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Generate impression based on findings. | 47 year old female who has a complaint of palpable left breast area. History of benign right breast biopsy. No family history of breast cancer. MAMMOGRAM: Three standard views of both breasts, a laterally exaggerated left CC view, and 2 spot compression views of the left breast were performed digitally and reviewed wit... | 1. Hypoechoic, lobulated mass measuring 3.0 cm at the 2:00 position of the left breast. Ultrasound guided biopsy is recommended.2. Enlarged left axillary lymph node with non-hilar cortical flow. Ultrasound guided biopsy is also recommended for this lesion. BIRADS: 5 - Highly suggestive of malignancy.RECOMMENDATION: H -... |
Generate impression based on findings. | SCC of the lip post induction. CHEST:LUNGS AND PLEURA: No significant change in 3-mm micronodule right lower lobe (6/33). No suspicious lesions.MEDIASTINUM AND HILA: Mild coronary artery calcifications. No lymphadenopathy.CHEST WALL: Unchanged lucent lesion in T5 with sclerotic rim. ABDOMEN: Absence of enteric contrast... | No signs of pulmonary or upper abdominal metastases. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in two paternal aunts and ovarian cancer diagnosed in one paternal aunt. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scatt... | 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: h/o esophageal HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Biapical scarring likely related to radiation. Diffuse bronchial wall thickening compatible with post radiation change. Calcified left apical nodule is unchanged. Scattered nonspecific micronodules are unchanged s... | 1.No conclusive evidence of metastatic disease.2.Unchanged right hilar lymph nodes and upper mediastinal soft tissue stranding. |
Generate impression based on findings. | Female 52 years old; Reason: presumed peripheral T cell lymphoma History: enlarged lymph nodes CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are nonspecific. For example (series 4, image 42). These are unchanged compared to prior study.MEDIASTINUM AND HILA: Right hilar lymph node measures 1.3 x 0.9 Cm (serie... | 1. Multistation mild lymph node enlargement is not significantly changed compared to prior study.2. Previously identified right breast lesion has decreased in size. |
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. Examination is slightly limited due to patient mental status. The breast parenchyma is composed of scattered fibroglandular dens... | 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 years old male with a history of HNC presents with a new lung nodule. Please compare to CTs and evaluate for metastatic disease.RADIOPHARMACEUTICAL: 14.7 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 84 mg/dL. Today's CT portion grossly demonstrates an irregular nodule in the right upper lobe. There are... | 1.Hypermetabolic irregular right upper lobe nodule with increased activity, highly suspicious for malignant tumor.2.Hypermetabolic foci in the rectosigmoid junction, which can be due to tumor. Suggest further evaluation with colonoscopy.3.Micronodule in the left upper lobe, which can be due to tumor or inflammatory cha... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of right breast benign biopsy in 2009. Family history of breast cancer diagnosed in daughter at age 32 and sister at age 54. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The br... | 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. | Pain over left patella. Assess for fracture.VIEWS: Left knee AP/lateral/oblique/merchant (4 views) 03/16/15 A joint effusion is not present. The bones are normal in appearance. No fracture is identified. | Normal examination. |
Generate impression based on findings. | Lung CA restaging. CHEST:LUNGS AND PLEURA: Exam limited by artifact from patient's ICD as well as motion; assessment for subcentimeter lesions is limited. Scattered micronodules, too small to actually characterize. Spherical ground glass opacity nodule in the right upper lobe abutting the fissure measures 12 x 10 mm, d... | Limited examination. Indeterminate sub-solid right upper lobe nodule which may represent a new primary tumor such as a low grade adenocarcinoma. Given limitations of today's study, a short-term 3-month follow-up is suggested. No enlarged lymph nodes, please refer to PET scan report. Left adrenal nodule unchanged, also ... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in daughter age 45. Patient reports history of being shot in 1952. 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 heter... | 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. | Possible left superior canal dehiscence: hyperacusis and vertigo. Right: There is mild deficiency of bone overlying the superior semicircular canal. The inner ear structures are otherwise unremarkable. The external auditory canal is patent. The middle ear and mastoid air cells are well-pneumatized and clear. The ossicu... | 1. Extensive left and mild right superior semicircular canal dehiscence.2. Dehiscence of the bilateral facial nerve canal tympanic segments. |
