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Generate impression based on findings. | 25-year-old female with history of Ewing sarcoma and pulmonary metastasis post resection. LUNGS AND PLEURA: Small left apical pneumothorax which appears smaller than on the most recent chest radiograph. Postsurgical changes and nonspecific soft tissue thickening in the resection site measuring 3.3 x 1.9 cm (series 4, i... | 1.Improved small left apical pneumothorax.2.Postsurgical changes and nonspecific soft tissue thickening at the site of resection of previously seen metastasis is favored to represent scarring, however interval follow-up imaging is recommended to ensure stability and/or resolution. |
Generate impression based on findings. | Brain: There is no evidence for intracranial hemorrhage. No evidence of intracranial mass, mass-effect, or hydrocephalus. No evidence of fracture. There are no extraaxial fluid collections. Right sphenoid sinus mucous retention cyst. Otherwise visualized portions of the paranasal sinuses and mastoid air cells are clea... | 1. No evidence of intracranial hemorrhage or mass effect. If there is suspicion for acute ischemia, MRI can be considered.2. No evidence of calvarial fracture. No evidence of fracture or subluxation in the cervical spine. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Prior benign left breast biopsies. 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 distribu... | 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. | Nasopharynx cancer status post SBRT to lung. CHEST:LUNGS AND PLEURA: Areas of wedge resection in the right lung.Left upper lobe nodule remains 3-mm (5/24), but has decreased in density. Left upper lobe subsegmental atelectasis or scarring occurs in the region of the nodule, new from previous. Probable subpleural/intrap... | 1. Nonvisualization of the right hepatic vein with abnormal attenuation pattern in the right lobe suspicious for right hepatic vein thrombosis. Correlation with duplex ultrasound liver recommended. Dr. Haraf verbally notified.2. Decrease in density of the index left upper lobe micronodule. . No new pulmonary lesions ar... |
Generate impression based on findings. | Reason: Sarcoidosis with hilar adenopathy on CXR, mild dyspnea, evaluate for parenchymal involvement History: dyspnea. LUNGS AND PLEURA: No focal consolidation, pleural effusion or suspicious nodules. Few scattered calcified micronodules.MEDIASTINUM AND HILA: Heart size is normal with no pericardial effusion. No corona... | 1.Mediastinal, bilateral hilar, and upper abdominal lymphadenopathy, distribution is most compatible with sarcoidosis. If there is no tissue diagnosis on this patient however posterior compartment involvement may be also seen in entities such as lymphoma.2.No evidence of pulmonary parenchymal involvement.3.If the patie... |
Generate impression based on findings. | Female 5 years old Reason: eval cardiac anatomy History: PA/VSD s/p Fontan. Two pacer leads and multiple surgical clips are noted.Left Ventricle: Large left ventricle with neo-cardial wall thickness about 1 cm up to 13 mm.Right Ventricle: Hypoplastic right ventricle noted. Left Atrium: The left atrium is enlarged. Ther... | 1. Patent Fontan procedure with preferential circulation to the right lung. 2. Aortic root dilatation, likely postsurgical.3. Right ventricular hypoplasia and small right atrium.4. Left ventricular enlargement/hypertrophy.5. No significant collateral circulation (either Venovenous or intrapulmonary) was observed. Dr. P... |
Generate impression based on findings. | Follow-up for impending fracture noted on bone scan. History of prostate cancer. There is a sclerotic lesion in the humeral head compatible with metastatic prostate cancer. I see no destruction of the overlying cortical bone. Additional metastatic foci are noted within the visualized right ribs. Mild osteoarthritis aff... | Metastatic prostate cancer and other findings as above. |
Generate impression based on findings. | 78 years, Female. Reason: evaluate for constipation History: evaluate for constipation Gastrostomy tube in place with gastrojejunostomy extender tip terminating in the proximal jejunum beyond the ligament of Treitz. There is a nonobstructive bowel gas pattern. Below average stool burden. Orthopedic rod and screw fixati... | There is a nonobstructive bowel gas pattern. |
Generate impression based on findings. | Female, 15 years old. Reason: Evaluate for etiology of lymphedema LIVER: The liver measures 14.8 cm, has normal echotexture, without focal lesion.GALLBLADDER, BILIARY TRACT: The gallbladder is normal in appearance. No gallbladder wall thickening.The common bile duct measures 0.3 cm.PANCREAS: The visualized portions of ... | Normal examination. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Previous benign MRI guided biopsy of the left breast. Family history of breast cancer in her mother and sister. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is he... | 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. | 56 years, Female. Reason: Assess for obstructive signs History: Hx of renal transplant, abd distension and pain There is a nonobstructive bowel gas pattern. Surgical clips project over the right iliac fossa. | There is a nonobstructive bowel gas pattern. |
Generate impression based on findings. | Left knee pain status post fall for one week. Swelling. Fracture? I see no fracture, malalignment, or large joint effusion. I see no specific findings to account for the patient's pain. | No fracture or other specific findings to account for the patient's pain are evident. |
