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Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Bilateral benign calcificatio... | 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. | Finger pain and swelling.VIEWS: Right index finger PA/lateral/oblique (3 views) 03/25/15 The bones are normal in appearance. No fracture is identified. No significant soft tissue swelling is seen. | Normal examination. |
Generate impression based on findings. | 12-year-old male with jammed finger playing soccerVIEWS: Left hand PA, oblique and lateral (3 views) 3/26/15 at 0440 Nondisplaced fracture of the ulnar aspect of the proximal metaphysis of the proximal phalanx of the fifth digit. The fracture line appears to extend to the physis without definite extension to the epiphy... | Nondisplaced fracture of the ulnar aspect of the proximal phalanx of the fifth digit. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. No suspicious masses, microcalcifications or areas of architectural distortion are present. | 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. | Hemophagocytic lymphohistiocytosis. Intubated for shock.VIEW: Chest AP (one view) 03/25/15, 1750 Endotracheal tube tip is below thoracic inlet. Feeding tube is coiled upon itself with tip in gastric body. Right internal jugular line tip is in superior vena cava. Lower extremity PICC tip is in the intrahepatic IVC.Cardi... | Continued lung opacities. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in maternal grandmother. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. O... | Left breast masses for which comparison with prior studies is recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISON |
Generate impression based on findings. | Nasopharyngeal mass. There appears to be slight asymmetric prominent of the left nasopharyngeal mucosa. Otherwise, there is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unremarkable. There are calcifications are the caro... | Apparent slight asymmetric prominent of the left nasopharyngeal mucosa, which is nonspecific. Further evaluation via endoscopy may be useful, if clinically warranted and not already recently performed. |
Generate impression based on findings. | 60 year-old female with lung cancer for restaging CHEST:LUNGS AND PLEURA: Debris within the trachea and right mainstem bronchus may reflect secretions or aspirated material.No pneumothorax or pleural effusion.Moderate apical predominant centrilobular emphysema.Large right lower lobe, heterogeneous mass measures 5.0 x 6... | Large right lower lobe heterogeneous mass and enlarged mediastinal and hilar lymph nodes. This may be metastatic in origin or represent a second primary neoplasm. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast biopsy in 2003 for papilloma. 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 d... | 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 19 years old Reason: re-evaluate for osteo in known AVN History: pain, frequent feverVIEWS: Left humerus AP in internal and external rotation. 3/25/15 (two views) Changes of the humeral head are unchanged. No evidence of cortical disruption or bone lucency. No fracture. | Chronic changes of AVN are stable with no evidence of bone infection. |
Generate impression based on findings. | 51-year-old female. Obesity status post duodenal switch complicated by severe malnutrition resulting in duodenal switch reversal now c/l internal hernia s/p ex lap with SB resection. Abdominal distention. ABDOMEN:LUNG BASES: Bibasilar dependent groundglass opacities and patchy consolidation consistent with edema, aspir... | 1. Multiple dilated loops of small bowel with intervening collapsed bowel suspicious for multifocal partial obstruction due to adhesive disease.2. Basilar dependent groundglass opacities and patchy consolidation consistent with edema, aspiration, and/or infection. Small left pleural effusion. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. Asymmetry in the right central breast seen on MLO and MLO t... | Asymmetry in the right central breast, for which additional views, including spot compression views and possible ultrasound are recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Noted to have 17 acute and healing rib fractures. No history of trauma. Vaginal delivery with vacuum assist. EXAMINATION: Interpretation of outside exam -- Chest AP/lateral performed at Saint Margaret Mercy South, Dyer, IN, 03/01/15 Cardiothymic silhouette and pulmonary vascularity are normal. The aortic arch, cardiac ... | Multiple rib fractures. |
Generate impression based on findings. | 31-year-old female with left ulna fracture. A side plate and screws device affixes a transverse distal diaphyseal ulnar fracture in near-anatomic alignment without evidence of hardware complication. Mild callus formation indicates healing. | Healing distal ulnar fracture. |
