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Generate impression based on findings. | Evaluate for obstruction, GJ tube placement Percutaneous GJ tube present, tip appears to be in region of pylorus, apparent discontinuous appearance proximally may be related to radiolucent portion of tube. Moderate gastric distention suggested. Nonobstructive bowel gas pattern. Please refer to concomitant chest radiogr... | Enteric tube as above. If clinical concern persists, further evaluation of tube following instillation of contrast recommended. |
Generate impression based on findings. | Respiratory distress on BiPAP.VIEW: Chest AP (one view) 01/10/15, 0303 Left upper extremity PICC tip is at junction of superior vena cava and right atrium. Upper abdominal surgical clips and gastrostomy tube are noted.Left lower lobe opacity has worsened in the interval. Hazy opacity has developed on the right. Cardiot... | Worsening opacities in the lung bases may be related to atelectasis. |
Generate impression based on findings. | 91-year-old female patient with altered mental status and fall. Evaluate for intracranial hemorrhage. There is no evidence of intracranial hemorrhage or mass. Compared to 7/30/2014, there is has been increase in hypodensity and volume loss involving the right posterior frontal and anterior parietal lobes extending infe... | 1.Evolution of prior right frontoparietal infarct. No intracranial hemorrhage or mass effect. Note that non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct. If there is significant concern for an acute nonhemorrhagic infarct, MRI can be obtained.2.Unchanged prominence of the ventricular sy... |
Generate impression based on findings. | ET tube placementVIEW: Chest AP (one view) 1/10/15 0614 The ET tube tip is below the thoracic inlet and above the carina. The left jugular central venous catheter tip is in the right atrium. The enteric tube tip is distal to the stomach. An IVC stent and upper abdominal surgical clips/suture are again noted. A drain pr... | Unchanged bilateral pleural effusions and bilateral patchy pulmonary opacities. |
Generate impression based on findings. | Increasing abdominal distention Incompletely imaged thickened ascending colon, correlating to findings seen on prior CT imaging. Mild small bowel wall thickening seen in left lower abdominal pelvic area, nonspecific in setting of mesenteric edema/ascites. Nonobstructive bowel gas pattern. Degenerative disease of spine.... | Incompletely imaged bowel thickening as above, no bowel obstruction. |
Generate impression based on findings. | Female 27 years old Reason: evaluate for nephrolithiasis History: L flank radiating to LLQ pain, w/ hematuria Within the limits of a non IV contrast enhanced examination, which limits ability to evaluate solid parenchymal organs and vascular structures, the following observations were made: ABDOMEN:LUNG BASES: No signi... | No specific findings seen to account for the patient's left flank pain, specifically, no evidence of obstructing radioopaque urolithiasis. |
Generate impression based on findings. | Increased respiratory distressVIEW: Chest AP (one view) 1/10/15 0514 The left jugular central venous catheter tip is in the right atrium. The enteric tube tip is at the duodenojejunal junction. An IVC stent and upper abdominal surgical clips/suture are again noted. The cardiothymic silhouette size is slightly enlarged,... | Development of bilateral pleural effusions and bilateral patchy pulmonary opacities. |
Generate impression based on findings. | Constipation No definitive evidence of bowel obstruction. Mild gaseous gastric prominence, air seen distally in bowel. Air containing bowel seen overlying region of right femoral head, likely due to underlying bowel containing hernia. Tube seen in region of pelvis, may be a Foley catheter and correlation with patient's... | No definitive evidence of bowel obstruction, additional findings as above. |
Generate impression based on findings. | Fever, mild tachypneaVIEWS: Chest AP/lateral (two views) 1/10/15 0518 The aortic arch, cardiac apex, and stomach are left-sided. The cardiothymic silhouette is normal.Moderate peribronchial thickening and large lung volumes likely reflect reactive airway disease or bronchiolitis. No focal lung opacities or pleural effu... | Bronchiolitis/reactive airway disease pattern. |
Generate impression based on findings. | Female 73 years old Reason: evaluate for obstruction, mass History: vomiting, little flatus/stool, known peritoneal cancer Within the limits of a non IV contrast enhanced examination, which limits ability to evaluate solid parenchymal organs and vascular structures, the following observations were made: ABDOMEN:LUNG BA... | 1.Multiple partially solid/partially cystic peritoneal masses, seen in abdomen and pelvis but predominantly affecting the latter, most suspicious for metastases from a primary gynecologic malignancy.2.Mass centered in the region of the gastrohepatic ligament nodes, may represent conglomerate nodal metastasis, although ... |
Generate impression based on findings. | 62-year-old female patient with headache and vision changes after anticoagulation for catheterization. Evaluate for acute bleed. There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline s... | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | 59 year old female POD #1 status post left frontal craniotomy for repair of an anterior cranial fossa dural defect. There are unchanged postoperative findings related to left frontal craniotomy and repair of an anterior cranial fossa dural defect. There is minimal essentially unchanged high attenuation subjacent to the... | 1.Essentially unchanged postoperative findings related to left frontal craniotomy and anterior cranial fossa dural defect repair. No significant change in localized edema involving the gyri recti and orbital frontal gyri. No large hemorrhage or significant mass effect.2.Unchanged complete opacification of the right mas... |
Generate impression based on findings. | Rectal tube placement, history of bowel distention Incompletely imaged right hip arthroplasty. Rectal tube seen coiled in expected region of mid to distal descending colon, tip located in mid descending colon. Enteric tube with side port beyond gastroesophageal junction, similar in appearance to prior exam. Dystrophic ... | Unchanged gaseous distention of colon, rectal tube as above. |
