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Generate impression based on findings. | Basilar joint pain. Three views of the right wrist reveal no acute fracture or malalignment. The basilar joint appears normal. A small lucency in the radial metadiaphysis is most likely of no clinical significance. | No specific findings to account for the patient's pain. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Multiple circular skin markers were pl... | 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. | Left total hip. Three views of the left hip show a left total hip arthroplasty device in anatomic alignment without evidence of hardware complication. A small washer from previous hardware is superimposed over the greater trochanter. Surgical skin staples are noted about the left hip. No acute fracture is evident.Addit... | Left total hip arthroplasty. |
Generate impression based on findings. | 49-year-old male with history of RCC CHEST:LUNGS AND PLEURA: Scattered calcified and noncalcified not significantly changed exam. No suspicious nodules or masses. No pleural effusion or pneumothorax.MEDIASTINUM AND HILA: Heart size is normal without pericardial effusion. No visible coronary calcifications are detected ... | 1.No significant interval change in calcified and noncalcified pulmonary micronodules.2.Interval increase in size of index right adrenal gland nodules as described above.3.Interval increase in size of skeletal metastases to T9 and L1 vertebral body resulting in spinal canal stenosis as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional MLO 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. Circul... | 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. | ORIF Two views of the left forearm show side plates with multiple screws affixing both the distal radius and ulna in anatomic alignment. The fracture lines are less distinct suggestive of healing. | Orthopedic fixation of distal radius and ulnar fractures. |
Generate impression based on findings. | Cardiac arrest. Evaluate for hemorrhage Portable technique limits evaluation. No definite intracranial hemorrhage is identified. There is apparent petechial hyperdensity involving the left posterior frontal corona radiata, axial image 31 of 46 in series 1, which is likely artifactual. There is hyperdensity along the ri... | 1. Streak artifact and noise related to portable technique makes evaluation difficult. No definite evidence of intracranial hemorrhage is seen. There is apparent hyperdensity along the right tentorium as well as a petechial hyperdensity in the left posterior frontal corona radiata which are favored to be artifactual. C... |
Generate impression based on findings. | Pain. Pre-operative planning for right total hip arthroplasty Stryker/MAKO robotic hip system. CT images of the right hip show severe osteoarthritis of the right hip with joint space narrowing, subchondral sclerosis, and subchondral cyst formation. A right hip joint effusion is noted. No acute fracture is evident.Addit... | Severe right hip osteoarthritis as above. |
Generate impression based on findings. | Claw toe (acquired). Two portable images of the left foot show interval placement of K wires through the second through fifth digits. No acute fracture is evident. | Interval placement of K wires through the second through fifth digits. |
Generate impression based on findings. | Stage IVb diffuse large B-cell lymphoma involving the sinus and multiple bony sites status post chemotherapy. Rhinorrhea. NECK: There is interval sclerosis of a lesion in the anteromedial portion of the left maxillary sinus wall. There is unchanged mild diffuse prominence of the Waldeyer's ring structures. However, the... | 1.Interval sclerosis of a lesion in the anteromedial portion of the left maxillary sinus wall, which corresponds to the treated diffuse large B-cell lymphoma. However, a new subcentimeter focus of cortical dehiscence and sclerotic marrow in the left mandible in the region of hypermetabolism demonstrated on PET may repr... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Stable focal asymmet... | 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. | Elbow pain and triceps. Four views of the left elbow show a left total elbow arthroplasty device appearing similar to the prior study. No acute fracture is evident. The radial prosthetic head again appears to be dislocated and does not articulate with bone. There is some lucency about the stem of the radial head prosth... | Post-operative changes as above with possibly loosening of the radial head arthroplasty, appearing similar to the prior study. |
Generate impression based on findings. | Dysphagia and dysarthria. Dental artifact obscures much of the oral cavity and pharynx. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unremarkable. The airways are patent. In fact, the trachea appears to be enlar... | No discernible upper aerodigestive track mass or extrinsic bony narrowing, although the evaluation is limited by the lack of intravenous contrast and dental artifact. However, there is suggestion of tracheomegaly. |
Generate impression based on findings. | 83 year old female with history of IDC s/p right lumpectomy and CRT, now presents with recurrent disease in left axilla. Focal increased activity in the left cervical spine, bilateral L4/L5 levels, and right L5/S1 level has progressed since the prior study but has the typical appearance of degenerative disease; this is... | No evidence of bone metastases. |
