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Generate impression based on findings. | 11-year-old male status post reduction of radial and ulnar fractures.VIEWS: Left forearm PA, lateral (two views) 3/17/15 2308, 2309 Overlying cast material obscures fine bone detail. Again seen is fracture of both bones of the forearm. The radius is mildly medially displaced. The ulna is mildly dorsally displaced. No r... | Interval casting of both bone fracture of the forearm. |
Generate impression based on findings. | Pain. Evaluate for fracture. AP view of the pelvis shows no acute fracture or malalignment. Moderate to severe osteoarthritis affects the right hip. Mild osteoarthritis affects the left hip. Focus of sclerosis within the bilateral proximal femurs is of unknown etiology but likely benign. | No acute fracture is evident. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with repeat left MLO view 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 archit... | 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 re... |
Generate impression based on findings. | 25 years, Female, Reason: Celiac artery compression History: Abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy. No intrahepatic or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality noted... | Median arcuate ligament compression of the celiac axis. Status post cholecystectomy. |
Generate impression based on findings. | 30 years, Female. Reason: History of Crohn's colitis. Possible C.Diff. Also has CMV colitis. Evaluate for megacolon. History: Abdominal distention and cramping. Nonobstructive bowel gas pattern. Hepatosplenomegaly. Central venous catheter tip projects over the cavoatrial junction. | Nonobstructive bowel gas pattern. Hepatosplenomegaly. |
Generate impression based on findings. | 54-year-old male with cough, x-ray with possible pneumonia, supposed to have surgery tomorrow. Evaluate for pneumonia. LUNGS AND PLEURA: No focal consolidation, pleural effusion, or suspicious nodules. Mild basilar scarring/atelectasis.MEDIASTINUM AND HILA: Heart size normal with no pericardial effusion. No coronary ca... | No evidence of pneumonia. |
Generate impression based on findings. | Female 11 days old Reason: Eval lung fields History: Intubated with elevated WBCVIEW: Chest abdomen AP (two view) 3/17/15 at 2302 hrs. ET tube terminates below the thoracic inlet. Proximal side-port of T. NG tube is above GE junction. Right upper extremity PCVC terminates at the lower IVC. Interval removal of umbilical... | Interval removal of umbilical line.Persistent diffuse lung haziness with no focal opacities. |
Generate impression based on findings. | Headache and vomiting No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. No extra-axial collections. Ventricles are within normal limits without evidence of hydrocephalus. There is asymmetric hyperden... | 1. No evidence of intracranial hemorrhage or mass effect.2. Asymmetric hyperdensity involving the right caudate head and putamen, finding which can be seen with metabolic entities such as hyperglycemia. |
Generate impression based on findings. | Stab wound to hand. Pain to MCP joint area. Question of fracture. Three views of the right hand show no acute fracture or malalignment. | No acute fracture is evident. |
Generate impression based on findings. | 76-year-old female with pain status post fall. Evaluation of the pelvis is limited by the inability to position the patient. The bones appear slightly demineralized. Given these limitations, we see no evidence of fracture. Mild osteoarthritis affects the hips. Degenerative disk disease affects the lower lumber spine. A... | Degenerative arthritic changes as described above, without evidence of fracture. |
Generate impression based on findings. | Jumped on yesterday and hurt right elbow. Most pain on lateral posterior aspect. Question of fracture. Four views of the right elbow show no acute fracture or malalignment. No joint effusion is identified. | No acute fracture is evident. |
Generate impression based on findings. | 77 years, Female. Reason: stool burden, bowel distension History: diarrhea/constipation. Nonobstructive bowel gas pattern with average stool burden. | Average stool burden. |
Generate impression based on findings. | Reason: Evaluate for left CN III ptosis, concern for L PCOM aneurysm although pt does not have L blown pupil. At least suspected partial L CN III palsy HEAD: No evidence of acute intracranial hemorrhage. Hypoattenuation of the periventricular and subcortical white matter compatible with age indeterminant small vessel i... | 1.No evidence of intracranial aneurysm.2.Intracranial and extracranial atherosclerotic disease without high grade stenosis. There is moderate left vertebral artery origin narrowing with good flow distally. If there is suspicion for acute infarct, consider MRI for further evaluation.3.Right cerebellar enhancing lesion p... |
Generate impression based on findings. | 54 year old female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Pain in thigh and groin. Evaluate for fracture. Two views of the right hip and AP view of the pelvis show scattered lucent lesions throughout the visualized osseous structures. No acute fracture is evident. Degenerative changes affect the lower lumbar spine. | Scattered lucent lesions throughout the osseous structures compatible with the patient's history of multiple myeloma. No acute fracture is evident. |
