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Generate impression based on findings. | 53 rule spell. Abdominal pain, left lower quadrant. Evaluate for perforated appendicitis. ABDOMEN:LUNG BASES: Minimal bibasilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Nodular thickening of bilateral adrenal glands, unchanged.KIDNEYS, URETERS: Left upper pole renal cyst. Subcentimeter hypoattenuating focus in the left lower pole is too small to characterize and likely also a cyst, unchanged.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.CALCIFICATIONS IN ABDOMINAL AORTA AND ITS BRANCHES: Mild calcified atherosclerotic disease of the abdominal aorta.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: Findings consistent with appendicitis with significantly increased periappendiceal fat stranding/fluid and perforation at the tip with an adjacent phlegmon. Maximal transaxial dimensions of the phlegmonous collection is 9.3 x 5.8 cm (series 3, image 111); it does not have a well-defined rim enhancing wall to indicate a matured abscess.BONES, SOFT TISSUES: Secondary inflammatory wall thickening of descending sigmoid colon, mildly increased.OTHER: No significant abnormality noted | Acute appendicitis with perforation at the tip and increased size of the phlegmonous collection but without features of a matured abscess. |
Generate impression based on findings. | Pain after fall. Assess for fracture. Two views of the left humerus show a nondisplaced fracture through the greater tuberosity of the humerus. A small focus of calcification near the superior glenoid and subtle calcification near the greater tuberosity may represent calcific tendinopathy. | Nondisplaced fracture through the greater tuberosity of the proximal humerus.Findings discussed by the resident on call with the ortho resident at 1650 hrs on 3/22/2015. |
Generate impression based on findings. | Significant motion degradation underlies a significant portion of the study, including the region underlying a scalp hematoma. For this reason, fracture or underlying brain injury cannot be excluded nor confirmed. | 1.Significant motion degradation underlies a significant portion of the study, including the region underlying a scalp hematoma. For this reason, fracture or underlying brain injury cannot be excluded nor confirmed.2.Findings were discussed with Paula Zakrzewski from pediatric neurosurgery, and plans have been made to repeat the study. |
Generate impression based on findings. | No acute intracranial hemorrhage is identified. No evidence of intracranial mass, mass-effect, or hydrocephalus. No extra-axial fluid collections. Right cerebellar encephalomalacia.The patient is status post transphenoidal pituitary surgery. The pituitary lesion is slowing increasing in size over several prior studies. The imaged paranasal sinuses are clear. The imaged mastoid air cells are clear. The imaged orbits are intact. The osseous structures are unremarkable. | 1.No evidence for acute intracranial abnormality. Please note CT is not sensitive for detection of acute nonhemorrhagic ischemia and MRI can be considered for further evaluation.2.The patient is status post transphenoidal pituitary surgery. The pituitary lesion is slowing increasing in size over several prior studies. 3.Right cerebellar encephalomalacia. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of ovarian cancer diagnosed in mother at age 62. Two standard digital views with additional MLO views of both of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Benign calcifications in both breasts have subtly progressed in a benign fashion.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Decreased range of motion. Pain. Question of fracture/dislocation. Three views of the left shoulder show a nondisplaced fracture through the greater tuberosity of the humerus. There is no evidence of dislocation. A small focus of calcification near the superior glenoid and subtle calcification near the greater tuberosity may represent calcific tendinopathy. | Non-displaced fracture through the greater tuberosity of the humerus. |
Generate impression based on findings. | 22 year-old female patient with nausea, vomiting, and epigastric pain. ABDOMEN:LUNG BASES: Incompletely evaluated small fluid attenuating focus in the right posterior mediastinum is noted.LIVER, BILIARY TRACT: No intra-or extrahepatic biliary ductal dilatation. No CT evidence of cholelithiasis or cholecystitis.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.CALCIFICATIONS IN ABDOMINAL AORTA AND ITS BRANCHES: None.BOWEL, MESENTERY: Mild thickening of a loop of small bowel is noted in the left lower quadrant.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Probable right adnexal corpus luteum cyst.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Moderate to large stool burden in the colon. No secondary signs of acute appendicitis.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small amount of free fluid in the pelvis is likely physiologic. | 1.Mildly thickened loop of small bowel in the left lower quadrant may reflect mild focal enteritis in the appropriate clinical setting.2.Moderate to large stool burden in the colon may reflect constipation.3.Incompletely evaluated small fluid attenuating focus in the right posterior mediastinum is of uncertain etiology and current clinical significance. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 62-year-old male. Fever. Fever of unknown etiology. Status post CABG. Lack of intravenous contrast limits evaluation for solid organ pathology.CHEST:LUNGS AND PLEURA: Small bilateral pleural effusions.Patchy nodular opacities and areas of consolidation bilaterally, greater in the bases, consistent with infection, possibly due to aspiration.MEDIASTINUM AND HILA: Tracheostomy tube tip approximately 2 cm above the carina.Postsurgical findings of CABG with a 12 x 5 cm anterior mediastinal hematoma that produces mild mass effect upon the right ventricle.Scattered small mediastinal lymph nodes.CORONARY ARTERY CALCIFICATION: Severe calcification of the native coronary arteries.CHEST WALL: Median sternotomy.ABDOMEN:LIVER, BILIARY TRACT: Unremarkable noncontrast appearance of the liver. Cholecystostomy tube terminates in the gallbladder.SPLEEN: Nonspecific rounded heterogeneity in the superior spleen, incompletely characterized without intravenous contrast, possibly represent splenic infarcts.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Unchanged exophytic focus in the right kidney, likely a cyst. RETROPERITONEUM, LYMPH NODES: Infrarenal IVC filter.CALCIFICATIONS IN ABDOMINAL AORTA AND ITS BRANCHES: Moderate calcified atherosclerotic disease of the aorta and its branch vessels.BOWEL, MESENTERY: Enteric tube terminates in the stomach.BONES, SOFT TISSUES: Diffusely demineralized bones. Multilevel age indeterminate compression deformities with vertebroplasty changes in the mid to lower thoracic levels and L4, new from prior.OTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: Foley catheter in a collapsed bladder with a tiny focus of intraluminal air.LYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES Mild anasarca.Diffusely demineralized bones. Multilevel age indeterminate compression deformities with vertebroplasty changes in the mid to lower thoracic levels and L4, new from prior.OTHER: Trace free pelvic fluid. | 1. Patchy nodular opacities and consolidation consistent within infection, possibly related to infection.2. Post-surgical findings of CABG with a moderately sized anterior mediastinal hematoma.3. Incompletely characterized nonspecific heterogeneity of the spleen, possibly represents splenic infarcts. |
Generate impression based on findings. | Lumbar radiculopathy. Question of spinal lesions, compression fracture. Five views of the lumbar spine show no acute fracture. There is grade 1 anterolisthesis of L4 on L5, unchanged since a prior CT. There is disc space narrowing at L4/L5. Vertebral body heights are maintained. | Degenerative changes as above. No compression deformity. |