Generate impression based on findings. | Increased respiratory distressVIEWS: Chest and abdomen AP (two views) 1/10/15 0627 Tracheostomy tube tip at the thoracic inlet. The enteric tube terminates in the stomach, which is within the giant omphalocele. A right lower extremity venous catheter tip is likely within a right iliac vein.The cardiac silhouette size i... | Persistent bowel loop distention. |
Generate impression based on findings. | 75-year-old female patient with history of stroke and recent carotid endarterectomy presents with altered mental status. Evaluate for intracranial hemorrhage. There is no evidence of intracranial hemorrhage. There are chronic infarcts in the right caudate head and corona radiata and possibly right cerebellar hemisphere... | 1.No evidence of acute intracranial hemorrhage. Please note non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct and follow-up CT or MR should be considered as clinically indicated.2.Extensive calcifications of the major intracranial arteries.3.Stable chronic right caudate head/corona radia... |
Generate impression based on findings. | 31 year old male with head trauma. There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no mass effect or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull is unremarkable. There is soft tissue swelling in the... | 1.No evidence of intracranial hemorrhage or skull fracture.2.There is soft tissue swelling in the right frontotemporal region without underlying calvarial fracture. Punctate high attenuation focus within the right lateral supraorbital soft tissues may represent a foreign body. I personally reviewed the Images and/or pr... |
Generate impression based on findings. | Rectal tube placement, evaluate location No significant change from prior exam. Persistent colonic gaseous distention. Moderate stool. Enteric tube seen with side-port beyond gastroesophageal junction. Rectal tube seen coiled in descending colon with tip in midportion. Multiple radiodensities in lower pelvis, may be sm... | Stable exam as described. |
Generate impression based on findings. | Evaluate stool burden Nonobstructive bowel gas pattern. Small stool burden, for example, in rectum. Incompletely imaged cardiac device. | Small stool burden. No bowel obstruction. |
Generate impression based on findings. | Female 42 years old; Reason: Evaluate for abdominal abscess, evaluate for nephrolithiasis History: severe 10/10 abdominal pain, flank pain bilaterally ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Multiple gallstones in gallbladder, no secondary signs of acute cholecystitis. Mild intrahepa... | Subcentimeter lymph nodes as above, nonspecific. Unremarkable exam otherwise. |
Generate impression based on findings. | 44-year-old male with history of cough and dyspnea. Clinical history of asthma and questionable sarcoidosis. LUNGS AND PLEURA: No consolidation or pleural effusion. No fibrosis or significant emphysema.MEDIASTINUM AND HILA: Heart size within normal limits, no pericardial effusion. No mediastinal or hilar lymphadenopath... | No pneumonia or pulmonary fibrosis. |
Generate impression based on findings. | Female 92 years old Reason: evaluate for ureteral obstruction, history of elevated bicarb ABDOMEN:LUNG BASES: There is moderate centrilobular paraseptal emphysema, with fibrotic changes apparent in the bases. There is mild dependent atelectasis.LIVER, BILIARY TRACT: There is no evidence of biliary ductal dilatation or ... | No specific finding seen to account for the patient's elevated bicarbonate levels. Specifically, no evidence of ureteral obstruction as clinically questioned. |
Generate impression based on findings. | Chylothorax and chest tube. 7-week-old former 27 week gestational age patient.VIEW: Chest AP (one view) 01/10/15, 0909 Opacification of the hemithoraces has decreased. Residual hazy and patchy opacities continue. Cardiac silhouette size is upper limits of normal.Soft tissue edema continues.Endotracheal tube tip is belo... | Improvement in appearance of chest with decreased pleural effusions. |
Generate impression based on findings. | 80 year-old female with history of right upper lung nodule on chest radiograph. LUNGS AND PLEURA: Stable scattered pulmonary micronodules, some of which are calcified. No consolidation or significant pleural effusion. The previously described chest radiograph abnormality is most likely overlapping soft tissues. Minimal... | No suspicious nodules or masses to explain the recent chest radiograph finding, and this was likely related to overlapping soft tissues. |
Generate impression based on findings. | Respiratory insufficiency. Pentobarb induced coma.VIEW: Chest AP (one view) 01/10/15, 0319 Endotracheal tube tip is thoracic inlet and carina. Feeding tube tip is in antropyloric region. Jugular line has its tip at junction of superior vena cava and right atrium.Cardiothymic silhouette is normal. Focal opacity in left ... | Continued opacities in lung bases. Atelectasis is likely. |
Generate impression based on findings. | Female 48 years old Reason: mets lung cancer, s/p multiple chemo and active MS as well. Pls c/w previous study and evaluate tx response and dz status. History: lung ca ABDOMEN:LUNG BASES: Please see chest CT report from the same day for full thoracic findings.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEE... | 1.Increased hepatic metastases as detailed above.2.Stable retroperitoneal lymphadenopathy.3.Stable mesenteric lymphadenopathy and soft tissue thickening of the right pelvic sidewall.4.Please see chest CT report from the same day for full evaluation of the thorax. |
Generate impression based on findings. | Female 62 years old; Reason: adrenal protocol, please evaluate left adrenal nodule History: please evaluate left adrenal nodule ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Stable 1 cm hepatic segment 2/3 measuring simple fluid and demonstrating no significant postcontrast enhancement, co... | Left adrenal nodule demonstrating imaging characteristics consistent with a benign (lipid poor) adenoma. |
Generate impression based on findings. | Male 48 years old Reason: cholangiocarcinoma, recurrent after resection, on palliative chemotherapy. Refractory hyperbilirubinemia, restaging on chemotherapy for 3 months History: jaundice CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: There is no evidence of mediastinal or hilar lymphade... | 1.New/increased hypoattenuating lesions in the hepatic parenchyma, suggestive of intrahepatic metastases or spread of primary neoplasm.2.Essentially stable hepatic hilar mass.3.Bilobar percutaneous biliary drainage catheters, position unchanged, with stable diffuse intrahepatic biliary ductal dilatation.4.Increased mes... |
