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Generate impression based on findings. | 66-year-old female with history of shortness of breath. Evaluate for ILD. LUNGS AND PLEURA: There are innumerable noncalcified solid pulmonary nodules. For reference, the largest lesion right lower lobe measures 8-mm (5/78). Small right pleural effusion. Mild mosaic attenuation of the lung parenchyma, indeterminate eti... | 1. Multiple solid pulmonary nodules and indeterminate hypoattenuating splenic lesions suspicious for metastatic disease. Alternatively, disseminated fungal infection can be considered if the patient is neutropenic.2. Moderate sized pericardial effusion and ascites.3. Signs of severe pulmonary hypertension with dilatati... |
Generate impression based on findings. | 97-year-old female status post right hemiarthroplasty secondary to femoral neck fracture. Single view of the right hip and single view of the pelvis demonstrate hardware components of a bipolar right hip hemiarthroplasty in near anatomic alignment, without evidence of fracture or hardware complication. Skin staples and... | Right hip hemiarthroplasty as above. |
Generate impression based on findings. | Male; 60 years old. Reason: 59y/o with colon ca s/p resection. s/p chemo. compare to prior scans History: colon ca CHEST:LUNGS AND PLEURA: Nonspecific pulmonary micronodules are unchanged. No new suspicious pulmonary nodule or mass. No consolidation or pleural effusion. Mild bibasilar atelectasis/scarring.MEDIASTINUM A... | Three new small hepatic lesions suspicious for metastases as detailed above. |
Generate impression based on findings. | 54-year-old female with parathyroid disease, lower back pain, knee pain. Two views of the lumbar spine demonstrate normal anatomic alignment. There is no evidence of fracture. Vertebral body heights and disk spaces are well-preserved.Views of the hips and pelvis demonstrate normal anatomic alignment, without evidence o... | Mild degenerative changes of the left knee. Otherwise, unremarkable exam. |
Generate impression based on findings. | 66-year-old female status post right mastectomy in 1994 for breast cancer presents for left diagnostic 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. ... | 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.If patient submits prior mammograms for comparison, a comparison will be made to the current stud... |
Generate impression based on findings. | 10-year-old male with abdominal distention and constipation, evaluate stool burdenVIEW: Abdomen AP (one view) 3/25/15 Gastrostomy tube is present. Disorganized, nonobstructive bowel gas pattern. No pneumatosis, free air, portal venous gas. Rightward curve of thoracolumbar spine is again noted. The femoral heads are sea... | Small formed stool burden. |
Generate impression based on findings. | 52 year-old female with right fifth digit pain and swelling status post fall. Two views of the right fifth digit demonstrate diffuse soft tissue swelling, without underlying acute fracture or malalignment. | Soft tissue swelling without underlying acute fracture. |
Generate impression based on findings. | 40 year-old male with history of metastatic thymic carcinoma, with bilateral forearm/wrist pain and swelling, concern for lytic lesions. Two views of the right forearm demonstrate normal mineralization, without evidence of lytic lesions. Alignment is anatomic, there is no evidence of acute fracture.Two views of the lef... | No lytic lesions are identified in the forearms. |
Generate impression based on findings. | 56 year old male status post right fourth digit PIP arthroplasty. Three views of the right fourth digit demonstrate hardware components of a fourth digit proximal interphalangeal arthroplasty, in near-anatomic alignment, and underlying comminuted fracture of the fourth mid phalanx. A fracture line remains visible. Tiny... | Right fourth PIP arthroplasty as above. |
Generate impression based on findings. | 57-year-old female status post left mastectomy in May 2013 with a right breast implant (silicone since 2013, previously saline) presents for a right unilateral diagnostic mammogram. Two standard implant displaced and with implant views of the right breast performed digitally and reviewed with the aid of R2 CAD 9.3. The... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 13-year-old male status post orthopedic fixation of distal radial fracture. Two views of the right forearm again demonstrate diffuse demineralization, and gracile diaphyses, with mild chronic deformity of the carpus, not significantly changed when compared to prior exam. A side plate and screw device affixes a distal r... | Orthopedic fixation of distal radius fracture as above. |
Generate impression based on findings. | Redemonstrated is an extra-axial focus of dural based enhancement adjacent to the right precentral and post-central gyrus laterally measuring 21 x 6 mm (AP x TR), previously measuring 20 x 6 mm. There are atypical nonenhancing discontinuous cystic appearing areas within this lesion, similar to prior exam. Incidentally... | 1. No significant interval change in a 21 x 6 mm extra-axial dural based enhancing lesion, containing nonspecific cystic foci, adjacent to the lateral aspect of the right pre-and postcentral gyri. This may represent a meningioma. 2. Minimal chronic small vessel ischemic disease. |