Generate impression based on findings. | Status partial wrist fusion. Evaluate status of carpal fusion. Again seen are orthopedic screws affixing the capitolunate and triquetrohamate articulations. I see no hardware complications. Portions of the capitolunate articulation are slightly indistinct, which may reflect early fusion, but appears similar to that see... | Postoperative changes of partial wrist fusion as described above appearing similar to those seen on the prior study. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast biopsy in 3/2007. Family history of breast cancer diagnosed in maternal aunt at age 70. 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... | 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. | 70-year-old female history of right breast cancer on neoadjuvant therapy. LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: There is aberrant right subclavian artery, a normal variant. The heart size is normal without pericardial effusion. Mild coronary artery calcifications. Tortuous aorta. No s... | Slight decrease in size of right breast mass without evidence of metastatic disease. |
Generate impression based on findings. | The study is partially degraded secondary to motion artifact. Given this caveat:The lowermost level containing ribs is presumed to be T12. With this numbering nomenclature, there is transitional anatomy with sacralization of L5, a rudimentary L5/S1 disc, and bilateral pseudoarthroses. If an interventional procedure is... | 1.The study is partially degraded secondary to motion artifact. 2.The lowermost level containing ribs is presumed to be T12. With this numbering nomenclature, there is transitional anatomy with sacralization of L5, a rudimentary L5/S1 disc, and bilateral pseudoarthroses. If an interventional procedure is contemplated, ... |
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. No suspicious masses, microcalcifications or areas of architectural ... | 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. | 47 year old female with hydronephrosis noted on recent ultrasound. Evaluate etiology. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality not... | 1.No nephroureterolithiasis, hydronephrosis, or renal parenchymal abnormality.2.Multiple enlarged tortuous left gonadal veins raise the possibility of pelvic congestion syndrome. |
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. No suspicious masses, microcalcifications or areas of architectural distortion are pre... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts 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. No suspicious masses, microca... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Esophageal cancer. Evaluate for metastatic disease. Characterize pleural effusion. Look for obstruction. CHEST:LUNGS AND PLEURA: New 1.8 x 4 cm heterogeneous enhancing pleural thickening between the right 7th and 8th ribs, suspicious for metastatic disease (series 3, image 56). Small loculated right pleural effusion, d... | 1. New heterogenously enhancing pleural thickening at the right 7th and 8th intercostal space, suspicious for a metastases with possible extrathoracic extension. Correlation with tissue biopsy as clinically warranted.2. Small loculated right pleural effusion, decreased from prior. Large left pleural effusion, not signi... |
Generate impression based on findings. | Pain. Again seen is intramedullary rod and screw device affixing an osteotomy of the distal radius with alignment appearing similar to that seen on the prior study. The osteotomy remains visible, although slightly less distinct on the current study than on the prior study, with maturation of adjacent callus, indicating... | Orthopedic fixation of healing distal radial osteotomy as above. |
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. Scattered benign cal... | 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. | Female, 58 days old, twin unexplained acute rib fractures. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid is seen. There is no evidence of mass effect or parenchymal edema. The ventricular system is normal in size ... | 1.No acute intracranial abnormality. 2.No evidence of skull fracture.3.Right frontal scalp injury. |
Generate impression based on findings. | Female 45 years old Reason: 45F w/ recent chole complicated by postop cystic artery bleeding now with acutely dropping hgb, eval cystic artery bleeding or other source History: new postop anemia ABDOMEN:LUNG BASES: Bibasal atelectasis. Small bilateral pleural effusions.LIVER, BILIARY TRACT: Status post cholecystectomy.... | Large volume abdominal ascites with layering blood products, substantially increased from prior study and consistent with intra-abdominal hemorrhage. No site of active extravasation is identified to suggest the source of bleeding. Abdominal hematomas as detailed above are not significantly changed compared to prior stu... |
