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Generate impression based on findings. | Female 59 years old; Reason: 59F s/p umbilical hernia repair c/b colon perforation s/p colostomy with reversal with large incisional hernia History: incisional hernia ABDOMEN:LUNGS BASES: Right middle lobe scarring/linear atelectasis.LIVER, BILIARY TRACT: Scattered hypoattenuating liver lesions, several of which are to... | 1. Large ventral abdominal hernia, measuring 24 x 9.6 x 16.3 cm, as described. No associated bowel obstruction. |
Generate impression based on findings. | Check fixation Post distal fibular and medial malleoli are fixation unchanged without evidence of complication or alteration in alignment. Soft tissues remain significant for minimal soft tissue swelling overlying the medial aspects largely. Fracture planes are indistinct compatible with continued and essentially compl... | Essentially complete interval fracture healing |
Generate impression based on findings. | Pain Comminuted humeral neck and tuberosity fracture observed with minimal lateral displacement. | Comminuted humeral head and neck fracture |
Generate impression based on findings. | Check fixation Distal fibular sideplate has been placed with interval continued healing of the underlying fibular fracture. No hardware complications. Alignment preserved. Ankle mortise intact other than mild underlying degenerative changes | Distal fibular fixation and partial healing |
Generate impression based on findings. | Pain Diffuse soft tissue swelling with irregularity and concern for a questionable subacute fracture with partial healing of the lung the dorsal lip of the distal radius. Please correlate with patient history and site of symptoms. The remainder of the wrist and metacarpals are otherwise unremarkable. | Questionable subacute distal radial fracture along the dorsal distal rim |
Generate impression based on findings. | Pain and stiffness. Questionable mild juxta-articular osteoporosis without additional acute or subacute abnormality. Specifically no discrete focal changes to support inflammatory arthritis such as erosions. Alignment preserved. Note is made of minor ulnar minus variance bilaterally, however specifically the lunates bi... | Juxta articular osteoporosis without additional acute or subacute arthritic changes. See detail provided |
Generate impression based on findings. | Pain Diffuse demineralization limits sensitivityRight hand: Mild interval progression of diffuse scattered changes most prominent involving the first MCP and distal articulations, specifically the third digit. Narrowing, sclerosis and small osteophytes. No overt definite marginal erosions, however small marginal change... | Mild continued progression of minimal changes again supporting rheumatoid arthritis including small marginal erosions as noted above. Changes are minimal since 2007. |
Generate impression based on findings. | Check fibular fracture Nondisplaced oblique distal fibular fracture with overlying moderate diffuse swelling. Ankle mortise remains intact and symmetric. | Distal fibular fracture without significant displacement |
Generate impression based on findings. | Female 64 years old; Reason: Cholangiocarcinoma please assess and provide index lesion measurements for baseline purposes prior to start of chemo History: As above CHEST:LUNGS AND PLEURA: Enlarging small pleural effusions. Evaluation of underlying lung parenchyma suboptimal due to respiratory motion artifact but nonspe... | 1. Mild interval decrease in size of pancreatic head mass with mild improvement in degree of pancreatic ductal dilatation.2. Heterogeneous hypoattenuating peripheral wedge-shaped defect in hepatic segment 3, may have been present previously to a lesser extent on prior exam, nonspecific but evolving hepatic infarct a co... |
Generate impression based on findings. | Richter's transformation lymphoma, 100 today's status post allogenic stem cell transplant. Restaging exam.RADIOPHARMACEUTICAL: 14.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 195 mg/dL. Today's CT portion of the neck demonstrates no significant pathology. Please see diagnostic CT reports for details of ... | 1.No FDG avid tumor currently.Diagnostic CTs of the chest, abdomen, and pelvis also performed at today's visit will be reported separately. |
Generate impression based on findings. | Foot and lower leg pain Foot and ankle: No radiographic abnormalities observed in this limited non-standing evaluation. Specifically no findings to support a fractureLower leg and knee: No radiographic abnormalities | Normal exam |
Generate impression based on findings. | Beam-hardening artifact obscures portions of the lower neck. There are post-treatment findings in the neck with supraglottic edema, but no evidence of a measurable mass lesion. There are no enlarged lymph nodes by CT criteria. The thyroid and major salivary glands are unremarkable. There is a right internal jugular ve... | 1. Post-treatment findings in the neck without evidence of measurable residual laryngeal tumor or significant lymphadenopathy in the neck, within the limits of artifactual degradation.2. Postoperative findings related to sinonasal surgery without evidence of local mass lesions.3. The right internal jugular venous cathe... |
Generate impression based on findings. | Osteosarcoma off therapy.VIEWS: Left knee AP/lateral (two views), left tibia-fibula AP/lateral (two views) 03/20/15 Longstem left total knee arthroplasty is again seen. The resection of the proximal fibula is again noted.No tumor recurrence is identified. There is no loosening of the prosthesis. | No evidence of tumor recurrence or complication from surgery. |
Generate impression based on findings. | Follow up exam Healing second metatarsal neck and head fracture without change in alignment.Otherwise no apparent interval change in the previously described fixation of the distal lower leg and fusion of the tail is to the calcaneus. Overall alignment and appearance is similar with no underlying associated hardware co... | Healing second metatarsal head fracture |
