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Generate impression based on findings. | 45 years, Female. Reason: Eval for number of laps History: known laps in abdomen, open and packed Multiple (probably 3) lap sponges project over the right hemiabdomen. Additional radiopaque geometric density in the left upper quadrant probably represents an additional lap sponge. There are multiple surgical clips prese... | Multiple (probably 3) lap sponges project over the right hemiabdomen, with an additional probable lap sponge in left upper quadrant. |
Generate impression based on findings. | 65 years, Male. Reason: Dobbhoff placement History: Dobbhoff placement There is a Dobbhoff tube with its tip projecting over the body of the stomach. LVAD and pacemaker leads in place. Retrocardiac opacity suggests atelectasis/consolidation. There are bilateral pleural effusions. The pelvis is excluded from the field o... | Dobbhoff tube with its tip projecting over the body of the stomach. |
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. The breasts are asymmetric in size, with the right larger than the left. No suspicious mass... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Male, 4 years old. Follow-up fractureVIEWS: Right foot, AP, lateral (two views) 3/23/15, 0904 Cast material obscures fine osseous detail.Minimally displaced transverse fractures through the first and second metatarsal diaphyses, with slightly increased associated sclerosis.No additional fracture or dislocation identifi... | Minimally displaced transverse fractures through the first and second metatarsal diaphyses, status post casting. |
Generate impression based on findings. | 54 years, Female. Reason: abdominal distension History: distension Opacification of the right hemithorax and a right chest tube, similar to prior chest radiograph. Nonspecific bowel gas pattern. Gastrostomy tube projects over the body of the stomach. | Nonspecific bowel gas pattern. |
Generate impression based on findings. | Male 57 years old; Reason: kidney stone; currently has left-sided flank pain, stated passed a stone in January and has had pain since then but has been tolerable ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Hepatic steatosis and hepatomegaly, measures 21 cm in longitudinal dimension. SPLE... | 1. Obstructing left UPJ stone. Additional nonobstructing intrarenal nephrolithiasis as above. |
Generate impression based on findings. | 65 years, Female, Reason: progression of lung nodule History: stable lung nodule on prior visits. LUNGS AND PLEURA: Mild paraseptal and centrilobular emphysema is unchanged. Diffuse bronchial wall thickening is unchanged.Left lower lobe nodule measuring 5 mm is unchanged (5/190). There is bronchiectasis in the upper an... | 1.Left lower lobe nodule is stable and likely benign.2.Upper lobe predominant bronchiectasis and mucous plugging may suggest a chronic atypical infection such as MAI.3.Multiple irregular cystic lesions throughout the lungs. Early pulmonary Langerhans cell histiocytosis may be considered.4.Innumerable subcentimeter hepa... |
Generate impression based on findings. | Female 52 years old Reason: please define extent of hiatal hernia and GERD History: GERD. Double contrast visualization of the esophagus showed a patulous esophagus with a moderately sized hiatal hernia. No abnormalities of the mucosal surfaces or mural contours are identified. During the exam, spontaneous or provoked ... | 1. Patulous esophagus.2. Moderate hiatal hernia.3. Spontaneous gastroesophageal reflux to above the thoracic inlet. |
Generate impression based on findings. | 57-year-old male who hit head last night with questionable loss of consciousness There is no detectable acute posttraumatic intracranial or calvarial findings. Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray/hite matter differentiation. mages through the orbits redemonstrate small ... | 1.No acute intracranial process.2.Fluid is present with ethmoid and left maxillary sinuses suggestive of sinusitis. |
Generate impression based on findings. | Female, 14 years old. Right hip pain. Evaluate for SCFE.VIEWS: Pelvis AP, frog leg (two views) 3/23/15, 0954 Surgical clip within the pelvis.The femoral heads are well directed into the acetabula. The femoral head physes are fused, with normal morphology.The other visualized osseous structures and joint spaces are norm... | No evidence of SCFE or other acute abnormality. |
Generate impression based on findings. | History of hypertension, ran out of medications, presents with headache and dizziness. No focal findings. There is no evidence of intracranial hemorrhage or mass effect. The ventricles and basal cisterns are normal in size and configuration. There are scattered punctate and confluent areas of abnormal low attenuation i... | 1. No evidence of acute intracranial hemorrhage or mass effect.2. Moderate age-indeterminate small vessel ischemic changes and lacunar infarcts in the left basal ganglia. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct.3. Bubbly secretions in the right frontal sinus may repres... |
Generate impression based on findings. | 55-year-old male. History of RCC. Evaluate renal pathology. ABDOMEN:LUNG BASES: Multiple bilateral pulmonary nodules in the lung bases, not significantly changed from prior, consistent with metastases. Periesophageal heterogenously enhancing lymph node, likely a metastasis.LIVER, BILIARY TRACT: No suspicious hepatic ma... | Mild increased size of right primary renal malignancy and retroperitoneal lymphadenopathy. New mildly enlarged right periaortic node, no other new sites of disease. |
