instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | Clinical question: Evaluate for injury. Signs and symptoms: Reported fall with loss of consciousness. Nonenhanced head CT:There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings. The cerebral cortex, cortical sulci, ventricular system and CSF spaces are within normal. Un... | 1.Unremarkable nonenhanced head CT.2.CT of cervical spine demonstrate no evidence of fracture or malalignment. Degenerative changes with resultant multilevel neural foraminal compromise as detailed. |
Generate impression based on findings. | 23 years, Female. Reason: NGT History: NGT There is a nasogastric tube with its tip projecting over the fundus of the stomach. Multiple dilated loops of small bowel with gas in the colon suggestive of partial small bowel obstruction versus ileus, unchanged. | NG tube with tip projecting over the fundus of the stomach. Partial small bowel obstruction versus ileus, unchanged. |
Generate impression based on findings. | 23 years, Female. Reason: confirm placement of NGT History: SBO There is a nasogastric tube with its tip projecting over the fundus of the stomach. Multiple dilated loops of small bowel with gas in the colon suggestive of partial small bowel obstruction versus ileus, unchanged. | NG tube with tip projecting over the fundus of the stomach. Partial small bowel obstruction versus ileus, unchanged. |
Generate impression based on findings. | 23 years, Female. Reason: eval for NG placement History: NG placed There is a nasogastric tube with its tip projecting over the fundus of the stomach. Multiple dilated loops of small bowel with gas in the colon suggestive of partial small bowel obstruction versus ileus, unchanged. | NG tube with tip projecting over the fundus of the stomach. Partial small bowel obstruction versus ileus, unchanged. |
Generate impression based on findings. | 86 years, Female. Reason: nausea/vomiting, w/ ovarian cancer, r/o SBO vs ileus History: nausea/vomiting Persistent gaseous distention of both large and small bowel compatible with known bowel obstruction, appearing similar to the prior scout radiograph. There are degenerative changes of the hips and lower lumbar spine.... | Persistent gaseous distention of both large and small bowel compatible with known bowel obstruction, appearing similar to the prior scout radiograph. |
Generate impression based on findings. | Fall, pain, rule-out fracture There is diffuse osteopenia. The cervical vertebral bodies are appropriate height. There is straightening of the cervical spine, which may be in part positional. Alignment is otherwise maintained. There is some ankylosis involving the posterior elements at C4 and C5 bilaterally. No fractur... | 1. No acute fracture or subluxation in the cervical spine.2. Mild degenerative changes3. Diffuse osteopenia |
Generate impression based on findings. | 58-year-old male status post fall with neck pain Head: The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is preserved. There is no mass effect, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The bones appear normal. Limited view of the par... | 1. No acute intracranial abnormality.2. No cervical spine fracture or subluxation3. Poor dentition with multiple left mandibular periapical lucencies and caries, correlate with dental exam. |
Generate impression based on findings. | Clinical question: Status post brain biopsy. Signs and symptoms: As above. Nonenhanced head CT:There is no acute intracranial hemorrhage, significant mass effect or midline shift.A focus of low attenuation consistent with patient's known tumor in the left basal ganglia demonstrate a small focus of internal air consiste... | 1.Expected postoperative changes of left basal ganglia tumor biopsy as detailed.2.Stable and unremarkable exam otherwise. |
Generate impression based on findings. | Knee pain. Patient had over exertion of right knee 3 days ago with pain and instability since. Four views of the right knee show an ossific density along the superior aspect of the patella which may represent an avulsion fracture. Tricompartmental osteophytes are noted. Probable small joint effusion. | Possible avulsion fracture of the superior aspect of the patella. Findings communicated via phone to Dr Checkett in the ED at 0935 hrs on 3/25/2015. |
Generate impression based on findings. | Large left renal mass CHEST:LUNGS AND PLEURA: Multifocal pleural plaques some with calcification. Calcified granulomas.MEDIASTINUM AND HILA: Calcified mediastinal and hilar lymph nodes.CORONARY ARTERY CALCIFICATION: Mild.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormalit... | Massively enlarged left renal mass. This lesion is somewhat unusual in that it maintains a reniform morphology and demonstrates no normal collecting system excretion. Tumor within the renal pelvis is appreciated. These findings are somewhat unusual for a typical renal cell carcinoma and an infiltrative neoplastic proce... |
Generate impression based on findings. | 56 years, Male. Reason: eval for NGT positioning, further repositioned after last xr History: LVAD s/p NGT placement, history of gastric bypass There is a nasogastric tube with its tip projecting over the proximal gastric body, just beyond GE junction and the side-port in the distal esophagus. Bibasilar streaky opaciti... | There is a nasogastric tube with its tip projecting over the proximal gastric body just beyond GE junction and the side-port in the distal esophagus. Consider advancement. |
Generate impression based on findings. | Tenderness to palpation lateral aspect, minimal swelling. Evaluate for acute process, status post felt pop after kicking door. Four views of the right knee show no acute fracture or malalignment. Small osteophytes are noted along the undersurface of the patella. No knee joint effusion is seen. | No acute fracture is evident. |