Generate impression based on findings. | Reason: evaluate for bleed, aneurysm History: headache Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is no significant s... | 1.There is a 2-mm aneurysm versus infundibulum at the expected location of the origin of the right posterior communicating artery which is unchanged when compared to the prior exam in January.2.No evidence for cervicocerebral occlusive disease.3.Absence of the right submandibular gland .4.Periventricular and subcortica... |
Generate impression based on findings. | Pain, check alignment Interval replacement of the first MTP with a prosthetic base through the small phalanx no discrete hardware complication observed in this limited view, however sensitivity is limited without prior for comparison. Alignment preserved. Suspected hammertoe deformity without additional findings involv... | No hardware complication |
Generate impression based on findings. | Pain Diffuse nonspecific changes, however most pronounced other than demineralization is marginal suspected erosions involving the first digit, specifically the head of the first metatarsal. Questionable small marginal erosion involving the base of the proximal phalanx is also suggested with relative sparing of the rem... | Nonspecific changes involving the first MTP, raising concern for possible gout or less likely inflammatory arthritis. See detail provided |
Generate impression based on findings. | Pain Distal fibular and medial malleoli or fixation unchanged without evidence of complication. Underlying fracture demonstrates continued mild interval healing | Healing distal fibular and medial malleolus fractures |
Generate impression based on findings. | The colon is well distended. Mild retained fluid and particulate matter within the colon is well tagged. There is severe muscular hypertrophy and diverticulosis throughout the sigmoid colon. There is persistent narrowing of a segment of sigmoid colon, corresponding to site of prior diverticulitis identified on CT 03/0... | 1. Low-grade stricture in the sigmoid colon, likely benign.2. Cholelithiasis*OPTIONAL C-RADS CLASSIFICATION:C-1E- 1 *(see full definitions in: Zalis et al. CT Colonography reporting and data system: a consensus proposal. Radiology 2005;236:3-9)C1: Normal or benign lesions (no polyps > 6mm). Continue routine screening.C... |
Generate impression based on findings. | Right knee pain Right patellar fracture repair is observed with two pins and a cerclage figure 8 wire. Alignment preserved. Fracture plane is less distinct, consistent with interval partial healing. No additional abnormalities | Healing right patellar fracture |
Generate impression based on findings. | Check for ankle fracture. Pain Mild subcutaneous soft tissue swelling without underlying osseous acute abnormality. Specifically no distinct fractures, however given mild demineralization, serial imaging may be indicated to exclude an occult fracture, if suspicion and history remains high. | Diffuse soft tissue swelling without a definite underlying acute fracture. See limitations described |
Generate impression based on findings. | Newly diagnosed non-small cell lung cancer. Initial staging.RADIOPHARMACEUTICAL: 14.0 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 92 mg/dL. Today's CT portion grossly demonstrates an approximately 7 cm lung mass in the right lower lobe. Enlarged bilateral hilar and paratracheal lymph nodes are noted. Sma... | 1.Markedly hypermetabolic right lower lobe mass, compatible the patient's diagnosis of lung cancer.2.Multiple markedly hypermetabolic lymph node metastases involving bilateral hila, paratracheal, prevascular, and right supraclavicular locations.3.Multifocal hypermetabolic right pleural tumor seeding.4.Hypermetabolic bi... |
Generate impression based on findings. | Wrist pain and foot pain Wrist: Distal ulnar and radial side plates are partially visualized without evidence of interval complication or abnormality ulnar minus variant is observed. Specifically deviation views do not demonstrate any evidence of instability. Soft tissues are unremarkableFoot: No acute radiographic abn... | Old wrist and forearm fixation without acute abnormalities involving the foot or wrist |
Generate impression based on findings. | Please evaluate the right internal auditory canal for a vestibular schwannoma: unilateral hearing loss in the right ear. Right: The internal auditory canal is not enlarged and there is no discernible canalicular mass. The external auditory canal is patent. The middle ear is well-pneumatized and clear. The ossicular cha... | 1. The internal auditory canal is not enlarged and there is no discernible canalicular mass to suggest a schwannoma. However, CT has limited sensitivity for depicting small schwannomas. If clinical concern persists, an MRI with contrast is recommended.2. Scattered sinonasal opacification may represent rhinosinusitis. |
Generate impression based on findings. | 37 day old former 23 week gestational age patient with PDA ligation. History of bowel perforation.VIEWS: Chest and abdomen AP (two views) 03/20/15, 1222 Tube tip is below thoracic inlet. Feeding tube tip is in the stomach. PDA ligation clips are noted right upper extremity PICC tip is at junction of superior vena cava ... | Complications from surfactant deficiency. Bowel obstruction pattern. Possible post-NEC stricture. |
Generate impression based on findings. | Female 13 days old Reason: Eval lung fields History: Difficulty tolerating feeds, belly distensionVIEW: Chest AP and abdomen (two views) 3/20/15 at 1215 hrs. NG tube terminates in the stomach. Central line tip is at the right subclavian/innominate vein. Umbilical line has been removed. Cardiac silhouette size is normal... | Generalized, nonspecific bowel distention and diffuse lung haziness. |
