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Generate impression based on findings. | Postoperative knee pain. Four views of the left knee show no acute fracture or malalignment. Small osteophytes along the undersurface of the patella and mild medial compartment joint space narrowing are noted. No knee joint effusion is seen. | Mild osteoarthritis. |
Generate impression based on findings. | The previously seen depressed fracture along the right parietal bone has been elevated, with comminuted fracture fragments in relative anatomic alignment on the current exam. There remains slight inward displacement by at most one cortical width of the fracture fragments. There is scattered overlying subcutaneous emph... | Expected postoperative changes following elevation of depressed right calvarial fracture. No acute intracranial hemorrhage. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of right breast benign biopsy in 2003. Two standard digital views and ML 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. A few scat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy 20 years ago. 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 breast parenchyma is co... | 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. | 93 year-old female with history of metastatic lung cancer off therapy. LUNGS AND PLEURA: Interval increase in multiple bilateral pulmonary nodules compatible with metastatic disease. Reference left upper lobe pleural based nodule involving the adjacent rib measures 22 x 14 mm, previously 19 x 10 mm (image 25 series 4).... | Interval progression of solid pulmonary metastases. New small left pleural effusion. |
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. Stable asymmetry in the left upper breast, post... | 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. | 66 years, Female. Reason: check NG placement History: nausea There is a nasogastric tube with its tip projecting over the antrum of the stomach, with the side-port in the antrum of the stomach. LVAD, sternotomy hardware and pacemaker leads unchanged. The pelvis is excluded from the field of view. Persistent, but improv... | Nasogastric tube with its tip projecting over the antrum of the stomach, with the side-port in the antrum of the stomach. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History benign right lumpectomy. 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 composed of scattered fibroglandular density. Linear scar markers wer... | Cluster of calcifications in the left lateral central breast, for which comparison with prior examinations is recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISON |
Generate impression based on findings. | 51-year-old male with thyroid cancer. Evaluate for change in nodules. RIGHT LOBE MEASUREMENTS: Status post thyroidectomy LEFT LOBE MEASUREMENTS: Status post thyroidectomyISTHMUS MEASUREMENTS: Status post thyroidectomy RIGHT LOBE: No discrete nodules are identified in the thyroidectomy bedLEFT LOBE: No discrete nodules ... | No evidence of recurrent or residual disease. |
Generate impression based on findings. | Male 54 years old; Reason: Pleural mesothelioma. Please compare to prior exam per RECIST criteria. History: Pleural mesothelioma ABDOMEN:LUNGS BASES: Mediastinal lymphadenopathy; please see report from dedicated chest CT for complete details.LIVER, BILIARY TRACT: The liver enhances homogeneously without focal lesion. S... | Increase in size and extent of omental and mesenteric tumor involvement. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of leukemia status post chemotherapy, diagnosed at age 55. 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 ... | 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. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in mother at age 54. 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. Scatt... | 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. | 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. Linear scar markers were placed over the right ... | 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 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 marker was plac... | 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. | Pain in the left knee after a fall x 4 months. Stiffness and some ROM in the left knee. Evaluate for internal derangement of the knee. Four views of the left knee show medial and patellofemoral osteophyte formation. There is medial compartment joint space narrowing, which is likely underestimated as the images are non-... | Moderate osteoarthritis. |
Generate impression based on findings. | Reason: h/o larynx ca and CRT, lung lesion on previous scan, compare to previous, measurements please The patient is status post tracheostomy. There is redemonstration of mucosal thickening along the laryngeal mucosal tissues. This was also present on the previous exam. The supraglottic lesion identified on the 7/15 ex... | 1.Laryngeal mucosal thickening is a nonspecific finding which could relate to post treatment change or infiltration. It is better assessed on laryngoscopy.2.No evidence for recurrence of the supraglottic lesion.3.No evidence for neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy. |
