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Generate impression based on findings. | Reason: baseline ct for neuroendocrine tumor of the larynx History: head and neck cancer CHEST:LUNGS AND PLEURA: Scattered benign appearing pulmonary micronodules, some of which are calcified, unchanged.Mild basilar scarring or subsegmental atelectasis is present.There is no evidence of pulmonary or pleural metastases.... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left aspiration 20 years ago. Personal history of skin cancer diagnosed at the age of 72. Family history of breast cancer diagnosed in maternal great-grandmother. Two standard digital views of both breasts and additional right MLO view were perf... | 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 with history of left breast cancer status post surgery. Three standard views of both breasts with lumpectomy magnification views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No dominant mass, suspicio... | 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. | Asymptomatic female presents for routine screening mammography. History of left breast drainage in 2007 and left breast benign surgical biopsy in 2009. 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 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. | There are scattered foci of hypodensity within the white matter without associated mass effect, correlating with previous T2 hyperintense findings on previous brain MRI. 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 a... | Small vessel ischemic disease. If there is continued clinical concern for acute ischemia, MRI would be recommended. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left breast benign biopsy. Personal history of multiple myeloma. Family history of breast cancer diagnosed in maternal aunt. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The... | Right breast calcifications and obscured mass for which additional views, including spot magnification and spot compression views and possible ultrasound are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in mother at age 80 and two maternal aunts at age 80 and 70. Two standard digital views of both breasts with additional left MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is... | 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. | History of short gut syndrome. Emeses.VIEWS: Abdomen AP supine and left lateral decubitus 3/23/15 (2 view/s) Gastrostomy and cecostomy tube are again noted. Nonspecific bowel distention with no evidence of free air. Obstruction or ileus cannot be excluded. | Bowel distention concerning for obstruction or ileus. |
Generate impression based on findings. | Hypodense foci are present within the white matter, bilateral caudate nuclei, and bilateral cerebellar hemispheres. Encephalomalacia is noted involving the right occipital lobe with ex vacuo dilatation of the adjacent occipital horn.The ventricles and sulci are normal in size. There are no masses, mass effect or midli... | 1.Small vessel ischemic disease of indeterminate ages.2.Chronic right PCA territory infarct.3.If there is continued clinical concern for acute ischemia, MRI would be recommended. |
Generate impression based on findings. | T2N0 neuroendocrine carcinoma of the larynx with recurrence being admitted for C1/6.5 of FHX dose. There are postoperative findings with asymmetric of the vocal cords and laryngeal framework with sclerosis and fusion of the left arytenoid and thyroid cartilage. There is also evidence of interval bilateral neck dissecti... | Postoperative findings without evidence of recurrent tumor in the larynx. A collection in the left neck dissection incision plane may represent seroma versus less likely abscess or tumor deposition. |
Generate impression based on findings. | 64-year-old male status post right middle fossa craniotomy and mastoidectomy with CSF repair, status post lumbar drain removal. Redemonstrated are postoperative findings related to right mastoidectomy and skull base repair with reconstruction of the right tegmen with interval decrease in swelling of the scalp overlying... | Near CSF density extra-axial fluid has increased over the right hemisphere and left frontal lobe measuring up to 6 mm in depth, without significant associated underlying gyral mass effect. The ventricular system has decreased in size. |
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. Lobulated mass in the left upper outer quadrant... | 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. | Asymptomatic female presents for routine screening mammography. History of bilateral breast reductions 10 years ago. History of benign breast biopsy, patient unsure which breast. 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 scatt... | Benign morphology left breast masses for which comparison to prior studies is needed to ensure stability. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISON |
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 in both breasts are stable.No ... | 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. | Reason: Recurrent Squamous Cell Carcinoma of the Head and neck; mass at the base of skull. History: as above Serial CT images obtained during the biopsy procedure demonstrate the needle placement within the left neck mass. Following needle removal images obtained that demonstrate no complications . | CT guided left skull base biopsy. |
Generate impression based on findings. | 58 year old female with physician palpated left breast area on clinical breast examination. Family history of breast carcinoma in her maternal aunt and cousin. MAMMOGRAM: 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... | No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 73-year-old male patient with perirectal pain. Evaluate for abscess. Exam is not sensitive for detecting lesions in the bowel and solid organs due to the lack of intravenous contrast. Given those limitations, the following observations are made:PROSTATE, SEMINAL VESICLES: No significant abnormality noted.BLADDER: Mildl... | 1.Large stool burden in the rectal vault, rectal wall thickening, and presacral edema raise concern for stercoral colitis. 2.No evidence of a perirectal abscess. |
Generate impression based on findings. | Female 18 years old; Reason: r/o abnormality History: hx of lp shunt Moderate amount of scattered colonic fecal matter.Lumboperitoneal shunt tubing terminates within the pelvis with the valve in the left body wall.The tubing appears intact. | 1.Intact shunt tubing. |
Generate impression based on findings. | Male 77 years old Reason: Diabetic male with emesis and gastric ulcer. Evaluate for diabetic gastroparesis 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: 3... | Gastric emptying within normal limits. |
Generate impression based on findings. | 71 years, Male, Reason: Eval for recurrence History: Hx parotid cancer s/p RT. CHEST: For findings in the neck, please see dedicated neck CT performed on the same day.LUNGS AND PLEURA: No consolidation or pleural effusion. New lobular 11-mm right upper lobe nodule (5/115). Peripheral right upper lobe scar like micronod... | New 11-mm right upper lobe nodule suspicious of a solitary pulmonary metastasis. Recommend follow-up in 3 months. |
Generate impression based on findings. | 78 year-old male patient with history of HCC status post TheraSphere administration. CHEST:LUNGS AND PLEURA: Trace basilar atelectasis.MEDIASTINUM AND HILA: Multiple heterogenous thyroid nodules are not significantly changed compared to prior examination. The cardiac size within normal limits with a trace pericardial e... | Interval decrease in size of hepatic mass compatible with known hepatocellular carcinoma. Confluent posttreatment changes are noted along the posterior border of the mass. |
Generate impression based on findings. | Female, 15 years old. Reason: history of Hodgkin's lymphoma s/p 2 cycles of chemotherapy History: disease status evaluation LUNGS AND PLEURA: No focal consolidation. Significant decrease in size of multiple pulmonary nodules from the prior exam. A single left lower lobe nodule adjacent to the fissure measures 4 mm (ser... | A single left lower lobe nodule adjacent to the fissure is slightly decreased from prior. Additional previously seen pulmonary nodules are not clearly seen on this exam. Otherwise, no evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Acute onset of abdominal pain. Sickle cell anemia.VIEW: Abdomen AP (one view) 03/23/15 Mildly dilated bowel loops are present in disorganized pattern. A small amount of feces is seen in the rectosigmoid and descending colon.Avascular necrosis of the left femoral head is again seen. Endplate depressions at multiple lumb... | No evidence of bowel obstruction. |
Generate impression based on findings. | Right knee pain swelling. Four views of the right knee show tricompartmental joint space narrowing and osteophyte formation. No acute fracture is evident. Soft tissue swelling is noted along the anterior knee. | Soft tissue swelling without acute fracture. Osteoarthritis. |
Generate impression based on findings. | Male, 17 years old. Reason: eval port postion, HTX/PTX History: s/p central line placementVIEW: Chest AP (one view) 3/23/15, 1303 Interval removal of left PICC. New right central venous catheter, tip at the SVC/RA junction.The cardiothymic silhouette is normal.Peribronchial thickening. No focal pulmonary opacities, ple... | New right central venous catheter, tip at the SVC/RA junction. |
Generate impression based on findings. | Male 42 years old Reason: assess for diverticulum History: dysphagia, globus and regurgitation. Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions. The cardiac size is upper limits of normal.Double contrast evaluation of the esophagus and gastric cardia/fund... | Focal segment of smooth narrowing seen in the distal esophagus just proximal to the GE junction, without a focal underlying mass. Further evaluation with endoscopy is recommended. |
Generate impression based on findings. | 45 year old female who has a complaint of right breast pain and palpable area. No family history of breast carcinoma. MAMMOGRAM: Three standard views of both breasts, and two spot compression views of the right breast, were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogene... | Multiple benign simple and clustered cysts in the right breast. No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign findin... |