Generate impression based on findings. | 9-year-old female with point tendernessVIEWS: Right forearm AP and lateral (two views) 3/22/15 at 2101 No acute fracture or malalignment. No significant soft tissue swelling. | Normal examination of the forearm. If point tenderness is at the elbow, a dedicated elbow radiograph is recommended. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Scattered benign calcifications in both breasts are stable.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 57 year old female with history of left lumpectomy for phyllodes tumor presents for follow up study. No current breast complaints. Three standard views of both breasts and two spot magnification views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Surgical clips are noted at left upper inner quadrant, from recent surgery for phyllodes tumor.Circumscribed left retroareolar mass with a biopsy clip in its anterior portion is stable. A metallic clip at upper outer quadrant in the right breast is unchanged. No suspicious mass, suspicious microcalcifications or suspicious areas of architectural distortion are noted in either breast. | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 25-year-old male patient with right flank pain and history of PUV status post repair as a child and kidney stones. Exam is not sensitive for detecting lesions in the bowel and solid organs due to the lack of oral and intravenous contrast. Given those limitations, the following observations are made:ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Cholelithiasis versus sludge in the gallbladder. No CT evidence of cholecystitis.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: There is severe bilateral hydronephrosis and hydroureter with associated bilateral cortical thinning, right greater than left. No renal calculi or evidence of focal obstruction along the course of the bilateral ureters, although distal left ureter not well assessed, presumably secondary to underdistention/peristalsis. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.CALCIFICATIONS IN ABDOMINAL AORTA AND ITS BRANCHES: None.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality noted.BLADDER: Mildly thickened bladder wall noted. No bladder calculi.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted. | Chronic appearing bilateral severe hydronephrosis and hydroureter, right greater than left, with mild bladder wall thickening. No renal calculi or evidence of focal obstruction along the course of the bilateral ureters, although distal left ureter not well assessed, presumably secondary to underdistention/peristalsis. Consider correlation with prior imaging to determine if this is patient's baseline appearance since repair was performed. |
Generate impression based on findings. | Reason: eval for bleed s/p BHT with LOC History: emesis, headache CT head:The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.There is a groundglass appearing lesion involving the left sphenoid bone narrowing the left vidian canal.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.CT cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. No fractures are identified in the cervical spine.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina.At C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is no significant compromise to the spinal canal or neural foramina.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina. | 1.No evidence for cervical spine fracture2.No evidence for acute intracranial hemorrhage mass effect or edema.3.There is a lesion present along the left sphenoid bone which most likely represent fibrous dysplasia. |
Generate impression based on findings. | Pistol-whipped - right nasal, left upper forehead pain. Question of fracture. Four views of the facial bones show a lucency through the right nasal bone which raises the question of a non-displaced fracture of the right nasal bone. The paranasal sinuses are grossly clear. | Possible non-displaced right nasal bone fracture. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with additional MLO view of the right breast were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. A few scattered benign calcifications are stable in both breasts.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | No acute intracranial hemorrhage is identified. No evidence of intracranial mass, mass-effect, or hydrocephalus. No midline shift or herniation. No extra-axial fluid collections. Gray-white matter differentiation is preserved. The imaged paranasal sinuses and mastoid air cells are clear. The imaged orbits are intact. The osseous structures are unremarkable. | No evidence of acute intracranial abnormality. |
Generate impression based on findings. | Fracture of fifth metacarpal. Evaluate old fracture with ongoing pain. Three views of the right hand again show a comminuted fracture of the neck of the fifth metacarpal with volar angulation of the distal fracture fragment and shortening of the metacarpal. There is increased callus formation suggestive of healing. Soft tissue swelling is noted about the fifth MCP. No additional fracture is identified. | Healing comminuted fracture of the neck of the fifth metacarpal. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Bilateral benign calcifications, including arterial calcifications, are stable.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 63 year old with history of right mastectomy in 2003 and left lumpectomy in 1998 for carcinoma. Patient has received radiation and chemotherapy. No new breast complaints. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Stable architectural distortion, skin retraction and surgical clips are present within the lumpectomy bed. No new masses or suspicious microcalcifications are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, left unilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 33 year old female with pain. Four views of the right knee demonstrate arthritis most severely affecting the patellofemoral compartment with severe joint space narrowing of the lateral patellar facet and lateral patellar tilt. Mild osteoarthritis also affects the medial and lateral tibiofemoral compartments with osteophyte formation. | Osteoarthritis as described above most severely affecting the patellofemoral compartment. Given the relative severity of the patellofemoral changes, CPPD arthropathy is a differential consideration. |
Generate impression based on findings. | 58 years, Male, Reason: nodules History: nodules for recheck. LUNGS AND PLEURA: Reference right upper lobe nodule measures 6 mm (6/29), previously 7 mm. left upper lobe nodules seen on the prior exam is no longer visualized. Additional scattered nodules and micronodules are stable. No focal consolidation or pleural effusion. Basilar bronchial wall thickening is unchanged.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Atherosclerotic calcifications of aorta and its branches. Heart size is normal without pericardial effusion. Mild coronary artery calcifications.CHEST WALL: No axillary lymphadenopathy.UPPER ABDOMEN: Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Small hiatal hernia. Small splenule. | Multiple stable nodules and micronodules which are likely benign. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in two paternal half-sister. Two standard digital views of both breasts and additional left CC view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Left upper outer quadrant benign calcifications are stable.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | There is cutaneous induration overlying the right mandibular angle with thickening of the underlying platysma and fat stranding in the underlying masticator space. There is no discrete fluid collection to suggest abscess. Additionally, there is focal induration and subcutaneous fat stranding over the right zygoma. Scattered dental caries and periapical lucencies are identified, particularly of the maxillary teeth. Scattered, small sinus mucosal retention cysts are noted. Otherwise, the paranasal sinuses, ethmoid air cells, and mastoid air cells are clear. The orbits and nasopharynx are unremarkable. The partially visualized brain is unremarkable. | There is cutaenous ulceration associated with inflammation along the subcutaneous fat over the right face with inflammatory changes extending into the right masticator space indicating cellulitis and underlying phlegmon without discrete walled-off abscess. Please correlate with clinical findings. |
