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Generate impression based on findings. | Time average mean velocities: Right middle cerebral artery: 135 cm/sec.Right internal carotid artery: 101 cm/sec.Left middle cerebral artery: 137 cm/sec.Left internal carotid artery: 81 cm/sec. | Normal time average mean velocities of intracranial blood vessels as described above (<180 cm/sec). |
Generate impression based on findings. | Male, 14 years old. Reason: left hip pain History: chronic worsening left hip painVIEWS: Pelvis AP, frog leg (two views) 3/26/15, 1122 A small exophytic sclerosis directed inferiorly from the anterior inferior iliac spine, compatible with tendon calcification or chronic avulsion injury.Otherwise, the osseous structures... | Tendon calcification or chronic avulsion injury of the right AIIS. |
Generate impression based on findings. | There is good opacification of the subarachnoid space in the cervical, thoracic, and lumbar spine. There is small amount of extrathecal contrast in the spinal canal and in the paraspinous soft tissues in the upper lumbar spine consistent with post procedural change.There is filling defect involving the dorsal thecal s... | CT myelogram demonstrating filling defects in the thecal sac from T2-T3 to the T4-T5 levels as well as T6-T7 to the T8-T9 levels. Recent MRI demonstrates CSF signal within these areas. Overall findings are consistent with arachnoid cysts. Please note there is a possibility that there is only one large contiguous arachn... |
Generate impression based on findings. | 57 year old female status post right lumpectomy in 2006 for breast cancer, presents today for routine follow up. Patient received radiation and chemotherapy. No current breast complaints. Family history of breast carcinoma in a paternal aunt, maternal great aunt, and paternal great-grandmother. Three standard views of ... | 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: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 18 year-old male with history of GI clear cell sarcoma metastasis to liver CHEST:LUNGS AND PLEURA: Again seen are a small amount of scattered pulmonary micronodules, some of which are calcified, appearing similar to the prior exam. No new pulmonarynodules or masses. No pneumothorax or pleural effusion. No consolidation... | 1.Interval resolution of hepatic dome lesion.2.Unchanged hypodensities in the hepatic segment 8. No new hepatic lesions.3.Soft tissue prominence along the small bowel staple line is favored to represent nondistended small bowel, however continued follow-up is recommended to ensure stability.4.Unchanged pulmonary micron... |
Generate impression based on findings. | 43-year-old female with history of bilateral benign breast masses, some of which are fibroadenomas. No family history of breast cancer. MAMMOGRAM: Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure smal... | Bilateral benign morphology masses as above. These masses are smaller when compared to prior examination. No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed... |
Generate impression based on findings. | Female 70 years old Reason: HBV evaluate for HCC History: HBV LIVER: Liver measures 10.5 cm. Coarse echotexture of the liver. No focal liver lesions.BILIARY TRACT: Cholelithiasis without evidence of cholecystitis or biliary dilatation.PANCREAS: Not well visualized due to overlying bowel gas.SPLEEN: No significant abnor... | Cholelithiasis and coarse echotexture of the liver. |
Generate impression based on findings. | Clinical question: Rule out hemorrhage, fell and hit head. Signs and symptoms: As above. Unenhanced head CT:There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.There is low positioning of cerebellar tonsils below the foramen magnum for approximately 6 mm and consiste... | 1.No evidence of an acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.2.There is 6-mm herniation of cerebellar tonsils through the foramen magnum representing Chiari malformation. Unremarkable intracranial contents otherwise.3.Numerous tiny lytic changes of calvarium consistent with mult... |
Generate impression based on findings. | VPS with strata valve at 2.5 and subdural drain removal to drain chronic SD. There has been interval removal of a left cerebral convexity drainage catheter and resolution of subdural pneumocephalus. However, there is now mixed-attenuation material within the left cerebral convexity subdural collection that measures up ... | 1. Interval removal of a left cerebral convexity drainage catheter and resolution of subdural pneumocephalus, but a small amount of acute hemorrhage has developed within the persistent left cerebral convexity subdural collection. Overall, the collection appears to have decreased slightly in size.2. Persistent fluid in ... |
Generate impression based on findings. | Gastric cancer status post neoadjuvant chemotherapy. Restaging prior to surgery.RADIOPHARMACEUTICAL: 16.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 112 mg/dL. Today's CT portion of the neck demonstrates no significant pathology. Please see diagnostic CT reports for details of the chest, abdomen, and pe... | 1.Near complete to complete resolution of previous hypermetabolic tumor activity. No new or significantly FDG avid lesion currently.Diagnostic CTs of the chest, abdomen, and pelvis also performed at today's visit will be reported separately. |
Generate impression based on findings. | Evaluation is slightly limited secondary to streak artifact from stereotactic frame. The previously identified suprasellar mass is again seen. There is cystic change within the left aspect of the lesion compatible with prior treatment. Placement of catheter is seen via right transfrontal approach extending into the le... | 1. Examination for intraoperative guidance with right transfrontal catheter seen extending into the hypothalamic hamartoma. 2. Evidence of prior bifrontal craniotomy and transcallosal surgery. |
