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Generate impression based on findings. | 19 year old female with dysphonia, dysphagia, and odynophagia for 2 days and a swollen right submandibular gland. There is borderline cervical lymphadenopathy bilaterally and mild tonsillar enlargement, left greater than right. There is no evidence of mass lesions. The thyroid and major salivary glands are unremarkable... | Borderline cervical lymphadenopathy and mild tonsillar enlargement is likely reactive. No evidence of right submandibular pathology. |
Generate impression based on findings. | Female 33 years old ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEU... | Unremarkable CT. |
Generate impression based on findings. | 25-year-old female. Clinical history of Crohn's disease presenting with abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Scattered punctate hypoattenuating hepatic foci, too small to characterize, unchanged and likely a cyst.SPLEEN: No significant abnormality notedPANCREAS: No s... | No evidence of abscess or bowel inflammation. Left adnexal cystic structure is 4.8 x 4 cm, may be a physiologic cyst, follow-up US is suggested in 3 months to confirm resolution. |
Generate impression based on findings. | Male 87 years old Reason: follicular lymphoma, followup scan. Increased nodes in lower neck, left groin. Also f/u pulmonary nodule History: increased adenopathy CHEST:LUNGS AND PLEURA: Focal scarring and bronchiectasis involving the peripheral aspect of the right upper lobe is unchanged. Scattered micronodules in bilat... | No significant change in the chest from previous CT. there are significantly enlarged pelvic lymph nodes. Borderline retroperitoneal lymph nodes. |
Generate impression based on findings. | Female 16 years old Reason: 16 y F w/Crohn's ileitis, admitted for emesis and abdominal pain, evaluate disease course History: emesis, abdominal pain.EXAMINATION: MR enterography without and with IV contrast 3/20/15 ABDOMEN:LIVER, BILIARY TRACT: No intra-or extrahepatic B. dilatation. No liver focal lesions.SPLEEN: No ... | Normal examination. No evidence of inflammatory bowel disease. |
Generate impression based on findings. | Clinical question: Concern for stroke. Signs and symptoms: Seizure, on anti-coagulation. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.BC cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter... | Unremarkable exam. |
Generate impression based on findings. | CT 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 shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. CTV... | 1.No evidence of intracranial hemorrhage. 2.Unremarkable cavernous sinuses. |
Generate impression based on findings. | Female 70 years old Reason: renal mass enlargement? hepatic disease? mets? History: abd distention, elevated LFT's, hx renal mass ABDOMEN:LUNG BASES: Focal atelectasis at the lung bases. Cardiomegaly.LIVER, BILIARY TRACT: Liver is enlarged. Hepatic veins and IVC are dilated. These are secondary to heart failure. Cholel... | Significant increase in the amount of ascites. Heart failure. Hepatomegaly.Right renal soft tissue masses suspicious for renal cell carcinoma another bilateral renal lesions are stable. |
Generate impression based on findings. | Status post allogenic bone marrow transplant. Central line placement.VIEW: Chest AP (one view) 3/21/15 at 830 hours. Right mainstem bronchus intubation. NG tube terminates in the stomach. Abdominal Central line unchanged. Interval placement of right IJ venous access , tip at the right atrium.Cardiac silhouette is non s... | Interval internal jugular vein central line placement.Left lung atelectases with mediastinal shift likely due to ET tube positioning.Interval development of small right apical pleural effusion. |
Generate impression based on findings. | 33-year-old female. Fevers, abdominal pain, nausea/vomiting, high output diarrhea. EPIC history: Crohn's s/p colectomy in 2088 and IAPP. ABDOMEN:LUNG BASES: Bilateral breast implants.LIVER, BILIARY TRACT: No focal hepatic mass. No biliary ductal dilatation. Cholelithiasis.SPLEEN: No significant abnormality notedPANCREA... | Findings suggestive of a bowel obstruction due a ileal pouch-anal anastomosis stricture. Short segment of active inflammatory bowel disease just proximal to the ileal pouch. |
Generate impression based on findings. | Male 55 years old Reason: assess for urinary catheter placement and urine leak History: assess for urinary catheter placement and urine leak This study is limited the due to lack of intravenous contrastABDOMEN:LUNG BASES: Selective centra is bilateral pleural effusion.LIVER, BILIARY TRACT: No significant abnormality no... | The balloon of the Foley catheter is outside the bladder and possibly outside of the urethra. Bladder is significantly distended. |
Generate impression based on findings. | Female 13 years old Reason: MR urogram to rule out ectopic ureter History: 12yo F with urinary incontinence, suspected duplex kidneyEXAMINATION: MR of the upper abdomen without IV contrast pelvis with and without IV contrast (Multihance 10 ml) 3/20/15 ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEE... | No evidence of ectopic ureter or duplicated system. Essentially normal examination. |
Generate impression based on findings. | Male 61 years old Reason: 61yo M h/o urothelial cancer, right lung met vs primary lung ca, s/p pleurx, eval right pleural effusion LUNGS AND PLEURA: Severe centrilobular emphysema. Right perihilar tumor with endobronchial invasion and associated post obstructive atelectasis of the right middle and right lower lobes. Ex... | 1. Right perihilar mass with associated mediastinal/hilar lymphadenopathy and pleural-based metastases is overall not significantly changed from prior with measurements as described.2. Additional incompletely evaluated mass in the left renal fossa. |