Generate impression based on findings. | The images are degraded by patient motion.HEAD: There is a diffuse right subgaleal fluid collection that measures up to 12 mm in thickness, as well as diffuse subcutaneous fat stranding. There is no discernible evidence of underlying calvarial fracture. There is no evidence of acute intracranial hemorrhage. There is p... | The images are degraded by patient motion.1.Right subgaleal fluid collection and bilateral facial contusions, but no evidence of acute intracranial hemorrhage or skull fracture.2.Nonspecific fluid within the paranasal sinuses, but no discernible maxillofacial fractures.3.Right neck contusions and multilevel degenerativ... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in two maternal cousins. 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 dist... | 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. | 25-year-old female with left ankle pain and swelling status post fall 3 days prior. Three views of the left foot and 3 views of the left ankle demonstrate a comminuted fracture through the proximal tuberosity of the fifth metatarsal base, with fracture fragments in near-anatomic alignment. There is soft tissue swelling... | Fracture through the base of the fifth metatarsal as described above. |
Generate impression based on findings. | 52-year-old male. Abdominal pain, weight loss, nausea and vomiting. ABDOMEN:LUNG BASES: Lingular calcified nodule consistent with prior infection. Small area of pleural scarring in the right lung base.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant ... | Distended stomach, which may be due to the patient drinking a bolus of oral contrast versus delayed gastric emptying from partial gastric outlet obstruction or gastroparesis. Further evaluation with a fluoroscopic study or nuclear gastric emptying study may be useful if clinically warranted. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with repeat right MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. Central venous catheter projects within the axilla... | 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. | 24 year old female with right hand and forearm lacerations status post punching through glass. Three views of the right hand demonstrate a 2-mm linear density in the soft tissues overlying the thenar eminence on the lateral view, compatible with a foreign body. No fracture is evident. A defect in the soft tissues along... | Foreign body overlying the thenar eminence, as described above. |
Generate impression based on findings. | Male 48 years old; Reason: Evaluate for abdominal pathology History: LUQ pain s/p liver transplant ABDOMEN:LUNGS BASES: Hypoattenuating intracardiac blood pool consistent with anemia. Mild cardiomegaly. Incompletely imaged gynecomastia.LIVER, BILIARY TRACT: Status post hepatic transplant with multiple associated surgic... | 1. Moderate colonic wall thickening, involving hepatic flexure and transverse as well as descending colon, while findings may reflect components of portal colopathy and reactive thickening in setting of ascites, acute colitis a consideration and correlation with patient's clinical history and laboratory values recommen... |
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. New focal asymmetry in the le... | New left focal asymmetry for which further evaluation with spot compression and possible ultrasound is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 24 year old female s/p removal of glass from right hand laceration. Three views of the right hand following attempted removal of foreign body redemonstrate the 2-mm linear density overlying the thenar eminence, similar in appearance to prior exam. No fracture is evident. Overlying bandage material is noted. | Foreign body as above. |
Generate impression based on findings. | Male 55 years old Reason: Evaluate for progression of metastatic disease. Compare to previous scan 1. Radical cystectomy. 2. Prostatectomy. 3. Removal of the proximal urethra to the perineal urethrostomy. 4. Bilateral pelvic lymph node dissection. 5. Indiana pouch continent urinary diversion. 6. Resection of the enlarg... | Overall interval progression of disease with enlarging tumor in the pelvis and new lung metastases. Reference measurements are given above. |
Generate impression based on findings. | 29-year-old male status post reduction of right shoulder dislocation. Three views of the right shoulder demonstrate normal alignment of the glenohumeral joint. Flattening of the lateral aspect of the humeral head on the AP view is suggestive of a Hill-Sachs deformity. We see no evidence of Bankart fracture. | The glenohumeral joint is within normal limits. Probable Hill-Sachs deformity. |
Generate impression based on findings. | 75-year-old female. Abdominal pain, nausea. Endoscopic submucosal dissection of a 25-mm flat lesion. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Calcified hepatic granulomas. No biliary ductal dilatation. No suspicious hepatic mass.SPLEEN: No significant abnormality notedPANCREAS: No signi... | Gastric wall thickening extending from biopsy site without evidence of perforation. Mild increased size of regional lymphadenopathy. |
Generate impression based on findings. | Clinical question: Alteration mental status the signs and symptoms: Alteration of mental status and delirium. Nonenhanced head CT:No acute intracranial finding. CT however is insensitive fir the early detection of acute nonhemorrhagic ischemic strokes.Periventricular callosal cortical and right basal ganglia foci of pa... | 1.No acute intracranial findings.2.Moderate age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Distal radius fracture, need to evaluate multiple fragments. Pain. There is a comminuted, slightly impacted fracture of the distal radial metaphysis. There is slight volar angulation of the distal fracture fragment. The articular surface is intact with normal positioning of the radiocarpal joint and distal radioulnar j... | Slightly impacted, comminuted fracture of the distal radial metaphysis without intraarticular extension. |
