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Generate impression based on findings. | Time average mean velocities: Right middle cerebral artery: 103 cm/sec.Right internal carotid artery: 108 cm/sec.Left middle cerebral artery: 107 cm/sec.Left internal carotid artery: 115 cm/sec. | Normal time average mean velocities of intracranial blood vessels as described above (<180 cm/sec). |
Generate impression based on findings. | Chronic lymphoid leukemia. There is extensive bilateral cervical, axillary, and supraclavicular lymphadenopathy. For example, a right level 2a lymph node measures 19 x 28 mm and a left level 2b lymph node measures 24 x 17 mm. There is no evidence of mass lesions. The major salivary glands are unremarkable. There is a 9... | 1. Extensive bilateral cervical, axillary, and supraclavicular lymphadenopathy compatible with the diagnosis of leukemia. Please refer to the separate chest CT report for additional details.2. Nonspecific 9-mm hypoattenuating right thyroid nodule. A thyroid ultrasound may be useful for further evaluation, if clinically... |
Generate impression based on findings. | 67-year-old male with history of diffuse hand swelling. Three views of the left hand demonstrate diffuse soft tissue swelling. There is narrowing of the third and fifth metacarpophalangeal joints as well a beak like osteophyte on the distal third metacarpal, suggestive of CPPD arthropathy, without definitive chondrocal... | 1.Findings suggestive of bilateral CPPD arthropathy without definitive chondrocalcinosis. 2.Diffuse soft tissue swelling.3.Scapholunate advanced collapse of the right wrist. |
Generate impression based on findings. | Frontal sinus: The frontal sinus and frontoethmoidal recesses are clear.Anterior ethmoids: There is trace mucosal thickening in the anterior ethmoid air cells.Maxillary sinuses: There is mild mucosal thickening in the maxillary sinuses. The ostiomeatal units are clear.Posterior ethmoids: There is trace mucosal thicken... | Minimal scattered sinus inflammatory changes. No CT evidence of acute or chronic sinusitis. |
Generate impression based on findings. | 50 year-old female. Chronic calcific pancreatitis with severe 10/10 epigastric abdominal pain status post ERCP. Evaluate for perforation. ABDOMEN:LUNG BASES: Moderate centrilobular emphysema. Right basilar atelectasis. Scattered micronodules, likely postinflammatory.LIVER, BILIARY TRACT: Minimal central intrahepatic an... | 1. No definite viscus perforation. Tiny focus of air in the left upper quadrant is favored to be intraluminal, though this cannot be definitively stated as the margins of the stomach are not well-defined due to its collapsed state; extraluminal air is less likely in absence of associated inflammatory fluid and atypical... |
Generate impression based on findings. | 52 years, Female. Reason: 52yo female with Crohn's colitis. Evaluate stool burden History: abdominal pain There is a nonobstructive bowel gas pattern. Average stool burden. | There is a nonobstructive bowel gas pattern. Average stool burden. |
Generate impression based on findings. | 74-year-old female patient with history of spindle cell atypia found on biopsy of ulcerated distal ileum. Evaluate for intra-abdominal lesions. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Status post cholecystectomy. No suspicious hepatic lesions.SPLEEN: No significant abnormality noted.P... | 1.Normal appearing terminal ileum.2.New L1 compression fracture of uncertain etiology. |
Generate impression based on findings. | Vomiting ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Stable subcentimeter segment 6 right lobe low attenuation focus.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Stable bilateral renal cy... | No significant change in partial small-bowel obstruction probably secondary to adhesions in the region of the patient's urostomy |
Generate impression based on findings. | Time average mean velocities: Right middle cerebral artery: 128 cm/sec.Right internal carotid artery: 132 cm/sec.Left middle cerebral artery: 132 cm/sec.Left internal carotid artery: 98 cm/sec. | Normal time average mean velocities of intracranial blood vessels as described above (<180 cm/sec). |
Generate impression based on findings. | Reason: evaluate for fracture, reports sensation of dislocation of thumb History: pain at first joint, pain over thenar eminence, pain at snuff box/ scaphoid Views of the right hand/wrist demonstrate normal anatomic alignment, without evidence of fracture. There is no significant soft tissue swelling or degenerative ch... | No acute radiographic abnormality. |
Generate impression based on findings. | Male 32 years old Reason: eval for stone History: pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No nephro u... | Essentially normal examination of the abdomen and pelvis without findings to account for the patient's pain. |
Generate impression based on findings. | 55-year-old male patient with CLL prior to chemotherapy. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules. MEDIASTINUM AND HILA: There are scattered prominent mediastinal lymph nodes. A reference pretracheal lymph node measures 1.0 cm in short axis (series 3 image 33), previously 0.7 cm.CORONARY ARTERY CALCIFICA... | 1.Diffuse lymphadenopathy with reference lesions as above.2.Status post right partial nephrectomy without evidence of residual lesion. |
