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Generate impression based on findings. | 66-year-old male patient status post laparoscopic spleen preserving distal pancreatectomy for pancreatic endocrine neoplasm in 2011. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: Distal pancreatectomy. No evidence... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 73-year-old male with history of left lower lobe nodule CHEST:LUNGS AND PLEURA: Mild centrilobular emphysema. Reference left lower lobe solid subpleural nodule appears more dense and appears larger, now measuring 14 x 11 mm, previously 10 x 10 mm (image 54 series 5). Reference right upper lobe ground glass nodule measu... | 1. Minimal interval growth of left lower lobe solid nodule which remains moderately suspicious for an indolent primary lung carcinoma. Given location and size, this lesion may be amenable to percutaneous biopsy.2. Increased bibasilar opacities which may represent bronchiolitis and pneumonitis from chronic aspiration gi... |
Generate impression based on findings. | Five lumbar type vertebral bodies are present. There is marked demineralization of the vertebral bodies from osteopenia/osteoporosis. There is depression of the superior endplate of L5 consistent with chronic compression fracture. Alignment is anatomic. There are anterior osteophytes arising from the superior endplate... | 1.Diffuse osteopenia with mild chronic compression fracture of superior endplate of L5.2.Sclerosis of posterior elements with multilevel facet disease resulting in multiple neural foraminal stenoses as described above.3.Narrowing and sclerosis with fusion of the bilateral sacroiliac joints.4.Nonspecific lytic lesions i... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of rheumatoid arthritis. Two standard digital views of both breasts were performed, with additional cleavage view, and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No su... | 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: NSA - Screening Mammogram. |
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. | Reason: stage 4 neuroblastoma; end of therapy evaluations. Normal physiologic radiotracer distribution is seen in the salivary glands, myocardium, liver, bowel and bladder. The patient's left retroperitoneal lesion remains significantly MIBG avid, stable to minimally improved in comparison to the prior study. Additiona... | 1. The large left retroperitoneal lesion and smaller focus of activity in the right paraspinal soft tissues at the T10-11 level remain actively MIBG avid, stable to slightly improved since the prior study. 2. No new MIBG avid lesions or evidence of osseous metastasis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and an additional left CC view, 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 ... | 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. | 66 years, Male. Reason: abdominal distention History: abdominal distention Entire pelvis is not included in the field of view. Nonobstructive bowel gas pattern with loops of bowel predominantly localized to the right hemiabdomen of uncertain clinical significance. Radio-opaque density overlying the left L1 vertebral bo... | 1. Nonobstructive bowel gas pattern. 2. Radio-opaque density overlying the left L1 vertebral body may represent a low-lying IABP marker vs surgical clip. |
Generate impression based on findings. | Again seen are posttreatment changes in the left temporal lobe including including prior left temporo-occipital craniotomy, areas of cystic encephalomalacia, chronic blood products as well as some areas of mass-like FLAIR hyperintensity. There is gradual increase in enhancement in the left posterior aspect of the left... | 1.Multifocal glioblastoma with mild increase in size of ovoid focus in the right anterior frontal lobe as well as the inferior aspect of the left posterior inferior temporal gyrus (more evident across several prior studies) with increased enhancement and restricted diffusion suggestive of tumor progression. Some of lef... |
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, and an additional right MLO view, were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Mesothelioma, follow-up CHEST:LUNGS AND PLEURA: Overall stability in pulmonary appearance with diffuse changes throughout the left hemithorax. Specifically reference measurements previously described are similar and as follows:1. At the level of the left atrium and encasing the descending thoracic aorta (image 52 serie... | Overall stability end the two nodular areas in reference measurements recent provided. Appearance remains consistent with known mesothelioma without evidence of interval significant change |
Generate impression based on findings. | 77-year-old female patient with history of ground glass opacities and type 2 diabetes presents with right upper quadrant/flank pain abdominal mass felt in the right lower quadrant that measures 2 cm. Patient also has right axillary pain with keloid. Evaluate for axillary lymphadenopathy. CHEST:LUNGS AND PLEURA: Numerou... | 1.Findings compatible with an appendiceal primary colon cancer with regional lymph node involvement.2.Right ovary larger than expected for patient's age is nonspecific, however, raises question of metastatic disease.3.No significant change in subcentimeter bilateral ground glass nodules. These nodules are favored to re... |