Generate impression based on findings. | 68-year-old female with left hip pain status post ground level fall. Single view of the pelvis demonstrates minimal osteoarthritis of the bilateral hip joints. No fracture or malalignment is evident. The remainder of the pelvis is unremarkable. | Minimal hip osteoarthritis, otherwise normal exam. |
Generate impression based on findings. | Male; 35 years old. Reason: eval for cancer recurrence History: prior h/o early stage colorectal cancer ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Scattered subcentimeter hypoattenuating foci in the right lobe of the liver are too small to characterize but stable since prior study and mos... | 1. Postsurgical change from extended right hemicolectomy with ileocolic anastomosis. No evidence of residual or recurrent disease.2. No evidence of metastatic disease in the abdomen and pelvis.3. Chronic-appearing mild compression deformity of the L2 vertebral body, though new since prior study. |
Generate impression based on findings. | Status post fracture Again seen is a plate and screw device affixing a fracture of the distal clavicular diaphysis in near-anatomic alignment. Portions of the fracture are slightly less distinct on the current study than on the prior study, suggesting some interval healing. I see no hardware complications. | Orthopedic fixation of healing clavicle fracture as above. |
Generate impression based on findings. | Reason: eval for malignancy. new diagnosis of metastatic prostate cancer History: metastatic prostate cancer to the skull base A large area of uptake in the left skull base corresponds with the patient's biopsy proven metastasis. Additionally, there are areas of radiotracer uptake in the right para-symphyseal pelvic bo... | Multiple osseous metastases in the left skull base and right pelvis. |
Generate impression based on findings. | Status post allograft placement. Osteosarcoma. No symptoms currently. Two views of the left tibia/fibula again show plate and screw devices affixing allograft between the native proximal tibial epiphysis and proximal tibial diaphysis in near anatomic alignment. I see no hardware complications. The proximal osteotomy ma... | Orthopedic fixation of healing allograft as described above. |
Generate impression based on findings. | Reason: lung ca @ 2008. S/p resection and adjuvant therapy. Pls c/w previous study and evaluate dz status. History: lung ca. CHEST:LUNGS AND PLEURA: Postsurgical findings of right upper lobectomy redemonstrated. Few scattered bilateral nonspecific pulmonary micronodules are stable. No suspicious pulmonary nodules ident... | No evidence of metastatic disease. |
Generate impression based on findings. | Head and neck tonsillar cancer status post chemoradiation. New thoracic and cerebellar abnormalities on CT. Restaging exam.RADIOPHARMACEUTICAL: 13.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 113 mg/dL. Today's CT portion grossly demonstrates medium to large bilateral pleural effusions. Small pericardia... | Marked interval tumor progression with widespread new hypermetabolic metastatic disease from the head through pelvis involving brain, osseous, pulmonary, intramuscular, and lymph node metastases. |
Generate impression based on findings. | 66 years, Male. Reason: please check dobhoff placement History: above There is a Dobbhoff tube with its tip projecting over the body of the stomach. There is a nonobstructive bowel gas pattern. Chest tubes and mediastinal drains in place. Epicardial pacer leads project over the lower mediastinum. | Dobbhoff tube the tip projecting over the body of the stomach |
Generate impression based on findings. | Back pain for years prolonged morning stiffness. Evaluate for inflammatory back pain. Three views of the sacroiliac joints are provided. Mild degenerative arthritic changes affect the sacroiliac joints, but I can see no radiographic findings to suggest inflammatory sacroiliitis. Vacuum phenomenon within the joints argu... | Degenerative arthritic changes of the sacroiliac joints and lumbar spine as above. |
Generate impression based on findings. | 73-year-old male with new leukemia, evaluate lung disease prior to treatment and bronchoscopy. LUNGS AND PLEURA: Small left pleural effusion with adjacent atelectasis. Interlobular and intralobular septal thickening with groundglass and focally consolidative opacities predominantly in the upper lobes and superior segme... | Dependent ground glass opacity predominantly in the lung apices with interstitial septal thickening, bronchial wall thickening, and bronchiectasis is in an atypical distribution for pulmonary edema, hemorrhage, or drug toxicity. Differential diagnosis includes aspiration pneumonitis. Pattern is also atypical for PCP in... |
Generate impression based on findings. | Female, 5 years old. Reason: Adenoid Hypertrophy History: nasal congestion, rhinorrheaVIEWS: Soft tissue neck lateral(one view) 3/18/2015, 1243 Enlargement of the adenoids, with associated complete obstruction of the nasopharynx.The palatine tonsils are not significantly enlarged.The epiglottis is normal.The visualized... | Adenoid hypertrophy with associated nasopharyngeal obstruction. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of ovarian cancer in her mother. Two standard digital views of both breasts with repeat bilateral MLO views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No sus... | 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. | 34 years, Female. Reason: 34yoF neuroblastoma s/p ASCT with abd distention History: as above Surgical clips project over the right upper quadrant. There is a Dobbhoff tube with its tip projecting over the fundus of the stomach. There is a nonobstructive bowel gas pattern. IUD in place. | There is a nonobstructive bowel gas pattern. |
