusions.MEDIASTINUM AND HILA: The heart size is normal without pericardial effusion. Mild coronary artery calcifications. No... | No evidence of metastatic disease. |
Generate impression based on findings. | Female 66 years old Reason: high alk phos level History: high levels LIVER: The liver measures 12.6 cm in length and demonstrates coarsely hyperechoic echotexture. The main portal vein is patent and demonstrates normal directional flow with peak velocity of 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Unremarkable appearance ... | Coarsely hyperechoic liver echotexture suggestive of chronic liver disease/cirrhosis. |
Generate impression based on findings. | Status post osteogenic sarcoma Two views of the right femur reveal resection of the distal three fourths of the femur and replacement with a prosthesis. There is a hinged type restrained prosthesis at the knee. No evidence of tumor recurrence. No change from previous exam of February 2014 | Resection of the distal three fourths of the femur and replacement with prosthesis in anatomic alignment. |
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. A circular skin marker was placed over the right outer central breast. Scattered benign calcifications bilate... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral 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... |
Generate impression based on findings. | Reason: lung cancer sp chemorads ck response History: axillary pain CHEST:LUNGS AND PLEURA: Extensive opacity in the left apical region, improved compared to previous, consistent with radiation reaction.Extensive bilateral lower lobe bronchiectasis with increased peribronchial opacity and bronchiolitis on the current e... | 1.Stable disease. 2. Increased and bronchiolitis at the left base suggestive of aspiration and infection. |
Generate impression based on findings. | Lumbarization of S1 is noted with a rudimentary S1/2 disc and bilateral S1 pseudoarthroses.Alignment is anatomic. There are no fractures or subluxations. 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 conte... | 1.Lumbarization of S1 is noted with a rudimentary S1/2 disc and bilateral S1 pseudoarthroses.2.There is a degree of congenital narrowing of the central canal from L2/3 through L5/S1.3.L4/5: There is a central to left paracentral disc extrusion resulting in severe left lateral recess, moderate right lateral recess, mode... |
Generate impression based on findings. | Reason: assess for spread of cancer beyond head and neck History: front of mouth SCC CHEST:LUNGS AND PLEURA: No suspicious nodules or masses. Central airways are patent. No pneumothorax or pleural effusion.Bibasilar dependent atelectasis. Interval increase in mildly cystic appearance of the left lung base may represent... | 1.No specific evidence of pulmonary metastatic disease.2.Mottled appearance of the bone with a lytic lesion in the left L2 vertebral body is unchanged since the recent PET CT; this may reflect localized osteoporosis however myeloma cannot be ruled out.3.Mildly ectatic ascending aorta measuring up to 4.1 cm. |
Generate impression based on findings. | 8 year-old male with increased work of breathing and clot in left arm PULMONARY ARTERIES: Pulmonary artery opacification is adequate to the first or subsegmental level with no evidence pulmonary embolism. The main pulmonary artery is dilated measuring 2.6 cm, which can be seen in the setting of pulmonary hypertension. ... | 1.No pulmonary embolism.2.Dilated main pulmonary may be related to pulmonary hypertension.3.Small left pleural effusion with scattered groundglass and nodular opacities which may be infectious in etiology.4.Extensive postsurgical changes of the right hemithorax. Chronically small right lung with bronchiectasis and apic... |
Generate impression based on findings. | RFO No unexpected radiopaque foreign body seen. Partially visualized nasogastric tube. Scattered surgical staples. Partially visualized ureteral tube tip projects over the expected location of the bladder. | No unexpected radiopaque foreign body.Findings discussed with Dr. Becker at 3:06 p.m. on 3/16/2015. |
Generate impression based on findings. | Male, 63 years old, history of supraglottic cancer (T2N2c SCC of the larynx), follow-up exam. Treatment related findings are again seen including mucosal hyperemia and edema involving the soft palate and palatine tonsils, base of tongue and supraglottic larynx. There remains a small soft tissue defect within the right ... | Treatment related findings are demonstrated in the neck with no evidence of locally recurrent tumor or pathologic adenopathy. |
Generate impression based on findings. | Reason: pt with metastatic breast cancer please assess disease status and compare to previous imaging. There has been continued interval increase in activity and extent involving the patient's known right humeral metastasis, now status post pathologic fracture and orthopedic fixation. Abnormal radiotracer uptake now ex... | 2. Increased activity and extent of radiotracer uptake in the patient's right known right humeral metastasis status post pathologic fracture and orthopedic fixation. These findings may represent increased tumor burden, healing fracture, or some combination thereof. 2. No new sites of disease identified. |
