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Generate impression based on findings. | Female, 6 years old. Evaluate left femur s/p fracture and placed in traction VIEW: Left femur Lateral (1 view) 3/19/2015, 1826 Oblique fracture through the proximal femoral diaphysis with posterior angulation and approximately one shaft width anterior displacement of the distal fragment, and overriding.Significant surr... | Anteriorly displaced, posteriorly angulated oblique proximal femoral diaphyseal fracture.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | RFO trigger: Multiple surgical teams Suspected RFO location: abdomen Name of suspected RFO: none Attending Surgeon name/pager: Dr. J. Matthews Body Mass Index (BMI): 28.9 Surgical clips project throughout the abdomen. There is a nasogastric tube with its tip projecting over the proximal body of the stomach. Endotrachea... | No unexpected radiopaque foreign body identified.These findings were discussed by telephone with Dr. Eton, the attending surgeon, on 3/20/2015 at 21:31.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 70 sutural female with intracranial hemorrhage, status post EVD removal There has been interval removal of the patient's left frontal approach ventriculostomy catheter with no postprocedural hematoma. Ventricular sizes are unchanged. There is unchanged subarachnoid and intraventricular hemorrhage. Resolving right front... | There has been interval removal of the patient's left frontal approach ventriculostomy catheter with no postprocedural hematoma. Ventricular sizes are unchanged. |
Generate impression based on findings. | 75 years, Male. Reason: eval for free air and/or obstruction History: new abd pain and firm abd on exam in pt w choledocholithiasis s/p ERCP today and clinical cholangitis Mild gaseous distention of small bowel. There is gas through the colon and in the rectum.Air space opacity in the left lung base. | IleusI personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Female, 6 years old. Reason: R/O Fracture History: Pediatric TraumaVIEW: Pelvis AP (one view) 3/19/2015, 1756 A displaced fracture of the proximal femoral diaphysis is incompletely imaged on this exam.Left thigh soft tissue swelling.No other fracture or malalignment identified. | Displaced left femur fracture, incompletely imaged. |
Generate impression based on findings. | Female 22 years old; Reason: incarcerated bowel? bowel ischemia? mass? liver or renal pathology/ History: lactic acidosis, abd pain CHEST:LUNGS AND PLEURA: Mild bibasal dependent atelectasis.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. No significant coronary artery calcification.CHEST WALL: No signif... | 1.Cholelithiasis.2.No specific cause for patient's symptoms is identified. |
Generate impression based on findings. | The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections or subdural hematomas. The mastoid air cells are clear. | Negative unenhanced brain CT. |
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. A few scattered benign calcifications in both breasts.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.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Female, 6 years old. Pediatric trauma. Evaluate for fracture.VIEWS: Cervical spine AP, lateral (two views) 3/19/2015, 1759 The osseous structures and joint spaces are normal.The atlantodental interval measures 4 mm.The adenoids are mildly enlarged. No prevertebral soft tissue swelling. | No acute fracture or malalignment. |
Generate impression based on findings. | Male; 67 years old. Reason: R/o bleed- downtrending CBC History: Downtrending CBC Lack of intravenous contrast limits evaluation for solid organ pathology.LUNGS AND PLEURA: Interval removal of endotracheal tube. Moderate right pleural effusion, increased since prior. Stable small left pleural effusion. Increased patchy... | 1. Increased right pleural effusion and right basilar nonspecific atelectasis/consolidation, for which underlying infection cannot be excluded. Stable irregular right middle lobe focal opacity, which may be due to infection but again follow-up CT in 3 months is recommended.2. Large left pelvic hematoma has slightly inc... |
Generate impression based on findings. | Small cell lung cancer CHEST:LUNGS AND PLEURA: The left apical mass with associated destruction of the left second rib is markedly decreased in size, now approximately 0.9 x 0.5 cm (series 5, image 21), previously 5.5 x 2.8 cm. Additional patchy opacities with centrilobular nodules in the right lower lobe are increased... | 1. Markedly decreased size of the right perihilar mass, left apical chest wall mass, and mediastinal lymphadenopathy, compatible with treatment response. 2. Increased post-obstructive debris and bronchiolitis in the right lower lobe, compatible with infection. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in a maternal cousin. Two standard digital views of both breasts for a total of 6 images were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern ... | 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. | 14-year-old male with ankle painVIEWS: Right ankle AP, oblique, lateral (3 views) 3/20/15 No fracture or malalignment. Ankle mortise joint is maintained. Mild to moderate tissue swelling. | No fracture. |