Generate impression based on findings. | Female 67 years old Reason: knee pain History: bilateral knee pain Right knee: There is severe medial compartment joint space narrowing with bone-on-bone apposition. There are tricompartmental osteophytes. No acute fracture or malalignment.Left knee: There is moderate joint space narrowing in the medial compartment. Th... | Severe right knee, moderate left knee osteoarthritis. |
Generate impression based on findings. | Female 82 years old Reason: left knee pain, please evaluate History: left knee pain Bone mineralization is normal. Alignment is anatomic. There is moderate medial compartment joint space. There are tiny tricompartmental osteophytes.There is a quadriceps tendon insertional enthesophyte. No joint effusion. No fracture or... | Mild to moderate left knee osteoarthritis. |
Generate impression based on findings. | 56-year-old female with left breast calcifications presents for follow-up examination. No family history of breast cancer. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern an... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Restaging gastric cancer status post chemotherapy clinical trial.RADIOPHARMACEUTICAL: 10.0 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 114 mg/dL. Today's CT portion of the neck demonstrates a large left lower thyroidal nodule. Please see diagnostic CT reports for details of the chest, abdomen, and pelvis... | 1.Extensive abdominopelvic tumor carcinomatosis and right internal mammary lymph node metastases demonstrate a mixed metabolic response to therapy with numerous lesions remaining significantly metabolically active. Overall, the volume of active tumor currently is similar to previous.2.Large hypermetabolic left thyroid ... |
Generate impression based on findings. | 69-year-old male with history of squamous cell carcinoma of the thumb metastatic to the left axilla. Lymphedema surgery in 9/2014. CHEST:LUNGS AND PLEURA: No suspicious pulmonary lesions or pleural effusions.MEDIASTINUM AND HILA: Heart size is normal without pericardial effusion. Scattered mildly enlarged mediastinal l... | Soft tissue thickening in the left axilla is thought to be postoperative as opposed to recurrent disease, although continued followup is recommended. No definitive evidence of metastatic disease. |
Generate impression based on findings. | Reason: Left femur pain in patient with metastatic thyroid cancer, eval for lesions History: Left femur pain in patient with metastatic thyroid cancer, eval for lesions Two views of the left femur demonstrate hardware components of a total hip arthroplasty with a long femoral stem and cerclage wires, in near-anatomic a... | 1.No evidence of metastatic disease in the femur.2.Evidence of hardware lucency around the hip prosthesis as above. |
Generate impression based on findings. | Male 67 years old Reason: Six weeks ago was playing golf, felt febrile with deep cough. Symptoms persisted while traveling and PCP recommended chest x-ray. Chest x-ray showed right pleural effusion. Thoracentesis performed, 1.5L removed complicated by pneumothorax. Chest tube placed. History: newly diagnosed biphasic m... | 1.Hypermetabolic pleural nodularity in the right thorax consistent with mesothelioma.2.Mild hypermetabolic right internal mammary lymph node suspicious for regional metastasis.3.Otherwise no suspicious activity in the remaining chest, abdomen or pelvis.4.Persistent large right hydropneumothorax.Findings discussed with ... |
Generate impression based on findings. | Male 74 years old Reason: pre-op History: pain There is severe joint space narrowing involving the medial compartment with near bone-on-bone apposition. There are small tricompartmental osteophytes. There is a small joint effusion.Postsurgical changes are noted along the medial aspect of the left leg.Contralateral righ... | Severe left knee osteoarthritis. |
Generate impression based on findings. | Reason: eval for vertebral fracture History: pain s/p injury Four views of the lumbar spine are somewhat limited secondary to overlying bowel gas. The bones appear demineralized, but in anatomic alignment. Disk spaces and vertebral body heights are preserved, not significantly changed when compared to prior. The known ... | Unremarkable exam of the lumbar spine, unchanged when compared to prior. |
Generate impression based on findings. | Female 35 days old Reason: Position of Mandible S/P Further Distraction History: Pt has had continued distraction since the last skull series.VIEWS: Skull AP lateral 3/26/15 (number of views views) NG tube has been removed. Mandibular distractors and mandibular osteotomies are again noted and unchanged in position. No ... | No evidence of hardware complications. |
Generate impression based on findings. | Postoperative changes are seen from previous bilateral craniotomy with persistent areas of scattered encephalomalacia predominantly along the frontal lobes anteriorly. There is redemonstration of a previous left frontal approach ventriculostomy catheter tract. Following contrast, diffuse dural thickening and enhanceme... | Continue stable appearance of extensive postoperative and posttreatment changes. No evidence of recurrent disease. |