Generate impression based on findings. | Reason: followup of "ifi " History: pulmonary infiltrates see old cts LUNGS AND PLEURA: Scattered nonspecific micronodules. One new micronodule in the left lower lobe (series 7, image 29). Reference left apical nodule measures 3 mm (series 6, image 48), previously 3 mm. reference left lower lobe nodule is not clearly s... | 1.Unchanged left upper lobe pulmonary nodule. Reference left lower lobe pulmonary nodule is not identified.2.Indeterminate right lower lobe nodular opacity abutting the right hemidiaphragm containing both irregular solid component and surrounding groundglass opacity, very difficult to reproducibly measure due to curvat... |
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. Approximately 12 mm ovoid mass in the left upper outer breast, anterior depth. No micr... | 12 mm ovoid mass in left upper outer quadrant, for additional views including spot compression view and probable ultrasound are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Pain in knee for two weeks. Assess for effusion/arthritis. Four views of the right knee are provided. Moderate osteoarthritis affects the knee, particularly the medial tibiofemoral compartment. There is a small joint effusion.Moderate osteoarthritis also affects the left knee, to a slightly lesser degree, as seen on th... | Osteoarthritis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, additional right CC view, and 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 dis... | 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. | Pain. Rule-out fracture.VIEWS: Left elbow AP/lateral/oblique (3 views) 03/16/15 A joint effusion is not present. The bones are normal in appearance. No fracture is identified. | Normal examination. |
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. No suspicious masses, microcalcifications or areas of architectural distortion are pre... | 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. | Pain. Rule-out fracture.VIEWS: Left shoulder internal/external rotation (two views) 03/16/15 No fracture is present. The bones are normal in appearance. The humeral head epiphysis is normally positioned with respect to the glenoid. | Normal examination. |
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 bilateral circumscribed subcentimeter ma... | 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, 12 years old, with orbital cellulitis, abscess and periodontal abscess status post drainage. Please assess for persistence of fluid collection. Since the prior examination, a subperiosteal fluid collection along the external surface of the left anterior maxillary wall has diminished, now measuring only 2 mm in th... | 1.Decreasing size of a subperiosteal fluid collection along the external aspect of the left anterior maxillary wall. The component of this collection which had previously tracked up and back into the left orbit has resolved. There remains evidence of extraconal intraorbital and periorbital inflammation.2.A periodontal ... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in paternal cousin at age 30. Two standard digital views of both breasts, one additional right MLO, and two additional left MLO views 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: 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. Circular skin marker was placed of the right ax... | 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 57 years old Reason: eval for cause of cyclic vomiting History: chronic vomiting Double contrast visualization of the esophagus showed no morphologic abnormalities of the mucosal surfaces or mural contours. During the exam, no spontaneous or provoked gastroesophageal reflux was observed. Fluoroscopic evaluation ... | Normal examination of the esophagus, stomach, and duodenum. |
Generate impression based on findings. | T3N0 supraglottic laryngeal cancer status post CRT. There is decreased stranding of the subcutaneous fat superior to the tracheostomy stoma and in the lower face. There is extensive dental disease, including dental caries and associated periodontal lucencies. There is a left mandibular plate and screws, which produces ... | 1. No convincing evidence of locoregional tumor recurrence amidst post-treatment effects.2. Interval subsidence of inflammatory changes in the region of the tracheostomy stoma and in the lower face. 3. Extensive dental disease. |