Generate impression based on findings. | 7-month-old former 23 week gestational age patient with bilious emesis.VIEW: Abdomen AP (one view) 01/10/15, 0559 Feeding tube tip is in gastric body and side port is at GE junction. Osseous changes from rickets continued.Multiple mildly to moderately dilated bowel loops are seen. Bowel gas pattern has changed. No pneu... | Continued bowel dilatation. |
Generate impression based on findings. | 53 year old female with history of constrictive pericarditis, lymphoma and mediastinal radiation after pulmonary fibroma less resection. Evaluate the pericardium. LUNGS AND PLEURA: Interval decrease size of moderate right loculated pleural effusion. Small loculated left pleural effusion has also decreased in size. Inte... | 1.Interval decreased pleural effusions, with the right pleurex catheter.2.Small amount of pericardial fluid, without significant pericardial thickening, pericardial calcification or narrowing of the AV waist.3.Increased consolidation along the left fissure in the left upper lobe, which may be seen in pulmonary lymphoma... |
Generate impression based on findings. | 60 year old female with lymphoma and altered mental status. This exam is mildly degraded by motion artifact.HEAD: There are unchanged postoperative findings related to right pterional craniotomy and cranioplasty for aneurysm clipping. There is also an unchanged left parietal approach ventriculostomy catheter which term... | 1.Unchanged postoperative findings related to right pterional craniotomy and cranioplasty for aneurysm clipping as well as ventriculostomy catheter placement and left orbital repair. 2.No evidence of acute intracranial hemorrhage. 3.Unchanged low attenuation regions within the supratentorial white matter are most compa... |
Generate impression based on findings. | Right pneumothorax. On oscillator. VIEW: Chest AP (one view) 1/10/15 0608 ET tube tip is below thoracic inlet and above the carina. NG tube tip is in the stomach. Left upper extremity PICC tip is in the SVC. Two chest tubes remain on the right. The cardiothymic silhouette is normal. The leftward mediastinal shift is si... | PIE with large right lower lung pneumatoceles, without pneumothorax. |
Generate impression based on findings. | Female 67 years old Reason: evaluate for sbo, biliary stent obstruction History: abdominal pain ABDOMEN:LUNG BASES: Small right pleural effusion with associated compressive atelectasis, new from the prior examination.LIVER, BILIARY TRACT: Interval increased intrahepatic and extrahepatic biliary ductal dilatation. There... | 1.Small bowel obstruction with transition point seen in the central pelvis, likely reflecting adhesive disease.2.New small volume ascites and right pleural effusion.3.Increased intrahepatic and extrahepatic biliary ductal dilatation without expected pneumobilia, likely reflecting biliary obstruction, perhaps secondary ... |
Generate impression based on findings. | 50 year old female with history of cirrhosis and CHF. LUNGS AND PLEURA: Compared with the 1/5/2015 CT abdomen, there has been decreased small , right greater left pleural effusions and associated atelectasis/consolidation. Bilateral patchy groundglass opacities.MEDIASTINUM AND HILA: Heart size within normal limits, no ... | 1.Decreased small pleural effusions with improved but persistent atelectasis/consolidation and patchy groundglass opacities. 2.Interval decreased abdominal ascites, and other findings as above. |
Generate impression based on findings. | 38 year old male with congenital hydrocephalus and mild agitation with recent EVD removal. There has been interval removal of a right frontal approach external ventriculostomy catheter. There are bilateral parietal approach ventriculostomy catheters, with the left draining into the cervical subarachnoid space. There is... | 1.Interval mild increase in size of the lateral and third ventricles.2.Interval removal of a right frontal EVD and placement of left ventriculo-cisternal shunt. These finding were called by Dr. Michael Rozenfeld to Dr. Sean Polster on 1/10/2015 at 10:26 AM.I personally reviewed the Images and/or procedure with the Resi... |
Generate impression based on findings. | 88-year-old male with history of new onset dyspnea and tachycardia. PULMONARY ARTERIES: No pulmonary embolus.LUNGS AND PLEURA: Interval increased moderate left and small right pleural effusions with associated atelectasis/consolidation. Pulmonary nodules, likely post infectious/post inflammatory, are unchanged. Postope... | 1.No pulmonary embolus.2.Increased moderate left and small right pleural effusions.3.Increased moderate pericardial effusion.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 57 year old female with recent subarachnoid hemorrhage and endovascular coiling of a basilar tip aneurysm There are postoperative findings related to endovascular coil embolization of a basal tip aneurysm and placement of a right frontal approach ventriculostomy catheter which terminates near the foramen of Monro. Ther... | 1.Postoperative findings related to endovascular coil embolization of a basilar tip aneurysm and ventriculostomy catheter placement.2.Slight decrease in ventricular size.3.Slight decrease in intraventricular hemorrhage.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report... |
Generate impression based on findings. | 68-year-old male with history of tonsil cancer and chemo radiation therapy. CHEST:LUNGS AND PLEURA: Scattered stable pulmonary micronodules. No new suspicious nodules or masses. Mild apical predominant emphysema. No pleural effusion or consolidation.MEDIASTINUM AND HILA: Heterogeneous thyroid, unchanged no mediastinal ... | No evidence of metastatic disease. |
Generate impression based on findings. | 29 year old female with history of resected posterior fossa PA and ventricular shunt now with worsening ataxia. There is a right frontal approach ventriculostomy catheter terminating near the foramen of Monro. The ventricles are unchanged in size with near complete collapse of the right lateral ventricle. There are pos... | Unchanged ventriculostomy catheter position and ventricular size.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | HeadNo evidence of acute intracranial hemorrhage or mass effect. No midline shift or uncal herniation. Again seen are areas of encephalomalacia in bilateral parietal lobes and the medial aspect of the posterior left temporal lobe extending into the left occipital lobe lingual gyrus with ex vacuo dilatation of the left... | 1.No evidence of intracranial hemorrhage. No orbital or calvarial fracture is evident.2.Multiple prior bilateral chronic infarcts, which appears similar to prior.3.No acute fracture or subluxation in the cervical spine.4.Multilevel degenerative changes as detailed above.5.Right pleural effusion. |