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. A round mass is present within the upper inner right breast. No suspicious masses, mic... | Mass within the upper inner right breast. Correlation with prior mammogram is recommended to ensure stability. If prior mammograms cannot be obtained, additional spot compression views with possible ultrasound, is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR CO... |
Generate impression based on findings. | Stable left parietal approach ventricular shunt with catheter tip in the interhemispheric fluid collection. The radiopaque portions of the shunt are intact. No acute intracranial hemorrhage is identified. No evidence of intracranial mass. Stable mild mucosal thickening of the right maxillary and left sphenoid sinuses.... | 1.No definite acute intracranial abnormality. 2.Stable size of the ventricles.3.Stable severe dysmorphic changes as above.4.Interval opacification of the right sphenoid sinus. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. A linear marker is in place on the sca... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Female 9 years old Reason: r/o obstruction, hernia History: abdominal pain, generalized.VIEWS: Abdomen AP supine and upright 3/25/15 (two views) Mild fecal accumulation with no evidence of obstruction or free air. | No evidence of obstruction. |
Generate impression based on findings. | Reason: evaluate for gastroparesis History: abdominal distension and pain after eating, sometimes vomiting. Visually there was significant and progressive rapid gastric emptying. Using anterior and posterior geometric means, residual gastric activity at the following postprandial intervals was calculated as follows:30 ... | There is no evidence of gastroparesis as clinically questioned. Findings actually may indicate abnormally rapid gastric emptying. |
Generate impression based on findings. | 65-year-old male with pleural mesothelioma CHEST:LUNGS AND PLEURA: Loculated appearing right subpulmonic effusion is slightly increased in size when compared to the prior exam.Bronchial wall thickening, particularly at the lung bases with mild traction bronchiectasis.Right pleural thickening is again noted with unchang... | 1.Mild interval increase in pleural nodularity in the right lung with measurements provided above.2.Loculated right subpulmonic effusion is slightly increased in size.3.Nonspecific right chest wall soft tissue density at the site of prior thoracotomy should be followed on subsequent studies to exclude tumor spread. |
Generate impression based on findings. | 2-year-old female stage IV neuroblastoma CHEST:LUNGS AND PLEURA: Unchanged 3-mm right lower lobe nodule (series 4, image 30). Previously noted patchy ground glass/nodular opacities in the left lower lobe are no longer present are likely infectious or inflammatory in etiology. No new suspicious nodules or masses are pre... | 1.Large irregular left suprarenal mass measures smaller in maximal dimensions.2.Resolution of left lower lobe opacity which was likely infectious or inflammatory in etiology.3.Prominent right axillary lymph nodes not meeting size criteria for lymphadenopathy. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, and an additional right CC view, 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 suspicious... | 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 and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. An obscured mass is present within the slightly... | Mass within the upper outer right retroareolar region. Additional imaging, with possible ultrasound, is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy. Family history of breast carcinoma in her mother and maternal grandmother. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scatte... | 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. | 51 years, Female. Reason: NG-tube placement History: NG-tube placement There is a nasogastric tube with its tip projecting over the fundus of the stomach. Multiple dilated loops of small bowel suggests bowel obstruction, incompletely imaged. The pelvis is excluded from the field of view. | Nasogastric tube with its tip projecting over the fundus of the stomach. Multiple dilated loops of small bowel suggests bowel obstruction, incompletely imaged. |
Generate impression based on findings. | 34-year-old female is 17 weeks pregnant, known right breast abscess, please assess fluid A targeted right ultrasound was performed for the patient’s area of concern. Redness of the skin noted along the lower inner quadrant. Oozing of fluid noted around 8 o'clock position of the right breast. Skin thickening with edema ... | Compex fluid collection right breast 8 o'clock position measuring 3.9 cm, most consistent with an abscess.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | Follow-up lobectomy. Patient with prior lung cancer LUNGS AND PLEURA: Patient is status post left upper lobectomy with accompanying postsurgical changes in volume loss. No suspicious new nodules or masses. No effusions. Scattered calcified and noncalcified micronodules of which several are groundglass in nature all app... | No interval change or new findings to suggest metastatic disease |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | 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. | Right pneumonectomy for stage III a neuroendocrine carcinoma, annual follow up. LUNGS AND PLEURA: Right pneumonectomy cavity filled with mixed density fluid, appearing similar to previous.Scattered micronodules in the left lung unchanged. Focal extrapleural fat deposition near the left costophrenic angle (3/84).No susp... | No signs of recurrent or metastatic disease. Severe atherosclerotic disease including the coronary vasculature. |