Generate impression based on findings. | Esophageal cancer initial treatment strategy. CT demonstrates suspicious lymph nodes and lung nodule. Past history of squamous cell tongue carcinoma.RADIOPHARMACEUTICAL: 11.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 97 mg/dL. Today's CT portion grossly demonstrates mid esophageal stent with surroundin... | 1.Markedly hypermetabolic mid esophageal mass, compatible with the diagnosis of esophageal cancer.2.Single significantly hypermetabolic right lower paratracheal lymph node is very suspicious for regional lymph node metastasis. Additional milder symmetric hilar and paratracheal small lymph node activity considered more ... |
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. Small circumscribed masses in the right upper o... | 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. | 12-year-old male with history of injury to left kneeVIEWS: Left knee AP, lateral (two views) 3/19/15 Staples in the proximal lateral tibia and fibula are unchanged in appearance without evidence of hardware complication. The prongs of the staples are parallel. It is difficult to assess alignment of the medial aspect of... | Small knee joint effusion. Proximal lateral tibia and fibula staples with parallel prongs and no evidence of complication. |
Generate impression based on findings. | 76 year old with history of right lumpectomy in 1989 followed by radiation and chemotherapy. History of left lumpectomy in 2000 followed by radiation, chemotherapy and tamoxifen. History of breast carcinoma in daughter diagnosed at the age of 43 and maternal cousin diagnosed at the age of 52. Three standard views of bo... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Female 10 years old Reason: evaluate for healing fracture History: left shoulder injuryVIEWS: Left humerus AP in internal and external rotation 3/19/15 (two views) There is no evidence of acute or healing fracture. Alignment is anatomic. | Normal examination. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of right breast biopsy. Two standard digital views of both breasts and additional bilateral MLO views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Arterial calcificat... | 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. | 57 year old with history of bilateral benign breast biopsies, presents for annual mammogram. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. Linear markers were placed on scars ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. In view of patient's dense breast tissue, tomosynthesis will be useful at the next screening mammogram. Whole breast ultrasound screening may also be useful. Resul... |
Generate impression based on findings. | 10-year-old female with lung nodule. LUNGS AND PLEURA: Previously noted spiculated lung nodule in the left upper lobe now appears cavitated with a mural density measuring 1.5 x 1.1 cm (series 3, image 22). This is likely fungal in origin and may represent an aspergilloma. No other suspicious pulmonary nodules or masses... | 1. Left upper lobe nodule is now cavitated and may be fungal in origin. This is likely an aspergilloma.2. Anterior mediastinal mass is unchanged. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts (total of 10 images) were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Loosely grouped calcifications in the left upper outer quadrant a... | Loosely grouped calcifications in the left upper outer quadrant anterior depth need further evaluation with spot magnification views.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 61-year-old female with history of right mastectomy in 2000 for breast cancer presents for annual mammogram. No current breast complaints. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular elements. No... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, left unilateral diagnostic mammogram is recommended annually. If the patient submits her old mammograms, we can compare them with the current study to establish stability.BIRADS: 1 - Negative.RECOMMENDATION: ND -... |
Generate impression based on findings. | 45-year-old female with knee pain after fall. Four views of the left knee demonstrate trace joint effusion without underlying fracture or malalignment. | Trace joint effusion without evidence of acute fracture. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of right breast aspiration. 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 suspicious masses, m... | 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. | 49 year old female s/p OLT with increased total bilirubin, LFTs. Angiographic images are unremarkable. Fairly prompt clearance of radiotracer from the blood pool and uniform accumulation of the tracer by the liver is present. There is prompt but significantly diminished excretion of tracer into the biliary tree and duo... | 1.No evidence of vascular occlusion, biliary occlusion, or biliary leak.2.Biliary excretion, while present, is diminished and suggestive of global hepatocyte dysfunction. |