Generate impression based on findings. | Left wrist pain. Three views of the left wrist show no acute fracture or malalignment. No soft tissue swelling is seen. | No specific radiographic findings to account for patient's pain. |
Generate impression based on findings. | Injured right knee yesterday while running. Four views of the right knee show no acute fracture or malalignment. Small osteophytes along the undersurface of the patella indicate minimal osteoarthritis. No knee joint effusion is seen. | Minimal osteoarthritis. |
Generate impression based on findings. | Pain in limb. Three views of the left ankle show no acute fracture or malalignment. No soft tissue swelling is seen. No ankle joint effusion is identified.Three views of the right ankle show no acute fracture or malalignment. No soft tissue swelling is seen. No ankle joint effusion is identified.Three views of the left... | Hallux valgus deformity of the bilateral feet. |
Generate impression based on findings. | There is significant soft tissue stranding and edema surrounding the right eye. There is complete opacification of the right maxillary sinus, right ethmoid sinuses, and bilateral frontal sinuses with partial opacification of the left ethmoid sinuses. Mild mucosal thickening of the left maxillary sinus and right spheno... | Right ethmoid and maxillary sinus disease with extension through the lamina papyracea. Myositis of the right medial rectus muscle with adjacent phlegmonous collection and surrounding fat stranding in the medial aspect of the orbit. No distinct abscess formation. Follow-up is recommended. |
Generate impression based on findings. | Femoral neck fracture for preop evaluation. Evaluate alignment. AP view of the pelvis shows fracture of the superior cannulated screw. Two additional cannulated screws appear to have some surrounding lucency which may indicate loosening. There is deformity of the femoral neck with osteoarthritis of the hip.Surgical cli... | Fractured hardware. |
Generate impression based on findings. | 82-year-old female. NGT. Nasogastric tube has been advanced, tip projects over the gastric body. Nonobstructive bowel gas pattern. Right upper quadrant surgical clips. | NGT tip projects over the gastric body. |
Generate impression based on findings. | Limited range of motion. Question of infection and effusion. Three views of the left shoulder show no acute fracture or malalignment.Two views of the left elbow show no acute fracture or malalignment. No joint effusion is seen.Two views of the left wrist show no acute fracture or malalignment. | No acute fracture or elbow joint effusion. |
Generate impression based on findings. | 82-year-old female. Nausea, vomiting, distention. Evaluate NGT. Interval placement of NGT, tip is in the distal esophagus. Nonobstructive bowel gas pattern. Right upper quadrant surgical clips. | NGT tip is in the distal esophagus. |
Generate impression based on findings. | 30 pleural female. Abdominal pain. Assess NGT placement for nausea/obstruction. Interval placement of NGT, which is coiled in the stomach with tip directed superiorly towards the fundus.Mildly dilated small bowel loops in the left hemiabdomen, possibly representing developing obstruction, similar to prior. | NGT coiled in the stomach with tip directed towards fundus. |
Generate impression based on findings. | Male, 17 years old. Reason: Evaluate change in perirectal fistulae, please compare to previous exam History: small amount perianal exudate. CrohnsEXAMINATION: MRI of the pelvis before and after IV administration of IV contrast. 10 mL of Multihance IV, were administered. 3/20/2015, 1854 PELVIS:PROSTATE, SEMINAL VESICLES... | Two perirectal/perianal fistulas as detailed above, similar in appearance to the prior exam. |
Generate impression based on findings. | 62 years, Male. Reason: eval G tube position History: G tube came out, replaced NGT tip projects over the gastric body, sidehole is just proximal to the GE junction. Contrast injected through the G-tube opacifies stomach without evidence of extravasation on this single view.Nonobstructive bowel gas pattern. | Contrast injected through the G-tube opacifies the stomach without evidence of extravasation on this single view. |
Generate impression based on findings. | Male 16 years old Reason: assess stool load History: chronic constipationVIEW: Abdomen AP (one view) 3/21/15 902 hours Normal abdominal gas pattern. No evidence of obstruction or free air. Mild fecal accumulation. | M ejaculation with no bowel obstruction. |
Generate impression based on findings. | 83 years, Male. Reason: abdominal pain/distension History: abdominal pain Gastrostomy tube projects over a moderately gaseous distended stomach. Interval removal of enteric tube.Nonobstructive bowel gas pattern. Calcific density projecting over the bladder likely represents a bladder stone, unchanged. | Nonobstructive bowel gas pattern. Interval placement of G-tube which projects over the stomach. |
Generate impression based on findings. | 79 years, Female. Reason: cor pac History: cor pac Enteric tube projects over the first segment of the duodenum. Nonobstructive bowel gas pattern. Mild levoscoliosis with degenerative changes of the lumbar spine. | Enteric tube projects over the first segment of duodenum. No evidence of obstruction. |
Generate impression based on findings. | 25 years, Female. Reason: pt c/o abd pain with pressure, nausea, and constipation. Pt scheduled for lap rectopexy on 3/26 History: nausea, constipation, pain, rectal prolapse Nonobstructive bowel gas pattern. Multiple circular radiopaque foreign bodies in the stomach from the proximal body to the distal antrum for eval... | Nonobstructive bowel gas pattern. Markers for evaluating transit time located in distribution of the stomach. |
