instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | Male; 65 years old. Reason: dissection History: back pain Lack of oral contrast limits sensitivity for bowel pathology. The patient's arms were positioned by his side, causing streak artifact which mildly limits evaluation.CHEST:LUNGS AND PLEURA: Respiratory motion limits evaluation of the lung parenchyma. Within this ... | No definite acute abnormality. Questionable mild right apical ground glass opacity, which may be due infection. |
Generate impression based on findings. | 37-year-old male with ESRD on hemodialysis, HCPA/RSV+, continued hypoxia and SOB, evaluate for pulmonary embolism. PULMONARY ARTERIES: Main pulmonary artery is enlarged measuring 4.2 cm and thickened right ventricular wall is suggestive of pulmonary artery hypertension. LUNGS AND PLEURA: Thickened interlobular septa wi... | 1.No evidence of pulmonary embolism.2.Dependent atelectasis and consolidation in the posterior lobes may be related to aspirated secretions. Extensive mediastinal lymphadenopathy, likely reactive. 3.Mild pulmonary edema.4.Findings compatible with pulmonary artery hypertension.PULMONARY EMBOLISM: PE: Negative.Chronicity... |
Generate impression based on findings. | 45 year old male with metastatic lung cancer. There is no evidence of abnormal enhancement. There is no mass effect or herniation. The ventricles and basal cisterns are normal in size and configuration. The imaged mastoid air cells are clear. There is mild mucosal thickening and retention cysts within the maxillary sin... | No evidence of intracranial metastases. |
Generate impression based on findings. | 45-year-old male with palpable lump in the right breast for one year. It is not increasing in size. No family history of breast cancer. Mammogram: Three standard views of both breasts and spot compression views of right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is al... | Palpable abnormality in the right breast 8 to 9 o'clock position corresponds to a benign lipoma on mammogram and ultrasound. Findings and recommendations were discussed with the patient. Clinical correlation is recommended.BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | 52 year old male POD #1 status post craniotomy for resection of a left parietal metastasis. There are postoperative findings related to recent left parietal craniotomy for resection of a subjacent mass. There is pneumocephalus and high attenuation blood products within the surgical bed. There is extensive surrounding l... | 1.Expected postoperative findings related to recent left parietal craniotomy for resection of a subjacent mass without evidence of midline shift or herniation.2.Unchanged postoperative findings related to prior right temporal craniotomy for resection of a subjacent mass. |
Generate impression based on findings. | Male 45 years old Reason: Metastatic lung cancer, bones mets, s/p vertebroplasty and lung wedge resection. Please compare with previous outside studies to evaluate disease status. Please provide bi-dimensional measurement to all lesions. History: lung cancer ABDOMEN:LUNG BASES: Bibasilar scarring. Postsurgical changes ... | 1.Interval increase in size of right hepatic metastasis.2.Interval pathologic compression fracture L2 vertebral body.3.Interval increase in number of lytic and sclerotic metastatic lesions in the spine and pelvis. |
Generate impression based on findings. | Status post fracture.VIEWS: Right great toe AP, lateral and oblique 3/18/15 (3 view/s) There is no evidence of acute or healing fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | PHARYNX/LARYNX: There is mild enlargement of the left palatine tonsil without evidence of heterogeneous enhancement. There is no focal fluid collection or abscess. Minimal if any inflammatory changes are seen within the adjacent parapharyngeal fat. There is slight thickening of the left aryepiglottic fold. The nasopha... | 1. Asymmetric left palatine tonsillar enlargement suggestive of tonsillitis, without evidence of associated abscess. No retropharyngeal fluid collection.2. Cervical lymphadenopathy, which is nonspecific but most likely reactive.3. Thyroid lesions measuring up to 1.8 x 1 .9 cm, with additional exophytic nodule possible ... |
Generate impression based on findings. | Female; 23 years old. Reason: Evaluate for appendicitis History: Acute abdominal pain LLQ ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: A subcentimeter hypoattenuating foci in the right hepatic lobe measuring 3 Hounsfield units, too small to accurately characterize but most likely a benign c... | Large cystic pelvic mass as detailed above, suspicious for left ovarian serous or mucinous cystadenoma or cystadenocarcinoma. The patient's acute left lower quadrant pain may be due to left ovarian torsion, which cannot be excluded on this examination. Pelvic ultrasound can be obtained for further characterization. |
Generate impression based on findings. | 39-year-old female with recurrent sinusitis, history of nasal polyps status post biopsy ES There is near complete opacification of the bilateral maxillary sinuses and moderate opacification of the bilateral anterior and posterior ethmoid air cells. High-density within the sinuses may represent inspissated secretions an... | Extensive paranasal sinus opacification and polypoid opacification in the nasal cavity. Findings are compatible with chronic sinusitis and sinonasal polyposis. Hyperdense secretions within the paranasal sinuses may be related to inspissated secretions and/or chronic fungal colonization. |