Generate impression based on findings. | Female 61 years old Reason: staging for patient with newly diagnosed esophageal cancer and known early stage cll History: dysphagia CHEST:LUNGS AND PLEURA: Scattered nonspecific pulmonary micronodules. No dominant or suspicious pulmonary nodule. Mild dependent basilar subsegmental atelectasis.MEDIASTINUM AND HILA: Mult... | Large esophageal mass with metastatic lymphadenopathy in the mediastinum, right hilum, and upper abdomen. |
Generate impression based on findings. | 83-year-old male with left ankle swelling, tenderness to palpation on medial malleolus, history of fall. Left knee:Moderate osteoarthritis affects left knee. No evidence of displaced fracture or malalignment. Moderate to large joint effusion present.Left ankle:Mild soft tissue swelling surrounding the left ankle, parti... | No evidence of displaced fracture or malalignment in the left knee or ankle. Moderate to large left knee joint effusion. |
Generate impression based on findings. | Female 53 years old Reason: bilateral knee pain History: bilateral knee pain Right knee: Bone mineralization is normal. There is a mild genu varus. There is severe medial compartment joint space loss with bone on bone apposition. There are moderate to severe tricompartmental osteophytes. No joint effusion. No acute fra... | Severe bilateral knee osteoarthritis. |
Generate impression based on findings. | This examination is significantly limited by patient motion. There is an area of apparent hyperattenuation at the cranial apex immediately to the right of midline which is likely artifactual from beam hardening given adjacent calvarial concavity. There is no evidence of gross acute intracranial hemorrhage or extra-axi... | 1.Examination limited due to patient motion, but no evidence of gross intracranial hemorrhage.2.Air-fluid level in the right maxillary sinus, please correlate clinically for sinusitis. |
Generate impression based on findings. | Reason: r/o foot fracture History: trouble weight bearing; hit foot on metal gate. Moderate hallux valgus deformity, mild pes planus deformity, and scattered forefoot osteoarthritis are noted. No evidence of fracture or malalignment. | No evidence of fracture or malalignment. |
Generate impression based on findings. | 41-year-old female with rheumatoid arthritis. Eval for sacroiliitis. Left sided + FABER test and pain. Swelling and pain in the hands. Right hand: No specific radiographic features of rheumatoid arthritis. No evidence of fracture or malalignment.Left hand: Nonspecific lucency in the base of the first metacarpal without... | No specific findings of rheumatoid arthritis. |
Generate impression based on findings. | 53-year-old male with history of UIP and worsening dyspnea. Evaluate for PE and ILD progression. PULMONARY ARTERIES: Technically adequate study to the level of the segmental branches. No evidence of acute pulmonary embolus.LUNGS AND PLEURA: There has been interval progression of diffuse bilateral subpleural reticulatio... | 1. No evidence of acute pulmonary embolus.2. Interval progression of ILD in an atypical UIP pattern.3. Increase in hilar and mediastinal lymphadenopathy, likely secondary to ILD.PULMONARY EMBOLISM: PE: NoneChronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Reason: s/p seizure-like event in 12/2014 with ongoing back pain in lower cervical / upper thoracic region. Three views of the cervical spine demonstrate normal anatomic alignment. There is no evidence of acute fracture or other acute abnormality.Three views of the thoracic spine demonstrate normal anatomic alignment, ... | No radiographic abnormality. |
Generate impression based on findings. | Female; 66 years old. Reason: eval for obstruction, soft tissue infection History: cellulitis around g tube ABDOMEN:LUNG BASES: Mild bibasilar subsegmental atelectasis and/or scarring. Small hiatal hernia. Partially visualized distal esophagus is dilated and filled with debris, suggestive of esophageal dysmotility or r... | Retracted G-tube with distal tip and balloon in the immediate subcutaneous portion of the tube tract. |
Generate impression based on findings. | Left pulsatile tinnitus. There is no evidence of significant steno-occlusive lesions in the neck. The left sigmoid sinus and internal jugular vein are asymmetrically larger than those on the right and there appear to be transosseous collateral vessels versus asymmetric dural venous sinuses in the left lateral skull bas... | No evidence of significant steno-occlusive lesions in the neck. The left sigmoid sinus and internal jugular vein are asymmetrically larger than those on the right and there appear to be transosseous collateral vessels versus asymmetric dural venous sinuses in the left lateral skull base region, which may represent norm... |
Generate impression based on findings. | 56 year old male with pain, swelling, and limited range-of-motion in the right wrist. Evaluate for arthritis, fracture. Right hand: A healed erosion is seen in the radial aspect of the articular surface of the proximal phalanx of the first digit. No evidence of fracture or malalignment in the right hand.Right wrist: Mi... | No evidence of acute fracture or malalignment. |