Generate impression based on findings. | Pain Interval placement of 3 screws of which two are well-positioned affixing the impacted left hip neck fracture, however the more superior screw is fractured. Underlying moderate osteoarthritis of the hip is otherwise observed limited by diffuse demineralization. | Fractures hardware - service called. Pager 3473 |
Generate impression based on findings. | Female 76 years old Reason: 76F with complex medical history transferred with EC fistula, preparing for discharge History: EC fistula; LLQ pain Scout radiograph showed a nonobstructive bowel gas pattern. Multiple clips are noted in the abdomen and pelvis. Residual enteric contrast from prior CT scan is noted. There is ... | Enteric cutaneous fistula from the proximal ileum to the skin in the left lower abdomen.Second blind ending tract terminating in the left pelvis adjacent to the colon.The enteric fistula connects with an abscess pocket overlying the left ilium likely in the subcutaneous tissues. |
Generate impression based on findings. | Male 83 years old; Reason: s/p DHT placement History: as above Enteric tube terminates in the region of the distal gastric body. The bowel gas pattern is nonobstructive.Postsurgical changes in the mediastinum. Multiple lines drains and support tubing project over the chest and upper abdomen. | 1.Enteric tube terminates in the region of the distal gastric body. |
Generate impression based on findings. | History of closed head trauma last January (hit head on top of car door), now with new migraines, nausea, vomiting, and photophobia. The ventricles and sulci are within normal limits. The basal cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal. There is no diffusion... | 1. No evidence of acute intracranial hemorrhage, mass effect, or acute infarct.2. Findings most suggestive of a 6 mm retention cyst at the medial aspect of the left palatine tonsil. Consider direct inspection as clinically warranted. |
Generate impression based on findings. | 56-year-old male with acute kidney failure. RIGHT KIDNEY: The right kidney measures 12.1 cm in length. Echotexture minimally increased. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: The left kidney measures 11.6 cm in length. Echotexture minimally increased. No hydronephrosis, shadowing calculus or mass.UR... | Minimally echogenic kidneys without obstruction. |
Generate impression based on findings. | Male; 50 years old. Reason: restaging CTs for hx richters transformation. Now 100 days post allogeneic stem cell transplant History: restaging CTs CHEST:LUNGS AND PLEURA: Stable 5 mm left lower lobe pulmonary nodule (series 6/65). Other scattered pulmonary micronodules are unchanged. No new suspicious pulmonary nodules... | 1. Mild splenomegaly, decreased since prior CT chest on 10/27/14.2. Resolution of soft tissue implant posterior to the spleen seen on PET/CT from 9/18/14.3. No lymphadenopathy seen on the current examination. |
Generate impression based on findings. | Weight loss and possible abnormality seen on a lateral chest x-ray. Evaluate for malignancy. CHEST:LUNGS AND PLEURA: Mild scarring most prominent at the lung bases. The abnormality identified on the recent chest radiograph probably represents a summation artifact as there is no evidence of an intrapulmonary mass.Calcif... | No CT evidence of malignancy. The recent abnormality identified on chest radiograph probably represented a summation artifact. |
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 minimal mucosal thickening of the right maxillary sinus. The left maxillary sinus is clear. The ostiomeatal units are clear.Posterior ethmoids: The posterior e... | Minimal mucosal thickening of the right maxillary and partial opacification of the left sphenoid sinus. Other paranasal sinuses are clear. |
Generate impression based on findings. | The internal auditory canals are symmetrical and normal in size and signal intensity. The inner ears are normal, with normal T2 signal and no pathological enhancement. No abnormal mass or abnormal enhancement is seen within the cerebellopontine angle, cisterns bilaterally or within the internal auditory canals.The ven... | Unremarkable MRI of the brain and internal auditory canals. |
Generate impression based on findings. | 31-year-old female with right thumb pain. Three views of the right thumb demonstrate normal anatomic alignment, without evidence of acute fracture. There is mild soft tissue swelling. | No acute fracture or malalignment. |
Generate impression based on findings. | Male 24 years old; Reason: 24 year old man with diffuse large B cell lymphoma s/p chemotherapy. Enlarged mediastinal LN noted on prior CT, but no PET activity. Compare to prior scans. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Stable hypodense lesion in superior mediastinal area and ... | 1. Interval enlargement of metastatic mediastinal adenopathy as described.2. Hepatic metastatic disease without significant change.3. Stable to mild decrease in size of abdominopelvic nodal disease.4. Please refer to concomitant PET exam from same day for additional findings. |
Generate impression based on findings. | 42 year old female who has a complaint of palpable left breast mass. Family history of breast carcinoma in her maternal 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 breast parenchyma ... | No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | A minimally displaced left supraorbital frontal bone fracture is present which extends inferomedially to involve the superior orbital roof and medial orbital wall (lamina papyracea). There is significant associated overlying periorbital edema and soft tissue swelling. Ipsilateral intraorbital and underlying intracrani... | A minimally displaced left supraorbital frontal bone fracture is present which extends inferomedially to involve the superior orbital roof and medial orbital wall (lamina papyracea). There is significant associated overlying periorbital edema and soft tissue swelling. Ipsilateral intraorbital and underlying intracrania... |