Generate impression based on findings. | Pain. Preop. Three views of the right knee show severe tricompartmental osteoarthritis with near-bone-on-bone apposition of the lateral tibiofemoral and patellofemoral compartments. Components of a left total knee arthroplasty are situated in near anatomic alignment as seen on the frontal view.Mechanical axis radiograp... | Osteoarthritis and valgus deformity of the knee as above. |
Generate impression based on findings. | 53y/o female with breast cancer; post chemo; surgery 3/18/15 Left breast wire loc partial mastectomy and Left axillary SNBx RADIOPHARMACEUTICAL: The left breast was prepared in a sterile manner. A total of 0.45 mCi Tc-99m filtered sulfur colloid was injected in four peri-lesional sites. A faint focus of increased activ... | Sentinel node identified in the left axilla. |
Generate impression based on findings. | Reason: prostate cancer History: prostate cancer Focal radiotracer uptake along the left pubic symphysis is somewhat increased in size compared to the prior study. Overlying activity is noted in the patient's right lower quadrant urostomy bag. No new discrete metastatic lesions are identified. Scattered areas of degene... | Increased size of left pubic metastasis. No additional osseous metastatic lesions identified. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. There is opacification of the visualized left maxillary and bilateral ethmoid sinuses. The visualized po... | No acute intracranial abnormality. |
Generate impression based on findings. | Status post total hip arthroplasty. Postop prosthetic assessment. Two views of the right hip show components of a total hip arthroplasty device situated in near anatomic alignment without radiographic evidence of hardware complication. A suture anchor overlies the acetabulum.Three views of the pelvis reveal the aforeme... | Total hip arthroplasty as above. |
Generate impression based on findings. | Female, 6 years old. Increased work of breathing. Evaluate for pneumonia.VIEW: Chest AP (one view) 3/18/2015, 1324 Tracheostomy tube tip below the level of the thoracic inlet. Gastrostomy tube in place.Postoperative changes in the ribs are again seen.The lateral two thirds of the right hemithorax remain opacified, with... | Hypoplastic right lung. Left lung without focal opacity, and with increased volume compared to the prior exam, which may be related to bronchiolitis or airway compression. |
Generate impression based on findings. | Reason: restaging lung ca History: restaging. CHEST:LUNGS AND PLEURA: Interval resolution of left lower lobe inflammation/infection. Large loculated right pleural effusion appears similar. Diffuse nodular pleural thickening in the right hemithorax compatible with tumor is not significantly changed. Reference measuremen... | No significant interval change in extensive pleural tumor in the right hemithorax and mediastinal lymphadenopathy.Resolution of left upper lobe inflammation/infection.Assessment of the upper abdomen is limited; a baseline CT of the abdomen and pelvis may be considered with oral and IV contrast. |
Generate impression based on findings. | Bilateral shoulder pain for 7 to 8 months Three views of the left shoulder are provided. The shoulder appears normal with no specific findings to account for the patient's pain.Three views of the right shoulder are provided. There is an os acromiale, a normal variant. The shoulder otherwise appears normal without findi... | No specific findings to account for the patient's shoulder pain. There is an os acromiale on the right, a normal variant that can occasionally be associated with rotator cuff impingement. If further imaging evaluation of the rotator cuff is clinically warranted, MRI may be considered. |
Generate impression based on findings. | 30 year-old female with right foot and ankle pain. Three views of the right ankle demonstrate normal anatomic alignment, without evidence of acute fracture. There is no significant soft tissue swelling. No joint effusion is evident.Three views of the right foot are unremarkable. | No evidence of fracture or malalignment. |
Generate impression based on findings. | Headache, rule-out shunt malfunction Ventricular system is decompressed and significantly decreased in size compared to remote CT dated 4/23/2009. No recent comparison study is available. Again seen is a right transfrontal ventriculostomy catheter with tip in unchanged position at the foramen of Monro. Again seen is a ... | 1. Ventricular system is decompressed and significantly decreased in size compared to remote CT dated 4/23/2009. No recent comparison study is available.2. No intracranial hemorrhage or mass effect. |
Generate impression based on findings. | There is redemonstration of an extensive encephalomalacia changes in the right ACA and MCA territories with mild ex vacuo dilatation of the right lateral ventricle, consistent with prior areas of infarct. The ventricles and sulci are prominent, consistent with moderate age-related volume loss. There is no midline shif... | 1. No acute intracranial hemorrhage.2. Chronic right MCA and ACA territory infarcts with extensive encephalomalacia. Mild age-indeterminate small vessel ischemic changes especially the left parietal white matter. If there remains clinical concern for an acute ischemic event, MRI of the brain is recommended.3. Incidenta... |