Generate impression based on findings. | No acute intracranial hemorrhage is identified. No evidence of intracranial mass, mass-effect, or hydrocephalus. No extra-axial fluid collections. Gray-white matter differentiation is preserved. The imaged paranasal sinuses and mastoid air cells are clear. The imaged orbits are intact. The osseous structures are unrem... | No evidence for acute intracranial abnormality. Please note CT is not sensitive for detection of acute nonhemorrhagic ischemia. If there is high clinical suspicion, consider MRI. |
Generate impression based on findings. | 38 year-old female with palpable left breast mass. No family history of breast cancer. Family history of ovarian carcinoma in her paternal grandmother. MAMMOGRAM: Three standard views of both breasts, and two spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually, to begin at age 40. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | No evidence of acute hemorrhage, mass-effect, midline shift, or CT evidence of large territorial ischemia. There is generalized cerebral volume loss appropriate for patient's age. There is mild ex vacuo dilation of the ventricular system in the setting of cerebral atrophy. There is mild periventricular hypoattenuation... | No evidence of intracranial hemorrhage, mass effect, or CT evidence of recent large vascular distribution infarct. |
Generate impression based on findings. | Umbilical arterial line placement. Perinatal acidosis. Induced hypothermia.VIEWS: Chest and abdomen AP (two views) 03/19/15, 2108 Endotracheal tube tip is at thoracic inlet. Feeding tube tip is at the GE junction. Esophageal temperature probe tip is in mid esophagus. Umbilical venous line has its tip at junction of inf... | No focal lung opacity. Almost no bowel gas. |
Generate impression based on findings. | 26-year-old female with right knee pain after fall. Four views of the right knee demonstrate normal anatomic alignment. There is no evidence of fracture. A small joint effusion is present. | Small joint effusion without evidence of acute fracture or malalignment. |
Generate impression based on findings. | 52 year-old female experiencing headache No intracranial hemorrhage, intracranial mass, mass-effect, midline shift, or herniation is identified. Redemonstrated is global parenchymal volume loss, not significantly changed. Multiple areas of hypoattenuation are again seen in the periventricular and subcortical white matt... | 1.No evidence of acute intracranial hemorrhage or mass effect. 2.Unchanged empty sella which is a normal variant but can be seen with pseudotumor although is more likely idiopathic at age 52 years.3.Chronic white matter disease. |
Generate impression based on findings. | Obstructive jaundice? Pancreatic adenocarcinoma. Portal vein thrombosis. CHEST:LUNGS AND PLEURA: Small nodule along the fissure (image 28; series 80242) may be an intrapulmonary lymph node.MEDIASTINUM AND HILA: Cardiomegaly. Moderate coronary artery calcifications. No significant adenopathy.CHEST WALL: No significant a... | Pancreatic tail carcinoma with splenic invasion. There is a hepatic hilar metastasis which is causing partially occlusive portal vein thrombosis and biliary obstruction. 4.3-cm abdominal aortic aneurysm. Abdominal ascites. Carcinomatosis. Possible left adrenal metastasis. |
Generate impression based on findings. | Female, 6 years old. Reason: 1 view - AP left femur s/p fracture and placed in traction VIEW: Left femur AP (one view) 3/19/2015, 2157 Redemonstration of an oblique fracture through the proximal femoral diaphysis, with medial angulation and lateral displacement of the distal fragment by approximately one shaft width, a... | Oblique proximal diaphyseal left femur fracture with lateral displacement and slightly decreased overriding compared to prior. |
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 almost entirely fatty. No suspicious masses, microcalcifications or areas of architectural distortion ... | 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. | 54 year old male with HIV, weight loss and history of prostate carcinoma. CHEST:LUNGS AND PLEURA: Scattered, relatively thin-walled cysts identified. Nonspecific micronodules.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Prominent subpectoral node on the right.ABDOMEN:LIVER, BILIARY TRACT: No signif... | Mild isolated adenopathy as noted above. |
Generate impression based on findings. | 30 year-old male with pain to the second digit status post reduction of joint dislocation. Two views of the right hand demonstrate interval reduction of the previously described dislocation of the middle phalanx of the right second digit. Alignment is now anatomic. There is no evidence of fracture. There is mild soft t... | Interval reduction of the second digit without evidence of underlying fracture. |
