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Generate impression based on findings. | History of right lumpectomy 5/2012 for invasive ductal carcinoma and DCIS found initially on stereotactic biopsy. Lumpectomy removed residual calcifications, but not marking clip as clip was displaced from biopsy site. Patient received radiation therapy. No new breast complaints. Three standard views of both breasts an... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Chronic sinusitis, FESS. There are postoperative findings related to endoscopic sinus surgery. There is extensive pansinus opacification with associated sclerosis and thickening of the sinus walls. There is suggestion of polypoid opacities in the nasal cavity. There also appear to be scattered bubbly secretions. The la... | 1. Findings related to endoscopic sinus surgery with extensive pansinonasal opacification suggestive of chronic sinusitis and nasal polyposis. 2. Persistent dehiscence of the right superior orbital wall with stranding in the right superior extraconal orbit.3. Partially-imaged carious right maxillary molar. |
Generate impression based on findings. | There is redemonstration of postoperative changes from previous laminectomy at the cervical thoracic junction. The plaque-like area of enhancing soft tissue along the left ventral epidural space spanning the T1 vertebral level again measures 7 mm in greatest thickness on 901/11, not significantly changed from the most... | 1. Overall, no significant interval change in appearance of the plaque-like enhancing mass in the ventral epidural space spanning the T1 level, although suggestion of perhaps subtle increase thickness of the caudal aspect of the tissue at the T1-T2 disk level, with direct comparison somewhat limited due to differences ... |
Generate impression based on findings. | 64 year old female with right lumpectomy for IDC status post radiation and tamoxifen. History of left benign breast biopsy. Three standard views of both breasts and two right ML and one CC spot magnification views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of sca... | Postsurgical changes with slight increase in dystrophic calcifications in the lumpectomy bed. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2... |
Generate impression based on findings. | Female 75 years old Reason: weight loss, diarrhea, B12 def. History: above Scout radiograph showed a nonobstructive bowel gas pattern. Transit time to the colon was 20 minutes. Fluoroscopic evaluation showed no ulcers, sinus tracts, fistulae, or dominant adhesion. Spiculation of the distal jejunum and ileal mucosal con... | 1.Spiculation of the distal small bowel mucosa, which is nonspecific; however, in the setting of postprandial angina, these findings are suspicious for chronic ischemic change, perhaps related to surgery and/or radiation.2.Decreased transit time. |
Generate impression based on findings. | Female, 13 years old. Eval for healing base of fifth metatarsal. History: foot painVIEWS: Right foot, AP, lateral, oblique (3 views) 3/18/2015, 1005 A nondisplaced fracture through the base of the fifth metatarsal showing focal sclerosis, compatible with healing fracture.Otherwise the osseous structures and joint space... | Healing nondisplaced fracture through the base of the right fifth metatarsal. |
Generate impression based on findings. | Classical Hodgkin lymphoma s/p 6 cycles of ABVD now with new symptoms worrisome of recurrence in need of restaging. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unremarkable. The major cervical vessels are paten... | No significant lymphadenopathy in the neck. |
Generate impression based on findings. | Reason: Patient with severe SOB. Needs PE CT stat History: severe SOB, has lung cancer. ? PE. PULMONARY ARTERIES: Technically adequate exam for evaluation of pulmonary embolism. No pulmonary embolus is identified.LUNGS AND PLEURA: Moderate central lobular emphysema. Reference measurements are as follows (series 9):Righ... | 1.No evidence of pulmonary embolism.2.Right lower lobe mass, bilateral pulmonary metastases, and mediastinal adenopathy demonstrate mixed response since previous exam, with reference measurements as above.3.Left adrenal nodularity; metastasis not excluded.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Mult... |
Generate impression based on findings. | Pain in right SI joint region and right low back pain with tenderness to palpation. Negative SLR. Question of basis of right-sided low back pain in a patient with gout and OA. AP view of the pelvis shows no acute fracture or malalignment. A punctate metallic density projects over the right greater trochanter and may re... | Degenerative changes as noted above. |
Generate impression based on findings. | 49-year-old male. Microscopic hematuria. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No renal or ureteral ston... | No specific findings to explain the patient's hematuria. |
Generate impression based on findings. | Female 57 years old Reason: crohns of the TI, stricturing disease, s/p multiple resections. with RUQ pain and stricture of TI noted on recent colonoscopy History: RUQ abdominal pain.Movie Series #8 and 26. Scout radiograph showed a nonobstructive bowel gas pattern with air fluid levels in the left hemicolon.Transit tim... | Focal area of narrowing at the site of prior anastomosis as described above without evidence of active disease. |
Generate impression based on findings. | Male 6 years old Reason: assess for constipation or obstruction History: abdominal pain, sickle cellVIEWS: Abdomen AP supine and upright 3/18/15 (two views) Normal abdominal gas pattern. No evidence of obstruction or free air. No ascites. | Normal examination. |