Generate impression based on findings. | 52 year old female with altered mental status and breast cancer. There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft... | No evidence of intracranial hemorrhage or significant mass effect. If there is concern for intracranial metastases, a contrast enhanced MRI is recommended. |
Generate impression based on findings. | Abdominal pain vomiting diarrhea ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedR... | Abnormal wall thickening involving jejunal and proximal ileal small bowel loops. Findings suggestive for acute inflammatory/infectious process. No obstruction. |
Generate impression based on findings. | History of left mastectomy in 2010. History of benign right breast biopsy. No new breast complaints. History of breast carcinoma in maternal niece. 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 dens... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Male 55 years old Reason: stem cell transplant with worsening dysphagia History: dysphagia Scout radiograph of the chest showed a right internal jugular central venous catheter with its tip in the superior vena cava. Dobbhoff tube tip projects out of the field-of-view.Single contrast evaluation esophagus demonstrated n... | 1.Limited examination without evidence of stenosis or obstruction of the esophagus.2.Small hiatal hernia. |
Generate impression based on findings. | Female 44 years old Reason: assess for rectocele, cystocele, prolapse History: 44 y.o. woman with severe constipation. Hx of power morcellator surgery for fibroids There is prompt opacification of the rectum, sigmoid, and descending colon, of normal static morphology.Trial straining showed appropriate descent of the pe... | Normal examination. |
Generate impression based on findings. | History of right breast cancer diagnosed in 2002 treated with lumpectomy, adjuvant radiation therapy and hormonal therapy. 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 density... | 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. | Reason: 45 yo F with history of breast cancer, bronchiectasis, ABPA now with increased cough, chest pain History: chest pain LUNGS AND PLEURA: Redemonstration of focal areas of bronchiectasis involving right middle and right lower lobes. There is increasing right middle lobe consolidation and increasing debris within t... | Multifocal areas of bronchiectasis involving the right middle and lower lobes as well as the lingula demonstrating increasing mucoid impaction and subsequent consolidation with nodular and tree in bud opacities compatible with recurrent allergic bronchopulmonary aspergillosis (ABPA). |
Generate impression based on findings. | 54-year-old male with peritoneal mesothelioma LUNGS AND PLEURA: Central airways are patent. No significant pleural thickening is evident. Mild bandlike opacities appear similar to the prior exam compatible with atelectasis and/or scarring. No focal consolidations. A 4-mm airspace nodule is not significantly changed sin... | 1.Interval minimal increase in size of prominent mediastinal lymph nodes .2.No evidence of pulmonary or pleural metastases.3.Please see separate abdominal CT report for abdominal reference measurements and findings. |
Generate impression based on findings. | Pre-auto SCT evaluation. History of multiple myeloma. SKULL: Two views. No discrete myelomatous lesions.CERVICAL SPINE: Two views. No discrete myelomatous lesions. Anterior osteophytes are noted at C5/C6 with mild disc space narrowing.THORACIC SPINE: One view. No discrete myelomatous lesions. Anterior paravertebral oss... | 1. Small lucent lesions within bilateral proximal humeri probably represent myelomatous deposits.2. Probable right femoral benign enchondroma. |
Generate impression based on findings. | Clinical question: Evaluate ventricular size. Signs and symptoms: AMS. Nonenhanced head CT:Mildly dilated supratentorial ventricular system is performed demonstrates no definitive interval change since prior study.The transverse diameter of the third ventricle anteriorly measures at 13-mm compared to prior study measur... | 1.No evidence of an acute or new finding since prior exam. 2.Stable dilated supratentorial system and decreased minimal intraventricular hemorrhage since prior exam.3.Stable small amount of subarachnoid hemorrhage on the left since prior exam.4.Stable focus of low-attenuation in the right frontal lobe at the site of re... |
Generate impression based on findings. | 66 year old female patient with documented right ureteral urothelial carcinoma. Please evaluate for interval change. CHEST:LUNGS AND PLEURA: Stable right middle lobe subpleural nodule. Left lower lobe subpleural nodule measures 1.6 x 0.8 cm (series 9 image 72), previously 1.5 x 0.9 cm. There is a new nonsolid nodule in... | 1.Atrophic right kidney, patent ureteral stent, and resolved hydronephrosis. No evidence of intra-abdominal metastases.2.Non solid lesions in the bilateral lungs have an atypical appearance for metastases and should be followed on subsequent examinations.3.Stable left base subpleural nodule.4.No significant change in l... |
Generate impression based on findings. | Male; 69 years old. Reason: evaluate for metastasis History: hx of renal cell ca, LLL nodule stable since 2011 CHEST:LUNGS AND PLEURA: Stable left lower lobe nodule measures 2.4 x 1.5 cm (series 7/68), previously 2.4 x 1.5 cm (remeasured). Scattered pulmonary micronodules, some which are calcified. No pleural effusions... | 1. Status post left partial nephrectomy. No evidence of local recurrence.2. Stable left lower lobe nodule.3. No other abnormality seen and no new evidence to suggest metastatic disease. |