Generate impression based on findings. | Male 69 years old; Reason: evaluate for renal recurrence History: history of renal cell carcinoma, status post partial nephrectomy, history of prostate cancer ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Wedge shaped relatively increased attenuation seen in the inferior right lobe in arte... | 1. Bilateral renal hypoattenuating lesions as described, largest measures 1.6 cm and demonstrates characteristics suggestive of a simple cyst. Additional smaller subcentimeter lesions cannot be reliably characterized due to their small size.2. Interval enlargement of now moderate sized retroperitoneal adenopathy, suspi... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of bilateral breast reductions in 2000. Two standard digital views of both breasts for a total of 8 images were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. Skin fold in the right breast likely ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this r... |
Generate impression based on findings. | Female 63 years old; Reason: Rectal cancer with disease recurrence being observed, evaluate for interval change CHEST:LUNGS AND PLEURA: Apical pleural nodularity/scarring. Mild interval increase in size of reference right lower lobe lung nodule measuring 1.4 x 1.2 cm, image 66 series 5, previously measured 1.2 x 0.8 cm... | 1. Mild interval enlargement of right lower lobe lung nodule.2. Interval resolution of previously seen left-sided hydronephrosis, without significant change is ureteral soft tissue attenuation, mild surrounding stranding seen.3. Stable to mild decrease in size of reference lymph nodes.4. Stable left adrenal nodule. |
Generate impression based on findings. | There is a right-sided subgaleal hematoma without underlying calvarial fracture. The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collection... | 1.There is a right-sided subgaleal hematoma without underlying calvarial fracture. 2.Fluid is present within the right middle ear cavity and mastoid air cells. Fluid is also present within a few left mastoid air cells. |
Generate impression based on findings. | 69 year old female status post right lumpectomy in 2012 for invasive ductal carcinoma, presents today for routine follow up. No current breast complaints. No family history of breast cancer. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is h... | 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, 14 years old. Back pain. Evaluate for scoliosis.VIEWS: Thoracolumbar spine PA, lateral (two views) 3/23/15, 0950 Cholecystectomy clips.Normal vertebral body heights and disk spaces. No significant curvature of the thoracolumbar spine.The other visualized osseous structures and joint spaces are normal. | Normal examination. |
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. Right duct ectasia, unchanged... | 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, 6 years old. Reason: Eval for shunt infection History: Fever, abdominal distensionVIEWS: Shunt series: Skull AP/lateral (two views), chest AP/lateral (two views), abdomen AP/lateral (two views) 3/22/15, 0946 The VP shunt tubing courses through the skull and toward the shunt valve, without kinking. Distal to the v... | No evidence of shunt complication. Findings concerning for bowel obstruction or ileus. |
Generate impression based on findings. | Recurrent left submandibular gland swelling. There is minimal swelling of the left submandibular gland and negligible surrounding fat stranding. There is a 3 mm calcification in the left parasagittal anterior floor of the mouth that likely represents a calculus. There is no ductal dilation. The other salivary glands ap... | Findings indicative of a 3 mm left anterior floor of mouth sialodocholith with minimal left submandibular sialoadenitis and no ductal dilatation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts for a total of nine images were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. Benign calcifications, including hyalinized fibroadenoma and ductal calcifications... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this r... |
Generate impression based on findings. | Left-sided jaw pain, hit after fall. Question of fracture. A sideplate and screw device is noted affixing the left mandibular angle and right mandibular body. Additional hardware is noted about the left maxilla and left orbital floor. No acute fracture is evident. | No acute fracture is evident. |
Generate impression based on findings. | Reason: 12yoM with orbital cellulitis, maxillary abscess and peridontal abscess s/p drainage. On IV antibiotics. Please assess for persistence of fluid collection. Since the prior examination subperiosteal thickening immediately inferior to the left orbital floor as continue to decrease in thickness. Associated thicken... | 1.Since the prior exam there has been mild regression of a left subperiosteal fluid collection adjacent to the floor of the left orbit and along the anterior wall of the left maxillary sinus with extension into the left extraconal space anteriorly. There are inflammatory changes along the overlying subcutaneous tissues... |
Generate impression based on findings. | 20 year-old female patient with diffuse abdominal pain and weight loss. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: There is a fluid attenuating lesion in the splenic hilum that measures 4.8 x 4.1 x 4.0 cm (AP x ML x CC; series 4 image 35 and serie... | 1.Mildly complex fluid attenuating lesion in the spleen may represent a lymphangioma versus a cyst.2.Moderate to large stool burden in the colon suggestive of constipation. |