Generate impression based on findings. | No acute intracranial hemorrhage is identified. Generalized cerebral volume loss with ex vacuo dilatation of the ventricles. No evidence of intracranial mass, mass-effect, or hydrocephalus. No extra-axial fluid collections. Gray-white matter differentiation is preserved. There is atherosclerotic calcification of the c... | 1.No evidence of acute intracranial abnormality. CT is not sensitive for detection of acute nonhemorrhagic ischemia. If high clinical suspicion of acute ischemia, consider MRI.2.Sinus air-fluid levels suggestive of active sinusitis. Please correlate clinically. |
Generate impression based on findings. | 79-year-old male with leg pain and swelling status post fall. Two views of the right lower leg demonstrate chronic deformity of the distal tibia and fibula with syndesmotic osseous fusion. There is diffuse soft tissue swelling, without underlying acute fracture identified. Multiple small ovoid densities in the anterior... | 1.Diffuse soft tissue swelling without underlying acute fracture or malalignment. 2.Hypertrophic tendinosis Achilles' tendon.3.Chronic deformity of the distal tibia/fibula. |
Generate impression based on findings. | 32-year-old female with chest pain, evaluate for pulmonary embolism PULMONARY ARTERIES: Technically adequate examination without evidence of pulmonary embolism. The main pulmonary artery measures 2.8 cm.LUNGS AND PLEURA: No focal consolidation. No pleural effusion or pneumothorax. No suspicious nodules or masses. Mild ... | No evidence of pulmonary embolism. Mild bronchial wall thickening suggestive of reactive airways disease.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign biopsy left breast in 1975 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 distrib... | 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. | Study is limited by significant motion artifact. There is extensive diffusion restriction of left ACA territory with extension into the genu of the corpus callosum on the left side, with additional punctate foci in the left caudate nucleus, and peripherally in the left parietal lobe cortex consistent with acute ischem... | Diffusion restriction of the left ACA territory extending into the genu of the corpus callosum, with additional punctate foci in the left caudate nucleus and peripheral left parietal lobe cortex, compatible with acute ischemia. No evidence of hemorrhagic transformation. Suspect embolic etiology.Other underlying chronic... |
Generate impression based on findings. | TIA with receptive aphasia and history of metastatic NSCLC s/p 6 cycles of chemotherapy now on maintenance therapy. Many of the images are degraded by patient motion.Head CT: There is no evidence of acute intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are nor... | 1. No evidence of acute intracranial hemorrhage, mass, or cerebral edema. However, CT is insensitive for the detection of non-hemorrhagic acute infarct.2. No evidence of significant steno-occlusive lesions in the head and neck arteries.3. Extensive emphysema in the partially-imaged lungs. |
Generate impression based on findings. | Male 72 years old Reason: eval for evidence of fracture or evidence of crystalline arthropathy History: L foot pain Bones are demineralized suggesting osteopenia/osteoporosis. There is a moderate hallux valgus deformity. Moderate osteoarthritis affects the midfoot with osteophytes and joint space narrowing. Moderate os... | Degenerative changes without evident fracture. |
Generate impression based on findings. | Female 79 years old Reason: r/o extrinsic compression of small bowel. on endoscopy duodenum appeared tortuous with possible compression ABDOMEN:LUNG BASES: Small Bochdalek hernia is noted. 4 mm right pulmonary nodule is noted.LIVER, BILIARY TRACT: Gallstones and gallbladder wall calcification consistent with porcelain ... | 1.Focal dilatation of the duodenum, with findings consistent with SMA syndrome. Correlate with recent weight loss.2.Porcelain gallbladder.3.4-mm pulmonary nodule. Recommend follow up exam in 12 months in low-risk patient, or 6 months in high-risk patient. |
Generate impression based on findings. | 57 year-old female with right breast pain for past 3 months and self palpated mass noted. No family history of breast cancer. Mammogram: Three standard views of both breasts and two spot compression views of right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed... | Right breast 10 o'clock position, 5 cm from the nipple hypoechoic mass with mammographic correlate has indistinct margins and needs further evaluation with ultrasound guided core biopsy.Patient's area of concern in the right breast 10 o'clock position 2 cm from the nipple, demonstrates normal glandular tissue.Findings ... |
Generate impression based on findings. | Clinical question: Mass? Infection? Signs and symptoms: History of seizures, recurrent seizures. Nonenhanced head CT: There is no evidence of an acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable surgical cortex, cortical sulci, ventricular sy... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Bilateral scrotal swelling for 2 to 3 years RIGHT TESTIS: Measures 5.5 by 3.3 x 2.3 cm. No focal parenchymal lesion. Symmetric parenchymal flow.LEFT TESTIS: Measures 5.1 by 3.5 x 2.7 cm. Subcentimeter parenchymal calcification, may reflect a site of prior infection/inflammation, no associated focal parenchymal lesion d... | Bilateral epididymal cystic foci as above, likely accounting for patient's reported scrotal swelling. |