Generate impression based on findings. | 30-year-old male with pain to be second digit after injury in basketball. Three views of the right second digit demonstrate dorsal and slightly ulnar dislocation of the middle phalanx of the second digit with respect to the proximal phalanx. There is associated soft tissue swelling. No fracture is evident. | Dislocation of the middle phalanx of the second digit as above. |
Generate impression based on findings. | Female 44 years old; Reason: evaluate for pelvic abscess History: pelvic pain and fever after vaginal hysterectomy 2/2/15 ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Subcentimeter hypoattenuating lesions in the right hepatic lobe are too small to characterize.SPLEEN: No significant abnorm... | 1.Status post hysterectomy. No evidence of pelvic abscess as clinically queried. No specific cause for the patient's pelvic pain and fever is identified. |
Generate impression based on findings. | 71 year old female with history of the BRCA positive breast cancer status post oophorectomy now with weight loss, abdominal pain and loss of appetite. CHEST:LUNGS AND PLEURA: Bilateral calcified punctate nodules in the right upper and left lower lobe consistent with granulomas. No suspicious pulmonary nodules or masses... | 1. Hypodense lesion in the distal body/tail of the pancreas associated with proximal pancreatic ductal dilatation; consider a primary cystic neoplasm of the pancreas or IPMN. Consider MRI or endoscopic ultrasound for further evaluation.2. Two indeterminate subcentimeter hypodense lesions in the liver can be followed. |
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. Circular skin markers were placed over both bre... | 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. | An intraparenchymal hemorrhage is present centered within the right thalamus, extending into the adjacent ventricular system with expansion of the right lateral ventricle and to a somewhat lesser degree the left lateral ventricle. Hemorrhage extends through the third ventricle and into the fourth ventricle. The midlin... | An intraparenchymal hemorrhage is present centered within the right thalamus, extending into the adjacent ventricular system. |
Generate impression based on findings. | 39-year-old female with history of left knee pain; denies trauma. Four views of the left knee demonstrate normal anatomic alignment. There is no evidence of fracture, malalignment, or significant joint effusion. Mild osteoarthritis affects the medial tibiofemoral compartment. | No evidence of fracture or malalignment. |
Generate impression based on findings. | Female, 12 years old. Reason: eval fx History: swelling, pain ulnar aspect s/p fallVIEWS: Right wrist, PA, lateral, oblique (3 views) 3/19/2015, 1946 The osseous structures and joint spaces are normal.No significant joint effusion or soft tissue swelling.Normal variant spurlike projection of the posterior radial epiphy... | Normal examination. |
Generate impression based on findings. | Reason: cancer staging, evaluate for mets History: metastatic nsclc The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized port... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT without contrast is less sensitive than contrast enhanced MRI or contrast enhanced CT for the evaluation of metastases. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Patient reports intermittent left breast pain for approximately 2 weeks and inflammation of the inferior left breast/rib. 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 br... | 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. | 86-year-old female with concern for foreign body. Two views of the neck demonstrate calcified cricoid cartilage. However, no evidence of bony foreign body is identified. There is moderate degenerative disease of the cervical spine, including disk space narrowing at C3-4, C4-5, and C5-6. The bones appear diffusely demin... | Degenerative disease as above. No evidence of bony foreign body. |
Generate impression based on findings. | Female, 12 years old. Swelling, pain ulnar aspect, s/p fallVIEWS: Right hand, PA, lateral, oblique (3 views) 3/19/2015, 1943 The osseous structures and joint spaces are normal.No significant soft tissue swelling. | Normal examination. |
Generate impression based on findings. | 65-year-old male history of trauma to the right third MCP joint. No evidence of acute fracture or malalignment. The middle and distal phalanges on the fourth digit are fused. There is evidence of prior surgery to the first metacarpal head. Osteoarthritis affects the basilar joint. | No evidence of acute fracture or malalignment. |
Generate impression based on findings. | There has been interval placement of a left frontal approach ventricular catheter with its tip near the midline in the left lateral ventricle. There are no postprocedural complications. There has been slight increase in size of bilateral temporal horns.Redemonstrated is an intraparenchymal hemorrhage centered within t... | 1.There has been interval placement of a left frontal approach ventricular catheter with its tip near the midline in the left lateral ventricle. There are no postprocedural complications. 2.There has been slight increase in size of bilateral temporal horns.3.Redemonstrated is an intraparenchymal hemorrhage centered wit... |