Generate impression based on findings. | Male 16 years old Reason: shunt function History: emesisVIEWS: Shunt series: Skull AP/lateral (two views), chest AP/lateral (two views), abdomen AP/lateral (two views) 3/25/15 Unchanged intracranial portion of VP shunt system and multiple surgical wires and the skull. Strata valve performance level is 2.0 and unchanged... | Unchanged valve setting. No evidence of VP shunt malfunction. |
Generate impression based on findings. | Pain. Four views of the left knee show mild osteophyte formation about the medial compartment and mild joint space narrowing. Small osteophytes are noted along the undersurface of the patella. No acute fracture is evident. No joint effusion is identified.Three views of the right knee show moderate medial compartment jo... | Bilateral osteoarthritis of the knees. |
Generate impression based on findings. | 2 year old female with stage 4 neuroblastoma presenting for end of therapy evaluation. There has been interval increase in size of multiple cervical lymph nodes. For example, a right level 2A lymph node measures 10 x 11 mm, previously 8 x 8 mm. A right level 2b lymph node measures 8 x 10 mm, previously 3 x 6 mm. And a ... | Interval increase in size of multiple cervical lymph nodes and Waldeyer's ring structures highly concerning for disease progression. |
Generate impression based on findings. | 73-year-old male. Metastatic melanoma. Surveillance scans. CHEST:LUNGS AND PLEURA: Left upper lobe metastasis is 5.2 x 3.9 cm (series 5, image 43), previously 2.9 x 2.6 cm.Reference left upper lobe posterior pleural mass is 2.2 x 2 cm (series 3, image 23), previously 2.4 x 2 cm.MEDIASTINUM AND HILA: Left hilar node met... | 1. Significantly increased size of left upper lobe mass, left hilar lymph node, and liver metastases. 2. Increased size of multiple bone metastases, the metabolic activity of which is more accurately assessed with a bone scan. Progression of epidural tumor extension of the L2 vertebral body metastasis with cord encroac... |
Generate impression based on findings. | Pain, edema, and warmth to anterior and lateral ankle joint. Three views of the right ankle show no acute fracture or malalignment. There is diffuse soft tissue swelling about the ankle.Three views of the right foot show no acute fracture or malalignment. There is soft tissue swelling about the dorsum of the foot. | Soft tissue swelling without acute fracture evident. |
Generate impression based on findings. | Asbestos exposure. Cough. LUNGS AND PLEURA: Mild diffuse emphysematous changes without suspicious superimposed nodules or masses. The pleural surfaces unremarkable, specifically no irregularity, calcifications, nodules or plaques. No effusions. Very minimal basilar atelectasisMEDIASTINUM AND HILA: No lymphadenopathyThe... | No acute abnormalities, specifically no findings to support asbestos exposure |
Generate impression based on findings. | History of right mastectomy for invasive ductal carcinoma in 2004. Family history of breast carcinoma in her niece at 43. 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: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Status post left total hip arthroplasty. AP view the pelvis and single view of the left hip show a left total hip arthroplasty device situated in anatomic alignment. No acute fracture is evident. A surgical drain is noted in left hip soft tissues along with foci of gas which are postsurgical. Right hip AVN is again not... | Left total hip arthroplasty device. |
Generate impression based on findings. | 69 year-old female with left-sided lower back pain. Four views of the lumbar spine demonstrate multilevel degenerative changes including anterior vertebral body osteophytosis involving L2 through L5. There is severe disk space narrowing and vacuum disk phenomenon at L4-5, which has progressed when compared to prior exa... | Multilevel degenerative changes of the lower lumbar spine, most pronounced at L4-5. |
Generate impression based on findings. | 29-year-old female with left knee pain and stiffness. Four views of the left knee demonstrate normal anatomic alignment without evidence of acute fracture or joint effusion. Sclerosis along the medial right femoral metadiaphysis likely represents a large bone island, but is incompletely evaluated. Joint spaces are with... | No evidence of acute abnormality. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast carcinoma in her mother and maternal great aunt. 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 obsc... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast carcinoma in a maternal cousin. 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, unchange... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 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 asymmetry is presen... | 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. | 15 year old male with bilateral cervical lymphadenopathy for 3 months. There is bilateral cervical and supraclavicular lymphadenopathy measuring up to 3 cm in the left level IIa region. There is also enlargement of Waldeyer's ring structures. There is no evidence of mass lesion. The thyroid and major salivary glands ar... | Marked nonspecific bilateral cervical and supraclavicular lymphadenopathy without evidence of mass lesion. |