Generate impression based on findings. | There is diffuse striking low attenuation of the cerebral cortex with comparative hyperdensity of the white matter. Gray-white matter differentiation is delineated but not optimally. Basal ganglia are not well delineated. There is also questionable hyperdensity in the dural venous sinuses, slightly more conspicuous in... | 1.Striking diffuse low attenuation of the cerebral cortex with comparative hyperdensity of the white matter. Poor delineation of the gray-white differentiation as well as poor visualization of the basal ganglia. This may represent diffuse cerebral edema, of uncertain etiology, including encephalitis. MRI is recommended... |
Generate impression based on findings. | Female 50 years old Reason: pain with exercise History: pain with exercise Bone mineralization is normal for age. Alignment is anatomic. No acute fracture or malalignment. There is abnormal offset of the right femoral head neck junction compatible with a small CAM Type deformity which may cause impingement and possibly... | Abnormal offset of the right femoral head neck junction compatible with a CAM Type deformity which may be the cause of the patient's pain. |
Generate impression based on findings. | Female 76 years old Reason: evaluate for metastatic disease History: new parotid/facial mass CHEST:LUNGS AND PLEURA: Multiple scattered pulmonary nodules, some of which are calcified. For reference right apical nodule measures 5 mm (image 20 series 6). No pleural effusion.MEDIASTINUM AND HILA: Partial intrathoracic sto... | Nonspecific pulmonary nodules, the largest measuring 5 mm. Otherwise no definite evidence of metastatic disease in the chest, abdomen or pelvis. |
Generate impression based on findings. | 37 year-old female with history of left knee pain after fall. Four views of the left knee demonstrate a small joint effusion. No underlying fracture or malalignment is evident. | Small joint effusion without underlying fracture or malalignment. |
Generate impression based on findings. | Male; 48 years old. Reason: appy? chole? History: RLQ>RUQ pain, diarrhea, ++tender 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 notedK... | No acute abdominopelvic abnormality. |
Generate impression based on findings. | There is a tiny focus of T1 hypointensity along the lateral margin of the mid body of the left lateral ventricle which is isointense to gray matter. There is slight mass effect upon the ventricular margin as seen on 605/46 and 801/10. There is corresponding T2 hyperintensity which corresponds to gray matter signal as ... | 1. Small focus of apparent gray matter signal along the lateral margin of the body of the left lateral ventricle suggestive of focal subependymal gray matter heterotopia.2. Incidental cavum vellum interpositum with slight right convex margin which may indicate an associated cyst.3. Significantly enlarged right node of ... |
Generate impression based on findings. | 62 year-old female with bilateral hip pain. Single view of the right hip demonstrate interval removal of surgical drain and skin staples. Hardware components of a right hip hemiarthroplasty device in near anatomic alignment is unchanged. No fracture or radiographic evidence of osteomyelitis.Single view of the left hip ... | Right hip hemiarthroplasty as above. Minimal left osteoarthritis. No specific radiographic evidence of osteomyelitis. |
Generate impression based on findings. | 62-year-old status post left lumpectomy and sentinel node biopsy in March 2012 for IDC, status post radiation therapy and on aromatase inhibitor. Three standard views of both breasts and two spot magnification views of left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma i... | 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. | Male 32 years old Reason: BL knee pain History: BL knee pain Right knee: Bone mineralization is normal. Alignment is anatomic. The joint space is normal. No acute fracture or malalignment.Left knee: Bone mineralization is normal. Alignment is anatomic. Postsurgical changes from an ACL graft repair. The tibial tunnel me... | Postsurgical changes from a left knee ACL graft repair with findings of early osteoarthritis. |
Generate impression based on findings. | 50 year-old female with right ankle pain. Three views of the right ankle demonstrate diffuse soft tissue swelling. No underlying acute fracture is identified. A plantar heel spur is present. | Moderate diffuse soft tissue swelling without underlying acute fracture or malalignment. |
Generate impression based on findings. | Female 54 years old Reason: Bilateral hip pain no hx trauma History: 719.45 Right hip: Bone mineralization is normal. Alignment is anatomic mild osteoarthritis affects the right hip joint osteophytes and joint space narrowing.No acute fracture malalignment.Left hip: Bone mineralization is normal. Alignment is anatomic ... | Mild bilateral hip osteoarthritis. |
Generate impression based on findings. | Male; 28 years old. Reason: evaluate for appy vs chole History: abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNE... | Acute appendicitis as detailed above. No evidence of perforation or periappendiceal abscess. |
Generate impression based on findings. | Clinical question: Hydrocephalus. Signs and symptoms: Hydrocephalus. Unenhanced head CT:There is interval decreased subarachnoid and intraventricular hemorrhage since prior exam.Shunted supratentorial ventricles demonstrate 3 subtle interval increased size since prior study. The transverse diameter of the third ventric... | 1.Subtle interval increased size of supratentorial shunted ventricular system and stable shunt position in the left frontal horn.2.Interval decreased density and size of right frontal hematoma.3.Interval decreased subarachnoid and intraventricular hemorrhage. |