Generate impression based on findings. | There is a right-sided subgaleal hematoma. A calvarial lucency on the right which extends from the lambdoid to the squamosal suture lies posteriorly in relation to the subgaleal hematoma. Given its location and appearance, an accessory suture is favored, although a fracture cannot entirely be excluded. There is also a... | 1.A calvarial lucency on the right which extends from the lambdoid to the squamosal suture lies posteriorly in relation to the subgaleal hematoma. Given its location and appearance, an accessory suture is favored, although a fracture cannot entirely be excluded.2.There is also a small lucency extending laterally from t... |
Generate impression based on findings. | Female; 37 years old. Reason: Evaluate for extent of metastatic disease in breast cancer patient with new osseous mets History: ER+/PR+/HER? breast ca s/p neoadjuvant chemo and resection on hormone therapy, p/w back pain found to have new spinal mets CHEST:LUNGS AND PLEURA: Stable subpleural reticulation in the anterio... | 1. New diffuse osseous metastatic disease since prior study on 11/25/13. Bone scintigraphy would be more sensitive in characterizing the extent of disease, if clinically indicated.2. Indeterminant right hepatic lobe hypoattenuating lesion, for which MRI can be obtained for further characterization. |
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. Small subcentimeter benign morphology masses bilaterally. No suspicious masses, microc... | 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. | 59-year-old male patient with worsening left abdominal pain and nausea after percutaneous gastrostomy tube placement on 3/24/2015. ABDOMEN:LUNG BASES: Trace left pleural effusion. Basilar atelectasis and right lung base scarring.LIVER, BILIARY TRACT: Cholelithiasis without CT evidence of cholecystitis.SPLEEN: No signif... | 1.Satisfactory position of percutaneous gastrostomy tube without evidence of complication.2.Cholelithiasis without evidence of cholecystitis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history breast cancer diagnosed in mother at age 52. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, 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. History of bilateral breast reductions 20 years ago. 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. Architectural distortion in the a... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this r... |
Generate impression based on findings. | 3-year-old male with fever and coughVIEWS: Chest AP/lateral (two views) 3/26/15 at 0854 The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. Bronchial wall thickening and large lung volumes are present. Subsegmental atelectasis right middle lobe. | Bronchiolitis/reactive airway disease pattern. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views with additional MLO views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Circular skin marker ... | 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. | 27-year-old male patient with history of abdominal pain, rectal pain, bilateral groin pain and back pain after intercourse. No urinary tract symptoms. Evaluate etiology. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Splenule noted.PANCREAS: No signif... | No findings to account for patient's symptoms. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of uterine cancer diagnosed at age 28. Two standard digital views of both breasts for a total of 7 images were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masse... | Right breast masses and left breast calcifications, for which additional views, including spot compression and spot magnification views with possible ultrasound are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 45-year-old female with history of abdominal wound. CHEST:LUNGS AND PLEURA: Streaky opacities at the left base like represent atelectasis and/or scarring. No significant pleural effusions.MEDIASTINUM AND HILA: AICD/pacemaker with leads in the expected location. LVAD positioning is appropriate. There is moderate cardiom... | 1. Fluid collection within the LVAD pocket measuring 9.4 x 4.1 cm in maximal axial dimensions which may represent an abscess. Small amount of fluid and mild inflammatory changes along the LVAD driveline in the anterior abdominal wall.2. Nonobstructive thrombus in the right internal jugular vein is partially visualized.... |
Generate impression based on findings. | Subdural hematoma incidentally found on CT head, admitted for hypoglycemia. Evaluate subdural hematoma. There is a mixed attenuation subdural hematoma along the right frontal convexity, measuring 7 mm in width. Minimal local mass effect. There is supra- and infratentorial parenchymal volume loss. The ventricles and bas... | 1. Mixed attenuation subdural hematoma along the right frontal convexity, measuring 7 mm in width. Minimal local mass effect without midline shift or herniation. No significant change since outside CT from 3/24/2015.2. Age-indeterminate small vessel ischemic changes and lacunar infarcts in the right frontal coronal rad... |