Generate impression based on findings. | Alignment is anatomic. There are no fractures or subluxations. The conus is normal in signal and morphology and terminates at the L1 level. The vertebral body heights are maintained. Again seen is increased left-sided epidural fat at the L2 level along the ventral aspect of the spinal canal, resulting in subtle mass e... | 1.No significant change in degenerative changes in the lower lumbar spine with severe spinal canal stenosis at L4-L5 related to epidural lipomatosis and superimposed degenerative disease. Individual levels as above.2.No enhancing lesions to suggest active metastatic disease. Previously seen right L2 transverse process ... |
Generate impression based on findings. | Respiratory failure with reintubationVIEW: Chest AP (one view) 1/10/15 1109 The ET tube tip is below the thoracic inlet and above the carina. The left jugular central venous catheter tip is in the right atrium. The enteric tube tip is distal to the stomach. An IVC stent and upper abdominal surgical clips/suture are aga... | Increasing bilateral pulmonary opacities. |
Generate impression based on findings. | CT HEAD: There is no evidence of acute intracranial hemorrhage. There are somewhat more clearly defined regions of low-attenuation within the right frontal and parietal white matter as well as a smaller punctate focus of low-attenuation within the genu of the right internal capsule compatible with acute to subacute in... | 1.Multiple right cerebral hemisphere acute infarcts. No evidence of mass-effect. As suggested on recent MRI, if there is possibility of associated infection and infectious vasculopathy, consider lumbar puncture. However, no significant steno-occlusive lesion within the head or neck is seen. No appreciable mycotic aneur... |
Generate impression based on findings. | There are linear lucencies through the right transverse processes at L1 and L2. There is a linear transversely oriented lucency through the L5 vertebral body without height loss. The vertebral column alignment is within normal limits. The paravertebral soft tissues are unremarkable. There is heterotopic bone between L... | 1.Fractures of the right L1 and L2 transverse processes which may be acute. Correlate with focal tenderness.2.Vertical lucency extending to the L5 vertebral body, possibly related to remote trauma versus developmental variant. Of note, no edema is seen on recent MRI to suggest an acute injury at this level.3.Remote pos... |
Generate impression based on findings. | 72-year-old male with right upper extremity swelling. Concern for airway and neck mass. There is an irregular soft tissue mass that extends from the right paratracheal mediastinum at the level of the aortic arch superiorly to the surgical bed in the cervical neck. There is minimal peripheral enhancement of the mass. Th... | 1. Compared to prior CT neck from 9/9/2014, there is evidence of tumor recurrence with soft tissue mass seen extending from the mediastinum to the right neck and encasing the right common carotid and right subclavian arteries. There is mild progression of metastatic disease in the chest compared to CT chest from 12/30/... |
Generate impression based on findings. | 42 year old male with left submandibular swelling. The thyroid and major salivary glands are unremarkable, including the left submandibular gland. There is borderline bilateral cervical lymphadenopathy with lymph nodes increased in both size and number. For example, a left level Ib lymph node has a rounded configuratio... | 1.Mildly enlarged bilateral submandibular lymph nodes, which may be reactive. There is 16mm left level Ib lymph node, which may correspond to the palpable abnormality.2.Non-specific prominence of the adenoid tonsils with associated narrowing of the nasopharyngeal airway. 3.There is evidence of removal of left posterior... |
Generate impression based on findings. | 68 year old male with altered mental status This exam is mildly degraded by motion artifact. 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 skull and extracranial soft tissues are unremarkable. There a... | No evidence of intracranial hemorrhage or significant mass effect.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 74-year-old female patient with altered mental status. Evaluate for stroke. There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. Again noted is slight asymmetric volume loss in the left cerebral hemisphere compared to the right. Otherwise, the ventricles a... | No evidence of intracranial hemorrhage or mass effect. If there is continued clinical concern for acute infarct, an MRI of the brain is recommended. |
Generate impression based on findings. | 52 year old male with head trauma three days prior. There is no evidence of acute intracranial hemorrhage. There are unchanged foci of high attenuation within the right cingulate gyrus and right inferior frontal gyrus. There is an unchanged focus of low attenuation within the left periventricular white matter extending... | 1.No evidence of acute intracranial hemorrhage or skull fracture.2.Unchanged foci of high attenuation within the right cingulate gyrus and right inferior frontal gyrus may represent calcification or mineralization and are nonspecific.3.Unchanged left periventricular and caudate nucleus chronic lacunar infarct.4.Age-ind... |
Generate impression based on findings. | 68 year old male with T4bN2b p16+ SCC of the L palatine tonsil with chemo/RT completed in September 2013 per EPIC and metastatic thyroid cancer per order indication. There are post-treatment findings with persistent but mildly decreased pharyngeal mucosal edema and mild airway narrowing. There is no evidence of discret... | 1.No evidence of locoregional tumor recurrence or significant lymphadenopathy.2.Multiple unchanged non-specific subcentimeter nodules within the thyroid gland. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Newborn 24 week gestational age patient.VIEWS: Chest and abdomen AP (two views) 01/10/15, 1413 Endotracheal tube tip is in right mainstem bronchus. Umbilical arterial line tip is at T7. Umbilical venous line tip is in an unknown location in the right upper quadrant.Mediastinum is shifted to the left and left lower lobe... | Right mainstem bronchus intubation and left lower lobe atelectasis. Umbilical venous line in an abnormal location. Normal bowel gas pattern. |