Generate impression based on findings. | Male 19 years old; Reason: kidney stone History: stone The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations were made:ABDOMEN:LUNG BASES: Bibasal patchy opacities, left greater than right suggest aspiration/infection. G... | 1. Moderate/severe left hydronephrosis and hydroureter with multiple layering calculi identified within the bilateral collecting systems and dependently within the bladder. This was not present on MRI lumbar spine 2009 and therefore an acute obstructive process should be excluded although there are some features to sug... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left breast benign biopsy in 2011. Family history of breast cancer diagnosed in maternal second cousin at age 41. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterog... | 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. | 59-year-old with anal neoplasm post chemo and radiation therapy. Evaluate for response to disease. CHEST:LUNGS AND PLEURA: Scattered, peripheral micronodules without change.MEDIASTINUM AND HILA: No significant abnormality noted. Resolved pericardial effusion.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, B... | No evidence for metastatic disease or local mass.Bilateral nephrolithiasis.Cholelithiasis. |
Generate impression based on findings. | 58-year-old male with pneumonia and recent Impella, evaluate for abscess, pleural effusion, or retroperitoneal bleed CHEST:LUNGS AND PLEURA: Moderate right and small left pleural effusion with associated compressive atelectasis. Mild interstitial septal thickening. No suspicious nodules or massesMEDIASTINUM AND HILA: I... | 1.No evidence of retroperitoneal bleed in the upper abdomen as clinical questioned. 2.Mild pulmonary edema pattern with moderate right and small left pleural effusion with adjacent compressive atelectasis. |
Generate impression based on findings. | Female; 65 years old. Reason: 65 yo female w/ pmh/o afib, TIA, hyperlipidemia w/ persistent abdominal pain in lower quadrants History: persistent abdominal pain ABDOMEN:LUNG BASES: 7-mm right lower lobe pulmonary nodule (series 4/8). Additional micronodule is seen in the right lower lobe (series 4/11).LIVER, BILIARY TR... | 1. Incidental 7-mm right lower lobe pulmonary nodule. If the patient is low risk per Fleischner Society criteria, recommend CT chest with contrast in 3 months. If the patient is high risk, recommend CT chest with contrast now.2. Moderate multilevel degenerative arthritic changes of the lumbar spine.Findings discussed w... |
Generate impression based on findings. | Encephalomalacia is present involving the right cerebellar hemisphere as well as right occipitoparietal cortex consistent with remote infarction. The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebel... | Encephalomalacia is present involving the right cerebellar hemisphere as well as right occipitoparietal cortex consistent with remote infarction. If there is clinical concern for acute ischemia, MRI would be recommended. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of right benign biopsy for cluster of calcifications. Family history of breast cancer diagnosed in mother. 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 scatt... | Right upper outer quadrant postbiopsy change and residual 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. | Male, 17 years old. Right lateral foot pain/swelling s/p basketball. Evaluate for fracture.VIEWS: Right foot AP, lateral, oblique (3 views) 3/19/2015, 1955 The osseous structures and joint spaces are normal.No significant soft tissue swelling. | Normal examination. |
Generate impression based on findings. | No acute intracranial hemorrhage is identified. No evidence of intracranial mass, mass-effect, or hydrocephalus. No extra-axial fluid collections. Hypoattenuation of the subcortical and periventricular white matter compatible with age indeterminant small vessel ischemic disease. There are foci of hypoattenuation in th... | 1.No evidence intracranial hemorrhage, mass effect, or hydrocephalus.2.Hypoattenuation of the subcortical and periventricular white matter is nonspecific but compatible with age indeterminant small vessel ischemic disease. There are foci of hypoattenuation in the left frontal corona radiata which appear more discrete t... |
Generate impression based on findings. | Hypoxia. Question of autoimmune disease. LUNGS AND PLEURA: No significant abnormality noted. No evidence of infection or edema. No evidence of fibrosis, honey-combing, ground-glass nodules, or mosaic-attenuation. Non-specific calcified and non-calcified pulmonary micronodules. Please note that prone and expiration imag... | No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Female, 12 years old. Left upper quadrant painVIEW: Abdomen AP upright (one view) 3/19/2015, 2120 Lumboperitoneal shunt is again seen, exiting the spinal canal at the level of L4, now with tip in the left midabdomen.Nonobstructive bowel gas pattern.Moderate stool burden. | Moderate stool burden, unchanged. |