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. Stable bilateral circumscribed masses. Benign c... | 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 rheumatoid arthritis. Evaluate for progression. Three views of the left hand show marked narrowing of the carpal articulations, appearing similar to the prior study. Narrowing of the PIP joints is also seen, appearing similar to the prior study. No new erosions are identified.Three views of the right hand sh... | No significant interval progression of disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of renal cancer diagnosed at age 62. 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. Bilater... | Bilateral focal asymmetries, for which comparison with priors recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OC - OLD FILM FOR COMPARISON |
Generate impression based on findings. | Evaluate for obstruction, history of nausea and vomiting Suboptimal study due to patient's body habitus and exclusion of bilateral flanks. Incompletely imaged mildly dilated small bowel measuring up to 3.2 cm in left lateral abdomen with paucity of bowel gas noted distally, stool and small air seen in colon distally. I... | Incompletely imaged abdomen demonstrates mildly dilated small bowel in left hemiabdomen with relative paucity of bowel gas distally, findings suspicious for partial or developing small bowel obstruction. Correlation with patient's clinical history and continued follow up recommended. |
Generate impression based on findings. | Reason: Suspected left vertebral dissection. Is left vertebral recanalized? Evidence for mural hematoma? History: right hemiparesis MRA brain:Antegrade flow is present in the distal internal carotid arteries, the distal vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arte... | 1.No evidence for distal vertebral artery dissection. It appears that the previously noted left vertebral dissection has significantly improved.2.No evidence for intracranial cerebrovascular occlusion.3.No evidence for intracranial aneurysm. |
Generate impression based on findings. | 67-year-old female with history of metastatic renal cell cancer -- assess for disease progression. CHEST:LUNGS AND PLEURA: No change in the scattered calcified granulomas in the lung parenchyma. The clustered nodules along the major fissure in the right upper lobe have decreased in size and are now in measurable. No ne... | 1. Prior left nephrectomy. 2. Slight increase in size of the referenced enhancing mediastinal lymph node worrisome for metastatic disease. 3. Decrease in size of the clustered lymph nodes along the right major fissure posteriorly which may have been inflammatory. No other significant parenchymal lung nodules or air spa... |
Generate impression based on findings. | 42 year-old female with fever, flank pain. Rule-out pyelonephritis. RIGHT KIDNEY: Shows normal morphology with maximum length of 12.8 cm. No abnormal masses. No echogenic foci to suggest stone disease. No hydronephrosis and no perinephric fluid collections. Right ureteral stent is seen the tip of the catheter in the ri... | 1. Right ureteral stent with expected position and appearance. 2. Diffuse hepatic steatosis. 3. No other abnormality seen. |
Generate impression based on findings. | 70 yo female with MZL, needs restaging. There are no abnormal masses or evidence of pathologic enhancement. There are scattered subcentimeter lymph nodes which are nonspecific. No pathologically enlarged or necrotic lymph nodes are seen. There is a 13-mm hyperdense nodule involving the posterior right thyroid lobe. The... | 1. No significant cervical lymphadenopathy. 2. 13-mm hyperdense nodule involving the posterior right thyroid lobe which can be evaluated with ultrasound as clinically indicated.3. Please refer to separate report for findings in the chest. |
Generate impression based on findings. | 59-year-old male with back and hip pain. Assess for nephrolithiasis. Within the limits of a non-IV contrast enhanced examination which limits the ability to evaluate solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: Bibasilar air space consolidation/atelectasis... | 1. Large retroperitoneal and iliopsoas hematoma. 2. Multiple anterior abdominal wall hernias, two of which contain bowel without complication. 3. Inferior vena cava filter with expected appearance and position.Findings discussed with Dr. Gold with read back at 1 p.m.. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage, within the limitations of only postcontrast imaging. There are no areas of abnormal attenuation or pathological enhancement. There is no extraaxial fluid collection. The visualized portions... | 1. Stable post treatment changes. No evidence of recurrent malignancy or cervical lymphadenopathy.2. Unremarkable contrast enhanced CT of the head. |
Generate impression based on findings. | 34 year old with right breast lump and pain Three standard views of both breasts with 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 heterogeneously dense. A triangular marker is placed at upper outer quadrant of right breast, i... | No mammographic evidence of malignancy. Clinical follow up is recommended for her symptom. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Struck elbow on door handle. Pain and minimal swelling.VIEWS: Right elbow AP/lateral/oblique (3 views) 03/24/15 No joint effusion is seen. The bones are normal in appearance. A fracture is not identified. | Normal examination. |