Generate impression based on findings. | 78-year-old male with history of cough, shortness of breath, and fibrosis. LUNGS AND PLEURA: There are severe, diffuse chronic-appearing interstitial opacities with peripheral honeycombing, traction bronchiectasis, and volume loss which has progressed when compared to the prior study. No evidence of significant air tra... | Severe, diffuse chronic-appearing interstitial opacities with peripheral honeycombing, traction bronchiectasis, and volume loss in a UIP pattern which has progressed. |
Generate impression based on findings. | Reason: eval LT index finger/out of splint History: pain Three views of the left index finger demonstrates 3 orthopedic screws affixing an oblique fracture through the proximal phalanx of left index finger, in near-anatomic alignment. | Orthopedic fixation of left index finger proximal phalanx fracture. |
Generate impression based on findings. | Gout Three views of the left hand show no acute fracture. There is deformity of the distal radial metaphysis which likely represents a chronic fracture. No definite erosions are seen. There is positive ulnar variance.Three views of the right hand show no acute fracture. There is deformity of the distal radial metaphysi... | Chronic deformities as described above without evidence of erosions. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of right breast benign biopsy in 1962. 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 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. | 30 years, Male, Reason: HNC s/p chemoRT History: Squamous cell carcinoma of the oral cavity CHEST: For findings of the neck, please see dedicated neck CT performed on the same day.LUNGS AND PLEURA: No focal consolidation or pleural effusion. No suspicious nodules or masses.MEDIASTINUM AND HILA: Prominent thymus is decr... | No evidence of metastatic disease. |
Generate impression based on findings. | Reason: pain History: pain Four views of the left knee demonstrate moderate osteoarthritis with narrowing of both medial and lateral tibiofemoral compartments and a moderate joint effusion. Comparatively mild osteoarthritis affects the right knee as seen on the frontal view. | Moderate left knee osteoarthritis. |
Generate impression based on findings. | There has been interval placement of a right frontal approach ventricular catheter with its tip near the right frontal horn. Lateral ventricular sizes are smaller, right more so than left. Periosteal remodeling is noted underlying the shunt reservoir.There is a small parenchymal hyperdensity within the right frontal l... | 1.There has been interval placement of a right frontal approach ventricular catheter with its tip near the right frontal horn. Lateral ventricular sizes are smaller, right more so than left. Periosteal remodeling is noted underlying the shunt reservoir.2.There is a small parenchymal hyperdensity within the right fronta... |
Generate impression based on findings. | Reason: pain History: pain Three views of the right ankle demonstrate mild tibiotalar joint degenerative changes and bilateral soft tissue swelling with a tibiotalar joint effusion, but no evidence of fracture. Degenerative changes also affect the midfoot. There are faint vascular calcifications. | Soft tissue swelling and degenerative changes without fracture. |
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 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... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: evaluate L TKA History: s/p L TKA 6 WEEKS AGO Hardware components of a left total knee arthroplasty are again noted in near anatomic alignment without evidence of hardware complication. Moderate-severe osteoarthritis affects the right knee as seen on the frontal view. | Total knee arthroplasty without evidence of complication. |
Generate impression based on findings. | 60 year-old female patient with primary biliary cirrhosis, cirrhosis, and portal hypertension. Evaluate for liver lesions, biliary strictures and coronary calcifications. ABDOMEN:LUNG BASES: Calcified mediastinal lymph nodes compatible with prior granulomatous disease. Mild to moderate coronary artery calcifications no... | 1.Multiple peripherally based foci of transient enhancement likely represent differential perfusion. Additional subcentimeter enhancing nodular foci may represent additional perfusional defects but early dysplastic nodule formation not entirely excluded, continued followup recommended. Otherwise, no suspicious liver le... |
Generate impression based on findings. | 55 years, Female, Reason: h/o HNC and CRT, compare to previous measurements History: none. CHEST:LUNGS AND PLEURA: Right-sided chest tube is unchanged. Interval placement of left-sided chest tube with tip within the left cardiophrenic soft tissues. Loculated small left pleural effusion is decreased. Loculated small rig... | Pulmonary, renal, hepatic and osseous lesions are stable from the recent CT 3/6/2015 but increased since 1/6/2015. |