Generate impression based on findings. | There has been interval left-sided craniotomy for resection of a cerebral cavernous malformation. Expected postoperative changes include pneumocephalus, extra-axial fluid admixed with blood products, subcutaneous swelling, calvarial fixation devices, and overlying skin staples. A small amount of parenchymal hypodensit... | There has been interval left-sided craniotomy for resection of a cerebral cavernous malformation with expected postoperative changes. |
Generate impression based on findings. | 60 year old with history of right lumpectomy for IDC grade 3 in 2012. Patient received chemotherapy and radiation therapy. No current breast complaints. Three standard views of both breasts and two spot magnification views of the right breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast... | 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. | Asymptomatic female presents for routine screening mammography. Patient reports a right medial sebaceous cyst. Family history of breast cancer diagnosed in maternal niece in her 40's. Two standard digital views of both breasts, additional left CC view, and tomosynthesis were performed and reviewed with the aid of R2 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: NSB - Screening Mammogram. |
Generate impression based on findings. | 5-month-old female intubated with respiratory distressVIEW: Chest AP (one view) 3/20/15 Endotracheal tube is between the thoracic inlet and the carina. The NG tube tip is below the caudal margin of the image and is postpyloric. Left femoral catheter tip is at the junction of the IVC and right atrium.The cardiothymic si... | Improved left lower lobe atelectasis. Increased right upper lobe opacity may represent atelectasis or pneumonia. NG tube tip is postpyloric. |
Generate impression based on findings. | Sarcoidosis. Worsening DOE. LUNGS AND PLEURA: Scattered pulmonary micronodules. Minimal basilar peripheral reticular opacities are noted. No fibrosis, honeycombing, or septal thickening is present. No specific evidence of pneumonia or edema. No pleural effusions.MEDIASTINUM AND HILA: Mild to moderate mediastinal and hi... | Mild pulmonary findings compatible with sarcoidosis. Otherwise, no significant or specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of basal cell skin cancer of the upper chest diagnosed at age 58. 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... | 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. | Redemonstrated are postoperative changes which include decreasing pneumocephalus as well as stable extra-axial fluid admixed with blood products, subcutaneous swelling, calvarial fixation devices, and overlying skin staples. A small amount of parenchymal hypodensity is evident at the resection site, unchanged. There a... | Redemonstrated are postoperative changes which include decreasing pneumocephalus as well as stable extra-axial fluid admixed with blood products, subcutaneous swelling, calvarial fixation devices, and overlying skin staples. |
Generate impression based on findings. | 34-year-old male with cough, evaluate infiltrate LUNGS AND PLEURA: No pleural effusion or pneumothorax. Apical predominant bronchiectasis and numerous irregular thin-walled cysts. Patchy apical predominant reticulonodular opacities.MEDIASTINUM AND HILA: Significant mediastinal and hilar lymphadenopathy. For reference, ... | Bilateral apical predominant patchy reticulonodular opacities with bronchiectasis and numerous irregular thin-walled cysts. Differential considerations may represent sarcoidosis, chronic hypersensitivity pneumonitis, Langerhans cell histiocytosis, or inhalational exposures (pneumoconiosis). |
Generate impression based on findings. | Abdominal distentionVIEW: Abdomen AP (one view) 3/19/15 at 1820 hrs. NG tube terminates in the stomach. Surgical clips are again noted. Multiple dilated, slightly featureless bowel loops mainly located in the left upper abdomen quadrant are again noted testicular swelling for obstruction or ileus. No free air or pneuma... | Findings concerning for bowel obstruction or ileus as described. |
Generate impression based on findings. | Hematuria and abdominal pain. Rule out renal stones. Following observations are made given the limitations of an unenhanced study.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedAD... | No findings to explain abdominal pain and hematuria. No renal calculi. Study is insensitive for the detection of a small renal mass; if this is a consideration, I would advise an enhanced study for further evaluation. |
Generate impression based on findings. | 22-year-old male with history of gunshot wound to the neck. Please note motion limits details of exam. Two views of the cervical spine demonstrates normal anatomic alignment. No acute fracture is evident. A bullet is present in the superficial soft tissues of the right neck. There is massive prevertebral soft tissue sw... | Bullet fragment in the lateral right neck. No evidence of acute fracture or malalignment of the cervical spine. Massive prevertebral soft tissue swelling as above. |