Generate impression based on findings. | Reason: chronic cough, rule out lesion History: cough with sputum production LUNGS AND PLEURA: Minimal paraseptal emphysema.Trace residual left pleural effusion. Left lower lobe atelectasis has resolved. There is a small bulla in the left lower lobe which may be postinflammatory.The previously identified nonspecific gr... | Previous nonspecific groundglass right upper lobe nodules have resolved. Trace left pleural effusion. No evidence of suspicious pulmonary nodule. |
Generate impression based on findings. | 73-year-old female with right neck swelling. Evaluate right goiter for enlargement. RIGHT LOBE MEASUREMENTS: 7.7 x 5.3 x 4.0 cm (previously 6.5 x 4.3 x 3.0 cm.) LEFT LOBE MEASUREMENTS: 4.9 x 2.8 x 2.1 centimeter (previously 5.0 x 2.8 x 2.1 cm).ISTHMUS MEASUREMENTS: Antro-posterior dimension 0.5 cm, previously 0.7-cm.RI... | 1. Bilateral dominant heterogeneous nodules again seen, with right nodule slightly increasing in size and left nodules slightly decreasing in size. 2. No other significant changes. |
Generate impression based on findings. | 61-year-old female with diffuse low back and abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Innumerable solid peripherally enhancing mass lesions with central lower density are seen throughout the entire liver replacing the majority of liver parenchyma, most consistent with di... | 1. Pancreatic mass most consistent with pancreatic carcinoma with extensive metastases to the liver, lymph nodes and peritoneal/omental spaces. Mass invades posteriorly encasing the celiac axis and superior mesenteric artery. |
Generate impression based on findings. | Hip dysplasia.VIEW: Pelvis AP standing with 0.5-inch lift under left foot (one view) 03/24/15 A gastrostomy tube is present. Compression plate and screws device is present in the left proximal femur. The osteotomy is well healed.The femoral heads are flattened. Lateral uncovering of the right femoral head is approximat... | Femoral heads to rectum into acetabula and at the same height. |
Generate impression based on findings. | For the purposes of numbering, there are 5 lumbar type vertebral bodies. There are postsurgical changes of laminectomy from L3 to L5, posterior spinal fusion from L2 to S1, as well as anterior lumbar fusion from L3 to S1. Hardware is intact without evidence of fracture or malposition. The left L5 screw is noted to abu... | 1. Postsurgical changes of L2-S1 posterior fusion, L3-5 laminectomy, and L3-S1 anterior fusion. There are advanced degenerative changes at L1-2 disc space, 7 mm retrolisthesis, as well as distension/subluxation at the L1-2 facet joints, which may represent adjacent segment disease. There is mild spinal canal stenosis a... |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids/middle ears are grossly clear. | No acute intracranial abnormality. |
Generate impression based on findings. | Reason: base of tongue cancer for follow-up History: as above CHEST:LUNGS AND PLEURA: Punctate benign appearing micronodules, but no sign of metastases.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.CORONARY ARTERY CALCIFICATION: None.CHEST WALL: Mild degenerative changes affect the spine.ABDOMEN: Absenc... | No evidence of metastatic disease, or other significant finding. |
Generate impression based on findings. | Leg length discrepancy. Limited hip abduction.VIEWS: Pelvis AP/frog leg (two views) 03/24/15 Bilateral coxa valga is noted. The femoral heads are well directed into normally formed acetabula.A moderate amount of feces is seen in the rectosigmoid. | Bilateral coxa valga. |
Generate impression based on findings. | There remains slight asymmetric enhancement along the anterior aspect of the left true vocal cord and 8/48 with no significant residual contour deformity. There is now mild diffuse thickening of the epiglottis which may relate to post treatment changes. There is slight increased paraglottic fat stranding, left greater... | 1. Decreased extent of enhancement and enlargement of the left true vocal cord, corresponding to known area of tumor.2. Expected post changes. No cervical lymphadenopathy.3. New small left-sided pleural effusion partially visualized. Slight increased size of mediastinal lymph node which is now upper normal, likely reac... |
Generate impression based on findings. | Male 65 years old; Reason: eval for abscess, soft tissue infection History: s/p IR drain, continued RLQ abd pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS:... | 1.Small pocket of fluid located lateral to the small bowel in the right lower abdomen representing a residual abscess pocket.2.Metastatic disease. |
Generate impression based on findings. | Reason: h/o larynx ca and CRT, lung lesion on previous scan, compare to previous, measurements pls CHEST:LUNGS AND PLEURA: Severe centrilobular emphysema.Near complete resolution of the previously described irregular 9 mm left upper lobe opacity. Additional micronodules are stable and favor intrapulmonary lymph nodes.N... | Resolution of previously described left upper lobe irregular nodule suggestive of inflammatory etiology.No other sign of metastasis.Severe centrilobular emphysema. |