Generate impression based on findings. | Tuberous sclerosis. Follow-up right subpulmonic pneumothorax.VIEWS: Chest AP/lateral (two views) 03/16/15 No definite pneumothorax is seen. Abnormal contour of the right hemidiaphragm persists. Linear and a few nodular opacities are present. Right apical pleural thickening is noted. Cardiac silhouette size is normal.Va... | No pneumothorax identified. Continued postoperative changes. |
Generate impression based on findings. | History of T4bN1 left tonsil squamous cell carcinoma, status post treatment via CRT. There are post-treatment changes findings in the neck. There is interval resolution in the soft tissue thickening along the right palatine fossa and posterior oropharyngeal wall. There are no measurable mass lesions in the oropharynx. ... | 1. Interval resolution in the soft tissue thickening along the right palatine fossa and posterior oropharyngeal wall, suggestive of a prior inflammatory process, without convincing evidence of tumor recurrence.2. No evidence of significant cervical lymphadenopathy. |
Generate impression based on findings. | Reason: eval for video capsule endoscope History: above Redemonstrated LVAD device in place. Redemonstrated cardiomegaly and pulmonary edema and pleural effusions, not significantly changed. G-tube tip balloon projects over the expected location of the stomach. Capsule endoscopic device not definitively identified, alt... | Capsule endoscopic device not identified given limitations above. |
Generate impression based on findings. | Tachycardia and S.O.B. rule out PE. PULMONARY ARTERIES: Diagnostic quality infusion. No pulmonary embolus is identified.LUNGS AND PLEURA: Small pleural effusions, right greater than left. Mild groundglass opacity, bronchial wall thickening and septal thickening, suggestive of edema/hypervolemia. Bronchial wall thickeni... | No evidence of pulmonary embolus. Bronchial wall thickening and ground glass opacity suggestive of aspiration. In addition, there may be mild superimposed hypervolemia.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of sarcoid. Family history of breast cancer diagnosed in maternal grandmother, aunt, and cousin. Patient reports occasional left breast pain. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the... | 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; 46 years old. Reason: 45M with history of nasopharyngeal CA s/p . Routine surveillance evaluation. History: history of nasopharyngeal CA s/p XRT LUNGS AND PLEURA: No suspicious pulmonary lesions identified. No pleural effusions.MEDIASTINUM AND HILA: The heart size is normal without pericardial effusion. No signif... | 1. No evidence of metastatic disease.2. Cholelithiasis. |
Generate impression based on findings. | metacarpal fracture. Three views of the right hand reveal the nondisplaced fracture of the mid diaphysis of the fifth metacarpal. The fracture is indistinct consistent with healing. No change in position previous. | Healing nondisplaced metacarpal fracture |
Generate impression based on findings. | 33 year old who is 9 week pregnant with biopsy proven left breast cancer (IDC grade 3) presents for mammographic evaluation. Three standard views of both breasts with two spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is extremely dense... | Biopsy proven cancer in the left breast at 11 o'clock position with clip placement within the lesion.No mammographic evidence for malignancy in the right breast. BIRADS: 6 - Known cancer.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | 52 years old Male. Reason: as above History: s/p kidney transplant. Now with transplant nephrectomy. With PTLD. Evaluate for any metastatic disease. RADIOPHARMACEUTICAL: 11.3 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 108 mg/dL. Today's CT portion grossly demonstrates several enlarged lymph nodes in the... | 1.Hypermetabolic lymph nodes in the mediastinum, abdomen and pelvis as well as in the right inguinal regions, consistent with patient's diagnosis of lymphoma.2.Decreased activity in the transplant kidney with only peripheral uptake, suggestive failure of the transplant kidney. |
Generate impression based on findings. | Male 62 years old; Reason: rule out infection History: abdominal pain, nausea ABDOMEN:LUNG BASES: Mild bibasal atelectasis.LIVER, BILIARY TRACT: Mild low density thickening of the gallbladder wall. No gallstones are identified however CT is less sensitive than ultrasound for their detection and can miss up to 30% of ga... | 1.Mild gallbladder wall thickening without gallstones. This may be chronic however ultrasound is more sensitive for detection of gallstones and therefore excluding acute cholecystitis. |
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 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. Bilate... | 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. | Right wrist pain and swelling Three views of the right wrist reveal no evidence of any fractures or dislocations. There is some mild degenerative change at the triscaphe joint. | No fractures or dislocations. |