Generate impression based on findings. | History of rheumatoid arthritis. Evaluate for progression. Three views of the left hand and three views of the left wrist wrist show resection of the carpal bones and distal ulna with a total wrist arthroplasty device. Three screws insert into the second, third, and fourth metacarpals. Lucency around the screws and rad... | 1. Osteoarthritic and rheumatoid arthritic changes of the hands and wrists, which appear grossly similar to the prior study except for increased erosion of the left middle finger DIP joint suggestive of a secondary process such as erosive osteoarthritis. 2. Increased erosion of the right proximal humerus with increased... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of bilateral breast reductions. Family history of breast cancer diagnosed in maternal aunt at age 76. 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 ... | 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. | Reason: please comment on edema and mass effect History: ams The CSF spaces are appropriate for the patient's stated age with no midline shift. There is hypodensity present involving white matter in the right frontal lobe, right external capsule and right anterior temporal lobe. This was also present on the prior days ... | 1.Compared to prior exam from 3 days ago, the white matter based lesion involving the right frontal lobe, right temporal lobe and the right external and internal capsules has remained stable though it is progressed since 3/5/15. Etiology is uncertain and the findings are not specific for a particular entity. Given its ... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural distortion are pre... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 50 year-old female with history of right ankle pain. Three views of the right ankle demonstrate normal anatomic alignment. There is no evidence of acute fracture. There is mild soft tissue selling along the lateral aspect of the ankle. | There is no acute fracture or malalignment. |
Generate impression based on findings. | 44-year-old male with pain and swelling to the left shoulder; concern for abscess. Inflammation and edema distort the fat planes in the left axilla. A low-density fluid collection within the subscapularis muscle, anteromedial to the glenoid and directly inferior to the coracoid process measures approximately 3.5 x 1.7 ... | Low-density fluid collection within the subscapularis is concerning for evolving infection/immature abscess formation. Associated inflammation and edema in the left axilla. No adjacent bony involvement is evident. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of right benign breast biopsy. Family history of breast cancer diagnosed in maternal grandmother at age 92 and ovarian cancer diagnosed in mother at age 73. Two standard digital views of both breasts were performed and reviewed with the aid of R2 C... | 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. | Left shoulder painVIEWS: The shoulder AP in internal and external rotation , Grashey and Y view 3/20/15 (4 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Cerebral aneurysm. There is no appreciable interval change in the left ophthalmic segment carotid artery aneurysm that measures up to 6 mm. The aneurysm features a wide neck and the left ophthalmic artery arises from the aneurysm. The bilateral internal carotid arteries are also mildly ectatic diffusely as is the origi... | 1. No appreciable change in the left ophthalmic segment carotid artery aneurysm that measures up to 6 mm.2. Apparent cerebellar volume loss. |
Generate impression based on findings. | 85 year old female status post left mastectomy in 2004 for DCIS, presents today for routine follow up. History of benign right breast biopsy. No current breast complaints. Family history of breast carcinoma in her sister. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Male 57 years old; Reason: cancer staging, known metastatic NSCLC. LUNGS AND PLEURA: The necrotic-appearing right apical lung mass is again seen. This mass invades the right upper lobe bronchus, causing right upper lobe atelectasis. The mass also invades the right pulmonary artery and right superior pulmonary vein. Thi... | 1. Large invasive right upper lobe mass with increased evidence of metastatic disease, as above.2. Tumor invasion of the right upper lobe bronchus with right upper lobe atelectasis. 3. Please refer to the separate CT report for evaluation of the abdomen and pelvis. |
Generate impression based on findings. | Female; 24 years old. Reason: r/o appy History: rlq and periumbilical pain with n/v 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 noted... | 1. No acute appendicitis.2. Probable physiologic cyst in the right ovary. 3. Mild pelvic ascites, likely physiologic versus due to a ruptured ovarian cyst. Pelvic ultrasound can be obtained for further characterization as clinically indicated. |
Generate impression based on findings. | There is a solitary punctate focus of T2 hyperintensity in the left frontal subcortical white matter without associated mass effect, restricted diffusion, susceptibility abnormality, or enhancement. A solitary punctate focus such as this is likely of no clinical significance. The ventricles and sulci are normal in siz... | Essentially negative contrast-enhanced brain MRI. Specifically, there are no MRI findings to explain the patient's symptoms. |