Generate impression based on findings. | Clinical question: History of subdural hematoma, evaluate for resolution. Signs and symptoms: Not surveillance imaging. Unenhanced head CT:Examination demonstrate interval complete resolution of a small acute hematoma along the right side of falx since prior exam.Unremarkable cerebral cortex, cortical sulci, ventricula... | 1.Complete interval resolution of the right falcine subdural.2.Unremarkable nonenhanced head CT otherwise.3.Revisualization of stable postsurgical changes of bilateral maxillary. |
Generate impression based on findings. | Apnea of prematurity.VIEW: Abdomen and chest AP (two views) 3/24/15 at 1222 hrs. NG tube terminates in the stomach. The umbilical line has been removed. Right lower extremity PCVC terminates at the right common iliac vein.Cardiac silhouette size is normal. Large lung volumes and minimal diffuse haziness area no focal o... | Interval removal of umbilical line.Large lung volumes and diffuse lung haziness, no focal opacities.Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | Male 60 years old; Reason: GIST on imatinib, eval EOD, compare to previous History: none CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedOTHER: ABDOMEN:LIVER, BILIARY TRACT: Hypodense right hepatic lobe lesion meas... | 1.Stable exam with no change in the size of the reference lesions. |
Generate impression based on findings. | 10-month-old former 23 week gestational age patient with increased residuals from feeding tube.VIEWS: Chest and abdomen AP (two views) 03/24/15, 1213 Tracheostomy tube tip is below the thoracic inlet. Feeding tube tip is in gastric body. Right lower extremity PICC tip is in intrahepatic IVC. Probable physiologic perios... | Chronic lung disease. Dilated bowel. |
Generate impression based on findings. | Clinical question: Evaluate sinuses; assess for interval change. Signs and symptoms: Chronic sinusitis treated medically without resolution. Medtronic fusion sinus CT:Hypoplastic bilateral frontal sinuses without evidence of disease. No change since prior exam.Right anterior ethmoid air cell opacification with interval... | 1.Near complete opacification of right maxillary sinus, complete occlusion of right ostiomeatal unit, extensive opacification of right anterior ethmoid air cells and increased soft tissue density within the right nasal passage as detailed. Interval worsening of findings is current exam.2.Mild chronic sinus disease of t... |
Generate impression based on findings. | Male 9 months old Reason: fracture VIEWS: Left elbow AP and lateral 3/24/15 (two views) Healing fracture with some bone remodeling and persistent periosteal reaction again noted. Fracture line is less conspicuous. Dorsal displacement is unchanged. | Healing fracture, unchanged in alignment. |
Generate impression based on findings. | Female; 39 years old. Reason: Dissection protocol. Eval for Thoracic and abdominal Aortic sources of thromboembolism History: 39 F with ESRD on Peritoneal dialysis Daily, admitted with Ischemic toes on bilateral feet. She has undergone CT angio of Lower ext but vascular requests remaining Aortic imaging CHEST:LUNGS AND... | 1. Normal caliber of the thoracic and abdominal aorta without evidence of dissection or rupture.2. Mild ascites.3. Stable nonspecific mildly enlarged bilateral pelvic and inguinal lymph nodes. |
Generate impression based on findings. | Abdominal pain and constipation.VIEWS: Abdomen AP supine and upright on 3/24/15 at 1242 hrs (two views) VP shunt a cecostomy tube are noted. The tip of the cecostomy tube appears to be in the hepatic flexure. Mild to moderate fecal accumulation with no evidence of obstruction or free air. | Mild to moderate fecal accumulation as described. |
Generate impression based on findings. | Male 4 months old Reason: Fractures History: Concern for non-accidental trauma. Head injury without loss of consciousness.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,... | No evidence of nonaccidental trauma. |
Generate impression based on findings. | CT HEAD:No CT evidence of intracranial metastatic disease. No intracranial mass or mass effect. The ventricles and sulci are within normal limits. There is no midline. There is no intracranial hemorrhage. Minimal periventricular white matter hypoattenuation is nonspecific but unchanged from the prior exam and likely r... | 1.Postoperative findings related to total thyroidectomy. No evidence of tumor progression in the neck or cervical lymphadenopathy.2.No CT evidence of intracranial metastatic disease. 3.For findings in the chest, please see dedicated chest CT performed on the same day. |
Generate impression based on findings. | Chronic abdominal pain. Worse when going over bumps. Outside MRE with increased stranding soft tissues and anterior lower pelvis extending into peritoneum of uncertain etiology. ABDOMEN:LUNG BASES: Several linear opacities are noted in the lung bases. These are most likely subsegmental atelectasis. No pleural effusion ... | No abnormality is identified. |