Generate impression based on findings. | Fracture.VIEWS: Right little finger PA/lateral/oblique (3 views) 03/16/15 The nondisplaced volar plate avulsion injury of the middle phalanx is again seen. The fracture fragment is very small. | Nondisplaced volar plate avulsion of the middle phalanx of the little finger. |
Generate impression based on findings. | Reason: rule out perforation History: abdominal pain, vomiting Oral contrast is noted within the bowel, of unclear timeframe as no prior comparisons are available. Air-fluid levels and prominent/mild dilation of small bowel loops, particularly in the left mid and upper quadrant with gas clearly seen in the large bowel,... | Findings suggestive of partial small bowel obstruction as detailed above. |
Generate impression based on findings. | Reason: pt with metastatic breast cancer please assess disease status and compare to previous imaging History: MBC CHEST:LUNGS AND PLEURA: Interstitial opacity at the right apex consistent with radiation reaction, unchanged.Superior segment right lower lobe subpleural nodule (series 4/46) measuring 13 x 8 mm, slightly ... | Marked progression of disease in the lungs, mediastinum and liver. |
Generate impression based on findings. | 54 year old asymptomatic female presents for diagnostic examination. History of benign left breast biopsy. Family history of breast carcinoma in her paternal grandmother. 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... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Three Views of the right hand reveal no evidence of any acute fractures or dislocations. | Negative for fracture or dislocation |
Generate impression based on findings. | Patient fell. Four views of the left elbow are r unremarkable. No joint effusion. No fractures or dislocations. | Negative left elbow examination |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of bladder cancer diagnosed in 2008. 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. Benign calcifications bilaterall... | 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. Mammography is optimally performed when prior studies are available to detect changes. If the patient's... |
Generate impression based on findings. | Reason: gastroperesis vs obstruction, would like to see if stomach has changed in size History: distended stomach Redemonstrated left retrocardiac opacity/cardiomegaly. Nasogastric tube tip projects over the gastric antrum. Interval decrease in gastric distention. Moderate degenerative changes of the lower lumbar spine... | Interval decrease in gastric distention compared to most recent abdominal radiograph. |
Generate impression based on findings. | Injured second toe two weeks ago . History of diabetes Three views of the second toe reveal soft tissue swelling and wide spread gas in the soft tissues. No gross bone destruction is seen. | Widespread gas in the soft tissues. I do not see any gross bone destruction. In a patient with diabetes this subcutaneous gas is worrisome for osteomyelitis. |
Generate impression based on findings. | There are no fractures. 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.Disc desiccation is present throughout with significant disc loss at L4/5.T12/L1: UnremarkableL1/2: There is ... | 1.L1/2: There is a shallow left paracentral disc protrusion without significant associated mass-effect or resulting stenosis.2.L3/4: Mild right neural foraminal stenosis.3.L4/5: There has been previous right hemilaminectomy and partial right facetectomy. There is moderate left lateral recess and moderate left neural fo... |
Generate impression based on findings. | 53-year-old male with history of left tonsillar squamous cell carcinoma. CHEST:LUNGS AND PLEURA: Scattered calcified and noncalcified micronodules appearing similar to prior. No suspicious pulmonary lesions identified. No pleural effusions.MEDIASTINUM AND HILA: The heart size is normal with no pericardial effusion. The... | No evidence of metastatic disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of uterine cancer diagnosed in maternal aunt. 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... | 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. | Reason: 44 yo w buttock infection, AMS and catatonia History: MRI w punctate infarcts 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 cri... | 1.There is irregular atherosclerotic plaque present at the origin of the left internal carotid artery.2.On the basis of NASCET criteria there is no significant stenosis at the carotid bifurcations. There is mild atherosclerotic narrowing at the origins of the internal carotid arteries. 3.No evidence for intracranial ce... |
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 almost entirely fatty. No suspicious masses, microcalcifications or areas of architectural distortion a... | 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. |
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