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Generate impression based on findings. | 46-year-old female who presents for short-term evaluation of focal asymmetry in the upper inner right breast. No current breast complaints. History of breast cancer in mother diagnosed at age 70 and maternal aunt diagnosed at age 49. Three standard views of both breasts were performed digitally and reviewed with the ai... | Focal asymmetry in the medial superior right breast is less conspicuous than on prior studies. 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... |
Generate impression based on findings. | History of bleed, planning to start aspirin. Compared to 12/20/2014, interval resolution of previously seen cerebral edema and development of global parenchymal volume loss, consistent with evolution of global hypoxic injury.There is been evolution of multiple previously seen intraparenchymal hematomas. There is small ... | 1. Compared to CT 12/22/2014, there has been resolution of previously seen cerebral edema and development of global parenchymal volume loss compatible with evolution of global ischemic injury.2. Evolution of previously seen hemorrhages with subcentimeter residual intraparenchymal hematomas in the left occipital lobe. N... |
Generate impression based on findings. | Right upper lobe lesion. History bladder cancer. Pathology report states left lower lobe invasive adenocarcinoma in 2008. LUNGS AND PLEURA: Left pneumonectomy cavity filled with fluid, unchanged in appearance.Spherical right upper lobe nodule abutting the fissure remains predominantly groundglass in density at contains... | 1. Stable to improved appearance of small lymph nodes of unclear etiology or clinical significance.2. Right upper lobe nodule abutting the fissure continues to increase in size and is highly compatible with an indolent adenocarcinoma; the small branching solid components could reflect tumor within the distal airways/ i... |
Generate impression based on findings. | Reason: lt mca stroke s/p tpa, mechanical thrombectomy History: 24hr CT post tPA There is residual contrast present within the vasculature in this patient with chronic renal failure. There is enhancement of the cortical and leptomeningeal structures of the left MCA territory. Since the prior exam cortical hyperdensity ... | 1.Contrast enhancement within the left MCA territory cortex and leptomeninges likely represent infarcted tissue indicating large left MCA territory infarction. There is greater mass effect on the current exam when compared to the prior with a very minimal uncal shift.2.Intravascular contrast still remains. |
Generate impression based on findings. | 26 show male with history of incidental lung nodule. LUNGS AND PLEURA: Previously seen left lower lobe micronodular is again seen, and is unchanged in size. Additional pulmonary micronodules are present, and were noted previously. No new pulmonary nodules, no pleural effusion and no consolidation.MEDIASTINUM AND HILA: ... | Scattered pulmonary micronodules, similar to prior. Patient of this age, without known cancer or other risk factors, these are almost certainly benign. If imaging follow-up desired, low-dose CT chest without contrast in one year may be obtained. |
Generate impression based on findings. | Reason: severe family hx of mesothelioma. Chest pain. RUL pleural thickening History: chest pain LUNGS AND PLEURA: Right upper lobe likely calcified micronodules.Punctate subpleural micronodules versus punctate pleural thickening is likely benign, and there is no evidence of mesothelioma.No pleural effusion.MEDIASTINUM... | No significant abnormality, and no evidence of pleural mesothelioma. |
Generate impression based on findings. | Male; 39 years old. Reason: s/p left foot/ankle injury History: left foot/ankle pain and swelling Three views of the left ankle demonstrate mild diffuse soft tissue swelling. Ankle mortise is intact. No acute fracture or malalignment is evident.Three views of the left foot demonstrate mild hallux valgus deformity. No a... | No acute fracture or malalignment. |
Generate impression based on findings. | Female; 61 years old. Reason: Right shoulder pain History: Right shoulder pain Three views of the right shoulder demonstrate minimal glenohumeral joint osteoarthritis, slight spurring of the greater tuberosity, and moderate AC joint osteoarthritis. No acute fracture or malalignment is evident. Mild calcifications of th... | Degenerative arthritic changes as described above. |
Generate impression based on findings. | 33-year-old female with right breast palpable abnormality who presents for evaluation. Patient also with spontaneous milky discharge from the right nipple. History of breast cancer in paternal aunt. BILATERAL DIGITAL DIAGNOSTIC MAMMOGRAM: Three standard views of both breasts, two right spot compression views and two ri... | Findings consistent with a simple cyst at the right 12 o'clock position. No mammographic or sonographic evidence of malignancy. Follow up per the clinical service is recommended. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Female, 71 years old. Reason: Eval if J tube tip is distal to ligament of Treitz History: Eval where J tube tip is located Percutaneous gastrostomy tube overlying the left upper abdomen. Percutaneous J-tube overlying the midabdomen, slightly left of midline. Based on the local paucity of small bowel gas, location of th... | Indeterminate location of the J-tube relative to the ligament of Treitz. Repeat abdominal radiograph immediately following administration of enteric contrast through the J-tube can be helpful for further evaluation. |
Generate impression based on findings. | Evaluate for brain and spine metastasis HEADNo abnormal enhancement to suggest metastatic disease. No intracranial mass or evidence of mass-effect. No intracranial hemorrhage is identified. No midline shift or uncal herniation. Gray-white differentiation is maintained. No extra-axial collections. Ventricles are within ... | 1. No evidence of intracranial metastatic disease.2. 9x11 mm sclerotic focus involving the left aspect of the L2 vertebral body is unchanged since at least 7/10/2014. Lesion may represent a benign bone island but is indeterminate. Otherwise, no evidence of metastatic disease to the cervical, thoracic, or lumbar spine.3... |