Generate impression based on findings. | Pain after basketball injury.VIEWS: Left knee AP/lateral/oblique (3 views) 03/26/15 A moderate to large joint effusion is present. The bones are normal in appearance. No fracture is identified. | Joint effusion. |
Generate impression based on findings. | Female 22 years old Reason: urinary frequency, severe right sided pain History: urinary frequency, severe right sided pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL G... | Bilateral punctate renal stones with right-sided mild to moderate hydronephrosis. Although no definite stones are seen in the right ureter, this study is limited for visualization of the right ureter due to lack of intra-abdominal fat. |
Generate impression based on findings. | Male 57 years old; Reason: eval for torsion, known hydrocele History: scrotal pain RIGHT TESTIS: 5 x 2.9 by 2.9 cmLEFT TESTIS: 4.2 x 2.5 x 2.3 cmRIGHT EPIDIDYMIS: No significant abnormalities noted.LEFT EPIDIDYMIS: No significant abnormalities noted.OTHER: Bilateral large hydroceles , not significantly changed from pre... | Bilateral large hydroceles. No evidence of testicular torsion. |
Generate impression based on findings. | Male 20 years old Reason: eval for appy History: RLQ pain and vomiting 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, URET... | No CT findings to explain patient's right lower quadrant pain. |
Generate impression based on findings. | PHARYNX/LARYNX: Utilizing a similar transverse dimension as was previously documented on coronal reformatted images, the somewhat ill-defined oropharyngeal mass continues to decrease in size, now measuring 36-mm transverse (80348/47) as compared to prior 40-mm. The previously noted bulky soft tissue within the right p... | 1. Interval further decreased size of oropharyngeal mass, consistent with favorable treatment response. Redemonstration of retropharyngeal involvement with slight further interval decreased soft tissue thickening at this level.2. Stable appearance of partially calcified reference left level IIa lymph node.3. Interval d... |
Generate impression based on findings. | Female 67 years old Reason: 67F with right renal mass, assess for change in size History: as above ABDOMEN:LUNG BASES: Subcentimeter nodule adjacent to the right fissure is unchanged.LIVER, BILIARY TRACT: Small hypodense lesions in the liver are unchanged.SPLEEN: No significant abnormality notedPANCREAS: No significant... | Enhancing right upper pole renal mass, not significantly changed from previous study, however, still suspicious for a renal cell carcinoma such as a papillary variant. |
Generate impression based on findings. | Male 77 years old Reason: TAAA History: aneurysm This study is limited due to lack of intravenous contrast.CHEST:LUNGS AND PLEURA: Scattered micronodules are unchanged. Small left-sided pleural effusion.MEDIASTINUM AND HILA: Patient's known descending thoracic aneurysm is now slightly increased in size and measures 6.3... | Minimal interval increase in the size of the descending thoracic aortic aneurysm. Accurate measurement of the size of this and is difficult to to lack of intravenous contrast and adjacent atelectasis in the left lung base.Right renal artery aneurysm.Chronic pancreatitis. |
Generate impression based on findings. | 74-year-old male patient with history of kidney cancer. Evaluate for metastatic disease. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Splenic granulomata.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS... | 1.Postsurgical changes from left nephrectomy. 2.Increasing number of intraabdominal soft tissue nodules raise concern for metastatic disease. Attention should be paid on follow up imaging. |
Generate impression based on findings. | Male 71 years old Reason: follow up for prostate cancer, newly androgen resistant History: prostate cancer Again seen are multiple osseous metastatic lesions in the axial and proximal appendicular skeleton. For a majority of these lesions there is significant interval decrease in the size, number and intensity of these... | Overall mixed response, with majority of prior lesions showing improvement, but with one new lesion consistent with new hip metastasis. Overall the osteoblastic tumor burden is decreased from prior exam. |
Generate impression based on findings. | Time average mean velocities: Right middle cerebral artery: 141 cm/sec.Right internal carotid artery: 82 cm/sec.Left middle cerebral artery: 119 cm/sec.Left internal carotid artery: 81 cm/sec. | Normal time average mean velocities of intracranial blood vessels as described above (<180 cm/sec). |
Generate impression based on findings. | Female 60 years old Reason: 60 yo F HTN with longstanding concern for abdominal mass. Midline superior to umbilicus - possible hernia vs. lipoma? Pls evaluate History: abd pain/mass ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Subcentimeter hypodense lesions in the liver are too small to ac... | Dilated endometrial stripe suspicious for endometrial cancer. Small fat containing midline hernias. |
Generate impression based on findings. | The right uterine artery was embolized using 500-700 micron Embospheres until near stasis was achieved. The post-embolization angiogram confirmed these findings.LEFT UTERINE ARTERY EMBOLIZATION | Successful bilateral uterine artery embolization.PLAN: 1. The patient will be admitted overnight for pain control and observation.2. The patient was entered into the IR clinic follow-up system. A follow-up MRI pelvis will be performed in 3 months time, after which the patient should return to the interventional radiolo... |