Generate impression based on findings. | Brain: There is no acute intracranial hemorrhage. There is paucity of visualized cortical sulci, normal for a patient of this age. The ventricles are normal in size and configuration. There are no masses, mass effect or midline shift. The visualized portions of the paranasal sinuses and mastoid air cells are clear. He... | 1.Normal noncontrast head CT. No paranasal sinus disease.2.Normal CTA of the head. |
Generate impression based on findings. | Female, 4 years old. 1st toe redness and swelling. Evaluate for osteomyelitis.VIEWS: Right foot AP, lateral, oblique (3 views) 3/25/15, 2225 Diffuse demineralization and decreased muscle mass.No bone destruction or fracture of the great toe.Swelling at the dorsum of the foot. No subcutaneous gas. | No evidence of osteomyelitis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of bilateral cyst aspirations in 1973. Family history of breast cancer diagnosed in paternal aunt and a first cousin. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast pa... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Evaluate intracranial hemorrhage. There is interval removal of the right frontal approach ventriculostomy catheter. Again seen are post-procedural changes related to embolization of the quadrigeminal plate cistern arteriovenous malformation and associated aneurysms. The ventricles remain enlarged but unchanged. There i... | 1. Evolving right midbrain and intraventricular hemorrhage.2. No significant change in ventriculomegaly with interval removal of ventriculostomy catheter.. |
Generate impression based on findings. | Female, 9 years old. Pain at base of 5th metatarsalVIEWS: Right foot AP, lateral, oblique (3 views) 3/25/2015, 2230 The osseous structures and joint spaces are normal.Normal apophysis at the base of the fifth metatarsal.No significant joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Female; 63 years old. Reason: worsening abd extension, cholangiocarcinoma, jaundice History: worsening abd extension, cholangiocarcinoma, jaundice Lack of IV contrast limits sensitivity for solid organ pathology.ABDOMEN:LUNG BASES: Mild bibasilar dependent subsegmental atelectasis. Small hiatal hernia. Contrast opacifi... | 1. Findings most compatible with diffuse peritoneal carcinomatosis. 2. Large amount of abdominopelvic ascites. |
Generate impression based on findings. | Time average mean velocities: Right middle cerebral artery: 146 cm/sec.Right internal carotid artery: 138 cm/sec.Left middle cerebral artery: 126 cm/sec.Left internal carotid artery: 63 cm/sec. | Normal time average mean velocities of intracranial blood vessels as described above (<180 cm/sec). |
Generate impression based on findings. | 70 year-old male patient with metastatic prostate cancer and pulmonary nodules. CHEST:LUNGS AND PLEURA: Stable right pulmonary micronodules. Left lung base calcified granuloma. Dependent atelectasis/scarring.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Calcified mediastinal lymph node compatible with ... | 1.Stable soft tissue nodules remain suspicious for metastases.2.Stable pulmonary micronodules.3.Increasing sclerotic osseous lesions. |
Generate impression based on findings. | Female 44 years old Reason: Cause for left elbow pain - trauma to elbow 3 weeks ago - pain over L radial head and olecranon History: Pain left radial head and olecranon; knee pain Left elbow: Bone mineralization is normal. Alignment is anatomic. The joint spaces are normal. There is a small osteophyte from the coronoid... | 1. No acute fracture or malalignment in the left elbow.2. Minimal right knee osteoarthritis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History left breast benign 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. Linear scar ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | There are scattered, small mucosal retention cyst in the left maxillary sinus, otherwise the paranasal sinuses are clear. The nasal septum is midline. The ostiomeatal units are patent bilaterally. Mastoid air cells are clear. The skull base is unremarkable. There is no abnormality of the partially visualized roots of ... | Minimal left maxillary sinus mucosal retention cysts, otherwise normal examination without findings to explain the patient's symptoms. |
Generate impression based on findings. | Female; 47 years old. Reason: Restaging metastatic breast cancer History: Breast cancer CHEST:LUNGS AND PLEURA: Single nonspecific pulmonary micronodule (series 4/49).MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Normal heart size. No pericardial effusion.CORONARY ARTERY CALCIFICATION: No visible coron... | 1. Decreased size of left adrenal metastases. 2. Overall decreased retroperitoneal and pelvic lymphadenopathy. |