Generate impression based on findings. | Female 78 years old; Reason: h/o bladder ca s/p chemo and cystectomy, please eval for status of disease History: bladder ca CHEST:LUNGS AND PLEURA: Evaluation of the lung bases is mildly degraded by respiratory motion artifact. No focal consolidation, pleural effusion, or suspicious pulmonary nodules identified. Diffus... | 1.No findings to suggest tumor recurrence or metastases.2.Stable postoperative changes, as above.3.Increased pericardial effusion. |
Generate impression based on findings. | Patient with abscess to the anterior knee. Assess swelling. Four views of the right knee show no acute fracture or malalignment. There is mild swelling about the anterior aspect of the knee. No cortical destruction or foci of gas in the soft tissues is identified. | No specific radiographic evidence of osteomyelitis. |
Generate impression based on findings. | Reason: assess bleed History: decrease mentation/interaction hx hemhorage bleed There is redemonstration of a hematoma located in the left frontal lobe associated with surrounding vasogenic pattern of edema. There is associated adjacent sulcal effacement and mild compression of the left lateral ventricle as well as app... | 1.There is redemonstration of a left frontal lobe hematoma associated with mass effect and no evidence for new hemorrhage since the prior exam. There is continued evolution of blood products |
Generate impression based on findings. | Hip pain. Question of avascular necrosis or infection. AP view of the pelvis shows no acute fracture or malalignment. There is no specific radiographic evidence of avascular necrosis of the bilateral femurs. Minimal osteoarthritis affects the hips. | No specific radiographic evidence of avascular necrosis. |
Generate impression based on findings. | 81 years, male. Reason: abdominal distension There is a nonobstructive bowel gas pattern. Moderate/large stool burden distributed throughout the colon, predominantly affecting the left colon. Skin staples project over the right upper quadrant and right hemithorax. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | History seizure complicated by bilateral hip and possible femur fracture at outside hospital. Bilateral leg and hip pain. AP view the pelvis and bilateral hips show severe bilateral acetabular protrusio with secondary degenerative changes. No acute fracture is evident. Two views of the right femur show no acute fractur... | Severe bilateral acetabular protrusion with secondary degenerative changes without acute fracture. |
Generate impression based on findings. | 79 years, Male. Reason: confirm Dobbhoff tube placement There is a Dobbhoff tube with its tip projecting over the gastric fundus, just beyond the GE junction. There are dense atherosclerotic calcifications of the splenic artery. Sternal fixation hardware and pacemaker leads unchanged. Surgical clips project over the ri... | Dobbhoff tube with its tip projecting over the gastric fundus, just beyond the GE junction. Advancement is recommended. |
Generate impression based on findings. | 66 years, Female. Reason: NG tube position History: partial SBO The nasogastric tube has been retracted with the tip now terminating in the body of the stomach. LVAD, sternotomy hardware and pacemaker leads unchanged. There is persistent gaseous distention of both large and small bowel suggestive of ileus or partial sm... | Nasogastric tube has been retracted with the tip now terminating in the body of the stomach. |
Generate impression based on findings. | Reason: 41 yo woman with dyspnea, ? bronchiectasis History: dyspnea on exertion LUNGS AND PLEURA: Diffuse bronchial wall thickening with areas of groundglass attenuation and ill-defined parenchymal micronodules in a predominantly upper zone distribution. Central bronchiectasis with minimal bronchiolectasis in the lower... | Predominately central bronchiectasis with bronchial wall thickening. Upper zone distribution of central mosaic attenuation and ill-defined central lobular nodules. Minimal bronchiolectasis in the lower lobes with mucoid impaction. The differential diagnosis includes respiratory bronchiolitis, hypersensitivity pneumonit... |
Generate impression based on findings. | 52 years, Male. Reason: evaluate Dobbhoff placement History: Dobbhoff placement The NG tube has been removed. There has been interval placement of a Dobbhoff tube with the tip projecting over the proximal body of the stomach. An IVC filter in place. Left pleural drainage catheter. Right femoral central venous catheter ... | 1.Dobbhoff tube with tip projecting over the proximal body of the stomach. 2.Mild gaseous distention of both large and small bowel may reflect ileus or partial small bowel obstruction. |
Generate impression based on findings. | Beam hardening from dental fillings somewhat limits the examination. There is no evidence of discrete mass or abscess. A fat attenuation lesion in the left mandibular body is unchanged. The submandibular and parotid glands appear normal. Subcentimeter lymph nodes are identified, but there is no significant cervical ly... | 1.No appreciable inflammatory changes or fluid collection in the soft tissues of the neck to indicate abscess. No cervical lymphadenopathy. No suspicious osseous lesions. 2.Interval improvement in sinus disease. |