Generate impression based on findings. | Female 49 years old Reason: appendicitis, intraabdominal abscess History: h/o HIV p/w abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant ... | Terminal ileum and cecal wall thickening and adjacent inflammation as described. Additional area of questionable wall thickening at the splenic flexure. Findings are compatible with enteritis, either infectious or inflammatory bowel disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional MLO and CC 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. Circular skin marker w... | 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. | Fracture.VIEWS: Right hand PA/lateral/oblique (3 views) 03/16/15 Boxer's fracture of the index finger is again seen. Periosteal reaction and callus formation have increased in the interval. | Further healing of fracture of index finger metacarpal. |
Generate impression based on findings. | 65 years old Female. Reason: A left upper lobe subpleural nodule measures up to 12 x 9 mm (series 10, image 60), increased from the prior exam dated 05/2012. History: cough. RADIOPHARMACEUTICAL: 10.9 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 99 mg/dL. Today's CT portion grossly demonstrates low-attenua... | 1.No definite abnormal FDG uptake in the subpleural nodule in the left upper lobe, which is most likely benign. Suggest follow-up with CT. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy 6/2013. Patient complains of bilateral breast pain for two weeks. 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.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 55 years, Female. Reason: assess for sitz marker History: constipation. 5 sitz markers project over the transverse colon. One sitz marker projects over the right descending colon. The majority, approximately 16, sitz markers project over the rectosigmoid colon. There is an above average stool burden. | Sitz markers locations as described above with the majority projecting over the rectosigmoid colon. |
Generate impression based on findings. | Pain There are minimal chronic-appearing enthesopathic changes along the greater tuberosity at the expected site of insertion of the rotator cuff. I see no acute fracture or malalignment. On the AP view, a small density overlies the anterior aspect of the glenoid; I am uncertain of its etiology, but I believe it was pr... | Minimal chronic-appearing enthesopathic changes along the greater tuberosity, and small density overlying the glenoid as described above. Otherwise I see no specific findings to account for the patient's shoulder pain. If further imaging evaluation is clinically warranted, MRI may be considered. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy in 1970. 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 composed of scattered fibroglandular... | 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. | 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. Coarse benign calcification in the right upper outer breast.No suspicious masses, micr... | 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. | 57 years, Female. Reason: evaluate intergrity of leads, connectors...sudden increase in shock lead impedanc History: increase in shock lead impedance Please refer to concomitant chest radiograph for ICD evaluation and report. Nonobstructive gas pattern. | Please refer to concomitant chest radiograph for ICD evaluation and report. Nonobstructive gas pattern. |
Generate impression based on findings. | Male, 70 years old. RFO trigger for case length. No unexpected radiopaque foreign body is identified. Nasogastric tube tip projects over the proximal body of the stomach. Right sided surgical drain is noted. Right upper quadrant small amount of pneumoperitoneum is likely post-operative in nature. | No unexpected radiopaque foreign body.These findings were discussed by telephone with Dr. Kevin Roggin, the attending surgeon, on 3/16/2015 at 1613. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in maternal uncle. 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 ... | 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. | Patient had fall on 3/6/2013 with loss of consciousness and has low back pain. For the purposes of the study, we have five lumbar type vertebrae and one transitional lumbosacral type vertebra "T". No acute fracture is evident. There is severe degenerative disease at L5/T. Mild facet joint osteoarthritis affects the low... | Degenerative disk disease appearing similar to the prior study. We see no acute fracture. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left breast surgery approximately 25 years ago and left breast aspiration in 1986. 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 sens... | 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. | Right hip pain Two views of the right hip reveal some slight narrowing of the superior aspect of the hip joint. There is some subchondral sclerosis. These findings represent moderate osteoarthritis. | Moderate osteoarthritis |