Generate impression based on findings. | Evaluate for intra-abdominal infection or inflammation. Abdominal pain and bloody stools. Concern for colitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No si... | No CT evidence of colitis as clinically queried. A few small right lower quadrant mesenteric lymph nodes are noted. Punctate, nonobstructive left renal calculus. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of cervical cancer diagnosed in maternal grandmother 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 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. | 37 year old female who has a complaint of right retroareolar pain. No family history of breast cancer. 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, which may obscure small masses. No dominant mass, suspi... | No mammographic or sonographic evidence of malignancy. The patient should return to her primary physican for management of her right breast pain. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually, to begin at age 40. Results and recommendation were discu... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of right breast biopsy. Family history of breast cancer diagnosed in maternal aunt and paternal aunt at age 35. 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 ... | 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. | Malignant neoplasm of the lung. Staging. ABDOMEN:LUNG BASES: Widespread metastases at the lung bases; most the nodules are approximately 5 to 10 mm in diameter. A reference nodule at the left lung base (image 11; series 10) measures 1.4 x 1.4 cm. Bilateral pleural effusions. Healing rib fractures bilaterally; correlate... | Innumerable pulmonary metastases. Healing rib fractures. Lymph nodes in the abdomen and pelvis with reference measurements given above. |
Generate impression based on findings. | Pain. Evaluate knee. Two portable views of the left knee show no acute fracture. There is moderate to severe medial compartment joint space narrowing. Osteophyte formation is noted in the medial and patellofemoral compartments. There is perhaps a small joint effusion. | Near severe osteoarthritis. |
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 bilateral benign 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: NSB - Screening Mammogram. |
Generate impression based on findings. | Female; 51 years old. Reason: eval for pathology History: abd pain ABDOMEN:LUNG BASES: Stable scattered micronodules in the partially visualized lung bases. Minimal bibasilar dependent atelectatic changes.LIVER, BILIARY TRACT: No focal hepatic lesions. New biliary tree dilation due to biliary limb obstruction (see belo... | High-grade small bowel obstruction of biliary limb with transition point at jejunojejunal anastomosis in the midabdomen. |
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 heterogeneously dense, which may obscure small ... | 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. | 28-year-old male with left hip pain. Single view of the pelvis there is normal anatomic alignment without evidence of acute fracture. The lower lumbar spine and sacroiliac joints are unremarkable. Minimal osteoarthritis affects both hips.Single view the left hip demonstrates normal anatomic alignment without acute frac... | Minimal osteoarthritis of the hips. |
Generate impression based on findings. | Buccal mucosa cancer status post radiation, chemotherapy, and resection in 2009 now in remission, and seropositive, erosive RA. There are post-treatment findings in the neck. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and remaining salivar... | post-treatment findings in the neck without evidence of measurable mass lesions or significant cervical lymphadenopathy. |
Generate impression based on findings. | 6-month-old former 29 week gestational age patient with pulmonary hypertension.VIEW: Chest AP (one view) 03/19/15, 1908 Tracheostomy tube tip is at thoracic inlet. Feeding tube tip is distal to GE junction and not included on the image.Lung volumes are large with the hemidiaphragms of the 12th stir tubes. Coarse bilate... | Focal left lung opacities on background of chronic disease. These opacities may be pneumonia or atelectasis. |
Generate impression based on findings. | 4-year-old female with tachypnea and respiratory distressVIEW: Chest AP (one view) 3/20/15 at 0551 The cardiothymic silhouette is normal. Fluffy air space opacity in the left upper lung may represent a pneumonia or atelectasis. No pleural effusion or pneumothorax. | Air space opacity in the left upper lung is favored to represent a pneumonia over atelectasis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history ovarian cancer diagnosed in maternal grandmother at age 70. 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 de... | 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. | 59 year-old female with left radial neck fracture. Three views of the left elbow demonstrate the previously described slightly impacted, but essentially nondisplaced fracture of the radial neck. The fracture line is no longer well-visualized, indicative of interval healing. There remains mild cortical irregularity alon... | Radial neck fracture as above. |