Generate impression based on findings. | There is redemonstration of a right posterior approach ventriculoperitoneal shunt catheter, which now terminates past the midline and appears to extend near the left frontal horn. The imaged radiopaque portions of the shunt appears intact. The lateral ventricles are slightly decreased in size.The brain parenchyma rema... | 1.The tip of the shunt catheter terminates past the midline and now appears to extend near the left frontal horn.2.The ventricles are slightly decreased in size. Image radiopaque portions of the shunt appears intact.3.Chronic findings of cerebral white matter volume loss. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in maternal grandmother and cousin. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchange... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Pain. Evaluate right hand. Three views of the right hand again show fractures through the neck of the third metacarpal and the base of the fourth and fifth metacarpals. The fracture lines are less distinct suggestive of healing. There is increased callous formation along the neck of the third metatarsal. | Healing 3rd, 4th, and 5th metacarpal fractures. |
Generate impression based on findings. | Female, 12 years old. Evaluate PICC placement.VIEW: Chest AP (one view) 3/23/15, 1035 Left arm PICC, tip directed superiorly within the left internal jugular vein.The aortic arch, cardiac apex, and stomach are left-sided.The cardiothymic silhouette is normal.No focal pulmonary opacities, pleural effusions, or pneumotho... | Left arm PICC tip in the left internal jugular vein. |
Generate impression based on findings. | Male, 15 years old. Reason: fx? History: gswVIEWS: Left foot, AP, lateral, oblique (3 views) 3/23/15 Three metallic bullet fragments/pellets located within the plantar soft tissues at the lateral left mid foot. Associated lacerations and adjacent soft tissue swelling.The osseous structures and joint spaces are normal. | Three metallic bullet fragments/pellets located within the plantar soft tissues at the lateral left mid foot, without acute fracture or malalignment. |
Generate impression based on findings. | Back pain. History of scoliosis. Question of scoliosis. Radiographs of the spine show no acute fracture. Vertebral body heights and disc spaces are maintained. There is 9 degrees of rightward curvature of the lumbar spine as measured from L1 to L5. There is reversal of the normal cervical lordosis. | Minimal rightward curvature of the lumbar spine and reversal of the normal cervical lordosis.. |
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. Circular skin marker was placed over the left breast. No suspicious ... | 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. | 72-year-old with history of right breast DCIS, status post lumpectomy in 2013. No current breast complaints. 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 elements, unchanged in pattern and distributi... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in daughter. Two standard digital views of both breasts, additional right MLO and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular ... | Focal asymmetry in the left upper central breast, for which comparison with prior is recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISON |
Generate impression based on findings. | Six month old female pre-trach placement.VIEW: Chest AP (one view) 3/23/15 Interval removal of endotracheal tube. Gastrostomy tube is present overlying the stomach. Cardiothymic silhouette is normal. Consolidation with air bronchograms in the right upper lobe likely represents increased atelectasis. Mildly increased le... | Increased right upper lobe and left apical atelectasis. |
Generate impression based on findings. | 3-year-old male with fused kidney. BLADDER Wall Thickness: Normal Contents: Minimally distended and normal Distal Ureter -- SFU Grade** Right: 0 Left: 0 Ureteral Jets Right: Not observed Left: Not observedKIDNEYS Cortical Echogenicity: Normal Medullary Echogenicity: Normal Pelvicaliceal System -- SFU Grade*... | Unchanged crossed fused ectopic left kidney.*SFU grading system: Grade 0: No hydronephrosis. Grade 1: The renal pelvis is visualized. Grade 2: A few but not all of the calices are identified in addition to the renal pelvis. Grade 3: Virtually all the calices are seen. Grade 4: Grade 3 and parenchymal thinning. **SFU gr... |
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 15 Sitz markers are present, the majority in the descending colon, with two present in the cecum. There is a nonobstructive bowel gas pattern. | Sitz markers as detailed above. |
Generate impression based on findings. | 64 year old female. Status post cardiopulmonary arrest. Evaluate for bleeding or acute process. Lack of intravenous or oral contrast limits evaluation for solid organ pathology.CHEST:LUNGS AND PLEURA: Moderate bilateral pleural effusions, mildly increased on the left.Increased dependent groundglass opacities bilaterall... | 1. Increased bilateral dependent groundglass opacities consistent with aspiration and/or infection. Moderate bilateral pleural effusions, increased on the left. 2. ETT tip in the right mainstem bronchus,3. Abdominal aortic aneurysm with extensive endograft repair and femoral artery aneurysms, not significantly changed ... |
Generate impression based on findings. | 24-year-old male with history of osteosarcoma, off therapy. LUNGS AND PLEURA: No pulmonary nodules or masses. No focal air space opacity. No pleural effusion or pneumothorax.MEDIASTINUM AND HILA: The heart size is normal without pericardial effusion. No mediastinal, hilar, internal mammary, cardiophrenic, or retrocrura... | No evidence of metastatic disease. |