Generate impression based on findings. | There is marked interval increase in size of diffuse cervical lymph nodes. For example, a right level 1B lymph node measures 18 x 30 mm, previously 5 x 15 mm, a left level 2A lymph node measures 12 x 12 mm, previously 5 x 6 mm, and a left level 4 lymph node measures 10 x 18 mm, previously 5 x 6 mm. Likewise, bilateral... | 1.Recurrent diffuse cervical and bilateral axillary and subpectoral lymphadenopathy, compatible with relapsed leukemia. 2. Unchanged nonspecific lucent lesion in the right basiclivus. |
Generate impression based on findings. | Reason: eval size of known hematomas (intraparencyhmal and subdural) History: see above The CSF spaces are appropriate for the patient's stated age with no midline shift. There is redemonstration of a focus of encephalomalacia located along the right middle frontal gyrus and the right pre-central gyrusA hypodense focus... | 1.There is a chronic stage hematoma present in the left orbital gyrus which has regressed in dimensions when compared to the previous exam and associated with a small extra-axial component.2.A small focus of encephalomalacia is present at the subcortical white matter of the posterior right frontal lobe. This is stable ... |
Generate impression based on findings. | 57-year-old male with newly diagnosed lung cancerRADIOPHARMACEUTICAL: 12.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 73 mg/dL. Today's CT portion grossly demonstrates small circular calcification in the posterior horn of the left lateral ventricle, partially visualized. Partial opacification of bilater... | 1.Hypermetabolic activity in patchy opacities in the right upper and lower lobe may be neoplastic in etiology, increased from the prior exam. Associated hypermetabolic activity corresponding to right paratracheal, right perihilar, and mediastinal lymphadenopathy likely represents metastatic involvement, increased since... |
Generate impression based on findings. | Base of tongue mucoepithelial status post chemo. CHEST:LUNGS AND PLEURA: Large right pleural fluid collection increased in volume. Extensive pleural metastatic disease increased. Right-sided chest tube is present with tip at the level of the right third rib posteriorly. The right lower lobe and middle lobe are collapse... | Interval progression of disease with new and enlarging metastases. Interval clearance pneumonia with the exception of a focal area due to proximal endobronchial obstruction. |
Generate impression based on findings. | Female, 18 years old, with right tonsillar swelling and uvular deviation. The right palatine tonsil is thickened and contains a central hypoattenuating region with mild peripheral enhancement which measures 24 x 17 mm transaxial and up to 27 mm craniocaudal. This process results in partial effacement of the oro-pharyng... | Large right peritonsillar abscess. |
Generate impression based on findings. | Female, 45 years old. Reason: evaluate for ileus/SBO after vaginal hysterectomy History: abdominal distention and pain Nonobstructive bowel gas pattern. Moderate colonic stool burden.Multiple rounded calcifications throughout the abdomen and pelvis most likely represent phleboliths. | Nonobstructive bowel gas pattern. Moderate colonic stool burden. |
Generate impression based on findings. | Male, 78 years old. Reason: DHT History: DHT Interval adjustment of Dobbhoff tube, now with tip overlying the gastric body.The pelvis is excluded from the field-of-view. Partially visualized bowel gas pattern shows air-filled loops of colon with moderate stool burden.Multiple healing right rib fractures. | Dobbhoff tube with tip overlying the gastric body. |
Generate impression based on findings. | Evaluate fatty liver and gallstones. Abdominal pain which is waxing and waning. Limited exam secondary patient body habitus.LIVER: Liver measures 19.8 cm in length. Echogenic parenchyma is compatible with fatty infiltration. No dominant lesions were evident.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted... | Somewhat limited exam secondary patient body habitus. Echogenic liver which may reflect fatty infiltration. |
Generate impression based on findings. | 12 month-old male with point tenderness over anterior tibia just above the the ankle. Evaluate for fracture or joint effusion.VIEWS: Left ankle AP/lateral/oblique (3 views) 1/9/2015, 1531 hrs. Periosteal reaction of the distal tibia. There is questionable oblique lucency, though no certain fracture line is evident. No ... | Periosteal reaction of the distal tibia. Toddler's fracture is suspected, though in the absence of distinct fracture line, infection is not excluded. Recommend dedicated left tibia/fibula radiographs.Findings and recommendation relayed via telephone to Dr. Kniepkamp at 4:03 PM on 1/9/2015. |
Generate impression based on findings. | Male, 61 years old. S/p renal transplant Interval removal of multiple lines and tubes. Partially visualized median sternotomy plates and wires. Mild gaseous prominence of loops of small bowel in the left abdomen, and moderate stool within colon. Gas seen within the rectum. | No evidence of bowel obstruction. Moderate colonic stool burden. |
Generate impression based on findings. | Female 23 years old; Reason: obstruction, gallstones, appendicitis, mass History: 23yoF hx sickle cell disease, intermittent episodes of diffuse abdominal pain, self reported hematemesis over last month. ABDOMEN:LUNG BASES: CardiomegalyLIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Atrophic.PANCREAS: No... | Patchy wedge-shaped opacities primarily involving the left kidney with concentric bladder wall thickening, likely related to cystitis and pyelonephritis. However, given history of sickle cell disease, micro-infarctions are not entirely excluded. Correlate with urinalysis.Slowly enlarging pelvic and inguinal lymph nodes... |