Generate impression based on findings. | Status post left total hip arthroplasty (anterior approach). AP view of the pelvis and single view of the left hip show a total hip arthroplasty device situated in anatomic alignment. A surgical drain is noted within the soft tissues of the left hip. Foci of air are postoperative. No fracture is evident. | Left total hip arthroplasty as above. |
Generate impression based on findings. | Male, 4 months old. Evaluate ng tube positionVIEW: Abdomen AP (one view) 3/18/2015, 1018 Nasogastric tube curled in the gastric fundus, with distal side port below the level of the GE junction. Right femoral catheter.Scattered air filled, somewhat featureless loops of bowel, with gas seen within the rectum.No evidence ... | Nasogastric tube terminates in the stomach. |
Generate impression based on findings. | 58 year old female who was recalled from screening mammogram for asymmetry in the left upper breast. Family history of breast cancer diagnosed in mother at age 40, maternal aunt, and maternal second cousin. An ML, MLO, left exaggerated CC lateral view and two spot compression views of the left breast were performed dig... | Asymmetry in the left posterior-superior breast partially persists on full-field view, needs further evaluation with 6 month follow-up to confirm stability. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended in 6 mont... |
Generate impression based on findings. | Reports left greater than right hand numbness, when lying down at night, relieved with upright. Evaluate for for cervical DJD. Two views of the cervical spine show degenerative disk disease with disk space narrowing at C4/C5, C5/C6, and C6/C7. There are small anterior osteophytes. Alignment is anatomic. No acute fractu... | Degenerative changes of the lower cervical spine as described above. |
Generate impression based on findings. | 7-year-old female with knee pain during sports, evaluate for fractureVIEWS: Left and right knee left lateral, right lateral, AP, skiers, sunrise (5 views) 3/18/15 No fracture or malalignment. No joint effusion. A lucent lesion with predominantly narrow zone of transition and sclerotic borders is eccentrically located i... | Epiphyseal/metaphyseal lesion could represent an early giant cell tumor, infection, fibrous cortical defect, or infarction; however malignancy such as chondroblastoma cannot be excluded. MRI is recommended to further evaluate. No fracture or malalignment. |
Generate impression based on findings. | Male; 56 years old. Reason: chronic pancreatitis History: (non calcific, 2/2 alcohol and TG) w extensive splenic and portal DVT ABDOMEN:LUNG BASES: Minimal bibasilar dependent subsegmental atelectasis. Low density of the cardiac blood pool, suggestive of anemia.LIVER, BILIARY TRACT: Diffuse hepatic steatosis, increased... | 1. Findings suggestive of pancreatic necrosis involving the body and tail. Improved peripancreatic free fluid and fatty stranding. Occluded splenic vein.2. Diffuse hepatic steatosis. |
Generate impression based on findings. | Evaluate point tenderness ventral, lateral wrist. Question of fracture or bone island. Three views of the right wrist reveal no acute fracture or malalignment. | No acute fracture is evident. |
Generate impression based on findings. | Male 56 years old; Reason: 56 year old man with history of OLT for cirrhosis. Has history of HCC and marginal zone lymphoma. Compare to prior CT scans for lymphadenopathy. History: None Evaluation limited by lack of intravenous contrast.CHEST:LUNGS AND PLEURA: Interval resolution of bilateral pleural effusions. Biapica... | 1.New pulmonary nodules and stable pulmonary nodules as described above are indeterminate.2.Progression of T6 vertebral body compression fracture.3.Inferior vena caval filter placement as described above. Consultation with interventional radiology is suggested.4.No definite lymphadenopathy. |
Generate impression based on findings. | Reason: left pleuritic pain, CT abdomen demonstrating LLL consolidation. h/o lung cancer on RIGHT. History: pain, shortness of breath LUNGS AND PLEURA: Postsurgical changes of a left upper lobectomy. The central airways are patent. Moderate to severe centrilobular emphysema. Small left pleural effusion and atelectasis ... | 1.Left lower lobe atelectasis and small pleural effusion. No suspicious findings to support recurrence. Recommend serial imaging to ensure resolution. 2.Postsurgical changes of a left upper lobectomy. Moderate to severe centrilobular emphysema.3.Aneurysmal dilatation of the ascending aorta.4.Common bile duct dilatation... |
Generate impression based on findings. | 74-year-old female with history of multiple myeloma, status post stem cell transplant. SKULL: Two views of the skull are within normal limits.CERVICAL SPINE: Two views of the cervical spine demonstrate degenerative disk disease of the lower cervical spine, including severe disk space narrowing at C6-7 and moderate disk... | Stable degenerative arthritic changes as described above. No discrete myelomatous lesions are identified. |
Generate impression based on findings. | 54-year-old female. Cervical cancer. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules.MEDIASTINUM AND HILA: Motion artifact limits accurate measurement of reference lymph nodes. Precarinal lymph node is 1.2 x 1 cm (series 3, image 38), unchanged. Right hilar reference node is 1.6 x 1.4 cm (series 3, image 38), p... | Increased size of soft tissue metastasis posterior to the left psoas muscle now invading the left L5 vertebral body and transverse process. Intrathoracic lymphadenopathy is stable. No new sites of disease. |