Generate impression based on findings. | Female 15 years old Reason: injury History: injuryVIEWS: Right wrist AP and lateral 3/23/15 (two views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | 82 years, Female. Reason: recent arrest, rule out perf History: rule out perf There is a nonobstructive bowel gas pattern. Cystectomy clips project over the right upper quadrant. There is a nasogastric tube with its tip projecting over the body of the stomach. | There is a nonobstructive bowel gas pattern. |
Generate impression based on findings. | 72-year-old female with history of right breast mastectomy for DCIS in 2012, presents for biopsy of imaging detected indeterminate left breast lesion. Left ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a hypoechoic mass measuring 0.5 cm at the 2 o’clock position without increased v... | Successful ultrasound-guided core biopsy of the left breast lesion and clip placement. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 13-month-old male with increased respiratory requirementsVIEW: Chest AP (one view) 3/23/15 Tracheostomy tube is present. Gastrostomy tube is present.The aortic arch, cardiac apex, and stomach are left-sided. The cardiothymic silhouette is at the upper limits of normal. No pleural effusion or pneumothorax. Streaky left ... | No pneumonia. Streaky left lower lobe and right midlung subsegmental atelectasis. |
Generate impression based on findings. | Pain following injury Minimal swelling overlying the dorsal aspect without an underlying osseous abnormality. Specifically no fracture or malalignment. | Diffuse mild soft tissue swelling without an underlying osseous abnormality |
Generate impression based on findings. | Female 5 months old Reason: Corpak placed - location of distal end? History: Corpak placementVIEW: Chest and abdomen AP (two views) 3/23/15 Feeding tube is coiled in the antral pyloric region. Right IJ venous access and ET tube are unchanged. A right femoral venous line terminates at the infrahepatic IVC. Left femoral ... | Interval feeding tube and right femoral venous access placement as described.Multifocal opacities, likely atelectasis. |
Generate impression based on findings. | No acute intracranial hemorrhage is identified. No evidence of intracranial mass, mass-effect, or hydrocephalus. No intra- or extra-axial fluid collections. Nonspecific periventricular white matter hypoattenuation is again seen, along with encephalomalacia of the inferior left temporal lobe. Generalized cerebral volum... | No evidence of intracranial hemorrhage or intracranial mass effect. Redemonstration of nonspecific white matter hypoattenuation which may reflect age indeterminate microvascular ischemic disease, as well as presumed chronic cortical infarct of the inferior left temporal lobe. Please note CT is not sensitive for detecti... |
Generate impression based on findings. | ORIF follow-up No interval change or complication related to the dorsal side plate and multiple screws affixing the comminuted distal radial fracture. Fracture planes are less distinct compatible with interval continued healing. Decreased soft tissue swelling | Interval continued healing of the comminuted distal radial fracture |
Generate impression based on findings. | History of imperforated anus with constipation.VIEW: Abdomen AP (one view) 3/23 at 1514 hours. Gastrostomy cecostomy tube again noted. Surgical clips are identified. Sacrum deformity note. Increase in bowel distention and fecal accumulation with no evidence of obstruction or free air. | Increasing in peak accumulation with no evidence of obstruction. |
Generate impression based on findings. | 75-year-old with history of right mastectomy for breast cancer. No current 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 density, unchanged in pattern and distribution. No dominant mass,... | 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: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Pain Interval preservation of alignment and observation of the oblique nondisplaced fourth metacarpal fracture. Fracture plane is mildly increased in visualization consistent with subacute timing and resorption along the fracture edges. Mildly decreasing soft tissue swelling | Nondisplaced fourth metacarpal fracture |
Generate impression based on findings. | 7-year-old male with headache and VP shuntVIEWS: Shunt series: Skull AP/lateral (two views), chest AP/lateral (two views), abdomen AP/lateral (two views) 3/23/15 Right parietal approach ventriculostomy catheter tip is near the midline. VP shunt courses down the right neck, anterior chest wall, enters the abdomen near t... | Increased redundancy of the ventriculoperitoneal shunt catheter along the right neck. No discontinuity of the radiopaque portions of the VP shunt. |
Generate impression based on findings. | Metastatic adenoid cystic carcinoma status post cis/navelbine and palliative radiotherapy. There is no significant change in size of the hyperattenuating left tongue base mass that crosses the midline and extends into the left oral tongue and into the left tonsillar fossa, now measuring up to approximately 33 mm, previ... | 1. No significant interval change in the tongue base mass, cervical lymphadenopathy, and bone metastases.2. Interval progression of pulmonary metastases. Please refer to the separate chest CT report for additional details. |
Generate impression based on findings. | Reason: s/p aneurysm rupture with clipping, please evaluate for changes History: yearly surveillance Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. No intracranial stenosis is appreciated.The pati... | 1.The examination is stable since the prior exams. The patient has a left posterior communicating artery aneurysm recurrence following aneurysm clipping. Please note that it is known that the left thalamotuberal artery has origin from this aneurysm.2.No evidence for cerebrovascular occlusive disease. |