Generate impression based on findings. | 40 year-old male with lower back pain, bilateral hip pain, left thumb pain. Three views of the left thumb demonstrate normal anatomic alignment, without evidence of acute fracture or significant soft tissue swelling.Two views of the right hip demonstrate normal anatomic alignment, without evidence of acute fracture. Tw... | No acute abnormality is identified. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast biopsy. Family history of breast carcinoma in a maternal and a paternal aunt. 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 com... | 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. | Female 13 years old Reason: 13 year old with CF annual film ? changes History: cough, Pseudomonas colonizationVIEWS: Chest PA/lateral (two views) 3/25/15 Cardiac silhouette size is normal. Large lung volumes with no focal opacities, effusions or pneumothorax. No large bronchiectasis or bronchial wall thickening. | Large lung volumes, otherwise normal examination. |
Generate impression based on findings. | 10-year-old male with CVID and kabuki ABDOMEN:LUNG BASES: Innumerable patchy groundglass nodular densities in both lung bases may be infectious or inflammatory in etiology, possibly representing granulomatous disease. No pleural effusion.LIVER, BILIARY TRACT: Parenchyma appears normal. No focal hepatic lesion. The port... | 1.Innumerable patchy groundglass nodular densities in the lung bases bilaterally which may be infectious or inflammatory in etiology, possibly representing granulomatous disease.2.Horseshoe kidneys3.Splenomegaly |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Stable small asymmetries are present bilaterall... | 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. | Dedicated images through the sella demonstrate a mildly enlarged bony sella with a thin rind of enhancing pituitary tissue along the floor of the sella. The pituitary infundibulum enhances normally and is midline in location on coronal images, but may extend to the right of midline distally where it is not well visual... | 1. Enlarged bony sella which is CSF signal intensity filled. This most likely represents an incidental partially empty sella with diminutive and distorted infundibulum, not well visualized distally. The possibility of a sellar arachnoid cyst is not entirely excluded, but is felt to be less likely. Comparing back to the... |
Generate impression based on findings. | 28 year-old female with history of metastatic cervical cancer. CHEST:LUNGS AND PLEURA: There are scattered subcentimeter solid pulmonary micronodules, nonspecific. Reference left lower lobe nodule measures 4 mm (image 73 of series 4). No focal air space opacities or pleural effusions.MEDIASTINUM AND HILA: The heart siz... | Bilateral solid pulmonary micronodules are nonspecific and may be postinflammatory in etiology however metastatic disease cannot be entirely ruled out. Comparison to prior CT is recommended if able to be obtained and submitted by the referring clinical service, otherwise 3 month followup is advised to evaluate for inte... |
Generate impression based on findings. | 63 year old female with colon cancer with lung and liver metastases. Please measure using the cyst criteria, pre-chemotherapy. CHEST:LUNGS AND PLEURA: Numerous bilateral parenchymal lung nodules are seen in a pattern an appearance most consistent with diffuse metastasis. These have slightly increased in size compared w... | 1. Increasing size of numerous pulmonary and hepatic metastases with reference measurements provided above. 2. Nonspecific Mildly enlarged bilateral iliac and common femoral artery lymph nodes of uncertain significance. 3. Multiple anterior ventral abdominal wall hernias containing only mesenteric fat. |
Generate impression based on findings. | 85 year-old female with right knee pain, preop imaging. Three views of the right knee demonstrates severe osteoarthritis with bone-on-bone apposition in the lateral tibiofemoral compartment with osteophyte formation and subchondral sclerosis.Mechanical axis radiographs reveal approximately 9 degrees of valgus alignment... | 1.Severe osteoarthritis of the right knee. 2.Approximately 9 degrees of valgus alignment of the knee with respect to the neutral mechanical axis. |
Generate impression based on findings. | 77-year-old male with NSCLC restage CHEST: Limited examination due to severe respiratory motion artifact.LUNGS AND PLEURA:New scattered left upper and lower lobe solid nodules. Interval increase in size of left upper and lower lobe micronodules seen on prior exam.Interval increase in size of the left lower lobe spicula... | 1.Interval increase in size of spiculated left lower lobe lung mass and associated hilar and mediastinal lymphadenopathy.2.Interval increase in size and number of pulmonary micronodules suspicious for progression of metastatic disease however concomitant infection cannot be excluded. Close follow-up is recommended.3.No... |
Generate impression based on findings. | Male 5 years old Reason: eval for pneumonia History: fever, leukocytosis, abdominal painVIEWS: Chest AP/lateral (two views) 3/25/15 1335 hrs Cardiac silhouette size is normal. Left lower lobe opacity, likely atelectasis and bronchial wall thickening.. No effusions or pneumothorax. | Superimposed pneumonia on bronchiolitis. |
Generate impression based on findings. | 66 years, Female. Reason: check for ng placement History: nausea 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 pelvis is excluded from the field of view. | Nasogastric tube looped in the stomach with the tip projecting over the fundus of the stomach. |