Generate impression based on findings. | Headache. Stealth CT for left parietal craniotomy with fiducial placement for resection of AVM. This is a limited stealth CT for preoperative planning. There is redemonstration of a cluster of coarse and curvilinear calcifications in the left inferior parietal lobule. There is an outpouching near the origin of the feed... | 1. Limited stealth CT for preoperative planning with fiducial markers in place.2. As seen on prior CTA, findings are again suspicious for a left inferior parietal lobule arteriovenous malformation and a 5 mm lobulated left MCA aneurysm in the sylvian fissure. 3. No acute intracranial hemorrhage or mass effect. |
Generate impression based on findings. | Time average mean velocities: Right middle cerebral artery: 108 cm/sec.Right internal carotid artery: 105 cm/sec.Left middle cerebral artery: 145 cm/sec.Left internal carotid artery: 93 cm/sec. | Normal time average mean velocities of intracranial blood vessels as described above (<180 cm/sec). |
Generate impression based on findings. | Reason: Newly diagnosed multiple myeloma, r/o myelomatous lesions History: Newly diagnosed multiple myeloma, r/o myelomatous lesions. Demineralization of the bones is noted diffusely, limiting sensitivity.SKULL: Two views of the skull show no discrete myelomatous lesions.CERVICAL SPINE: Two views of the cervical spine ... | No discrete myelomatous lesion identified. |
Generate impression based on findings. | Female 63 years old Reason: pre-op History: pain AP pelvis shows severe bilateral hip osteoarthritis with bone on bone apposition and subchondral sclerosis and cystic change.Mild osteoarthritis affects the symphysis pubis.Two views the right hip shows the aforementioned right hip osteoarthritis with bone on bone apposi... | Severe right hip osteoarthritis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Patient reports intermittent pain for one month. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Probable benign intra... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of bilateral breast lifts in 2012 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. Benig... | 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. | 56-year-old female with distal radius fracture. Evaluate for healing. A distal radial fracture line is less distinct than seen on previous radiographs, indicating healing. No new fracture is identified. Alignment is anatomic. | Healing distal radius fracture. |
Generate impression based on findings. | Female 76 years old Reason: PRE-OP History: PAIN Severe osteoarthritis affects the right knee with bone on bone apposition in the lateral compartment. There is a genu valgum.Mechanical axis is 17 degrees of valgus. | Severe right knee osteoarthritis and genu valgus as detailed above |
Generate impression based on findings. | 61-year-old male patient with history of metastatic renal cell carcinoma status post radiation treatment to lung. CHEST:LUNGS AND PLEURA: Reference superior segment right lower lobe and lingular nodules are difficult to measure due to surrounding consolidation, likely due to post therapy changes. Reference nodule in th... | 1.Progression of disease with increasing size of right lung nodule and right hilar lymphadenopathy.2.New right apical micronodule is nonspecific, but is concerning for metastatic disease. |
Generate impression based on findings. | 76 old female with swollen, tender left middle finger. The fracture. A lytic, expansile lesion of the distal phalanx of the third digit with thin sclerotic border is present. There is cortical irregularity along the palmar aspect and associated focal soft tissue swelling. Mild osteoarthritis affects the wrist and scatt... | Lytic, expansile lesion of the distal phalanx of the third digit most likely represents epidermoid inclusion cyst, possibly fractured. Other differential consideration includes glomus tumor. Follow up with orthopaedic oncology/bone tumor or hand surgery is suggested. |
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. Linear scar marker was placed over the left breast. Multiple small subcentimeter proba... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Circular skin markers were pl... | 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. | 18 year-old male with pain. No evidence of fracture or malalignment in the right wrist. | No evidence of fracture. |
Generate impression based on findings. | History of acute myelogenous leukemia for pre-chemotherapy assessment of sinuses. Frontal sinus: There is minimal mucosal thickening in the left frontoethmoidal recess. The frontal sinuses and right frontoethmoidal recess are clear.Anterior ethmoids: The anterior ethmoid air cells are clear.Maxillary sinuses: The maxil... | Minimal paranasal sinus disease as describe above. |