Generate impression based on findings. | Male; 13 years old. Reason: sp IM nailing History: same Two views of the left femur show an intramedullary rod and screw device with cerclage wire affixing a subtrochanteric fracture in near-anatomic alignment. No evidence of hardware complication. There has been interval callus formation around the fracture, compatibl... | Left femur subtrochanteric fracture with some interval healing. |
Generate impression based on findings. | Follow-up of T4aN1 left acinic cell carcinoma status post surgery, TFHX and radiation. There are postoperative findings related to left total parotidectomy with residual diffuse thickening of the skin, subcutaneous tissues, and muscles along the surgical incision plane. No discrete mass lesions are apparent in the surg... | Stable post-treatment findings without definite evidence of measurable tumor or significant lymphadenopathy in the neck. |
Generate impression based on findings. | Follow-up for focal asymmetry in the right breast. History of fatty tissue removed from both axillae. Three standard views of both breasts and an additional right CC view were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distributi... | Stable right focal asymmetry. 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. | Evaluate aortic and iliac vessels for kidney transplant ABDOMEN:LUNG BASES: No significant abnormality noted. Pacemaker wires.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, U... | Equivocal abnormality in the sigmoid colon for which colonoscopy is recommended. Minimal calcification and tortuosity of the iliac vasculature. |
Generate impression based on findings. | Female 48 years old Reason: mets lung cancer, s/p multiple chemo and active MS as well. Pls c/w previous study and evaluate tx response and dz status. History: lung ca ABDOMEN:LUNG BASES: Please see chest CT report from the same day for full thoracic findings.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEE... | 1.Increased hepatic metastases as detailed above.2.Stable retroperitoneal lymphadenopathy.3.Stable mesenteric lymphadenopathy and soft tissue thickening of the right pelvic sidewall.4.Please see chest CT report from the same day for full evaluation of the thorax. |
Generate impression based on findings. | 54 year old female with esophageal cancer. Evaluate for restaging.RADIOPHARMACEUTICAL: 12.6 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 95 mg/dL. Today's CT portion of the neck grossly demonstrates no significant abnormality.Today's PET examination demonstrates a segment of markedly hypermetabolic activi... | 1.Markedly hypermetabolic mass extending from the distal esophagus including the gastroesophageal junction consistent with patient's known history of esophageal cancer.2.Interval development of a hypermetabolic focus in a distal paraesophageal lymph node suspicious for local lymph node metastasis.3.No other suspicious ... |
Generate impression based on findings. | 72 year old female with history of left upper lung nodule. Preoperative. CHEST:LUNGS AND PLEURA: Left upper lobe spiculated nodule (6/15) measures approximately 11 x 14 mm. No additional nodules or masses are seen. No pleural effusion, no consolidation.MEDIASTINUM AND HILA: Heart size within normal limits, and no peric... | Left upper lobe spiculated lesion suspicious for pulmonary malignancy. No evidence of metastatic disease. |
Generate impression based on findings. | Malignant neoplasm of the parotid gland. Radiotherapy follow up. CHEST:LUNGS AND PLEURA: No pleural fluid or pneumothorax. No new nodules.Nodule in the lingula has irregular margins and is inseparable from the mediastinal pleural surface, unchanged measuring 11-mm (4/60).Left apical nodule measures 7 mm, previously 6-m... | 1. No significant change in size of pulmonary nodules since the prior study.2. Hypoattenuating nodules in the pancreas of unclear etiology but unchanged.3. Ectasia of ascending aorta. |
Generate impression based on findings. | Hematuria, unspecified ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Tiny hypodense doc nodule the dome of the right lobe is unchanged compared to prior and probably a cyst. No enhancing lesions are evident.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADR... | No definite etiology of hematuria. Dynamic narrowing of the left renal vein as it crosses under the superior mesenteric artery (Nutcracker phenomenon) may represent a normal variant but has been associated with hematuria in some individuals. |
Generate impression based on findings. | 21 years old, Male, Reason: bicuspid aorticv valve, assess for aortic root dilatation History: syncope Angiogram: Ascending aorta measures 2.9 cm in greatest dimension. No evidence of dissection or focal aneurysmal dilatation. The vessels appear patent and there is no evidence of mural thrombus.CHEST:LUNGS AND PLEURA: ... | No evidence of aortic aneurysmal dilatation, dissection, or thrombus. |
Generate impression based on findings. | Recurrent left parotid gland adenoid cystic carcinoma status post total parotidectomy and radiation therapy at another hospital in 2005 and completed 5palliative chemotherapy on August 22, 2014. There are postoperative findings related to left neck dissection, including parotid and submandibular gland resection, with f... | 1. Post-treatment findings in the neck with persistent nonspecific ill-defined soft tissue in the region of the left parotidectomy bed.2. No significant lymphadenopathy in the neck.3. Chronic thrombosis of the right internal jugular vein. 4. A subcentimeter left lung nodule is compatible metastatic disease. Please refe... |
Generate impression based on findings. | Female, 53 years old, with new urinary retention. Evaluate for demyelinating disease. The procedure, indications, benefits, risks/complications and alternatives were described to the patient and informed consent was obtained. The patient was placed in the prone position and the inferior back was prepped with Betadine, ... | Successful fluoroscopically guided lumbar puncture. |