Generate impression based on findings. | Male 65 years old Reason: hx of metastatic renal cancer evaluation for progression History: renal cancer CHEST:LUNGS AND PLEURA: Pulmonary nodules have decreased slightly in size. The reference nodule in the right middle lobe (image 40; series 5) measures 1.0 x 0.8 cm, smaller. Unchanged, trace left pleural effusion.ME... | 1. The malignant disease has regressed. Reference measurements are given above.2. There is a new fluid collection, possibly an interloop abscess which may represent ruptured appendicitis in the right lower quadrant. This finding was discussed with Dr. Szmulewitz at the time of dictation. |
Generate impression based on findings. | Female 25 years old Reason: newly recurrent Ewing's sarcoma; assess for metastases Postoperative changes status post left below-the-knee amputation are again noted. New focus of mild to moderate activity in the left posterior fifth rib. While this is in the vicinity of the resected lung and could be post therapy appear... | New focus of activity in the left posterior fifth rib, which may reflect adjacent post therapy changes. New bone metastasis cannot be entirely excluded however; consider whole body FDG-PET if there is strong clinical suspicion. |
Generate impression based on findings. | 68 year-old female with history of buccal cancer CHEST:LUNGS AND PLEURA: Mild upper lobe predominant centrilobular emphysema. Debris noted within the trachea and mainstem bronchi may reflect excretions. No pleural effusion or pneumothorax.No suspicious pulmonary masses or nodules. No focal consolidation.MEDIASTINUM AND... | New compression fracture of L2 with 30% loss of height. No specific evidence of metastatic disease. |
Generate impression based on findings. | 60 year-old female with history of colon cancer. Evaluate for recurrent disease. CHEST:LUNGS AND PLEURA: Several micronodules are stable.MEDIASTINUM AND HILA: Stable prevascular lymph node on image 39/206 measuring 0.7 x 1.2 cm.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant ab... | No evidence for recurrent disease.Abdominal wall hernias. See above.See comments on left colon. |
Generate impression based on findings. | Male 55 years old; Reason: evaluate for PNA in BMT patient with worsening hypoxemia and cervical pain History: hypoxemia, pain Evaluation is slightly limited by excessive respiratory motion.LUNGS AND PLEURA: Bilateral basilar patchy opacities, with areas of consolidation and atelectasis, representing infection. Aspirat... | 1. Bilateral basilar patchy opacities with consolidation and atelectasis, compatible with infection. 2. Increased ascites. |
Generate impression based on findings. | 63-year-old male with radicular pain. Four views of the lumbar spine demonstrate multilevel degenerative changes including disk space narrowing, most significant at L4-5 and L5-S1, with vacuum disk phenomenon. There is grade 1 anterolisthesis of L4 on L5. There is mild anterior vertebral body osteophyte formation of th... | Scattered degenerative disease as above. No evidence of acute fracture. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. No significant residual abnormal low density remains in the pons, in area of previous osmotic demyelination. There is no extraaxial fluid collect... | 1. No acute intracranial abnormality. If there remains clinical concern for an acute ischemic event, MRI of the brain is recommended.2. Layering mild hyperdensity in the partially visualized right globe suggestive of hemorrhage which may be posttraumatic. Please correlate with physical exam and history.3. Evolved left ... |
Generate impression based on findings. | Male; 54 years old. Reason: h/o met tongue ca, s/p chemo, eval response, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Reference posterior left pleural-based cavitary mass in measures 4.2 x 2.4, unchanged (series 5/29).Reference right upper lung nodule measures 1.3 x 1.2 cm, unchanged (ser... | 1. Stable index lesions. No new sites of disease. 2. Lytic lesion of T6 vertebral body with increased surrounding sclerosis and slight loss of height of the vertebral body, likely due to interval treatment change. |
Generate impression based on findings. | Male 68 years old Reason: prostate cancer needs disease evaluation History: prostate cancer with bone metastases Multiple osseous lesions including T7 transverse process, left frontal bone, several ribs, and upper lumbar spine appearing similar to prior examination. No new osseous lesions. Degenerative changes are agai... | Stable osseous metastatic lesions, with no new lesions identified. |
Generate impression based on findings. | Male 68 years old; Reason: prostate cancer with bone mets CHEST:LUNGS AND PLEURA: Visualized lung fields stable in appearance, including right apical micronodules on image 22 series 5. Subcentimeter right lower lobe calcified granuloma. Biapical scarring/nodularity. MEDIASTINUM AND HILA: Unchanged small mediastinal lym... | 1. Stable exam as described. |
Generate impression based on findings. | Female 69 years old; Reason: evaluation of right sided lung changes LUNGS AND PLEURA: Stable postsurgical changes are noted in the right lower lung from the prior wedge resection, with scarring/atelectasis about the sutures. Bronchial wall thickening is again noted, likely reflecting chronic aspiration. No new suspicio... | Stable right lower lobe post-surgical changes, with suspected scarring/atelectasis along the suture line. Recurrent/residual disease cannot be completely excluded and continued surveillance is recommended. No new suspicious nodule/mass. |
Generate impression based on findings. | Neck GSW status post exploration. The entrance wound was in the left submandibular area, and the bullet remained in the neck on the left side. The exam limited by beam hardening artifact, which limits assessment of the inferior portions of the major cervical vessels, but the superior portions of the major cervical vess... | 1.Beam hardening artifact from various types of hardware limits the assessment of the inferior portions of the major cervical vessels, but the superior portions of the major cervical vessels appear to be patent. A Doppler carotid ultrasound may be useful for further evaluation, if clinically indicated.2.Postoperative f... |