Generate impression based on findings. | Right lower quadrant pain. Rule-out appendicitis. ABDOMEN:LUNG BASES: No focal opacity. No pleural effusion.LIVER, BILIARY TRACT: Normal enhancement. No biliary duct dilation. Distended a normal appearing gallbladder.SPLEEN: Normal in appearance.PANCREAS: Normal in appearance.ADRENAL GLANDS: No significant abnormality ... | Acute appendicitis.Free fluid. |
Generate impression based on findings. | Newborn 24 week gestational age patient with umbilical venous line replacement.VIEWS: Chest and abdomen AP (two views) 01/10/15, 1459 Endotracheal tube tip is in right main stem bronchus. Umbilical venous line tip is in left atrium. Umbilical arterial line has its tip at T7.Atelectasis of the left lung is present. The ... | Right mainstem bronchus intubation. Umbilical venous line tip in left atrium. |
Generate impression based on findings. | There is minimally increased opacification within the left maxillary ostium and infundibulum. The mucosal thickening involving the ethmoid, maxillary, and sphenoid sinuses is otherwise unchanged. There is no evidence of retromaxillary, orbital, or intracranial extension. The nasal cavity is clear. There is no signific... | 1.Compared to 12/31/2014, no significant change in paranasal sinus mucosal thickening without evidence of orbital, retromaxillary, or intracranial extension. There is improvement compared to 12/24/2014.2.Dental caries and periapical lucency involving ADA tooth number 16.I personally reviewed the Images and/or procedure... |
Generate impression based on findings. | 32 year old male with new onset paranoia and psychosis. 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 clear. There is a smooth, shallow, well cortica... | 1. No evidence of intracranial hemorrhage or mass effect.2. Smooth lytic defect in the right frontal calvarium is nonspecific. No adjacent mass is appreciated. Correlate for remote history of prior infection, trauma, or surgery. Linear soft tissue (possibly scar) seen in the adjacent scalp.I personally reviewed the Ima... |
Generate impression based on findings. | 27 year old male with cerebral palsy presenting after fainting and possible seizure. There is no evidence of intracranial hemorrhage. The lateral ventricles are asymmetric with the left being larger than the right. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. Th... | 1. No evidence of intracranial hemorrhage. 2. Asymmetric enlargement of the left lateral ventricle. Finding may be related to adjacent remote parenchymal injury (especially given history of cerebral palsy), which can be better assessed with MRI. Underlying cystic lesion such as a neuroepithelial cyst would also be in t... |
Generate impression based on findings. | 12 year old female with diabetes, hyperglycemia, and altered mental status. There is no evidence of intracranial hemorrhage. There is mild loss of grey-white differentiation and sulci diffusely. The ventricles and basal cisterns appear small. There is no midline shift or herniation. The imaged paranasal sinuses and mas... | Mild loss of grey-white differentiation and global sulcal effacement suggestive of global cerebral edema. No herniation.Findings discussed with Dr. Tothy at 4:20pm on 1/10/15. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 3 year old male with submental swelling and induration. This exam is degraded by motion artifact. There is minimal swelling and stranding within the subcutaneous fat of the submental region. There is no discrete fluid collection. There is no evidence of mass lesions or significant cervical lymphadenopathy. The thyroid ... | Motion degraded exam with minimal submental swelling and fat stranding without evidence of abscess. Given motion degradation on exam, if there is high suspicion for a palpable mass, ultrasound may be considered.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Male 71 years old; Reason: please evaluate for infectious source History: septic shock, recent microperf of bladder CHEST:LUNGS AND PLEURA: Mild interval improvement in size of small left pleural effusion. Increasing right pleural effusion. Underlying atelectasis/consolidation present. Mild vague airspace disease in vi... | 1. Again seen is small amount of layering hyperdensity in left lower quadrant loculated fluid collection, structure not significantly changed in size accounting for differences in technique, and appears to be contiguous with superolateral aspect of bladder dome. Given patient's reported history, findings may reflect co... |
Generate impression based on findings. | There is a small irregular lytic lucency within the posterior right maxillary alveolus with an absent molar. There is no evidence of fluid collection, abscess, or soft tissue swelling. Asymmetrically prominent left jugulodigastric lymph node. No significant cervical lymphadenopathy.No maxillofacial fractures. The imag... | Small lytic defect within the posterior right maxillary alveolus without adjacent inflammatory changes or abscess. This is non-specific and may represent an area of current or prior infection among other etiologies. Recommend direct visualization. This finding was discussed with the ER attending on shift at 9:00 am on ... |
Generate impression based on findings. | 3-year-old male status post fall with altered mental status No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift, or uncal herniation. Gray-white differentiation is maintained. No extra-axial collections. Ventricles are within normal limits without evidence of hydr... | No evidence of acute intracranial hemorrhage or mass effect. No calvarial fracture. |
Generate impression based on findings. | Headaches, status post fall, loss of consciousness. Evaluate for bleed. No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift, or uncal herniation. Gray-white differentiation is maintained. No extra-axial collections. Ventricles are within normal limits without evid... | No evidence of acute intracranial hemorrhage or mass effect. No calvarial fracture. |
Generate impression based on findings. | CVA, left-sided weakness No intracranial hemorrhage is identified. Similar to CT dated 12/14/2014 again seen are areas of regions of hypoattenuation in the watershed distribution of the right cerebral hemisphere compatible with recent infarcts with slight evolution. Additional scattered ill-defined and focal hypoattenu... | 1. No evidence of acute intracranial hemorrhage.2. Multiple right cerebral hemispheric infarcts in a watershed distribution again seen and similar to prior CT and MRI from 12/14/2014 and 12/17/2014, respectively, with mild evolution. No evidence of hemorrhagic transformation or mass-effect. Additional supratentorial an... |