Generate impression based on findings. | Malignant neoplasm of the cecum. Status post craniotomy for tumor resection. There are postoperative findings related to a left suboccipital craniotomy for left cerebellar hemisphere tumor resection. There is pneumocephalus and a small amount of hyperattenuation within the resection cavity. There is patchy hypoattenuat... | Postoperative findings related to a left posterior craniotomy for tumor resection with a small amount of hemorrhage in resection cavity and surrounding vasogenic edema. However, evaluation for residual tumor is limited on non-contrast CT.I personally reviewed the Images and/or procedure with the Resident/Fellow and agr... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in her sister at age 47. 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 i... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female, 16 years old. Evaluate for PE. History: tachypnea PULMONARY ARTERIES: Technically adequate exam, without evidence of pulmonary embolism.LUNGS AND PLEURA: Basilar atelectasis, likely dependent. No focal consolidation to suggest pneumonia. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Cardiac si... | No evidence of pulmonary embolism or other acute abnormality. |
Generate impression based on findings. | 81 years, Male. Reason: assess for ileus History: poor po tolerance Again seen are dilated loops of small bowel compatible with ileus, slightly less dilated when compared to the prior exam. Right upper quadrant surgical clips compatible with cholecystectomy. Interval removal of NG tube. Note is made of a right sided JP... | Again seen are dilated loops of small bowel compatible with ileus, slightly less dilated when compared to the prior exam. |
Generate impression based on findings. | 73-year-old male with shortness of breath, evaluate for pulmonary embolism PULMONARY ARTERIES: Technically inadequate examination without evidence of pulmonary embolus. Main pulmonary artery is borderline enlarged measuring 3.0 cm, suggestive of pulmonary artery hypertension.LUNGS AND PLEURA: Severe centrilobular and p... | No evidence of pulmonary embolism.Interval worsening of severe centrilobular and paraseptal emphysema with basilar predominant fibrosis raising the question of combined pulmonary fibrosis and emphysema (CPFE). Increased bronchial wall thickening may reflect acute COPD exacerbation.Severe coronary artery calcification.P... |
Generate impression based on findings. | Female; 70 years old. Reason: Neutropenic stem cell transplant patient with first neutropenic fever complaining of upper and lower abdominal pain History: abdominal pain, + rebound tenderness, TTP The following observations are made given the limitations of an unenhanced study.CHEST:LUNGS AND PLEURA: Stable pulmonary m... | 1. Mild fatty infiltration of the base of the mesentery, slightly increased. This is nonspecific and may be due to acute on chronic panniculitis.2. Prominence of the biliary tree and pancreatic duct without evidence of obstructing lesion, though MRI would be more sensitive if clinically indicated. |
Generate impression based on findings. | Clinical question: Revaluate ventricular size. Signs and symptoms:Gait instability, ?NPH. Nonenhanced head CT:No evidence of acute intracranial process. CT however is insensitive for the detection of acute nonhemorrhagic ischemic strokes.There are moderate periventricular and subcortical low attenuation of white matter... | 1.No acute intracranial process.2.Findings suggestive of extensive age indeterminate small vessel ischemic strokes.3.Stable enlarged supratentorial ventricular system since prior study. |
Generate impression based on findings. | 24-year-old male. Resolving retroperitoneal hematoma. Lack of intravenous contrast limits evaluation for solid organ pathology.ABDOMEN:LUNG BASES: Large right and small left pleural effusions with adjacent atelectasis, not significantly changed.LIVER, BILIARY TRACT: No significant abnormality noted. Ventriculocholecyst... | 1. Left retroperitoneal hematoma is stable to mildly increased in size. Pigtail drainage catheter has been removed. 2. Diffusely dilated bowel loops consistent with chronic ileus, similar to prior. 3. Bilateral pleural effusions with overlying atelectasis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history breast cancer in her sister at age 63. 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. Mild motion artifact on the righ... | 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 re... |
Generate impression based on findings. | There is a large mildly heterogeneous enhancing oval soft tissue structure within the right neck, caudal to the right parotid gland. This measures 2.4 x 2.2 cm in greatest axial dimensions, by 2.6 cm CC, and most likely represents a nodal conglomerate. The margins are ill-defined, with surrounding inflammatory changes... | 1. Extensive right much greater than left cervical lymphadenopathy with possible early suppurative change, and extensive surrounding right-sided neck inflammatory changes as well as mild localized mass effect. Findings most likely represent reactive lymphadenopathy, with lymphoma and cat scratch disease/other atypical ... |
Generate impression based on findings. | 11-year-old male with history of trauma, concern for fractureVIEWS: Left elbow: AP and lateral; left wrist: PA and oblique; left forearm: PA and lateral (6 views) 3/17/15 at 8:23 p.m. Elbow: No fracture or malalignment of the elbow. Mild soft tissue swelling is noted. Left wrist: No fracture or malalignment. No signifi... | Both bones fracture of the mid forearm. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Study is slightly limited by motion artifact. No intracranial hemorrhage is identified on the current study. No evidence of mass effect or hydrocephalus. Gray-white differentiation is maintained. Subgaleal hematoma overlying the right parietal bone with nondisplaced, nondepressed fracture involving the right parietal ... | 1.No intracranial hemorrhage is identified on the current study. No intracranial mass effect.2.Linear nondisplaced, non depressed fracture involving the right parietal bone which extends anteriorly to the right coronal suture.3.Right parietal subgaleal hematoma. |