Generate impression based on findings. | 13-year-old male with history of traumaVIEWS: Sacrum and coccyx sacrum AP, coccyx AP, lateral; lumbar spine AP or right oblique, left oblique, lateral, L5-S1 (8 views) 3/25/15 Sacrum and coccyx: No fracture or malalignment. The femoral heads are well seated in the well formed acetabula bilaterally. Formed stool is note... | Normal examination. |
Generate impression based on findings. | Clinical question: Evaluate paranasal sinuses. Signs and symptoms: Left maxillary chronic sinus pain and discharge. Medtronic fusion sinus CT:All paranasal sinuses are well pneumatized and without evidence of disease. The sphenoethmoidal recesses of the splenic sinus are patent. Ostiomeatal unit of left maxillary sinus... | No evidence of sinusitis. Please see above comments |
Generate impression based on findings. | 77-year-old female with history of lung cancer. CHEST:LUNGS AND PLEURA: Moderate centrilobular apical predominant emphysema. Unchanged part solid and cystic right upper lobe nodule measures 2.0 x 0.8 cm (image 31 of series 6). Scattered pulmonary micronodules, nonspecific. Right lower lobe streaky nodule measures 6 x 5... | No significant change in referenced right lung nodules or evidence of metastatic/recurrent disease. |
Generate impression based on findings. | 17 year-old female with chronic knee pain and scoliosisVIEWS: Left and right knee: Left and right lateral, AP, notch, sunrise; thoracolumbar spine: PA (6 views) 3/25/15 Right knee: No fracture or malalignment. No joint effusion. No significant abnormality. Left knee: Again seen are the lesions a sclerotic margins in th... | 1.No fracture or malalignment. Smaller and less conspicuous left tibia and fibula nonossifying fibromas. 2.Thoracolumbar scoliosis as detailed above. |
Generate impression based on findings. | Evaluate healing distal fibular fracture. Again seen is an oblique fracture through the distal fibula extending to the tibiotalar joint. The fracture line is less distinct with increased callus formation suggestive of healing. A minimally displaced posterior tibial fracture is again noted, the fracture line is less dis... | Healing tibia and fibula fractures. |
Generate impression based on findings. | Reason: pulm mets History: pancreatic mass with liver mets LUNGS AND PLEURA: 6-mm nodular scar like opacity identified at the right costophrenic angle (image 207 series 6). No suspicious pulmonary nodules or masses.Mild upper lobe predominant centrilobular emphysema.No pleural effusion.MEDIASTINUM AND HILA: No hilar me... | No evidence of metastatic disease within the chest. |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with mild age-related volume loss. There is no midline shift or mass effect. There is no acute intracranial hemorrhage. There are scattered punctate areas of abnormal low density in the periventricular and subcortical white matter, consistent with minimal age indeterm... | No acute intracranial hemorrhage. Minimal age indeterminate small vessel ischemic changes. Please note that CT is insensitive for the detection of acute nonhemorrhagic ischemic event. If there is continued clinical concern and there are no contraindications, MRI of the brain is recommended. |
Generate impression based on findings. | Status post spinal fusion. A posterior stabilization device is in place with left pedicle screws entering the L3, L4, and L5 vertebrae and right pedicle screws entering the L3 and L4 vertebrae. A fractured right pedicle screw is present at L5, likely from prior hardware and is similar to the prior study. Bone graft mat... | Postoperative changes as described above with slight anterolisthesis of L4 on L5. |
Generate impression based on findings. | Status post laparotomy and small bowel resection for perforation now with persistent night sweats and abdominal 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 change in mildly dilated proximal small bowel loops; while this may represent a slowly resolving ileus, a mild obstructive component cannot be excluded. Interval decrease in size of loculated pelvic fluid collection. |
Generate impression based on findings. | Soft tissue swelling left ankle. Four views of the left ankle show no acute fracture Alignment is anatomic. No ankle joint effusion is seen. | No acute fracture is evident. |
Generate impression based on findings. | 54 year old female who was recalled from screening mammogram for possible faint calcifications in the right outer breast. An ML view and three spot magnification views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in patte... | 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: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Pain left hip with ambulation. Assess for bony abnormalities/osteoarthritis. Two views of the left hip show subtle sclerosis along the superior aspect of the left femoral head. No acute fracture is evident. Mild osteoarthritis affects the left hip. | Subtle sclerosis along the superior aspect of the left femoral head may represent early AVN; MRI of the left hip may be obtained for confirmation. |