Generate impression based on findings. | Female; 67 years old. Reason: months of epigastric pain and pt reports possible mass from outside hospital studies History: epigastric pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormali... | 1. Nonspecific ill-defined soft tissue density within the mesenteric fat at the base of the mesentery as detailed above. Overall, the findings are nonspecific and may be related to inflammation such as acute panniculitis, though tumor (e.g. lymphoma) cannot be excluded. The appearance would be atypical for inflammation... |
Generate impression based on findings. | Follow-up from surgery The previously seen orthopedic screws affixing the Lisfranc articulation have been removed. Two screws now affix the 1st tarsometatarsal joint. Plate and screw devices affix the second and third tarsometatarsal joints. Alignment is grossly anatomic, with slight abduction of the forefoot relative ... | Orthopedic fixation of the tarsometatarsal joint as above. |
Generate impression based on findings. | 64-year-old female with pain status post injury. Single view of the pelvis demonstrates a slightly demineralized appearance of the bones, consistent with osteopenia. Mild osteoarthritis affects the bilateral hip joints. Degenerative arthritic changes also affect the lower lumbar spine. The sacroiliac joints are unremar... | Postop changes of total knee arthroplasty and degenerative arthritic changes of the hips and lower lumbar spine, without acute fracture. |
Generate impression based on findings. | Male; 44 years old. Reason: 44 M with metastatic renal medullary carcinoma, on chemotherapy holiday, please evaluate for interval change since prior CHEST:LUNGS AND PLEURA: Stable mild bibasilar ground glass opacities consistent with scarring. Previously seen right upper lobe nodule has resolved, likely post infectious... | 1.Small bilateral nodular opacities as described above are nonspecific, and attention at follow-up is recommended.2.Slightly increased size of retrocrural lymphadenopathy. |
Generate impression based on findings. | 82-year-old female with new lung nodule LUNGS AND PLEURA: Severe centrilobular emphysema. Left upper lobe granuloma. No new pulmonary nodules or masses. No pleural effusion or pneumothorax.Right lower lobe bronchiectasis and consolidation consistent with radiation fibrosis. Cluster of nodules in the right costophrenic ... | 1.Interval decrease in right lower lobe nodule likely post-inflammatory or -infectious in etiology. 2.No significant change in lymphadenopathy. |
Generate impression based on findings. | Headache, rule-out bleed 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. The vis... | No evidence of intracranial hemorrhage or mass effect. |
Generate impression based on findings. | Clinical question: Brain cyst reported. Signs and symptoms: stuttering. Enhanced head CT:There are no prior exams for comparison. If such a studies are available and provided to radiology department and an addendum to this report MIBI submitted review and comparison.Examination demonstrates no evidence of abnormal pare... | 1.No acute intracranial process and no evidence of a cyst. 2.Tiny focus of low-attenuation overlapping the left anterior limb of internal capsule which could represent an age indeterminate lacunar infarct.3.Unremarkable enhanced head CT otherwise. |
Generate impression based on findings. | 11 year old female with history of craniosynostosis and VP shunt. There is a left parietal approach ventriculostomy catheter terminating within the left atrium. The ventricles are decreased in size since 11/18/2013 and are similar in appearance to the exam dated 10/15/2012. There is an unchanged pineal region cyst or c... | 1.Interval fracture of the shunt catheter below the valve with 8 mm discontinuity. 2.Interval decrease in size of the ventricles. 3.Multiple congenital intracranial abnormalities again seen, better delineated on prior MRI.4.Dysmorphic and brachycephalic appearance of the skull, with post-operative findings involving th... |
Generate impression based on findings. | Pain Minimal osteoarthritis affects scattered interphalangeal joints. There may also be mild osteoarthritis of the first metacarpophalangeal joint. The bones appear slightly demineralized. I otherwise see no specific findings to account for the patient's pain. | Minimal osteoarthritis. |
Generate impression based on findings. | There is mild soft tissue thickening in the surgical bed in the left premalar region, which is slightly decreased from the prior examinations. The parapharyngeal soft tissues appear normal. The bilateral parotid and submandibular glands are normal. There is no significant cervical lymphadenopathy. The partially imaged... | 1. Continued evolution of postoperative findings in the left cheek without evidence of local recurrence or lymphadenopathy.2. Partially imaged enlargement of the left lateral ventricle and left temporal lobe volume loss. Dedicated brain imaging may be useful for further characterization, if clinically warranted. |