Generate impression based on findings. | 65 year-old abdominal pain and vomiting. Evaluate for renal stone and rectus sheath hematoma. Lack of intravenous and oral contrast limits evaluation for solid organ and bowel pathology.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnor... | Left UVJ 3 mm stone without significant associated hydroureteronephrosis. |
Generate impression based on findings. | Shoulder pain. Evaluate AC joint. Two views of the left clavicle show no acute fracture. Again seen is widening of the coracoclavicular and acromioclavicular joint spaces suggesting ligamentous injury and separation, respectively. | Coracoclavicular and acromioclavicular joint space widening. |
Generate impression based on findings. | Pain, tenderness. Question of fracture. Two views of the right hip show a right total hip arthroplasty device situated in anatomic alignment without evidence of hardware complication. No acute fracture is evident. | Right total hip arthroplasty without evidence of hardware complication. |
Generate impression based on findings. | Third digit PIP synovitis, pain in CMC. Evaluate for inflammatory or erosive changes. Three views of the left hand show no acute fracture or malalignment. No soft tissue swelling is seen. No specific radiographic evidence of inflammatory arthritis.Three views of the right hand show no acute fracture or malalignment. No... | No specific radiographic findings of inflammatory arthritis. |
Generate impression based on findings. | Lower back pain, status post injury. Evaluate for arthritis. Five views lumbar spine show multilevel facet joint sclerosis in the lower lumbar spine. Vertebral body heights are maintained. Alignment is anatomic. Small anterior osteophytes are noted throughout the lumbar spine. No acute fracture is evident. Vascular cal... | Degenerative changes as above. |
Generate impression based on findings. | Postop. Prosthetic assessment. Two views of the right hip show a right total hip arthroplasty device situated in anatomic alignment without evidence of hardware complication. No acute fracture is evident. Heterotopic bone formation is noted about the greater trochanter.Two views left hip and additional AP view of the p... | Bilateral total hip arthroplasties. |
Generate impression based on findings. | Male 41 years old Reason: early satiety, very poorly controlled diabetes History: early satiety, fullness Visually there was significant and progressive gastric emptying. Using anterior and posterior geometric means, residual gastric activity at the following postprandial intervals was calculated as follows:30 mins: 12... | Rapid gastric emptying. |
Generate impression based on findings. | Male 69 years old Reason: staging exam History: Prostate cancer status post prostatectomy with rising PSA Redemonstration of abnormal tracer accumulation in the cervical spine, and lumbar spine which are likely degenerative. Faint foci of increased uptake in the right lateral ribs appear similar to prior exam, possibly... | No new lesions suspicious for osseous metastatic disease. |
Generate impression based on findings. | Chronic lymphoid leukemia on treatment protocol. There is overall interval decrease in size of the diffuse cervical lymphadenopathy. For example, a right level 5B lymph node measures 10 x 17 mm, previously 16 x 22 mm, a left level 5B lymph node measures 11 x 16 mm, previously 16 x 20 mm, a right level 4 lymph node meas... | 1. Overall interval decrease in size of the diffuse cervical, upper mediastinal, and axillary lymphadenopathy related to leukemia.2. Evidence of acute sinusitis. |
Generate impression based on findings. | Male 44 years old; Reason: Patient currently on clinical trial protocol IRB 14-0881, currently being assessed for CLL progression CHEST:LUNGS AND PLEURA: Stable subcentimeter nodular focus along major fissure, likely an intrapulmonary lymph node. Stable small patchy atelectasis or airspace disease in right upper lobe, ... | Interval improvement in lymphadenopathy and splenomegaly as described above.Stable subcentimeter nodular focus along major fissure, likely an intrapulmonary lymph node. Stable small patchy atelectasis or airspace disease in right upper lobe, near minor fissure, nonspecific but unchanged in appearance. No suspicious lun... |
Generate impression based on findings. | Male 40 days old Reason: Eval ETT placement History: self-extubated, respiratory distress.VIEW: Chest AP (one view) 3/23/15 at 1141 hrs. ET tube terminates below the thoracic inlet. NG tube tip is above the GE junction. Central line tip is at the SVC. Mediastinal clips unchanged. Cardiac silhouette size is top normal, ... | Misplaced NG tube.Persistent diffuse lung haziness, with no focal opacities. |
Generate impression based on findings. | Hypoxia. Cough and fever.VIEWS: Chest AP/lateral (two views) 3/23/15 The aortic arch, cardiac apex and stomach are left-sided.Cardiac silhouette is normal in size and shape. Peribronchial thickening, large lung volumes, flattened diaphragm and ill-defined right middle lobe opacity, likely atelectasis and pneumonia . No... | Peribronchial thickening, with superimposed right middle lobe opacity, likely atelectasis or pneumonia. Reactive airway disease versus viral infection are considerations. |