Generate impression based on findings. | 72-year-old with history of right mastectomy for breast cancer presents for left unilateral follow-up. Mammogram: Three standard views of the left breast and two spot compression views of left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibrogl... | New 6-mm mass left breast 2:30 o'clock position needs further evaluation with ultrasound guided core biopsy.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | Female 65 years old Reason: gerd History: gerd. Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions. Note is made of right upper quadrant surgical clips compatible with cholecystectomy.Double contrast evaluation of the esophagus and gastric cardia/fundus reve... | Small hiatal hernia and spontaneous gastroesophageal reflux to above the level of the thoracic inlet. |
Generate impression based on findings. | 19-year-old female with right shoulder pain. Single view of the right shoulder demonstrates right shoulder arthroplasty device in near-anatomic alignment. There is no evidence of fracture or dislocation. | Right shoulder arthroplasty device in near-anatomic alignment. |
Generate impression based on findings. | 77 years, Female. Reason: diarrhea likely 2/2 heavy stool burden, eval for improvement History: diarrhea, abdominal pain Below average stool burden, decreased from the prior exam. There is a nonobstructive bowel gas pattern. There are marked degenerative changes of the lower lumbar spine. There are severe degenerative ... | Below average stool burden, decreased from the prior exam. |
Generate impression based on findings. | Female 55 years old Reason: right knee pain History: right knee pain Bone mineralization is normal. Alignment is near-anatomic. There is moderate extensor compartment osteoarthritis with bone on bone apposition of the lateral trochlea and the the patella.There are tricompartmental osteophytes. There is a moderate joint... | Osteoarthritis and joint effusion. |
Generate impression based on findings. | -year-old male with abdominal pain.VIEW: Abdomen upright AP (one view) 3/19/15 Disorganized, nonobstructive bowel gas pattern. No pneumatosis, free air, or portal venous gas. Moderate stool burden. | Disorganized, nonobstructive bowel gas pattern. |
Generate impression based on findings. | Male, 19 days old. Evaluate bowel gas pattern. Abdominal distentionVIEW: Abdomen AP (one view) 3/19/2015, 0457 Enteric tube terminates in the stomach, with distal side port below the level of the GE junction.Disorganized, nonspecific bowel gas pattern.No pneumatosis, portal venous gas, or free air. | Disorganized, nonspecific bowel gas pattern. |
Generate impression based on findings. | 19-year-old female with right shoulder pain. Single view of the right shoulder demonstrates right shoulder arthroplasty device in near-anatomic alignment. There is no evidence of fracture or dislocation. | Right shoulder arthroplasty device in near-anatomic alignment. |
Generate impression based on findings. | Chronic dizziness and unusual sounds in ears. Right: The external auditory canal is patent. The middle ear and mastoid air cells are well-pneumatized and clear. The ossicular chain is intact. The inner ear structures are unremarkable. The facial nerve describes a normal course. The jugular bulb and carotid canal are in... | No evidence of gross temporal bone abnormalities. |
Generate impression based on findings. | Male; 56 years old. Reason: SBO History: abdominal pain The lack of intravenous contrast limits evaluation of solid organ pathology.ABDOMEN:LUNG BASES: Stable postsurgical changes from right thoracotomy with multiple right-sided rib fractures, some of which demonstrate nonunion. Severe coronary artery calcifications.LI... | New moderate mesenteric free fluid and fatty stranding at the level of the transplant pancreas and its enteric limb extending into the left hemiabdomen, most suspicious for transplant pancreatitis, particularly given the patient's elevated lipase. No evidence of bowel obstruction. |
Generate impression based on findings. | Female 70 years old; Reason: pt with a history of renal cell cancer, please assess for disease progression History: renal cell cancer CHEST:LUNGS AND PLEURA: Decrease size of multiple right-sided lung nodules. Right lower lobe lung nodule now measures 7 x 6 mm on image 60 series 4, previously measured 12 x 9 mm. Interv... | 1. Interval decrease in size of pulmonary nodules.2. Mild increase in mediastinal adenopathy, nonspecific. 3. Decreased size of left adrenal lesion.4. Small bowel containing ventral abdominal hernia, no associated bowel obstruction. |