Generate impression based on findings. | Female; 53 years old. Reason: 53yoF w/ hx of severe aortic stenosis, anemia, renal transplant, CHF with current pulmonary Rhizopus infection. Please assess Rhizopus infection and any possible bleeding. History: Dyspnea, anemia CHEST:LUNGS AND PLEURA: Increased left basilar atelectasis/consolidation; underlying infectio... | 1. Increased nonspecific left basilar atelectasis/consolidation obscuring the previously described mass-like area of consolidation in the left lower lobe. Underlying infection cannot be excluded. Follow-up to resolution is recommended.2. Small to moderate pleural effusions, increased since prior study.3. No hematoma is... |
Generate impression based on findings. | History of multinodular goiter with early compressive findings. Thyroid FNA revealed a colloid nodule. There is no significant interval change in the enlarged and heterogeneous thyroid gland with nodular components in the isthmus and left lobe. For example, the left thyroid nodule exophytic into the tracheoesophageal g... | No significant interval change in the multinodular goiter with minimal narrowing of the trachea and possible left vocal cord paralysis. |
Generate impression based on findings. | 72-year-old male with diffuse abdominal pain, night sweats, known prostate cancer. Rule-out malignancy. ABDOMEN:LUNG BASES: Severe coronary artery calcifications again seen. No other abnormalities.LIVER, BILIARY TRACT: No significant abnormality seen. Small subcentimeter hypodense lesions again seen unchanged most cons... | 1. No evidence for metastatic prostate disease seen, however nuclear medicine bone scintigraphy for more accurate estimator of activity of skeletal metastatic disease. 2. Small distal lumbar aortic aneurysm with minimal change since 2013 examination. 3. No other significant abnormality seen. |
Generate impression based on findings. | There are scattered foci of susceptibility abnormality within sulci, the left lateral ventricle, the fourth ventricle, and within folia. The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. ... | Scattered foci of subarachnoid and intraventricular hemorrhage. |
Generate impression based on findings. | Female 59 years old Reason: rule out infection, obstruction, ischemia History: abdominal pain ABDOMEN:LUNG BASES: Basilar dependent subsegmental atelectasis/scarring.LIVER, BILIARY TRACT: No focal parenchymal lesion or biliary ductal dilatation.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormalit... | No appendicitis or other findings to account for the patient's abdominal pain. |
Generate impression based on findings. | 9-year-old female with right lower quadrant pain, fever, concern for appendicitis ABDOMEN:LUNG BASES: Mild left lower lobe atelectasis. 3-mm right lower lobe nodular density is present.LIVER, BILIARY TRACT: Postsurgical changes in the liver transplant are present. The portal vein is mildly prominent and patent. No foca... | Mild inflammatory changes within the right lower quadrant. The appendix is not discretely identified and appendicitis cannot be excluded. No abscess or enhancing fluid collection is present. |
Generate impression based on findings. | T3N2b supraglottic laryngeal squamous cell carcinoma, completed chemoradiation therapy on 12/21/2012. There are post-treatment findings related to partial supraglottic laryngectomy with interval decrease in regional mucosal edema. No mass lesion is identified to suggest tumor recurrence. There is no significant cervica... | Post-treatment findings in the region of the larynx without evidence of measurable locoregional tumor. |
Generate impression based on findings. | Evaluate for occult fractures History: Twin sibling has unexplained rib fracturesEXAMINATION: 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 ... | Right parietal soft tissue swelling as described above. Bilateral symmetrical periosteal reaction along the medial aspect of the tibia bilaterally likely representing physiologic periosteal reaction. No acute fracture noted. |
Generate impression based on findings. | Postop. Prosthetic assessment. Two views of the right hip show components of a longstem total hip arthroplasty device in near anatomic alignment. Previously seen presumed osteotomy distal to the distal cerclage wire is less distinct on this examination compatible with healing. However, there is a horizontally oriented ... | Right total hip arthroplasty device with findings suggestive of a new incomplete stress fracture of the proximal cortex of the femur. |
Generate impression based on findings. | Presumed peripheral T cell lymphoma. A few right supraclavicular and cervical lymph nodes appear to be slightly larger than in 2010, but are otherwise not significantly enlarged. For example, a right level 2B lymph node measures 6 mm in short axis. The thyroid and major salivary glands are unremarkable. The major cervi... | A few right supraclavicular and cervical lymph nodes appear to be slightly larger than in 2010, but are otherwise not significantly enlarged and are therefore nonspecific. |