Generate impression based on findings. | Reason: eval LT hand/out of SPLINT History: pain Interval placement of a plate and screw device affixing a fracture through the base of the proximal phalanx of the fourth finger in near-anatomic alignment. Interval placement of two K wires affixing a fracture of the base of the proximal phalanx of the fifth finger, also in near-anatomic alignment. | Orthopedic fixation of fourth and fifth finger proximal phalanx fractures. |
Generate impression based on findings. | 40 year-old female. Abdominal pain, elevated lactic acid. Evaluate for evidence of infarction/ischemia. 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: Subcentimeter hypodense focus in the left kidney is too small to characterize, likely a cyst. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.CALCIFICATIONS IN ABDOMINAL AORTA AND ITS BRANCHES: No atherosclerotic calcification of abdominal aorta.BOWEL, MESENTERY: Underdistention of small bowel limits evaluation. No evidence of bowel ischemia within this limitation. No pneumatosis, pneumoperitoneum, or abscess.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXA: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: Tracer free pelvic fluid, likely physiologic in a premenopausal patient. | No specific findings to explain the patient's symptoms. Underdistention of small bowel limits evaluation; no definite evidence of bowel infarction. |
Generate impression based on findings. | Brain: No acute intracranial hemorrhage is identified. No evidence of intracranial mass, mass-effect, or hydrocephalus. No extra-axial fluid collections. Gray-white matter differentiation is preserved. The imaged mastoid air cells are clear. Mild mucosal thickening of bilateral maxillary sinuses. The imaged orbits are intact. The osseous structures are unremarkable. Head CTA: The bulbous dilation of the anterior communicating artery along its left side is stable. This may be considered an infundibulum. Normal contrast opacification is present through anterior circulation, posterior circulation, and distal intracranial vasculature. Normal contrast opacification is present through anterior communicating artery. There is stable appearing atherosclerotic calcification of the bilateral cavernous/supraclinoid carotid arteries without significant narrowing. Small bilateral posterior communicating arteries are patent. Major venous drainage is grossly patent. | 1.The bulbous dilation of the anterior communicating artery along its left side is stable. This may be considered an infundibulum.2.Stable mild atherosclerotic change in bilateral cavernous/supraclinoid carotid arteries.3.No evidence of acute intracranial abnormality. Please note CT is not sensitive for detection of acute nonhemorrhagic ischemia and MRI can be considered for further evaluation. |
Generate impression based on findings. | Male 68 years old; Reason: Evaluate for depth of infection History: purulent drainage from rectal wound ABDOMEN:LUNGS BASES: Pulmonary micronodules, for example, in left lower lobe, image 11 series 4. Small right pleural effusion with underlying atelectasis. Moderate calcified coronary artery disease.LIVER, BILIARY TRACT: Small ascites, including in perihepatic area. On image 25 series 3, 1.3 x 1 cm focus adjacent to hepatic dome, may be exophytic cyst versus developing abscess and correlation with patient's clinical history and attention on follow-up recommended. SPLEEN: Hypoattenuating lesion spleen, may be a cyst. Scattered radiodensities in spleen likely sequela of prior granulomatous disease.PANCREAS: Subcentimeter pancreatic head calcification, may reflect sequela of chronic calcific pancreatitis.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Symmetric renal parenchymal enhancement. Right renal hypoattenuating renal lesion, too small to characterize.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Status post proctocolectomy with right-sided ileostomy. Gas containing pelvic/presacral fluid collection, measuring 6.9 x 6.6 x 10.3 cm. Air in collection appears to track from and communicate with adjacent small bowel loop, image 123 series 3 . Mildly thickened wall with associated enhancement suggested. Collection extends to level of perineum. Per clinical history, abscess with fistula to the skin apparent on physical exam. Air fluid level seen in right lower pelvis medially, image 120 series 3, appears to be located in a small bowel loop. Small ascites.PELVIS:PROSTATE/SEMINAL VESICLES: 5.1 cm heterogeneous prostate.BLADDER: No significant abnormality noted.BONES, SOFT TISSUES: Spinal degenerative disease. | 1. Status post proctocolectomy with large gas-containing fluid collection in pelvis/presacral space, communicating with adjacent small bowel. 2. 1.3 x 1 cm focus adjacent to hepatic dome, may be exophytic cyst versus developing abscess and correlation with patient's clinical history and attention on follow-up recommended. 3. Small ascites and right pleural effusion. |
Generate impression based on findings. | 65 year-old male patient status post IR drain placement. Evaluate for resolution of abscess. ABDOMEN:LUNG BASES: Basilar atelectasis and small bilateral pleural effusions. Mild mediastinal shift to the right may be due to atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Horseshoe kidney morphology is again noted. Heterogeneous mass in the superior pole of the right kidney moiety currently measures 8.8 x 8.9 cm (series 3 image 59), previously 8.8 x 8.7 cm. There is associated perinephric fat stranding. Multiple hypoattenuating lesions in the left kidney moiety likely represent cysts and are too small to characterize. There appears to be a septation in the hypoattenuating lesion in the superior pole of the left kidney moiety.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.CALCIFICATIONS IN ABDOMINAL AORTA AND ITS BRANCHES: Moderate.BOWEL, MESENTERY: Interval placement of a pigtail catheter in the previously seen fluid collection encapsulated in a loop of small bowel in the right lower quadrant (series 3 image 112) is nearly completely resolved compared to prior with a focus of residual air. There is persistent mesenteric fat stranding and small amount of fluid noted in this area. Reference mesenteric lymph node currently measures 1.3 x 1.6 cm (series 3 image 9 and), previously 1.5 x 1.7 cm.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Sigmoid diverticulosis.BONES, SOFT TISSUES: L4 left neural foraminal bone metastasis is again noted.Again seen is fluid and fat stranding extending from the area of a previously seen fat filled right inguinal hernia to the subcutaneous tissues of the lower anterior pelvic wall, not significantly changed from prior exam on 3/20/2015.OTHER: Small amount of ascites. | 1.Near complete resolution of fluid collection in the right lower quadrant after placement of pigtail drain. 2.No significant change in right renal moiety known malignancy and stable appearing metastatic disease.3.Fluid and fat stranding in the area of prior right inguinal hernia and right lower pelvis is unchanged from prior examination. Correlate clinically and with prior intervention. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional right MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. A circular skin marker was placed over the left axilla.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this report will be made.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Altered mental status. There is no evidence of acute intracranial hemorrhage or mass. There is mild patchy cerebral white matter hypoattenuation. The ventricles are sulci are mildly prominent diffusely due to cerebral volume loss. There is no midline shift or herniation. There are carotid siphon and vertebral artery calcifications. The imaged paranasal sinuses clear. There is partial opacification of the mastoid air cells. There are degenerative changes in the left temporomandibular joint. There are bilateral lens implants. There is a partially-imaged enteric tube. | 1. No evidence of acute intracranial hemorrhage or mass.2. Mild patchy cerebral white matter hypoattenuation may represent small vessel ischemic disease. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct.3. Nonspecific partial opacification of the mastoid air cells.4. Degenerative changes in the left temporomandibular joint. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in sister and two maternal aunts. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Scattered benign calcifications in both breasts are present.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this report will be made.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 8-year-old female with pain status post fallVIEWS: Left tibia-fibula AP, lateral (two views) 3/23/15 Oblique fracture of the distal tibial diaphysis with minimal posterior displacement of distal fracture fragment. No fibular fractures. Mild to moderate soft tissue swelling. | Oblique fracture of the distal tibial diaphysis with posterior displacement of the distal fracture fragment. |