Generate impression based on findings. | There is no significant interval change in the extensive area of white matter hypoattenuation involving the right frontal, parietal, and temporal lobes with relative sparing of the overlying cortex. This is associated with very mild effacement of the overlying sulci and underlying right lateral ventricle effacement. T... | No significant interval change in the extensive encephalitis predominantly involving the right cerebral hemisphere, although the abnormality has progressed since the initial scan on 3/5/15.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 20 year-old female with left foot pain. Three views of the left foot demonstrate a 3-mm linear density on the AP view in the soft tissues, immediately lateral to the calcaneocuboid joint. On the lateral view, a 3-mm linear density projects dorsally to the distal margin of the navicular. These findings may represent a s... | Small avulsion fracture(s), as described above. |
Generate impression based on findings. | Female; 81 years old. Reason: Patient with history of abd/pelvis admitted with leukocytosis, AKI, and failure to thrive. Evaluate for intraabdominal infection and hydronephrosis. Please administer PO contrast. History: As above ABDOMEN:LUNG BASES: Interval resolution of small bilateral pleural effusions. Minimal bibasi... | Increased ill-defined density adjacent to the ureteric anastomosis of the ileal conduit in the right lower quadrant status post removal of surgical drain. This may represent a urine leak with phlegmonous change, given that this was a site of contrast extravasation seen on IR study dated 12/17/14. Hematoma is another co... |
Generate impression based on findings. | 25 year-old female with right hand pain. Three views of the right hand demonstrate normal alignment. There is no evidence of acute fracture. No significant soft tissue swelling. | There is no acute fracture or malalignment. |
Generate impression based on findings. | 72-year-old female. Has a new lung mass. Evaluate for metastatic disease. ABDOMEN:LUNG BASES: Refer to separately dictated CT chest report.LIVER, BILIARY TRACT: Homogeneously hyperenhancing 8 mm focus in the liver is incompletely characterized, may be a flash filling hemangioma (series 8, image 21). Punctate hypoattenu... | 1. Homogeneously hyperenhancing 8 mm focus in the liver is incompletely characterized, may be a flash filling hemangioma, which can be confirmed with dedicated CT or MRI liver imaging. 2. Indeterminate small left adrenal nodule. |
Generate impression based on findings. | Cough and left-sided crackles.VIEWS: Chest AP and lateral 3/17/15 (2 view/s) Aortic arch, cardiac apex and stomach are left-sided. Cardiac silhouette is normal in size and shape. Right lower lobe, ill-defined opacity , better visualized in AP view, is concerning for atelectasis or pneumonia. No effusions or pneumothora... | Right lung base opacity as described. |
Generate impression based on findings. | Chronic sinusitis. There is mild scattered opacification of the anterior ethmoid sinuses and mild mucosal thickening in the right maxillary sinus. The other paranasal sinuses are clear. The nasal cavity is clear. There is mild S-shaped deviation of the nasal septum. The lamina papyracea and ethmoid roofs are intact. Th... | Mild scattered opacification of the anterior ethmoid sinuses and mild mucosal thickening in the right maxillary sinus without evidence of fluid levels. |
Generate impression based on findings. | 67-year-old female with generalized right hip pain, denies fall/trauma. Two views of the right hip demonstrates mild osteoarthritis. Chronic linear heterotopic mineralization is present in the right buttocks, which has been present since at least 2012. We see no evidence of fracture.Single view of the pelvis demonstrat... | Osteoarthritis, as described above, without evidence of fracture. |
Generate impression based on findings. | Male 39 years old; Reason: kidney stone History: right flank pain with hematuria ABDOMEN:LUNGS BASES: Calcified left micronodules and incompletely imaged calcified hilar adenopathy, likely reflecting sequela of prior granulomatous disease. LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant ab... | 1.No hydronephrosis. Punctate nonobstructing left intrarenal stone. 2.Unremarkable exam. |
Generate impression based on findings. | Female, 7 years old. Evaluate stool burden. History of imperforate anus and severe constipation requiring disimpactionsVIEW: Abdomen AP (one view) 3/18/2015, 0844 Large stool burden, predominantly in the descending colon, sigmoid, and rectum.No evidence of obstruction. | Large stool burden. |
Generate impression based on findings. | No acute intracranial hemorrhage is identified. No evidence of intracranial mass, mass-effect, or hydrocephalus. There is focal hypoattenuation involving the left insular cortex, compatible with prior infarct. There is hypoattenuation of the subcortical and periventricular white matter compatible with age indeterminan... | 1.No evidence for acute intracranial abnormality. 2.Small vessel ischemic changes. Focal hypoattenuation involving the left insular cortex compatible with prior infarct.3.Please note CT is not sensitive for detection of acute nonhemorrhagic ischemia. If high clinical suspicion of acute CVA persists, consider MRI. |