Generate impression based on findings. | 66 year old male patient with history of right breast invasive ductal carcinoma status post right mastectomy in 2009. Patient received radiation, chemotherapy. No new breast complaints. History of breast cancer in sister. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 C... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, left unilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 85 year old male with altered mental status. There are multiple unchanged supratentorial infarcts including within the bilateral thalami, left occipital lobe, and right frontal lobe. There has been evolution of the previously seen left parietal infarct. There is extensive low attenuation within the supratentorial white... | 1.No evidence of acute intracranial hemorrhage.2.Extensive age indeterminate small vessel ischemic disease, multiple chronic infarcts, and interval development of a right frontal age-indeterminate infarct. If there is concern for acute infarction, MRI 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 heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Circular skin markers were placed over... | 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional CC 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. A few benign calcifications in... | 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 and additional MLO 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. Benign calcifications ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 56 years old Reason: RUQ US to evaluate for cholelithiasis History: NA.History from PETCT indicates lymphoma. LIVER: Enlarged 20.4-cm in length with no focal lesions. Diffusely echogenic consistent with fatty infiltration.Flow in the portal vein is hepatopedal velocity .2 m/secGALLBLADDER, BILIARY TRACT: Normal ... | Enlarged, fatty liver. Echogenic kidneys. Prior splenomegaly is resolved. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional right MLO view 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 mas... | 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. | Female 67 years old Reason: evaluate for mass or obstructive lesion History: abdominal pain. Additional history from pathology report of 10/19/5 indicates history of signet ring cell type poorly differentiated gastric adenocarcinoma in the distal gastrectomy specimen. ABDOMEN:LUNG BASES: Punctate micronodule right low... | Large necrotic uterine mass. Mass compresses the right ureter causing hydronephrosis and diminished right renal function.Postsurgical changes consistent with history of partial gastrectomy. Gallstones. Micronodular right lower lobe.Case discussed with Dr.Saint-Hilaire. |
Generate impression based on findings. | Male, 59 years old. Two curvilinear radiopacities projected over the right upper quadrant are consistent with fiducial markers which are identified on prior CT. No unexpected radiopaque foreign body. Surgical drain in situ with tip projected over the right upper quadrant. Enteric feeding tube tip projected over the pyl... | No evidence of unexpected radiopaque foreign body.These findings were discussed by telephone with Dr. Hussein, the fellow to attending surgeon Dr. Millis by myself Dr. Ward 03/19/15 at 12:33 |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history breast cancer diagnosed in a mother at age 40. Two standard digital views 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 composed of scattered fibroglandular d... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 73 years old Reason: elevated liver enzymes and ammonia; eval liver and gallbladder, AKI History: see above LIVER: 17 cm in length. No focal lesions. Prominent hepatic veins suggestive of right-sided heart failure.Flow in the portal vein is hepatopedal peak velocity .2 meters/secondGALLBLADDER, BILIARY TRACT: Fe... | Cholelithiasis with no evidence of cholecystitis or biliary dilatation. Fatty liver. Prominent hepatic veins. Right pleural effusion. Echogenic kidneys. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in sister at age 44. 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 an... | 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, 59 years old. Fiducial markers are redemonstrated in the right upper quadrant. Stable position of surgical drain and enteric feeding tube. No unexpected radiopaque foreign body. | No unexpected radiopaque foreign body.Findings discussed by myself and Dr. Ward with Dr. Hussein, fellow to Dr. Millis 03/19/15 at 12:35 |
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. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in maternal grandmother. 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 patter... | 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. Family history of breast cancer diagnosed in mother 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 composed of scattered fibroglandular density, unchange... | 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 68 years old Reason: h/o lymphoma please restage History: Rhinorrhea. CHEST:LUNGS AND PLEURA: Granuloma right lung series 5 image 57. Atelectasis or scarring left lower lobe.MEDIASTINUM AND HILA: Central venous catheter tip SVC about RA junction. Heavy atherosclerotic calcification coronary arteries.CHEST WALL: He... | Enlarged spleen with multifocal areas of hypoattenuation may represent areas of infarction possibly related to involvement previously or currently with lymphoma. Discussed with Dr. Kenneth Cohen.Bulging of the abdominal aorta that does not meet criteria for aneurysm as measured in the coronal plane. |