Generate impression based on findings. | 70-year-old male with a history of fall two weeks ago; persistent pain and swelling of the left lateral foot. Three views of the left foot and 3 views of the left ankle are provided. There is soft tissue swelling about the lateral aspect of the ankle as well as the lateral mid- and hindfoot, without underlying fracture... | Soft tissue swelling and osteoarthritis as detailed above, without acute fracture. |
Generate impression based on findings. | Frontal sinus: The frontal sinus and frontoethmoidal recesses are clear.Anterior ethmoids: The right anterior ethmoid air cells are clear. There is minimal opacification of a left anterior ethmoid air cell, which are otherwise clear.Maxillary sinuses: There is a linear septation and mucus retention cyst in the right m... | Minimal paranasal sinus disease with mild opacification of the left anterior ethmoid air cell and small right maxillary mucous retention cyst. Paranasal sinuses are otherwise clear. |
Generate impression based on findings. | 46-year-old female status post partial thyroidectomy. History of nodules. RIGHT LOBE MEASUREMENTS: 5.3 x 1.7 x 1.5 cm, unchanged.LEFT LOBE MEASUREMENTS: 5.3 x 1.5 x 1.4 cm, slightly larger.ISTHMUS MEASUREMENTS: ResectedRIGHT LOBE: Normal parenchymal echotexture. No nodules identified.LEFT LOBE: Normal parenchymal echot... | No substantial interval change. 4-mm hypoechoic nodule, probably present in retrospect and unchanged. |
Generate impression based on findings. | 66-year-old female with history of left breast cyst. No current breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Multiple small masses in... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 71-year-old male with left knee pain, preop evaluation. Three views of the left knee demonstrate severe osteoarthritis, with near bone-on-bone apposition of the medial tibiofemoral compartment. Chondrocalcinosis is present in the articular cartilage. A right total knee arthroplasty in near-anatomic alignment is seen on... | Osteoarthritis and varus deformity as detailed above. |
Generate impression based on findings. | Known breast cancer on neoadjuvant chemotherapy presents for research core biopsy. Right ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a hypoechoic mass measuring 12 mm at the 3 o’clock position with increased vascularity, 5 cm from the nipple. The lesion was readily visible, thoug... | Successful ultrasound-guided core biopsy of the right breast lesion for research purposes.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
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. | 90 year-old female with neck pain, concern for malalignment/fracture, bilateral hip pain. Two views of the cervical spine demonstrate severe disk space narrowing at C3-4 and grade 1 retrolisthesis of C3 on C4, as well as mild/moderate disk space narrowing at C4-5 and C5-6, with small anterior and posterior vertebral bo... | Degenerative disk disease and osteoarthritis as described above. No fracture is evident. |
Generate impression based on findings. | Reason: elevated psa, prostate cancer. There is a single faint focus of radiotracer uptake in the right para-symphyseal region which correlates on CT with an approximately 1 cm nonspecific posterior cortically based sclerotic focus. Left lower facet radiotracer uptake correlates with benign degenerative changes seen on... | Single faint focus of radiotracer uptake in the right para-symphyseal region correlates with a nonspecific cortically based sclerotic focus on CT. Given its overall appearance it is favored to be most likely benign, but a single osseous metastasis cannot be entirely excluded. Attention to this region on subsequent exam... |
Generate impression based on findings. | 47-year-old male with history of pilon chest Two views of the tibia/fibula and 3 views of the right ankle again show an external fixation device with screws entering the distal tibial diaphysis, calcaneus, and forefoot. We see no evidence of hardware complication. Again seen is a comminuted intra-articular fracture of ... | Distal tibial and fibular fractures with orthopedic fixation as described above. |
Generate impression based on findings. | 66-year-old male h/o BOT ca, s/p induction chemo, eval response. CHEST:LUNGS AND PLEURA: Moderate centrilobular emphysema. No suspicious pulmonary nodules/masses. No focal consolidation or pleural effusion. Scattered opacities in the right lung, suggestive of aspirate.MEDIASTINUM AND HILA: No significant mediastinal or... | No evidence of metastatic disease. |
Generate impression based on findings. | Male 71 years old; Reason: 71 year old male with pancreatic cancer s/p resection. Baseline prior to adjuvant chemotherapy. CHEST:LUNGS AND PLEURA: Trace right pleural fluid, similar to prior study. Apical pleural scarring/nodularity. Sites of right-sided linear scarring and volume loss. Small secretion/debris in distal... | 1. Mild mediastinal adenopathy with mild interval increase in size of a paraesophageal lymph node, nonspecific. 2. Postsurgical sequela as described. Residual pancreatic parenchyma atrophic. No pancreatic duct dilatation seen. Mildly distended stomach containing ingested material and debris, may be related to timing of... |