Generate impression based on findings. | Male 62 years old Reason: evidence of Meckel's History: GI bleed Physiologic activity is present in the stomach and bladder. No evidence of aMeckel's diverticulum. | No evidence of a Meckel's diverticulum. |
Generate impression based on findings. | Male, 2 years old. Reason: rule out free air History: abdominal pain, fallVIEW: Abdomen AP (one view) 3/23/15, 1352 Nonobstructive bowel gas pattern.No pneumatosis, portal venous gas, or free air.Small-to-moderate stool burden. | No evidence of obstruction or free air. |
Generate impression based on findings. | Reason: Bleed, signs of ischemia? History: AMS The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a moderate degree are present. This is stable compared to the prior exam.No abnormal mass lesions are appreciated intracranially... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of nonhemorrhagic CVA.3.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. |
Generate impression based on findings. | 67 years, Male, Reason: Pleural mesothelioma please compare to prior exam per RECIST criteria. History: Pleural mesothelioma. CHEST:LUNGS AND PLEURA: Left hemithorax volume loss with circumferential pleural thickening including nodular thickening of the fissure, consistent with history of mesothelioma. No pleural fluid... | 1.Stable to improved mesothelioma with reference measurements as above.2.Stable mediastinal lymphadenopathy.3.Possible nodule within the pancreatic tail. MRCP may be considered for further evaluation. |
Generate impression based on findings. | Female 54 years old Reason: 54yo female with early satiety and sharp abdominal pain after eating. Evaluate for SMA syndrome. History: early satiety, abdominal pain. Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Single contrast evaluation of the esophagu... | 1. No fluoroscopic evidence of SMA syndrome as clinically questioned.2. Slight delay in gastric emptying as described above, without evidence of duodenal dilation or antropyloric narrowing. |
Generate impression based on findings. | Female 76 years old; Reason: evaluate abdominal collection History: EC fistula CHEST:LUNGS AND PLEURA: Suboptimal evaluation of pulmonary parenchyma secondary to respiratory motion artifact. Biapical cystic changes. Subpleural reticular changes visualized in both upper lobes. New from prior study is small focal airspac... | Residual barium seen throughout colon with associated beam hardening artifact, making assessment of adjacent structures suboptimal.1. Enterocutaneous fistula in left lower quadrant with associated collection, latter is decreased in size since prior CT exam.2. Additional adjacent smaller intraabdominal collection that a... |
Generate impression based on findings. | Foci of minimal mucosal thickening can be found within the left maxillary and right sphenoid sinuses. Otherwise the paranasal sinuses are clear as are the bilateral mastoid air cells and middle ear cavities and there are no air-fluid levels. The bilateral maxillary sinus ostia are patent as are the bilateral frontoeth... | 1.Foci of minimal mucosal thickening can be found within the left maxillary and right sphenoid sinuses. Otherwise the paranasal sinuses are clear as are the bilateral mastoid air cells and middle ear cavities and there are no air-fluid levels. 2.A small, benign, nonobstructive osteoma is present in the right frontal si... |
Generate impression based on findings. | There are post-treatment finidngs related to left neck dissection and left total parotidectomy. There is no evidence of measurable mass lesion in the treatment bed. There is no cervical lymphadenopathy by CT size criteria. The remaining salivary glands appear to be unchanged. The thyroid gland is unremarkable. There i... | Post-treatment findings without evidence of measurable locoregional tumor recurrence or significant lymphadenopathy in the neck.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Right femur lesion. Evaluate for interval change. Two views of the right femur again show a lucent lesion in the femoral diaphysis extending from the mid-diaphysis to the metadiaphysis. The margins of the lesion are well defined and lobulated with a sclerotic rim, appearing similar to the prior study. There is slight e... | Redemonstration of a grossly unchanged right femoral lesion with continued benign appearing features which may represent an atypical nonossifying fibroma or fibrous dysplasia. |
Generate impression based on findings. | 71 year old female. Bladder cancer. CHEST:LUNGS AND PLEURA: No suspicious nodules or masses. Scattered very mild areas of bronchiectasis, unchanged.MEDIASTINUM AND HILA: Multiple subcentimeter mediastinal lymph nodes and left lower cervical nodes, not significantly changed.Right chest wall port tip terminates at the ca... | Stable examination with no new sites of disease. |