Generate impression based on findings. | 16-year-old male with headaches trauma, concern for VP shunt malfunctionVIEWS: Shunt series: Skull AP/lateral (two views), chest AP/lateral (two views), abdomen AP/lateral (two views) 3/24/15 A right parieto-occipital approach VP shunt catheter is again seen with tip slightly right of midline, appearing similar to the ... | No discontinuity or kinking of the radiopaque portions of the VP shunt. Foreign body surgical needle is in a different position than on the prior exams. |
Generate impression based on findings. | Rib pain. Question of fracture or pneumothorax. Three views of the ribs show no acute fracture. No pneumothorax is seen. | No rib fracture is identified. |
Generate impression based on findings. | There is a 5 x 3 mm triangular shaped saccular aneurysm arising from the horizontal cavernous segment of the right internal carotid artery and directed medially. The neck appears to measure approximately 3 mm. There is a medially directed triangular shaped 1 mm outpouching arising from the distal communicating segment... | 1.5 mm saccular extra-dural right cavernous segment internal carotid artery aneurysm. 2.1 mm outpouching arising from the distal communicating segment of the right internal carotid artery likely represents an infundibulum of the inferior hypophyseal artery, although a tiny aneurysm is not entirely excluded. This can be... |
Generate impression based on findings. | There is extensive edema in the left sublingual and submandibular spaces with discrete fluid collection measuring 2.1 x 2.4 cm (coronal series 80480, image 36) superomedial and anterior to the left submandibular gland. There is subtle rim enhancement compatible with abscess. There is mild enlargement of the left subma... | 1.Inflammatory changes involving the left sublingual and submandibular spaces with 2.1x2.4 cm fluid collection abutting the superomedial aspect of the left submandibular gland compatible with abscess (best seen on coronal series 80480 image 36/79).2.Periapical lucency involving the left posterior mandibular molar with ... |
Generate impression based on findings. | 52-year-old male bilateral rib pain. Three views of the ribs demonstrate normal anatomic alignment, without evidence of acute fracture.No acute cardiopulmonary abnormality, however please refer to concurrent chest radiograph for further pulmonary details. | No evidence of rib fracture. |
Generate impression based on findings. | Status post fall to right side complaining of inferior shoulder discomfort. Three views of the right shoulder show no acute fracture or malalignment. | No acute fracture is evident. |
Generate impression based on findings. | Arm injury. Question of fracture. Two views of the left forearm show no acute fracture or malalignment. No elbow joint effusion is identified. A tiny ossific density along the medial aspect of the radial head within the joint space is of uncertain clinical significance and is unlikely to be acute in etiology. | No acute fracture is evident. |
Generate impression based on findings. | 56 years, Male. Reason: NGT further advanced since last xr, confirm placement History: History of LVAD and gastric bypass surgery s/p NGT placement There is a nasogastric tube with its tip projecting over the distal esophagus. Pacemaker lead position unchanged. LVAD in place. Surgical clips project over the right upper... | There is a nasogastric tube with its tip projecting over the distal esophagus. |
Generate impression based on findings. | Clinical question: Recurrent sinusitis. Signs and symptoms: Nasal congestion and discharge. Medtronic fusion sinus CT:Altered nasal sinuses are well pneumatized and without evidence of acute or chronic sinus disease.Patent bilateral sphenoethmoidal recesses and bilateral ostiomeatal units of maxillary sinuses.Images th... | No evidence of sinusitis. |
Generate impression based on findings. | 55-year-old female with recent fall and left shoulder pain. Three views of the left shoulder demonstrate a small step-off along the inferior aspect of the greater tuberosity, suggestive of a minimally displaced fracture. The glenohumeral joint is within normal limits. | Nondisplaced fracture of the greater tuberosity.Findings relayed to Dr. Susan Glick on 3/25/15, at 8:30 a.m. via alpha page. |
Generate impression based on findings. | Reported fall with pain. Evaluate for injury. Two views of the right hip show sclerosis and mild flattening of the superior aspect of the femoral head compatible with AVN, appearing similar to the prior study. No acute fracture is evident. Moderate osteoarthritis affects the right hip. | Right hip AVN without acute fracture. |
Generate impression based on findings. | Fall, rule out ICH Small acute subdural hematoma is noted along the right frontoparietal convexity measuring up to 5 mm in thickness. There is minimal local mass effect on the adjacent sulci. Otherwise no significant mass-effect, midline shift, or herniation. No hydrocephalus. Gray-white differentiation is maintained. ... | Small right frontoparietal acute subdural hematoma. Minimal mass effect on the adjacent sulci. No midline shift or herniation. |
Generate impression based on findings. | 45-year-old female with right eye pain, evaluate for right periorbital abscess The orbits appear with normal limits without associated inflammatory changes or loculated fluid collection. The osseous structures are intact without fracture or malalignment. The paranasal sinuses and mastoid air cells are not opacified.Foc... | No evidence of infection or other specific finding to account for the patient's eye pain. |