Generate impression based on findings. | Reason: evaluate for fractures at the anatomical snuff box History: pain after trauma. There is questionable irregularity of the scaphoid without definite fracture or malalignment evident in the right wrist. | No specific evidence of fracture; however if there is high clinical concern, dedicated scaphoid views may be obtained. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Subcentimeter circumscribed m... | 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. | Anal carcinoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCORONARY ARTERY CALCIFICATION: None.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Very subtle questionable 4-mm low-attenuation focus within segment 6 of the right lob... | Very subtle questionable 4-mm low-attenuation focus within segment 6 of the right lobe liver not clearly visible on prior studies. Would pay special attention to this focus on future surveillance scans. |
Generate impression based on findings. | Time average mean velocities: Right middle cerebral artery: 106 cm/sec.Right internal carotid artery: 127 cm/sec.Left middle cerebral artery: 112 cm/sec.Left internal carotid artery: 107 cm/sec. | Normal time average mean velocities of intracranial blood vessels as described above (<180 cm/sec). |
Generate impression based on findings. | 59 year old with history of right lumpectomy for invasive ductal carcinoma grade 1 in 2013. Patient received adjuvant radiation. History of fat necrosis in the right retroareolar region Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is mostl... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Brain: Right frontal intraparenchymal hemorrhage measuring 4 cm x 3.4 cm x 4 cm with expected interval evolution. This hemorrhage involves the middle frontal gyrus and precentral gyrus with mass effect on the precentral gyrus. There is also mass effect on the superior aspect of the right lateral ventricle. No evidence... | 1.Focal nodular AVM at the lateral aspect of the right frontal hematoma.2.Expected evolution of the right frontal hematoma involving the middle frontal and precentral gyrus. 3.No other hemorrhage is identified. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in sister. Two standard digital views of both breasts and additional cleavage view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unch... | 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. | 45 year old with history of right mastectomy in 2009 for high-grade DCIS. No current breast complaints. History of benign left breast biopsy. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern an... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, left unilateral diagnostic mammogram is recommended annually. In view of the patient's dense breast tissue, breast MRI may be a useful option for the supplemental screening. Results and recommendations were discu... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Circular skin mark was placed... | 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. | 50 year old with history of right breast ADH presents for follow-up. No current breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. A few ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, additional right MLO view, and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. No suspicious masses, microcalc... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. The sensitivity of mammography for detecting breast cancer is decreased in patients with dense breasts such as this patient. Physical exam assumes a more important r... |
Generate impression based on findings. | Female 67 years old Reason: Evaluate for PE; history of pulmonary hypertension, CREST scleroderma History: SOB The comparison chest radiograph performed on 3/25/15 demonstrates bibasilar scarring/atelectasis, otherwise no no focal pulmonary opacities or pleural fluid. The ventilation images show a uniform distribution ... | Low probability for PE. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are digital mammographic images (2/4/15), ultrasound images of right breast (2/10/15), images from ultrasound guided biopsy of right breast and post procedural right mammographic images (2/28/15) performed at OSF Health System. For comparison, digital m... | Status post benign biopsies in the right breast.BIRADS: 2 - Benign finding.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Time average mean velocities: Right middle cerebral artery: 116 cm/sec.Right internal carotid artery: 59 cm/sec.Left middle cerebral artery: 130 cm/sec.Left internal carotid artery: 104 cm/sec. | Normal time average mean velocities of intracranial blood vessels as described above (<180 cm/sec). |
Generate impression based on findings. | Female; 78 years old. Reason: 78 year old female with HCC. Evaluate disease burden. History: NA CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Cardiomegaly. No pericardial effusion. Pacemaker/ICD leads in the right a... | 1. Multiple hypoattenuating lesions in the left lobe of the liver with conglomerate mass in segment 3, presumably due to hepatocellular carcinoma, though full evaluation of hepatic disease is limited due to lack of multi-phase imaging.2. Probable pancreatic sidebranch IPMN. |