Generate impression based on findings. | New loosely clustered calcifications in the left central breast for spot magnification views. Mammogram: An ML view and two spot magnification views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is extremely dense, which lowers the sensitivity of mammography,... | 6-mm cluster of calcifications in the left breast 12 o'clock position which could represent benign milk of calcium; however Stereotactic biopsy is recommended for confirmation. Multiple simple and complex cysts identified in the left breast on ultrasound.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneo... |
Generate impression based on findings. | 55 year-old female with right knee pain. Four views of the right knee demonstrate findings compatible with mild osteoarthritis, including mild joint space narrowing in the medial tibiofemoral compartment and osteophytosis. There is no evidence of joint effusion or acute fracture. | Mild osteoarthritis of the right knee. |
Generate impression based on findings. | 61-year-old female status post MVA with neck pain and right ankle pain. Three views of the right ankle demonstrate normal anatomic alignment without evidence of acute fracture. There is no significant soft tissue swelling or joint effusion.Four views of the cervical spine demonstrate multilevel degenerative changes, in... | Degenerative changes of the cervical spine, as above. No evidence of acute abnormality. |
Generate impression based on findings. | Fibrotic CHP. LUNGS AND PLEURA: Motion artifact degrades image quality. No pleural fluid or pneumothorax. Subpleural and peribronchial fibrosis with very mild traction bronchiectasis and ground glass opacity. Previously seen groundglass appearance of the background lung parenchyma has significantly improved compared to... | Stable pulmonary fibrosis with improvement in the groundglass opacity and lymphadenopathy. Based on the appearance of the previous studies, this is felt to most likely reflect fibrosis related to chronic hypersensitivity pneumonitis. |
Generate impression based on findings. | HIV with left upper quadrant pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality noted. Specifically no splenomegaly. Benign appearing splenule.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormali... | Negative for acute, inflammatory, or neoplastic process. Specifically, no evidence for splenomegaly or adenopathy. |
Generate impression based on findings. | Worsening ulcer. Question of osteomyelitis. Three views of the left ankle show diffuse soft tissue swelling about the ankle without acute fracture. No ankle joint effusion is identified. Vascular calcifications are noted.Three views of the left foot and two views of the calcaneus again show a large soft tissue defect a... | Calcaneal osteomyelitis. |
Generate impression based on findings. | 71-year-old with history of left lumpectomy in 1999, status post radiation therapy. No family history of breast cancer. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and d... | 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. | 55-year-old female. More intense mid abdominal to left side radiating abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No focal hepatic mass. No biliary ductal dilatation. Patent hepatic vasculature.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality not... | No definite cause for symptoms seen. Mildly enlarged abdominal lymph nodes with apparent reversal of fold pattern in the jejunum and ileum, raises the possibility of celiac disease. |
Generate impression based on findings. | Male; 67 years old. Reason: Evaluate duodenal stent position, liver architecture, pulmonary causes of shortness of breath History: Hx of cholangiocarcinoma s/p chole, liver wedge resection, duodenal stent p/w SOB, early satiety, nausea CHEST:LUNGS AND PLEURA: Stable scattered pulmonary micronodules, some of which are c... | High grade distal small bowel obstruction with transition point in the right upper quadrant within an area of increased soft tissue infiltration, suspicious for tumor.Findings discussed with Dr. Kassim at 3:05 p.m. on 3/25/15. |
Generate impression based on findings. | Female 12 years old Reason: 2 months progressive lower abdominal pain, eval constipation History: lower abdominal, umbilical tendernessVIEW: Abdomen AP (one view) 3/25/15 Extremely elevated BMI. Normal abdominal gas pattern. No evidence of obstruction or free air. | Normal examination. |
Generate impression based on findings. | Reason: 66 yo F with ESRD, cirrhosis, HCC, nocardia with pulmonary nodules, eval progression on treatment for nocardia. History: pulmonary nodules LUNGS AND PLEURA: Stable scattered micronodules unchanged from the prior exam.No new suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: No hil... | Scattered micronodules unchanged from the prior exam. No acute abnormalities identified. |
Generate impression based on findings. | 62 year-old female with history of left femoral avascular necrosis. Two views of the left again demonstrate patchy sclerosis in the femoral head consistent with moderate avascular necrosis, not significantly changed when compared to prior study. There is preservation of the femoral head shape and no evidence of interva... | Stable moderate avascular necrosis of the left femoral head. |
Generate impression based on findings. | Female 32 years old Reason: evaluate for tubal patency, history of ectopic History: none Opacification of the uterine cavity revealed a normally oriented uterine cavity without mucosal irregularity or filling defects in the uterine cavity. Both tubes were freely opacified, but no spillage was evident on either side con... | Normal uterine cavity. Obstructed fallopian tubes. |