Generate impression based on findings. | Lung cancer initial treatment strategy.RADIOPHARMACEUTICAL: 12.3 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 99 mg/dL. Today's CT portion grossly demonstrates an approximately 5 cm superior right lower lobe pulmonary mass. A second approximately 3 x 4 cm left upper lobe pulmonary mass is also present. En... | 1.Two markedly hypermetabolic lung masses in the left upper and right lower lobes, compatible with tumor. These may reflect bilateral synchronous primary lung cancers or a single lung cancer with a contralateral pulmonary metastasis.2.Multiple hypermetabolic mediastinal lymph node metastases, most notably in the left A... |
Generate impression based on findings. | The cervical spine is in normal alignment, with straightening of the normal cervical lordosis. The vertebral body and disk heights are well-maintained. There is mild disk desiccation at C2-C3 through C4-C5. No worrisome focal marrow signal abnormality is appreciated. The spinal cord is of normal caliber and signal.The... | Unremarkable MRI of the cervical spine aside from mild early disk desiccation along the upper cervical spine. No significant spondylotic changes. |
Generate impression based on findings. | Ependymoma status post surgery Two views the lumbar spine reveal laminectomy at L2, L3, and L4. Otherwise negativeTwo views of the thoracic spine reveal a slight scoliosis with convexity to the right. Otherwise unremarkable | Postsurgical changes in the lumbar spine. |
Generate impression based on findings. | There is a separate origin of the left subclavian artery, left common carotid artery, and brachiocephalic artery from the arch. The common carotid arteries and cervical internal carotid arteries are normal in course and caliber, without evidence of stenosis or occlusion.Both vertebral artery origins are patent. The ve... | Unremarkable MRA of the neck. |
Generate impression based on findings. | Female 76 years old Reason: H/o lymphoproliferative disorder s/p rituximab please restage History: LUQ discomfort CHEST:LUNGS AND PLEURA: Small scar left apex series 5 image 9. Unchanged from 3/10/14.MEDIASTINUM AND HILA: Risk changes hundred and andCHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TR... | No pathologic size nodes. No evidence of splenomegaly or other findings to explain left upper quadrant discomfort. |
Generate impression based on findings. | Right-sided solitary pulmonary nodule. For lung cancer initial treatment strategy. Patient also describes a past history of bladder cancer with multiple prior bladder surgeries.RADIOPHARMACEUTICAL: 12.9 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 96 mg/dL. Today's CT portion grossly demonstrates an appro... | 1.Markedly hypermetabolic right lobe middle lobe lung nodule, highly suspicious for malignancy, likely primary lung cancer.2.No suspicious FDG avid lesion to indicate metastatic disease.3.Large bladder mass demonstrates only slight FDG accumulation. However, FDG-PET is not accurate for evaluating bladder lesions and bl... |
Generate impression based on findings. | Male, 11 years old. History of constipation. Determine stool burden. VIEWS: Abdomen supine and upright (two views) 3/19/2015, 1236 Nonobstructive bowel gas pattern.Small to moderate stool burden.No pneumatosis, portal venous gas, or free air. | Small to moderate stool burden. |
Generate impression based on findings. | Female; 47 years old. Reason: 47 yo male with hx of resected retroperitoneal sarcoma; please evaluate for any abnormalities and or recurrence History: retroperitoneal sarcoma CHEST:LUNGS AND PLEURA: Multiple scattered pulmonary nodules are unchanged. Index right lower lobe nodule measures 6 x 6 mm (series 6/53), unchan... | 1. Small predominantly fatty right superior retroperitoneal lesion as detailed above suspicious for residual or recurrent liposarcoma with slight interval growth since 12/10/14.2. Interval resolution of loculated fluid collection within the right inferior retroperitoneal surgical bed. Small amount of perihepatic ascite... |
Generate impression based on findings. | Female 57 years old Reason: Evaluate interval change in size of pancreatic leak History: nausea and vomiting ABDOMEN:LUNG BASES: Unchanged subpleural nodularity. No pleural effusion.LIVER, BILIARY TRACT: Coarse left hepatic calcification is unchanged. Changes status post cholecystectomy.SPLEEN: No significant abnormali... | 1.Interval decrease in size peripancreatic fluid collection.2.Slight increase in size in subcutaneous fluid collection adjacent to midline incision, with mild surrounding inflammatory changes. |
Generate impression based on findings. | Male; 62 years old. Reason: Patient w/ fever, and elevated bili, evaluate for gallbladder dysfunction. Angiographic images are unremarkable. Slightly delayed extraction of radiotracer from the blood pool is noted. Subsequently, tracer accumulates uniformly within the liver. Fairly prompt excretion of radiotracer into t... | 1.Patent cystic and common bile ducts without evidence of biliary obstruction or acute cholecystitis.2.Markedly prolonged hepatic retention of radiotracer, which is suggestive of nonspecific but significant global hepatocyte dysfunction. |