Generate impression based on findings. | 65-year-old female with dysphagia and resistance upon intubation of cervical esophagus with endoscope. LUNGS AND PLEURA: No pneumothorax or pleural effusion. No suspicious nodule or masses. No focal consolidation.MEDIASTINUM AND HILA: Heart size is normal without pericardial effusion. No coronary pulmonary calcificatio... | 1.No findings to account for resistance upon intubation of cervical esophagus with endoscope.2.Mild soft tissue edema or distal esophageal thickening at the GE junction.3.Low density lesions in the left kidney are too small to further characterize but are presumably of benign etiology. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in mother and aunt. 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 m... | 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. Focal asymmetry in the left medial breast, mid ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, additional right CC view, 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. A ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 49 years old Reason: Evaluate for progression History: metastatic RCC CHEST:LUNGS AND PLEURA: Moderate right and small to moderate left pleural effusions with right basilar compressive atelectasis, increased from prior exam. Left lower lobe pulmonary nodule measuring 5 mm (image 82 series 5) unchanged. Left lower ... | 1.Slight increase in size of reference portacaval lymph node, remaining reference lymph nodes are stable.2.Bilateral pleural effusions, increased.3.Ascites and anasarca, slightly increased from prior exam. |
Generate impression based on findings. | 39-year-old female with bilateral benign biopsies 10 years ago and recent right breast mass seen on CT scan underwent excisional biopsy of the right breast mass in October 2014, now presents for bilateral diagnostic mammogram . Three standard views of both breasts were performed digitally and reviewed with the aid of R... | 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: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | The ventricles and sulci are within normal limits for age. 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. The visualized portions of the paranasal sinuses and mastoids/middle ears are grossly clear. The... | No acute intracranial hemorrhage. High right parietal subgaleal and scalp swelling without fracture. |
Generate impression based on findings. | New right parotid mass concerning for malignancy, right lateral rectus palsy. Head CT: There is an infiltrative mass involving the right parotid space, where there is necrotic lymphadenopathy, with extension into the masticator and carotid spaces, sphenoid sinuses, and into the middle cranial fossa through skull base d... | 1. Extensive tumor burden involving the right parotid space, where there is necrotic lymphadenopathy, as well as in the masticator and carotid spaces, sphenoid sinuses, and into the middle cranial fossa through extensive skull base defects. In particular, tumor involves the right cavernous sinus, Meckel cave, with exte... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in 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 scattered fibroglandular density. N... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this r... |
Generate impression based on findings. | Male; 79 years old. Reason: evaluate for malignancy History: malignancy CHEST:LUNGS AND PLEURA: Stable bibasilar emphysematous/cystic changes, left greater than right. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Prominent right hilar lymph node measuring up to 9 mm in short axis (series 3/48). No me... | No evidence of malignancy. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of skin cancer. Family history of breast cancer diagnosed in mother and maternal second cousins. 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 ... | Gradual increase in a small cluster of calcifications in a linear orientation in the right lower inner quadrant, mid depth, for which additional views including spot magnification views are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Req... |
Generate impression based on findings. | 45-year-old male with metastatic lung cancer LUNGS AND PLEURA: Severe apex predominant centrilobular emphysema. Mild debris in the trachea may reflect secretions or aspirated material. Postsurgical and postradiation changes in the right upper and lower lobe. Consolidation adjacent to the right upper lobe suture materia... | 1.Postsurgical and postradiation changes in the right upper and lower lobes as described above.2.Multiple new pulmonary nodules bilaterally are suspicious for metastatic lesions. Reference measurements provided above. Skeletal changes compatible with metastatic lesions.3.Indeterminant liver lesions may reflect metastat... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional left MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. A few scattered bilateral benign calcifications.No microcalcifications or areas ... | 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: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Joint pain, elevated inflammatory markers. Evaluate for erosive disease, tophi. Three views of the left hand show no acute fracture. The bones appear diffusely demineralized. There is chondrocalcinosis of the triangular fibrocartilage. There is osteoarthritis of basilar joint. No definite erosions are seen.Three views ... | Degenerative changes as above without definite erosions. |
Generate impression based on findings. | 47-year-old female with Langerhans cell histiocytosis. Shortness of breath. LUNGS AND PLEURA: Severe upper lobe predominant paraseptal bullous emphysema. Interval left upper lobe wedge resection. Right upper lobe nodules have resolved.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. Moderate coronar... | 1.Interval resection of left upper lobe nodule and resolution of right upper lobe nodules.2.Severe paraseptal bullous emphysema. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left benign breast biopsy. Patient reports some left breast tenderness. 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 ma... | 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. Recent history of bilateral breast reduction/lift in 2014. Known breast cysts. 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 changed ... | 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 additional CC and MLO 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. Scattered bilateral ca... | 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: NSA - Screening Mammogram. |