Generate impression based on findings. | 7 year old female POD #2 status post re-exploration of occipital encephalocele, dissection of encephalocele defect and reconstruction with pericranial reinforcement of pseudo dura, and harvesting of cranial bone for cranioplasty graft repair, and excision of th left maxillary cyst. There postoperative findings related ... | 1.Interval repair of the midline occipital defect and excision of the maxillary cyst without evidence of acute intracranial hemorrhage.2.Slight decrease in size of the shunted ventricles.3.Dysmorphic posterior fossa suggestive of tecto-cerebellar dysraphism with a supernumerary cerebellar hemisphere. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in paternal aunt. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 46 year old female presents for routine screening mammography. Family history of breast cancer in her mother at 25, ovarian cancer history in her sister at 23. Multiple additional relatives with cancer. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parench... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Given her family history, please consider referral to cancer risk clinic, as the patient may benefit from additional testing such as genetic testing and screening bre... |
Generate impression based on findings. | 50 year-old male with history of left wrist fracture, status post fixation. Three views of the left wrist demonstrate a plate and screws affixing a comminuted intra-articular fracture of the distal radius, in near-anatomic alignment. We see no hardware complication. The fracture line remains visible, appearing similar ... | Orthopedic fixation of distal radius fracture and other findings as described above. |
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 almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcifications or... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts 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 a new obscured mass ... | New obscured mass in the right upper outer quadrant for which further evaluation with spot compression and ultrasound is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 67-year-old female bilateral call backs from screening mammography. Family reports a remote history of nipple discharge. Family history of breast cancer diagnosed in two sisters at ages 46 and 50. ML views of both breasts, right CC and ML spot compression views, and two left CC and one ML spot compression views were pe... | 1.Right breast mass 10 o'clock position, for which ultrasound guided biopsy is recommended to rule out fibroadenoma vs IDC.2.Left breast duct ectasia with three adjacent intraductal masses from the 3-4 o'clock positions, for which ultrasound guided biopsy is recommended for the two more lateral suspicious masses (label... |
Generate impression based on findings. | Reason: evaluation post operatively LUL History: evaluation post operatively LUL LUNGS AND PLEURA: Postsurgical scarring and volume loss consistent with left upper lobectomy.Interval resolution of paramediastinal focal consolidation consistent with contusion.Small calcified nodules bilaterally consistent with previous ... | No evidence of local recurrence or metastatic disease. |
Generate impression based on findings. | 13-year-old female with history of sickle cell disease and arm painVIEWS: Left forearm: Lateral and AP; left elbow, AP, lateral, oblique; humerus: AP, lateral (7 views) 3/18/15 The bones of the forearm and humerus are normal. No lucent or sclerotic lesion to suggest infarction. No fracture or malalignment. No soft tiss... | Normal examination. |
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 almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas o... | 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. | Male; 75 years old. Reason: Pt with acute onset epigastric pain with family history of ruptured AAA History: central chest and epigastric pain CHEST:LUNGS AND PLEURA: Minimal bibasilar dependent subsegmental atelectasis. Cardiomegaly.MEDIASTINUM AND HILA: Enlarged left lobe of the thyroid with substernal extension, unc... | 1. Normal caliber aorta without evidence of dissection or rupture.2. New mild pancreaticobiliary tree dilation likely due to choledocholithiasis at the level of the ampulla. 3. New mediastinal and hilar lymphadenopathy, as well as new anterior mediastinal soft tissue, most suspicious for lymphoma recurrence.4. Stable e... |
Generate impression based on findings. | No acute intracranial hemorrhage is identified. No evidence of intracranial mass, mass-effect, or hydrocephalus. There is small left supraorbital scalp soft tissue contusion. There is also mild thickening of posterior subgaleal soft tissue compatible with edema. Gray-white matter differentiation is preserved. The imag... | 1.No evidence of intracranial hemorrhage. 2.No evidence of fracture.3.Small left supraorbital scalp soft tissue contusion. |
Generate impression based on findings. | Foot pain. Lump after trauma.VIEWS: Left foot AP/lateral/oblique (3 views) 03/18/15 Soft tissue swelling is noted on the dorsum of the foot adjacent to the cuneiforms.The cuboid has an extra projection medially and proximally. The space normally seen on the oblique view between the calcaneus and navicular contains port... | Soft tissue swelling. Unusual shape of the proximal medial portion of the cuboid. |
Generate impression based on findings. | Female; 77 years old. Reason: 77 year old female with history of lung cancer s/p resection with new right lung nodule seen on recent CT. Evaluate for growth from prior scan. CHEST:LUNGS AND PLEURA: Stable biapical scarring. Stable 5-mm right middle lobe nodule (series 4/78). Other scattered pulmonary micronodules in bo... | 1. Stable lung nodules including a 5-mm right middle lobe nodule. No new suspicious pulmonary nodule or mass.2. Stable lymphadenopathy. |