Generate impression based on findings. | 25-year-old male with history of pulmonary histoplasmosis, cough, and hemoptysis. LUNGS AND PLEURA: There has been interval development of clusters of pulmonary micronodules in the right upper lobe. Numerous additional nodules not significantly changed. Reference right middle lobe solid nodule measures 16 x 13 mm, prev... | 1. New clusters of subcentimeter nodules in the right upper lobe compatible with new sites of active infection.2. Mediastinal lymphadenopathy in the subcarinal region with resultant compression of the bronchus intermedius appears similar to prior examination. Mild extrinsic compression of the mid esophagus and roof of ... |
Generate impression based on findings. | Knee contusion December 2014 complaining of patella pain with stair climbing. Please evaluate for fracture. Four views of the left knee show no acute fracture or malalignment. No knee joint effusion is identified. | No acute fracture is evident. |
Generate impression based on findings. | Right hand ring and small finger metacarpal fracture, pain. Three views of the right hand show shortening of the fourth and fifth metacarpals due to midshaft transverse fractures. There is slight volar angulation of the distal fracture fragment of the fourth metacarpal. There is approximately one shaft width of radial ... | Healing 4th and 5th metacarpal fractures as described above. |
Generate impression based on findings. | 55 year old male with redness, painful swelling for less than a month. Persistent with antibiotics. RIGHT TESTIS: Measures 4.5 cm x 2.3 cm x 2.9 cm and is normal in echogenicity with no lesions noted. LEFT TESTIS: Measures 2.1 cm x 3.0 cm x 4.5 cm and is normal in echogenicity with no lesions noted. RIGHT EPIDIDYMIS: M... | Complex left epididymal cyst. No mass lesions or abnormal vascularity is noted. |
Generate impression based on findings. | History of thyroid cancer, increased activity in the right submandibular area seen on thyroid scan 9/2014. Recent ultrasound negative. There is streak artifact from right maxillary and mandibular dental implants. Postsurgical changes of total thyroidectomy are noted without masses in the surgical bed. No masses, inflam... | Postsurgical changes of total thyroidectomy without evidence of tumor recurrence. No masses or inflammatory changes within the submandibular area are seen. |
Generate impression based on findings. | Left shoulder pain, rotator injury. Evaluate for structural abnormality. Three views of the left shoulder show no acute fracture or malalignment. The bones are slightly demineralized. Surgical clips are noted in the left hilum. | No acute fracture is evident. |
Generate impression based on findings. | 77-year-old female with CLL. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Scattered small subcentimeter normal appearing lymph nodes. No enlarged lymph nodes seen to suggest lymphadenopathy.CORONARY ARTERY CALCIFICATION: Scattered mild.CHEST WALL: No significant abnormality noted.ABDOM... | 1. No evidence for lymphadenopathy in the chest, abdomen or pelvis. 2. Small hiatal hernia. 3. Diffuse colonic diverticulosis without complication. |
Generate impression based on findings. | 40 year-old male with metastatic thymic carcinoma, recent SVC thrombosis status post venoplasty 2/2015 now with worsening tachycardia and shortness of breath LUNGS AND PLEURA: Elevated right hemidiaphragm with adjacent compressive atelectasis of the lung base.Increased paramediastinal fibrosis and subsegmental atelecta... | 1.Stable multilobulated, calcified anterior mediastinal mass compatible with known history of thymic carcinoma.2.Severe attenuation of the SVC from mass effect. A previously noted nonocclusive thrombus is no longer present.3.Stable osseous disease and chest wall as described above.4.Interval increase in postradiation c... |
Generate impression based on findings. | History of gunshot wound. Pre-MRI to evaluate for metal. Three views of the skull show multiple metallic dental fillings. No additional unexpected radiopaque foreign body is identified. | Dental fillings without additional metallic radiopaque foreign body. |
Generate impression based on findings. | Pain. Preop. Bone length study shows approximately 10 degrees of varus angulation. Severe osteoarthritis affects the right knee. | Varus angulation as above. |
Generate impression based on findings. | 45-year-old female patient history of leiomyosarcoma and occasional dyspnea on exertion. CHEST:LUNGS AND PLEURA: Again seen are postsurgical changes related to bilateral upper and lower lobe wedge resections. Stable soft tissue density along the resection margins, compatible scarring, appears similar to prior examinati... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Female; 56 years old. Reason: Please perform CT urogram to assess etiology of pelvic pain History: pelvic pain, outside reports of hematuria ABDOMEN:LUNG BASES: Bibasilar groundglass opacities and mosaic attenuation, similar to prior study and may be related to atelectatic change or small airways disease.LIVER, BILIARY... | 1. No findings to explain hematuria. These findings do not obviate the need for cystoscopy as clinically indicated.2. No findings to explain pelvic pain.3. Subtle right hepatic lobe hypoattenuating lesion, for which MRI can be obtained for further characterization if clinically indicated. |