Generate impression based on findings. | 13-year-old male status post like lengthening procedure. Follow up evaluation. Three views of the right knee demonstrate normal anatomic alignment with open growth plates.Three views of the left knee demonstrate postsurgical changes related to epiphysiodesis. Again noted is a lucency at the distal aspect of the tibial ... | 1.Postsurgical changes as detailed above.2. Stable lucency at the distal aspect of the tibial component.3. Growth plates remain open on the right. |
Generate impression based on findings. | Frontal sinus: The frontal sinuses and right frontoethmoidal recess are clear. There is mild mucosal thickening of the left frontoethmoidal recess. Anterior ethmoids: There is minimal opacification of a right anterior ethmoid air cell, which are otherwise clear. There is moderate mucosal thickening of the left anterio... | Predominantly left-sided paranasal sinus disease with hyperdense material in the left maxillary sinus, which likely represent inspissated secretions. However, fungal colonization cannot be entirely excluded. |
Generate impression based on findings. | 60 year-old female with right knee pain, status post fall. Four views of the right knee demonstrate small tricompartmental osteophytes, consistent with mild osteoarthritis, similar to prior exam, although direct comparison is unable to be made, given lack of weight-bearing views. There is no acute fracture or malalignm... | Stable mild osteoarthritis; no evidence of fracture or malalignment. |
Generate impression based on findings. | Male; 60 years old. Reason: Evaluate for obstruction History: Abdominal pain ABDOMEN:LUNG BASES: Mild bibasilar subsegmental atelectasis and/or scarring. No visible coronary artery calcifications. Minimal amount of oral contrast within the distal esophagus, raising the question of gastroesophageal reflux. LIVER, BILIAR... | 1. Moderate acute pancreatitis as detailed above.2. Bilateral femoral head AVN, which can be due to alcohol use, steroids, or trauma among other etiologies. |
Generate impression based on findings. | 30-year-old female with history of left groin pain. An IUD is present in the pelvis. Very small lucencies around the bilateral femoral necks and intertrochanteric regions are worrisome for metastatic bone lesions. There is no acute fracture or malalignment. No significant soft tissue swelling. The sacroiliac joints and... | Very small lucencies around the bilateral femoral necks and intertrochanteric regions are worrisome for metastatic bone lesions; MRI including both proximal femurs is recommended for further characterization. |
Generate impression based on findings. | 69 year-old female with bilateral leg pain. Four nonweightbearing views of the left knee demonstrate no significant osteoarthritis. No evidence of fracture or malalignment.Four nonweightbearing views of the right knee demonstrate no significant osteoarthritis. No evidence of fracture or malalignment.Two views of the le... | Degenerative disk disease at L5-S1. Otherwise, unremarkable examination of the lumbar spine, hips, and knees. |
Generate impression based on findings. | Extensive postoperative are again seen from previous cranial vault reconstruction. There has also been evidence of previous suboccipital decompression. However, there is worsening of the abnormal caudal extent of the cerebellar tonsils below the level of the neo-foramen magnum, with increasingly pointed appearance. Th... | 1. Postoperative changes from Chiari decompression, with worsened caudal extension of the now pointed cerebellar tonsils below the level of the neo-foramen magnum. Worsened accompanying CSF flow imaging findings, with essentially lack of flow at the level of the neo-foramen magnum with only trace dorsal flow noted alon... |
Generate impression based on findings. | 35-year-old female with history of left knee pain. Four views of the left knee demonstrate no acute fracture or malalignment. No significant joint effusion. | No evidence of fracture or significant joint effusion. |
Generate impression based on findings. | Reason: had rul on earlier ct--has had mucous clearance bronchoscopically--change? History: cough LUNGS AND PLEURA: No significant interval change in peribronchial nodular and reticular peripheral/subpleural opacities in the bronchovascular distribution bilaterally. Focal consolidation in the right middle lobe is not s... | No significant interval change in diffuse peribronchial nodular and reticular peripheral/subpleural opacities in the bronchovascular distribution. Findings may represent sarcoidosis. |
Generate impression based on findings. | 41-year-old male with history of left ankle injury 3 months ago (never imaged), continued pain. Three views of the left ankle demonstrate well-corticated ossicles distal to the medial and lateral malleoli, which may relate to remote trauma. No acute fracture or malalignment identified. A normal variant os trigonum is p... | No acute fracture or malalignment is evident. |
Generate impression based on findings. | 19 year-old male with history of fifth metacarpal fracture. Two views of the right hand redemonstrate a fracture through the distal diaphysis of the fifth metacarpal, in near-anatomic alignment. Progressive callus formation and periosteal reaction along the fracture is indicative of interval healing. The fracture line ... | Interval healing of fifth metacarpal fracture, in near-anatomic alignment. |