Generate impression based on findings. | 39-year-old female. Right lower quadrant pain. ABDOMEN:LUNG BASES: Calcified nodules in the lung bases consistent with prior infection.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Bilateral renal hypodensities, measure above water attenuation which maybe due to pseudoenhancement, incompletely characterized on this single phase. No hydronephrosis. Nonobstructive left renal stones.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.CALCIFICATIONS IN ABDOMINAL AORTA AND ITS BRANCHES: No calcifications.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXA: Right adnexal predominately fat containing mass with foci of soft tissue and calcifications, most consistent with a dermoid, torsion cannot be excluded on the basis of CT. It has maximum transaxial dimensions of 11.2 x 6.7 cm (series 3, image 98).BLADDER: Foley catheter terminates in a collapsed bladder.LYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: Trace free pelvic fluid. | Large right adnexal dermoid, evaluation with ultrasound is recommended if there is clinical concern for torsion. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views with additional MLO views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is extremely dense, which lowers the sensitivity of mammography, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSD - Screening Mammogram. |
Generate impression based on findings. | Right mandibular abscess. Question of dental source of sepsis. Panorex radiograph of the mandible shows multiple missing teeth. Dental caries are noted within several mandibular teeth, most predominantly with significant dental disease of the left mandibular premolars. Periapical lucencies are noted about multiple mandibular teeth. No acute fracture is evident. | Periodontal disease and dental caries as above. Please refer to subsequent CT maxillofacial report for additional details. |
Generate impression based on findings. | Reason: assess for fx History: low back pain after MVA Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is a mild disk bulge present at this level.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is a mild disk bulge present at this level.At L3-4 there is no significant compromise to spinal canal or neural foramina.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.Atherosclerotic calcifications are present in the aorta and some branches. | 1.There is no evidence for lumbar spine fracture or subluxation. There are only minor degenerative changes in the lumbar spine. |
Generate impression based on findings. | Female 20 months old Reason: signs of atelectasis, pneumonia History: tachypnea, increased secretionsVIEW: Chest AP (one view) 3/23/15 at 559 hours. Gastrostomy and tracheostomy tubes unchanged. Cardiac silhouette is non sizable due to a complete atelectasis of the left lung. | Complete left lung atelectasis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in maternal cousin. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Circular skin markers were placed over both breasts.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 2 years old Reason: interval change History: increased oxygen req. overnight. Acute respiratory distress syndrome.VIEW: Chest AP (one view) 3/23/15 at 607 hours. Left upper extremity central line terminates at the confluence of both innominate veins. Gastrostomy tube and surgical clips unchanged. Cardiac silhouette size is normal. Interval resolution of right upper lobe opacity and development of bibasilar atelectasis. | Bibasilar atelectasis. |
Generate impression based on findings. | 17 year-old male with finger pain and swellingVIEWS: Left index finger oblique, lateral; left hand PA (3 views) 3/23/15 No fracture or malalignment. Soft tissue laceration is present over the second MCP. No foreign body. | Soft tissue laceration without fracture or malalignment. |
Generate impression based on findings. | 59-year-old female. Pain at rectum, redness. Evaluate for abscess perirectal. 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 notedRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.CALCIFICATIONS IN ABDOMINAL AORTA AND ITS BRANCHES: No calcifications.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXA: No significant abnormality notedBLADDER: Mild wall thickening of the bladder, likely related to underdistention.LYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: Right perianal soft tissue thickening with subcutaneous fat infiltration and skin thickening extending down the inner right buttock, may represent a fistula tract. No abscess is identified. No evidence of bowel inflammation or obstruction.BONES, SOFT TISSUES: Mild degenerative changes at L5-S1.OTHER: No significant abnormality noted | Right perianal soft tissue thickening with extension of subcutaneous fat infiltration and skin thickening inferiorly down the inner right buttock, which may represent a fistula tract. No definite abscess collection. These findings would be better characterized with MRI pelvis wwo. |
Generate impression based on findings. | Female 91 years old; Reason: rule out SBO given partial colectomy and hx History: abdominal pain ABDOMEN:LUNG BASES: Mild atelectasis at the lung bases.LIVER, BILIARY TRACT: No focal hepatic lesions. Hepatic and portal veins are patent.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal cysts with the largest cyst in the left kidney. No hydronephrosis or nephrolithiasis.RETROPERITONEUM, LYMPH NODES: Severe calcific arteriosclerotic disease affects the aorta. Infrarenal abdominal aorta is ectatic in its midportion.BOWEL, MESENTERY: Percutaneous gastrostomy catheter terminates within the stomach lumen. There is a ventral hernia that contains portion of small bowel. The distal loops are slightly collapsed indicating at least a partial bowel obstruction. Contrast has reached the ascending colon. There is mild associated mesenteric edema.There are scattered colonic diverticula.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Post surgical changes in the rectum.BONES, SOFT TISSUES: Compression fractures of T12, L4 and L5. Sclerotic changes in the left inferior pubic ramus.OTHER: No significant abnormality noted. | 1.Partial small bowel obstruction due to a ventral hernia trapping portion of bowel. Follow up is recommended.2.Compression fractures of the vertebral bodies. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is extremely dense, which lowers the sensitivity of mammography, unchanged in pattern and distribution. Benign intramammary lymph node in the left lateral retroareolar region is stable.