Generate impression based on findings. | 62 years, Female. Reason: evaluate for bowel distention/volvulus History: hypoactive bowel sounds, pain Scattered gas within the colon, but otherwise a generalized paucity of bowel gas. No evidence of pneumoperitoneum. | Paucity of bowel gas and no evidence of pneumoperitoneum. |
Generate impression based on findings. | 62 years, Male. Reason: 62M w/ mantle cell lymphoma and splenomegaly and acute onset abd/lower chest pain. eval for possible free air vs splenic rupture History: abd / chest pain No evidence of pneumoperitoneum. Scattered air-fluid levels best seen in the left lateral decubitus position may represent developing obstruc... | Scattered air-fluid levels best seen in the left lateral decubitus position may represent developing obstruction and continued follow up with abdominal radiographs is recommended. |
Generate impression based on findings. | Reason: 55 F w/ likely HP now off steroids, improving. Eval for improvement History: see above. LUNGS AND PLEURA: Bilateral mild diffuse subpleural reticular opacities are markedly improved from the previous exam. No pleural effusion or suspicious pulmonary nodules.MEDIASTINUM AND HILA: Heart size is normal. No pericar... | Marked interval improvement in subpleural opacities, which are nonspecific and differential considerations include organizing pneumonia, less likely hypersensitivity pneumonitis or NSIP. |
Generate impression based on findings. | 37 years, Female. Reason: lateral abdominal view standing , to eval shunt tubing. History: shunt , abdominal pain eval for changes Again seen is lumboperitoneal shunt catheter tubing with the tubing entering the spinal canal at the L2-3 level, without evidence of kinking or fracture of the imaged tubing . The Codman Ha... | Imaged lumboperitoneal shunt catheter tubing intact, with the Codman Hakim valve set to approximately 90 mm H2O. |
Generate impression based on findings. | Male 24 years old; Reason: metastatic testicular cancer, s/p multiple surgeries, assess for progression CHEST:LUNGS AND PLEURA: New small left pleural fluid, in region of previously seen left paraspinal mass, and mild left posterolateral chest wall subcutaneous induration and nodularity, likely iatrogenic in etiology. ... | 1. New small left pleural fluid, in region of previously seen left paraspinal mass, and mild left posterolateral chest wall subcutaneous induration and nodularity and left upper quadrant mesenteric fat stranding, likely iatrogenic in etiology and correlation with patient's procedural history recommended. No measurable ... |
Generate impression based on findings. | 60 year-old female with palpable lump in the right and left breasts. Right lump is tender. The skin over the palpable lumps are marked by Dr. Chhablani.Focused ultrasound did not detect cystic or solid masses at the area of palpable lump. Breast tissue in the right breastappears slightly hyperechoic, suggesting mild in... | No solid or cystic mass in either breast. BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Frontal sinus: The frontal sinus and frontoethmoidal recesses are clear.Anterior ethmoids: The anterior ethmoid air cells are clear.Maxillary sinuses: There is lobulated opacity in the dependent left maxillary sinus, likely representing mucosal retention cyst polyp. There is also focal opacity along the superomedial m... | Small mucosal retention cyst or polyp along the floor of the left maxillary sinus. Patent bilateral ostiomeatal units. Mild-moderate nasal septal deviation. |
Generate impression based on findings. | 90 year-old female with history of bilateral hip and groin pain. Moderate osteoarthritis affects the right hip; mild/moderate osteoarthritis affects the left hip. There is no evidence of fracture or malalignment. There is osteophytosis of the pubic symphysis. Moderate degenerative changes affect the bilateral sacroilia... | Degenerative changes as described above. |
Generate impression based on findings. | There is a pattern of diffuse patchy diffusion restriction of the supratentorial cortex as well as the bilateral basal ganglia and thalami, which is better seen on the ADC map. There is associated diffuse T2/FLAIR signal abnormality as well as patchy T2 hyperintense signal of the deep gray nuclei and corpus callosum. ... | 1. Constellation of findings most suggestive of hypoxic-ischemic encephalopathy with associated mild cerebral edema. Additional superimposed conditions such as encephalitis or post-ictal appearance/status epilepticus cannot be excluded. Underlying abnormality such as mitochondrial disease is felt to be unlikely.2. Intr... |
Generate impression based on findings. | 61-year-old female with neck cancer, evaluate for recurrence LUNGS AND PLEURA: The central airways are patent. No pneumothorax or pleural effusion. No suspicious nodules or masses. No focal consolidation. Scattered nonspecific subcentimeter micronodules.MEDIASTINUM AND HILA: Heart size is normal without pericardial eff... | No specific evidence of metastatic disease. |