Generate impression based on findings. | 45-year-old male with left knee pain status post fall. Four views of the left knee demonstrate a small joint effusion without underlying fracture or malalignment. Mild osteophytosis is indicative of minimal left knee osteoarthritis. | Small joint effusion without underlying acute fracture or malalignment. |
Generate impression based on findings. | 73 year-old female with bilateral knee pain. Four views of the left knee demonstrate evidence of previous medial cruciate ligament injury. There is mild sharpening of the tibial spines and osteophytosis, consistent with moderate osteoarthritis. There is chondrocalcinosis of the articular cartilage. No evidence of acute... | Bilateral chondrocalcinosis. Moderate left and mild right osteoarthritis. |
Generate impression based on findings. | Male 55 years old Reason: 55 y/o M with DLBCL on therapy needs interim staging please CHEST:LUNGS AND PLEURA: Interval decrease in right upper lobe pulmonary nodules, with small scarlike opacities remaining. There is no measurable lesion at site of previously reference nodule. Right middle lobe scarring is noted. No ne... | Marked interval decrease in mediastinal adenopathy. Interval decrease in size of pulmonary nodules. |
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. Scattered benign calcificatio... | 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. | 71 year old with history of benign biopsy in the right retroareolar region in July 2011. No current breast complaints. Three standard views of both breasts with a spot compression view of left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibrog... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Reason: 58 yo with HCC please screen for mets History: none. LUNGS AND PLEURA: Scattered bilateral micronodules are unchanged in size and number. No new suspicious pulmonary nodules. Stable right lower lobe bronchocele. No focal consolidation or pleural effusion.MEDIASTINUM AND HILA: Heart size is normal. No pericardia... | No evidence of metastatic disease. |
Generate impression based on findings. | 60 year-old female with right breast pain. The patient states that there is a throbbing pain in the upper part of the right breast. Focused ultrasound was performed for the upper part of the right breast. The study did not detect any abnormalities, including edema, fluid collection, or masses, at the area of pain. | No sonographic evidence of abnormality in the right breast BIRADS: 1 - Negative.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | 15-year-old female with history of left hip pain concern for ASIS avulsion. Single view of the pelvis demonstrates normal anatomic alignment without evidence of acute avulsion fracture or malalignment. | No evidence of avulsion fractures as clinically queried. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts for a total of 10 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. Bilateral benign calcifications, including a ... | 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: NSA - Screening Mammogram. |
Generate impression based on findings. | 48 years, Female. Reason: eval stool burden History: constipation, abd pain Column bile duct stent and pancreatic duct stent in place with the tips terminating in the duodenum. Cholecystectomy clips project over the right upper quadrant. There is a small amount of contrast in Morison pouch. There is a nonobstructive bo... | Moderate to large stool burden distributed throughout the colon. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are ultrasound images of left breast (3/8/15) performed at Mercy Hospital. Ultrasound images labeled as "12 o'clock Trans" are submitted. There is a hypo-/anechoic branching tubular structure at the superficial area in the left breast, likely mildly dil... | Mildly dilated duct in the left breast. Repeat ultrasound is suggested due to the image quality.BIRADS: 3 - Probably benign finding.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in mother, sister, and maternal great 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 fibrog... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this r... |
Generate impression based on findings. | 69-year-old male with shortness of breath, scleroderma ILD, possible pulmonary hypertension. LUNGS AND PLEURA: No significant interval change in basilar predominant subpleural reticulation, traction bronchiectasis, and honeycombing, compatible with UIP pattern. No suspicious pulmonary nodules, focal consolidation, or p... | 1.Moderate to severe UIP pattern, unchanged.2.Findings suggestive of pulmonary arterial hypertension. |
Generate impression based on findings. | Female, 5 months old. Reason: position of ETT History: intubationVIEW: Chest AP (one view) 3/19/2015, 1044 The endotracheal tube tip is within the right mainstem bronchus.The aortic arch, cardiac apex, and stomach are left-sided.Complete opacification of the left hemithorax, with decreased volume, compatible with compl... | Right mainstem bronchus intubation, with associated complete collapse of the left lung. |