Generate impression based on findings. | 25-year-old male with laceration to the left elbow. Three views of the left elbow demonstrate a soft tissue defect and overlying bandage material in the anterior aspect of the elbow. No unexpected radiopaque foreign object is present. There is no evidence of acute fracture or malalignment. | No unexpected radiopaque foreign object, acute fracture, or malalignment. |
Generate impression based on findings. | 25-year-old female with history of chest pain. Evaluate for PE. PULMONARY ARTERIES: Technically adequate study. No evidence of acute pulmonary embolus.LUNGS AND PLEURA: No pleural effusions or focal air space opacities. MEDIASTINUM AND HILA: The heart size is normal with no pericardial effusion. No mediastinal or hilar... | 1. No evidence of acute pulmonary embolus.2. Nonspecific and very mild prominence of right hilar region lymph nodes.3. Subcentimeter round right breast lesion is likely benign given age. This can be further evaluated with ultrasound or if clinically warranted.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.... |
Generate impression based on findings. | Status post fall on left ankle, inability to bear weight on left foot. Question of fracture or dislocation. Three views of the left ankle show a nondisplaced fracture involving the distal fibula at the level of the tibiotalar joint. There is significant soft tissue swelling about the lateral aspect of the ankle. No ank... | Spiral fracture of the distal fibula. |
Generate impression based on findings. | Clinical question: 36-year-old male with ESRD, on heparin drip, hypertensive, presenting with uremia and weakness. Signs and symptoms: Right-sided weakness. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute non-hemorrhagic ischemic strokes.Unre... | 1.Unremarkable nonenhanced head CT.2.Mild chronic sinusitis. |
Generate impression based on findings. | 56 year old female who was recalled from screening mammogram for right breast focal asymmetry . Mammogram: An ML view 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 composed of scattered fibroglandular density, unchanged in p... | Focal asymmetries in the right breast 10 o'clock position with possible sonographic correlates, ultrasound guided core biopsy of both these lesions is recommended. Findings and recommendations were discussed with the patient in detail.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration... |
Generate impression based on findings. | 10-day-old former 29 to 30 week gestational age patient with placement of line.VIEW: Chest AP (one view) 03/25/15, 0246 Feeding tube tip is in the stomach. Side port is at the GE junction. Right upper extremity PICC is coiled in the axilla and extends inferiorly with its tip lateral to the costal border.Cardiothymic si... | Right upper extremity PICC is not centrally located. No focal lung opacity. |
Generate impression based on findings. | 26 year old female patient with clinical symptoms of acute abdomen. Evaluate for appendicitis. ABDOMEN:LUNG BASES: Trace basilar atelectasis.LIVER, BILIARY TRACT: Intraluminal soft tissue density along the nondependent gallbladder wall measures 4 mm (series 3 image 57), was present on prior examination, and most likely... | Acute appendicitis without signs of perforation or abscess formation.Findings discussed with Dr. Gwilliam via telephone by Dr. Kromrey at 9:05 PM on 3/24/2015. |
Generate impression based on findings. | 44 years, Male. Reason: eval for obstruction and dilated loops of bowel History: see above Mildly dilated loops of small bowel with air in the colon suggest an ileus or a partial small bowel obstruction. Epicardial lead seen slightly right of the midline, within the skin as seen on prior CT. | Mildly dilated loops of small bowel with air in the colon suggest an ileus or a partial small bowel obstruction. |
Generate impression based on findings. | 80 year-old female with known left femoral fracture status post fall. Two views of the left hip demonstrate the previously described distal femoral diaphyseal fracture. There has been interval placement of overlying splint material. No fracture is identified of the femoral neck.Two nonweightbearing views of the left kn... | Redemonstration of comminuted distal femoral diaphyseal fracture. |
Generate impression based on findings. | 80 year-old female with left leg pain status post fall. Single view of the pelvis images normal anatomic alignment of the hips without evidence of acute pelvic fracture. Mild osteoarthritis affects the bilateral hips and sacroiliac joints. A partially visualized IVC filter projects over the L4 vertebral body. Overlying... | Comminuted fracture of the distal femoral diaphysis as above. |
Generate impression based on findings. | Status post fall to left ankle, distal fibular fracture. Assess for widening of medial joint space, deltoid ligament tear. Stress view of the left ankle again shows a spiral fracture of the distal fibula. No widening of the medial tibiotalar joint is seen with stress. | No specific evidence of deltoid ligament injury. |
Generate impression based on findings. | Distal fibular fracture status post assault. Evaluate for fracture. Two views of the left tibia/fibula again show a spiral fracture of the distal fibula. No additional fracture is identified. There is significant soft tissue swelling about the lateral aspect of the ankle. | Spiral fracture of the distal fibula. |
Generate impression based on findings. | Male; 49 years old. Reason: rule out free air vs abscess History: recent EGD w/ botox injections for achalasia ABDOMEN:LUNG BASES: Mild bibasilar dependent subsegmental atelectasis. Dilated distal esophagus opacified with oral contrast in keeping with the provided history of achalasia. Air and some debris is seen in di... | 1. No evidence of acute abnormality.2. Partially visualized dilated distal esophagus, in keeping with provided history of achalasia.3. Possible adhesive disease affecting proximal small bowel loops versus physiologic distention. |