Generate impression based on findings. | Dynamic imaging through the pituitary gland is degraded by artifact and near nondiagnostic. Dedicated images through the sella demonstrate a normal height of the pituitary gland. A stable 2 x 3 mm nonenhancing lesion along the posterior inferior midline anterior pituitary gland is again seen, as seen on sagittal post ... | 1. Stable appearance of nonenhancing lesion within the posterior midline anterior pituitary gland. 2. Stable appearance of nonenhancing periventricular white matter abnormal signal with volume loss greater than expected for patient's stated age. Findings likely relate to the patient's known demyelinating disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of bilateral benign breast biopsies 20 years ago. Family history breast cancer diagnosed in maternal cousin at age 47. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is compo... | 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. | Low back pain, buttock pain. Four views of the lumbar spine show a grade 2 anterolisthesis of L5 on S1 which is stable between flexion and extension and appears similar to the prior study. Remainder of alignment is anatomic. Vertebral body heights are preserved. There is a questionable L4 pars defect. | 1. Stable grade 2 anterolisthesis of L5 on S1.2. Questionable L5 pars defect. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in mother in her 50s. 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 mas... | 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. | Tibial spine fracture. CT images of the left knee show a longitudinal fracture through medial aspect of the medial femoral condyle; the fracture line extends nearly along the entire depth of the femur. Additionally there is an oblique, comminuted fracture through the posterior tibial plateau which includes the tibial s... | Fractures of the medial femoral condyle, posterior tibial plateau including the tibial spine, and the proximal fibula. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History bilateral benign breast biopsies in the 70s. 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 distribu... | 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 62 years old; abdominal distention, history of gastric ulcer. History of abnormal MRI. Prostate cancer, evaluate for mets. CHEST:LUNGS AND PLEURA: No focal consolidation or pleural effusion. No suspicious pulmonary nodules.MEDIASTINUM AND HILA: Heart size is normal with no pericardial effusion. Severe coronary cal... | No specific evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Male 77 years old; Reason: 77 y/o with pancreatic ca, please restage after chemo History: see above CHEST:LUNGS AND PLEURA: Paraseptal emphysema. Increased coarse interstitial reticular opacities in the lung bases, right much greater than left, is new from prior exam and may represent drug reaction given history of che... | 1.Significant improvement in size of pancreatic body lesion.2.No new lymphadenopathy; periportal lymph node stable to slightly decreased in size.3.Probable drug reaction in the lung bases; infection should be excluded clinically. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses, microcalcificati... | 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. | 55 year-old female with metastatic breast cancer. Annual surveillance. CHEST:LUNGS AND PLEURA: Right subpleural heterogeneous aggregate of nodular changes (series 5 common image 31) this unchanged in appearance in the aggregate again measures 1.2 x 0 .7 cm, unchanged. No new foci of airspace disease, nodules or masses ... | 1. Stable examination without interval change and without evidence for metastatic disease. 2. Stable benign lesions in right iliac crest, right femoral head and left iliac bone unchanged since 2009. Nuclear medicine bone scan is more sensitive indicator of potential skeletal metastatic disease activity. 3. Subpleural s... |
Generate impression based on findings. | Female 24 years old History: crush injury, right index finger There is soft tissue swelling about the distal phalanx. No acute fracture is evident. Alignment is anatomic. Bones are normal in appearance. | Soft tissue swelling with no acute fracture or dislocation. |
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. Small masses in the right central breast, posterior depth. Asymmetry... | Bilateral findings in the posterior depths for which comparison with prior studies is recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISON |
Generate impression based on findings. | Female 81 years old Reason: hip pain History: pain AP view of the pelvis shows joint space narrowing and osteophyte formation in the hips bilaterally indicating moderate osteoarthritis. Facet degenerative changes are noted in the visualized lower lumbar spine. No acute fracture or malalignment.Two views of the left hip... | Degenerative arthritic changes as above. |
Generate impression based on findings. | Female 71 years old; Reason: 70 y/o F with MZL needs restaging scan History: none CHEST:LUNGS AND PLEURA: Reticular interstitial changes in both lungs with patchy areas of ground-glass worst in the upper lobes. Mild subpleural fibrosis in the lung bases. Small cyst in the lingula is unchanged.MEDIASTINUM AND HILA: Hear... | 1.Decrease in the size of the spleen.2.Severe fatty infiltration of the liver.3.Pulmonary changes as detailed above may represent medication related changes. |