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 70 year-old female with history of multiple myeloma, post stem cell transplant evaluation. SKULL: Two views of the skull shows several small lucencies likely representing myelomatous deposits.CERVICAL SPINE: Severe multilevel degenerative disk disease. Multiple small lucencies may represent myelomatous deposits.THORACIC SPINE: Again seen are severe compression fractures. There is cement material at T7 which extends superiorly within the spinal canal posteriorly. There is also focal kyphosis of the thoracic spine at this level. We see no discrete lytic lesion in the thoracic spine itself. LUMBAR SPINE: Two views of the lumbar spine show mild superior endplate depression of L2 with cement extending inferiorly along the lateral aspects of L2 and L3. We see no discrete lytic lesions. There is moderate degenerative disk disease at L3-4, and severe degenerative disk disease L4-5 and L5-S1.RIBS: The bones appear demineralized and multiple healed bilateral rib fractures may represent myelomatous involvement although again we see no discrete lytic lesions. There is sclerosis and deformity of the right clavicular head indicating a healed fracture. Surgical clips in the right upper quadrant are consistent with prior cholecystectomy.PELVIS: The bones appear demineralized. Small lucencies in the obturator likely representing myelomatous deposits are again seen. No new discrete myelomatous lesions.UPPER EXTREMITY: Two views of the right and left humerus show small lucencies which may represent myelomatous deposits. AP views of the forearms bilaterally show demineralized bones, and multiple lucencies which may represent myelomatous deposits. Note is made of severe basilar joint arthritis.LOWER EXTREMITY: Two views of the femurs bilaterally show demineralized bones, and small lucencies in the diaphyses which are nonspecific but likely represent myelomatous deposits. Two views of the tibia-fibula bilaterally show demineralized bones, and tiny nonspecific lucencies which also may represent myelomatous deposits. | Findings consistent with multiple myeloma, without acute interval change since the prior study. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left cyst aspiration. Family history of breast cancer diagnosed in sister at age 35. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Stable intramammary lymph node in the left upper outer quadrant.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Hemophagocytic lymphohistiocytosis and stem cell transplant.VIEW: Chest AP (one view) 03/23/15, 0455 Endotracheal tube tip is above carina. Right internal jugular catheter tip is in right atrium. Feeding tube tip is distal to GE junction and not included on image. Lower extremity central line tip is in the intrahepatic IVC.Cardiothymic silhouette is normal. Focal opacity is present in left lower lobe. No other opacity is identified.Soft tissue edema is noted. | Left lower lobe focal opacity may be atelectasis or pneumonia. |
Generate impression based on findings. | Female 23 years old; Reason: abdominal pain, recent methotrexate for ectopic History: abdominal pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver has normal morphology. Probable right hepatic lobe cyst.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small bowel is normal in caliber and course. The appendix is normal.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: CT is inadequate to evaluate for uterine or ovarian pathology. Correlate with ultrasound.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small amount of pelvic free fluid. | 1.No bowel obstruction.2.CT is inadequate to evaluate the uterus and adnexa for which sonography is suggested |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 11 year old female with chest painVIEWS: Chest PA/lateral (two views) 3/23/15 at 0123 The cardiothymic silhouette is normal. Mild to moderate bronchial wall thickening consistent with bronchiolitis/reactive airway disease. Streaky opacity in the left lung base likely represents atelectasis. Linear radiodense material overlying the left upper quadrant of the abdomen and left lower chest is outside the patient. Left thoracolumbar curve is present. | Bronchiolitis/reactive airway disease pattern. |
Generate impression based on findings. | Reason: hip pain History: hip pain Two views of the left hip demonstrate moderate osteoarthritis without fracture.AP view of the pelvis demonstrates mild-moserate osteoarthritis of both hips, greater on the left, without fracture. | Mild-moderate osteoarthritis. |
Generate impression based on findings. | 59 year old female status post right lumpectomy in May 2013 for IDC with DCIS, presents today for routine follow up. Patient received chemotherapy. No current breast complaints. Family history of breast carcinoma in her mother. Three standard views of both breasts, a right laterally exaggerated craniocaudal view, and 3 spot compression views of the left breast, were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. A linear marker has been placed on a scar overlying the upper outer right breast with underlying postsurgical changes including architectural distortion and surgical clips. Scattered benign calcifications are present. No dominant mass, suspicious microcalcifications or areas of nonsurgical architectural distortion in either breast. | Stable postsurgical changes of the right breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Female, 8 years old. Reason: obstruction History: vomitingVIEWS: Abdomen supine and upright (two views) /22/15, 1557 Nonobstructive bowel gas pattern.No pneumatosis, portal venous gas, or free air.Moderate stool burden. | No evidence of obstruction. |
Generate impression based on findings. | 43 years, Female. Reason: r/o SBO History: abd pain There is a nonobstructive bowel gas pattern. Cholecystectomy clips to the right upper quadrant. | There is a nonobstructive bowel gas pattern. |
Generate impression based on findings. | Male 43 days old Reason: Is there evidence of NEC or obstruction History: DistentionVIEW: Abdomen and chest AP (two views) 3/23/15 at 825 hours. ET tube tip is below the thoracic inlet. NG tube terminates at the stomach. Interval central line removal. Mediastinal tube unchanged. Cardiac silhouette size is normal. Right upper, left upper and left lingular opacities, likely apices on a background of diffuse, coarse lung haziness. No effusions or pneumothorax.Disorganized, slightly distended and nonspecific abdominal gas pattern. No evidence of obstruction, free air, pneumatosis intestinalis or portal venous gas. | Interval removal of central line repositioning of ET tube.Multifocal streaky opacities as described.Disorganized, slightly distended and nonspecific abdominal gas pattern. |
Generate impression based on findings. | 4-year-old female with cough and feverVIEWS: Chest AP/lateral (two views) 3/23/15 The aortic arch, cardiac apex, and stomach are left-sided. Moderate diffuse bronchial wall thickening consistent with bronchiolitis/reactive airway disease. Large lung volumes. No focal opacities. No pneumothorax. | Bronchiolitis/airway disease pattern. |
Generate impression based on findings. | Female 60 years old; Reason: eval for intraabdominal infection History: abd pain, vaginal bleeding ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal in morphology. There are several noncalcified stones layer within the gallbladder neck. There is some debris within the distal common bile duct. Hepatic and portal veins are patent. No focal hepatic lesions.SPLEEN: Calcified splenic granulomata.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Multiple small retroperitoneal lymph nodes.Mild calcific arteriosclerotic disease affects the aorta.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Hypodensity within the uterine cavity measuring 3.5 cm is abnormal in a 6 year old female and further investigation with ultrasound is recommended.BLADDER: No significant abnormality noted.LYMPH NODES: No significant pelvic adenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Degenerative changes affects the thoracolumbar spine.OTHER: No significant abnormality noted. | 1.Findings of a soft tissue mass within the uterus. Further evaluation with pelvic sonography is recommended to exclude an endometrial process.2.Multiple small retroperitoneal lymph nodes.3.Cholelithiasis with possible choledocholithiasis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this report will be made.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 25-year-old male with history of leukemia, now with chest pain PULMONARY ARTERIES: Adequate study to the first order subsegmental level without pulmonary embolism.LUNGS AND PLEURA: No pleural effusion or pneumothorax. No focal consolidations. 2-mm calcified pulmonary nodule present, adjacent to the fissure in the right middle lobe.MEDIASTINUM AND HILA: Heart size is normal without pericardial effusion. No mediastinal, hilar, internal mammary, retro-crural, or cardiophrenic lymphadenopathy.CHEST WALL: No axillary lymphadenopathy.UPPER ABDOMEN: Punctate calculus in the diaphragm or dome of the liver. Minimal scalloping of the surfaces of the upper poles of the kidneys is seen. | No pulmonary embolism. No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Male 14 years old Reason: fracture History: fractureVIEWS: Left ankle AP, lateral and oblique 3/23/15 (3 views) Interval removal of cast. Fracture of the fibular malleolus is still noted no fracture line is visualized on the tibia. Alignment is anatomic. | Anatomical alignment after cast removal. Left fibular malleolar fracture is still visualized. |