Generate impression based on findings. | Female 61 years old; Reason: eval for metastasis from RCC History: metastatic RCC, L upper arm pain, XR showing lucency in L proximal humerus. The left humerus cortex is intact. No suspicious sclerotic or lytic lesions. The scapula is intact. Left shoulder joint space is normal.No muscle atrophy.Imaged portion of the l... | 1.No suspicious sclerotic or lytic lesions. |
Generate impression based on findings. | Cardiac arrest. There is extensive, acute intraparenchymal hemorrhage centered within the pons with intraventricular extension into the third and fourth ventricles and bilateral frontal and occipital horns. There is mass effect on the adjacent parenchyma. There is mild prominence of the ventricles, including the tempor... | 1. Extensive, acute intraparenchymal hemorrhage centered within the pons with diffuse intraventricular extension.2. Mild prominence of the ventricles, concerning for obstructive hydrocephalus.Urgent findings discussed with Dr. Bhatia on 3/26/2015 immediately upon study completion. |
Generate impression based on findings. | Status post fall Head: No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits for age without evidence of hydrocephalus. No extra-axial collections. There are... | 1. No evidence of acute intracranial hemorrhage or mass effect. No calvarial fracture.2. No acute cervical spine fracture or subluxation.3. Multilevel degenerative changes as detailed above. |
Generate impression based on findings. | Female 69 years old History: several times has high calcium but PTH mid normal; ? parathyroid adenoma There is physiologic distribution of the radiopharmaceutical. Activity projecting over the right chest seen on SPECT correlate to significant scoliosis. Prominent salivary activity, of uncertain etiology. Otherwise no ... | No scintigraphic evidence for parathyroid adenoma. |
Generate impression based on findings. | Female 44 years old Reason: history Type A dissection s/p repair History: Thoracic aneurysm CT ANGIOGRAM: Interval postsurgical changes from graft repair of a ascending aortic arch dissection. Proximal anastomosis appears intact. There is a small contrast leak just superior to the distal graft anastomosis at the 7 o'cl... | Interval postsurgical changes of type A aortic dissection graft repair. There is a small contrast leak with contained pseudoaneurysm just distal to the distal graft anastomosis. There has been mildly increased thrombus within the false lumen at the level of the distal ascending aorta and arch, which are slightly increa... |
Generate impression based on findings. | Reason: hx lung CA, pls compare to previous and measure History: none CHEST:LUNGS AND PLEURA: Right perihilar mass (image 52 series 3) measures 20 mm x 26 mm unchanged from the prior exam.Stable postsurgical changes in the right upper lobe.Focal pleural thickening medially in the right lower lobe.Stable scattered calci... | 1.Right perihilar mass unchanged.2.Multiple vertebral metastatic lesions unchanged from prior exam. Pathologic fracture noted through the inferior endplate of L4.3.Progression of hepatic metastatic disease with new focus of disease.4.Suggestion of early right adrenal gland metastatic deposit. |
Generate impression based on findings. | 63 years, Female. Reason: abdominal distension, constipation, eval for obstruction, ileus History: abdominal distension Cardiomediastinal silhouette is within normal limits. There is a small hiatal hernia. Linear opacity at left lung base likely represents linear atelectasis or basilar scarring, and is unchanged from 1... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Female 61 years old Reason: Evaluate possible parathyroid nodule, labs consistent with primary hyperparathyroidism, has hypercalcemia There is a subtle faint focus of increased activity in the right inferior aspect of the thyroid, which is equivocal but with some suspicion for parathyroid adenoma. | Somewhat suspicious but equivocal focus inferior to the right thyroid could represent a parathyroid adenoma. |
Generate impression based on findings. | 42 years, Female. Reason: Abdominal Pain History: as above Right nephroureteral stent in place with the distal tip terminating in the urinary bladder. Cystectomy clips project over the upper quadrant. There is a nonobstructive bowel gas pattern. Distended debris filled stomach. | There is a nonobstructive bowel gas pattern. Distended debris filled stomach. |
Generate impression based on findings. | 69-year-old male history of non small cell lung cancer status post chemotherapy, XRT, and surgery. CHEST:LUNGS AND PLEURA: Status post right upper lobectomy. There are paramediastinal fibrotic changes of the right lung related to prior radiation therapy. Severe centrilobular predominant emphysema. No suspicious pulmona... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 75 years, Male. Reason: ng tube History: ng tube Pelvis is excluded from the field-of-view. There is a Dobbhoff tube with its tip projecting over the descending duodenum. IVC filter unchanged in position. Please refer to same day chest radiograph for thoracic findings. | Dobbhoff tube tip projects over the descending duodenum. |
Generate impression based on findings. | Male 70 years old Reason: history of metastatic prostate cancer on therapy, needs reevaluation History: metastatic prostate cancer to bone Focus of increased uptake in the left aspect of the T10 vertebral body is stable. Soft tissue lesions are seen in the thighs. No new suspicious osseous lesions. | No evidence of progressive osseous metastasis. Stable metastatic focus in T10 vertebral body. Remaining sclerotic foci seen on CT are not well demonstrated on this scan. Fluoride-18 bone scan may be helpful for further evaluation as clinically indicated. |