Generate impression based on findings. | Pain and swelling x 1 month Three views of the left ankle reveal diffuse soft tissue swelling. No bone abnormalities. No fractures | Diffuse soft tissue swelling. Otherwise negative |
Generate impression based on findings. | History of rhabdomyosarcoma painVIEWS: Left tibia and fibula AP and lateral No acute fracture or dislocation. No evidence of bony destruction. | Normal examination. |
Generate impression based on findings. | Abdominal pain and Crohn's disease.EXAMINATION: MR enterography without and with IV contrast 03/16/15 ABDOMEN:LIVER, BILIARY TRACT: Normal in appearance.SPLEEN: Normal in size.PANCREAS: Normal in appearance.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant pelvicaliceal dilation is prese... | Abnormal terminal ileum, probably worsened in the interval. |
Generate impression based on findings. | Distal radius fracture Three views of the right wrist reveal lung a comminuted impacted distal radius fracture. This results in positive ulnar variance. No change in position from the previous exam. | Fracture of the distal radius unchanged in position |
Generate impression based on findings. | Pain, prior fracture. Three views of the left ankle are provided. Evaluation of fine bone detail is limited due to overlying splint material. A fracture through the base of the fifth metatarsal base, seen best on the AP view, is not well visualized due to the overlying splint. An ossicle distal to the medial malleolus ... | Limited study due to overlying splint; the fracture of the fifth metatarsal base is better seen on prior foot radiographs. |
Generate impression based on findings. | History of rhabdomyosarcoma painVIEWS: Right tibia and fibula AP and lateral No acute fracture or dislocation. No evidence of bony destruction. | Normal examination. |
Generate impression based on findings. | Patient s/p blunt trauma, landing w/ full weight on right heel while playing ultimate frisbee, point ttp right medial heel. Persistent x 2.5 weeks. Evaluating for fracture. Two views of the right heel show no calcaneal fracture. An ossicle situated proximal to the navicular tuberosity probably represents a normal varia... | No evidence of an acute fracture. An ossicle adjacent to the navicular tuberosity may represent a normal variant accessory ossicle, but would be better evaluated with dedicated foot radiographs. |
Generate impression based on findings. | 13-year-old female evaluate PICC placementVIEW: Chest AP (one view) 3/16/15 Interval placement of left PICC with tip in the SVC. The cardiac silhouette is normal. No pleural effusion or pneumothorax. Mild left lower lobe atelectasis. | Interval placement of left PICC with tip in SVC. |
Generate impression based on findings. | Metacarpal fractureVIEWS: Right hand AP, oblique and lateral There is an acute fracture involving the neck of the fifth metacarpal with volar angulation of the distal fracture fragment. There is associated soft tissue swelling. The remainder of the examination is normal. | Acute fracture neck of the fifth metacarpal as described above. |
Generate impression based on findings. | Trauma. Evaluate for fracture Three views left fifth toe are unremarkable. No fractures. | No fractures. |
Generate impression based on findings. | Status post distal femur replacement for metastatic thyroid cancer. Evaluate for progression/hardware failure. Again seen is reconstruction of the distal femur with a long stem distal femoral endoprosthesis. We see no evidence of hardware complication. Again seen is reticulation of the soft tissues of the thigh/knee, p... | Distal femoral reconstruction, appearing similar to the prior study. |
Generate impression based on findings. | History of rhabdomyosarcoma. Cough congestion LUNGS AND PLEURA: Post-surgical changes in the right upper lobe with associated right-sided volume loss and mediastinal shift. Extensive perihilar consolidations with air bronchograms are not significantly change. The previously described anterior mediastinum soft tissue de... | Marked posttreatment changes in the right hemithorax not significantly changed. No evidence of active pneumonia. |
Generate impression based on findings. | Male 56 years old Reason: S/P LVAD. Hx of pancreatitis and Gastric bypass ( Roux-en Y) ; Eval for fluid collection History: Andominal pain ABDOMEN:LUNG BASES: LVAD device in expected position. Streak artifact limits evaluation of the left upper quadrant. No pulmonary parenchymal abnormality or pleural effusion.LIVER, B... | Post-operative changes as described. No driveline associated or intra-abdominal fluid collections to indicate an abscess. No CT evidence of acute pancreatitis or peripancreatic fluid collection. |
Generate impression based on findings. | Rheumatoid arthritis. Evaluate for disease progression. Three views of the left hand again show findings of rheumatoid arthritis, as described previously, affecting the wrists, MCP joints, and PIP joints. There is no evidence of disease progression accounting for slight technical/positional differences.Three views of t... | Findings compatible with rheumatoid arthritis as described above without evidence of disease progression. |