Generate impression based on findings. | 57 year old female status post right mastectomy for IDC with DCIS, presents today for routine follow up. Patient received chemotherapy. No current breast complaints. Family history of breast carcinoma in her sister. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Scattered benign calcifications are present. No dominant mass, suspicious microcalcifications or areas of architectural distortion in the left breast. Benign appearing lymph nodes are projected over the left axilla. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history breast cancer diagnosed in maternal niece. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Benign calcifications in both breasts, predominately arterial calcifications, are stable.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Head CT:There is a large primarily hyperdense lentiform extra-axial mass primarily overlying the left parietal lobe measuring up to 2.4 cm in maximal depth. Internal heterogeneous density suggests the "swirl" sign of active hemorrhage. There is associated regional mass-effect with displacement of underlying gyri, minimal left to right midline shift, and partial effacement of the left lateral ventricle. Right scalp soft tissue swelling is noted, however there is no underlying calvarial fracture. Basilar cisterns are maintained.The ventricles and sulci are normal in size. There is no evidence for acute cerebral or cerebellar cortical infarction. The visualized portions of the paranasal sinuses and mastoid air cells are clear. Posterior paramedian right frontal hypodensity is felt to represent arachnoid granulation.Cervical spine CT:Alignment is anatomic. There are no fractures or subluxations. The visualized intracranial and paraspinal contents are unremarkable. | 1.Epidural hemorrhage overlying the left parietal lobe. There is associated regional mass-effect with displacement of underlying gyri, minimal left to right midline shift, and partial effacement of the left lateral ventricle. There is no underlying calvarial fracture.2.Negative cervical spine CT. |
Generate impression based on findings. | Female, 12 years old. Reason: infection History: redness/swellingVIEWS: Right wrist PA, lateral, oblique (3 views) 3/22/15, 1643 The osseous structures and joint spaces are normal.No significant joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | 61 years, Female. Reason: Stool from NGT check for perforation/free air History: Stool from NGT check for perforation/free air There is a nasogastric tube with its tip projecting over the fundus of the stomach. Surgical clips project over the midline abdomen. There is a nonobstructive bowel gas pattern. No free intraperitoneal air. | Nasogastric tube with its tip projecting over the fundus of the stomach. |
Generate impression based on findings. | Female 12 years old Reason: fracture VIEWS: Right first digit AP and lateral 3/23/15 (two views) Healing epiphyseal fracture of the proximal phalanx of the right first digit is in anatomic alignment. Minimal periosteal reaction along the dorsal aspect of the proximal metaphyses of the proximal phalanx is noted as well. | Healing fracture in anatomic alignment. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 56 years old; Reason: eval for perirectal abscess History: prior abscess, jp drain malfunction ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal in morphology nonspecific subcentimeter hypodense hepatic foci. Hepatic and portal veins are patent.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small bowel loops are fluid filled and dilated measuring up to 3.5 cm. There is fecalization within the small bowel loops indicating a small bowel obstruction. The small bowel loops in the left upper abdomen are completely decompressed.Rectally administered contrast extends to the level of the cecum.There is a right parastomal hernia containing loop of bowel.BONES, SOFT TISSUES: Right abdominal hernia.OTHER: No significant abnormality noted.PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: Urinary bladder is distended.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: A percutaneous drain terminates in the presacral collection which measures 7.5 x 4.0 cm. Contrast opacifies the fluid collection and the rectum. This is indicative of a fistulous connection between the pocket and the rectum better demonstrated on the recent fluoroscopic study.Degenerative changes of the lumbar spine.OTHER: No significant abnormality noted. | 1.Small bowel obstruction.2.Persistent presacral collection. |
Generate impression based on findings. | Status post fracture.VIEWS: Right foot AP and lateral 3/23/15 at 842 hours. (Two views) Healing fracture of the base of the fifth metatarsal is in anatomic alignment. Healing fracture | Healing fracture in anatomic alignment. |
Generate impression based on findings. | Urinary tract infection. Possible ileus.VIEW: Abdomen AP (one view) 3/23/15 at 903 hours. Cecostomy and Mitrofanoff catheters as well as VP shunt are again noted. Generalized, nonspecific bowel distention. No evidence of free air. Ileus or obstruction are considerations. | Findings concerning for ileus or obstruction. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and additional ML views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Arterial calcifications bilaterally are stable.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 76 year old female status post left lumpectomy in 1998 for breast carcinoma, presents today for routine follow up. Patient received radiation therapy and hormonal therapy with tamoxifen. History of known right breast fibroadenoma and benign left breast biopsy. No current breast complaints. Family history of breast carcinoma in her maternal grandmother. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Linear markers have been placed on scars overlying the upper central right breast, upper slightly inner left breast, and left axillary region. Postsurgical changes are present within the upper outer left breast, unchanged. Scattered benign calcifications are present. No dominant mass, suspicious microcalcifications or areas of nonsurgical architectural distortion in either breast. | Stable postsurgical changes of the left breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Female, 11 years old. History of sickle cell disease, fever, cough.VIEWS: Chest PA/lateral (two views) 3/22/15, 1229 The aortic arch, cardiac apex, and stomach are left-sided.The cardiothymic silhouette is normal.No focal pulmonary opacities, pleural effusions, or pneumothorax.Cholecystectomy clips. | No radiographic evidence of acute chest syndrome. |
Generate impression based on findings. | Reason: ?DJD History: pain with flexion and rotation Two views of the left hip demonstrate mild osteoarthritis without fracture.Two views left femur demonstrate no fracture or specific findings to account for the patient's pain. | Mild osteoarthritis of the left hip. |