Generate impression based on findings. | Female 76 years old Reason: pleural mesothelioma History: history of ongoing shortness of breath with a negative cardiac workup since October 2014 which progressively worsened The comparison chest radiograph performed on 3/26/15 demonstrates right pleural thickening, otherwise no focal pulmonary opacities or pleural fl... | Multiple, extensive matched ventilation perfusion abnormality in the mid and upper lungs, right slightly worse than left. |
Generate impression based on findings. | Renal cell carcinoma ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Stable hepatic cysts.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Right nephrectomy site clear. Benign left renal cyst.RET... | Negative for acute, inflammatory, or metastatic process. |
Generate impression based on findings. | 56-year-old male with suspicious lesions on bone scan, moderate risk prostate cancer. Left posterior 11th rib, left parietal bone. No sclerotic or lytic rib lesion or rib fracture is identified.No sclerotic or lytic skull lesion is identified. | No fracture or other lesion identified to correlate with bone scan abnormality. |
Generate impression based on findings. | 59-year-old male with cardiac arrest, evaluate for pulmonary embolism PULMONARY ARTERIES: Technically adequate examination without evidence of pulmonary embolism. Main pulmonary artery measures 3.1 cm suggestive of pulmonary artery hypertension.LUNGS AND PLEURA: Bibasilar and bilateral posterior segment upper lobe cons... | 1.No evidence of pulmonary embolism.2.Bibasilar and bilateral posterior segment upper lobe consolidation with nodular airspace opacities compatible with atelectasis and aspirated secretions.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: ... |
Generate impression based on findings. | 57 year old female. Metastatic breast cancer. CT chest, abdomen, and pelvis CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules. Subpleural reticulation in the right lung is likely from post radiation change. Mild dependent atelectasis.MEDIASTINUM AND HILA: Scattered small subcentimeter mediastinal and bilateral hi... | 1. Infiltrative soft tissue mass at the aortic bifurcation, suspicious for a metastasis. Borderline enlarged pelvic nodes, indeterminate.2. Soft tissue nodules in the right psoas muscle and left erector spinae muscle are suspicious for body wall metastases.3. Sclerosis of the right of L3 vertebral body is suspicious fo... |
Generate impression based on findings. | Male 70 years old Reason: eval for RA History: above Right shoulder: Bone mineralization is decreased. There is mild to moderate right shoulder joint space narrowing with small osteophytes.Mild to moderate osteoarthritis affects the right AC joint.Left shoulder: Bone mineralization is decreased. There is mild to modera... | 1. Bilateral shoulder osteoarthritis.2. Severe left elbow and mild right elbow osteoarthritis.3. Advanced erosive change in the left wrist with superimposed osteoarthritis..4. Mild right hand osteoarthritis. |
Generate impression based on findings. | 70 year-old female patient with renal failure preop for kidney transplant. Evaluate aorta and iliac vessels for kidney transplant. Adrenal mass reported on 8/1/2013. Exam is not sensitive for detecting lesions in the bowel and solid organs due to the lack of oral and intravenous contrast. Given those limitations, the f... | Atherosclerotic calcifications of the aorta and its branches as described above. |
Generate impression based on findings. | Male 57 years old Reason: hip pain History: s/p fall sprain hip pain Bone mineralization is normal. Alignment is anatomic. Joint spaces are normal. No fractures are evident. | No acute fracture or malalignment. |
Generate impression based on findings. | 55 year-old female with left knee pain; trauma to left knee now wearing brace. Tiny osteophytes indicate minimal osteoarthritis of the left knee. No evidence of fracture or malalignment. | No evidence of fracture or malalignment in the left knee. |
Generate impression based on findings. | Prostate carcinoma now with soft tissue mass and purulent fluid draining from the umbilical port site ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Stable mild splenomegalyPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnorma... | Interval decrease in size of subcutaneous soft tissue lesion at the level of the umbilicus. Otherwise stable examination. |
Generate impression based on findings. | 47 year ole male with R shoulder pain; has os acromiale. No evidence of fracture malalignment on limited bilateral shoulder views. Left os acromiale measures 2.5 x 1.8 cm. No subacromial osteophytes. Probable right os acromiale as well. | No evidence of fracture malalignment on limited views of the shoulders. |
Generate impression based on findings. | Female 65 years old Reason: eval for compression fracture or stenosis History: 65F with tingling down arms and neck pain Vertebral bodies are normal in height. There are anterior osteophytes at C4-C5 and C5-C6. This spaces are mildly narrowed at these levels. Degenerative changes are present at the C1-2 junction. | Mid cervical degenerative changes. |
Generate impression based on findings. | Male 56 years old Reason: Standing views to assess severity of OA and to assess for loose bodies. History: Increasing knee pain and popping Right knee: Bone mineralization is normal. Alignment is anatomic. There is moderate medial compartment joint space loss and small tricompartmental osteophytes. No acute fracture or... | Moderate right knee and moderate to severe left knee osteoarthritis. |
Generate impression based on findings. | Male 74 years old Reason: renal cell cancer s/p RT to two recurrent lesions in the abdomen History: none CHEST:LUNGS AND PLEURA: Index left lower lobe nodule is unchanged measuring 8 x 7 mm on image number 49, series number 4. No new nodules.MEDIASTINUM AND HILA: No significant abnormality notedCORONARY ARTERY CALCIFIC... | No significant change in the size of the pancreatic and paracaval metastatic lesions. |