Generate impression based on findings. | History of bladder cancer with prior recurrences, recently doing well RIGHT LOBE MEASUREMENTS: Status post thyroidectomyLEFT LOBE MEASUREMENTS: Status post thyroidectomyISTHMUS MEASUREMENTS: Status post thyroidectomyRIGHT LOBE: No significant abnormality noted.LEFT LOBE: No significant abnormality noted.ISTHMUS: No sig... | No pathologically enlarged lymphadenopathy or evidence of recurrence. Continued surveillance is recommended |
Generate impression based on findings. | 82 years, Female. Reason: rule out perf History: rule out perf No evidence of pneumoperitoneum. There is a nonobstructive bowel gas pattern. Mixed lucent/sclerotic bones. | No evidence of pneumoperitoneum. |
Generate impression based on findings. | Male 65 years old; Reason: 65 male with colon cancer; please evaluate extent of disease History: colon cancer CHEST:LUNGS AND PLEURA: No dominant lung lesion. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. Post surgical changes in the mediastinum.CHEST WALL: No signifi... | 1.Cecal mass ; no definite metastatic disease. |
Generate impression based on findings. | Male 69 years old; Reason: metastatic prostate cancer, pulmonary nodule History: metastatic prostate cancer to bones, nodes; pulmonary nodule CHEST:LUNGS AND PLEURA: There are a few scattered pulmonary micronodules. No dominant lesion. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericard... | 1.Slight increase in the size of the right iliac lymph node. |
Generate impression based on findings. | Reason: s/p crani for anuerysm clipping, expectantly following tiny R PCOM aneurysm vs infundibulum History: Surveillance Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. The anterior communicating ... | 1.The patient is status post left-sided craniotomy for aneurysm clip placement at the anterior communicating artery region as well as the distal left internal carotid artery. Please note that the adjacent vasculature is obscured in evaluation for recurrence is suboptimal.2.There is a stable 2.5 mm conical shaped dilati... |
Generate impression based on findings. | 32 year old female with left breast ductal thickening on ultrasound and enhancement on MRI. Left ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a hypoechoic mass measuring 1.2 cm at the 12 o’clock position with increased vascularity, 4 cm from the nipple. The lesion was readily visi... | Successful ultrasound-guided core biopsy of the left breast lesion and clip placement. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Neck pain. Evaluate for thrombosed collateral vessels and mass. There is no evidence of mass lesions or significant cervical lymphadenopathy. The thyroid and major salivary glands are unremarkable. The external and internal jugular veins demonstrate normal opacification. There are scattered atherosclerotic calcificatio... | 1. No evidence of a right neck mass or residual jugular venous thrombosis.2. A 10 mm cystic lesion in the left mandible may represent an odontogenic cyst in a patient that is otherwise edentulous.3. Multilevel degenerative spondylosis of the cervical spine.I personally reviewed the Images and/or procedure with the Resi... |
Generate impression based on findings. | Reason: hx of sarcoidosis History: hx of sarcoidosis LUNGS AND PLEURA: No significant abnormality noted and no evidence of pulmonary sarcoid. MEDIASTINUM AND HILA: No significant abnormality noted. Specifically no evidence of sarcoidosis such as lymphadenopathy.CORONARY ARTERY CALCIFICATION: NoneCHEST WALL: No signific... | No evidence of sarcoidosis, or other abnormality. |
Generate impression based on findings. | Male 60 years old; Reason: hx of bladder cancer s/p radical cystectomy with neobladder urinary diversion, now with recurrent symptomatic UTIs, evaluate etiology, evaluate for fistula History: see above ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: N... | 1. Mild left greater than right urothelial wall thickening and enhancement involving ureters, to level of anastomosis, findings may be reactive in etiology and related to vesicoureteral reflux but correlation with patient's clinical history and urinalysis recommended to exclude underlying infectious etiology.2. Unchang... |
Generate impression based on findings. | Male 12 months old Reason: assess for DDH History: right foot turning in, former premie.VIEWS: Pelvis AP and frog leg 3/23/15 (two views) Both, round, smooth and well formed femoral head are well directed to a normally developed acetabulum. | Normal examination. |
Generate impression based on findings. | Head and neck cancer status post chemoradiation, completed 2012. New pulmonary nodules on recent CT. Restaging exam.RADIOPHARMACEUTICAL: 10.9 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 75 mg/dL. Today's CT portion grossly demonstrates bilateral pulmonary nodules, similar to recent diagnostic chest CT. T... | 1.Multiple significantly hypermetabolic bilateral pulmonary nodules, new from previous PET, are highly suspicious for metastatic disease. A dominant left apical pulmonary nodule could represent a new synchronous primary lung cancer versus a larger additional lung metastasis.2.No convincing additional FDG avid metastati... |
Generate impression based on findings. | Volleyball injury. Pain and swelling.VIEWS: Left ankle and foot AP, lateral and oblique 3/23/15 (6 views) Soft tissue swelling with no fracture or malalignment. No joint effusion. | Soft tissue swelling with no fracture. |