Generate impression based on findings. | Male 63 years old Reason: h/o lung ca and bone mets, s/p chemo, eval response, compare to previous, measurements pls History: none ABDOMEN:LUNG BASES: Please see chest CT report from the same day for full evaluation of the thorax.LIVER, BILIARY TRACT: There is no evidence of biliary ductal dilatation or focal mass lesi... | 1.Cluster of gastrohepatic ligament nodes consistent with nodal metastases increase in size from the prior exam.2.Right adrenal nodule consistent with an adrenal metastasis increased in size from the prior exam.3.Please see chest CT report from the same day for full evaluation of the thorax.4.Interval increased osseous... |
Generate impression based on findings. | The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a 21 x 11-mm axial dimension hyperdense focus in the left postcentral gyrus associated with a halo of hypodensity. Compared to CT of the head earlier and has not changed.Periventricular and subcortical white matter hypodensitie... | 1.A left postcentral gyrus hemorrhage is stable compared to the prior exam.2.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. |
Generate impression based on findings. | 74 years old, Male, Reason: Rule out ischemia History: Abdominal pain Motion degrades detail of abdominal parenchyma.ABDOMEN:LUNG BASES: Respiratory motion limits fine detail of lung parenchyma. New reticulonodular opacity in the right lower lobe since prior exam likely represents infection, consider aspiration.LIVER, ... | 1.Markedly dilated urinary bladder.2.No evidence of bowel ischemia.3.Impaction versus early stercoral colitis.4.Right lower lobe pneumonia, concerning for aspiration pneumonia. |
Generate impression based on findings. | Two-month old female with bilateral hydronephrosis. History of cloacal malformation with bilateral ureterostomies and colostomy. Evaluate for drainage and flow of bilateral kidneys. The posterior abdominal radionuclide angiogram demonstrates prompt perfusion of the right kidney with slight decrease in perfusion to the ... | Minimally decreased function of the left kidney. No evidence of current collecting system obstruction. |
Generate impression based on findings. | 69-year-old male with loss of balance, very mild Parkinsonianism Slight decreased activity in the right putamen. Symmetric activity is seen within bilateral caudate nuclei. | Asymmetrically decreased activity in the right putamen suggestive of Parkinson's disease. |
Generate impression based on findings. | History of bladder cancer status post radical cystectomy. Routine surveillance. ABDOMEN:LUNGS BASES: Stable subcentimeter groundglass nodule (image 8; series 12).LIVER, BILIARY TRACT: Marked diffuse fatty liver as noted previously. No focal lesions. No evidence of cirrhotic morphology, biliary dilatation or vascular th... | New right pelvic sidewall soft tissue mass, presumably representing recurrent tumor. Finding discussed with clinical service (2650 at time of dicatation). Stable micronodule left lower lobe. Atypical cyst left lower pole, also unchanged. |
Generate impression based on findings. | 64 years old Female. Reason: evaluate chemotherapy response. History: breast cancer. RADIOPHARMACEUTICAL: 12.4 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 84 mg/dL. Today's CT portion of study demonstrates a stable low-attenuation lesion in the right frontal lobe. A right chest port is present with tip i... | Interval mixed response to therapy.1. Interval decrease in size, number and metabolic activity of multiple hypermetabolic lymph nodes in the left lower neck, left chest wall, bilateral axillary regions and left upper extremity.2. Interval progression of hepatic metastasis.3. New FDG avid osseous metastasis in the L3 ve... |
Generate impression based on findings. | 56-year-old male with tremor, dysphasia, and gait disorder There is decreased activity in bilateral putaminal and right caudate nuclei. | Decreased activity in bilateral putaminal and right caudate nuclei suggestive of Parkinson's disease. |
Generate impression based on findings. | The risks (including, but not limited to, those of bleeding, infection, allergic reaction, temporary nerve block, pain, and inability to access the joint) and benefits of the procedure were explained to the patient, and informed written consent was obtained. A pre-procedural “time-out” form was completed.The patient w... | Successful attempted right hip aspiration, which yielded no fluid. |
Generate impression based on findings. | Abdominal painVIEW: Abdomen AP Moderate amount of fecal burden. Nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. | Moderate amount of fecal burden without obstruction. |
Generate impression based on findings. | MENISCI: There is subtle vertically oriented signal abnormality propagating within the posterior horn of the lateral meniscus and meniscal fascicle from the attachment of the ligament of Wrisberg suggestive of a longitudinal tear ("Wrisberg rip") extending to the femoral surface.The medial meniscus is intact. ARTICULA... | 1. Complete rupture of the ACL with bone contusions in the anterior femoral condyles and along the posterior tibial plateau.2. Moderate joint effusion and hemarthrosis.3. Findings suggestive of a longitudinal tear ("Wrisberg rip") of the posterior horn of the lateral meniscus as described above. |
Generate impression based on findings. | The internal auditory canals are symmetrical and normal in size and signal intensity. The inner ears are normal, with normal T2 signal and no pathological enhancement. No abnormal mass or abnormal enhancement is seen within the cerebellopontine angle, cisterns bilaterally or within the internal auditory canals.Images ... | Unremarkable MRI examination of the internal auditory canals. |
Generate impression based on findings. | Female 50 years old Reason: evaluate for diverticulitis History: LLQ pain ABDOMEN:LUNG BASES: Trace dependent bibasilar atelectasis. Nonspecific 3-mm right lower lobe nodule.LIVER, BILIARY TRACT: Hypoattenuating lesion in the dome of the liver measures near water density and is consistent with a simple hepatic cyst.SPL... | Findings consistent with active diverticulitis of the distal descending and proximal sigmoid colon without evidence of complication. Although sites of microperforation not entirely excluded, the small air-containing foci in region of aforementioned inflamed colon more likely air-containing diverticula. |