Generate impression based on findings. | 69-year-old male with left arm and left leg weakness and intermittent twitching. Previous stroke with left-sided weakness 4-5 months ago. 1. Normal aortic arch origin of the right brachiocephalic, left common carotid, and left subclavian arteries. The right vertebral artery origin is normal. Calcification at the origin... | 1.Encephalomalacia of the right parieto-occipital lobe with expected dilatation of the occipital horn of the right ventricle.2.Age indeterminate small vessel ischemic disease.3.Calcification at the origin of a hypoplastic and tortuous left vertebral artery.4.Mild to moderate calcified stenosis of the petrous segment, h... |
Generate impression based on findings. | 69-year-old male for evaluation of CVA There is a large area of encephalomalacia of the right parieto-occipital lobe with ex vacuo dilatation of the occipital horn of the right ventricle. Focal hypoattenuation in the body of the right caudate likely represents an old lacunar infarct. Focal hypoattenuation in the right ... | 1.Encephalomalacia of the right parieto-occipital lobe with expected dilatation of the occipital horn of the right ventricle compatible with a chronic infarct. Additional chronic infarcts as above.2.Age indeterminate small vessel ischemic disease.3.Globe cerebral volume loss.4.No evidence of acute intracranial hemorrha... |
Generate impression based on findings. | 76 years, Female. Reason: s/p SBFT, assess if contrast has reached colon History: EC fistula Contrast opacifies the colon to the level of the descending colon. Scattered colonic diverticula.Again seen are the left lower quadrant enterocutaneous fistula and abscess pocket projecting over the left ilium, similar to prior... | Contrast has opacified the colon to the level of the descending colon. Abscess pocket and enterocutaneous fistula in the left lower quadrant, similar to prior. |
Generate impression based on findings. | Female 61 years old Reason: H/o Scleroderma UIP ILD, worsening shortness of breath and cough History: shortness of breath, cough LUNGS AND PLEURA: This interval change in basilar predominant articulation/honeycombing compatible to patient's known diagnosis of UIP. No significant airtrapping is noted on the expiratory i... | 1.No significant interval change in UIP pattern interstitial fibrosis.2.New large pericardial effusion.Findings were communicated with the ordering physician Mary Strek at 10:40 on 3/21/15. |
Generate impression based on findings. | Male 74 years old Reason: For restaging of mets, known small cell lung cancer CHEST:LUNGS AND PLEURA: Marked interval improvement in previously noted left upper lung pleural based mass which now measures 8.1 x 2.7 cm (series 3 image 35), previously 10.1 x 6.4 cm. Left upper lobe parenchymal nodule measures 2.7 x 2.1 (s... | 1.Marked interval improvement in left perihilar and left upper lung pleural-based masses as described.2.New pleural-based nodules in the left lower hemithorax compatible with new metastases. Associated small left pleural effusion.3.Subacute to chronic pulmonary embolus in the right main pulmonary artery without evidenc... |
Generate impression based on findings. | Status post fall Four views of the right knee reveals some small lateral osteophytes and osteophytes at the patellofemoral joint. No fractures or dislocations. The previous exam was weight-bearing and thus cannot be used for comparison. | Mild degenerative arthritis |
Generate impression based on findings. | 81 year-old male. GI bleeding. Evaluate for diverticular bleed. ABDOMEN:LUNG BASES: Severe coronary artery calcifications. Pacemaker leads and cardiomegaly.LIVER, BILIARY TRACT: Scattered hepatic hypodensities in the liver are too small to characterize but unchanged and likely cysts.SPLEEN: No significant abnormality n... | Active GI bleed in the right colon near the flexure, which may be due to angiodysplasia or a diverticular bleed. |
Generate impression based on findings. | CT HEAD: There are postoperative findings related to right pterional craniotomy for clipping of a right supraclinoid internal carotid artery aneurysm. Streak artifact in this region limits evaluation. There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuratio... | 1.Unchanged 2 x 3 mm intradural left periopthalmic internal carotid artery aneurysm. 2.Streak artifact related to previous right supraclinoid internal carotid artery aneurysm clipping limits evaluation in this region, however, there is an unchanged 1 mm focal outpouching along the inferior aspect of the right cavernous... |
Generate impression based on findings. | Male 87 years old Reason: weight loss rule out malignance History: as above ABDOMEN:LUNG BASES: Incidentally noted is thrombus in the right lower lobe pulmonary arteries.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS... | Right lower lobe pulmonary artery embolus.Significantly enlarged prostate.Dr. Stern was not pageable. Dr. Kenigsberg (medicine resident on call) was notified and acknowledged about these findings at the time of the dictation. These findings were also communicated with patient's wife at 773 239-0190. |
Generate impression based on findings. | Male 7 months old Reason: interval change History: tachypneicVIEW: Chest AP (one view) 3/21/15 802 hours Tracheostomy tube terminates below the thoracic inlet. Left upper extremity central line tip is at the confluence of both innominate veins. Giant omphalocele again noted. Cardiac silhouette size is normal or mildly ... | Right upper lobe opacity he had a disease or pneumonia |
Generate impression based on findings. | Male 68 years old Reason: pt with elevated LFT's please assess disease status and compare to previous imaging History: met melanoma CHEST:LUNGS AND PLEURA: Focal atelectasis at the lung bases. Wall in-laws of the left lung, unchanged.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Bilateral axillary l... | Small left anterior chest wall hypodense lesion likely representing a collection. Exact etiology is unknown.Liver lesions and left retroperitoneal adenopathy, unchanged. |