Generate impression based on findings. | 57-year-old male. New diagnosis of metastatic prostate cancer. Evaluate for malignancy. CHEST:LUNGS AND PLEURA: Scattered bilateral pulmonary micronodules are indeterminate, for reference a lingular nodule is 4 mm (series 5, image 54). MEDIASTINUM AND HILA: Mildly enlarged right hilar lymph nodes, including a 1.3 x 1.4... | 1. Pelvic lymphadenopathy suspicious for local metastases. 2. Mildly enlarged right hilar lymph nodes.3. Scattered micronodules are indeterminate, favored to be post-inflammatory; special attention on follow-up scans.4. Nonspecific small sclerotic foci in the right ilium and left proximal femur, correlate with same day... |
Generate impression based on findings. | Female, 11 years old. Evaluate shunt History: headacheVIEWS: Shunt series: Skull AP/lateral (two views), chest AP/lateral (two views), abdomen AP/lateral (two views) 3/18/2015, 1029 An orphaned intracranial catheter fragment is similar in appearance to the prior CT exam dated 04/2009.The ventriculoperitoneal shunt cath... | No radiographic evidence of VP shunt malfunction. |
Generate impression based on findings. | Male 77 years old; Reason: Abdominal pain and diarrhea, evidence of colitis? Also pain in epigastrium, crampy, evaluated biliary tract ABDOMEN:LUNGS BASES: Status post sternotomy. Right lower lobe subcentimeter calcified granuloma. Small right middle lobe atelectasis/scarring.LIVER, BILIARY TRACT: Sites of possible sma... | 1. Sigmoid colon diverticulosis without evidence of acute diverticulitis. No significant colonic wall thickening or paracolic fat stranding seen to suggest acute colitis. Duodenal diverticulum. Some fecal material suggested in distal ileum, may reflect incompetent ileocecal valve. Contrast did not reach colon, likely s... |
Generate impression based on findings. | There is no evidence of acute intracranial hemorrhage. There is no mass, edema, or midline shift. There are bilateral patchy areas of white matter hypoattenuation including the frontal periventricular white matter, right internal capsule, and corona radiata. No hydrocephalus or extra axial collections. There is near c... | 1.No acute intracranial hemorrhage or mass effect. If there is continued suspicion for structural lesion, consider MRI for more sensitive evaluation.2.Patchy white matter hypoattenuation which is compatible with chronic small vessel ischemic disease. |
Generate impression based on findings. | History stress fracture, pain in the mid diaphysis. Two views of the right tibia and fibula are unremarkable. No radiographic abnormalities. Two views of the left tibia and fibula reveal sclerosis in the mid diaphysis of the tibia consistent with a stress fracture.. | Negative right tibia and fibula. Mid diaphyseal sclerosis in the left tibia consistent with the history of stress fracture |
Generate impression based on findings. | 85 years, Male. Reason: r/o obstruction History: abdominal distension There is a nonobstructive bowel gas pattern. Absent right kidney shadow. Surgical clips project over the right midline abdomen. Mild degenerative changes affect the bilateral hips and lower lumbar spine. | Mild ileus-type gas pattern. |
Generate impression based on findings. | 15-year-old male with history of fractureVIEWS: Right hand PA, oblique and lateral (3 views) 3/18/15 Again seen is a predominantly transverse fracture of the distal fifth metacarpal with volar angulation of the distal fracture fragment. New periosteal reaction consistent with healing. | Healing boxer's fracture. |
Generate impression based on findings. | Male; 70 years old. Reason: patient with a history or urothelial cancer, status post chemotherapy, please assess for disease progression History: urothelial cancer Lack of intravenous and oral contrast limits sensitivity for solid organ and bowel pathology, respectively.CHEST:LUNGS AND PLEURA: Stable right lower lobe n... | 1. Stable nonspecific right lower lobe pulmonary nodule. No new suspicious pulmonary nodule or mass.2. Status post right nephroureterectomy. No evidence of residual or recurrent disease. |
Generate impression based on findings. | 60 year-old female. Pain. Evaluate for hernia. EPIC history: h/o ventral hernia with pain near hernia. Small umbilical hernia on physical exam. Lack of intravenous contrast limits evaluation for solid organ pathology.CHEST:LUNGS AND PLEURA: A micronodule in the right upper lobe is unchanged from 2006 and benign. Faint ... | 1. Post-surgical findings of ventral hernia repair without evidence of a recurrent hernia. No bowel obstruction.2. Faint groundglass opacities in the right middle lobe likely represent aspiration and/or infection. |
Generate impression based on findings. | Please note that axial T2 star images are somewhat limited by artifact. The cervical spine is in normal alignment, with slight straightening of the normal cervical lordosis. There is minimal disk narrowing at C4-C5 and C5-C6. The remaining vertebral body and disk heights are well-maintained. No worrisome focal marrow ... | 1. Mild scattered cervical spondylotic changes with findings most prominent at C4-C5 where there is moderate-severe right foraminal narrowing with deformity of the right ventral cord as well as mild to moderate central spinal canal stenosis. There is likely impingement of the right ventral C5 nerve root, for which clin... |