Generate impression based on findings. | Frontal sinus: The frontal sinus and frontoethmoidal recesses are now clear.Anterior ethmoids: There is mild scattered residual mucosal thickening in anterior ethmoid air cells.Maxillary sinuses: There is moderate right and minimal left residual mucosal thickening in the maxillary sinuses. The right ostiomeatal unit r... | Significant interval improvement in appearance of the paranasal sinuses, with mild to moderate residual inflammatory changes. The right ostiomeatal unit remains partially opacified as does the right sphenoethmoidal recess. |
Generate impression based on findings. | Shoulder pain. Question of fracture. Three views of the left shoulder show no acute fracture or malalignment. Mild osteoarthritis affects the acromioclavicular joint. | No acute fracture is evident. |
Generate impression based on findings. | 7 year old male with POD #0 status post shunt revision, vomiting, and lethargy. Since the prior exam there has been interval shunt revision with placement of a right parietal approach ventriculostomy catheter that appears to traverse the right occipital horn and the right ambient cistern, terminating within the right t... | Interval shunt revision as detailed above with a decrease in ventricular size. |
Generate impression based on findings. | 83-year-old male patient with history of free air on recent CT and recent G-tube placement on 3/18/2015. 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:ABDOMEN:LUNG BASES: Central venous cath... | Minimally changed pneumoperitoneum is slightly decreased compared to prior examination. Gastrostomy tube is in appropriate position without enteric contrast leak. |
Generate impression based on findings. | 56 years, Female. Reason: OG placement History: OG placement Limited field of view, with pelvis not included. There is an enteric tube with its tip projecting over the distal body of the stomach. Spinal surgical hardware is seen in the lower lumbar spine. | Enteric tube tip projects over the distal body of the stomach. |
Generate impression based on findings. | Fall, rule out ICH Compared to examination from approximately 6 hours earlier, there is no significant change in small acute subdural hematoma along the right frontoparietal convexity measuring up to 5 mm in thickness. There is minimal local mass effect on the adjacent sulci. Otherwise no significant mass-effect, midli... | Compared to examination from approximately 6 hours earlier, there is no significant change in small acute subdural hematoma along the right frontoparietal convexity measuring up to 5 mm in thickness. Minimal mass effect on the adjacent sulci. No midline shift or herniation. |
Generate impression based on findings. | Evaluate for progression of intracranial hemorrhage. Redemonstrated is a left frontal approach ventricular catheter with tip near the midline in the left lateral ventricle. There is no significant interval change in the intraparenchymal hemorrhage centered within the right thalamus with associated local mass effect and... | 1. Left frontal approach ventricular catheter is unchanged in position without significant interval change in size of the ventricular system.2. Stable right thalamic intraparenchymal hemorrhage extending into the adjacent ventricular system. |
Generate impression based on findings. | 59 years, Female. Reason: Patient with alternating diarrhea and constipation. Evaluate stool burden History: alternating diarrhea and constipation There is an average to greater than average stool burden. Nonobstructive bowel gas pattern. | Average to greater than average stool burden. |
Generate impression based on findings. | 70 years, Male. Reason: ro obstruction History: llq pain Right flank is not completely included in field of view. There are air containing loops of both small and large bowel, but no dilated loop of bowel, suggesting a mild ileus rather than obstruction. There is intra-abdominal free air which may be post operative in ... | 1. Air containing nondilated loops of bowel suggest a mild ileus rather than an obstruction. 2. Intra-abdominal free air may be post operative in nature. |
Generate impression based on findings. | Frontal sinus: The right frontal sinus is not pneumatized. The left frontal sinus and frontoethmoidal recess are clear.Anterior ethmoids: There is scattered trace mucosal thickening in the anterior ethmoid air cells.Maxillary sinuses: There is mild mucosal thickening in the left maxillary sinus. The right maxillary si... | Very minimal scattered sinus inflammatory changes without CT evidence of acute sinusitis. |
Generate impression based on findings. | Female; 34 years old. Reason: rlq pain for increasing for 2 days History: rlq pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedK... | 1. Nonspecific hyperattenuating right ovarian lesion, suggestive of a hemorrhagic cyst.2. Normal appendix identified. Minimal periappendiceal fatty stranding may be related to physiologic pelvic free fluid or ruptured right ovarian cyst. |
Generate impression based on findings. | 7-month-old female with bilious vomitingVIEW: Abdomen AP (one view) 3/24/15 at 2034 Moderate stool burden with a disorganized, nonobstructive bowel gas pattern. No pneumatosis, free air, or portal venous gas. | Moderate stool burden. |
Generate impression based on findings. | 8 year-old female with desaturationsVIEW: Chest AP (one view) 3/24/15 at 2046 Right IJ central catheter terminates at the cavoatrial junction. Cardiac silhouette size is enlarged. Prominent pulmonary vascular markings. No focal pulmonary opacities suggesting pneumonia. No pleural effusion or pneumothorax. | Cardiomegaly without evidence of pneumonia. |