Generate impression based on findings. | Metastatic breast cancer. Interval follow up exam. CHEST:LUNGS AND PLEURA: Persistent loculated right pleural effusion with associated atelectasis. Right apical reticulation/fibrosis compatible with prior radiation is also unchanged. Left basilar atelectasis is also not significant change.Multiple pleural based cystic ... | Slight interval increase in size of right chest wall mass and multiple pleural-based metastases with measurements as described. No new sites of disease identified. |
Generate impression based on findings. | Clinical question: Hemorrhagic transformation of CVA? Signs and symptoms: On heparin drip. Nonenhanced head CT:A previously noted subacute hemorrhage along the interhemispheric aspect of the left anterior cerebral artery in the frontal lobe demonstrates subtle interval increased size and extent indicating progression o... | 1.No evidence of hemorrhagic transformation.2.Interval increased size and extent of left ACA subacute ischemic stroke with regional mass-effect.3.Moderate to advanced age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Clinical question: Evaluate for hypodensity or other signs of evolving stroke. Signs and symptoms: Improving but persistent weakness. Unenhanced head CT:There is no detectable acute intracranial process. CT however it is insensitive for early detection of fracture nonhemorrhagic to small vessel ischemic strokes.Unremar... | No acute intracranial process and stable exam since prior study. |
Generate impression based on findings. | Metastatic breast cancer. Restaging exam. CHEST:LUNGS AND PLEURA: Right pleural effusion now with a small caliber chest tube in place. Interval increase in size of right upper lobe pleural-based nodular opacity which measures 1.7 x 1.7 cm (series 4 image 33), previously 1.0 x 0.6 cm. Additional focus of nodularity alon... | Interval increase in pleural nodularity in the right hemithorax, osseous metastatic disease, and hepatic metastatic disease. |
Generate impression based on findings. | Clinical question: History of laryngeal cancer status post laryngectomy now with concerns for stomal recurrence, evaluate vasculature to determine if appropriate for construction with free flap. Signs and symptoms: History of laryngeal cancer status post laryngectomy now with concern for stomal recurrence. Neck CTA:The... | Neck CTA demonstrate complete occlusion of right common, internal and external carotid arteries. Significant stenosis at the origin of left vertebral artery and patent otherwise. Moderate stenosis at the origin of right vertebral artery and patent otherwise. Atherosclerotic calcification at the origin of the left inter... |
Generate impression based on findings. | Female 70 years old Reason: lung CA, s/p RT to RUL primary in 8/2014. Radiation pneumonitis. Continued dyspnea. Status of pulmonary disease. History: shortness of breath and hypoxia LUNGS AND PLEURA: Redemonstration of paramediastinal, right apical, and right basilar reticulation and consolidation compatible with postr... | 1. Stable post treatment changes/radiation pneumonitis as described. The post radiation changes obscure the previously noted pulmonary nodule limiting evaluation. 2. New T6 compression fracture, possible metastasis.3. No other new sites of disease or radiologic evidence of progression. |
Generate impression based on findings. | 87 year old male with follicular lymphoma. There is a new right level IIb lymph node that measures 15 x 30 mm and a right level Ib lymph node measures 24 x 19 mm, previously 20 x 12 mm. There is a new ill defined enhancing lesion within the right parotid gland that measures 29 x 26 mm.There are several subcentimeter th... | 1.New right level IIb enlarged lymph node and a right level Ib enlarged lymph node that has increased in size. 2.New ill defined enhancing lesion within the right parotid gland likely represents a lymphomatous lesion. |
Generate impression based on findings. | Male 78 years old Reason: Pleural mesothelioma please provide bi-dimensional measurements per RECIST 1.1 criteria and compare to prior exam. History: Pleural mesothelioma CHEST:LUNGS AND PLEURA: Redemonstrated circumferential pleural thickening in the left hemithorax with associated pleural effusion compatible with the... | 1.Stable extensive pleural nodularity in the left hemithorax with invasion of the left chest wall and the mediastinum.2.Interval improvement in pulmonary metastatic disease with measurements as described.3.No evidence of metastatic disease within the upper abdomen. |
Generate impression based on findings. | 32 year-old female with ataxia, evaluate for mass No mass lesions or areas of enhancement are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or her... | No evidence for acute intracranial hemorrhage, mass effect, or cerebral edema. |
Generate impression based on findings. | 42 year-old female with lumbago after a work-related injury. Alignment is anatomic. There are no fractures or subluxations. Hypodense lesion in the right kidney likely represents a benign cyst. Partially visualized left renal cyst. Punctate calcification in the left kidney may represent a non-obstructing renal stone. D... | 1.Lumbar spine spondylosis worst at L5-S1 as described above.2.Degenerative changes of the sacroiliac joints bilaterally. 3.Hypoattenuating renal lesions likely cysts as above. |
Generate impression based on findings. | Male 55 years old Reason: severe asthma, hx of mucous plugging History: cough LUNGS AND PLEURA: No significant bronchiectasis, bronchial wall thickening, mucous plugging, or associated parenchymal abnormalities. No pleural effusion or pneumothorax.MEDIASTINUM AND HILA: Heart is normal in size. No pericardial effusion. ... | Essentially normal CT of the chest for the patient's age. No evidence of active reactive airway disease. |