Generate impression based on findings. | Male 63 years old Reason: evaluate for stone, hydro History: right flank pain, dysuria, hematuria Within the limits of a non IV contrast enhanced examination, which limits ability to evaluate solid parenchymal organs and vascular structures, the following observations were made: ABDOMEN:LUNG BASES: No significant abnor... | Findings suggestive of a recently passed stone with mild enlargement of the right kidney, perinephric fat stranding and prominence of the right ureter. However, pyelonephritis cannot be entirely excluded, suboptimally assessed on this noncontrast exam, correlation with patient's clinical history and laboratory values r... |
Generate impression based on findings. | Male 65 years old Reason: Patient with RCC s/p biopsy of mass w/ Hgb of 6.1 concern for bleed Within the limits of a non IV contrast enhanced examination, which limits ability to evaluate solid parenchymal organs and vascular structures, the following observations were made: ABDOMEN:LUNG BASES: Pulmonary nodules again ... | 1.Findings compatible with metastatic renal cell carcinoma as detailed above. Please see chest CT report dated 1/7/2015 for reference measurements. No significant change from prior 1/7/15 CT abdomen/pelvis imaging.2.No specific findings seen to account for the patient's anemia, specifically no evidence of intraperitone... |
Generate impression based on findings. | There are no masses, mass effect or midline shift. The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted abnormaliti... | Normal MRI of the brain. |
Generate impression based on findings. | Female 60 years old Reason: 60 female with Hodgkin's Lymphoma, now with abdominal pain/fever. Evaluate for colitis/enteritis versus progressive LAD, aware study suboptimal without IV contrast History: abdominal pain/fever CHEST:LUNGS AND PLEURA: Trace atelectasis without evidence of consolidation.MEDIASTINUM AND HILA: ... | 1.No specific finding seen to account for the patient's abdominal pain/fever. Specifically, no definite CT evidence of colitis or enteritis as clinically questioned.2.New small pericardial effusion.3.Stable reference and non-reference lymph nodes. |
Generate impression based on findings. | 77-year-old male with history of chronic low back pain, hip pain, right knee pain Knee: There is disproportionate patellofemoral joint space narrowing and chondrocalcinosis consistent with CPPD arthropathy. The bones are demineralized. No fracture is evident. A small loose body is noted posteriorly, likely in a Baker's... | CPPD arthropathy affecting the knee, severe degenerative disk disease of the lumbar spine and moderate osteoarthritis affecting the hip. |
Generate impression based on findings. | Point tenderness at the anterior tibiaVIEWS: Left tibia/fibula AP/lateral (2 views) 1/9/15 1655 Periosteal reaction is present along the anterior and medial aspect of the mid and distal tibia. No distinct fracture line is evident. No malalignment is present. | Periosteal reaction at the distal tibia, representing a healing toddler's fracture. |
Generate impression based on findings. | Nasogastric tube placement, evaluate location Enteric tube seen with side-port near junction of gastric fundus and body. Incompletely imaged abdomen demonstrates no definitive evidence of bowel obstruction. Right upper quadrant surgical clip. Please refer to concomitant chest radiography for additional findings. | Enteric tube as above. |
Generate impression based on findings. | There is no diffusion abnormality. No intracranial mass or mass effect. There is global parenchymal volume loss, commensurate with age. The ventricles and sulci are within normal limits for age. No extra-axial fluid collection is identified. Normal flow-voids are demonstrated in the major intracranial vascular structu... | 1. No evidence of acute ischemia.2. Advanced chronic small vessel ischemic disease.3. Multiple foci of susceptibility effect, majority of which are in a peripheral lobar distribution most suggestive of amyloid angiopathy.4. No significant stenosis involving the intracranial or extracranial vasculature in the neck. |
Generate impression based on findings. | There are numerous lytic lesions in the vertebral bodies and posterior elements of the thoracic and upper lumbar spine, the relative largest of which is in the T4 vertebral body measuring 13x6 mm (sagittal series 80273 and image 30). Lesion in the right transverse process at T10 with an associated pathologic fracture ... | 1.Multiple lytic lesions throughout the thoracic and upper lumbar spine consistent with known multiple myeloma.2.Pathologic fracture involving the right T10 transverse process.3.No vertebral body compression fractures or spinal canal stenosis. |
Generate impression based on findings. | 54-year-old female with question of humerus fracture A subtle curvilinear lucency is present through the greater tuberosity, suggestive of a nondisplaced fracture. The distal humerus is intact. | Nondisplaced greater tuberosity fracture. |
Generate impression based on findings. | 64-year-old female with frostbite Left foot: There is marked soft tissue swelling and foci of gas about the distal first through third digits. There is a fracture through the base of the first proximal phalanx. Acroosteolysis affects the first through third digits.Right foot: There is a fracture through the mid diaphys... | Fractures and findings consistent with for infection and/or frostbite involving the toes as described above. |
Generate impression based on findings. | 53-year-old male with catheter pain and swelling Ankle: There is soft tissue swelling about the ankle without underlying fracture evident. Vascular calcifications are noted in the soft tissues.Knee: Ossification adjacent to the medial femoral condyle is compatible with prior MCL injury. A lucency through the inferior a... | 1. Lucency through the patella, which may represent nondisplaced fracture, correlate with point tenderness.2. Soft tissue swelling about the ankle without underlying fracture evident. |