Generate impression based on findings. | Intracranial hemorrhage, status post fall The cervical vertebral bodies are appropriate height. There is kyphotic angulation of the cervical spine with apex at the C5-C6 level and similar to prior. There is mild anterior subluxation although the atlanto-dental interval measures within normal limits due to osteophytes. ... | 1. No acute fracture or subluxation in the cervical spine.2. Mild chronic anterior subluxation of C1 on C2 which in combination with retro-odontoid soft tissue results in mild to moderate spinal canal stenosis at this level. |
Generate impression based on findings. | Pain and swelling. Evaluate for abscess left upper molar. Panorex radiograph of the mandible shows no specific evidence of cortical destruction. Multiple teeth are missing including the left upper molars. Periapical lucency is noted about multiple remaining mandibular teeth. No acute fracture is evident. | Periodontal disease of the mandibular teeth. |
Generate impression based on findings. | 2-year-old male with fever and coughVIEWS: Chest AP/lateral (two views) 3/25/15 Cardiothymic silhouette is normal. Bronchial wall thickening is present. Streaky left basilar opacity and streaky left upper opacity may represent atelectasis. No pleural effusion or pneumothorax. Faintly radiopaque linear density projectin... | Bronchiolitis/reactive airway disease pattern. |
Generate impression based on findings. | Male; 34 years old. Reason: Evaluate for thrombus History: Splenic and renal infarct. Concern for possible vegetation on valve CHEST:LUNGS AND PLEURA: New small left pleural effusion with mild adjacent compressive left basilar subsegmental atelectasis. Minimal right basilar dependent subsegmental atelectasis.MEDIASTINU... | 1. Dissection flap of the celiac artery trunk with normal runoff preserved to the celiac branch vessels via the true lumen. This isolated finding is suggestive of segmental medial arteriolysis.2. Stable moderate splenic infarct and small left renal lower pole infarct.3. New small left pleural effusion. |
Generate impression based on findings. | 64-year-old female with cough LUNGS AND PLEURA: Central airways are patent. Multiple scattered calcified and noncalcified micronodules. No suspicious nodules or masses. Peripheral, subpleural, bandlike opacities predominantly in the left lower lobe with associated small pleural effusions are stable to slightly increase... | Left small pleural effusion with peripheral bandlike opacities may represent atelectasis. If there is concern for superimposed process, cryptogenic organizing pneumonia and serial imaging may be considered. |
Generate impression based on findings. | Family history of rheumatoid arthritis. Elbow pain for 3 weeks, suspect epicondylitis. Question of fluid in the joint. Four views of the left elbow show no acute fracture or malalignment. No joint effusion is identified. No soft tissue swelling is seen. | No elbow joint effusion is identified. |
Generate impression based on findings. | For the purpose of numbering, the vertebral body associated with small hypoplastic rib is labeled T12. There are 4 lumbar type vertebral bodies with a transitional lumbosacral vertebral body labeled as L5 for the purpose of this report. There is interval development of diffuse lytic metastases of the imaged thoracolum... | 1.Interval development of osseous metastatic disease involving the lumbar spine, pelvis, and imaged lower thoracic spine. There is subtle disruption of the right superior aspect of the L1 end plate without loss of vertebral body height. No pathologic compression fractures or significant spinal canal or neural foraminal... |
Generate impression based on findings. | Right tibialis tendinitis. Three views of the right foot show interval fixation of the first tarsometatarsal joint with two orthopedic screws within the medial cuneiform and first metatarsal. No acute fracture is identified. Interval removal of an accessory navicular ossicle and creation of a foramen for tendon transfe... | Orthopedic fixation of the first tarsometatarsal joint as described above. |
Generate impression based on findings. | Lumbar pain. Three views of the lumbar spine show no acute fracture. Vertebral body heights and disk spaces are maintained. Alignment is anatomic. | No specific radiographic findings to account for the patient's symptoms. |
Generate impression based on findings. | 66 years, Female. Reason: s/p further advancement of NG tube based on abd CT, confirm placement History: LVAD, SBO s/p NGT placement and recent further advancement Nasogastric tube looped in the stomach with the tip projecting over the fundus of the stomach. LVAD, sternotomy wires and pacemaker leads in place. The pelv... | Nasogastric tube looped in the stomach with the tip projecting over the fundus of the stomach. |
Generate impression based on findings. | 17-month-old female with elbow swelling after fallVIEWS: Left elbow AP, lateral (two views) 3/25/15 Lateral view suboptimal due to patient's inability to cooperate with exam. Soft tissue swelling is present about the elbow. Normal alignment of the capitellum with respect to the radius. Thin lucency along the distal mos... | Lucency along the distal most aspect of the humerus represents fracture. |
Generate impression based on findings. | Preop evaluation for right total hip arthroplasty with robotic assistance (MAKO protocol). CT images of the right hip show moderate to severe superior joint space narrowing with subchondral sclerosis and subchondral cyst formation within the acetabulum. Osteophytes are noted at the hip joint. No acute fracture is evide... | Right hip osteoarthritis. |