Generate impression based on findings. | Reason: r/o chronic thromboembolic disease History: edema The comparison chest radiograph demonstrates no airspace opacities or pleural effusions. There is mild basilar scarring. The ventilation portion of the exam demonstrates symmetric activity on wash-in images. There is minimal retention of radiotracer during the w... | Low probability of pulmonary embolism. |
Generate impression based on findings. | 7-year-old male with sternal chondrosarcoma resection. LUNGS AND PLEURA: Unchanged 3-mm nodule in the minor fissure (series 5, image 46). No suspicious pulmonary nodules or masses. No pleural effusion or pneumothorax. No consolidation.MEDIASTINUM AND HILA: The heart size is normal without pericardial effusion. No signi... | 1.Interval resection of manubrial exostosis. Nonspecific soft tissue without ossification at the site of resection is nonspecific on this noncontrast exam and represent postsurgical changes, however local recurrence cannot be excluded.2.Unchanged 3-mm soft tissue nodule in the minor fissure. |
Generate impression based on findings. | Arthrogryposis history Hands:The left hand demonstrates mild improved appearance with moderate contractures in the 1st, 2nd and 3rd digits, largely the PIP joints. The right hand is diffusely involved involving most articulations and progressed from December. Forearms: marked flexure of the wrists, greater on the left.... | Pronounced extensive changes compatible with patients known diagnosis, see detail provided. |
Generate impression based on findings. | TraumaVIEWS: Left wrist AP, oblique and lateral, left hand AP, oblique and lateral There is acute buckle fractures involving the metaphysis of the distal radius and ulna in near anatomic alignment. There is associated soft tissue swelling about the wrist joint. | Buckle fractures distal radius and ulna as described above. |
Generate impression based on findings. | Reason: stem cell transplant patient with Hx of + coronavirus and human metapneumovirus. 2/11 CT showed progression of alveloar opacities with RLL consolidation. Want follow up CT. History: hypoxia, tachypnea, tachycardia LUNGS AND PLEURA: Diffuse patchy ground glass and air space opacity, compatible with infection has... | Marked interval improvement in bilateral pulmonary opacities compatible with infection. |
Generate impression based on findings. | Abdominal painVIEW: Abdomen AP Disorganized nonobstructive bowel gas pattern. No abnormal bowel dilation. No pneumatosis or pneumoperitoneum. There are orthopedic screws in the right and left proximal femur bilaterally. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Reason: mets lung cancer, on MPDL3280A, pls c/w previous study and evaluate tx response. s/p chest RT. History: lung cancer LUNGS AND PLEURA: Posterior right upper lobe mass (series 8/35) measuring 5 x 7 cm, not definitively changed though with some increased distal atelectasis.An adjacent smaller mass that was measure... | Progression of disease in the lungs and mediastinum. |
Generate impression based on findings. | 40 year-old female with suprapubic pain, back pain, hematuria. Urge to defecate. Rule-out appendicitis, kidney stone. Within the limits of a non-IV contrast enhanced examination which limits the ability to evaluate solid parenchymal organs vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: ... | Stable examination with no change in abdomen or pelvis since 2014 CT examination. No CT findings seen to account for patient's symptomatology. |
Generate impression based on findings. | Pain in shoulder. Evaluate fracture Two view of the right clavicle reveal midclavicular deformity secondary to an old healed fracture. No acute abnormalities. Four views of right shoulder reveal no additional abnormalities. | Deformity of right mid clavicle secondary to previous fracture. |
Generate impression based on findings. | Male, 9 years old. Evaluate PICC tip location VIEW: Chest AP (one view) 3/16/2015, 1717 New right arm PICC, tip at the cavoatrial junction.The cardiothymic silhouette is normal.Low lung volumes. No focal pulmonary opacities, pleural effusions, or pneumothorax. | Right PICC tip at the cavoatrial junction. |
Generate impression based on findings. | Stubbed toe during soccer match Foot and toe: Minimal right 1st toe osteoarthritis with mild narrowing, sclerosis and small osteophytes. Alignment otherwise preserved. Remaining foot otherwise within limits other than a small possible effusion involving the 1st IP articulation. No distinct fracture. The small osseous p... | Mild OA without definite acute findings, see detail above and correlate with physical exam |