Generate impression based on findings. | Female 76 years old Reason: s/p surgical repair hiatal hernia 2012; now with burping, dysphagia History: s/p surgical repair hiatal hernia 2012; now with burping, dysphagia Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Double contrast evaluation of the ... | 1.Postsurgical changes related to gastropexy with marked interval decrease in size of the hiatal hernia with only a small residual hiatal hernia present.2.Nonspecific reticulation of distal esophageal mucosa, incompletely evaluated secondary to poor contrast coating, may reflect changes related to esophagitis or possib... |
Generate impression based on findings. | 60 year-old male with history of lung cancer CHEST:LUNGS AND PLEURA: Moderate to severe centrilobular emphysema.Right apical mass contiguous with the posterior pleura measures 2.4 x 2.1 cm (series 5, image 97) previously 2.7 x 3.0 cm. No obvious osseous involvement.Surrounding interstitial thickening may reflect local ... | 1.Interval decrease in size of right posterior apical mass. Additional nodules in the left lung are not significantly changed.2.Striated nephrogram pattern bilaterally may represent pyelonephritis; correlation with urinalysis is recommended. |
Generate impression based on findings. | Male 72 years old; Reason: prostate cancer, eval for metasttatic disease History: prostate cancer CHEST:LUNGS AND PLEURA: Couple punctate granulomas in the left lung.MEDIASTINUM AND HILA: Numerous cardiomediastinal lymph nodes are noted, none larger than 1 cm in short axis. The largest measures up to 7 mm retrocaval pr... | 1.No evidence of metastatic disease. Please correlate with same day bone scan. |
Generate impression based on findings. | 79-year-old male. Prostate and bladder cancer. Evaluate for recurrence. Interval exam. Lack of intra-abdominal fat limits evaluation.ABDOMEN:LUNG BASES: Mild centrilobular emphysema.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedAD... | Left symphysis pubis metastasis, slightly increased in size. |
Generate impression based on findings. | 43 year old female recalled from screening mammography for round asymmetry in the right posterior lateral breast on CC view. MLO, ML, and CC spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is extremely dense, which lowers the sensitivity... | Scattered breast cysts. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Right greater than left base of tongue lesion seen on prior study is significantly decreased in size, with the right-sided mass now measuring 1.7 x 1.8 cm (series 10 image 36), previously 3.6 x 3.5 cm. The current measurement likely includes some normal lymphoid tissue in the lingual tonsils which is not delineated fr... | 1.Interval significant reduction in the size of the right base of the tongue lesion and right level 2 lymph node. Asymmetric enhancing tissue noted at left base of tongue which could represent residual tumor as previous tumor was noted across midline, versus lymphoid tissue.2.Borderline enlarged right level 1b lymph no... |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are ultrasound images of left breast and both axillae (3/4/15), images from ultrasound guided left breast biopsy (3/12/15) performed at Northwestern Memorial Hospital. ULTRASOUND IMAGES OF LEFT BREAST AND BOTH AXILLAE (3/4/15):A lobulated, oval-shaped m... | Biopsy proven left breast IDC.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 64-year-old male with questionable cavitary mass. PULMONARY ARTERIES: Adequate pulmonary artery opacification without evidence of pulmonary embolus. Pulmonary artery is borderline enlarged measuring 29 mm. LUNGS AND PLEURA: Small left pleural effusion with bilateral dependent atelectasis. Mosaic attenuation of the lung... | 1.No evidence of pulmonary embolism.2.Peripherally sclerotic lesions in the right scapula suspicious for skeletal infarcts and could represent the abnormality seen on chest radiograph. No cavitary pulmonary lesions. 3.Very mild peribronchovascular groundglass opacities in the right lung may reflect asymmetric pulmonary... |
Generate impression based on findings. | 49-year-old male. Classical Hodgkin's lymphoma status post 6 cycles of ABVD now with new symptoms. CHEST:LUNGS AND PLEURA: Scattered micronodules are likely postinflammatory, special attention on follow-up scans.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Normal heart size without pericardial effusion... | No lymphadenopathy in the chest, abdomen, or pelvis. |
Generate impression based on findings. | RFO trigger: R/O RFO Suspected RFO location: abdomen Name of suspected RFO: none Attending Surgeon name/pager: Dr. MIllis/8217 Body Mass Index (BMI): 33.9 Surgical drain tip projects over the midline upper abdomen. Pneumoperitoneum, presumably postoperative in etiology. Left retrocardiac opacity suggest atelectasis. No... | No unexpected radiopaque foreign object.These findings were discussed by telephone with Dr. Millis, the attending surgeon, on 3/18/2015 at 11:52. |
Generate impression based on findings. | Clinical question: Intracranial stenosis. Signs and symptoms: Recent TIA like episodes. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Very subtle small foci of low attenuation of white matter in the subcortic... | 1.Unenhanced head CT demonstrates subtle findings of age indeterminate small vessel ischemic strokes and unremarkable otherwise minimal bilateral calcification2.Neck CTA demonstrate no evidence of hemodynamically significant vascular compromise. Mild vascular calcification at the origins of bilateral vertebral and comm... |