Generate impression based on findings. | Altered mental status. There is no evidence of acute intracranial hemorrhage. There is mild patchy cerebral white matter hypoattenuation. There is disproportionate volume loss in the bilateral medial temporal lobes. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. T... | 1. No evidence of acute intracranial hemorrhage.2. mild patchy cerebral white matter hypoattenuation is non-specific, but may represent small vessel ischemic disease. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct.3. The presence of disproportionate volume loss in the bilater... |
Generate impression based on findings. | Clinical question: Evaluate for any hemorrhage. Signs and symptoms: Stroke, atrial fibrillation, on heparin. Nonenhanced head CT:There is no detectable intracranial hemorrhage.A large subacute nonhemorrhagic left ACA territory ischemic stroke is again identified. There is evidence of regional mass effect without deviat... | 1.No evidence of an acute or new finding since prior exam.2.Nonhemorrhagic large left ACA territory subacute ischemic stroke without appreciable change.3.Grossly stable extensive age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | 56-year-old male with history of remote motorcycle polytrauma/fusion, with recent fall; denies pain. Three views of the left shoulder demonstrate a comminuted oblique fracture of the proximal left humeral diaphysis immediately distal to the surgical sideplate, with mild lateral and posterior displacement of the distal ... | 1. Comminuted fracture of the proximal humeral diaphysis, immediately distal to the surgical sideplate.2. Hardware components related to left shoulder fusion. |
Generate impression based on findings. | Status post cerebral aneurysm stenting. There are post-treatment findings related to double overlapped inverse Y stenting of the distal left and right vertebral arteries and basilar artery with the distal tip of the stent just inferior to the superior cerebellar artery origins. There is unchanged absent flow-related en... | 1. Post-treatment findings related to double overlapped inverse Y stenting of the distal left and right vertebral arteries and basilar artery with absent flow-related enhancement within the stent due to metal artifact, but the arteries proximal and distal to the stents are patent and the excluded fusiform basilar arter... |
Generate impression based on findings. | Left knee pain, escalating over years. Evaluate for arthritis. Four views of the left knee show moderate lateral compartment joint space narrowing. No acute fracture is seen. No joint effusion is identified. | Moderate osteoarthritis. |
Generate impression based on findings. | 48-year-old male with sciatica. Single view of the pelvis demonstrates degenerative changes of the bilateral hips, right greater than left. There is no evidence of acute fracture or malalignment.Four views of the lumbar spine demonstrate severe joint space narrowing at L5-S1, as well as anterior vertebral body osteophy... | 1.Severe degenerative disk disease at L5-S1.2.Bilateral mild osteoarthritis of the hips, right greater than left. |
Generate impression based on findings. | Female 35 years old Reason: infertility History: infertility Scout AP film of the pelvis was normal. Opacification of the uterine cavity revealed a retroverted uterus without mucosal irregularity or filling defects in the uterine cavity. Both tubes were freely opacified with free spillage on both sides into the pelvis,... | Retroverted uterus and patent fallopian tubes. |
Generate impression based on findings. | 63 year old s/p L3-5 PSF w/ TLIFs. Two views of the lumbar spine demonstrate hardware components of posterior fusion and laminectomy of L3, L4, and L5, including posterior stabilization rods and interpedicular screws. Grade 1 retrolisthesis of L3 on L4 and L4 on L5 persists. There is mild vertebral body height loss of ... | Posterior fusion of L3 through L5 as above. |
Generate impression based on findings. | Female 19 months old Reason: GT and JT dependent; JT dislodged now s/p replacement; please confirm placement of JT (port at LLQ) Scout view: Gastrostomy and jejunostomy tubes are noted. Normal abdominal gas pattern with no evidence of obstruction.20 cc of air flow by 5 cc of diluted barium were injected into the jejuno... | Well positioning jejunostomy tube with no evidence of leakage. |
Generate impression based on findings. | 82 years, Female. Reason: interval DHT placement History: DHT Limited study, pelvis is not included in field-of-view. There is a Dobbhoff tube which appears to be coiled in the right pleural space. Endotracheal tube tip is visualized above the carina. Nonobstructive bowel gas pattern. Surgical clips project over the ri... | Dobbhoff tube appears to be coiled in the right pleural space. These findings were discussed by telephone with Dr. Matthew Elliott on 3/25/2015 at 14:37. |
Generate impression based on findings. | 78-year-old male with right big toe ulcer, concern for osteomyelitis. Three views of the left great toe demonstrate swelling of the soft tissues. There is a mild hallux valgus deformity. Moderate degenerative osteoarthritis affects the first metatarsophalangeal joint, including joint space narrowing and subchondral scl... | 1. Osteoarthritis of the first MTP. 2. Soft tissue swelling of the great toe, without discrete evidence of osteomyelitis. |