Generate impression based on findings. | 84 years, Male. Reason: Evaluate for obstruction History: Hx of volvulus, here w/ constipation, history of recent CT study at outside institution Residual ingested barium opacifies desiccated stool throughout the colon. There is a moderate/large stool burden. Redundant sigmoid colon seen, distended bowel in central abd... | Bowel gas pattern as above, sigmoid volvulus not entirely excluded based on appearance, correlation with patient's clinical history and further evaluation with dedicated contrast enhanced CT recommended for further evaluation. Findings discussed with ED resident Kelvin at 2:15 p.m. on 3/24/15. Moderate/large stool burd... |
Generate impression based on findings. | 67-year-old with history of left lumpectomy in 1999, status post radiation therapy. History of right breast reduction in 2012. No new 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 e... | 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. 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. No suspicious masses... | 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. | Female 71 years old Reason: Status post right total hip arthroplasty with robotic assistance AP view the pelvis shows right total hip arthroplasty in anatomic alignment without evidence of hardware complication. Joint space narrowing and osteophyte formation in the left hip indicating severe osteoarthritis.AP view of t... | Right total hip arthroplasty as above. |
Generate impression based on findings. | Right parotid fullness. There is a 11x9x13 mm well-circumscribed nodule involving the right superficial parotid gland. There is a tiny nodule in the right parotid gland more anteriorly as well as in the left anterior parotid gland; these are nonspecific and may represent small normal lymph nodes. No inflammatory change... | 1. 11x9x13 well-circumscribed nodule in the right superficial parotid gland. Differentials include abnormal lymph node and primary parotid neoplasm. Ultrasound/FNA can be considered as clinically appropriate. No inflammatory changes in the peri-parotid soft tissues or fluid collections to suggest abscess. No evidence o... |
Generate impression based on findings. | Female 23 years old Reason: Left acromioclavicular pain from weightlifting There is mild soft tissue prominence about the AC joints bilaterally. No fracture or osteolysis is evident. Alignment is anatomic. | Mild soft tissue prominence about the AC joints, otherwise no underlying osseous abnormality. |
Generate impression based on findings. | 55-year-old female with history of benign biopsy in left breast in 2013 presents for annual mammogram. 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 mostly fatty replaced, unchanged in pattern and distributi... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 74 year-old female with metastatic renal cell carcinoma status post resection. Surveillance images. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Small normal sized pretracheal lymph nodes unchanged. Marked coronary artery calcification. No other significant abnormality seen..CHEST WALL... | Status post left nephrectomy without evidence for recurrent or metastatic disease. Stable examination. |
Generate impression based on findings. | Female; 62 years old. Reason: please compare to previous and provide bidimensional measurements per RECIST v1.1 please see notes History: metastatic melanoma CHEST:LUNGS AND PLEURA: Reference right lower lobe nodule measures 0.7 x 0.6 cm, previously 0.7 x 0.6 cm (series 5/47).Additional reference right lower lobe nodul... | Stable index lesions. No new sites of disease. |
Generate impression based on findings. | Male 75 years old; Reason: evaluate for GIST recurrence in pt with h/o GIST s/p resection in 2010 History: none CHEST:LUNGS AND PLEURA: There is minimal left upper lobe atelectasis. The pleural spaces are clear. No new lesions. There are postsurgical changes in the left lung base.MEDIASTINUM AND HILA: Heart size is nor... | 1.Stable exam. |
Generate impression based on findings. | Visualized osseous structures appear osteopenic. Concavity and sclerosis along the superior endplate of C7 appear similar, consistent with known chronic fracture in this location. On sagittal reformatted images, there is a slight decreased extent of confluent sclerosis in the area of the fracture as compared to the pr... | 1. Slight decreased extent of sclerosis along the fracture, with otherwise stable appearance of partially healed fracture through the superior endplate of C7.2. Stable chronic nondisplaced right C7 transverse process fracture. |
Generate impression based on findings. | Reason: History of lung cancer and multifocal nodular opacities. History: None. CHEST:LUNGS AND PLEURA: Using similar measurement technique, the previously referenced multiple pulmonary nodules are similar in size. For example:Left apical ground glass nodule (5/19) is 23 x 34 mm, previously 24 x 34 mm.Right apical nodu... | Stable referenced pulmonary ground glass and semisolid nodules compatible with multifocal minimally invasive adenocarcinoma. Several new lesions are present within the right upper lobe, also suspicious for invasive adenocarcinoma. |