Generate impression based on findings. | Pain and edema off and on for the last 4 to 5 years. Evaluate for AVN of the fourth or fifth metatarsals of the right foot. Three views of the right foot show no acute fracture or malalignment. No specific radiographic evidence to suggest avascular necrosis. | No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Male 47 years old; Reason: ngt placement History: ng tube , emesis Postsurgical changes in the chest from a median sternotomy and LVAD device placement.Enteric tube projects posterior to the aforementioned LVAD device with its tip in the region of the gastric body. It is partially obscured by the device. | 1.Enteric tube as detailed above |
Generate impression based on findings. | Restaging Hodgkin lymphoma status post two cycles chemotherapy.RADIOPHARMACEUTICAL: 4.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 73 mg/dL. Today's CT portion of the abdomen, pelvis, and extremities grossly demonstrates no significant pathology.Today's PET examination demonstrates complete interval res... | 1.Complete interval resolution of previous extensive hypermetabolic tumor activity in the chest and upper abdomen without suspicious FDG avid lesion currently.2.New very linear activity in the right anterior thigh is most consistent with inflammatory myositis.Diagnostic CTs of the neck and chest also performed at today... |
Generate impression based on findings. | Pain. Evaluate right wrist in splint. Three views of the right wrist again show a nondisplaced oblique fracture through the distal radial metaphysis. The fracture line is less distinct suggestive of healing. Alignment is anatomic. Mild soft tissue swelling is noted about the wrist. | Healing distal radius fracture. |
Generate impression based on findings. | Female 77 years old Reason: ?Extrinsic compression History: Graves, dysphagia at level of diaphragm Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Single contrast evaluation of the esophagus demonstrated a small hiatal hernia. No extrinsic compression wa... | No evidence of extrinsic compression as clinically questioned. Small hiatal hernia. |
Generate impression based on findings. | 63 year old female with neck pain, shoulder pain. Five views of the cervical spine demonstrate moderate degenerative disk disease affecting C5-6 and C6-7 with anterior osteophyte formation. Alignment is within normal limits.Four views of the left shoulder demonstrate minimal degenerative changes without fracture or mal... | Degenerative arthritic changes as described above. |
Generate impression based on findings. | Male 81 years old Reason: 81M s/p partial cystectomy, please assess for urine leak History: as above. Limited scout film demonstrated no abnormal calcification.Cystografin was administered by gravity via the Foley catheter and maximal distention was achieved at 150 cc, at which point the examination was terminated seco... | No frank evidence of urine leak as above. |
Generate impression based on findings. | Female 56 years old; Reason: 56 y/o woman with metastatic breast cancer and acute abdominal pain and constipation. Evaluate for bowel obstruction. History: Abdominal pain. Constipation. Moderate amount of colonic fecal matter noted within the cecum and ascending colon. The bowel gas pattern is otherwise unremarkable.Th... | 1.Moderate amount of colonic fecal matter. |
Generate impression based on findings. | Right hand injury. Evaluate for fracture. Three views of the right hand show no acute fracture or malalignment. No soft tissue swelling is seen. | No acute fracture is evident. |
Generate impression based on findings. | 28 year old female with neck pain. There is loss of the normal cervical lordosis which likely reflects patient positioning. There is no evidence of fracture or other specific findings to account for the patient's symptoms. | No fracture or other specific findings to account for the patient's pain. |
Generate impression based on findings. | Goiter with colloid nodule. The thyroid gland is heterogeneous and mildly enlarged. There is a dominant inferior right thyroid nodule that measures up to 25 mm. There is no airway narrowing. There is no evidence of significant cervical lymphadenopathy based on size criteria. The salivary glands are unremarkable. The ma... | Mild multinodular goiter without associated airway narrowing. |
Generate impression based on findings. | There are air-fluid levels in bilateral maxillary sinuses, ethmoid air cells, and sphenoid sinuses. Opacification from the right maxillary sinus extends through the ostiomeatal unit and to the right nasal cavity. There is mild rightward septal deviation. There is complete opacification of the right mastoid air cells w... | 1. Findings suggestive of acute rhinosinusitis.2. Persistent bilateral tympanomastoid opacification may be related to Eustachian tube dysfunction, although superimposed infection cannot be excluded.3. No discernible mass lesion in the nasopharynx, although non-contrast CT is limited for the evaluation of neoplasm in th... |