Generate impression based on findings. | Spondylolisthesis of lumbar region. For sake of consistency with prior studies, 5 lumbar vertebraewith hypoplastic ribs at L1 are designated. Again seen are posterior rods with screws entering the L4 through S1 vertebrae, with additional screws entering both iliac wings. No evidence of hardware complication. Also again... | Postoperative changes of lumbosacral fusion. |
Generate impression based on findings. | 60 year-old female with pain and swelling to the third left metacarpal x 2 weeks. Three views of the left hand demonstrate normal anatomic alignment, without evidence of fracture. Joint space narrowing and osteophyte formation of the distal interphalangeal joints is suggestive of mild osteoarthritis. | No acute fracture or malalignment. No radiographic findings to explain patient's symptoms. |
Generate impression based on findings. | Hip total arthroplasty primary uncement. Single view of the pelvis shows the acetabular component pinned to the innominate bone. A soft tissue defect is noted about the left hip. | Left hip arthroplasty. |
Generate impression based on findings. | 43-year-old male with history of mild dysplastic syndrome. Pre-stem cell trans-evaluation. LUNGS AND PLEURA: Scattered calcified and noncalcified pulmonary micronodules. No pleural effusions or focal air space opacities.MEDIASTINUM AND HILA: The heart size is normal with no pericardial effusion. No mediastinal or hilar... | No evidence of active infection. |
Generate impression based on findings. | Female 71 years old Reason: 71 year old female with history of reflux of food into the mouth during sleeping. Please assess for signs of esophageal dysmotility or achalasia History: esophageal reflux Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions. Surgic... | 1.Esophageal motor abnormality with associated tertiary contractions.2.Small hiatal hernia. |
Generate impression based on findings. | Hip total arthroplasty primary uncement. Single view of the pelvis shows the acetabular component pinned to the innominate bone. A soft tissue defect is noted about the left hip. | Left hip arthroplasty. |
Generate impression based on findings. | Reason: history metastatic renal cancer, assess for progression History: none LUNGS AND PLEURA: Slight interval increase in the reference right lower lobe pulmonary nodules.(Image 52 series 5) nodule now measures 16 mm x 16 mm previously measuring 15 mm x 15 mm.Additional right lower lobe nodule (image 49 series 5) now... | Very minimal interval increase in size of known pulmonary nodules. No new sites of disease identified. |
Generate impression based on findings. | 35-year-old male with history of left ankle fracture. Three views of the left ankle again demonstrate a medial malleolus fracture, in near anatomic alignment. The fracture plane remains visible, however there has been interval callus formation, suggestive of healing. A small ossific density distal to the lateral malleo... | Healing medial malleolar fracture as above. |
Generate impression based on findings. | Female 68 years old Reason: Assess for prolapse History: gas/ constipation. There is prompt opacification of the rectum and sigmoid of normal static morphology.Trial straining showed appropriate descent of the perineal floor; voluntary anal sphincter contraction demonstrated expected perineal elevation.Formal straining... | No evidence of rectal prolapse or a proctocele/enterocele. |
Generate impression based on findings. | 27-year-old female with history of abnormal PFTs. LUNGS AND PLEURA: No focal air space opacities or pleural effusions. No evidence of interstitial lung disease. No significant air trapping on expiratory series.MEDIASTINUM AND HILA: The heart size is normal with no significant pericardial effusion.CORONARY ARTERY CALCIF... | No evidence of interstitial lung disease or significant cardiopulmonary abnormalities. |
Generate impression based on findings. | Female 54 years old Reason: GASTRIC STASIS SLE GERD History: REFLUX. Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Double contrast evaluation of the esophagus and gastric cardia/fundus revealed a small hiatal hernia without morphologic abnormalities of ... | 1.Small hiatal hernia.2.Gastroesophageal reflux to the level of thoracic inlet.3.Temporary delayed transit of barium pill through the gastroesophageal junction. |
Generate impression based on findings. | 44-year-old male with history of left foot pain and swelling, clinical concern for gout versus arthritis. Three views of the left foot demonstrate mild osteoarthritis of the first metatarsophalangeal joint with joint space narrowing and subchondral sclerosis. There is no definitive evidence of inflammatory arthropathy ... | Degenerative changes of the first MTP joint. No definitive evidence of inflammatory arthropathy. |
Generate impression based on findings. | Female 17 years old Reason: evaluate for fracture History: hip painVIEWS: Pelvis AP and frog leg 3/25/15 (two views) Both, round, smooth and well formed femoral head are well directed to a normally developed acetabulum. No evidence of fracture or malalignment. | Normal examination. |
Generate impression based on findings. | Male 2 years old Reason: 2 year old with CF annual film History: intermittent coughVIEWS: Chest AP/lateral (two views) 3/25/15 Cardiac silhouette size is normal. Mild bronchial wall thickening with possible small bronchiectasis of the right lung base. No focal opacity, effusion or pneumothorax. | Peribronchial thickening and possible small bronchiectasis of the right lung base. |