Generate impression based on findings. | Reason: new multiple strokes, evaluate vessels History: as above 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 sig... | 1.Findings suggest Moya-Moya like phenomenon with bilateral distal ICA and proximal ACA and MCA occlusions with pial collateral reconstitution.2.Subacute infarctions predominantly along the medial right frontal lobe and basal gangila are better depicted on the recent MRI exam.3.There are multilevel degenerative changes... |
Generate impression based on findings. | Female 58 years old; Reason: Evaluate for fistula, invading wall process History: hx of rectal and vaginal bleeding ABDOMEN:LUNGS BASES: Small right base atelectasis.LIVER, BILIARY TRACT: Status post cholecystectomy. Heterogeneous fluid containing collection with associated relative hyperdensity/soft tissue attenuation... | 1. Heterogeneous fluid containing collection with associated relative hyperdensity/soft tissue attenuation seen in the right posteroinferior perihepatic region with extension into Morison's pouch and into abdominal wall posterolaterally. Air containing component of collection or tract seen extending to junction of seco... |
Generate impression based on findings. | 39 -year-old female with history of upper extremity DVT and substernal chest pain PULMONARY ARTERIES: Multiple filling defects in bilateral lower lobe segmental pulmonary arteries. Filling defects are eccentrically located suggestive of chronic pulmonary emboli. There is a filling defect in the right lower lobe that ap... | 1.Subacute to chronic appearing pulmonary emboli in bilateral lower lobes as described above.2.Hypodense nodule in the right thyroid lobe. Follow-up with ultrasound if clinically warranted.PULMONARY EMBOLISM: PE: YesChronicity: Chronic appearingMultiplicity: BilateralMost Proximal: Right segmentalRV Strain: Mild. |
Generate impression based on findings. | There is minimal mucosal thickening within the left sphenoid sinus and right relatively greater than left maxillary sinuses. Small left maxillary sinus mucosal retention cyst. Trace mucosal thickening involving the anterior ethmoid air cells. The nasal cavity is clear. There is no significant nasal septal deviation. T... | Minimal mucosal thickening involving the paranasal sinuses as above. No CT evidence of acute sinusitis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | There is no acute maxillofacial or orbital fracture. The globes are intact. Lens are in place. No retrobulbar hematoma. Visualized intracranial structures are unremarkable.There is minimal paranasal sinus mucosal thickening as well as minimal secretions within the sphenoid sinuses. There is no significant soft tissue ... | No orbital fracture. No evidence of globe rupture. No retrobulbar hematoma. No evidence for foreign body. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Reason: GSW to Left posterior neck History: trauma 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 steno... | 1.Right occipital depressed skull fracture associated with adjacent contusion and thin extra-axial hematoma. The possibility this is an open fracture cannot be excluded.2.Left posteriolateral neck penetrating injury involving the lower neck and uppershoulder musculature.3.No evidence for carotid or vertebral dissection... |
Generate impression based on findings. | Pain and swelling, check humerus prosthesis Shoulder: Long-standing humeral hemiprosthesis observed in gross anatomic alignment (patient lacks a a deltoid muscle which can appear with a humoral head projected more posteriorly). Without prior, subtle change cannot be identified however the humeral head appears properly ... | No gross acute abnormality definitely identified, however there are upper arm soft tissue and prosthetic changes concerning for or long-standing potential abnormalities. Although remote, comparison with prior imaging is needed to exclude. Pager 1223 contacted |
Generate impression based on findings. | 19 year-old female with chest pain and shortness of breath PULMONARY ARTERIES: Technically adequate examination. No evidence of pulmonary embolism. Pulmonary artery measures 2.5 cm. There is collateralization and change in caliber of the left subclavian vein which may represent stenosis. LUNGS AND PLEURA: There is mini... | 1.No evidence of pulmonary embolism.2.5-mm groundglass nodule in the left upper lung. Recent guidelines by the Fleischner society (Radiology 2005: 237:395-400) suggest that patients with low risk for lung cancer and nodules greater than 4 mm and less than or equal to 6 mm in diameter should have follow up in 12 months.... |
Generate impression based on findings. | 32-year-old male with shortness of breath and hypoxia PULMONARY ARTERIES: Technically adequate examination. No evidence of pulmonary embolism. Pulmonary artery is enlarged measuring 3.0 cm suggestive of pulmonary artery hypertension.LUNGS AND PLEURA: Postoperative changes of bilateral lung transplantation. There is min... | 1.No evidence of pulmonary embolism.2.No focal areas of consolidation in the right upper lobe may represent infection or aspiration. Mild interval increase in mediastinal lymphadenopathy may be reactive in etiology.3.Minimal improvement of bilateral upper lobe predominant fibrotic changes.PULMONARY EMBOLISM: PE: None.C... |
Generate impression based on findings. | Right lower extremity swelling and pain Pelvis: Bilateral mild hip osteoarthritis with more minimal degenerative changes of both SI joints and symphysis. Upper pelvis obscured by moderate gas and stool. No gross acute abnormality within this limitationHip and femur: Mild osteoarthritic changes of the hip with no acute ... | Scattered degenerative changes and prosthetic first MTP arthroplasty, as described above. Acutely, asymmetry of the ankle with surrounding soft tissue swelling is concerning for ligamentous injury. Old healing proximal fibular fracture, within alignment |
Generate impression based on findings. | 57 year old female with metastatic papillary thyroid cancer presenting for restaging after 6 cycles of oral therapy and prior right neck dissection. HEAD: There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline... | 1.Two unchanged masses/enlarged lymph nodes inferior to the right thyroidectomy bed and at the right upper paratracheal level. No new masses or lymphadenopathy.2.No evidence of intracranial metastases.3.Numerous subcentimeter pulmonary nodules which will be further described on the report from the CT chest performed co... |