Generate impression based on findings. | 59-year-old female with shortness of breath status post LVAD LUNGS AND PLEURA: Interval improvement of diffuse ground glass and reticular opacities associated with intralobular septal thickening. Bronchiectasis is unchanged. No pleural effusion. No pneumothorax. Central airways are patent.MEDIASTINUM AND HILA: Left che... | 1.Improving diffuse ground glass and reticular opacities with associated intralobular septal thickening compatible with improving pulmonary hemorrhage or drug reaction. In the absence of pleural effusion, edema is still considered less likely. Infection may be considered in the correct clinical context.2.LVAD device is... |
Generate impression based on findings. | Male; 74 years old. Reason: 6.5 CM right CIA aneurysm History: NONE CT ANGIOGRAM: Extensive atherosclerotic calcifications of the abdominal aorta and its branches. The celiac artery and SMA origins are widely patent. There is narrowing of the origin of the IMA with runoff preserved. Widely patent single left renal arte... | 1.Stable abdominal aortic and bilateral iliac aneurysms.2.Interval resolution of perigastric fluid collection. |
Generate impression based on findings. | Hip pain AP view of the pelvis and two views of the bilateral hips show mild osteophyte formation and medial joint space narrowing of the bilateral hips compatible with moderate osteoarthritis. No acute fracture is evident. There are marked degenerative changes of the lower lumbar spine. | Moderate osteoarthritis of the bilateral hips. |
Generate impression based on findings. | The internal auditory canals are symmetrical and normal in size and signal intensity. The inner ears are normal, with normal T2 signal and no pathological enhancement. No abnormal mass or abnormal enhancement is seen within the cerebellopontine angle, cisterns bilaterally or within the internal auditory canals.The ven... | 1. Essentially unremarkable MRI brain and IACs, without evidence of intracranial schwannomas or meningiomas. A few nonspecific non-enhancing foci of T2/FLAIR hyperintensity within the bifrontal white matter.2. Multilevel predominantly thoracolumbar and sacral foraminal peripherally enhancing T2 hyperintense masses some... |
Generate impression based on findings. | Patient undergoing heart transplant workup. Question of dental disease. Single view of the mandible shows no severe dental caries or periapical lucency. No acute fracture is evident. A left lower mandibular molar is absent. | No severe dental caries. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are digital mammographic images (2/9/15), ultrasound images of left breast (2/9/15), images from ultrasound guided biopsy of left breast and post procedural left mammographic images (2/23/15) performed at St. Joseph Hospital. DIGITAL MAMMOGRAPHIC IMAGES... | Biopsy proven invasive cancer in the left retroareolar region, likely extending to the nipple.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Postop longstem. AP view of the pelvis, femur, and right hip show a long femoral stem bipolar hemiarthroplasty device in anatomic alignment. There are diaphyseal cerclage wires and a cable and claw device about the greater trochanter. No acute fracture is evident. A surgical drain is noted within the soft tissues along... | Right long femoral stem bipolar hemiarthroplasty as above. |
Generate impression based on findings. | 56 years, Male. Reason: 56M s/p kidney transplant now with concern for Sbo History: abd pain, chronic partial obstruction There is diffuse gaseous distention of the stomach, but otherwise there is a generalized paucity of bowel gas. Central venous catheter tip terminates in the high right atrium. Bibasilar streaky opac... | Gaseous distention the stomach, but otherwise a generalized paucity of bowel gas. |
Generate impression based on findings. | 11-year-old male with a ketogenic diet, concern for kidney stones Evaluation of right kidney is suboptimal due to contracted posture of patient.BLADDER Wall Thickness: Normal Contents: Distended and normal. Distal Ureter -- SFU Grade** Right: 0 Left: 0 Ureteral Jets Right: Not observed Left: Not observedKIDNEYS ... | Normal examination. No evidence of hydronephrosis or shadowing calculus although evaluation of right kidney is suboptimal due to contracted posture of patient.*SFU grading system: Grade 0: No hydronephrosis. Grade 1: The renal pelvis is visualized. Grade 2: A few but not all of the calices are identified in addition to... |
Generate impression based on findings. | Male 22 years old Reason: r/o fx History: pain and swelling to lateral hand s/p pain There is a transverse fracture through the base of the fifth metacarpal with minimal displacement. No evidence of intra-articular extension.There is adjacent soft tissue swelling.The joint spaces are appropriate for age. Bone mineraliz... | Fracture through the base of the fifth metacarpal. |
Generate impression based on findings. | There is nonenhancing low density anterior right submandibular space unilocular oval structure measuring 2.1 x 3.5 cm (series 6 image 48) in greatest axial dimensions, adjacent to the angle of the right mandible with a very small component extending into the posterior sublingual region. This measures 27 HU, slightly g... | Nonenhancing right anterior submandibular space cystic lesion with small posterior sublingual component. Mild localized mass effect. Differential diagnosis includes benign entities such as ranula versus lymphatic malformation, as well as epidermoid. |