Generate impression based on findings. | 56 years, Male. Reason: cor pak History: xcor pal There is a Dobbhoff tube with its tip projecting over the body of the stomach, and the guidewire still in place. There is a nonobstructive bowel gas pattern. | There is a Dobbhoff tube with its tip projecting over the body of the stomach. |
Generate impression based on findings. | 56 years, Male. Reason: repositioning cor pa History: repositioning cor pa There is a Dobbhoff tube with its tip projecting over the antrum of the stomach, folded back upon itself, possibly kinked. There is a nonobstructive bowel gas pattern. | There is a Dobbhoff tube with its tip projecting over the antrum of the stomach, folded back upon itself, possibly kinked. |
Generate impression based on findings. | 79 year old female with a history of right mastectomy in 1983 presents for annual mammogram. No current breast complaints. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 50 year old female with blurred vision, headache, and hypertension. There is no evidence of intracranial hemorrhage. There is mild atherosclerotic calcification of the distal internal carotid and vertebral arteries. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or her... | No evidence of intracranial hemorrhage. If there is concern for acute ischemia, MRI is suggested. |
Generate impression based on findings. | 56 years, Male. Reason: cor pak History: cpr pak There is a Dobbhoff tube with its tip projecting over the fundus of the stomach, looped back upon itself. There is a nonobstructive bowel gas pattern. | There is a Dobbhoff tube with its tip projecting over the fundus of the stomach, looped back upon itself. |
Generate impression based on findings. | Retropharyngeal fluid collection extending into the mediastinum measuring 1.9-cm in AP dimension and 4-cm in transverse dimension (series 6 image 49). There is increased fluid component compatible with evolution of the hematoma, but superimposed infection cannot be excluded. There is extensive soft tissue edema involv... | 1.Retropharyngeal fluid collection is compatible with expected evolution of the previously seen large retropharyngeal hematoma although superinfection cannot entirely be excluded. No other fluid collection to suggest abscess. Extensive soft tissue edema involving the pharyngeal and parapharyngeal soft tissues with airw... |
Generate impression based on findings. | Back pain. Three views of the sacroiliac joint show no acute fracture. The SI joints are open without evidence of erosion or sclerosis. | Normal appearing sacroiliac joints. |
Generate impression based on findings. | Metastatic colon carcinoma CHEST:LUNGS AND PLEURA: No significant change in the bilateral pulmonary metastatic nodules. Reference left upper lobe nodule best seen on image 40 of series 6 measures 1.2 x 1.4 cm. Reference right lower lobe nodule best seen on image 69 of series 6 measures 2.7 x 2.5 cm.MEDIASTINUM AND HILA... | Stable examination. |
Generate impression based on findings. | New right-sided posterior rib pain. History of multiple myeloma. A metallic BB denotes the site of the patient's pain. Three views of the ribs again show diffuse demineralization of the osseous structures which may represent diffuse myomatous involvement, appearing similar to the prior study. Again seen are multiple he... | No acute right rib fracture is identified. |
Generate impression based on findings. | 84 year old female with dysphagia to solids. Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Dedicated fluoroscopic loop captures of swallowing were obtained in the AP and lateral projections. Note was made of a cricopharyngeal bar with approximately 50% ... | 1.Small hiatal hernia with mucosal irregularity along the proximal aspect, direct visualization is recommended as clinically indicated.2.Cricopharyngeal bar resulting in approximately 50% luminal narrowing of the cervical esophagus.3.Penetration to the level of the cords.4.Minor esophageal motor abnormality. |
Generate impression based on findings. | Desaturations. Six day old with history of perinatal acidosis.VIEW: Chest AP (one view) 03/25/15, 0845 Endotracheal tube tip is just above carina. Feeding tube tip is distal to GE junction and not included on image. Umbilical venous line has its tip at level of left hepatic vein. Left neck PCVC is in left brachiocephal... | Worsening lung opacities. These may represent edema, infection, pulmonary hemorrhage, or others. |
Generate impression based on findings. | 57-year-old female with benign calcifications in the right lower, outer quadrant on baseline mammogram performed on 10/31/13 presents for bilateral diagnostic mammogram. Family history of breast carcinoma in her mother . Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9... | No mammographic 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 finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 50 year-old male with fever, evaluate for pneumonia or hemothorax LUNGS AND PLEURA: Central airways are patent. Small right pneumothorax. Large right pleural effusion measuring simple fluid attenuation with compressive atelectasis/consolidation. The left lung is unremarkable. Scattered nonspecific micronodules.MEDIASTI... | 1.Large right pleural effusion with compressive atelectasis/consolidation may represent hepatic hydrothorax. No evidence of hemothorax as clinically questioned.2.Resolving small right pneumothorax3.Cirrhotic morphology of liver, splenomegaly, and varices with large amount of ascites not significantly changed. |