Generate impression based on findings. | Reason: follow up colon cancer History: none CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy.Cardiac size is normal without evidence of pericardial effusion.CORONARY ARTERY CALCIFICATION: Moderate.CHEST WALL: No axillar... | No evidence of metastatic disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left breast aspiration. Personal history of anal cancer diagnosed at age 58. Family history of breast cancer diagnosed in maternal aunt and grandmother and paternal aunt. Two standard digital views of both breasts and tomosynthesis were performe... | 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. | 70 year-old female history of metastatic papillary thyroid cancer. Please refer to dedicated imaging from the same date for further details on the head and neck.CHEST:LUNGS AND PLEURA: Multiple solid pulmonary nodules are redemonstrated. Reference right lower lobe nodule measures 12 x 11, previously 13 x 13 (image 42 s... | Overall decrease in size of multiple pulmonary nodules. No new sites of disease identified. |
Generate impression based on findings. | Female 58 years old Reason: assess healing History: S/P ulnar shortening osteotomy Two views of the right forearm show plate and screw device affixing osteotomy of the distal ulnar diaphysis in near anatomic alignment. Osteotomy is less distinct and there is callus formation indicating healing. Third most distal screw ... | Orthopedic fixation of healing distal ulnar osteotomy. |
Generate impression based on findings. | Fracture.VIEWS: Left wrist PA/lateral (two views) 03/24/15 A splint obscures detail. Buckling fractures of the metaphyses of the ulna and radius are again seen. Alignment is near anatomic. | Both bones fracture of distal forearm. |
Generate impression based on findings. | Left knee swelling and pain. Assess for inflammation, effusion. Four views left knee show no acute fracture or malalignment. A large joint effusion is noted. Small osteophytes on the undersurface of the patella indicate minimal osteoarthritis. | Large joint effusion. |
Generate impression based on findings. | Male 77 years old; Reason: metastatic prostate cancer, evaluation of disease after 9 cycles of investigational therapy. please provide bi-dimensional measurements per RECIST 1.1 History: metastatic prostate cancer CHEST:LUNGS AND PLEURA: Multiple bilateral ground-glass nodules are stable. Reference left upper lobe pulm... | 1.Stable exam without significant size change in the pulmonary lesions.2.Metastatic disease to the lumbosacral spine. |
Generate impression based on findings. | Male 71 years old Reason: s/p incision and drainage of right hip with bipolar shell exchange, please evaluate for hardware complications Right hip bipolar hemiarthroplasty in near anatomic alignment is again noted, without evidence of hardware complication. No fracture or dislocation. Surgical drain and skin staples ar... | Right hip bipolar hemiarthroplasty as above. |
Generate impression based on findings. | 24-year-old male with resolving retroperitoneal hematoma/abscess. Within the limits of a non-IV contrast enhanced examination which limits ability to evaluate solid parenchymal organs and vastus structures, following observations can be made:ABDOMEN:LUNG BASES: No change in the large right and small left pleural effusi... | 1. Left retroperitoneal hematoma with collection persisting unchanged since 3/17/15. 2 bilateral pleural effusions with atelectasis unchanged. 3. Scattered ascites without loculation unchanged. 4. Diffuse subcutaneous and abdominal edema. 5 is status post left nephrectomy. 6. Chronic bony changes similar in appearance. |
Generate impression based on findings. | 82 year old female status post right lumpectomy in March 2013 for IDC followed by radiation therapy. History of left mastectomy. History of bilateral implants. No current breast complaints. Family history of breast cancer in two maternal nieces, diagnosed at ages 64 and 47. Two standard views of both breasts and pushba... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, right unilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Fracture.VIEWS: Right elbow AP/lateral (two views) 03/24/15 The K wires have been removed. Periosteal reaction encircles the distal numerous. Alignment is anatomic. | Continued healing of distal humeral fracture. |
Generate impression based on findings. | Reason: NSIP History: increased sob and cough: RA LUNGS AND PLEURA: Redemonstration of lower zone predominant patchy groundglass opacities with areas of subpleural sparing unchanged from the prior exams. There is very mild traction bronchiectasis without evidence of honeycombing or air trapping.Right middle lobe scarri... | No interval change in the basilar predominant interstitial lung disease most compatible with NSIP and which may be secondary to rheumatoid arthritis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with additional left MLO 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 distribut... | 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. |
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