Generate impression based on findings. | 62 year old status post left lumpectomy in 1997 for DCIS presents for routine diagnostic mammogram. Mammogram: Three standard views of both breasts , a spot compression view and to spot magnification views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is com... | High probability benign calcifications in the right breast need 6 month follow-up mammogram to confirm stability.Interval increase in a 6-mm focal asymmetry in the right lower axillary region with a possible correlate on ultrasound, representing a cyst. Ultrasound guided cyst aspiration is recommended.BIRADS: 4 - Suspi... |
Generate impression based on findings. | 22-year-old male with tenderness and swelling right cord structure for two weeks. Evaluate for right epididymal mass. RIGHT TESTIS: Measures 3.9 cm x 2.8 cm x 1.8 cm and is normal in echotexture with no discrete nodules or masses.LEFT TESTIS: Measures 3.9-cm x 2.8 cm x 1.8 cm and is normal in echotexture with no discre... | Subcentimeter right epididymal cyst or spermatocele which corresponds to the palpable area noted by the patient. |
Generate impression based on findings. | 42-day-old male intubated with concern for pneumothoraxVIEW: Chest AP (one view) 3/25/15 Feeding tube tip is past the GE junction. ET tube is below the thoracic inlet and above the carina. Right PICC tip at the cavoatrial junction. PDA clips unchanged.Cardiothymic silhouette is normal. Diffuse coarse lung opacities whi... | Complications of surfactant deficiency with increased atelectasis in the right lower lobe and improved left lower lobe atelectasis. |
Generate impression based on findings. | 74 year old male. History of iron deficiency anemia. Negative colon and EGD. Has had outside study showing "inflammatory mass" in the sigmoid last year. Assess small bowel for lesion. Assess sigmoid diverticular disease. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormalit... | 1. Short segment of diverticula containing sigmoid colon wall thickening, likely represents sigmoid diverticulitis though follow-up to resolution is recommended to exclude an underlying mass. 2. Small intramural abscess in the inferior wall of the inflamed sigmoid, which causes secondary inflammatory wall thickening of... |
Generate impression based on findings. | One year old female with left leg deformityVIEWS: Left tibia-fibula AP, lateral (two views) 3/25/15 Congenital deformity of the lower extremity with agenesis of the distal half of the tibia. Partially visualized osseous structures of the foot are abnormal. No fracture. | Agenesis of the distal half of the tibia and deformity of the foot without fracture. |
Generate impression based on findings. | 41 year-old female with bilateral breast pain. Family history of breast cancer in maternal grandmother Mammogram: Three standard views of both breasts and additional right MLO view were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. 10... | High probability benign morphology mass on mammogram and ultrasound in the right breast for which right unilateral diagnostic mammogram is recommended in 6 months. No mammographic evidence of malignancy. Findings and recommendations were discussed with the patient in detail.BIRADS: 3 - Probably benign finding.RECOMMEND... |
Generate impression based on findings. | 57-year-old male with metastatic renal cell cancer, baseline examination prior to starting new systemic therapy. CHEST:LUNGS AND PLEURA: Diffuse emphysematous changes again seen. Left lower lobe parenchymal nodule (series 5, image 48) is unchanged in size measuring 1.6 x 1.3 cm. No other parenchymal nodules or masses a... | Interval decrease in size of reference renal lesions bilaterally. Stable left lower lobe pulmonary nodule. |
Generate impression based on findings. | 16 year old female with cystic fibrosis LUNGS AND PLEURA: Bronchial wall thickening and bronchiectasis in the bilateral upper lobes with more severe confluent consolidation and bronchiectasis in the right middle lobe and left lingula. Scattered patchy opacities in the upper lobes bilaterally likely represent mucus fill... | 1.Bronchial wall thickening and bronchiectasis in the bilateral upper lobes with more severe bronchiectasis and consolidation in the right middle lobe and left lingula.2.Partially visualized calcified atrophic pancreas. |
Generate impression based on findings. | Female 14 months old Reason: Evaluate for focal opacity History: 14 m/o with cough/cold, fever, and hypoxiaVIEWS: Chest AP/lateral (two views) 3/25/15 at 1433 hrs. The aortic arch, cardiac apex and stomach are left-sided.Cardiac silhouette is normal in size and shape. Peribronchial thickening and right middle lobe opac... | Bronchiolitis with superimposed right middle lobe atelectasis or pneumonia. |
Generate impression based on findings. | 18-year-old male who swallowed piece of pen cap (plastic). Two views of the prevertebral soft tissues demonstrate normal anatomic alignment without evidence of unexpected radiopaque foreign body. No evidence of acute fracture. | No unexpected radiopaque foreign body. |
Generate impression based on findings. | AML undergoing chemotherapy: Cough. There is minimal mucosal thickening in the maxillary sinuses and mild mucosal thickening in the right sphenoid sinus. The paranasal sinuses are otherwise clear. The nasal cavity is clear. The nasal septum is essentially midline. The lamina papyracea and ethmoid roofs are intact. The ... | 1. No evidence of acute rhinosinusitis.2. Degenerative changes affecting the bilateral temporomandibular joint with punctate probable osteochondral bodies in the joint spaces. |