Generate impression based on findings. | 57-year-old male with left wrist pain. Two views of the left wrist demonstrate mild basilar joint osteoarthritis, as well as osteoarthritis affecting the trapezioscaphoid and the radioscaphoid articulations. A tiny ossicle adjacent to the fifth carpometacarpal joint is likely of no clinical significance. | Osteoarthritis as described above. |
Generate impression based on findings. | 82-year-old female with swollen, painful left wrist. Three views of the left wrist demonstrate mild soft tissue swelling. The bones appear demineralized, suggestive of osteopenia. Mild osteoarthritis affects the basilar joint as well as the trapezioscaphoid articulation. Calcification of the lunotriquetral interval may... | Soft tissue swelling and arthritic changes as described above, including possible chondrocalcinosis of the lunotriquetral interval. No fracture evident. The possibility of "pseudogout" could be considered in the correct clinical context. |
Generate impression based on findings. | Female 64 years old; Reason: pancreatitis s/p stem cell transplant History: abdominal pain and tenderness on exam CHEST:LUNGS AND PLEURA: Biapical pleural nodularity/scarring. Basilar atelectasis/linear scarring. Nonspecific 2 mm right upper lobe lung nodule, image 31 series 4. Left lower lobe 5 mm nodule, image 89 ser... | 1. Mild retroperitoneal, periceliac and periSMA fat stranding, nonspecific. No CT findings specific for acute pancreatitis otherwise. Please note that early pancreatitis may be clinically suspected or present with a normal CT appearance of the pancreas, correlation with patient's clinical history and lipase and amylase... |
Generate impression based on findings. | 44 year old female. Hematuria, pelvic pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Punctate hypoattenuating focus in the left hepatic lobe is too small to characterize. No biliary ductal dilatation.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADREN... | No specific findings to explain the patient's hematuria. |
Generate impression based on findings. | There are post-treatment findings including left base of tongue and floor of mouth resection with myocutaneous flap reconstruction and denervation left hemitongue atrophy and mandibulotomy with hardware. There is no significant interval change in the extensive multifocal areas of tumor recurrence in the neck. For exam... | 1.Post-treatment findings in the neck without significant interval change in the extensive tumor recurrence in the neck since February 2015.2.Partially imaged right pleural nodules and pulmonary nodules may also represent metastatic disease. Please refer to the separate chest CT report for additional details. |
Generate impression based on findings. | Right lower quadrant abdominal pain for greater than two weeks relieved with bowel movements. No triggers. LIVER: The liver measures 16.2 cm in length and is heterogeneous in echotexture. There is a 1.2-cm hypoechoic nodule along the liver capsule in the right lobe which was present on a prior CT from 2007 indicating i... | No definite etiology for the patient's right lower quadrant abdominal pain. Possible hemangioma in the liver and right renal angiomyolipoma as described above. Consider CT exam for further evaluation if clinically indicated. |
Generate impression based on findings. | There is minimal mucosal thickening of the frontoethmoidal recesses. There is a left maxillary sinus septation. The other paranasal sinuses are clear. The nasal cavity is also clear. There is mild undulating nasal septal deviation. The lamina papyracea and ethmoid roofs are intact. The carotid grooves and optic canals... | 1. No significant paranasal sinus disease.2. Mild nasal septal deviation. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 66-year-old male with history of laminoplasty presents status post fall, bilateral knee pain, right wrist pain. Four views of the cervical spine demonstrate postoperative changes related to multilevel laminoplasty, with anterior plate and screws entering the C5, C6, and C7 vertebral bodies. We see no evidence of hardwa... | 1.Postoperative changes of the spine and degenerative disk disease, as described above.2.Degenerative arthritis of the right wrist and knees, as described above. |
Generate impression based on findings. | There is redemonstration of postoperative changes related to resection of the right posterior lateral pharyngeal wall, tonsillar pillar, and parapharyngeal space from the level of the soft palate down to the level of C4. The surgical defect is bridged with a fatty soft tissue graft, which is unchanged in appearance fr... | 1. Interval development of large area of abnormal soft tissue caudal to the reconstructive flap, extending from the skull base down to the most cranial surgical clip with localized mass effect. Associated progressive narrowing of the proximal right internal jugular vein and distal right internal carotid artery, which r... |
Generate impression based on findings. | Reason: Evaluate for large vessel occlusion History: Sudden R face, arm, and leg weakness with R leg hypoesthesia HEAD: No acute intracranial hemorrhage is identified. No evidence of intracranial mass, mass-effect, or hydrocephalus. There is focal hypoattenuation of the left insular cortex, compatible with prior infarc... | Minimal atherosclerotic changes with no significant intracranial or extracranial stenosis in the head and neck. |