Generate impression based on findings. | 61-year-old female with COPD and bronchial valve implant (05/2010) LUNGS AND PLEURA: Severe centrilobular paraseptal emphysema worse at the upper lungs.Two endobronchial valves are present in the right upper lobe with interval improvement of subsegmental atelectasis distally.Three endobronchial valves are noted on the ... | 1.Severe centrilobular paraseptal emphysema with bronchial valves as described above. Improved right upper lobe subsegmental atelectasis with worsening left upper lobe atelectasis distal to the endobronchial valves.2.New severe compression fractures of the T4, T6, T7, T9 vertebral bodies worst at T7. |
Generate impression based on findings. | 33-year-old male with HIV and Burkitt's lymphoma with new right groin pain and swelling. PROSTATE, SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality notedLYMPH NODES: Non--- enlarged but enhancing lymph nodes right groin.BOWEL, MESENTERY: No significant abnormality notedBONES, SOFT ... | Complex fluid collection right groin as noted on preceding ultrasound. This contains no definite gas and could represents abscess/infected hematoma. The appearance is less likely to represent a separate lymph node. There is associated cellulitis. |
Generate impression based on findings. | MVC, hit head against car door; persistent right sided headache. There is no evidence of acute intracranial hemorrhage or skull fracture. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses... | No evidence of acute intracranial hemorrhage or skull fracture. |
Generate impression based on findings. | 66 years, Male, Reason: prostate cancer follow up History: hx of prostate cancer. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Reference para-aortic node measures 1.9 x 1.4 cm (image 21; series 3), unchanged. Stable thyroid nodules. No hilar lymphadenopathy. Heart size is normal with tr... | New lytic metastasis in the sacrum as described above. Diffuse osseous metastases. Stable mediastinal adenopathy. |
Generate impression based on findings. | There is hypoattenuation involving the cortex and subcortical white matter of the anterior corpus callosal, cingulate gyrus, and paramedian left frontal lobe, similar in distribution to the abnormality seen on MR from 3/18. There is no evidence of hemorrhagic conversion and there is minimal mass effect with local sulc... | Left ACA territory infarct appearing similar in distribution to the MR from 3/18. No hemorrhagic conversion, significant edema, or mass-effect. |
Generate impression based on findings. | 74 years, Male. Reason: assess NGT placement History: NGT placement There is a Dobbhoff tube with its tip projecting over the body of the stomach. Extensive chronic interstitial changes, left basilar atelectasis and left lower lobe pulmonary nodule; please see chest radiograph report from the same day for full evaluati... | Dobbhoff tube with its tip projecting over the body of the stomach. |
Generate impression based on findings. | 59 year-old female with right knee pain. Four views of the right knee demonstrate moderate to severe tricompartmental osteoarthritis of the right knee, which has not significantly changed in the interim. There is mild osteoarthritis seen on the frontal view of the left knee. No significant joint effusion, acute fractur... | Moderate to severe tricompartmental osteoarthritis of the right knee. |
Generate impression based on findings. | 54-year-old female with right ankle pain. Three views of the right ankle demonstrate a side plate and screw device fixing the distal fibula in near-anatomic alignment. There is no specific radiographic evidence of hardware complication. There is chronic deformity of the distal fibula, suggesting a chronic fracture, wit... | Orthopedic fixation of healed distal fibular fracture and moderate osteoarthritis as above, which has mildly progressed when compared to prior. |
Generate impression based on findings. | TxN2Mx squamous cell carcinoma status post chemotherapy. There is interval decrease in size of the cervical lymphadenopathy. For example, a left level 2A lymph node measures 15 mm in short axis, previously 38 mm and a left level 2B lymph node measures 8 mm in short axis, previously 17 mm. The aerodigestive track appear... | Interval decrease in size of the cervical lymphadenopathy, indicating treatment response. |
Generate impression based on findings. | 16 year old female with left knee pain. Four views of the left knee demonstrate normal anatomic alignment without evidence of acute fracture. No significant joint effusion or degenerative change is present. | Normal exam of the left knee. |
Generate impression based on findings. | Female 24 years old Reason: evaluate for gastroparesis History: pain and abdominal distention with eating Visually there was significant and progressive gastric emptying. Using anterior and posterior geometric means, residual gastric activity at the following postprandial intervals was calculated as follows:30 mins: 57... | Gastric emptying within normal limits. |
Generate impression based on findings. | Female 32 years old Reason: hx of kidney stones and urinary retention now with right sided abdominal pain. History: see above Given the limitations of an unenhanced study, the following observations are made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis with. Evaluation of hep... | Left renal calculi, nonobstructive and unchanged. Interval removal of right ureteral stent. No hydronephrosis. Cholelithiasis. |