Generate impression based on findings. | Neck pain Bullet projects in the left neck unchanged. Underlying osseous structures appear similar in the this limited evaluation. | Unchanged left bullet in the posterior soft tissues. |
Generate impression based on findings. | Patient fell The right wrist again demonstrates no acute fracture or dislocation. Unchanged moderate osteoarthritic changes affect the carpal bones and the metacarpophalangeal joints. | No acute fracture or dislocation. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Scattered micronodules compatible with previous infection, unchanged.No suspicious nodules or pleural effusions.MEDIASTINUM AND HILA: Small amount of residual thymic tissue in the anterior mediastinum.No significant lymphade... | No evidence of metastatic disease and no change. |
Generate impression based on findings. | Reason: evaluate for ILD History: crackles at lung bases abnormal PFT LUNGS AND PLEURA: Biapical scarring.Very mild basilar groundglass opacity with a small airspace component at the right base compatible with dependent atelectasis and possibly mild aspiration.No specific evidence of interstitial lung disease.MEDIASTIN... | 1.No specific evidence of diffuse interstitial lung disease. 2.Very mild groundglass opacity with a focal airspace component at the right base, likely related to aspiration. 3. Patulous esophagus with an air-fluid level. |
Generate impression based on findings. | Bipolar hemiarthroplasty AP view of the pelvis reveals a bipolar hemiarthroplasty on the right. Evidence is seen in any fractures or dislocations. There are surgical drains in the soft tissues.. An additional view of the hip reveals a distal end of the prosthesis. Again no fractures or dislocations. | Bipolar hemiarthroplasty in anatomic alignment |
Generate impression based on findings. | Reason: hx TIA last week History: L hemiparesis, confusion 1hr pta 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 porti... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction. |
Generate impression based on findings. | Reason: Pt had fall on 3/6/15 with LOC and has HA, n/v, and neck pain since History: n/v since head trauma with LOC CT head: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 id... | 1.No evidence for cervical spine fracture2.No evidence for acute intracranial hemorrhage mass effect or edema.3.There are degenerative changes present in the cervical spine without significant compromise of spinal canal or exiting nerve roots.4.There is partial opacification of the nasal cavity which as been previously... |
Generate impression based on findings. | Reason: r/o pe History: acute hypoxemia, tachycardia, history of DVT PULMONARY ARTERIES: Technically adequate examination for the evaluation of pulmonary embolism. No pulmonary embolus is present. The main pulmonary artery is mild to moderately dilated.LUNGS AND PLEURA: Bilateral small pleural effusions.Extensive perih... | No evidence of pulmonary embolism.Interval appearance of coarse perihilar ground glass with patchy consolidation and small pleural effusions. This may represent acute edema. Pulmonary hemorrhage and drug toxicity are also in the differential.PULMONARY EMBOLISM: PE: NoneChronicity: Not applicable.Multiplicity: Not appli... |
Generate impression based on findings. | Reason: evaluate for PE History: intermittent chest pain PULMONARY ARTERIES: Technically adequate evaluation for pulmonary embolism. No pulmonary embolus is present.LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No mediastinal or hilar lymphadenop... | No pulmonary embolism.PULMONARY EMBOLISM: PE: NoneChronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Reason: PE History: Chest Pain acute onset with radiation to back. Sinus Tachycardia 110s. PULMONARY ARTERIES: Quality this examination is good for the assessment of pulmonary embolism, somewhat limited due to timing of the contrast bolus. No pulmonary embolus is noted to the segmental level.LUNGS AND PLEURA: Apical in... | No pulmonary embolism. Nonspecific, predominantly apical interstitial thickening, paraseptal emphysema and bronchiolectasis suggestive of early fibrosis. Diffuse bronchial wall thickening.PULMONARY EMBOLISM: PE: NoneChronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not app... |
Generate impression based on findings. | Clinical question: Syncope. Signs and symptoms: Syncope Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute non-hemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter dif... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Zoster encephalitis; lesion? Signs and symptoms: Headache. Nonenhanced head CT:There is no detectable two intracranial hemorrhage, edema, mass effect, midline shift or hydrocephalus.Prominent subarachnoid space posterior to the cerebellum in the midline consistent with cisterna magna.Unremarkable cer... | Unremarkable nonenhanced head CT. |
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