Generate impression based on findings. | 14-year-old male with history of L1 compression fracture, follow-up AP and lateral views of the spine again demonstrate anterior wedging of the L1 vertebral body, not significantly changed when compared to prior. Extension of the fracture into the posterior elements is not well visualized on this study; better apprecia... | L1 fracture appearing similar to the prior study. |
Generate impression based on findings. | 78 year old male with midbrain hemorrhage, intracranial aneurysm, and arteriovenous malformation. There is a right frontal approach ventriculostomy catheter terminating near the foramen of Monro. There are psot-treatment findings related to embolization of vessels within the right ambient cistern. The shunted ventricle... | 1.Essentially unchanged midbrain and intraventricular hemorrhage.2.Unchanged enlarged shunted ventricles. |
Generate impression based on findings. | Right mastectomy for IDC and DCIS in 2012. Left breast benign biopsy in 2012. History of left mastopexy. Patient underwent another mastopexy/reduction in August, 2014. Mammogram: 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 o... | Post mastopexy changes in the left breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended in 6 months. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Dia... |
Generate impression based on findings. | 43 years, Male. Reason: pt gives hx gunshot wound, needs MR L spine History: hx gunshot wound, needs MR L spine Nonobstructive bowel gas pattern. There are post surgical changes with surgical staple lines in the right and left hemiabdomen. Cholecystectomy clips are seen in the right upper quadrant. A focus of calcifica... | There is no identifiable radiopaque bullet. |
Generate impression based on findings. | 39 year old female with right upper quadrant pain. LIVER: Coarse echotexture of the liver measuring 17.3 cm in length. No focal hepatic lesions. The portal vein is patent with appropriate directional flow; peak velocity measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: Normal echogenicity gallbladder. No gallbladder wall ... | Coarse echotexture of the liver suggestive of parenchymal dysfunction/fatty infiltration. No focal hepatic lesions. |
Generate impression based on findings. | Reason: ? Sternal Osteo on CXR History: Abnl CXR LUNGS AND PLEURA: Mild apical predominant paraseptal emphysema.No focal areas of consolidation or air space opacities.No pleural effusions.No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Moderate amount residual thymic tissue.No evidence of a mediastinal ... | No significant cardiopulmonary abnormalities identified. No abnormalities of the visualized bony thorax including the sternum. |
Generate impression based on findings. | Left upper lobe sparing large cell carcinoma, follow-up LUNGS AND PLEURA: Postsurgical changes from a left upper lobectomy without evidence of tumor recurrence or new superimposed pulmonary abnormality scattered minimal scarring and right basilar suture mixed with pleural calcifications all unchanged. No effusions. No ... | No findings to suggest tumor recurrence. Postsurgical changes related to the left upper lobectomy |
Generate impression based on findings. | 69-year-old male with left neck squamous cell carcinoma, altered mental status, rule out intracranial hemorrhage/cerebral edema given recent hypernatremia. No intracranial hemorrhage is identified. Again seen is encephalomalacia involving the right superior and middle temporal gyri and the right inferior parietal lobul... | 1. No evidence of acute intracranial hemorrhage or cerebral edema.2. Encephalomalacia involving right parietal lobe and the right temporal lobe in the inferior division of the middle cerebral artery distribution again seen. Moderate chronic small vessel ischemic disease and evidence of lacunar infarct involving the lef... |
Generate impression based on findings. | Breast cancer CHEST:LUNGS AND PLEURA: Unchanged diffuse pleural metastatic lesions greater on the right. Reference nodular focus near the right atrium again measures 12 mm (image 17 series 3). The second reference pleural lesion abutting the right heart border (image 43 series 3) remains 8 mm.The nodule in the costophr... | Unchanged pleural metastatic reference measurements in overall appearance with mildly increasing mediastinal and hilar lymphadenopathy. See reference measurements provided |
Generate impression based on findings. | Lung cancer, follow-up following resection LUNGS AND PLEURA: Postsurgical right upper lobectomy changes with similar postsurgical changes involving the right lower lobe in the superior segment. Diffuse moderate emphysematous changes again observed without evidence of superimposed localized recurrence or other new intra... | No evidence of tumor recurrence. Moderate unchanged diffuse emphysematous and postsurgical changes, unchanged |
Generate impression based on findings. | Hodgkin's lymphoma initial staging.RADIOPHARMACEUTICAL: 12.9 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 100 mg/dL. Today's CT portion grossly demonstrates multiple enlarged right jugular lymph nodes. There is a suggestion of numerous bilateral pulmonary micronodules most conspicuous in the upper lobes. ... | 1.Markedly hypermetabolic enlarged right neck lymph nodes, compatible with lymphoma.2.Several small subtle hypermetabolic medial splenic foci are suspicious although somewhat equivocal for infra-diaphragmatic tumor involvement as detailed above. Abdominal MRI may be useful to confirm these are not artifactual (although... |