Generate impression based on findings. | 66-year-old male with left shoulder pain and right knee pain. Three views of the left shoulder demonstrate two suture anchors along the greater tuberosity, which likely reflect previous rotator cuff repair, new from previous exam. Tiny glenohumeral osteophytes and humeral head cysts reflect mild degenerative arthritis.... | Mild degenerative disease of the left shoulder and right knee as above. Status post orthopedic repair of the left rotator cuff. |
Generate impression based on findings. | Evaluate mandible post distraction. History of obstructive sleep apnea. There are postoperative findings related to bilateral mandibular angle osteotomy with mature fusion across the osteotomies and scar tissue along the incision planes, as well as tracheostomy with a tube in position. There is persistent crowding of t... | 1. Interval fusion of the mandibular osteotomies without significant residual retrognathism, although there is persistent crowding of the maxillary and mandibular dentition and narrowing of the oropharyngeal airway related to glossoptosis.2. Dandy-Walker variant malformation and mild ventricular dilatation. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage, within the limitations of only postcontrast imaging. There is again patchy hyperdensity in the basal ganglia, most likely senescent mineralization. There are no areas of abnormal low attenu... | Unremarkable contrast-enhanced CT of the brain. |
Generate impression based on findings. | Male 75 years old; Reason: evaluation for VATS bx, potential resection left side CHEST:LUNGS AND PLEURA: The spiculated left upper lobe nodule abutting the major fissure measures 2.2 x 1.6 cm (series 5, image 46), previously 2.1 x 1.8 cm. The additional 7-mm circumscribed left upper lobe nodule is unchanged (series 5, ... | 1.Stable size of the left upper lobe mass suspicious for lung cancer. 2.Stable appearance of the subcentimeter left upper lobe and right upper lobe nodules, which may represent synchronous malignancies or metastatic disease. 3.Three left renal lesions highly suspicious for renal cell carcinoma. |
Generate impression based on findings. | 22-year-old male with gunshot wound status post neck exploration for evaluation for retained bullet fragments. LUNGS AND PLEURA: Small bilateral pleural effusion with adjacent atelectasis. No pneumothorax. Bronchial wall thickening and mild thickening of the intralobular septa may reflect a component of pulmonary edema... | 1.6-mm metallic radiodensity to the right of the trachea at T1-T2 level may reflect a bullet fragment.2.Soft tissue density fullness along the right tracheoesophageal groove consistent with a hematoma. 3.Postsurgical changes in the anterior soft tissues of the neck and superior mediastinum as described above.4.Partiall... |
Generate impression based on findings. | Female, 11 years old. Reason: Rule out abscess, diverticula, foreign body History: left sided 8/10 throat painVIEWS: Next tissue AP, lateral (two views) 3/20/2015, 1339 The osseous structures and joint spaces are normal.The adenoids are moderately enlarged, without obstruction of the nasopharyngeal airway.No prevertebr... | Nonspecific mild subglottic airway narrowing. |
Generate impression based on findings. | 74-year-old female with history bilateral shoulder pain. Four views of the right shoulder demonstrate moderate degenerative changes affecting the glenohumeral and acromioclavicular joints, which have mildly progressed when compared to prior exam. No acute fracture is evident. Alignment is anatomic.Four views of the lef... | Interval progression of severe left and moderate right osteoarthritis of the shoulders. |
Generate impression based on findings. | Male, 12 years old. Reason: eval knee, injured while running, nonspecific exam History: c/o pain, no swellingVIEWS: Left knee AP, lateral, oblique (3 views) 3/20/2015, 1352 Fragmentation of the tibial tuberosity, with thickening of the patellar tendon and mild local soft tissue swelling.No acute fracture or malalignmen... | Findings suggestive of Osgood-Schlatter disease. Recommend MRI for further evaluation. |
Generate impression based on findings. | Male, 17 years old. Reason: eval for fx/ dislocation History: eversion injury to L ankle, w/ pain swellingVIEWS: Left ankle AP, lateral, oblique (3 views) 3/20/2015, 1400 The osseous structures and joint spaces are normal.No significant joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | 68 year old male with hoarseness and difficulty swallowing. There is no evidence of mass lesions or significant cervical lymphadenopathy. There is a symmetric appearance of the larynx. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. There are mild degenerative changes of t... | No evidence of mass or significant lymphadenopathy. |
Generate impression based on findings. | 70 year-old female with right adrenal lesion requiring further characterization. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Nonspecific subcentimeter hypoattenuating lesion in the left hepatic lobe (series 7/37).SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality ... | 1. Large mass within the ascending colon, most likely due to primary colon cancer. Correlation with colonoscopy is recommended.2. Nonspecific, subcentimeter hypoattenuating focus in the left hepatic lobe.3. Benign right adrenal adenoma.Findings discussed with Dr. Govindarajan's nurse, Alandra, at Friends and Family Cli... |
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 mild mucosal thickening along the floor of the maxillary sinuses. The ostiomeatal units are clear.Posterior ethmoids: The posterior ethmoid air cells are clear... | Very minimal sinus inflammatory changes, with questioned small air-fluid level in the right sphenoid sinus. Please correlate clinically for acute sinusitis. |
Generate impression based on findings. | 76-year-old male with history of pulmonary embolism LUNGS AND PLEURA: No pleural effusion or pneumothorax. Right lower lobe wedge-shaped pleural-based opacity continues to decrease in size now measuring 2.0 x 1.2 cm (series 5, image 217) previously 2.5 x 1.5 cm. Atelectasis and scarring in the lung bases. No suspicious... | 1.Unchanged right hilar lymphadenopathy limited due to lack of IV contrast.2.Interval decrease in size of right lower lobe pleural-based opacity suggestive of resolving infarct or atelectasis.3.Marked PA hypertension. |