Generate impression based on findings. | Reason: is there a fracture. History: foot pain, history arthritis. no trauma. dorsal foot tenderness. no swelling on exam There is no fracture, malalignment, or other specific findings to account for the patient's pain. There is a mild hallux valgus deformity. | No fracture or other findings to account for the patient's pain. |
Generate impression based on findings. | There has been interval evacuation of a previously demonstrated left epidural hematoma. Expected post procedure findings include pneumocephalus, underlying extra-axial mixed fluid and hemorrhagic products, changes from craniotomy, and overlying soft tissue swelling. Regional mass-effect is also decreased, with near resolution of midline shift and left lateral ventricular effacement.There is no evidence for acute cerebral or cerebellar cortical infarction. The visualized portions of the paranasal sinuses and mastoid air cells are clear. | There has been interval evacuation of a previously demonstrated left epidural hematoma. Expected post procedure findings include pneumocephalus, underlying extra-axial mixed fluid and hemorrhagic products, changes from craniotomy, and overlying soft tissue swelling. Regional mass-effect is also decreased, with near resolution of midline shift and left lateral ventricular effacement. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male, 9 years old. Swelling of the posterior right ankle.VIEWS: Right ankle, AP, lateral (two views) /22/15, 1238 The osseous structures and joint spaces are normal.No significant joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Female, 20 months old. Fever, respiratory distress. Evaluate for pneumonia.VIEW: Chest AP (one view) 3/22/15, 1907 Tracheostomy and gastrostomy tubes in place.Increased opacification of the left hemithorax, with volume loss, compatible with atelectasis.Right lower lobe opacity is more prominent compared to the prior exam.The cardiothymic silhouette cannot be assessed on this exam. | Left lung atelectasis. Right lower lobe opacity may represent pneumonia. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Circular skin markers are placed for both breasts. Two clusters of calcifications in the right breast are stable. Arterial calcifications have slightly progressed compared to prior.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 69 years old; Reason: 69 M with metastatic colon cancer, please eval for interval change since prior CT. History: none CHEST:LUNGS AND PLEURA: Subcentimeter nodular opacities in the left upper lobe (image 42/series 5) are unchanged. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No mediastinal lymphadenopathy. Right chest wall port terminates at the cavoatrial junction.CHEST WALL: No significant abnormality notedOTHER: ABDOMEN:LIVER, BILIARY TRACT: Postoperative changes in the liver from a partial hepatectomy. The hepatic and portal vein branches are patent. No intrahepatic or ductal dilatation. No focal hepatic lesions.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: Mild calcific arteriosclerotic disease affects the aorta.BOWEL, MESENTERY: Postsurgical changes in the: From a partial colectomy.There are new mesenteric nodules compatible with carcinomatosis. A reference anterior upper abdominal omental nodule measures 1.4 x 1.1 cm (image 118/series 3). There is nodularity adjacent at the right hepatic liver edge.BONES, SOFT TISSUES: No significant abnormality notedOTHER: Small amount of upper abdominal ascites.PELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: Peritoneal nodule anterior to the rectum measures 1.6 x 1.4 cm (image 174/series 3). BONES, SOFT TISSUES: No significant abnormality notedOTHER: Trace pelvic ascites. | 1.Upper abdominal and pelvic carcinomatosis with measurements provided above. |
Generate impression based on findings. | Fracture.VIEWS: Left ankle AP/lateral/oblique (3 views) 03/23/15 The fracture line in the fibular epiphysis is much less apparent. Periosteal reaction is noted around the distal fibula. Alignment is anatomic. | Continued healing of Salter fracture of fibula. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in mother at age 37. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Circular skin markers were placed over both breasts. Scattered benign calcifications are stable.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 11-year-old male with a history of fractureVIEWS: Left forearm AP, lateral (two views) 3/23/15 Overlying cast material obscures fine bone detail. Again seen is a both bones fracture of the left forearm. There is minimal lateral and posterior angulation of the both bones fracture. The radius remains mildly medially displaced. | Minimal lateral and posterior angulation of the both bones fracture of the left forearm. |
Generate impression based on findings. | 57-year-old male. GIB, low GFR. Evaluate aorta. Lack of intravenous and oral contrast limits evaluation for solid organ and bowel pathology.ABDOMEN:LUNG BASES: Small right pleural effusion. Cardiomegaly with a ICD lead.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.CALCIFICATIONS IN ABDOMINAL AORTA AND ITS BRANCHES: Moderate calcified atherosclerotic disease of the aorta without aneurysm. No periaortic foci of air or high density to suggest blood.BOWEL, MESENTERY: No bowel obstruction.BONES, SOFT TISSUES: Anasarca. Moderate degenerative disk disease of the lower lumbar spine.OTHER: Large amount of abdominopelvic ascites.PELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: Anasarca. Moderate degenerative disk disease of the lower lumbar spine.OTHER: Large amount of abdominopelvic ascites. | 1. Moderate calcified atherosclerotic disease of the abdominal aorta and branch vessels without aneurysm.2. Small right pleural effusion and large amount of abdominopelvic ascites, which may be related to heart failure. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Benign calcifications bilaterally, including arterial calcifications, are stable.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 83 year-old male patient with distention and abdominal pain x 2 weeks. Evaluate for partial small bowel obstruction. ABDOMEN:LUNG BASES: Central venous catheter tip noted in the right atrium.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Mildly atrophic bilateral kidneys may be age related.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.CALCIFICATIONS IN ABDOMINAL AORTA AND ITS BRANCHES: Mild.BOWEL, MESENTERY: Small pneumoperitoneum predominantly in a perihepatic and upper abdominal distribution. There is no evidence of enteric contrast leak. Small ventral hernia contains air and fat. Gastrostomy tube is in a satisfactory location with balloon in the gastric body.BONES, SOFT TISSUES: Nonspecific heterogenous bones.OTHER: No significant abnormality noted.PELVIS:PROSTATE, SEMINAL VESICLES: Heterogenous, enlarged prostate, measuring up to 5.3 cm.BLADDER: Calculus noted in the dependent portion of the bladder.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Colonic diverticulosis without evidence of diverticulitis. No evidence of bowel obstruction.BONES, SOFT TISSUES: Nonspecific heterogenous bones.OTHER: No significant abnormality noted. | 1.Small amount of pneumoperitoneum may be due to recent gastrostomy tube placement, as the gastrostomy tube appears to be in a satisfactory location and there is no evidence of enteric contrast leak, but correlation with patient's clinical history and continued follow up recommended.2.Nonspecific heterogenous bones may represent chronic renal disease in the appropriate clinical setting. |