Generate impression based on findings. | History of humeral fracture at OSH 3 days prior.VIEWS: Right humerus AP/lateral (2 views) 1/9/15 1702 Mild non-specific cortical irregularity is present at the medial aspect of the proximal humeral diaphysis. No definite fracture is evident. No malalignment is present. | Mild non-specific cortical irregularity at the medial proximal humerus, without definite fracture evident. Follow-up radiographs are recommended in 10-14 days. |
Generate impression based on findings. | 44-year-old male with history of shoulder relocation No fracture is evident. Glenohumeral alignment is grossly intact. There is acromioclavicular joint separation, appearing similar to the prior exam. | Unchanged acromioclavicular joint separation without acute fracture evident. |
Generate impression based on findings. | 75 year-old female with right foot erythema and ulceration The bones are diffusely generalized. There is no specific radiographic evidence of osteomyelitis. Soft tissue swelling is present about the foot and ankle. A distal tibial infarct is noted. | Demineralization and soft tissue swelling without specific radiographic evidence of osteomyelitis. |
Generate impression based on findings. | 72-year-old female with right shoulder pain after fall Glenohumeral alignment is within normal limits. No fracture is identified. Surgical clips project over the axilla. | No fracture or dislocation. |
Generate impression based on findings. | 79-year-old male with history of asbestos exposure. Query mesothelioma. Also with severe MR. Known right decortication and right hemidiaphragmatic elevation. Progressive shortness of breath. LUNGS AND PLEURA: Mild lower lung fibrosis and bronchial wall thickening. Multiple areas of pleural thickening with calcific plaq... | Mild bibasilar fibrosis and multiple bilateral foci of pleural thickening with calcific plaque formation and associated overlying mild consolidation. No evidence of chest wall invasion or significant lymphadenopathy, and only a very small loculated right pleural effusion. |
Generate impression based on findings. | 56-year-old female with left hip pain No hip or pelvic fracture is identified. Mild degenerative changes affect the lower lumbar spine. | No fracture or dislocation. |
Generate impression based on findings. | Male 36 years old Reason: evaluate for aortic dissection History: chest pain, severe hypertension ANGIOGRAM: The great vessels of the aortic arch demonstrate conventional anatomy. There is no evidence of aneurysmal dilatation of the thoracic or abdominal aorta. There is no evidence of aortic dissection. There is no evi... | No evidence of aortic aneurysm or dissection as clinically indicated. No specific finding seen to account for the patient's chest pain. |
Generate impression based on findings. | Respiratory distressVIEW: Chest AP (one view) 1/9/15 1731 Left chest port tip is in the SVC.The cardiac silhouette is mildly enlarged.The bilateral diffuse lung opacities are significantly increased. Small to moderate bilateral pleural effusions are slightly larger than on the CT. | Increased bilateral pulmonary opacities and pleural effusions suggestive of infection or edema. |
Generate impression based on findings. | Respiratory distressVIEW: Chest AP (one view) 1/9/15 1926 The ET tube tip is below the thoracic inlet and above the carina.The cardiothymic silhouette is normal.The lung volumes are large. Patchy opacities in the lingula and left lower lobe are increased. The atelectasis in the right upper lobe persists. Small bilatera... | Increased left lung opacities, likely representing bacterial pneumonia complicating bronchiolitis. |
Generate impression based on findings. | 3-month-old male patient with soft tissue cyst without communication to intracranial space. There is a hypoattenuating cystic structure contacting the metopic suture immediately anterior to the anterior fontanelle that measures 11 x 8 x 9 mm. There is associated well-defined scalloping of the frontal bone. There is no ... | Small lesion just anterior to the anterior fontanelle compatible with a cystic lesion such as dermoid. No intracranial extension. |
Generate impression based on findings. | 3 month old female with hydrocephalus. There has been interval placement of a right parietal approach ventriculostomy catheter terminating near the left foramen of Monro. There is unchanged ventriculomegaly and periventricular low-attenuation which may represent transependymal CSF flow and/or unmyelinated white matter.... | 1.Interval ventriculostomy catheter placement with no significant change in severe ventriculomegaly.2.Posterior fossa findings compatible with Dandy-Walker variant.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Evaluate for instability, especially C1-C2, neck pain, status post C2-C3 fracture. Again seen are postsurgical changes of anterior cervical fusion from C2 to C4 with anterior plate and screws and interbody grafts appearing without malposition or peri-hardware lucency. Atlantodental interval is normal. Evolution of post... | 1. Postoperative changes of anterior fusion extending from C2 to C4 again seen without evidence of hardware complication.2. Fractures of C2 including bilateral posterior elements as well at C3 including the posterior elements with mild displacement appear similar to prior. Trace anterolisthesis of C2 and C3 is also unc... |
Generate impression based on findings. | Obstructive hydrocephalus and ventriculoperitoneal shunt placement.VIEWS: Shunt series: Skull AP/lateral (two views), chest and abdomen AP/lateral (4 views) 01/09/15 Ventriculostomy tube tip is to the left of midline in the middle cranial fossa. Burr hole is in right parietooccipital region. Distal shunt tubing courses... | No evidence of extracranial shunt malfunction. |