Generate impression based on findings. | 83-year-old male with history of COPD and new lung nodules PET avid lesions on outside hospital imaging. CHEST:LUNGS AND PLEURA: There is severe emphysematous changes bilaterally. Numerous spiculated pulmonary nodules and masses are noted bilaterally which have increased in size, some clustered in the lingula, anterior... | Bilateral pulmonary nodules and masses with the largest located in the anterior aspect of the left base is suspicious fro malignancy; given clustered appearance and anterior lung location, active mycobacterial infection may also be considered in the appropriate clinical context. Differential considerations include a me... |
Generate impression based on findings. | Hemophagocytic lymphohistiocytosis. Retrovirus infection. Bone marrow transplant.VIEW: Chest AP (one view) 03/25/15, 0606 Endotracheal tube tip is below thoracic inlet. Feeding tube is coiled upon itself with tip in gastric body. Lower extremity central line tip is in the intrahepatic IVC. Right jugular central line ti... | Decreasing bilateral lung opacities. |
Generate impression based on findings. | 66-year-old female status post right breast lumpectomy in May, 2014 for DCIS followed by radiation therapy, completed in August of 2014 presents for bilateral mammogram. Three standard views of both breasts and two spot magnification views of the right breast were performed digitally and reviewed with the aid of R2 CAD... | Expected post lumpectomy changes in the right breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - D... |
Generate impression based on findings. | 55-year-old male patient with history of renal cell carcinoma presents for follow up. CHEST:LUNGS AND PLEURA: There are numerous new micronodules and nodules in the right lung with a dominant large nodule in the right middle lobe that measures 1.1 x 1.0 cm (series 4 image 82). Reference right lower lobe nodule is uncha... | Progression of metastatic disease with new right lung disease, increasing number and size of left lower lung pleural based lesions, increasing mediastinal lymphadenopathy, and new retroperitoneal lymphadenopathy. |
Generate impression based on findings. | There is interval expected evolution of postoperative changes from previous left frontal craniotomy for resection of the left frontal lobe mass. Previously seen left frontal extra-axial and extracranial collections have resolved. There is interval decreased susceptibility in the left frontal lobe. There are foci of su... | 1. Expected evolution of left frontal postoperative changes. Residual irregularly shaped area of abnormal signal with thin peripheral enhancement and overall decreased extent of surrounding vasogenic edema, for which continued follow-up is recommended. Essentially resolved associated mass effect.2. Significant improved... |
Generate impression based on findings. | Right foot injuryVIEWS: Right foot AP lateral and oblique 3/24/15 (3 view/s) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | 2-year-old male with diarrhea and bilious emesisVIEWS: Abdomen AP and left lateral decubitus (two views) 3/25/15 at 0847 Nonobstructive bowel gas pattern. No evidence pneumatosis, free air or portal venous gas. Air filled cecum is seen in the right lower quadrant. An air-filled rectum is seen. | Normal examination. |
Generate impression based on findings. | 22-year-old male status post gunshot wound to the neck, febrile, evaluate for abscess or infection LUNGS AND PLEURA: Endotracheal tube is in appropriate position. Central airways are patent. Small bilateral pleural effusions with adjacent compressive atelectasis is decreased from the prior exam. No suspicious nodule or... | 1.New scattered groundglass in tree in bud opacities with bronchial thickening may represent bronchiolitis secondary to aspiration or infection.2.Small pleural effusions with adjacent atelectasis is improved prior exam.3.Improving right mediastinal hematoma.4.Postoperative changes in the anterior soft tissues of neck a... |
Generate impression based on findings. | Reason: abscess, sinusitis History: nasolabial induration, L nares pus, purulent drainage, 2cm area of erythema, fluctuance above gumline underneath upper lip Inflammatory changes centered at the left philtrum with extension superiorly to the level of the nasolabial and premalar soft tissue. There is discrete fluid col... | 1.Inflammatory changes centered at the left philtrum with 17x14x20 mm abscess as above.2.Mild cervical lymphadenopathy which is likely reactive. |
Generate impression based on findings. | 13-day-old male with apnea and prematurityVIEW: Chest and abdomen AP (two views) 3/25/15 NG tube and proximal side hole is present in the gastric body. Right femoral catheter in the right common iliac.Cardiothymic silhouette is normal. No pleural effusion or pneumothorax. Increased lung volumes with minimal granular di... | Minimal granular diffuse lung haziness without focal opacity. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 43-year-old female with shortness of breath and dyspnea on exertion, evaluate for worsening pulmonary embolism PULMONARY ARTERIES: Technically adequate examination with pulmonary embolus in the right lower lobe medial basal segmental pulmonary artery. Main pulmonary artery caliber is within normal limits.LUNGS AND PLEU... | 1.Pulmonary embolus in the right lower lobe medial basal segmental artery.2.Mild basilar dependent ground glass opacity with focal areas of sparing is nonspecific but may be related to edema. Findings discussed with Dr. Louissaint by the on call resident. PULMONARY EMBOLISM: PE: PositiveChronicity: Indeterminate.Multip... |