Generate impression based on findings. | Female; 87 years old. Reason: Hx of Crohn's dz w/ previous partial colonic resection with primary anastomosis and diverting end-loop ileostomy. Now with abd pain and blood per rectum and ileostomy. History: Blood per rectum ABDOMEN:LUNG BASES: Minimal bibasilar dependent subsegmental atelectasis. Mild cardiomegaly. Sma... | 1. Findings suggestive of low-grade partial small bowel obstruction due to adhesive disease.2. Diffuse colitis, most likely due to active inflammatory bowel disease.3. Possible perineal fistula and/or perianal abscess. Recommend correlation with physical examination. MRI would be helpful for further characterization if... |
Generate impression based on findings. | 54-year-old female with rising white count, concern for infection. Tachypnea, shortness of breath. LUNGS AND PLEURA: Extensive right pleural thickening, large loculated right effusion with chest tube unchanged. Associated atelectasis and superimposed right lung extensive consolidation are slightly increased. Mild right... | 1.Right lung consolidation slightly increased.2.Small to moderate left pleural effusion has increased.3.Mild right pulmonary edema, large loculated right pleural effusion, and diffuse right pleural thickening and widespread metastatic disease redemonstrated. |
Generate impression based on findings. | 13-day-old male with PIE concern for pulmonary hemorrhage, former 24 week twin gestation.VIEWS: Chest and abdomen AP (two views) 3/18/15 at 0626 Endotracheal tube is at the thoracic inlet. OG tube tip near the GE junction with proximal sidehole above the GE junction. Left upper extremity PICC with tip in the SVC. Left ... | Continued PIE pattern. Improved atelectasis. Continued abnormal bowel gas pattern. |
Generate impression based on findings. | Patient fell with symptoms down arms. Evaluate cervical laminoplasty. There is extensive quantum mottle in the lower neck, which limits assessment of the lower cervical spine. There is evidence of prior anterior fusion at C5-C7 with a plate and screw fixation along with intervertebral cage devices. The C5-C6 and C6-C7 ... | 1. Status post remote anterior spinal fusion at C5-C7 and C3-C7 open door laminoplasty with at least partial fusion of bone graft materials. 2. Interval increased anterolisthesis at C4-5 with progression of endplate degenerative changes. 3. Multilevel degenerative spondylosis with variable degrees of neural foramen and... |
Generate impression based on findings. | 73-year-old female with new lung mass LUNGS AND PLEURA: A large peripherally enhancing, centrally hypoattenuating mass in the right upper lobe adjacent to the pleura measures 4.6 x 7.3 cm (series 6, image 41). Extension into the chest wall in between the 5th and 6th intercostal spaces without convincing evidence of oss... | Large mass in the left upper lobe as described above is suspicious for a primary malignancy. Additional solid nodules in the left upper lobe and right upper lobe may represent satellite lesions. Additional nodules are nonspecific may represent additional satellite lesions or be post inflammatory. |
Generate impression based on findings. | 54-year-old male with HCG Evaluate for hepatocellular carcinoma. LIVER: Liver parenchyma is mildly echogenic consistent with fatty infiltration. No focal hepatic abnormality is identified. Portal vein is patent with flow towards the liver on color Doppler imaging.BILIARY TRACT: No significant abnormalities noted.PANCRE... | Mild fatty liver. No evidence for hepatic mass. Lobulated left kidney contour probably represents a normal variant as was present on prior CT and ultrasound exams. |
Generate impression based on findings. | 62 year-old female with history of psoriatic arthritis, evaluate for changes. Three views of the left hand again show erosive changes of the wrist, appearing similar to prior study; although there appears to been further resorption of the distal pole of the scaphoid, which now has a sclerotic margin. There is narrowing... | Left wrist erosions and additional arthritic changes, as described above, appear similar to prior exam. There appears to have been further interval resorption of the distal pole of the left scaphoid, which now has a sclerotic margin; otherwise, no evidence of disease progression. |
Generate impression based on findings. | Female 86 years old; Reason: Evaluate for progression of known pancreatic cancer/lung cancer History: severe left shoulder pain CHEST:LUNGS AND PLEURA: Visualized lung fields without significant change. Emphysematous disease. Again seen is unchanged right perihilar groundglass opacity near right mainstem bronchus dista... | 1. Stable to mildly increased size of patient's known pancreatic tail adenocarcinoma.2. Stable pulmonary nodularity/ground glass opacity as above. |
Generate impression based on findings. | Reason: evaluate for bronchiectasis History: recurrent asthma exacerbations, SOB LUNGS AND PLEURA: No pleural effusion or pneumothorax.No focal consolidation. Diffuse bronchial wall thickening is again noted with mild bronchiectasis. Minimal peribronchial tree in bud opacities and centrilobular opacities suggestive of ... | Diffuse bronchial wall thickening with mild bronchiectasis with tree-in-bud and centrilobular opacities suggestive of reactive airways disease and bronchiolitis. |
Generate impression based on findings. | 13-day-old male with history of PIEVIEWS: Chest and abdomen AP (two views) 3/17/15, 1932 Endotracheal tube is at level of the thoracic inlet. Left upper extremity PICC with tip in SVC. OG tube tip at the GE junction and proximal sidehole above the GE junction. Interval removal of UAC. Penrose drain in the left lower qu... | Persistent complications of surfactant deficiency. Persistent abnormal bowel gas pattern. |