Generate impression based on findings. | 50 year-old female with history of rheumatoid arthritis and sarcoidosis. Evaluate for progression. LUNGS AND PLEURA: There is localized peripheral bronchiectasis along the posterior aspect of the left upper lobe and left lower lobe. There is a small focus of bronchiectasis at the posterior aspect of the right upper lob... | Multiple areas of traction bronchiectasis in an upper lobe distribution appearing similar to the prior study. These findings are nonspecific, but can be consistent with sarcoidosis, although chronic postinfectious etiologies should also be entertained given stability and lack of other findings supportive of sarcoidosis... |
Generate impression based on findings. | 67-year-old male patient with prostate cancer presents with back pain. Evaluate for prostate cancer metastases. CHEST:LUNGS AND PLEURA: Mild paraseptal emphysema. No suspicious nodules.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Cardiac size within normal limits without pericardial effusion.CORONARY ... | New T2 compression fracture is concerning for a pathologic fracture. Otherwise, no significant interval change in reference measurements. |
Generate impression based on findings. | Female 68 years old Reason: evaluate 5 metacarpal fracture healing History: 5th metacarpal fracture There is continued healing at the base of the fifth metacarpal fracture. The fracture margins are less distinct indicating near complete healing and is unchanged. No new fractures are present. | Healing fifth metacarpal fracture. |
Generate impression based on findings. | Reason: multiple hereditary exostosis History: pain and popping. Left hand:Broad based exostoses are again seen projecting from the first proximal and distal phalanges, second proximal phalanx, second and fourth metacarpals. Shortened fourth and fifth metacarpals are also redemonstrated. Exostoses involving the fifth m... | Exostoses of the left fifth middle phalanx and distal radius are no longer evident. Other bilateral exostoses as above, not significantly changed. |
Generate impression based on findings. | Male 55 years old; Reason: 55M w/ PMHx DM, s/p pancrease/kidney transplant 2002, ESRD since 2011 p/w dry gangrene of bilateral toes eval for osteo History: dry gangrene of bil toes Left foot: Bone mineralization is decreased. No acute fracture is present. There is some gas in the soft tissues adjacent to the tuft of th... | 1.No frank osteolysis to suggest osteomyelitis.2.At least 4 metallic foreign bodies in the right foot and two possibly on the left. |
Generate impression based on findings. | 51 year-old female with left ankle pain and swelling status post fall. Three views of the left ankle demonstrate moderate soft tissue swelling about the medial and lateral aspect of the ankle, without evidence of acute fracture or malalignment. No significant joint effusion is identified. | Soft tissue swelling without evidence of acute fracture or malalignment. |
Generate impression based on findings. | 57-year-old male status post fifth metacarpal nondisplaced fracture. Two views of the right hand demonstrate a comminuted nondisplaced fracture of the proximal fifth metacarpal, in near-anatomic alignment. Severe osteoarthritis affects the basilar joint. There is marked deformity of the ulnar styloid, which may be rela... | 1. Comminuted fifth metacarpal fracture in near-anatomic alignment.2. Severe basilar joint osteoarthritis. |
Generate impression based on findings. | 43-year-old female with history of bilateral benign breast biopsies. Family history of breast cancer diagnosed in mother at age 59. Three standard views of both breasts 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... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram with tomosynthesis is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 75 year-old female status post femoral neck pinning, follow-up exam. Orthopedic screws affix a right femoral neck fracture in near anatomic alignment, similar to prior. No hardware complication is evident. Single view of the pelvis shows aforementioned right hip surgical change. Osteoarthritis affects the lower lumbar ... | Unchanged appearance of orthopedic fixation of right femoral neck fracture. |
Generate impression based on findings. | Male 29 years old Reason: newly diagnosed malignancy (?primary, path pending), evaluate for metastatic disease Innumerable foci of increased radiotracer uptake throughout the proximal and axial appendicular skeleton consistent with osseous metastatic disease. Foci are seen in both proximal femurs, throughout the pelvis... | Innumerable osseous metastases. |
Generate impression based on findings. | 22-year-old male with history of fifth metacarpal fracture. Three views of the right hand demonstrate a nondisplaced fracture of the base of the fifth metacarpal, near-anatomic alignment. The fracture plane appears indistinct, consistent with interval healing. There is been interval improvement in the adjacent soft tis... | Healing fracture through the base of the fifth metacarpal. |
Generate impression based on findings. | 32-year-old male with mild scoliosis and radicular pain. Four views of lumbar spine demonstrates normal anatomic alignment without evidence of acute fracture or significant degenerative changes. Vertebral body heights and disk spaces are within normal limits for age.Three views of the sacroiliac joints are limited by o... | 1.The lumbar spine is within normal limits.2.Sacroiliac joints are not well visualized secondary to overlying bowel gas. If there is increased/persistent concern for pathology or sacroiliitis, consider MRI. |