Generate impression based on findings. | 46-year-old female with history of metastatic breast cancer. CHEST:LUNGS AND PLEURA: Numerous pulmonary nodules have significantly decreased in size. Reference right lower lobe spiculated nodule measures 6 mm, previously 15 mm (image 35 series 4). Reference left lower lobe spiculated nodule measures 13 x 7 mm, previous... | 1. Significant decrease in tumor burden as detailed above.2. New sclerotic focus in the vertebral body of L2. Correlate with bone scan for metastatic disease as clinically warranted. |
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 almost entirely fatty, unchanged in pattern and distribution. Circular skin marker was placed over the right breast. Focal asymmetry... | 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. | 67 years, Female, Reason: evaluate ILD History: cough soboe fibrosis. LUNGS AND PLEURA: There is basilar predominant bronchiectasis and architectural distortion. There is scattered areas of peripheral honeycombing in the bases and mid lungs. There is also diffuse peripheral reticular opacities. No air trapping, subpleu... | 1.Chronic fibrotic changes with a differential including atypical UIP and collagen vascular disease. Chronic hypersensitivity pneumonitis is considered less likely.2.Mediastinal lymphadenopathy is likely related to interstitial lung disease. |
Generate impression based on findings. | 75-year-old male 9-month status post left upper lobectomy for management of a TxN1M0 stage II a lung adenocarcinoma. Recent chest CT demonstrated new mediastinal adenopathy. Restaging exam.RADIOPHARMACEUTICAL: 11.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 131 mg/dL. Today's CT portion grossly demonstr... | 1.Markedly hypermetabolic left prevascular lymph node mass, compatible with recurrent tumor. Tumor activity appears to extend from this lesion superolaterally to the anterior left apical pleural surface.2.Subtle hypermetabolic pleural thickening at the left posterior lung base is of some suspicion for pleural seeding o... |
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 heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Bilateral benign cal... | 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. | Female 52 years old Reason: Hx of constipation History: constipation Trial straining showed appropriate descent of the perineal floor; voluntary anal sphincter contraction demonstrated expected perineal elevation.Formal straining demonstrated partial evacuation of rectal contents and a 1.8 x 1.8 cm anterior rectocele (... | Anterior rectocele as detailed above. |
Generate impression based on findings. | Reason: evaluate ILD History: cough soboe fibrosis LUNGS AND PLEURA: The "inspiration series" were obtained in only partial inspiration probably due to the patient's inability to breathe deeply.Mild subpleural reticulation is present, but there is no evidence of honeycombing.A mild mosaic attenuation pattern is present... | Nonspecific pulmonary findings not characteristic of UIP or NSIP. Mosaic attenuation could be indicative of hypersensitivity pneumonitis. Mild pulmonary hypertension may be present. |
Generate impression based on findings. | Male 69 years old Reason: metastatic prostate cancer with rising PSA History: metastatic prostate cancer Increased radiotracer uptake in the lumbar spine and right sacrum appear similar to prior exam accounting for differences in technique. Degenerative changes in right knee and AC joints bilaterally. No new suspicious... | No new suspicious lesions. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in maternal grandmother. 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 ... | 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. | 40 year-old female patient with history of ulcerative colitis status post total abdominal colectomy with end ileostomy complicated by abscess requiring IR drain placement. Please reevaluate fluid collection. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLE... | 1.Interval decrease in presacral fluid collection with pigtail drain in place.2.Left adnexal small ovoid fluid attenuating structures are favored to represent follicles. Recommend correlation with clinical history and pelvic ultrasound may be obtained if there is concern for hydro- or pyo-salpinx/infectious etiology. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, additional right MLO view, 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. F... | 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. | 25-year-old male with left testicular pain RIGHT TESTIS: Measures 5.0 cm x 2.8 cm x 2.3 cm and is normal in echogenicity. There is mild microlithiasis noted.LEFT TESTIS: Measures 4.8 cm x 2.9 cm x 2.2 cm and is normal in echogenicity. There is mild microlithiasis noted.RIGHT EPIDIDYMIS: 0.7 cm x 1.5 cm x 0.8 cm and is ... | 1. Bilateral mild testicular microlithiasis. Recommend urology consultation and continued surveillance. 2. Bilateral small varicoceles, left greater than right. |