Generate impression based on findings. | T3N0 HPV(+) squamous cell carcinoma of the base of tongue, for staging. Neck: There is an infiltrative, partly exophhytic mass centered in the left tongue base with epiglottic and left tonsillar fossa extension and extension across the midline. Overall, the mass measures up to approximately 4 cm. There is narrowing of ... | 1. An infiltrative mass centered in the left tongue base that traverses the midline, as well as epiglottic and left tonsillar fossa extension that measures up to approximately 4 cm is compatible with squamous cell carcinoma. 2. No evidence of significant cervical lymphadenopathy based on size criteria.3. No evidence of... |
Generate impression based on findings. | 53 year old female with left breast cancer (IDC and DCIS); status post chemotherapy, for partial mastectomy and left axillary sentinel node biopsy. On review of the prior studies, 2/23/2015. Target pleomorphic calcifications morphology and top hat clip are located in the left breast in the upper outer quadrant region l... | Successful needle localization of the left breast anterior and posterior extent of calcifications and top hat biopsy clip.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Right abdominal bloating for 3 months. Renal or hepatic mass? Bulky adenopathy? LIVER: No focal liver masses. No intrahepatic biliary ductal dilatation. Portal vein is patent with flow towards the liver on color Doppler imaging.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted. Common duct measures 7 mm in... | No evidence of hepatic mass. Probable right renal cyst. If clinical suspicion remains high, correlation with cross-sectional imaging could be performed. |
Generate impression based on findings. | 65-year-old now with nodule on chest x-ray. Shortness of breath. LUNGS AND PLEURA: Evaluation is mildly limited by respiratory motion artifact. No focal consolidation or pleural effusion. Right postero-apical pleural thickening is noted. There is basilar bronchiectasis and questionable interstitial changes, possibly re... | 1.No suspicious pulmonary nodules.2.Subcutaneous right chest nodule abutting/involving the skin; clinical correlation is recommended to ensure benignity. |
Generate impression based on findings. | 62 year-old female with history of SLE/scleroderma with Achilles' tendon pain and midfoot pain. Three views of the right foot demonstrate mild diffuse soft tissue swelling about the ankle. The distal Achilles' tendon appears slightly thickened with mineralized foci within its insertional fibers, suggesting chronic tend... | Findings suggestive of chronic Achilles insertional tendinosis bilaterally and osteoarthritis, as described above. |
Generate impression based on findings. | 63-year-old male with left breast palpable lump for two months especially tender presents for bilateral diagnostic mammogram. Mammogram: Three standard views of both breasts and two spot compression views of left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogen... | Bilateral gynecomastia, left more than right corresponding to patient's palpable abnormality in the left breast. Clinical correlation is recommended.BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Male; 22 years old. Reason: r/o obstruction History: nausea and vomiting, abdominal pain ABDOMEN:Lack of intravenous contrast limits sensitivity for solid organ pathology.LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: N... | Findings suggestive of low-grade partial small bowel obstruction due to adhesive disease with transition point proximal to the ostomy site. |
Generate impression based on findings. | 79-year-old male with right knee pain. Three views of the right knee demonstrate moderate to severe osteoarthritis, particularly affecting the medial compartment, with near bone-on-bone apposition. Chondrocalcinosis affects the lateral meniscus and articular cartilage. A moderate joint effusion is present. Moderate ost... | Osteoarthritis and chondrocalcinosis, as detailed above. |
Generate impression based on findings. | 5-year-old male with nausea, vomiting, fever, and one episode of diarrhea treated with ImodiumVIEWS: Abdomen upright and supine AP (two views) 3/17/15 A large amount of gas is present within the colon and there are air fluid levels within the colon. Nonobstructive bowel gas pattern. No pneumatosis, free air, or portal ... | Gastroenteritis pattern. |
Generate impression based on findings. | 24-year-old male with left anterior rib pain. Markers are noted along the lateral aspect of the left lower rib cage. No evidence of fracture. | No evidence of fracture or other findings to account for patient's pain. |
Generate impression based on findings. | 79 years, Male. Reason: hypotension recent colectomy History: hypotension Gastrostomy tube in place, position unchanged. Right upper quadrant staple line is present. There is a percutaneous common bile duct stent in place (T-type). There is a nonobstructive bowel gas pattern. | Postsurgical changes as described above without evidence of bowel obstruction. |
Generate impression based on findings. | No acute intracranial hemorrhage is identified. No evidence of intracranial mass, mass-effect, or hydrocephalus. No intra- or extra-axial fluid collections. Nonspecific periventricular white matter hypoattenuation is again seen, along with encephalomalacia of the inferior left temporal lobe.Generalized cerebral volume... | 1. No evidence of intracranial hemorrhage or intracranial mass effect. Please note CT is not sensitive for detection of acute nonhemorrhagic ischemia and if there is high clinical suspicion consider MRI.2. Global parenchymal volume loss, which is advanced for age.3. Redemonstration of nonspecific white matter hypoatten... |
Generate impression based on findings. | Status post right knee fusion for osteomyelitis. Again seen is intramedullary rod affixing the distal femur and proximal tibia in near-anatomic alignment. The bones are fused. There has been interval development of arterial calcifications within the posterior soft tissues of the knee. I see no findings to suggest an ac... | Right knee arthrodesis as above. |