Generate impression based on findings. | Male; 64 years old. Reason: r/o mets; prostate cancer History: none ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Few subcentimeter hypoattenuating foci in both hepatic lobes are too small to characterize but likely due to cysts (series 4/25 and 27).SPLEEN: No significant abnormality notedPA... | 1. No definite metastatic disease.2. Few scattered nonspecific small sclerotic foci in the spine and pelvis are most likely benign, though bone scintigraphy would be more sensitive for detection of metastases. |
Generate impression based on findings. | 33-year-old female patient with right sided abdominal pain. Evaluate for appendicitis. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Status post cholecystectomy. There is an enhancing lesion in segment 6 of the liver measures 1.8 x 1.5 cm (series 3 image 12).SPLEEN: No significant abnormali... | 1.No evidence of appendicitis, as clinically questioned.2.Dermoid in the left ovary with minimal adjacent fluid without evidence of rupture. Cannot exclude torsion, however, the right adnexa appears to be in the appropriate location when compared to the left ovary.3.Hyperattenuating lesion in the posterior right liver,... |
Generate impression based on findings. | 42 year-old female with knee and hip and ankle pain status post fall on the ice. Four nonweightbearing views of the right knee demonstrate normal anatomic alignment without evidence of acute fracture. There is no significant soft tissue swelling or joint effusion.Three views of the right ankle demonstrate normal anatom... | There is no acute fracture or malalignment. |
Generate impression based on findings. | 84-year-old female with right hand pain after fall. Three views of the right hand demonstrate cortical step-off involving the second metacarpal head, suggestive of a minimally displaced fracture. There is congenital fusion of the lunate and triquetrum, likely no clinical significance. A well corticated accessory ossicl... | Minimally displaced fracture of the second metacarpal head. |
Generate impression based on findings. | 13-year-old female with history of fracture.VIEWS: Right wrist PA, oblique and lateral (3 views) 3/25/15 No significant soft tissue swelling. Linear increased sclerosis and periosteal reaction of the distal radius at the previous buckle fracture indicates interval healing. No additional healing fractures are seen. The ... | Healing distal radial buckle fracture. |
Generate impression based on findings. | Reason: 81F h/o RA p/w mechanical fall resulting in right hip pain, x-ray equivocal greater trochanter vs femoral neck fracture? There is a comminuted, minimally displaced intratrochanteric fracture of the right femur. The femoral neck appears intact. No other fractures are identified in the right hemipelvis. Patchy sc... | 1.Comminuted intratrochanteric fracture as above. 2.The femoral neck is intact.3.Patchy sclerosis in the femoral neck is concerning for sclerotic metastases. Given lack of stated history of malignancy, further work up is recommended.Findings discussed with ED physician, Keegan Checkett, at the time of dictation. |
Generate impression based on findings. | 81 year-old female history of rheumatoid arthritis with ground level fall, unable to bear weight. Single AP view of the pelvis and two views of the right hip demonstrate cortical irregularity along the greater trochanter, suspicious for minimally displaced fracture. Degenerative changes affect the bilateral hips and sa... | Nondisplaced intertrochanteric fracture as above. Severe degenerative changes of the right knee, likely related to rheumatoid arthritis. No additional fractures are identified in the pelvis/femur. |
Generate impression based on findings. | History of right breast cancer s/p lumpectomy in 2012 presents for bilateral diagnostic mammogram. Three standard views of both breasts and two spot magnification views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, uncha... | 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. | 39-year-old female with multifocal pain status post assault. Four views of the cervical spine demonstrate normal anatomic alignment, without evidence of acute fracture. Joint spaces and disk body heights are preserved. There is no significant soft tissue swelling. The airway appears unremarkable.Two views of the sacrum... | There is no acute fracture or malalignment. |
Generate impression based on findings. | 44 years, Female. Reason: 44 female with metastatic breast cancer, persistent nauseas/regurgitation. GI requesting Upper GI with SBFT to r/o obstruction/emptying defect History: Nausea/vomiting Nonobstructive bowel gas pattern. Partially imaged right lung pleural effusion and bibasilar airspace opacities. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Reason: eval dislocation History: s/p reduction Panorex radiograph of the mandible demonstrates interval reduction of previously described subluxation of the right temporomandibular joint, which now appears in normal anatomic alignment. No acute fracture is evident. Metal wires are again noted about multiple teeth. | Temporomandibular joint is in normal anatomic alignment status post reduction. |
Generate impression based on findings. | 1-year-old male with history of trauma.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, ribs right oblique/left oblique, pelvis AP, right femur AP, left femur AP, right t... | Bilateral healing proximal humeri fractures. Healing right distal radial bucket handle fracture. |
Generate impression based on findings. | 87-year-old female S/p Right THA with robotic assistance. Single view of the right hip and single view of the pelvis demonstrate hardware components of a total hip arthroplasty in near-anatomic alignment; no evidence of fracture or dislocation. Surgical drain, and iatrogenic gas are present in the soft tissues. Suture ... | Right total hip arthroplasty as above. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.