Generate impression based on findings. | Reason: history metastatic renal cancer, assess for progression History: none. LUNGS AND PLEURA: Previously seen right lower lobe nodule measures 8 mm (series 5, image 50), previously 4 mm. While no other suspicious pulmonary nodule identified, this lesion is suspicious for a solitary metastasis given the clinical hist... | Interval growth of a right lower lobe nodule, concerning for a solitary pulmonary metastasis. |
Generate impression based on findings. | Male; 51 years old. Reason: evaluate for disease recurrence, please compare to prior imaging 12/4/2014, 6/3/2014 History: history of BCLU lymphoma s/p EPOCH-R CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules, some of which are calcified, or unchanged. No new or suspicious pulmonary nodules or masses. No pleural... | Stable examination with stable nonspecific right hilar lymph node. |
Generate impression based on findings. | 57 year old female with history of left mastectomy in 2012. Short term follow up recommended on 10/21/2014 for right lateral breast asymmetry. Family history of breast cancer in maternal grandmother diagnosed in 70s and paternal great aunt. Three standard views of the right breast were performed digitally and reviewed ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 74-year-old female with left foot pain, concern for osteomyelitis. Three views of the left foot demonstrate diffuse demineralization suggestive of osteopenia. There is no radiographic evidence of osteomyelitis. There is fusion of the middle and distal phalanges of the fifth digit, which may be postsurgical or related t... | Degenerative changes of the foot as described above, without evidence of acute fracture or osteomyelitis. |
Generate impression based on findings. | 68-year-old female with history of lung malignancy, for evaluation CHEST:LUNGS AND PLEURA: Multiple bilateral irregularly marginated modules are again seen without significant interval change. These lesions are noted to have extension to the pleura as well as architectural distortion and retraction.Reference right uppe... | 1.No significant interval change in size reference pulmonary lesions as described above. Interval decrease in size of left lower lobe nodule likely reflect decrease in surrounding fluid around the solid component.2.Stable pleural effusions.3.Stable sclerotic osseous lesions. |
Generate impression based on findings. | Evaluation is limited by beam hardening artifact and portable technique. Patient is intubated. Redemonstration of stable bilateral frontal, right sylvian fissure, and bilateral occipital subarachnoid hemorrhage. No significant mass effect from the hemorrhage. No midline shift. Ventricle size is without change. Gray-wh... | Stable appearing scattered foci of subarachnoid hemorrhage. |
Generate impression based on findings. | No intracranial mass or mass-effect. No midline shift or herniation. No abnormal parenchymal or meningeal enhancement. Contrast limits evaluation for small hemorrhages however no evidence of intracranial hemorrhage is appreciated. The gray-white matter differentiation is preserved. The ventricles and sulci are normal ... | No CT evidence of intracranial metastatic disease. No intracranial mass or mass-effect. |
Generate impression based on findings. | 39-year-old male with history of right hip pain. Two views of the right femur demonstrate an intramedullary rod affixing a healed mid-diaphyseal fracture, in near-anatomic alignment, with proximal and distal interlocking screws. An old screw tract is noted in the distal femur.Single view of the right hip demonstrates g... | 1.Posttraumatic osteoarthritis of the right hip as described above.2.Healed right femoral fracture without hardware complications. |
Generate impression based on findings. | Reason: HCC, eval for metastases History: HCC. LUNGS AND PLEURA: Mild centrilobular emphysema. Right apical scarring, partially calcified. Scattered calcified micronodules, compatible with prior granulomatous disease. No suspicious pulmonary nodules identified. No focal consolidation or pleural effusion is present.MEDI... | No specific evidence of pulmonary metastases. |
Generate impression based on findings. | Reason: R/o mediatinal nodes. R/o recurrence. History: h/o medullary thyroid cancer, s/p resent resection of mediastinal nodes. Calcitonin decreased, but not fully. This is a follow up study.. LUNGS AND PLEURA: No suspicious pulmonary nodules. No focal consolidation or pleural effusion.MEDIASTINUM AND HILA: Extending f... | Ill-defined soft tissue density deep to the new sternotomy likely represents a postoperative changes, however local recurrence cannot be excluded. |
Generate impression based on findings. | 82 year old with history of right lumpectomy for breast cancer in 1989, followed by radiation and chemotherapy. A hard mass is palpated in the right breast. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. Right breast is significantly smaller than the left breast,... | No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains unchanged, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Male 53 years old Reason: LLQ pain, r/o diverticulitis History: Nausea, vomiting, diarrhea, LLQ abdominal pain ABDOMEN:LUNG BASES: Minimal bibasilar atelectasis.LIVER, BILIARY TRACT: No focal hepatic lesion. No biliary ductal dilatation.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedA... | Findings of acute appendicitis, with extensive surrounding inflammatory changes including phlegmon/early abscess formation, possible perforation, and secondary inflammation in the colon. |