Generate impression based on findings. | Pain and swelling. Rule-out fracture.VIEWS: Left knee AP/lateral/oblique (3 views) 01/10/15 A joint effusion is not identified. The bones are normal in appearance. No fracture is seen. | Normal examination. |
Generate impression based on findings. | Intubated and head trauma. Tachypnea. Uncomfortable.VIEW: Chest AP (one view) 01/10/15, 1642 Endotracheal tube tip is below thoracic inlet. Feeding tube tip is in gastric antrum. Left central line tip is at junction of brachiocephalic veins.Cardiothymic silhouette is normal. Focal opacities are present in right upper a... | Bilateral opacities may be atelectasis or pneumonia. |
Generate impression based on findings. | Chest tube fell out. 24 day old former 25 week gestational age patient.VIEWS: Chest AP/lateral (two views) 01/10/15, 1830 and 1834 Endotracheal tube tip is below thoracic inlet. Feeding tube tip is in stomach with side port in lower esophagus. Left upper extremity PICC tip is in SVC. Right chest tube tip is located ant... | Complete atelectasis of left lung. Pulmonary interstitial emphysema and pneumatocele formation. No pneumothorax. |
Generate impression based on findings. | Check for fracture-dislocation, leg length swelling and pain following fall Knee: Mild degenerative changes scattered throughout the knee with narrowing, sclerosis and minimal osteophytes. No effusion or evidence of acute distinct abnormality.Lower leg: Mild diffuse swelling with stranding in subcutaneous tissues of un... | Suspected diffuse swelling and possible focal hematoma involving the upper lateral lower leg. |
Generate impression based on findings. | Distention and tachycardia. Liver transplant. ABDOMEN:LUNG BASES: Consolidation is present in both bases right greater than left. Pleural effusions are better seen on sonogram from 01/10/15.LIVER, BILIARY TRACT: Liver appears slightly heterogeneous. A hypodense lesion in segment 5 measures 1.3 cm and formerly measured ... | Free peritoneal fluid increased in the interval. Hypodense lesion in segment 5 of the liver of unknown significance. |
Generate impression based on findings. | Knee pain following motor vehicle collision Minimal atherosclerotic changes without additional underlying acute osseous abnormality. Specifically no fracture or malalignment. No effusion, however minimal soft tissue swelling overlying the knee anteriorly cannot be excluded, please correlate with physical exam. | Minimal soft tissue swelling without underlying acute osseous abnormality |
Generate impression based on findings. | Female 24 years old; Reason: Evaluate for acute appendicitis History: rlq pain woken from sleep Paucity of abdominal fat makes assessment suboptimal.ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No signific... | 1. Findings suspicious for acute ileitis as described, infectious etiology a consideration but inflammatory etiology/Crohn's disease not entirely excluded and correlation patient's clinical history recommended.2. Normal appendix.3. Mild to moderate urinary bladder distention. |
Generate impression based on findings. | Heavy bag fell on leg. Pain and swelling, pain along medial side Moderate knee osteoarthritis, incompletely visualized without additional lower leg acute abnormalities. Specifically no fracture or malalignment involving the ankle. Soft tissues grossly unremarkable although mild diffuse soft tissue swelling cannot be ex... | Moderate knee osteoarthritis without additional acute abnormality |
Generate impression based on findings. | 24-year-old male with tachycardia and left-sided back pain. History demonstrates pathology proven anterior mediastinal teratoma. PULMONARY ARTERIES: Technically adequate examination. Equivocal filling defect within a right lower lobe subsegmental pulmonary artery (series 6, image 256) may represent a pulmonary embolism... | 1.Equivocal pulmonary embolism in a distal subsegmental right lower lobe pulmonary artery is of uncertain clinical significance.2.Known anterior mediastinal teratoma as described above.PULMONARY EMBOLISM: PE: Equivocal.Chronicity: Likely chronic.Multiplicity: Solitary.Most Proximal: Subsegmental right lower lobe.RV Str... |
Generate impression based on findings. | Pain and swelling Hand: An oblique and minimally volar angulated fracture through the neck of the fifth metacarpal is observed with overlying mild swelling. Fracture does not extend into the articular surfaces. The remainder of the hand is otherwise unremarkable and intact.Wrist: No radiographic acute or chronic abnorm... | Distal fifth metacarpal oblique neck fracture with minimal volar angulation |
Generate impression based on findings. | 85 year old female with T3N0 epiglottic SCC-mod diff. Pt completed FHX 5/4/2012. There are post treatment findings within the neck with unchanged mild edema within the hypopharynx and larynx. There is no evidence of discrete mass lesions or significant cervical lymphadenopathy. The thyroid and major salivary glands are... | 1.No evidence of locoregional tumor recurrence or significant lymphadenopathy.2.Unchanged 5 mm aneurysm of the supraclinoid right internal carotid artery.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Pain and swelling An acute oblique fracture through the aseptic distal first phalanx extending to the articular surface with approximately 2mm displacement is observed. Overlying soft tissue swelling | Minimally displaced oblique fracture through the base of the distal first phalanx with distinct extension to the articular surface |
Generate impression based on findings. | Check for fracture. Patient in splint Detail obscured by extensive overlying splint material. Gross anatomic alignment is observed without clear identification of previously described fractures | Gross anatomic alignment |
Generate impression based on findings. | Bump on left lower shin.VIEWS: Left tibia fibula AP/lateral (two views) 01/10/15 The bones are normal in appearance. No fractures seen. No definite soft tissue mass is identified. | Normal examination. |
Generate impression based on findings. | Newborn 24 week gestational age patient with placement of lines.VIEWS: Chest and abdomen AP (two views) 01/10/15, 1822 Endotracheal tube tip is at carina. Umbilical venous line tip is in right atrium. Umbilical arterial line tip is at T6/7.Atelectasis in left lung has resolved. Focal opacities are seen in the right bas... | Atelectasis in left lung resolved. New opacity in right lung. Mildly dilated bowel. |