Generate impression based on findings. | Cough and feverVIEWS: Chest AP/lateral (two views) 1/10/15 0113 The cardiothymic silhouette is normal.Left lower opacity is compatible with pneumonia. Mild peribronchial thickening likely reflects reactive airway disease or bronchiolitis. No pleural effusions are present. | Left lower lobe pneumonia. |
Generate impression based on findings. | 61-year-old female with left knee pain after MVC Alignment is anatomic. No fracture is evident. | No fracture or other specific findings to account for the patient's knee pain. |
Generate impression based on findings. | 64-year-old female with fractures Plaster obscures underlying osseous detail. Two K wires affix a distal phalangeal fracture. | Orthopedic fixation of distal phalangeal fracture with underlying osseous detail obscured by plaster. |
Generate impression based on findings. | Nausea, concern for ileus Upper quadrant surgical clips. Nonobstructive bowel gas pattern. Rounded radiodensities in left upper and mid abdomen, may be ingested material, correlate with patient's clinical history.Right hemidiaphragm elevation. Please refer to concomitant chest radiography from same day for additional f... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 45-year-old male patient with a history of multiple strokes presents after a syncopal episode. Evaluate for traumatic injury or new stroke. There is no evidence of intracranial hemorrhage, extra-axial fluid collection, mass or edema. There is no mass effect or midline shift. There is preservation of the gray-white matt... | 1. No intracranial hemorrhage or CT evidence of acute large vascular territory ischemia. If there is continued clinical concern for acute ischemia, MRI is recommended.2. Advanced global parenchymal volume loss for age. |
Generate impression based on findings. | The vertebral column alignment is within normal limits. There is a normal relationship of the dens with the arch of C1. There is no acute fracture or pre-vertebral soft tissue swelling. There is no significant spinal canal stenosis. The visualized intracranial structures and lung apices appear normal. | No evidence of cervical spine fracture or subluxation.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 40 year-old female with history of pleuritic chest pain, elevated d-dimer. PULMONARY ARTERIES: No pulmonary embolus. LUNGS AND PLEURA: No consolidation or pleural effusion. No pneumothorax. Minimal dependent atelectasis.MEDIASTINUM AND HILA: Heart size within normal limits comment no pericardial effusion. No appreciabl... | No pulmonary embolus, or other findings to explain the patient's pain.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 72-year-old female patient with headache. Evaluate known intracranial lesion. Again seen are ill-defined permeative lesions in the left frontal and right parietal calvarium with intracranial and superficial soft tissue extension; findings suspicious for metastatic disease. Mild mass effect on the left frontal lobe. The... | Multiple calvarial lesions with scalp and mild intracranial extension involving the left frontal and right parietal lesions . No intracranial hemorrhage. Consider MRI for further evaluation. |
Generate impression based on findings. | 72-year-old female patient with history of breast cancer presents with swelling of forehead. Per clinical service, no history of trauma. There is an ill-defined permeative lytic lesion of the left frontal bone with soft tissue extension into the scalp and intracranially into the extra-axial space. There is opacificatio... | Ill-defined left frontal bone lesion with mild intracranial extension suspicious for metastatic disease. MRI may be helpful for further evaluation. |
Generate impression based on findings. | LIVER: Diffusely decreased echogenicity of the liver is suggestive of hepatitis. The liver is 16.6 cm in length. No focal hepatic lesion is identified. The main portal vein is patent with hepatopetal flow of 20 cm/sec.GALLBLADDER, BILIARY TRACT: No cholelithiasis is present. Diffuse gallbladder wall thickening is agai... | 1. Diffusely decreased liver echogenicity suggestive of hepatitis. 2. Increased ascites, now moderate.3. Persistent gallbladder wall thickening, which is non-specific in the setting of ascites. |
Generate impression based on findings. | 59 year old female POD #0 s/p anterior cranial fossa skull base craniotomy and dural repair. There are postoperative findings related to left frontal craniotomy for repair of an anterior cranial fossa dural defect. There is minimal high attenuation subjacent to the craniotomy compatible with blood products as well as p... | 1.Expected postoperative findings related to left frontal craniotomy and anterior cranial fossa dural defect repair.2.Unchanged complete opacification of the right mastoid air cells and middle ear cavity.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Female 58 years old Reason: sbo History: abdominal pain, N/V ABDOMEN:LUNG BASES: Again seen are multiple well-circumscribed pulmonary cysts, nonspecific but which could reflect lymphangioleiomyomatosis.LIVER, BILIARY TRACT: The liver is enlarged measuring approximately 22 cm in length. The patient is status post cholec... | 1.Findings consistent with small bowel obstruction with associated ascites, suggesting an acute process; however, the similarity of the appearance to prior imaging exam may reflect a component of chronicity.2.Multiple pulmonary cysts, which could be related to underlying lymphangioleiomyomatosis.3.Atrophic right kidney... |
Generate impression based on findings. | Bilious emesis.VIEW: Abdomen AP (one view) 01/09/15, 2332 Feeding tube tip is in gastric body.Multiple mildly to moderately dilated bowel loops are present in a disorganized pattern. No pneumatosis intestinalis, portal venous gas, or free peritoneal air is present.Periosteal reaction is noted in both proximal femurs. T... | Disorganized bowel gas pattern with no evidence of NEC.Rickets. |