Generate impression based on findings. | 2-year-old male with fever and cough, concern for pneumonia.VIEWS: Chest AP/lateral (two views) 3/19/15 The cardiac apex, aortic arch, and stomach are left-sided. No focal opacities to suggest pneumonia. Mild peribronchial thickening consistent with bronchiolitis/active airway disease. Streaky left lower lobe opacity l... | Left lower lobe subsegmental atelectasis on a background of mild bronchiolitis/reactive airway disease pattern. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Patient was previously evaluated for bilateral palpable lumps and pain, shown to represent Mondor's disease. History of breast cancer in sister diagnosed at the age of 55. Two standard digital views of both breasts were performed and reviewed with the aid ... | 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 66 years old Reason: Evaluate known pancreatic mass for interval changes (last study 2/16/14) History: known pancreatic mass ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis with cholecystectomy tube in place. Common bile duct stent with expected pneumobilia. There is a pote... | 1.Pancreatic head mass which abuts the replaced right hepatic artery and portal vein, and encases the GDA, is not significantly changed in size. Mildly enlarged retroperitoneal lymph nodes are unchanged.2.Persistent biliary ductal dilatation, with possible area of narrowing just superior to common bile duct stent, whic... |
Generate impression based on findings. | Right ankle follow-up. Status post right ankle ORIF. Three views of the right ankle show a side plate with multiple screws affixing the distal fibula with two syndesmotic screws in anatomic alignment. The fibular fracture line is less distinct suggestive of healing. The posterior distal tibial fracture line is still se... | Orthopedic fixation of distal fibular and posterior tibial fractures as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed 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 heterogeneously dense, which may obscure small masses,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Hard palate cancer status post treatment. There are post-treatment findings in the right hard palate region. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria, although the lack of intravenous contrast and presence of dental amalgam artifacts limit assessment... | Post-treatment findings in the right hard palate region without evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria, although the lack of intravenous contrast and presence of dental amalgam artifacts limit assessment. |
Generate impression based on findings. | 5-year-old male with history of neuroblastoma status post transplant now with worsening abdominal pain and emesisVIEW: Abdomen AP (one view) 3/19/15 A central line is in the right atrium. Surgical clips are noted in the left hemiabdomen. Disorganized nonobstructive bowel gas pattern. No pneumatosis, free air, or portal... | Disorganized nonobstructive bowel gas pattern. |
Generate impression based on findings. | 53-year-old male with desaturations and groundglass opacities LUNGS AND PLEURA: Slight interval increase in size of small bilateral pleural effusions. Moderate centrilobular emphysema. Diffuse and symmetric groundglass opacities and intralobular opacities most pronounced in the lower lobes is not significantly changed ... | 1.Diffuse symmetric groundglass opacities and intralobular opacities with mild interval increase in small bilateral pleural effusions, overall not significantly changed from the prior exam. Findings are compatible with unchanged pulmonary edema.2.Moderate centrilobular emphysema. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in mother at age 56 and sister at age 40. 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 m... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Female 73 years old Reason: Hx of radiation related obstruction, hx of "barium perforation" per pt, must use alternative for barium. Hx of obstruction and cervical cancer. History: evaluation for ileostomy reversal The scout film showed extensive barium staining of the peritoneum, particularly of the right upper quadra... | 1.Limited single contrast barium enema, without evidence of fixed narrowing or stenosis in the distal sigmoid colon and rectum.2.Small bowel follow-through demonstrating diffusely mildly dilated small bowel loops suggestion of adhesive disease, but without evidence of stenosis.3.Desiccated opacified stool balls within ... |
Generate impression based on findings. | Left elbow contracture from brachial plexus palsy. Assess for bony change. Four views of the left wrist show a dysmorphic distal ulna. Many of the carpal bones appear to be fused. There is marked extension at the carpometacarpal joints with marked flexion at the MCP, PIP and DIP joints.Four views of the left elbow show... | 1. Deformity of the left wrist as described above.2. Anteriorly dislocated radial head. |
Generate impression based on findings. | 49 years, Female. Reason: eval for cause of diarrhea, distention, pain History: diarrhea, distention, pain, post OLT There are mildly more prominent dilated loops of small bowel which appear to be more centralized and measure up to 3.7 cm in diameter; these may represent an early small bowel obstruction. Multiple foci ... | 1. Mildly dilated loops of centralized small bowel measuring up to 3.7 cm in diameter may represent an early small bowel obstruction. 2. Multiple foci of air in the right upper quadrant may represent postprocedural air in the subcutaneous tissues or air within the right hemicolon. Please correlate clinically. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.