Generate impression based on findings. | 60-year-old female with a history of left breast invasive ductal carcinoma status post left mastectomy in 2010. She also had a benign right breast biopsy in 2013. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fib... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Reason: 48 y/o female with breast cancer; surgery 2/20/15 in DCAM for Right breast SNBx History: breast cancer RADIOPHARMACEUTICAL: The right breast was prepared in a sterile manner. A total of 0.51 mCi Tc-99m filtered sulfur colloid was injected in four peri-lesional sites. Two foci of increased activity are noted in ... | Sentinel nodes identified in the right axilla. |
Generate impression based on findings. | Reason: prostate cancer, eval for bone mets No abnormal osseous foci are identified to indicate metastatic disease.Scattered areas of degenerative radiotracer uptake are present at the T8-9 vertebral level and along the right L4-5 facet which are confirmed on CT. Urine contamination is visualized which resolves on subs... | No evidence of bone metastasis. |
Generate impression based on findings. | Chronic nasal congestion, cough and PND; polypoid tissue seen on left side along nasal floor under inferior turbinate. There is a nonspecific subcentimeter opacity in the left inferior meatus. The nasal septum is deviated slightly towards the right. There are postoperative findings related to endoscopic sinus surgery, ... | 1. Nonspecific subcentimeter opacity in the left inferior meatus. 2. Slight nasal septal deviation. 3. Postoperative findings related to endoscopic sinus surgery with a small amount of paranasal sinus opacification in a sporadic pattern. |
Generate impression based on findings. | 11 day old former 27 week twin gestational age patient with increased oxygen requirementsVIEW: Chest AP (one view) 03/18/15, 0736 Feeding tube tip is distal to proximal gastric body and not included on the image. Umbilical venous line tip is at junction of inferior vena cava and right atrium.Cardiothymic silhouette is ... | Persistent hazy lung opacities. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in multiple sisters and aunts. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No susp... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Sister with breast cancer. Two standard digital views of both breasts (obtained on 9 images) were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, 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: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history breast cancer in her paternal grandmother and two aunts. 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 ... | 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. | Again noted are postoperative changes from prior left suboccipital craniotomy, including a linear surgical cavity and mild surrounding gliosis. There are scattered foci of susceptibility in the surgical bed consistent with chronic hemosiderin deposition. There is no abnormal enhancement to suggest tumor recurrence. Th... | Continued stable appearance of postoperative changes within the posterior fossa, without evidence of tumor recurrence. |
Generate impression based on findings. | Right hand tingling. Neck stiffness. Severe degenerative disk disease affects C3/4 with anterior and posterior vertebral body osteophytes. Moderate to severe degenerative disk disease affects C5/6 with anterior and posterior vertebral body osteophytes. Moderate degenerative disk disease affects C6/7. There are perhaps ... | Degenerative disk disease as above. |
Generate impression based on findings. | Female 80 years old; Reason: baseline exam prior to starting new systemic therapy; please give bi-dimensional measurements History: hx of metastatic bladder cancer CHEST:LUNGS AND PLEURA: New small right greater than left pleural effusions. Index right lower lobe nodule measuring 2.6 cm seen on prior CT exam not well v... | 1. Interval improvement in previously seen right-sided hydronephrosis with right-sided nephroureteral stent now seen and exiting right-sided urostomy. Asymmetrically smaller right kidney with cortical scarring seen. Mild bilateral hydronephroureter, left greater than right (on left side, new; on right side, improved). ... |
Generate impression based on findings. | Evaluate dorsal soft tissue mass. There is a mass within the soft tissues of the foot dorsal to the metatarsal bases seen on the lateral view, which I suspect is approximately 1-2 cm in long axis. It is nonspecific and does not show mineralization or erosion of the underlying bone. There is a mild flat foot deformity. ... | Nonspecific dorsal soft tissue mass as described above. This can be further evaluated with ultrasonography or MRI if clinically warranted. |
Generate impression based on findings. | Left knee pain and crepitance. Osteoarthritis? Three views of the left knee are provided. Small osteophytes and mild medial compartment narrowing indicate mild osteoarthritis. The bones appear slightly demineralized. There is a moderate-sized joint effusion.Mild osteoarthritis affects the right knee as seen on the fron... | Osteoarthritis. |
Generate impression based on findings. | Right sided nasal obstruction; right sided nasal mass seen on exam. There is a polypoid opacity in the right nasal cavity with associated truncation of the middle and inferior turbinates. There are multiple polypoid opacities in the maxillary sinuses, moderate mucosal thickening in the sphenoid sinuses, and scattered o... | The findings are indicative of sinonasal polyposis. |
Generate impression based on findings. | Osteoarthritis of the left hip. Left hip pain. Please reevaluate. Severe osteoarthritis affects the hip, which has progressed when compared with the prior study. | Severe osteoarthritis. |