Generate impression based on findings. | 71-year-old male with bilateral hip pain. Two views of the left hip demonstrate moderate osteoarthritis. Chondrocalcinosis affects the labrum. Arterial calcifications are present in the soft tissues.Two views of the right hip demonstrate moderate osteoarthritis. Chondrocalcinosis affects the labrum. Arterial calcificat... | Moderate osteoarthritis of the hips. |
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 almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas o... | 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. | 32-year-old male status post fixation of left ankle fracture. Three views of the left ankle show trans-syndesmotic screws affixing the distal tibia and fibula, in near-anatomic alignment. Mild diffuse soft tissue swelling is present. We see no ankle fracture.Two views of the tibia/fibula demonstrate a spiral oblique fr... | Proximal fibular fracture and orthopedic fixation of the distal tibiofibular syndesmosis. |
Generate impression based on findings. | Reason: evaluate for changes History: cough soboe LUNGS AND PLEURA: In the upper lung zones mild subpleural reticular and groundglass opacities are present. In the lower lungs, more severe and diffuse ground glass and reticular opacities are present with multiple lucent lobules, not significantly changed from prior.Mil... | Basilar predominant diffuse interstitial lung disease with a predominantly groundglass pattern and several lucent lobules at the lung bases, not significantly changed. As previously indicated the findings are compatible with nonspecific interstitial pneumonia (NSIP), and hypersensitivity pneumonitis. |
Generate impression based on findings. | Frontal sinus: The frontal sinus and frontoethmoidal recesses are clear.Anterior ethmoids: There is scattered trace mucosal thickening and opacification of anterior ethmoid air cells.Maxillary sinuses: The left maxillary sinus and left ostiomeatal unit are clear. The right maxillary sinus is completely opacified, with... | Complete opacification of the right maxillary sinus with slight lateralization of the medial wall and central hyperdensity which may relate to inspissated secretions. This may represent early silent sinus syndrome, and clinical correlation is recommended. |
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. | History of lung cancer status post definitive RT. CHEST:LUNGS AND PLEURA: Severe at emphysema. Post therapeutic scarring related to radiation in the region of the prior left upper lobe nodule; the underlying lesion is not clearly appreciated, but the area of prior reference measures approximately 9 x 11 mm, previously ... | 1. Left upper lobe nodule encompassed by post therapeutic scarring there is no longer readily visible, reference level measurements provided.2. Enlarging penetrating atherosclerotic ulcer evolving into a saccular aneurysm of the posterior infrarenal abdominal aorta. Consider interventional radiology consultation for po... |
Generate impression based on findings. | 16-month-old male with history of dysphagia for liquidsEXAMINATION: Oropharyngeal motility study 3/18/15 Beth Harrison, speech and language therapist, supervised the examination.50 seconds of fluoroscopy was used.Patient drank nectar thick liquid through valve cup and via spoon. Deep laryngeal penetration of nectar thi... | Aspiration with nectar thick liquid with spontaneous ejection.Please see the speech and language therapist's report for feeding recommendations. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of bilateral breast reduction. Two standard digital views of both breasts and a cleavage view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. Parenchymal pattern changes are compatible with bi... | 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. | 58 years, Male. Reason: Dobbhoff History: Dobbhoff There is a Dobbhoff tube with its tip projecting over the distal body of the stomach. There is a nonobstructive bowel gas pattern. | Dobbhoff tube with its tip projecting over the distal body of the stomach. |
Generate impression based on findings. | 80 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 composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or are... | 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. | There is mild mucosal thickening involving the maxillary sinuses, right relatively worse on left. There is small air-fluid level on the right. There is some narrowing involving the bilateral osteomeatal units. The frontal sinus and frontoethmoidal recesses are clear. The anterior ethmoid air cells are clear. The poste... | 1. Minimal mucosal thickening involving the maxillary sinuses with small air-fluid level on the right. Paranasal sinuses are otherwise clear.2. Rightward septal deviation and septal spur which narrow the right nasal passage.3. Midline maxillary osseous defect compatible with cleft palate. |
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.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. | 77-year-old male with shortness of breath LUNGS AND PLEURA: Patchy peribronchial distribution air space opacities throughout the right lung. Right upper lobe predominant reticulonodular and groundglass opacities with moderate pleural effusion. Right lower lobe consolidation is unchanged from multiple prior radiographs ... | 1.Right lung bronchopneumonia with moderate sized pleural effusion suggestive of Mycoplasma pneumonia or less likely Legionella.2.Pleural calcification suggestive of asbestos related pleural disease with rounded atelectasis at right lung base. |