Generate impression based on findings. | Female 2 days old Reason: abdominal distension, increased abdominal girth by 0.5cm from this AM, please evaluate for NEC History: abdominal distension.VIEW: Abdomen and chest AP (two views) 3/25/15 at 1209 hrs. ET tube tip is at the thoracic inlet. Umbilical lines changed. Cardiac silhouette size is top normal. Bilater... | Interval ET tube retraction as described. |
Generate impression based on findings. | Male 15 months old Reason: Dobbhoff placement History: Status post burn.VIEW: Abdomen AP (one view) 3/25/15 at 1200 hrs. Feeding tube terminates at the cecal portion of the duodenum. Left lower lobe atelectases noted. Disorganized, nonspecific abdominal gas pattern. No evidence of obstruction, free air, pneumatosis int... | Interval feeding tube positioning as described.Left lower lobe atelectases development. |
Generate impression based on findings. | Male 16 years old Reason: neuroblastoma with recurrent pain to right arm History: recurrent painVIEWS: Right humerus AP in internal and external rotation, right knee AP, lateral and oblique 3/25/15 (5 views) There no evidence of pathological fracture of the right humerus or right knee. No periosteal reaction is noted. ... | Findings concerning for metastatic disease of the proximal right humerus and tibia and distal right femur. |
Generate impression based on findings. | Reason: nausea, vomiting, abdominal pain History: nausea, vomiting, abdominal 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... | Jejunal intussusception in the left lower quadrant as described and discussed in detail above. Correlation with small bowel study is advised, particularly if the patient is symptomatic. |
Generate impression based on findings. | Male 4 months old Reason: is there atelectasis History: increased work of breathingVIEW: Chest AP (one view) 3/25/15 at 1215 hrs. Proximal side port of NG tube is at the GE junction. Cardiac silhouette size is top normal. Mild line vascular engorgement with no focal opacities, effusions or pneumothorax. | Bilateral vascular engorgement with no focal opacities. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed, with tomosynthesis, 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 mas... | 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural distortion are pre... | 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 re... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed, with tomosynthesis, 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 mas... | 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, and additional bilateral MLO views, were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspici... | 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 carcinoma in her mother. Two standard digital views of both breasts were performed, with tomosynthesis, and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Scattered benig... | Focal asymmetry within the lower inner right breast. Comparison with prior examination is recommended. If prior mammograms cannot be obtained, then spot compression images, with possible ultrasound, is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISON |
Generate impression based on findings. | Lung cancer, follow-up CHEST:LUNGS AND PLEURA: Postsurgical right lower lobectomy changes superimposed upon moderate to severe centrilobular predominant emphysema. Interval new multiple scattered bilateral pulmonary nodules, for reference one nodule in the left upper lobe (image 57 series 5) measures 7 mm. Many in retr... | Multiple scattered new increasing number and size of micronodules, overall concerning for metastatic disease given patient history. Please correlate with patient change in treatment. Consider short-term follow-up imaging |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed, with tomosynthesis, and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Scattered benign calcifica... | 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. | Asymmetry in vessels on fundoscopic exam suggesting carotid cavernous fistula or other arterio-venous communication. Head CT: There is no evidence of acute intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midlin... | 1. No evidence of acute intracranial hemorrhage or mass. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct.2. No findings to suggest a carotid-cavernous fistula, although the absence of findings on CTA does not entirely exclude this possibility since it is not a dynamic study.3.... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed, with tomosynthesis, and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Asymmetry within the outer left breast on craniocaudal view dispe... | 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. | Evaluate for gallstones. Pancreatitis. LIVER: The liver measures 18.6 cm in length. Echogenic suggesting fatty infiltration. No focal lesions were evident. Portal vein is patent with flow towards the liver on color Doppler imaging.GALLBLADDER, BILIARY TRACT: Common duct measures 6 mm which is at the upper limits of nor... | Pancreatitis. Gallbladder sludge; no gallstones identified. Ascites. Left pleural effusion. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast biopsy. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspic... | 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. | 36-year-old female with right knee pain and swelling. Four views of the right knee demonstrate mild medial tibiofemoral compartment joint space narrowing, subchondral sclerosis and osteophyte formation, consistent with mild osteoarthritis. A small joint effusion is present. There is no evidence of acute fracture or mal... | Mild degenerative changes and small joint effusion, without evidence of acute fracture or malalignment. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast biopsy. Two standard digital views of both breasts were performed, with tomosynthesis, and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and di... | 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. | 68-year-old male with recurrent pancreatic carcinoma, venous thrombosis. Edema. CHEST:LUNGS AND PLEURA: Diffuse emphysematous changes seen without focal nodules or air space disease. No pleural disease.MEDIASTINUM AND HILA: No adenopathy or other significant abnormality notedCORONARY ARTERY CALCIFICATION: Mild.CHEST WA... | 1. Increasing size of retroperitoneal mass in the bed of resected head of pancreas with further encasement of vasculature including right renal artery and probable inferior vena cava. Lack of opacification of the IVC makes evaluation of IVC diameter not possible, however it appears to be encased by the infiltrating mas... |
Generate impression based on findings. | 57-year-old female with hypersensitivity pneumonitis, now on steroids, evaluate interval change LUNGS AND PLEURA: Scattered calcified and noncalcified nonspecific micronodules not significantly changed since prior exam. No suspicious nodule or mass.Significant interval improvement in upper lobe predominant mosaic atten... | Significant interval improvement in mosaic attenuation pattern with decreased ground glass opacities with mild underlying residual fibrosis compatible with improved chronic hypersensitivity pneumonitis. |
Generate impression based on findings. | Gross hematuria. Please evaluate. ABDOMEN:LUNG BASES: Minimal bibasilar atelectasis with scarring.LIVER, BILIARY TRACT: The liver is normal in size and contour. No definite biliary ductal dilatation is noted. The patient is status post cholecystectomy.SPLEEN: Punctate calcific focus which likely represents a granuloma.... | No findings to explain gross hematuria. Shotty retroperitoneal and pelvic lymph nodes. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed, with tomosynthesis, 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. New focal asymmet... | New focal asymmetry within the upper outer left breast, anterior depth. Further evaluation with spot compression views and possible ultrasound is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Pain. Evaluate fracture. Three views of the right wrist again show a nondisplaced fracture of the distal radial metaphysis. The fracture line is less distinct and there is increased periosteal reaction compatible with healing. Mild soft tissue swelling is noted about the wrist. | Healing distal radius fracture. |
Generate impression based on findings. | Mesothelioma, follow-up CHEST:LUNGS AND PLEURA: Postsurgical changes related to prior left-sided pleurectomy unchanged. Diaphragmatic mash remains. Large loculated left-sided pleural effusion similar to prior without evidence of new interval pleural disease observed. Minimal pleural nodularity again is difficult to exc... | No evidence of intrapulmonary or pleural disease, however concern for changes involving the lower left lateral chest wall as described above. Please correlate with patient surgical site and possible recurrent disease along this pathway |
Generate impression based on findings. | 62-year-old male patient with history of lymphoma and portal hypertension. Evaluate for recurrence of lymphoma. ABDOMEN:LUNG BASES: Scattered micronodules. Calcified granulomas.LIVER, BILIARY TRACT: Contour irregularity compatible with cirrhosis. Numerous bilobar subcentimeter hypoattenuating lesions are too small to c... | 1.Cirrhotic liver morphology and moderate ascites without liver lesion. Hepatic vasculature is patent.2.Enlarged mesenteric lymph nodes are of indeterminate etiology given liver disease. |
Generate impression based on findings. | Male; 70 years old. Reason: S/P Whipple, POD#10, concern for free air on XR, with abdominal pain History: Right-sided abdominal pain ABDOMEN:LUNG BASES: New small bilateral pleural effusions with mild bibasilar subsegmental atelectasis, partially visualized.LIVER, BILIARY TRACT: Mild pneumobilia, similar to prior study... | 1. Interval postsurgical changes from Whipple surgery. Mild free fluid and fatty stranding, as well is minimal pneumoperitoneum, in the surgical bed, most likely due to recent surgery. No well-formed intra-abdominal abscess. 2. Mild dilation of the pancreaticojejunal limb and mild wall thickening of the gastrojejunal l... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed, with tomosynthesis, 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 focal asymmetry is ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
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