Generate impression based on findings. | Clinical question: Possible dementia. Signs and symptoms: Memory impairment. Unenhanced head CT:No evidence of an acute intracranial process.Mild ventricular and subcortical low attenuation of white matter suggestive of age indeterminant small vessel ischemic stroke is noted.Unremarkable cerebral cortex, cortical sulci... | 1.No acute intracranial process.2.Mild age indeterminate small vessel ischemic strokes. Unremarkable head CT otherwise.3.Acute on chronic sinusitis. |
Generate impression based on findings. | Weight loss and possible hemoptysis. Evaluate for malignancy. LUNGS AND PLEURA: 8 x 5 mm solid nodule in the basilar left lower lobe (series 5 image 211). The margins appear mildly spiculated. Additional sub-solid 4-mm nodule in the left lower lobe (series 5 image 170).No pleural effusion or pneumothorax.MEDIASTINUM AN... | Left lower lobe 8mm solid nodule. Although some imaging features suggest an intrapulmonary lymph node, continued close interval follow up in 3 to 6 months is recommended. |
Generate impression based on findings. | 28 year-old female with headache and neck pain, evaluate for bleed. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or ... | No evidence for acute intracranial hemorrhage, mass effect, or cerebral edema. |
Generate impression based on findings. | 24-year-old male with sudden onset of severe headache at 4 a.m. this morning followed by two seizures. Leftward gaze preference and right upper extremity twitching. Brain: No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchym... | 1. Negative noncontrast head CT2. Negative CTA and CTV of the head. |
Generate impression based on findings. | Clinical question: Evaluate subarachnoid hemorrhage. Signs and symptoms: Evaluate subarachnoid hemorrhage. Unenhanced head CT:Dilated 4th ventricle containing a small amount of hemorrhage remains is stable since prior exam.Dilated supratentorial ventricular system demonstrate no significant change in size. Intraventric... | 1.No convincing evidence of an acute or new finding since prior study.2.Stable residual acute blood product in the ventricular system since prior exam.3.Stable dilated ventricular system since prior exam without midline shift.4.Stable residual right frontal hematoma in this mild regions of bilateral occipital subarachn... |
Generate impression based on findings. | Clinical question: R$ule out intracranial abnormalities. Signs and symptoms: Status post Fall. Nonenhanced head CT:Suboptimal exam due to motion artifact. Within this limitation there is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp.Ventricular system remains within normal size ... | 1.Suboptimal motion degraded CT without evidence of acute or posttraumatic findings.2.Suboptimal motion degraded CT of cervical spine without evidence of acute posttraumatic changes. |
Generate impression based on findings. | Clinical question: Evaluate for evidence of infarction. Signs and symptoms: Slight left-sided facial droop. Nonenhanced head CT :No detectable acute intracranial process. CT however they is insensitive for early detection of acute nonhemorrhagic ischemic strokes. There are extensive periventricular and subcortical low ... | 1.No acute intracranial process.2.Extensive age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Clinical question : Assess for evolution of subarachnoid hemorrhage. Signs and symptoms: Subarachnoid hemorrhage. Nonenhanced head CT:Examination demonstrates interval increased size of fourth ventricle and containing small amount of acute hemorrhage since prior exam.There is evidence of significant supratentorial vent... | 1.Interval in large new focus of edema in the right frontal lobe and containing acute blood product highly suggestive of acute to early subacute hemorrhagic ischemic stroke.2.Extensive intraventricular extension of hemorrhage and resultant significant interval increased size of ventricular system/hydrocephalus.3.Stable... |
Generate impression based on findings. | Clinical question: Shunt malfunction. Signs and symptoms: Headache. Nonenhanced head CT:Shunt in left lateral ventricle demonstrate interval increased size since prior study. The and right lateral ventricle demonstrate very subtle interval increased size. There is a focus well-demarcated CSF like density consistent wit... | 1.Interval increased size of left lateral ventricle and minimally of the right and the third ventricle.2.No change in the position of a left frontal approach ventricular catheter.3.Large focus of cystic encephalomalacia in the right basal ganglia/thalamus. |
Generate impression based on findings. | Clinical question: Evaluate for accurate bleed. Signs and symptoms: MVC and alcohol. Nonenhanced head CT:There is no detectable acute posttraumatic intracranial or calvarial findings.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter differentiation.Unremarkable calvar... | 1.No acute posttraumatic intracranial or calvarial findings.2.Unremarkable intracranial content.3.Right supraorbital soft tissue hematoma and swelling.4.Unremarkable orbits, calvarium and paranasal sinuses with the exception of the sphenoid sinusitis.5. |
Generate impression based on findings. | Male; 56 years old. Reason: fx? History: Right hip pain after fall from bike Pelvis and right hip: Mild osteoarthritis affects the right hip. No acute fracture or dislocation. | No acute fracture or dislocation. |
Generate impression based on findings. | Clinical question: Rule out mass. Signs and symptoms: New seizure. Nonenhanced head CT:There is no detectable acute intracranial hemorrhage, edema, hydrocephalus, mass or mass effect. Mild prominence of cortical sulci could be at the upper limits of normal for age. Prominence of cerebellar and vermian folia for age. Ve... | 1.No acute intracranial process and no evidence of mass.2.Prominence of cerebellar and vermian folia for stated age of 40. Correlate with history and risk factors. |