Generate impression based on findings. | Reason: hx of lung cancer s/p chemo and surgery with mult complications, ck response History: none CHEST:LUNGS AND PLEURA: Fluid continues to fill the left hemithorax within the pneumonectomy space.Stable scattered pulmonary micronodules. No new suspicious pulmonary nodule or right pleural effusion.MEDIASTINUM AND HILA... | No evidence of metastatic disease. |
Generate impression based on findings. | 70 year-old female status post ORIF of left wrist. Three views of the left wrist again demonstrate a volar plate with screws affixing a distal radius fracture in near-anatomic alignment. There is no specific radiographic evidence of hardware complication. The bones appear diffusely demineralized. Within the limits of d... | Orthopedic fixation and interval healing of distal radial fracture as above. |
Generate impression based on findings. | 60 year-old female with lung nodule CHEST:LUNGS AND PLEURA: Irregularly marginated apical nodule causing adjacent bronchiectasis measures 11 x 10 x 9 mm (series 80697, image 22 and 80327, image 25) is unchanged. Again noted is extension to the pleural with mild tenting of the pleura. New ground glass nodule in the left... | 1.Irregularly marginated right apical nodule is unchanged in size.2.New ground glass nodule in the left upper lobe may represent atypical adenomatous hyperplasia or adenocarcinoma in situ. 3.A groundglass nodule in the left upper lobe measures demonstrates interval growth.4.Part solid and ground glass nodule with irreg... |
Generate impression based on findings. | Brain: There is a possible, faint area of hypoattenuation in the left corona radiata to correspond to the previously seen area of restricted diffusion on prior MRI. Additional, scattered areas of white matter hypoattenuation are noted and are suggestive of small vessel ischemic disease. There is no evidence for intrac... | 1. Possible focus of hypoattenuation in the left corona radiata corresponding to region of ischemic infarct seen on prior brain MR. No evidence of hemorrhagic conversion, significant edema, or mass effect.2. No significant stenosis of the intracranial or cervical vasculature and minimal atherosclerotic changes. |
Generate impression based on findings. | Reason: h/o HNC and chemo, compare to previous images History: none CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules unchanged in size and number. The largest is pleural-based in the lingula (5/70) measuring 5 mm. No suspicious pulmonary nodule or interval pleural effusion.MEDIASTINUM AND HILA: Heart size is no... | No evidence of metastatic disease. Stable scattered pulmonary micronodules. |
Generate impression based on findings. | 13 day old term male with unilateral right arm and leg jerking and concern for herpes encephalitis. There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are cle... | No evidence of intracranial hemorrhage. If there is concern for herpes encephalitis, MRI with contrast is recommended. |
Generate impression based on findings. | Female 30 years old; Reason: Evaluate for thymic tissue or enlargement. History: Pt has weakness and fatigue due to MG LUNGS AND PLEURA: No significant abnormality noted. No specific evidence of infection or edema. No pleural effusions.MEDIASTINUM AND HILA: Normal sized heart without pericardial effusion. No coronary a... | Soft tissue density in the anterior mediastinum likely representing hyperplastic thymic tissue or a thymoma. |
Generate impression based on findings. | Reason: Pt is a 51 yo male w/ hx of lymphoma; pre-allo sct evaluation History: Evaluate LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Moderate coronary calcifications are present, the heart and pericardium otherwise normal in appearance.CHEST WALL: Dege... | No significant abnormality. |
Generate impression based on findings. | Male 42 years old Reason: Hx of head and neck cancer, OPM demonstrated slowed transit and prolonged stasis of contrast in the mid and distal esophagus. Evaluate for possible motility disorder History: substernal retention of food Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities... | 1.Transient delay of a 13-mm barium tablet at the level of the thoracic inlet without obstructing mass lesion.2.Small hiatal hernia. |
Generate impression based on findings. | Male, 10 months old. Reason: evaluate lung fields, evaluate for atelectasis History: increased work of breathing, trach and vent dependentVIEW: Chest AP (one view) 3/20/2015, 1345 Tracheostomy tube in place. Enteric tube extends below the lower margin of the image.The heart is upper normal in size.Patchy right lower lo... | Chronic lung disease, with unchanged bibasilar atelectasis. |
Generate impression based on findings. | Reason: h/o laryngeal ca, s/p CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Very mild coronary calcifications are seen as well as calcification of the aortic root; the heart and pericardium ... | 1. No sign of metastases, or other significant abnormality.2. Pericardial cyst noted above, almost certainly a benign process. |
Generate impression based on findings. | Left lower lobe lung nodule. Pathology revealed carcinoid tumor. LUNGS AND PLEURA: There is evidence of wedge resection at the left lower lobe, with surgical clips, atelectasis/scarring, and small pleural effusion. No residual nodule is evident. No new suspicious nodules/masses are seenFocal areas of pleural-based nodu... | Post-surgical changes in the left lower lobe, without residual nodule evident. |