Generate impression based on findings. | 55 years, Female, Reason: shortness of breath r/o PE History: shortness of breath. History breast cancer PULMONARY ARTERIES: Technically adequate study. No acute pulmonary embolus.LUNGS AND PLEURA: Mild paraseptal emphysema is unchanged. Mild right upper lobe and right middle lobe bronchiectasis. Scattered reticular opacities, particularly in the right middle lobe are unchanged and likely secondary to prior radiation. No focal consolidation or pleural effusion.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Mild cardiomegaly without pericardial effusion. No coronary artery calcification.CHEST WALL: Left axillary nodes with fatty hilum are decreased in size measuring 10 x 7 mm (7/55) and 6 x 5 mm (7/56), previously 11 x 10 mm and 12 x 10 mm respectively. Interval right breast reconstruction.UPPER ABDOMEN: Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Mild degenerative changes are unchanged. Sclerosis along the anterior aspects of T4-T5 is new and most likely degenerative. | No acute pulmonary embolus.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 24 years, Male. Reason: r/o free air History: as above Intraperitoneal free air cannot be excluded in a supine film. Nonobstructive bowel gas pattern with hyperdense material compatible with oral contrast seen within the distended gallbladder. Interval removal of the feeding tube. | Nonobstructive bowel gas pattern, however, intraperitoneal free air cannot be excluded in a supine film. |
Generate impression based on findings. | 43 year old male. Heart transplant, effusions, SOB, AKI. Lack of intravenous and oral contrast limits evaluation for solid organ and bowel pathology.CHEST:LUNGS AND PLEURA: 2.7 x 7.1 pleural based hematoma at the anterior aspect of the right middle lobe (series 3, image 68).Small bilateral pleural effusions with adjacent atelectasis.Previously seen multifocal ill-defined nodular opacities have nearly completely resolved. There is a new focal ground glass opacity in the right upper lobe, suspicious for aspiration. Mosaic attenuation at the bases may relate to small vessel or small airways disease.MEDIASTINUM AND HILA: Postsurgical findings of heart transplant. Large pericardial effusion with higher density components consistent with hematoma spanning from the superior anterior mediastinum at the level of the aortic arch down to the right heart border. Small amounts of hematoma extends from the pericardial space into the upper abdomen and through the anterior abdominal wall along two prior chest tube tracts. Foci of air in the pericardium, presumably post-surgical. Orphaned ICD leads are noted in the left brachiocephalic vein. Epicardial pacer leads.CORONARY ARTERY CALCIFICATION: Left PICC tip terminates in the left axilla.CHEST WALL: Median sternotomy. Orphaned graft in the right upper chest wall.ABDOMEN:LIVER, BILIARY TRACT: High-density material in gallbladder, likely sludge.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: 1.3 cm fat containing left adrenal nodule, unchanged.KIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.CALCIFICATIONS IN ABDOMINAL AORTA AND ITS BRANCHES: None.BOWEL, MESENTERY: Peripheral foci of air in the cecum may represent air trapped between intraluminal contents and the bowel wall versus pneumatosis, causes of which include benign etiologies and ischemia. No associated bowel wall thickening to suggest ischemia.BONES, SOFT TISSUES: No significant abnormality notedOTHER: Trace abdominopelvic fluid.PELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: See above.BONES, SOFT TISSUES: No significant abnormality notedOTHER: Trace abdominopelvic fluid. | 1. Post-surgical findings of heart transplant with a large pericardial effusion and significant internal hematoma. Extension of small amount of hematoma from the pericardial space into the upper abdomen and through the abdominal wall via two chest tube tracts.2. Right middle lobe small pleural based hematoma.3. Interval near complete resolution of the multifocal groundglass opacity. New right upper lobe focal groundglass opacity, likely aspiration.4. Peripheral foci of air in the cecum, may represent air trapped between enteric contents and the bowel wall versus pneumatosis, which is favored to be benign given lack of associated bowel wall thickening. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in mother and sister. Two standard digital views with additional MLO views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 64 years, Male. Reason: R/o SBO History: N/V, abdominal distention Nonobstructive bowel gas pattern with gastrostomy tube unchanged in position. Interval resolution of previously seen gastric distention. There is a right femoral catheter with its tip projecting over the right L5 pedicle. Bibasilar pulmonary opacities are not significantly changed from the prior exam. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 63-year-old male patient with history of antral gastric cancer status post resection and percutaneous biliary drain presents with abdominal pain. Evaluate for abscess or new abnormality. ABDOMEN:LUNG BASES: Small left pleural effusion and overlying atelectasis, new compared to prior. Right basilar atelectasis.LIVER, BILIARY TRACT: There is new diffuse gallbladder wall thickening and enhancement as well as pericholecystic inflammation. Persistent slightly improved mild intrahepatic biliary ductal dilatation. Small hypodense lesion in segment 8 is again noted. There is interval placement of a percutaneous biliary drain with pigtail tip in the duodenum.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.CALCIFICATIONS IN ABDOMINAL AORTA AND ITS BRANCHES: Mild.BOWEL, MESENTERY: Postsurgical changes from resection of the gastric antrum. There is mild gastric remnant wall thickening that is of uncertain significance. Again seen are postsurgical changes at the level of the pyloric duodenal area that corresponds to the previously identified fullness on prior MRI that is unchanged from prior CT. There are multiple loops of mildly distended small bowel in the right hemiabdomen without evidence of transition point.BONES, SOFT TISSUES: Moderate multilevel degenerative changes and osteophyte formation affect the thoracolumbar spine.OTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Moderate multilevel degenerative changes and osteophyte formation affect the thoracolumbar spine. Enthesophyte formation noted.OTHER: Partially imaged right hydrocele. | 1.New diffuse gallbladder wall thickening and pericholecystic inflammation is concerning for acute cholecystitis. Consider right upper quadrant ultrasound for further evaluation as clinically indicated.2.Mildly dilated loops of small bowel in the right upper quadrant are nonspecific and may be related to timing of examination, as no definite transition point is present. However, continued follow up is recommended to exclude partial small bowel obstruction.3.Nonspecific thickening of the gastric remnant is noted.4.Unchanged fullness/thickening at the level of the pyloric and proximal duodenal area as noted on prior MRI. |
Generate impression based on findings. | 61 years, Male. Reason: s/p sigmoidectomy History: oliguria, nausea yesterday Again seen is diffuse gaseous distention of the small bowel and colon, and is not significantly changed from the prior exam, with small bowel measuring up to 3.2 centimeters. A small amount of gas is seen in the rectum.Surgical staple line in the rectum is noted. | Distended loops of small bowel and colon not significantly changed from the prior exam likely represent a persistent ileus or a distal obstruction. |
Generate impression based on findings. | 3T Scanner 6mm aneurysm, 6 month follow up from baseline, please evaluate for growth/changes. Surveillance, 6 month follow-up. There is a saccular aneurysm measuring up to 7 mm that arises from the supraclinoid segment of the left internal artery adjacent to the origin of the left posterior communicating artery directed inferiorly with a 4 mm wide neck. Previously, the aneurysm measured up to 6 mm. there is no evidence of significant steno-occlusive disease. Incompletely characterized lacunar infarcts in the right basal ganglia and left corpus callosum. | 1. An inferiorly directed saccular aneurysm of the left supraclinoid internal carotid artery now measures up to 7 mm, previously 6 mm.2. Incompletely characterized lacunar infarcts in the right basal ganglia and left corpus callosum. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views with additional MLO views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. Scattered benign calcifications, including mild arterial calcifications, are present in both breastsNo suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in mother age 38. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
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