Generate impression based on findings. | 54-year-old male with metastatic small cell cancer, started systemic chemotherapy on 3/18 LUNGS AND PLEURA: Moderate centrilobular emphysema is again noted.Left apical pleural retraction and scarring is unchanged. Bilateral paramediastinal fibrotic changes are noted. The right paramediastinal mass is inseparable from a... | Significant interval decrease in size of right paramediastinal mass with confluent hilar and mediastinal lymphadenopathy as described above.Sclerosis and depression of the superior endplate of T12 is new since the prior exam concerning for metastasis. |
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. Small subcentimeter round retroareolar mass is ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 55 years, Female. Reason: emesis overnight, evaluate for ileus, evaluate position of dht History: bilious emesis There is a Dobbhoff tube with its tip projecting over the descending portion of the duodenum. Nonobstructive bowel gas pattern. Please refer to same day chest radiograph for thoracic findings. | Dobbhoff tube with its tip projecting over the duodenum. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 64 years, Female. Reason: Patient with persistent nausea/vomiting. Poor PO tolerance. Eval for ileus/obstructive pattern. If incorrect series, please contact to reorder. History: As above Nonobstructive bowel gas pattern. No dilated loop of bowel. Suprapubic catheter in position. Right midline surgical staple line unch... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts for a total of the images were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Benign intramammary lymph nodes in the left ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 61-year-old male with history of AML. Evaluate for fungal pneumonia. LUNGS AND PLEURA: There are centrilobular nodules in a bronchiolitic distribution and pattern located in the dependent aspect of both lungs. There is no specific evidence of fungal pneumonia.MEDIASTINUM AND HILA: Heart size is normal with no pericardi... | Findings suggestive of bronchiolitis either related to aspiration or possibly bacterial in etiology. No specific evidence of fungal pneumonia. |
Generate impression based on findings. | Male, 9 years old. Encopresis. Evaluate stool burden.VIEW: Abdomen AP (one view) 3/26/15, 1017 Nonobstructive bowel gas pattern. Moderate stool burden.No free intraperitoneal air. | Moderate stool burden. |
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. A new 9 mm nodule in the right lower lobe (image 53 series 4) which was not present previously. No effusions. Scattered calcified and noncalcified micr... | New interval change concerning for metastatic disease including a new right lower lobe nodule. Follow up imaging including a PET scan can be considered. |
Generate impression based on findings. | 63 years, Female. Reason: ileus, bowel obstruction History: severe LLQ abd pain x 1 day There is a nonobstructive bowel gas pattern. There is no evidence of pneumoperitoneum. Surgical clips project over the right upper quadrant. | No evidence of bowel obstruction or pneumoperitoneum. |
Generate impression based on findings. | known SDH follow up No interval change of right fronto-parietal SDH with minimal mass effects since prior exam.Minimal non specific small vessel ischemic disease, no change since prior exam.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no m... | No interval change of right fronto-parietal SDH with minimal mass effects since prior exam. |
Generate impression based on findings. | Female 22 years old Reason: VP shunt, pt with abdominal pain, evaluate for pseudo abdominal cyst /CSF/ shunt catheter end. History: abdominal pain There are small, well-defined, round or ellipsoid hypoechoic areas in the anterior abdominal wall in the right lower quadrant which may represent small collections versus ch... | Right lower quadrant anterior abdominal wall hypoechoic lesions of uncertain etiology. These may represent small collections versus changes secondary to injections. No evidence of intra-abdominal fluid.Cholelithiasis. |
Generate impression based on findings. | 72 year old female with history of lung nodule on recent chest radiograph. History of left breast cancer in 2004, completed therapy, in remission. LUNGS AND PLEURA: There is a smooth, oval shaped nodule located in the inferior aspect of the horizontal fissure in the right middle lobe with scattered calcifications and m... | Calcified right middle lobe nodule as above. Given appearance and imaging characteristics, this is most compatible with a healing granulomatous infection. A chest radiograph may be obtained in 6-12 months for reassurance to confirm stability. |