Generate impression based on findings. | There is a separate origin of the left subclavian artery, left common carotid artery, and brachiocephalic artery from the arch. There is interval resolution of the left internal carotid artery dissection seen on 11/26/2014. The common carotid arteries and cervical internal carotid arteries are normal in course and cal... | No evidence of previously seen left internal carotid artery dissection. Patent bilateral cervical internal carotid arteries. |
Generate impression based on findings. | Female 57 years old Reason: fracture, mass? History: severe elbow pain There is mild to moderate joint space narrowing at the radiocapitellar joint. There are small osteophytes. No acute fracture or malalignment. The soft tissues are unremarkable | Osteoarthritis of the radiocapitellar joint. |
Generate impression based on findings. | Postop, prosthetic assessment. Pain, preop. Two views of the left hip show a total left hip arthroplasty in anatomic alignment without evidence of hardware convocation. There is maturation of heterotopic bone about the lesser trochanter. No acute fracture is evident.AP view the pelvis additionally shows a right Birming... | 1. Bilateral hip arthroplasties as above.2. Severe osteoarthritis of the left knee. |
Generate impression based on findings. | 62 year-old female status post right total knee arthroplasty. Two views of the right knee demonstrate hardware components of a total knee arthroplasty in near-anatomic alignment; no evidence of fracture or dislocation. Surgical clips, surgical drain, and iatrogenic gas are present in the soft tissues. | Total knee arthroplasty as above. |
Generate impression based on findings. | Reason: evaluate progression of pulm nodules, also evaluate cause of left sided rib pain History: rib pain. LUNGS AND PLEURA: Scattered bilateral pulmonary micronodules are redemonstrated, unchanged in size and number. No focal consolidation or pleural effusion.MEDIASTINUM AND HILA: Heart size is normal. Moderate coron... | Stable pulmonary micronodules.Healed lateral right fourth and fifth rib fractures. |
Generate impression based on findings. | 63-year-old male with history of left total shoulder arthroplasty. Single view of the left shoulder demonstrates hardware components of a left total shoulder arthroplasty in near-anatomic alignment, without evidence of hardware complication. Ossific densities are present in the axillary region. Subcutaneous gas is like... | Total left shoulder arthroplasty as above. |
Generate impression based on findings. | Female 75 years old Reason: pre-op History: pain Severe osteoarthritis affects the right knee with bone on bone apposition in the medial compartment. There are tricompartmental osteophytes. There is slight compressive deformity of the medial tibial plateau which appears chronic.Contralateral left knee shows severe medi... | Severe osteoarthritis of the right knee with mechanical axis as detailed above. |
Generate impression based on findings. | There is focal oval area of intrinsic T1 hyperintensity within the posterior half of the anterior pituitary gland, abutting the posterior pituitary bright spot. There is corresponding T2/FLAIR hypointensity. Following contrast, this area does not demonstrate enhancement with respect to the surrounding enhancing glandu... | Subcentimeter T1 hyperintense and T2 hypointense lesion which does not enhance along the posterior half of the anterior pituitary gland. Slight prominence of the gland, likely within normal limits for the patient's age. Upper margin of the gland approaches and perhaps minimally abuts the undersurface of the optic chias... |
Generate impression based on findings. | Pain and stiffness. Evaluate for osteoarthritis. Four views of the right knee show marked medial joint space narrowing. No acute fracture is evident. No joint effusion is seen.Four views of the left knee show marked medial joint space narrowing. No acute fracture is evident. No joint effusion is identified. | Marked osteoarthritis. |
Generate impression based on findings. | Female 83 years old Reason: trauma to L foot (fell) with pain x 2 weeks. hx of osteoporosis. r/o fracture History: L foot pain - ttp over 5th mtp distally Bone mineralization is decreased. There is mild hallux valgus deformity.There is a subtle minimally displaced fracture of the fifth metatarsal head best seen on the ... | Subtle minimally displaced fracture of the fifth metatarsal head. |
Generate impression based on findings. | Clinical question: Rule out intracranial mass. Signs and symptoms: Headache. Nonenhanced head CT:There is no detectable acute intracranial process. CT is insensitive for early detection of acute nonhemorrhagic ischemic strokes. There is no evidence of mass or mass effect or midline shift.There is extensive periventricu... | 1.No acute intracranial process or a mass.2.Findings of age indeterminate small vessel ischemic strokes of moderate to advanced degree. |
Generate impression based on findings. | Male 2 years old Reason: evaluate healing fracture History: right ankle fractureVIEWS: Right ankle AP, lateral and oblique 3/19/15 (3 views) Cast material obscures fine bone detail. Healing oblique fracture of the distal right tibia with callus formation and periosteal reaction is in anatomic alignment. | Healing fracture, in anatomic alignment after casting. |