Generate impression based on findings. | Male 18 years old Reason: Evaluation of lung pathology History: increasing ESR, CRP; CXR with concern of right effusion. LUNGS AND PLEURA: Multifocal opacities of the right upper lobe and both lung bases are again noted. Rim enhancement around the right pleural effusion is concerning for empyema. Small underlying pleur... | Persistent multifocal opacities with no evidence of pulmonary abscess.Right-sided early empyema formation. |
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. Stable intramammary lymph nod... | 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. | 51 year-old male with history of pain and stiffness of the first MTP joint. Three views of the left foot demonstrate moderate osteoarthritis of the first metatarsophalangeal joint, including joint space narrowing and significant osteophytosis. There is fusion of the middle and distal phalanges of the fourth and fifth t... | Moderate osteoarthritis of the first metatarsophalangeal joint. |
Generate impression based on findings. | Verbal report of elevated cANCA, question of vasculitis, reported history of chest pain Coronary arteries: Normal origins are noted.LM: The left main coronary artery arises normally from the left sinus of Valsalva and trifurcates into the left anterior descending, ramus intermedius and left circumflex coronary arteries... | There are no significant coronary artery stenoses present. |
Generate impression based on findings. | 15-year-old female with right knee pain after basketball injury. Four views of the right knee demonstrate no evidence of acute fracture, malalignment, or significant joint effusion. Note is made of bilateral congenital bipartite patellae, a normal variant. | No evidence of acute fracture or malalignment. |
Generate impression based on findings. | Male; 83 years old. Reason: evaluate for abdominal process History: nausea, vomiting ABDOMEN:LUNG BASES: No suspicious pulmonary nodules or masses.LIVER, BILIARY TRACT: No suspicious hepatic lesions. Status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL ... | 1.No findings to account for the patient's symptoms.2.Stable left iliac sclerotic focus. |
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. Ci... | 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. | Status post EVD placement. Evaluate for progression of intracranial hemorrhage and weakness. Redemonstrated is a left frontal approach ventricular catheter with tip near the midline in the left lateral ventricle. There is slight interval decrease in the size of the lateral and third ventricles. Again seen is an intrapa... | 1. Left frontal approach ventricular catheter is unchanged in position with slight interval decrease in the size of the ventricular system.2. Stable right thalamic intraparenchymal hemorrhage extending into the adjacent ventricular system with redistribution of intraventricular hemorrhages.3. Unchanged medialization of... |
Generate impression based on findings. | Male 15 years old Reason: eval L hip for signs infection History: NF1, GSW, paraplegia, increased CRP PELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TIS... | Findings concerning for left hip osteomyelitis with joint effusion and thickening of the left iliopsoas and internal obturator muscles. |
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. Asymmetry in the left central breast posterior ... | Asymmetry in the left central breast posterior depth, for which comparison with prior outside exam is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISON |
Generate impression based on findings. | Right middle fossa craniotiomy and mastoidectomy for CSF leak. There are recent postoperative findings related to right mastoidectomy and skull base repair with reconstruction of the right tegmen with interval increase in swelling of the scalp overlying the craniotomy site. There is a small amount of residual pneumocep... | Postoperative findings related to right mastoidectomy and skull base repair with increased right scalp swelling and persistent bilateral nonspecific tympanomastoid opacification. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of bilateral breast reductions in 1986. Family history of breast cancer diagnosed a maternal grandmother in her 50s. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost ... | 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. | Female 61 years old; Reason: metastatic breast caner - evaluate response to treatment with bidimensional measurements per recist 1.1 History: known lung mets CHEST:LUNGS AND PLEURA: The reference right lower lobe pulmonary nodule measures 3 x 3 mm (image 73; series 5), unchanged and possibly representing scarring. Slow... | Slow-growing left pulmonary nodule with measurements given above. |
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