Generate impression based on findings. | Male; 30 years old. Reason: rule out fracture History: pt was hit by large piece of steel on right elbow at work yesterday. Posterior elbow pain. No joint effusion. No acute fracture or dislocation. | No acute fracture or dislocation. |
Generate impression based on findings. | Clinical question: Subarachnoid hemorrhage. Signs and symptoms:Sudden onset of severe left-sided headache. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute non-hemorrhagic ischemic strokes. Unremarkable cerebral cortex, cortical sulci, ventric... | 1.Nonenhanced head CT demonstrate a tiny focus of high density within the right sylvian fissure visible on axial image 11 and could represent a vascular calcification or thrombus in the right MCA. Unremarkable exam otherwise.2.Unremarkable enhanced head CTA. |
Generate impression based on findings. | Female; 25 years old. Reason: Wrist pain and swelling History: pain/swelling after someone fell onto the patient's wrist last night Questionable cortical disruption along the lateral aspect of the mid scaphoid is seen only on one projection. There is no overlying soft tissue swelling. | Questionable cortical disruption of the scaphoid but no definite fracture. If suspicion for fracture remains high, follow-up radiographs in 7 to 10 days are recommended. |
Generate impression based on findings. | Female 4 days old Reason: where is the umbilical venous catheter and ETT and are lungs re-expanded. History: lines and tube adjustedVIEW: Chest abdomen AP (two views) 3/21/15 at 1034 hrs. ET tube tip is at the thoracic inlet. NG tube terminates at the stomach. UVC tip is at the RA/SVC junction. UAC terminates at T6.Car... | Interval retraction of ET tube and UVC.Resolution of focal opacities with persistent diffuse lung haziness consistent with RDS.Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | Male 23 months old Reason: fx History: swelling and painVIEWS: Left foot AP, lateral and oblique 3/21/15 (3 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Clinical question : Rule out hemorrhage, CVA. Signs and symptoms: Confusion and dizziness. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.There are extensive periventricular and subcortical parenchyma low-attenuation c... | 1.No acute intracranial process.2.Extensive age indeterminate small vessel ischemic stroke and chronic left frontal cortical stroke.3.Extensive bilateral maxillary and ethmoid sinus disease |
Generate impression based on findings. | Male 2 years old Reason: Rule out SBO, intussusception History: Abd pain, emesis, possible bloody emesisVIEWS: Abdomen AP supine and left lateral decubitus 3/21/15 (two views) Normal abdominal gas pattern. No evidence of obstruction or free air. | Normal examination. |
Generate impression based on findings. | Female 78 years old; Reason: 78F w schizophrenia, s/p TAH w altered mental status/catatonia, possible paraneoplastic syndrome, OSH showing adnexal mass, repeat pelvic US here reports cystic mass superior of bladder History: cystic mass superior to bladder PELVIS:UTERUS, ADNEXA: Status post hysterectomy. Cystic mass ass... | 1.Cystic right adnexal mass differential considerations include benign and malignant neoplasms. |
Generate impression based on findings. | Female 7 days old Reason: Eval bowel loops History: Intolerance to feeds, sump in at LISVIEW: Abdomen AP (one view) 3/22/15 at 517 hours NG tube terminates in the stomach. Disorganized, nonspecific abdominal gas pattern. No evidence of obstruction, free air, pneumatosis intestinalis or portal venous gas. | Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | Clinical question: Evaluate for new metastases. Edema or shift. Signs and symptoms: Seizure, and lung cancer with metastases. Unenhanced head CT:Multiple supratentorial foci of vasogenic edema with resultant regional mass-effect and without midline shift are again identified and consistent with peritumoral edema from p... | 1.No significant change in the extensive foci of vasogenic edema ventricles and regional mass-effect consistent with peritumoral edema.2.Decreased density of previously noted high density metastatic lesions since prior exam.3.Stable normal size of ventricular system and without deviation of midline.4.Stable well-demarc... |
Generate impression based on findings. | Female 66 years old; Reason: any focus of infection History: sepsis, ascites ABDOMEN:LUNG BASES: Bilateral pleural effusions, left greater than right. Bilateral areas of atelectasis.: Glass changes in both lungs likely represents palmar edema.Epicardial pacer leads are present.LIVER, BILIARY TRACT: Liver has a nodular ... | 1.New abdominal aortic dissection with patchy perfusional changes of the left kidney is compatible with ischemia.2.Mesenteric edema and body wall anasarca.3.No evidence of bowel obstruction.4.Thickening of the transverse colonic wall is suboptimally evaluated but may be due to debris.5.Correlation with lactic acid reco... |
Generate impression based on findings. | Female 8 days old Reason: Concern for NEC History: Bloody Stools, Abdomen DistensionVIEWS: Abdomen AP supine and left lateral decubitus 3/22/15 (two views) NG tube terminates in the stomach, however side port is above GE junction. Disorganized, nonspecific abdominal gas pattern. No evidence of obstruction, free air, pn... | Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | Female 8 days old Reason: Eval bowel loops History: Feeding intoleranceVIEW: Abdomen AP (one view) 3/21/15 at 2142 hrs NG tube terminates in the stomach. Disorganized, persistently distended and nonspecific abdominal gas pattern. No evidence of obstruction, free air, pneumatosis intestinalis or portal venous gas. | Disorganized, persistently distended and nonspecific abdominal gas pattern. |
Generate impression based on findings. | Female 8 days old Reason: is there evidence of obstruction or NEC History: DistentionVIEW: Abdomen AP (one view) 3/21/15 at 1522 hrs NG tube terminates in the stomach. Disorganized, mildly distended and nonspecific abdominal gas pattern. No evidence of obstruction, free air, pneumatosis intestinalis or portal venous ga... | NG tube placement.Disorganized, mildly distended and nonspecific abdominal gas pattern. |