Generate impression based on findings. | 58 years, Male, Reason: new hemoptysis, assess for possible causes History: hemoptysis. LUNGS AND PLEURA: Small bilateral pleural effusions, right greater than left. Patchy diffuse upper lobe predominant air space opacities. No suspicious nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. ... | 1.Upper lobe predominant air space opacities may represent hemorrhage or edema, less likely atypical infection. A vasculitis may be considered.2.Small bilateral pleural effusions.3.Small pericardial effusion. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. 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 composed of scattered fibroglandular density, unchanged in pattern and distribution. Bilateral asymmetries a... | 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. | 72 year old female with bilateral hip pain, positive blood cultures. Evaluate for osteomyelitis. An AP view of the pelvis and two views of both hips demonstrate moderate-severe degenerative changes affecting both hips with sclerosis, subchondral cysts, and medial joint space narrowing, but no specific radiographic evid... | Moderate-severe degenerative disease. No specific radiographic evidence of osteomyelitis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of bilateral benign breast biopsies in 1981 and 1985. Personal history of ovarian cancer diagnosed at age 40. Two standard digital views of both breasts and additional right CC view were performed and reviewed with the aid of R2 CAD 9.3. The breast... | 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. | Reason: 73 y/o with lung ca, please restage History: see above CHEST:LUNGS AND PLEURA: Again noted are numerous pulmonary nodules some of which are cavitating and demonstrate overall increased in size compared to the prior exam.Reference left lower lobe nodule (image 44 series 4) now measures 10 mm x 11 mm previously m... | 1.Continue mild interval increase in size of numerous pulmonary metastatic nodules some of which are cavitating.2.Persistent sclerosis of T1 and L5 vertebrae.3.No new sites of disease identified. |
Generate impression based on findings. | 70 year-old female with history of head and neck cancer. Please refer to same day CT soft tissue neck for detailed analysis of the neck.CHEST:LUNGS AND PLEURA: There is severe centrilobular emphysema. Scattered noncalcified and calcified pulmonary micronodules, unchanged. No suspicious nodules identified. Linear opacit... | No evidence of metastatic disease. |
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 pla... | 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. | 50 years, Male, Reason: lung cancer, s/p chemo and chest RT. pls c/w previous outside CT and PET to evaluate tx response. History: lung cancer. CHEST:LUNGS AND PLEURA: Parahilar mass in the left upper lobe measures 2 28 x 28 mm (5/39), previously 32 x 22 mm area there is bronchial thickening and reticular opacities thr... | 1.Mild decrease in size of left parahilar and lower lobe masses with new radiation changes.2.Improved mediastinal lymphadenopathy.3.No new sites of disease identified. |
Generate impression based on findings. | 53-year-old female presents for 6 month follow-up of a probably benign right breast cyst. History of rheumatoid arthritis. No family history of breast cancer. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandu... | 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. | There is a 7-mm wide low attenuation area in the adjacent to the body of the left mandible at the level of the floor of mouth, where there is be a carious tooth # 17 with periodontal lucency, a punctate lingual cortex dehiscence, and patchy sclerosis of the bone marrow. There is associated platysma muscle thickening a... | Subcentimeter subperiosteal abscess formation adjacent to the left mandibular body associated with a carious tooth # 17 and regional inflammatory changes. Tooth # 1 is also carious.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 15-year-old male with abdominal pain and vomitingEXAMINATION: MR enterography without and with IV contrast date ABDOMEN:LIVER, BILIARY TRACT: Small T2 bright focus and or diffusion restriction in the posterior right hepatic lobe without associated enhancement is nonspecific and is unchanged. This may be artifactual. No... | Unchanged bowel wall thickening, enhancement, decreased peristalsis, and mild stenosis of the terminal ileum and ileocecal valve without abscess or fistula. These findings are consistent with inflammatory bowel disease pattern. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in 3 sisters, maternal niece, and maternal aunt. Two standard digital views of both breasts with additional MLO views of both breasts and cleavage view were performed and reviewed with the aid of R2 CAD 9.3. The br... | 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. | 35-year-old male with scoliosis, back pain. There is dextroscoliosis of the thoracic spine, evaluation of which is somewhat limited on this 3 view examination. There is no evidence of fracture. Mild degenerative changes affect the visualized cervical spine. | Thoracic dextroscoliosis and other findings as described above. |