Generate impression based on findings. | 54 year old female presents for ultrasound guided biopsy of left breast mass at the two o'clock position. Left ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a hypoechoic mass measuring 1.7 cm at the 2 o’clock position with increased peripheral vascularity, 6 cm from the nipple. The... | Successful ultrasound-guided core biopsy of the left breast lesion and clip placement. This is most likely a fibroadenoma. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 56-year-old male with history of tonsil cancer status post chemoradiation CHEST:LUNGS AND PLEURA: Debris is noted in the trachea and left mainstem bronchus suggestive of aspirated material.Tree in bud and centrilobular opacities in the left upper lobe, lingula, right posterior segment upper lobe is compatible with bron... | 1.Dense consolidation with extensive cavitation in the left upper lobe consistent with infection, possibly gram-negative bacteria, secondary to aspiration.2.Bronchiolitis with tree in bud and ground glass opacities in the left upper lobe, lingula, and right posterior segment upper lobe and right lower lobe is likely se... |
Generate impression based on findings. | Reason: evaluate for cause of hip pain History: hip pain, history of AVN. now on steroids. Moderate osteoarthritis affects the left hip without evidence of sclerosis, fracture or malalignment. New surgical staples projecting superomedial to the lesser trochanter. | No evidence of avascular necrosis in the left hip. |
Generate impression based on findings. | No acute intracranial hemorrhage is identified. No evidence of intracranial mass, mass-effect, or hydrocephalus. No extra-axial fluid collections. Left frontal focal encephalomalacia that appears stable from prior study. Periventricular and subcortical white matter hypoattenuation compatible with age indeterminant sma... | 1.No evidence for acute intracranial abnormality. Please note CT is not sensitive for detection of acute nonhemorrhagic ischemia and MRI can be considered for further evaluation.2.Age indeterminate white matter small vessel ischemic disease with mild interval progression.3.Left basal ganglia and anterior limb of the le... |
Generate impression based on findings. | 43-year-old female with chronic hip pain. Two views of the left hip demonstrates normal anatomic alignment, without evidence of acute fracture or significant degenerative changes.Two views of the right hip demonstrates normal anatomic alignment, without evidence of acute fracture or significant degenerative changes. | No significant osteoarthritis, as clinically queried. |
Generate impression based on findings. | 80 year-old female with history of hemoptysis and weight loss. Negative QuantiFeron gold. History of infection and chest tube placement 50 years ago. LUNGS AND PLEURA: There is a thick walled cavitation in the left lower lobe in a background of bronchiectasis, scarring, interlobular septal thickening, and volume loss. ... | 1. Left lower lobe cavitary lesion in the setting of scarring, fibrosis, and volume loss from prior infection and chest tube placement. Differential diagnosis includes a cavitary primary lung carcinoma and/or infectious etiologies such as TB. Correlation with old studies is recommended.2. Asymmetric dense glandular bre... |
Generate impression based on findings. | 52-year-old female with history of right breast aspiration. Personal history of melanoma in situ. Family history breast cancer diagnosed in paternal aunt. 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 ... | Small right breast cysts, stable to decreased in size. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - ... |
Generate impression based on findings. | Reason: Evaluate Lt knee for preop of medial unicompartmental arthroplasty History: Medial knee pain. Left hip:Mild osteoarthritis affects the left hip. Vascular stent in the external iliac artery noted, with additional surgical clips in the left inguinal region.Left knee: Severe medial joint space narrowing with near ... | 1.Moderate to severe left knee osteoarthritis. 2.Findings of trochlear dysplasia. |
Generate impression based on findings. | 69 year old with history of BRCA 2 mutation and right mastectomy for breast cancer. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No dominant mass, suspicious microcalcifica... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Male, 15 years old. Reason: history of fontan procedure and secondary protein losing enteropathy and immunodeficiency, c/o right side pain.VIEW: Abdomen AP (one view) 2/26/15, 1335 Pacer device overlies the left midabdomen.Relative paucity of bowel gas, with a small amount of gas within the distal colon and rectum. No ... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 69-year-old female patient with adenoid cystic carcinoma and breast cancer. Evaluate for progression of metastatic disease. CHEST:LUNGS AND PLEURA: Again seen are multiple bilateral pulmonary nodules and masses. These lesions are grossly stable in size and number compared to prior examination. Reference left lower lobe... | No significant interval change in marked disease burden compared to prior exam given differences in technique. Reference measurements as described above. |
Generate impression based on findings. | 97-year-old female. Evaluate for aortic pseudoaneurysm or dissection. CT ANGIOGRAM:No evidence of acute aortic dissection or rupture. Mild ectasia of the proximal descending thoracic aorta measuring up to 3.5-cm and the distal abdominal aorta near the bifurcation measuring up to 2.2-cm. Otherwise, there is normal calib... | 1. No acute aortic dissection or rupture.2. Mild ectasia of the proximal descending thoracic aorta and distal abdominal aorta.3. Esophagus is distended diffusely and filled with debris.4. Simple-appearing left adnexal cyst measuring up to 4.2-cm and trace endometrial fluid, both unexpected for age. |