Generate impression based on findings. | Female 69 years old; Reason: LUQ tenderness, hepatomegaly on exam, history of partial right nephrectomy for clear cell renal cell carcinoma ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Stable left hepatic dome hypoattenuating lesion, too small to characterize, image 23 series 3. Liver and... | Normal sized liver and spleen.Postsurgical findings related to partial right nephrectomy as described. |
Generate impression based on findings. | Male, 15 years old. History of ligamentous injury.VIEWS: Cervical spine, flexion and extension (two views) 3/19/2015, 1354 The anterior atlantodental interval measures 6.2 mm on flexion, greater than normal for age.Unchanged mild pseudosubluxation of C2 over C3, a normal variant.No acute fracture.The cervical soft tiss... | Findings compatible with atlantoaxial instability. |
Generate impression based on findings. | Male 67 years old Reason: L THA History: L THA Two views of the left hip shows a total hip arthroplasty device in near-anatomic alignment without radiographic evidence of hardware complication. Skin suture staples remain.AP pelvis shows the aforementioned left hip arthroplasty device.There is a right hip arthroplasty d... | Total left hip arthroplasty without radiographic evidence of hardware complication. |
Generate impression based on findings. | Female 70 years old Reason: pre-op History: pain Left knee: Bone mineralization is normal. There is severe joint space narrowing in the extensor compartment and moderate joint space narrowing in the lateral compartment. There are tricompartmental osteophytes. No acute fracture or malalignment. No joint effusion.Contral... | Severe left knee osteoarthritis and mechanical axis as detailed above. |
Generate impression based on findings. | 59-year-old female with chest radiograph abnormality LUNGS AND PLEURA: Central airways are patent. No pneumothorax or pleural effusion. A 5-mm nodule in the right lower lobe (series 5, image 48). Scattered nonspecific micronodules in the left lung. Atelectasis along the major fissure at the left lung base likely reflec... | Atelectasis along the major fissure at the left lung base likely reflects the opacity seen on the prior radiograph. |
Generate impression based on findings. | Evaluate total hip arthroplasty Two views of the right knee reveal a total knee arthroplasty in anatomic alignment. No fractures or dislocations . | Total knee arthroplasty in anatomical alignment |
Generate impression based on findings. | 70 year-old male with weight loss CHEST:LUNGS AND PLEURA: No pleural effusion. No suspicious nodule or mass. No focal consolidation. Scattered nonspecific micronodules.MEDIASTINUM AND HILA: Heart size is normal without pericardial effusion. Mild coronary artery calcification. The trachea and mainstem bronchi are patent... | No findings to account for the patient's weight loss. |
Generate impression based on findings. | 47 years, Male, Reason: Eval for thrombus near non coronary cusp / LVAD outflow kink or thrombus History: increased power / ldh / signs of hemolysis Suspected Vad thrombus. CHEST:LUNGS AND PLEURA: Mild paraseptal emphysema. Calcifications are seen along the right posterior pleural which is thickened. There is a trace r... | 1.No evidence of LVAD outflow obstruction.2.Collection of slightly higher attenuation than water, possibly old hematoma or seroma, along the inferior aspect of the LVAD pocket within the anterior abdominal wall musculature. No enhancement to suggest abcess.3.Low density focus at the confluence of the left and right bra... |
Generate impression based on findings. | 73 years, Male. Reason: Dobbhoff placement History: Dobbhoff placement Respiratory motion limits evaluation. There is a Dobbhoff tube with its tip just beyond the GE junction, advancement is recommended. There is a nonobstructive bowel gas pattern. | Dobbhoff tube with its tip just beyond the GE junction, advancement is recommended. |
Generate impression based on findings. | Pain. Two views of the cervical spine show anterior osteophyte formation from C3 to C7. Alignment is anatomic. No acute fracture is evident.Three views of the lumbar spine show anterior osteophyte formation throughout the lumbar spine. There is degenerate disk disease at L3/L4, L4/L5, and L5/S1. No acute fracture is ev... | Degenerative changes as described above. |
Generate impression based on findings. | Pain. Two views of the right hip show severe osteoarthritis of the hip with exuberant osteophyte formation, severe joint space narrowing, and subchondral sclerosis. No acute fracture is evident.Additional AP view of the pelvis shows severe osteoarthritis of the left hip with exuberant osteophyte formation, severe joint... | Severe osteoarthritis of the bilateral hips. |
Generate impression based on findings. | History of fall, CVA. Question of osteoarthritis, fracture. Four views of the right knee show no acute fracture or malalignment. No joint effusion is identified.Four views of the left knee show no acute fracture or malalignment. No joint effusion is identified. | Normal appearing knees for the patient's age. |
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