Generate impression based on findings. | 59 years, Male. Reason: r.o obstruction History: abd pain There is a nonobstructive bowel gas pattern. Above average stool burden distributed throughout the colon. Left basilar streaky atelectasis. | There is a nonobstructive bowel gas pattern. |
Generate impression based on findings. | Gross and microscopic hematuria 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 noted. ... | Negative for acute, inflammatory, or neoplastic process. Specifically, no evidence for renal mass, stone, or obstruction. Unremarkable collecting systems bilaterally. |
Generate impression based on findings. | Female 35 years old Reason: infertility History: infertility. Scout AP film of the pelvis was normal. Opacification of the uterine cavity revealed a normally oriented uterine cavity without mucosal irregularity or filling defects in the uterine cavity. Both tubes were freely opacified with free spillage on both sides i... | Normal uterine cavity and patent fallopian tubes. |
Generate impression based on findings. | 34-year-old male with refractory large cell NHL. Evaluate extent of disease. CHEST:LUNGS AND PLEURA: Left basilar atelectasis again seen overlying elevated left hemidiaphragm. No other significant abnormalities are seen. No pleural disease.MEDIASTINUM AND HILA: The prior noted left superior mediastinal aggregate of lym... | 1. Marked increase of diffuse mediastinal adenopathy. 2. Increasing left supraclavicular lymph node mass. 3. No evidence of lymphadenopathy in the abdomen or pelvis. |
Generate impression based on findings. | Hx of breast cancer and left upper extremity lymphedema.RADIOPHARMACEUTICAL: A subdermal extremity injection with a total of 0.513 mCi Tc-99m filtered sulfur colloid was performed by Dr. Chang in the operating room. Following injection, intraoperative probe localization was performed. No images were acquired. | Successful subdermal extremity injection for intraoperative identification of a sentinel lymph node. |
Generate impression based on findings. | Female; 57 years old. Reason: Recurrent UTI's \T\ Flank Pain, PMH Kidney Stone. History: Recurrent UTI's and Flank Pain, PMH Kidney Stone. Lack of oral and IV contrast limits sensitivity for bowel and solid organ pathology, respectively.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No signif... | 1. Bilateral nonobstructing nephrolithiasis.2. Small amount of endometrial fluid is likely physiologic, though this should be clinically correlated given the patient's age. |
Generate impression based on findings. | 58 year old female with a history of left lumpectomy and axillary lymph node dissection in 2005 for IDC followed by chemotherapy and radiation therapy. No new breast complaints. History of breast carcinoma in maternal aunt diagnosed in her 70s. Two Full-field and two pushback views of both breasts and two spot magnific... | 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. | 45-year-old female patient with amyloid and multiple myeloma presents with intra-abdominal bleeding. Evaluate location of bleeding hematomas. ABDOMEN:LUNG BASES: Increasing small bilateral pleural effusions with overlying atelectasis/consolidation, right greater than left.LIVER, BILIARY TRACT: Status post cholecystecto... | 1.Large hematoma in the mesentery within the left hemiabdomen and in the new ventral wound. 2.Vascular coils in the expected location of the arc of Riolan without active extravasation.3.Diffuse bowel wall thickening is of uncertain etiology. Considerations include fluid resuscitation and recovery from prior ischemia. C... |
Generate impression based on findings. | Human papilloma virus infection of the skin. Three views of the left foot show no acute fracture or malalignment. | No acute fracture is evident. |
Generate impression based on findings. | Hand pain, stiffness, DIPs. Evaluate for psoriatic arthritis versus osteoarthritis. Three views of the left hand show no acute fracture or malalignment. The joint spaces are preserved. No soft tissue swelling is seen. Three views of the right hand show no acute fracture or malalignment. The joint spaces are preserved. ... | 1. No specific evidence of inflammatory arthritis or osteoarthritis in the hands.2. Mild osteoarthritis of the knees. |
Generate impression based on findings. | Epitheliod mesothelioma. CHEST:LUNGS AND PLEURA: Interval left pneumonectomy with fluid in the pneumonectomy cavity as well as a small volume of anterior layering air. No signs of localized recurrence at the hilum.The right lung and pleura are unremarkable in appearance.MEDIASTINUM AND HILA: Loculated right inferior pe... | 1. Interval left pneumonectomy with no conclusive signs of residual pleural disease. 2. New contralateral loculated pericardial fluid collection with a thickened enhancing rim and adjacent small new lymph nodes. Etiology is indeterminate, and this area should be followed on subsequent examinations. Although this could ... |
Generate impression based on findings. | 73-year-old female with history of stage I adenocarcinoma status post left upper lobectomy 3 years ago. Annual follow. LUNGS AND PLEURA: There are postsurgical changes from left upper lobectomy. Scattered calcified and noncalcified pulmonary micronodules, nonspecific, however stable compared to prior.MEDIASTINUM AND HI... | Postsurgical changes of left upper lobectomy with no evidence of metastatic or recurrent disease. |
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