Generate impression based on findings. | 65 years, Male, Reason: 65M s/p open right hemicolectomy with incisional hernia History: incisional hernia. The following observations are made given the limitations of an unenhanced study.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality noted. Previously described en... | Small ventral fat-containing hernia as described. No substantial interval change compared to prior. |
Generate impression based on findings. | There is no evidence of acute 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 shift or herniation. There is right maxillary sinus opacification. The mastoid air cells are clear. The skull and scalp sof... | 1. No acute intracranial hemorrhage. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct.2. No intracranial stenosis or aneurysm.3. No flow limiting stenosis of the bilateral internal carotid arteries.4. Mild emphysematous changes of the partially imaged lung apices, as well as no... |
Generate impression based on findings. | 79-year-old female with history of bilateral benign breast biopsies. Three standard views of both breasts and additional left CC and ML spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and... | New mass with indistinct margins on ultrasound adjacent to patient's biopsy clip from prior cyst aspiration, likely represents cyst recurrence, although due to sonographic appearance, ultrasound guided biopsy/aspiration is recommended.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration... |
Generate impression based on findings. | Postop. Rule out fracture. Osteoarthritis. Components of a left total knee arthroplasty device are situated in near atomic alignment without evidence of complication. There is swelling of the anterior soft tissues and a joint effusion. I see no fracture. | Total knee arthroplasty as above. |
Generate impression based on findings. | Status post left total hip arthroplasty, 6 weeks postop Three views of the left hip show components of a total hip arthroplasty device situated in near-anatomic alignment without radiographic evidence of hardware complication.Three views of pelvis show the aforementioned left total hip arthroplasty. Moderate osteoarthr... | Total hip arthroplasty and other findings as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in two sisters. 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 i... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Postop prosthetic assessment Three views of the right hip show components of a total hip arthroplasty device situated in near-anatomic alignment without evidence of hardware complication.Three views of the pelvis show the aforementioned right total hip arthroplasty. Moderate osteoarthritis affects the left hip. The rem... | Total hip arthroplasty. |
Generate impression based on findings. | Post operative changes are again seen from previous left posterior temporal and parietal craniotomy, with interval expected evolution. There is only very minimal residual smooth dural thickening and enhancement underlying the craniotomy flap, with decreased adjacent parenchymal susceptibility likely relating to postop... | 1. Expected evolution of previously seen postoperative changes, with minimal smooth dural enhancement underlying the craniotomy flap and minimal areas of irregular enhancement which are favored to be postoperative in etiology, but continued follow-up is recommended to exclude tumor recurrence.2. Expected evolution of l... |
Generate impression based on findings. | Pain Four views of the right knee show severe osteoarthritis particularly affecting the medial and patellofemoral compartments.Four views of the left knee show moderate to severe osteoarthritis, with near bone-on-bone apposition of the medial compartment particularly on the skiers view. | Osteoarthritis. |
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 re... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Known left breast cyst. 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 su... | 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. | 17 day old former 32 week gestational age patient with concern for NEC.VIEWS: Chest and abdomen AP (two views) 03/18/15, 0516 Feeding tube tip is at GE junction. Left upper extremity PICC has been removed.Cardiothymic silhouette is normal. Minimal hazy lung opacities are present. Lung volumes are small.Bowel gas patter... | No focal lung opacity. Abnormal bowel gas pattern. |
Generate impression based on findings. | Fever and more secretions. 2-year-old former 24 week gestational age patient.VIEW: Chest AP (one view) 03/18/15, 0549 Left upper extremity PICC tip is in superior vena cava. Gastrostomy tube is again seen. Surgical clips are noted around the GE junction.Cardiothymic silhouette is normal. Air space disease persists in r... | Right upper and left lower lobe pneumonia. |
Generate impression based on findings. | Male 66 years old; Reason: History of ileo-cecal mass, suspicious for cancer. Pre-op staging History: History of ileo-cecal mass, suspicious for cancer. Pre-op staging CHEST:LUNGS AND PLEURA: Severe upper lobe predominant emphysematous disease.MEDIASTINUM AND HILA: Normal variant with the left vertebral artery originat... | 1. Ileocecal mass with adjacent lymph node, latter nonspecific but may be metastatic. Additional calcified retroperitoneal lymph nodes. Contrast did not traverse beyond aforementioned mass and into colon, this may be secondary to timing of IV contrast bolus. 2. Sigmoid colon diverticulosis with mild paracolic fat stran... |
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