Generate impression based on findings. | 71-year-old male. Prostate cancer, newly androgen resistant. CHEST:LUNGS AND PLEURA: Scattered micronodules, likely postinflammatory; special attention on follow up scans to exclude metastases.MEDIASTINUM AND HILA: Mildly enlarged right hilar lymph node is 1.3 x 1.2 cm. Scattered small mediastinal lymph nodes.CORONARY ... | 1. Extensive metastases throughout the visualized skeleton, most of which are more conspicuous due to increased sclerosis and some appear new. Refer to same day nuclear bone scan regarding the activity of these lesions.2. Mildly enlarged right hilar lymph node. Scattered micronodules, likely post-inflammatory, though s... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in 5 maternal aunts. Two standard digital views of both breasts and additional cleavage view for a total of 9 images were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Male 54 years old Reason: wt loss down to the 140s. Has poor appetite. r/o path History: non smoker, poor appetite, wt loss documented CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCORONARY ARTERY CALCIFICATION: CHEST WALL: No significant abnormality noted... | Left nephrolithiasis. Slight interval increase in the size of the right adrenal nodule. |
Generate impression based on findings. | 54 -year-old male with interstitial lung disease LUNGS AND PLEURA: Diffuse interstitial septal thickening and fibrosis with groundglass opacities, peripheral honeycombing, and traction bronchiectasis throughout the lungs.Diffusely scattered, calcified punctate micronodules suggestive of prior granulomatous disease or d... | 1.Diffuse interstitial fibrosis with honeycombing, but with a diffuse distribution which makes this an 'inconsistent with UIP' pattern. The differential also includes chronic hypersensitivity pneumonitis and fibrosing NSIP. No suspicious nodule or mass identified.2.Mediastinal and hilar lymphadenopathy is nonspecific a... |
Generate impression based on findings. | Female 80 years old Reason: locally advance pancreatic cancer History: surveillance after 6 months of chemotherapy CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CORONARY ARTERY CALCIFICATION: Moderate.CHEST WALL: No significant abnormality noted.ABDOMEN:... | Slight interval decrease in the size of the patient's known pancreatic mass. |
Generate impression based on findings. | Call back from screening mammogram for two benign appearing masses in the right breast. An ML view and two spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. Two small circumscribed round masses are again seen in the left breast at upper at quadrant. Ultrasound ... | No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 48 year old with history of left excisional biopsy in 2009 for sclerosing intraductal papilloma. Recent imaging demonstrated high probability benign calcifications in the left breast. History of breast cancer in mother diagnosed at age 49. Three standard views of both breasts were performed digitally and reviewed with ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 49-year-old female with coronavirus since 3/1 with continued symptoms of rhinorrhea, sore throat, and occasional cough, evaluate for pneumonia LUNGS AND PLEURA: Multiple large calcified granulomas bilaterally. No suspicious nodule or mass.No pleural effusion or pneumothorax. Mild linear atelectasis or scarring at the r... | 1.No specific evidence of infection.2.Right paratracheal 11-mm soft tissue density posterior to a slightly heterogeneous right thyroid lobe may represent an exophytic thyroid nodule, parathyroid adenoma, or lymph node. Ultrasound is recommended for further evaluation. |
Generate impression based on findings. | Reason: pleural mesothilioma History: hisotry of ongoing shortness of breath with a negative cardiac workup since October 2014 which progressively worsened CHEST:LUNGS AND PLEURA: Multiple areas of right pleural nodularity demonstrate contrast enhancement compatible diagnosis a mesothelioma. These are more prominent th... | Multiple right-sided enhancing pleural nodules compatible with diagnosis of mesothelioma. Reference measurements as noted above. There is noted to be probable anterior chest wall invasion of one of the lesions. |
Generate impression based on findings. | 62-year-old female. Personal history of nasal cancer diagnosed at age 62. No current breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No dominant mass, suspicious microcalcific... | 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: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 74-year-old male with pulmonary nodules and smoking history LUNGS AND PLEURA: Severe centrilobular emphysema. Unchanged biapical scarring. 6 x 4 mm left upper lobe nodule (series 5, image 38) is unchanged.Left lower lobe 7-mm nodule is unchanged (series 5, image 101).New 3-mm nodule in the left lobe (series 5, and 64) ... | 1.Stable pulmonary nodules as described above consistent with benign lesions. 2.New left lower lobe 3-mm nodule is likely an intrapulmonary lymph node.3.Annual thoracic CT screening studies are recommended if the patient has a history of smoking or otherwise is at high risk for primary pulmonary malignancy. |