Generate impression based on findings. | Male 48 years old; Reason: sepsis History: sepsis Evaluation of organs of the abdomen and pelvis suboptimal without IV contrast.ABDOMEN:LUNGS BASES: Again visualized right greater than left small pleural effusions with underlying atelectasis/consolidation.LIVER, BILIARY TRACT: Upper abdominal drainage catheters. Status... | 1. Postsurgical changes related to orthotopic liver transplant, see above.2. Improving hematoma in region of lesser sac/along greater curvature of stomach.3. Mild interval increase in ascites, now small to moderate.4. Bilateral pleural effusions. |
Generate impression based on findings. | 57-year-old female with multiple medical problems including ESRD, SLE with hypoxia, and shortness of breath PULMONARY ARTERIES: Technically adequate examination. Equivocal filling defect in the left lingular pulmonary artery (series 5, 130). No additional filling defects are noted. A small, distal filling defect is lik... | 1.Equivocal filling defect in the distal lingular pulmonary artery is likely of no clinical significance.2.Right greater than left pleural effusions appear slightly decreased when compared to the prior exam.3.Mucous plugging of the left lower lobe bronchus with associated atelectasis appear similar to CT 12/28/2014.PUL... |
Generate impression based on findings. | Check for right femur fracture. An extensive spiral fracture of the proximal right femur is observed with minimal displacement of and associated fragment medially. Gross anatomic alignment is observed regarding displacement, however the distal femur is exaggerated rotated extensively. Soft tissue swelling | Extensive comminuted proximal diaphyseal spiral fracture with extensive rotational abnormality |
Generate impression based on findings. | 60 year old male with T1N2b SCCA of the right palatine tonsil. He is s/p CRT completed 8/7/2014. There is no residual measurable tumor involving the right tongue base and right tonsillar pillar. There is decrease in previously described enhancement involving the pharyngeal and laryngeal mucosa. There is also interval d... | No residual measurable tonsillar tumor or significant cervical lymphadenopathy.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Left foot pain and swelling. Slipped on stairs many months ago. Chronic pain Ankle: Questionable mild diffuse swelling, please correlate with physical exam and opposite leg. Otherwise underlying ankles unremarkable other than minimal degenerative changes, not incompatible with patient age.Foot: Minimal osteoarthritic c... | Questionable mild diffuse swelling without underlying acute osseous abnormalities. Minimal osteoarthritic changes |
Generate impression based on findings. | Neck spasm The lateral projection demonstrates a mildly exaggerated extension which may represent minimal splinting, however no acute or underlying associated osseous abnormality. Specifically alignment preserved. Soft tissues are unremarkable. | Mild hyper extension cannot be excluded, and may represent muscle spasm however no associated underlying osseous or additional soft tissue abnormality is observed |
Generate impression based on findings. | Femur fracture An acute fracture through the distal stem of a right total hip arthroplasty is observed with moderate medial angulation and fragmentation of the surrounding cortical shaft. Extensive artifact from the metallic prosthesis limits sensitivity, however no definite associated discrete focal soft tissue abnorm... | Acute fracture of the right femur overlying the distal stem of the right total hip arthroplasty |
Generate impression based on findings. | Check for osteomyelitis Extensive soft tissue swelling and deformity of the mid and hindfoot. Superimposed ulcerations, most pronounced involving the calcaneus along the plantar and posterior surfaces are also observed in largely unchanged when compared to prior exam. No gross interval underlying osseous change, howeve... | Extensive soft tissue changes, ulceration and questionable appearance of the talus. See detail provided and recommendation above |
Generate impression based on findings. | Diabetic ketoacidosis and acute respiratory insufficiency. New intubation.VIEW: Chest AP (one view) 01/10/15, 1811 Cardiothymic silhouette is normal. No focal lung opacity is present. Few vertical linear lucencies are seen in the right apex extending superiorly.A vertically oriented density is noted in the midline at t... | Probable pneumomediastinum.If an endotracheal tube is present the tip is at or above C7. Increased distention of stomach may be related to bag mask ventilation or or-endotracheal tube. |
Generate impression based on findings. | 56 year old male with lymphadenopathy and SCC of unknown primary. There is bilateral cervical lymphadenopathy. For example, a conglomerated mass of nodes within the left level 1A region measures 38 x 38 mm, previously 36 x 34 mm, a left level IIB lymph node measures 21 x 17 mm, previously 20 x 14 mm, and a right level ... | 1.Compared to 10/4/2014, again seen is bilateral cervical lymphadenopathy with the left level IIA and IIB lymph nodes increased in size. The right level IIB lymph node measures slightly smaller. 2.Unchanged slight asymmetry of the tonsillar pillars with the left being larger than the right. Otherwise no evidence of mas... |
Generate impression based on findings. | 54-year-old female with shortness of breath PULMONARY ARTERIES: Technically adequate examination. The pulmonary artery measures 2.3 cm. There is no evidence of pulmonary embolism.LUNGS AND PLEURA: Minimal bibasilar atelectasis in the right lung base. There is a calcified granuloma in the right upper lobe (series 8, ima... | 1.No evidence of pulmonary embolism.2.Please note that a contrast extravasation occurred as detailed in the technique section.PULMONARY EMBOLISM: PE: None.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Gunshot wound to knee.VIEWS: Right femur AP/lateral (two views), right knee AP/lateral (two views), right tibia fibula AP/lateral (two views) 01/11/15 Projectile fragment is lodged in the medial aspect of the proximal tibial metaphysis. Air and fluid are present within the knee joint. Subcutaneous emphysema is identifi... | Probable proximal tibial intra-articular fracture. |
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