Generate impression based on findings. | 7-year-old male status post fallVIEWS: Right forearm AP, lateral (two views) 3/2615 Splint material obscures fine bone detail on the lateral image. Transverse both bones fracture of the mid forearm. There is lateral and anterior angulation of the distal fracture fragments. Soft tissue swelling is present. | Transverse both bones forearm fracture with lateral and anterior angulation of the distal fracture fragments. |
Generate impression based on findings. | 59 years, Female. Reason: ngt position History: NGT There is a nasogastric tube with its tip projecting over the body of the stomach. There is a nonobstructive bowel gas pattern. Lobulated high-density material projects over the right upper quadrant, the etiology of which is uncertain, but presumably represents previou... | 1.There is a nasogastric tube with its tip projecting over the body of the stomach.2.Lobulated high density in the right upper quadrant presumably reflecting previously administered oral contrast, clinical correlation is recommended and follow-up can be considered. If no contrast has been administered recently, correla... |
Generate impression based on findings. | Headaches for 4 days. There is no evidence of acute intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull appears t... | No evidence of acute intracranial hemorrhage. |
Generate impression based on findings. | History of right mastectomy for breast cancer with no current complaints. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No dominant mass, suspicious m... | 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. | History renal mass and retroperitoneal adenopathy CHEST:LUNGS AND PLEURA: Multiple bilateral subcentimeter micronodules. A representative right upper lobe nodule best seen on image 68 of series 102 measures 6 mm in diameter.MEDIASTINUM AND HILA: Mediastinal and bilateral hilar adenopathy. A representative subcarinal ly... | Large right lower pole renal mass associated with bulky retroperitoneal adenopathy, extensive mediastinal and bilateral hilar adenopathy, and numerous bilateral pulmonary micronodules. A metastatic etiology is favored. The presentation of a large renal mass as a manifestation of germ cell tumor would be unusual and oth... |
Generate impression based on findings. | Female; 83 years old. Reason: AAA History: AAA CT ANGIOGRAM:Normal caliber of the suprarenal abdominal aorta without evidence of acute dissection or rupture. Mild ectasia is noted of the distal abdominal aorta near the bifurcation, measuring up to 1.9-cm (series 11/79). Mild ectasia of the bilateral common iliac arteri... | 1. No evidence of acute aortic dissection or rupture.2. Mild ectasia of the distal abdominal aorta and bilateral common iliac arteries. |
Generate impression based on findings. | Altered mental status, rule out bleed No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. Again seen are areas of encephalomalacia involving the right frontal lobe and right basal ganglia with right subinsular white matter dystrophic appearing calcifications compatible with remote... | 1. No evidence of acute intracranial hemorrhage or mass effect. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion.2. Unchanged extensive areas of hypoattenuation and volume loss in the right cerebral hemisphere includ... |
Generate impression based on findings. | 65-year-old with history of left breast cancer status post mastectomy. Three standard 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 pattern and distribution. No dominant mass, suspicious mic... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Female 45 years old Reason: assess for portal vein thrombosis and ascities History: CT imaging suggestive of thrombosis in pt with lobectomy and ca recurrence in liver PORTAL VENOUS: The splenic vein is patent with normal hepatopetal flow and an mildly elevated velocity of 90 cm/sec. The confluence of the splenic vein ... | 1.Absent portal vein flow compatible with obstruction/thrombosis.2.Heterogeneous liver parenchyma compatible with multiple underlying metastases.3.No intrahepatic biliary ductal dilatation status post placement of a percutaneous biliary drain.4.Moderate ascites. |
Generate impression based on findings. | The gray-white differentiation is not optimally visualized, although this is felt to be technical in nature. The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collect... | No acute intracranial abnormality. |
Generate impression based on findings. | 86-year-old female with left shoulder and hip pain status post fall Three views of the shoulder demonstrate severe osteoarthritic changes including joint space narrowing, subchondral sclerosis, and exuberant osteophytosis. Osteophyte formation is also present at the acromioclavicular joint.Single view of the pelvis dem... | 1.Severe osteoarthritis of the left shoulder. No evidence of acute fracture or malalignment.2.Paget's disease affects the left innominate bone. There is no evidence of pelvic fracture or malalignment.3.Mild osteoarthritis of the left hip. |
Generate impression based on findings. | Clinical question: Rule out hemorrhage, status post syncope. Signs and symptoms: As above. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.There is normal appearing cerebral cortex, cortical sulci, ventricular ... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | 66 years, Male. Reason: assess stool burden as pt recovers from small bowel obstruction 65M urothelial ca History: diarrhea Average stool burden. Persistently dilated loops of small bowel measuring up to 3.6 cm likely reflect distal small bowel obstruction. There is a right femoral vascular stent, unchanged from prior ... | Average stool burden. |