Generate impression based on findings. | 24-year-old male with history of sudden onset chest pain. Evaluate for PE. PULMONARY ARTERIES: Limited exam due to image noise and contrast opacification. Within the limitations of this exam, no pulmonary embolus through the lobar level.LUNGS AND PLEURA: Bilateral, right moderate and left small, pleural effusions have ... | 1.No pulmonary embolus to the lobar level.2.Slightly increased right moderate and small left pleural effusions.3.Stable reference lymph nodes.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Posterior stabilization rods with screws extending into the L4 and L5 vertebral bodies in near anatomic alignment without evidence of complication. There is mild dextroscoliosis of the lumbar spine. Severe degenerative disk disease particularly affects L3/L4 and L4/L5. | Orthopedic fixation of the lumbar spine without evidence of hardware complication. |
Generate impression based on findings. | 72-year-old male patient with clinical findings suggestive of cerebral edema in the setting of SVC syndrome. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. Gray-white matter differentiation is maintained. There is mild periventricular and subcortical white matter hypoattenuation, appearing si... | 1.No evidence of cerebral edema.2.Mild chronic small vessel ischemic disease without significant change. If there is clinical concern for an acute nonhemorrhagic infarct, an MRI can be obtained.3.Stable findings related to known left globe retinal detachment with subretinal hemorrhagic collection.4. There is edema in t... |
Generate impression based on findings. | 7-week-old former 27 week gestational age patient with chylothorax. Increased frequency of desaturations.VIEWS: Chest AP/lateral (two views) 01/10/15, 0021, 0029, 0030 Endotracheal tube tip is below thoracic inlet. Feeding tube tip is in the stomach. Left upper extremity PICC tip is at junction of brachiocephalic veins... | Worsening appearance of the chest with almost complete opacification of the hemithorax is most likely due to pleural effusion. |
Generate impression based on findings. | 50 year-old female with pain There is a comminuted fracture of the distal radius extending to the articular surface in near-anatomic alignment. A nondisplaced ulnar styloid fracture is also noted. | Comminuted intra-articular distal radius fracture and nondisplaced ulnar styloid fracture. |
Generate impression based on findings. | 58 year-old female with pain to left shoulder for several months Glenohumeral alignment is within normal limits. No fracture is identified. | No fracture or dislocation. |
Generate impression based on findings. | 61 year-old female with decreased range of motion of the the left hip and point tenderness to the left buttocks Pelvis: No pelvic fracture is identified. Marked degenerative changes affect the lower lumbar spine.Right hip: Small osteophytes consistent with mild degenerative changes.Left hip: Small osteophytes indicate ... | Degenerative changes as described above without fracture or dislocation. |
Generate impression based on findings. | ET tube placementVIEW: Chest AP (one view) 1/10/15 0312 The ET tube tip is below the thoracic inlet and above the carina. Left subclavian line terminates at the confluence of the brachiocephalic veins. Enteric tube tip is in the antropyloric region of the stomach.The cardiothymic silhouette is normal.Bilateral lower lo... | Increased right upper lobe atelectasis. |
Generate impression based on findings. | 47-year-old male with pain, evaluate for fracture. Mild osteoarthritis affects both hips. Degenerative changes affect the visualized lower lumbar spine. No fracture is identified. Alignment is anatomic. | No fracture or malalignment. |
Generate impression based on findings. | 27-year-old female patient with "worst headache of life," nausea and visual disturbance. Evaluate for subarachnoid hemorrhage. There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shi... | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | 79-year-old female with ulcer, rule out osteomyelitis The bones are diffusely demineralized. Ulceration is noted posterior to calcaneus, which appears to extend near to the bone. There is soft tissue swelling about the foot and ankle. No gross osseous destruction is visualized. Degenerative changes affect the midfoot. | Soft tissue swelling and ulceration extending to the posterior calcaneus without underlying bone destruction. Osteomyelitis cannot be excluded. |
Generate impression based on findings. | 43-year-old male, left ankle fracture, preoperative planning An external fixation device is noted anchored within the calcaneus and the mid diaphysis of the tibia. Gas in the soft tissues reflects recent surgery. There is a comminuted fracture of the distal tibia with intra-articular extension snd numerous associated b... | Comminuted intra-articular tibia and fibula fractures with external fixation as described above. |
Generate impression based on findings. | 54 year-old female, evaluate fracture A fractured side plate with screws affixes the comminuted distal fibula fracture with medial angulation of the distal fragment. There is a comminuted fracture of the distal tibia and its articular surface with marked bony fragmentation and medial angulation of the medial malleolus,... | Comminuted distal tibia and fibula fractures with fractured fibular sideplate and comminuted fracture of the talar dome as described above. An underlying neuropathic joint may be considered. |
Generate impression based on findings. | 48-year-old female with history of malignant neoplasm of bronchus and lung. LUNGS AND PLEURA: Stable post therapy changes in the left lower lung. No new suspicious nodules or masses. No pleural effusion.MEDIASTINUM AND HILA: Unchanged small lymph nodes in the mediastinum and hila, some of which are calcified. Heart siz... | No interval change in the left lower lung post therapy changes or previously seen hepatic metastases. |
Generate impression based on findings. | 91 year-old female status post fall, rule out injury There is a high riding humeral head, consistent with a chronic rotator cuff tear. No acute fracture is evident. Mild degenerative changes affect the glenohumeral joint. The distal humerus is intact. | Findings consistent with a chronic rotator cuff tear without acute fracture evident. |
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