Generate impression based on findings. | Female 79 years old Reason: primary hyperparathyroidism. please evaluate for localization History: primary hyperparathyroidism. please evaluate for localization There is physiologic distribution of the radiopharmaceutical. In the right inferior medial aspect of the thyroid there is an relatively ill-defined increase of... | Findings consistent with right inferior parathyroid adenoma, with limitations as detailed above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of bilateral breast reductions and left breast benign biopsy. Family history of breast cancer diagnosed in sister and mother. Two standard digital views of both breasts and additional left CC view were performed and reviewed with the aid of R2 CAD ... | 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 82 years old; Reason: HCC screening History: HCV cirrhosis ABDOMEN:LUNGS BASES: Post sternotomy hardware and status post CABG. Severe calcified coronary artery disease. Moderate to severe aortobiiliac atherosclerotic disease. Small right infrahilar consolidation with adjacent atelectasis/linear scarring with hemid... | 1. Cirrhotic liver morphology. No suspicious liver lesion. |
Generate impression based on findings. | 38-year-old male with left little finger pain. Three views of the left fifth finger are provided. The finger is held in mild flexion at the PIP and DIP joints. There is no fracture or dislocation. Orthopedic screws affixing the proximal phalanx of the ring finger are partially imaged. | No fracture or dislocation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of colon cancer diagnosed at age 61. Two standard digital views of both breasts were performed with additional right MLO view and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, u... | Bilateral benign calcifications seen back to 2006. 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. | 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. Circular skin markers were placed over the righ... | 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. | 39-year-old male with history of chronic nasal blockage, tooth pain. Evaluate for tooth cyst. A Panorex view of the mandible demonstrates extensive dental hardware. Again seen is curvilinear periapical lucency surrounding the left second maxillary molar, which allowing for differences in technique is not appreciably ch... | Redemonstration periapical lucency surrounding the left second maxillary molar suggestive of dental disease. Correlate with clinical examination. |
Generate impression based on findings. | 64-year-old female with back pain. Evaluate for worsening degenerative disease. Five views of the lumbar spine demonstrates grade 1 anterolisthesis of L3 on L4 and L4 on L5. The anterolisthesis of L3 on L4 is new since the prior study. The anterolisthesis of L4 on L5 appears unchanged. There is severe disk space narrow... | Degenerative grade 1 anterolisthesis of L3 on L4 is new since 2011. Grade 1 anterolisthesis of L4 on L5 and severe degenerative disease affecting the lumbar facets and L5-S1 disk space appear similar to the prior examination. |
Generate impression based on findings. | Female 40 years old Reason: confirm tubal occlusion History: post Essure procedure Essure tubal ligation device are in place bilaterally. Opacification of the uterine cavity revealed a normally oriented uterine cavity without mucosal irregularity or filling defects in the uterine cavity. No evidence of spillage was evi... | Essure tubal ligation device with findings compatible tubal occlusion. |
Generate impression based on findings. | 52-year-old female with question of finger mass. Three views of the right middle finger demonstrate no discrete mass or malalignment. Tiny ossific densities along the dorsal aspect of the DIP joint may reflect prior trauma. | No radiographic evidence of a finger mass as clinically questioned. MRI may be considered for further evaluation as clinically warranted. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in maternal aunt. Two standard digital views of both breasts, additional left MLO view, and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibro... | 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: NSB - Screening Mammogram. |
Generate impression based on findings. | Restaging metastatic melanoma status post 8 cycles pembrolizumab.RADIOPHARMACEUTICAL: 12.2 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 87 mg/dL. Today's CT portion grossly demonstrates an ill-defined hypodense hepatic lesion in the right lobe centrally.. Several soft tissue nodules are seen in the mesent... | Mixed metabolic response to therapy of the hepatic, mesenteric, and osseous metastases. Many lesions have improved while others have progressed, as detailed above. |
Generate impression based on findings. | Reason: mets lung cancer. s/p 2 cycles of chemo. Pls c/w previous study and evaluate tx response. History: lung ca CHEST:LUNGS AND PLEURA: Left lower lobe superior segment irregular marginated mass demonstrates an interval decrease in size now measuring 2.7 cm x 1.9 cm (image 50 series 5) previously measuring 4.2 cm x ... | 1.Interval decrease in size of this patient's known left lower lobe neoplasm.2.Interval decrease in size of numerous pulmonary nodules compatible with metastatic disease.3.Interval decrease in right hilar lymphadenopathy.4.No new sites of disease identified. |