Generate impression based on findings. | Acute back pain Thoracic spine: Mild degenerative changes scattered throughout the thoracic spine greater the lower levels including minimal disk space narrowing and small osteophytes. Preservation of alignment and vertebral body heights observedL-spine: Similar mild degenerative changes with minimal sclerosis greater ... | Mild scattered degenerative changes |
Generate impression based on findings. | Right leg pain and history of breast cancer A mixed sclerotic and lucent focus is observed in the distal fibula, in what represents the lateral malleolus. This abnormality is only observed on the AP projection given extensive overlapping tissues on the lateral. In light of the patient's history, follow-up 3 view imagin... | Questionable distal fibular nonspecific focal abnormality which prevents exclusion of a possible metastatic focus; see detail provided. |
Generate impression based on findings. | Mid chest wall abscess, draining but evaluate to assess for residual fluid and whether requires I&D Hypoechoic heterogeneous somewhat rounded structure seen measuring 2.4 x 2.3 x 1.4 cm. Within the structure (in the right aspect) is minimal more simple appearing fluid. Majority of lesion is not simple fluid in echogeni... | 2.4 cm hypoechoic heterogeneous structure with minimal internal fluid and minimal surrounding soft tissue vascularity, while findings may reflect small residual abscess, appearance suggestive of focal phlegmon or focal cellulitis. Internal heterogeneity including multiple intraluminal echogenic foci, correlate with pat... |
Generate impression based on findings. | Hypodense foci are present within the white matter without associated mass effect. A previously demonstrated presumed small meningioma overlying the left anterior temporal lobe is poorly visualized with noncontrast CT technique. The ventricles and sulci are unchanged without evidence of hydrocephalus. There are no mas... | 1.Small vessel ischemic disease of indeterminate ages. If there is continued clinical concern for acute ischemia, MRI would be recommended.2.A previously demonstrated presumed small meningioma overlying the left anterior temporal lobe is poorly visualized with noncontrast CT technique. |
Generate impression based on findings. | History of T2N2B tonsillar cancer status post resection and chemotherapy (end 6/2014) . There are post-treatment findings in the neck without evidence of mass lesions in the left tonsillar fossa or significant lymphadenopathy in the neck. The major salivary glands are unchanged. The thyroid gland is mildly enlarged and... | 1. Post-treatment findings in the neck without evidence of mass lesions in the left tonsillar fossa or significant lymphadenopathy in the neck. 2. The thyroid glands remains diffusely mildly enlarged, which is compatible with Hashimoto thyroiditis. 3. Persistent skin lesions in the posterior neck and cheeks with improv... |
Generate impression based on findings. | Hypodense foci are present within the right periventricular white matter and left caudate head without associated mass effect. Gray/white interfaces are maintained. The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute ... | Small vessel ischemic disease of indeterminate ages. Gray/white interfaces are maintained. If there is continued clinical concern for anoxic injury, MRI could be considered. |
Generate impression based on findings. | 64-year-old female with altered mental status There is no detectable acute intracranial hemorrhage, edema, mass-effect, midline shift or hydrocephalus.Extensive periventricular and subcortical low attenuation of white matter similar is again noted. Unremarkable cerebral cortex, cortical sulci, ventricular system and th... | 1.No acute intracranial hemorrhage..2.Extensive small vessel ischemic disease of indeterminate ages. If there is continued clinical concern for acute ischemia, MRI would be recommended. |
Generate impression based on findings. | Male 36 years old Reason: s/p buccal urethroplasty check for extravasation of urine History: s/p buccal urethroplasty check for extravasation of urine There are postsurgical changes in the urethra from a buccal flap urethroplasty.No evidence of leak or stricture. The area of stricturoplasty measures approximately 1.6 c... | Postsurgical changes in the urethra without evidence of residual stricture or leak. |
Generate impression based on findings. | There are no fractures. Previously identified minimal retrolisthesis of L3 on L4 is not appreciated on the current exam with the patient lying in the supine position. The marrow signal is benign. The conus is normal in signal and morphology and terminates at an appropriate level. The visualized intra-abdominal and par... | 1.L3/4: Mild disc bulge with a superimposed small right paracentral extruded component. There is also severe bilateral facet hypertrophy and bilateral facet effusions as well as mild central stenosis.2.L4/5: Moderate bilateral facet hypertrophy and a right facet effusion. |
Generate impression based on findings. | History of Hodgkin's lymphoma status post 2 cycles of chemotherapy. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unremarkable. There is a left internal jugular venous catheter. The major cervical vessels are pat... | No significant lymphadenopathy in the neck. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in paternal aunt. Two standard digital views and ML views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure ... | 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. |
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