Generate impression based on findings. | 72-year-old female. Recurrent right lower quadrant tenderness to palpation, nausea, abdominal pain; history of ? vasculitis in the past. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Geographic hypoattenuation in the right hepatic lobe, may represent a perfusion abnormality. No suspicious he... | 1. Increased wall thickening and soft tissue infiltration of the SMA related to vasculitis.2. New ill-defined mesenteric lesion in the left upper quadrant, suspicious for inflammation/infarct of the mesentery due to small vessel vasculitis. Adjacent small bowel loops are unremarkable without evidence of ischemia. |
Generate impression based on findings. | 53-year-old with history of left breast calcifications, strong family history of breast cancer in her sister and mother. Three standard views of both breasts 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 pat... | No mammographic evidence of malignancy. Highly likely benign bilateral microcalcifications. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended in 12 months. Results and recommendation were discussed with the patient.Given the patient's dense breasts and strong fa... |
Generate impression based on findings. | 45 -Year-old female status post bilateral mastectomy with reconstruction for right breast cancer in March 2014 with recent surgery on the right reconstructed breast for recurrence complains of swelling and redness of the right reconstructed breast for one week. A targeted right ultrasound was performed for the patient’... | Multiple heterogenous lobulated masses in the right reconstructed breast most suspicious for recurrence. No definite loculated fluid collection suspicious for an abscess is noted. Skin thickening noted.Findings conveyed to Dr. David Chang at 3 p.m. on 3/26/15.BIRADS: 5 - Highly suggestive of malignancy.RECOMMENDATION: ... |
Generate impression based on findings. | Status post AVM resection There are expected postsurgical changes related to resection of previously seen arteriovenous malformation involving the inferior parietal lobule near the left parieto-temporo-occipital juncation. There is a small resection cavity with surgical clips, air and blood products. There is a small l... | Expected postsurgical changes of left parietal craniotomy for resection of previously seen AVM. No large hemorrhage or significant mass-effect is appreciated. |
Generate impression based on findings. | Right rib lesion AP and both oblique views of the ribs reveal a fracture of the right thigh rib. A metallic marker demonstrates the point of the patient's pain. | Right ninth rib fracture |
Generate impression based on findings. | 63-year-old female patient with severe left lower quadrant pain, nausea, vomiting and diarrhea x 1 day. Evaluate for bowel traction, diverticulitis, diverticulosis and ischemic gut. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status cholecystectomy. Fatty liver infiltration.SPLEEN: No sign... | 1.Findings compatible with uncomplicated acute pancreatitis of unclear etiology.2.Right ovarian dermoid.3.Fibroid uterus. |
Generate impression based on findings. | Evaluate ankle fracture Three views of the right ankle reveal some swelling medially. There is a spiral fracture of the distal fibula that extends down to the joint line. The bones are in anatomic alignment. Fracture line is indistinct consistent with healing. | Healing fibular fracture |
Generate impression based on findings. | shoulder pain. Evaluate for osseous abnormality Three views of the right shoulder reveal no evidence of fractures or dislocation. There is mild osteophyte formation at the acromioclavicular joint. Otherwise negative. | Mild acromioclavicular arthritis, Otherwise negative |
Generate impression based on findings. | Evaluate fracture healing Three views of the left ankle reveal residual lateral soft tissue swelling. There is a fracture of the distal fibula unchanged in position. The fracture line is less distinct consistent with healing. | Healing distal fibular fracture |
Generate impression based on findings. | Evaluate patella fracture Four views of the left knee reveal two screws the patella. A fracture line is no longer visible, consistent with healing. The bones are in anatomic alignment. | Fracture line no longer visible . |
Generate impression based on findings. | 61 year old female status post right mastectomy for invasive ductal carcinoma with DCIS in 2013, presents today for routine follow up. No current breast complaints. No family history of breast cancer. Three standard views of the left breast were performed digitally 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, 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. | Chronic cough - rule out chronic sinusitis: pain over the maxillary sinuses. There are fluid levels within the bilateral maxillary, ethmoid, and sphenoid sinuses superimposed upon mild mucosal thickening. There appears to be mild thickening of the paranasal sinus walls. There are trace secretions in the inferior right ... | Findings suggestive of acute upon chronic sinusitis. |
Generate impression based on findings. | Status post ankle fracture Three views of the right ankle reveal two screws in the medial malleolus and a side plate multiple screws and a the distal fibula. The bones appear in anatomic alignment with no change from the previous exam . The fracture lines are indistinct consistent with healing. | Healing right ankle fracture |
Generate impression based on findings. | 36-year-old male with frequent anterior shoulder dislocations, questionable Bankart lesion. ROTATOR CUFF: No significant abnormality noted.SUPRASPINATUS OUTLET: No significant abnormality noted.GLENOHUMERAL JOINT AND GLENOID LABRUM: The labrum remains attached to the glenoid. However, there is a partial tear of the ant... | 1. Partial tear of the anterior labrum.2. Hill-Sachs deformity. |
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