Generate impression based on findings. | Reason: hx lung CA, pls compare to previous and evaluate History: none CHEST:LUNGS AND PLEURA: Postsurgical findings in the right hemithorax with a loculated apical hydropneumothorax.The soft tissue surrounding the staple line is consistent with contusion and seroma.Moderate free effusion in the right base.Small ground... | 1. Postsurgical right loculated hydropneumothorax.2. 8mm persistent left lower lobe ground glass nodule suspicious for primary adenocarcinoma, in situ or minimally invasive. |
Generate impression based on findings. | Mesothelioma, follow-up LUNGS AND PLEURA: AP 8-mm groundglass nodule in the left apex (image 16 series 5) is unchanged. Scarring in both lung bases. No suspicious new focal nodules or masses. No effusions.MEDIASTINUM AND HILA: No lymphadenopathy.The cardiac and pericardium are within limitsSmall hiatal herniaCHEST WALL... | No evidence of interval change above the diaphragms and a appearing small groundglass nodule in the left upper lobe |
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 morphology masses, microcalcifica... | 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. | 10-year-old female with low back and knee pain during sportsVIEWS: Lumbar spine AP, right oblique, left oblique, lateral, lateral lumbosacral junction (five views), knees standing AP, notch, knees sunrise, left knee lateral, right knee lateral (right knee four views, left knee four views) 3/18/15 Lumbar spine: The vert... | Normal examinations. |
Generate impression based on findings. | Female 64 years old; Reason: eval EVAR with renal, SMA, celiac artery stents History: abdominal pain, rising leukocytosis, AKI The following observations are made given the limitations of an unenhanced study.CHEST:LUNGS AND PLEURA: New bilateral pleural effusions with overlying compressive atelectasis. Emphysematous ch... | Status post complex aortic endograft repair with snorkels into distal vessels as described above. New bilateral pleural effusions with overlying atelectasis. Right axillary hematoma. Other findings are relatively stable compared to prior. |
Generate impression based on findings. | Status post radiation therapy. Lung cancer and history of COPD. Please follow-up CHEST:LUNGS AND PLEURA: Interval increasing in size in the small focal nodule observed in the right middle lobe adjacent to the major fissure (image 60 series 4). This finding is more stellate in appearance and currently measures 11 x 10 m... | Again mild interval continued enlargement and better delineation of the right middle lobe focal spiculated density suspicious for primary malignancy. Reference measurements otherwise provided |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microca... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 82 years old; Reason: elevated PSA, concern for metastatic prostate cancer History: prostate cancer CHEST:LUNGS AND PLEURA: Extensive fibrotic disease, particularly subpleural and most pronounced in dependent lower lobes. Punctate right-sided calcified granuloma. No definite lung nodule or mass seen.MEDIASTINUM AN... | 1. Mild mediastinal and hilar adenopathy. 2. Small ill-defined soft tissue density in right inguinal area, may reflect small scarring or hematoma and correlation with prior intervention/procedure suggested.3. Prominent heterogeneous and calcification containing prostate gland, measuring 4.5 cm. Mild circumferential wal... |
Generate impression based on findings. | Pain posterior to acromion Three views of the left shoulder reveal mild osteophyte formation at the acromioclavicular joint. No acute abnormalities. No fractures or dislocations. | Very mild degenerative changes at the acromioclavicular joint |
Generate impression based on findings. | 13-day-old male intubated with chronic lung diseaseVIEW: Chest AP (one view) 3/18/15, 1428 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 tip in SVC unchanged. Left lower quadrant Penrose drain is unchanged.The cardiot... | Unchanged appearance of the lungs in a PIE pattern. Increased diffuse soft tissue swelling. |
Generate impression based on findings. | 50 year-old female with left breast swelling a few months ago that has now resolved. Three standard views of both breasts were performed for a total of 12 images digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Scattered calcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Sickle cell disease. Fever and cough.VIEWS: Chest PA/lateral (two views) 3/18/15 The cardiac silhouette is mildly enlarged. Sickle cell bone changes are present. Mild streaky atelectasis in the left lower lobe. No pleural effusion. | No pneumonia or evidence of acute chest. |
Generate impression based on findings. | 67 years old, Male, Reason: peritoneal mesothelioma s/p resection, eval EOD, compare to previous ABDOMEN:LUNG BASES: No significant abnormality noted. Please refer to report from dedicated chest CT performed concomitantly.LIVER, BILIARY TRACT: Multiple subcentimeter hypoattenuating liver lesions appear unchanged.SPLEEN... | No evidence of residual or recurrent disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Prior benign left breast biopsy. Family history of breast cancer in her maternal grandmother. 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 scattere... | 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. |
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