Generate impression based on findings. | The lumbar spine is in normal alignment, with straightening of the normal lumbar lordosis. The vertebral body and disk heights are similar, with multilevel disk narrowing and desiccation, up to moderate-severe in degree at L4-L5. No worrisome focal marrow signal abnormality is appreciated. The distal spinal cord and c... | 1. No significant interval change in multilevel severe spondylosis with up to severe central spinal canal stenosis at L2-L3 and multilevel high-grade foraminal narrowing as detailed above.2. Persistent prominence of the right renal collecting system including the entire visualized right ureter. Please correlate clinica... |
Generate impression based on findings. | Hand pain for 3 weeks. No trauma. Alcohol abuse. Rule out bony pathology. There are osteophytes at the second and third metacarpophalangeal joints. While this could reflect posttraumatic osteoarthritis, this finding can also be seen in patient's with CPPD arthropathy (although no chondrocalcinosis is evident) or hemoch... | Arthritic changes at the second and third MCP joints as above. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no acute intracranial hemorrhage or depressed calvarial fracture. There are scattered punctate areas of abnormal low attenuation in the periventricular and subcortical white matter, consistent with minimal age-indeter... | No acute intracranial hemorrhage or calvarial fracture. |
Generate impression based on findings. | Confusion, evaluate sinus disease No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits for age without evidence of hydrocephalus. No extra-axial collections... | 1. No evidence of intracranial hemorrhage or mass effect. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion.2. No significant paranasal sinus disease. |
Generate impression based on findings. | 6-8 months of intermittent ache in the mid thoracic chest wall, posterior axillary line, around T5. Remote history of renal cancer in 2008. A marker was placed along the lateral aspect of the right lower rib cage. I see no underlying fracture or other specific findings to account for patient's pain. Moderate degenerati... | Degenerative disk disease without rib fracture or other specific findings to account for the patient's rib pain. |
Generate impression based on findings. | Stage IVA HPV-positive right tonsil T2N2b squamous cell carcinoma with recurrent mediastinal adenopathy, currently enrolled in anti-PD1 MK3475/pembrolizumab clinical trial. Neck: There are post-treatment findings in the neck, including edema in the right oropharynx. There is no measurable residual right tonsil mass. Ho... | 1. Post-treatment findings in the neck with increased right lower cervical lymphadenopathy, but no evidence of measurable right tonsil mass. 2. No evidence of intracranial metastases. |
Generate impression based on findings. | Status post ORIF right distal fibular fracture, evaluate for healing. A side plate and screws affix a fracture of the distal fibula in near-anatomic alignment. The superior aspect of the fracture remains visible on the lateral view, although more distally the fracture is indistinct, suggesting some interval healing. Th... | Orthopedic fixation of distal fibular fracture as above. |
Generate impression based on findings. | Left hip pain Moderate osteoarthritis affects the hip. Mild degenerative arthritis also affects the visualized left sacroiliac joint. There are chronic enthesopathic changes along the iliac wing, ischium and trochanters. | Osteoarthritis. |
Generate impression based on findings. | There is straightening of the cervical lordosis on sagittal view and mild dextroconvex curve of the cervical spine on AP view, which is likely positional. There is no evidence of acute fracture of the cervical spine. There is suggestion of minimal posterior positioning of C2 with respect to C3 at the spinolaminar line... | 1. No acute fracture of the cervical spine. 2. Suggestion of minimal posterior positioning of C2 with respect to C3 at the spinolaminar line and slightly decreased interspinous space at C2-3, which may be related to dextro convex positioning. MRI may be considered for evaluation of ligamentous injury, if there is conti... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with additional bilateral MLO views 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 suspicio... | 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. | Bilateral hand contractures. Severe osteoarthritis? Three views of the left hand are provided. Evaluation of the digits is limited by the patient's flexion contractures. The soft tissues appear slightly edematous. Mild osteoarthritis affects the interphalangeal joints. There is chondrocalcinosis affecting the second, t... | Arthritic changes as described above compatible with a combination of osteoarthritis and CPPD arthropathy. Overall the degree of arthritis appears to have progressed slightly since 2005. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 59 year old 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 heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses, microcalcificatio... | 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. | Clinical question: Altered mental status. Signs and symptoms: Altered mental status. Nonenhanced head CT:No detectable acute intracranial process. CT however is sensitive for early detection of acute nonhemorrhagic ischemic strokes.Diffuse prevertebral subcortical low attenuation of white matter highly suspected of age... | 1.No acute intracranial process.2.Extensive age indeterminate small vessel ischemic strokes |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history breast cancer in her mother at age 64. 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, uncha... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. New focal asymmetry in the posterior depth of t... | New right breast 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. | Pneumomediastinum. Chest pain, had and neck and throat pain yesterday. LUNGS AND PLEURA: No pneumothorax, minimal extrapleural air extension from the pneumomediastinum at the thoracic inlet level and posterior to the right hilum. Very mild pulmonary interstitial emphysema extending along the proximal airways at the lev... | Extensive pneumomediastinum without visible source. |