Generate impression based on findings. | Clinical question: ICH. Signs and symptoms: ICH Nonenhanced head CT:Acute product within the normal sized fourth ventricle stable since prior exam.Stable acute product casting the left lateral ventricle this exam and the mild edition across the midline to the right. Stable acute hematoma and left posterior parietal lob... | 1.Stable large left posterior parietal hematoma and extensive intraventricular hemorrhage since prior study.2.Stable enlarged ventricular system and right frontal approach ventricular catheter. |
Generate impression based on findings. | Male; 38 years old. Reason: r/o abnormality History: pain, worse at medial aspect for two weeks Calcified opacity in the joint space seen on oblique and lateral views likely represents an intraarticular loose body. No donor site is identified. No acute fracture or dislocation. No joint effusion.Old fracture deformity o... | Right knee intraarticular loose body, no donor site is identified. |
Generate impression based on findings. | Clinical question: Persistent fever. Signs and symptoms: Persistent fever status post transplant. Unenhanced maxillofacial CT:Minimal mucosal thickening of bilateral frontal sinuses, bilateral ethmoid and bilateral maxillary sinuses are noted. There is frothy in bilateral posterior ethmoid air cells which could represe... | 1.Frothy contents of bilateral posterior ethmoid air cells could represent acute sinusitis.2.Minimal mucosal thickening of all paranasal sinuses.3.Well pneumatized mastoid air cells and middle ear cavities. |
Generate impression based on findings. | Female; 66 years old. Reason: HIT, 10 d post cardiac surgery, any evidence of clot, any intrathoracic focus of infection History: sepsis, ventilator dependence, HIT PULMONARY ARTERIES: Good quality study with no evidence of pulmonary embolism.LUNGS AND PLEURA: ET tube approximately 6 cm above the carina.Moderate bilate... | 1.Aortic dissection originating in the distal ascending aorta, extending superiorly into the brachiocephalic artery and inferiorly past the last image. Please correlate with the same day abdominal CT for further details regarding dissection in the abdomen.2.Moderate bilateral pleural effusions and compressive atelectas... |
Generate impression based on findings. | Female 38 years old; Reason: neutropenic fever with no known source. Hx of multiple abdominal surgeries and chronic abdominal pain. History: above CHEST:LUNGS AND PLEURA: The previous right pulmonary nodules have decreased in size. There are new right pulmonary lesions adjacent to the fissure. The largest measuring 1.3... | 1.Abnormal CT scan with thickened loop of bowel in the pelvis with adjacent mesenteric lymphadenopathy. It's unclear if the loop of bowel represent a portion of sigmoid colon or distal small bowel. Correlation with patient's prior surgical record is recommended.2.Lack of oral contrast limits evaluation for focal bowel ... |
Generate impression based on findings. | Clinical question: 45-year-old male with metastatic lung cancer now with concern for septic emboli or MRI. Assess aortic arch for evidence of plaques/thromboembolic disease. Signs and symptoms: Brain septic emboli. Nonenhanced head CT:There is no evidence of an acute intracranial hemorrhage, edema, mass effect, midline... | 1.Nonenhanced head CT is unremarkable. Previously reported and moderate strokes on prior MRI are not identified on this nonenhanced head CT.2.Neck CTA is unremarkable.3.Head CTA demonstrates a left paraophthalmic aneurysm measuring at 1.7-mm in length and 1.5-mm in transverse axis and neck. Unremarkable head CTA otherw... |
Generate impression based on findings. | RIGHT TEMPORAL BONE: The external auditory canal is patent. The middle ear and mastoid air cells are well-pneumatized and clear. The ossicular chain is intact. The inner ear structures are unremarkable. The facial nerve describes a normal course.LEFT TEMPORAL BONE: There are postoperative findings related to left mast... | Postoperative findings related to left mastoidectomy, ossicular chain and tympanic membrane reconstruction with minimal non-specific tissue in the epitympanum. If there is continued concern for infection, a contrast enhanced MRI may be beneficial. |
Generate impression based on findings. | Pain involving undersurface of the first MTP, no history of trauma No distinct acute osseous abnormality, however incomplete visualization of the medial sesamoid underlying the first MTP is noted. This may be a congenital variant however given patient's symptoms and specific comment in this area, a fracture cannot enti... | Nonspecific changes underlying the medial first digit sesamoid, described above. Correlation with patient's specific site of concern and follow -up imaging may be indicated |
Generate impression based on findings. | Female 3 years old Reason: ETT placement History: Skull fracture and seizures.VIEW: Chest AP (one view) 3/21/15 at 2234 hrs. ET tube terminates below thoracic inlet. NG tube is generously coiled in the distended stomach. Cardiac silhouette size is normal. Streaky left lower lobe opacity, likely subsegmental atelectasis... | Left lower lobe subsegmental atelectasis. |
Generate impression based on findings. | Pediatric trauma. Rule out pneumothorax.VIEW: Chest AP (one view) 3/21/15 at 2124 hrs. ET tube terminates below the thoracic inlet. NG tube is generously coiled in a distended stomach. Aortic arch, cardiac apex and stomach are left-sided. Cardiac silhouette is normal in size and shape. Left lower lobe atelectases. No e... | ET tube and NG tube positioning as described.Left lower lobe atelectases. |