Generate impression based on findings. | 52 year-old female patient with lower abdominal pain, history of morbid obesity and prior surgeries. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abn... | Unremarkable exam. |
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 heterogeneously dense, which may obscure small masses. No suspicious masses, microcalcifications or areas of archi... | 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 83 years old; Reason: r/o malignancy History: +Ca channel Antibody; concern for Lambert Eaton syndrome CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Atherosclerotic aorta. Moderate to severe calcified coronary artery disease. Subcentimeter left thyroid nodule, image 14 series 3.C... | 1. Hyperattenuation/enhancement seen around medullary pyramids bilaterally, similar in appearance to prior study, may reflect sequela of chronic injury/papillary necrosis. Unremarkable study otherwise. |
Generate impression based on findings. | 76 year old female. Ovarian cancer status post 22 cycles of Avastin. Compare to 12/30/2014 scan. CHEST:LUNGS AND PLEURA: Interval resolution of previously seen right upper lobe subpleural nodule, which was likely inflammatory. Scattered micronodules including in the right lung base, unchanged and most likely postinflam... | Interval resolution of previously seen right upper lobe subpleural nodule, which was most likely inflammatory. No definite evidence of metastatic disease. |
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 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 ... | 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. | 2-year-old female with right arm tenderness after fallVIEWS: Right elbow AP, oblique and lateral; right forearm AP and lateral; right humerus lateral, AP; right clavicle AP, axial (9 views) 3/23/15 at 1431 Right Elbow: No joint effusion. No fracture or malalignment.Right Forearm: No fracture or malalignment. No signifi... | Normal examination. |
Generate impression based on findings. | Reason: dizziness and ataxia History: dizziness Exam is limited by patient body habitus which results in artifacts.HEAD: No acute intracranial hemorrhage is identified. No evidence of intracranial mass, mass-effect, or hydrocephalus. No extra-axial fluid collections. Multiple missing teeth. Remaining teeth with dental ... | 1.No evidence for intracranial or extracranial cerebrovascular occlusive disease.2.Multilevel degenerative changes are present with multilevel narrowing of the spinal canal and neural foramina worse at C4-5 where there is suspicion for spinal stenosis. Please correlate with patient's symptoms. MRI may help further asse... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed the mother at age 60. 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 a... | 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. | History of paraganglioma syndrome status post resection of carotid body masses. There is a hypervascular mass superior to the left carotid bifurcation that measures up to approximately 42 mm in the craniocaudal dimension. There is also a hypervascular mass superior to the left carotid bifurcation that measures up to ap... | Bilateral carotid body tumors, left larger than right. These lesions may have increased slightly in size since 2014, accounting for differences in technique. However, a neck CT with contrast may be useful for more precise comparison. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in sister and paternal aunt. 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 pa... | 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. | MCP and foot pain. Evaluate for gouty erosions vs CPPD. Three views of the left hand show no acute fracture or malalignment. No definite evidence of erosions are seen. Osteoarthritis affects the basilar joint and the first interphalangeal joint. No evidence of chondrocalcinosis.Three views of the right hand show no acu... | 1. Questionable erosions within the right tarsal bones.2. Degenerative changes as above. |
Generate impression based on findings. | 14-year-old male with CRMO (chronic relapsing multifocal osteomyelitis).EXAMINATION: Skull AP/lateral, cervical spine AP/lateral, thoracolumbar spine AP/lateral, right humerus AP, left humerus AP, right forearm AP, left forearm AP, right hand PA, left hand PA, chest AP, pelvis AP, right ribs oblique, left ribs oblique,... | Right 6th and 7th rib lesions are increasingly sclerotic, expansile, and involve longer section of the bone indicating disease progression. No new lesions to suggest osteomyelitis. |
Generate impression based on findings. | Female 42 years old Reason: breast cancer; surgery in DCAM bilateral mastectomy with left breast sentinel node biopsy and implant reconstruction History: left breast DCISRADIOPHARMACEUTICAL: The left breast was prepared in a sterile manner. A total of 1.0 mCi Tc-99m filtered sulfur colloid was injected in four periareo... | Sentinel node identified in the left axilla. |
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