Generate impression based on findings. | Neuroblastoma s/p autoSCT, thrombocytopenic with worsening SAH. There is significant change in the scattered foci of subarachnoid hemorrhage. The grey-white matter differentiation appears to be intact. The ventricles are unchanged in size and configuration. There is no midline shift or herniation. There is new fluid wi... | No significant change in the scattered foci of subarachnoid hemorrhage. |
Generate impression based on findings. | Male, 54 years old, reportedly correct counts. Right-sided pelvic drainage catheter. Additional left approach drainage catheter seen with tip coiled in pelvis. Adjacent to tip of this catheter is rounded heterogeneous radiodensity measuring 1.1 cm, of uncertain etiology but may be a colonic diverticulum containing insp... | Right-sided pelvic drainage catheter. Additional left approach drainage catheter seen with tip coiled in pelvis. Adjacent to tip of this catheter is rounded heterogeneous radiodensity measuring 1.1 cm, of uncertain etiology but may be a colonic diverticulum containing inspissated contrast, patient had multiple colonic ... |
Generate impression based on findings. | Evaluate status post right TKA with infection Evaluation is slightly limited due to inability to optimally position the patient. I see no hardware, although there is a cement spacer device. Alignment is near-anatomic. I see no specific radiographic features of active osteomyelitis. | Cement spacer. |
Generate impression based on findings. | There is slight interval increase in mild prominence of the ventricles and sulci, consistent with mild age-related volume loss. There is no midline shift or mass effect. There is no acute intracranial hemorrhage. There are scattered punctate and confluent areas of abnormal low attenuation in the periventricular and su... | 1. No acute intracranial hemorrhage. 2. Slight interval increase in mild age-related volume loss. Stable mild chronic small vessel ischemic changes. Please note that CT is insensitive for the detection of acute nonhemorrhagic ischemic event. If there is continued clinical concern and there are no contraindications, MRI... |
Generate impression based on findings. | Status post ORIF left proximal humerus A plate and screw device affixes a fracture of the proximal humerus in near-anatomic alignment. I see no hardware complications. There is slight inferior subluxation of the humeral head with respect to the glenoid, perhaps representing an overlying joint effusion. | Orthopedic fixation of proximal humerus fracture. |
Generate impression based on findings. | Relapsed mantle cell lymphoma now on Ibrutinib. For restaging.RADIOPHARMACEUTICAL: 11.3 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 82 mg/dL. Today's CT portion grossly demonstrates bilateral maxillary chronic appearing sinusitis. Mild bilateral upper lobe emphysematous changes are noted. Multiple border... | 1.Complete interval resolution of previous hypermetabolic tumor foci within the abdomen and pelvis.2.At least partial improvement in the neck and thorax. Decreased but residual lymph node activity in the right axilla and neck may reflect inflammation or some residual tumor metabolism. Stable hypermetabolic hilar and me... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and 2 repeat left MLO views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masse... | 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. | Right hip pain. Rule out fracture. Mild osteoarthritis affects the hip. I see no fracture. There are mild enthesopathic changes along the visualized portions of the iliac crest. | Mild osteoarthritis without fracture evident. If there is strong clinical concern for fracture, CT or MRI may be considered. |
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. There is an asymmetry in the ... | Asymmetry in the posterior depth of the left breast for which further evaluation with laterally exaggerated CC view, 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. | Right foot pain. Evaluate base of metatarsal fractures Again seen are fractures through the bases of the third and fourth metatarsals with adjacent periosteal new bone formation indicating an attempt at healing. When compared to prior study, there appears to be a slight increase in callus along the base of the third me... | Multiple fractures as described above with slight progression of callus formation along the base of the third metatarsal. |
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 heterogeneously dense, which may obscure small masses. No suspicious masses, microcalcifications or areas of architectural distortio... | 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... |
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