Generate impression based on findings. | Female 3 years old Reason: R/O Fracture History: Pediatric TraumaVIEWS: Pelvis AP and 3/21/15 (one views) There is no evidence of fracture, malalignment or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Male 55 years old; Reason: thrombocytopenic w/ hematuria after LP and with abd pain WITH PO CONTRAST PLEASE History: abd pain, hematuria ABDOMEN:LUNG BASES: Bilateral lower lobe pulmonary consolidation with air bronchograms. Hypoattenuation of the cardiac blood pool compatible with anemia.LIVER, BILIARY TRACT: Hyperden... | 1.Lower lobe pneumonia2.No bowel obstruction3.Abdominal pelvic ascites, mesenteric edema and nodularity4.No hydronephrosis |
Generate impression based on findings. | Male 9 years old Reason: pain s/p trauma History: painVIEWS: Right uncal AP, lateral and oblique. Right foot AP, lateral and oblique. Right tibia-fibula AP and lateral and left knee AP, lateral and oblique on 3/21/15 (11 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Check for osteomyelitis. Limited due to the lack of prior imaging for comparison and marked demineralization. The patient is status post amputation through the midfoot with only the talus and calcaneus remaining. Overlying moderate soft tissue swelling and inflammation throughout the soft tissues, however no distinct d... | Middle and distal foot amputation without evidence of current osteomyelitis within the limitations described. See detail |
Generate impression based on findings. | Female 47 years old; Reason: rule out abscess post robotic surgery History: L sided pain and umbilical drainage ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver morphology is normal. No focal hepatic lesions. Hepatic and portal veins are patent. Gallbladder is without diagnostic abnormal... | 1.Soft tissue thickening at the umbilicus and skin. |
Generate impression based on findings. | Male 9 years old Reason: r/o fx History: pain, swellingVIEWS: Right ankle AP, lateral and oblique on 3/21/15 (3 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Pain and swelling Marked diffuse soft tissue swelling without evidence of underlying osseous acute abnormality. Irregularity along the dorsal aspect of the distal talus represent suspected old chronic degenerative change. Minimal irregularity underlying the medial malleolus also represent suspected old remote trauma | Mild osteoarthritic changes and diffuse soft tissue swelling without acute distinct osseous abnormality |
Generate impression based on findings. | Male 17 years old Reason: r/o fx History: deformityVIEWS: Right wrist AP, lateral and oblique 3/21/15 (3 views) There is a nondisplaced, oblique fracture of the distal epiphyses of the right radius with extension to the articular surface. | Oblique fracture of the distal epiphyses of the right radius as described. |
Generate impression based on findings. | Clinical question: Rule out stroke. Signs and symptoms: Slurred speech, headache and elevated blood pressure. Nonenhanced head CT:There is no of an acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes. Unremarkable cerebral cortex, cortical sulci, ventricula... | 1.No acute intracranial process.2.Atrophic/ calcific left globe.3.Unremarkable exam otherwise. |
Generate impression based on findings. | Patient states she has rib fracture. Right-sided. Patient fell 2 weeks ago Subacute right fifth and sixth lateral rib fractures, essentially nondisplaced and best observed on oblique imaging. Old healed rib fractures observed in the right seventh and eighth ribs. Left ribs are otherwise unremarkable | Subacute right fifth and sixth rib fractures |
Generate impression based on findings. | Female 77 years old; Reason: r/o abdominal abscess History: abdominal discomfort, constipation, strep bacteremia ABDOMEN:LUNG BASES: Trace bilateral pleural effusions.LIVER, BILIARY TRACT: Liver is normal in morphology. Well marginated hypodense lesions in the liver likely represent cysts. Other lesions which are subce... | 1.Multiloculated collection in the pelvis near the sigmoid/rectum with foci of extramural gas most compatible with a perirectal abscess likely from a complicated diverticulitis.2.Evaluation and as we follow the acute phase of illness is recommended to exclude underlying neoplasm.3.Findings discussed with Dr. Deboer at ... |
Generate impression based on findings. | Male 54 years old; Reason: WBC 15, N/V, no PO tolerating, weight loss History: N/V ABDOMEN:LUNG BASES: Lower lobe scattered areas of airspace opacities and bronchiectasis, bronchial wall thickening most compatible with infection.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality n... | 1.Etiology for the patient's nausea and vomiting is not evident.2.Further evaluation of the colon with colonoscopy is recommended.3.Lower lobe bronchiectasis and airspace opacities compatible with infection. Atypical infections should be considered. |
Generate impression based on findings. | Female 63 years old; Reason: SBO, volvulus History: pmh of ESRD s/p renal transplant p/w generalized abd pain, obstipation x 1 day ABDOMEN:LUNG BASES: Basilar linear atelectasis.LIVER, BILIARY TRACT: Liver is unremarkable unenhanced technique. There is trace amount of perihepatic fluid.SPLEEN: No significant abnormalit... | 1.Findings of a severe small bowel obstruction with bowel wall thickening and interloop fluid. Bowel ischemia is not excluded. |
Generate impression based on findings. | Male; 87 years old. Reason: r/o clot burden History: hx of pulmonary embolism PULMONARY ARTERIES: Good quality study with pulmonary embolism in the right lower lobe lobar pulmonary artery extending into the segmental branches.The right atrium is enlarged which could represent early right heart strain, however stability... | Right lower lobe pulmonary embolism without evidence of infarct. No definite evidence of acute right heart strain.PULMONARY EMBOLISM: PE: Positive.Chronicity: Acute.Multiplicity: Single.Most Proximal: Lobar.RV Strain: Negative. |
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