Generate impression based on findings. | Male 59 years old Reason: hx esophageal has stent placed with new finding on CT scan with concerns for abscess/infection vs recurrent malignancy History: abnormal finding on CT Scout radiograph of the chest showed an esophageal stent in the mid to distal thoracic esophagus.There is a short segment of fixed luminal narr... | 1.Fixed narrowing of the esophagus by approximate 50% just proximal to the esophageal stent.2.Extravasation of contrast along the right proximal aspect of the stent compatible with leak, without evidence of pleural extension. |
Generate impression based on findings. | Female, 18 months old. Reason: evaluate for lung pathology History: decreased breath sounds, increased secretionsVIEW: Chest AP (one view) 3/20/2015, 1358 Tracheostomy tube in place. Left chest port, or projecting over the left superior mediastinum, location uncertain.The aortic arch, cardiac apex, and stomach are left... | Left lung opacities compatible with pneumonia, with a small left pleural effusion. |
Generate impression based on findings. | 66 show female with history of HCC status post RFA. Here for follow-up. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Nonspecific hyperattenuating focus seen on arterial phase in the left hepatic lobe measures approximately 0.6 cm (image 34, series 9) is stable. Right hepatic lobe hypoatten... | 1. Stable hypervascular focus at the right margin of previously radio-frequency ablated area in segment 7. IR notified. 2. Nonspecific hyperattenuating focus seen on arterial phase in the left hepatic lobe. Continued follow up is advised. |
Generate impression based on findings. | Reason: history of chronic type B dissection and lung nodule History: 6 mo f/u LUNGS AND PLEURA: Previously referenced solid nodular right upper lobe adjacent to the anterior mediastinum has decreased in size, measuring 6 x 13 mm (3/36), as compared to 13 x 15 mm. Additional right upper lobe nodule unchanged in size (4... | Referenced right upper lobe nodule decreased in size 6 x 13 mm.Stable scattered calcified granulomas and addition a right upper lobe nodule.Type B dissection stable in transverse dimensions, as above. |
Generate impression based on findings. | Male 60 years old Reason: 60 male with esophageal CA s/p EGD/stent/PEG on 3/18, now with severe upper esophageal pain. requesting UGI per Dr. Waxman History: Esophageal pain Scout radiograph of the chest showed an esophageal stent in place. Left basilar opacity suggestive of atelectasis.Single contrast evaluation of th... | Esophageal stent without evidence of leak or obstruction. |
Generate impression based on findings. | Male 68 years old; Reason: Need triple phase CT for liver eval and kidney cyst eval History: Abdominal distension and hepatomegaly ABDOMEN:LUNG BASES: Dense, thick pericardial calcification which may represent prior pericarditis/pericardial hematoma. Small thick walled right pleural effusion suggestive of chronic pleur... | 1.Dense pericardial calcification may relate to prior pericarditis/pericardial hematoma.2.Chronic small right pleural effusion.3.Cholelithiasis. |
Generate impression based on findings. | Reason: thymoma, s/p chemo and resection. Pls c/w previous study and evaluate ddz status. History: thymoma CHEST:LUNGS AND PLEURA: Right lung post radiation fibrosis and volume loss, and a right pleural effusion that is only slightly larger than on the prior study.No evidence of pulmonary or pleural metastases. MEDIAST... | 1. Slightly larger right pleural effusion.2. Residual soft tissue and fluid in the anterior mediastinum unchanged, with no specific evidence of recurrent thymoma. |
Generate impression based on findings. | Female 83 years old Reason: R/O obstruction History: dysphagia Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Double contrast evaluation of the esophagus demonstrated several areas of esophageal narrowing, which disappeared during full esophageal distent... | 1.Esophageal mucosal irregularity suggestive of esophagitis. Direct visualization is recommended as clinically indicated.2.Minor motor abnormality.3.Esophageal luminal narrowing, not evident during full distention, suggestive of tortuosity, extrinsic compression or tertiary contractions. |
Generate impression based on findings. | 71 year old female with right sided parietal headache. There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There are grossly unchanged patchy foci of low attenuation throughout the supratentorial white matter m... | 1.No evidence of intracranial hemorrhage.2.Moderate chronic small vessel ischemic disease. |
Generate impression based on findings. | 42 year old female who has a complaint of non-focal left breast pain. No family history of breast cancer. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. N... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. If her left breast pain continues, the patient should return to her primary care physician for management of her symptoms. Results and recommendation were discusse... |
Generate impression based on findings. | Female 55 years old Reason: Pt is a 55 yo female with chronic abdominal pain, and nausea after meals. Diagnosed with SMA in the past s/p SMA surgical relief with duodenojejunostomy. need to be assess under fluoroscopy and assess for anastomotic site stenosis. History: abdominal pain, nausea Limited evaluation of the es... | 1.Post surgical changes related to duodenojejunostomy, with a widely patent anastomosis and no fixed narrowings to suggest stenosis.2.Nonspecific narrowing of the pyloric channel, measuring up to 1 cm during maximal distention, which may reflect sequelae of gastritis. Correlation with direct visualization is recommende... |
Generate impression based on findings. | Female 65 years old Reason: Areas of uptake, please quantify any distant metastases History: Thyroid cancer metastatic to lung and adrenal s/p surgery, withdrawn for thyroid hormone There is expected I-131 activity in the salivary glands, stomach, colon, and urinary bladder. Functioning thyroid tissue in the thyroid be... | Residual thyroid tissue in the thyroid bed, and in probable thyroglossal duct remnant. No conclusive iodine avid disease elsewhere. |
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