Generate impression based on findings. | Foul odor and altered taste; abnormal nasal anatomy 2/2 remote GSW to left face. There are multiple bullet fragments embedded in the soft tissues of the left face, anterior maxillofacial skeleton, and left orbit. There is mild mucosal thickening in the left maxillary sinus. The other paranasal sinuses are clear. The na... | Stigmata of gunshot wound to the maxillofacial region without evidence of acute rhinosinusitis. |
Generate impression based on findings. | Male 86 years old; Reason: rising creatinine in a kidney transplant patient. r/o obstruction, assess renal blood flow History: rising creatinine ULTRASOUND KIDNEYSTransplant kidney: The right iliac fossa kidney measures 11.9 cm in length. The renal parenchyma is mildly atrophic appearing similar to prior. An inferior p... | 1.Atrophic transplant kidney. Stable minimally increased resistive indices and parvus tardus waveforms in the distal arteries without frank arterial stenosis. 2.Normal bladder emptying with volumes as described. |
Generate impression based on findings. | There is a partially imaged lucency with cortical dehiscence in the right alveolus. There also appear to be partially imaged ill-defined lucencies in the left maxillary alveolus. There is an area of hyperostosis in the midline of the hard palate extending inferiorly approximately 4 mm into the roof of the mouth. Other... | 1.Partially imaged lytic defects in the maxillary alveolus are likely at least in part related to the reported tumor. The patient may return for additional CT images of the mouth included in the field of view at no additional charge, if necessary.2.Minimal torus palatinus. |
Generate impression based on findings. | Female; 61 years old. Reason: eval for progression History: low grade RCC with mets CHEST:LUNGS AND PLEURA: Unchanged scattered pulmonary micronodules, the largest of which measures 4 mm in the left upper lobe (series 5/30).MEDIASTINUM AND HILA: Stable heterogeneity of the thyroid gland. No mediastinal or hilar lymphad... | No significant interval change in four hypervascular pancreatic lesions, accounting for differences in technique.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Time average mean velocities: Right middle cerebral artery: 113 cm/sec.Right internal carotid artery: 104 cm/sec.Left middle cerebral artery: 130 cm/sec.Left internal carotid artery: 86 cm/sec. | Normal time average mean velocities of intracranial blood vessels as described above (<180 cm/sec). |
Generate impression based on findings. | Female, 13 years old. Tenderness over spinous process, approx t8.VIEWS: Thoracic spine AP, lateral, swimmers (3 views) 3/26/2015, 1107 The osseous structures and joint spaces are normal.Vertebral body and disk space heights are maintained. | No acute fracture or malalignment. |
Generate impression based on findings. | Male 57 years old Reason: M with HIV, HepB, HepC, CKD. f/u liver for cirrhosis/screening, also kidneys given recent increase in creatine History: CKD, Hepatitis LIVER: Coarse echotexture of the liver without focal lesions. Liver measures 13.3 cm in length. The portal vein is patent with normal hepatopetal flow and a ve... | Coarse echotexture of the liver without focal lesions.. Normal renal and Doppler examination. |
Generate impression based on findings. | 49-year-old female with right upper outer quadrant focal asymmetry that likely represents to a cluster of complex cyst seen on sonogram. No current breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fib... | Stable focal asymmetry in the right upper outer quadrant there correlated with a cluster of complex cyst on sonogram. 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 wit... |
Generate impression based on findings. | 49-year-old with history of left breast cancer status post mastectomy. Two standard views and three implant displaced views of the right breast were performed digitally 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 distr... | 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.The patient will also have a screening MRI today, which will be separately reported.BIRADS: 2 - ... |
Generate impression based on findings. | Reason: 43y/o female with personal history of breast cancer; pt been experiencing lower back pain for several months with no relief. No abnormal osseous foci are identified to indicate metastatic disease. Focal linear activity anteriorly at the L5-S1 level was identified on whole body images and was further investigate... | 1. No evidence of osseous metastatic disease. 2. Increased activity at L5-S1 correlates with degenerative disk disease in this location on SPECT/CT. No evidence of bone metastases. |
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