Generate impression based on findings. | Reason: left total knee History: left total knee Four views of the left knee demonstrate hardware components of a total knee arthroplasty in near-anatomic alignment. There is no radiographic evidence of hardware complications. Incidental note is made of chondrocalcinosis of the right knee. There is no evidence of acute... | Total left knee arthroplasty in near-anatomic alignment. No acute radiographic abnormality. |
Generate impression based on findings. | Female 14 years old Reason: ileus vs stool burden History: abdominal painVIEWS: Abdomen AP upright and supine on 3/26/15 at 1552 hrs. (two views) Thoracolumbar levocurvature again noted. Mild to moderate fecal accumulation with no evidence of obstruction or free air. | No obstruction. |
Generate impression based on findings. | Reason: Assess for bony changes History: Left ankle pain for 3 months s/p fall; h/o L ankle fracture (5 yrs ago). Soft tissue swelling about the ankle is again noted. Deformity of the distal fibula is redemonstrated. Ossified bridging across the distal tibiofibular syndesmosis is unchanged. Small ossicle at the inferio... | Posttraumatic changes, as above. |
Generate impression based on findings. | 29-year-old female patient with history of perforated appendicitis status post laparoscopic appendectomy on 3/11 with residual right flank pain and abdominal distention. ABDOMEN:LUNG BASES: Basilar atelectasis.LIVER, BILIARY TRACT: Fatty infiltration of the liver. No abscess formation.SPLEEN: No significant abnormality... | Findings in the right lower quadrant are expected in the postoperative period. No specific findings to account for patient's symptoms. |
Generate impression based on findings. | Male 57 years old Reason: inguinal hernia History: R groin /testicular pain ABDOMEN:LUNG BASES: The basilar subsegmental atelectasis and small left pleural effusion. Respiratory motion limits evaluation of the lung bases. Pleural nodularity along the inferior left lung is non-specific and may be post-inflammatory.LIVER... | 1. Prominent bilateral inguinal lymphadenopathy has not significantly changed from prior. 2. No inguinal hernia as clinically queried.3. Bilateral hydroceles.4. Findings compatible with BPH and chronic bladder outlet obstruction. |
Generate impression based on findings. | 86-year-old female with chronic hip pain. There is severe bilateral osteoarthritis of the hips, left greater than right, with bone on bone apposition bilaterally, subchondral sclerosis, subchondral cyst formation as well as osteophytosis. There is no acute fracture or malalignment. Degenerative changes affect the sacro... | Severe bilateral osteoarthritis of the hips. |
Generate impression based on findings. | 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 collection. There is complete opacification of the right maxillary sinus. The remainder of the visualized portions o... | 1. No acute intracranial abnormality.2. Minimally laterally displaced left C6 lamina and spinous process fracture with smaller nondisplaced fracture at the junction of the right C6 lamina and spinous process. This likely relates to hyperextension mechanism.3. No definite prevertebral soft tissue swelling or significant... |
Generate impression based on findings. | Reason: persistent L wrist pain, no recent trauma, evaluating of arthritis or other bony problems. Three views of the left wrist demonstrates normal anatomic alignment. There is no evidence of acute fracture or significant soft tissue swelling. No signs of inflammatory arthropathy or significant degenerative changes ar... | Normal exam of the left wrist. |
Generate impression based on findings. | Male 67 years old Reason: metastatic prostate cancer, evaluate for progression with rising PSA History: Metastatic prostate cancer There is a new pathologic fracture involving the L2 level, previously identified as metastatic focus. In the right posterior lateral fifth rib there has been increase in the expansile compo... | No new osseous metastases. New L2 compression fracture, involving previously identified metastatic focus. Slight increase in expansile component of right fifth rib metastasis. |
Generate impression based on findings. | 58-year-old male patient with history of gastric cancer. Please compare to prior examinations to assess response to neoadjuvant chemotherapy. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Central venous catheter tip at the cavoatrial junction. Car... | Interval decrease in soft tissue antral mass and liver lesion. |
Generate impression based on findings. | Male 75 years old Reason: Gastric cancer please comapre to previous imaging and provide index leasion measurements for RECIST please capture measurements for peritoneal carcinomatosis History: As above CHEST:LUNGS AND PLEURA: Scattered micronodules unchanged. Index nodule in the right middle lobe measures 5-mm image nu... | No significant change from previous study. |
Generate impression based on findings. | Male; 57 years old. Reason: mesothelioma of peritoneum, s/p resection and adjuvant chemo, eval EOD, compare to previous History: none ABDOMEN:LUNG BASES: Increased left pleural effusion. For additional findings in the chest, please see dedicated chest CT performed on the same day. LIVER, BILIARY TRACT: No significant a... | 1.Significant progression in peritoneal mesothelioma.2.Soft tissue mass encasing the distal esophagus has increased.3.Increased retroperitoneal adenopathy.4.Marked abdominopelvic ascites, increased since prior study.5.For findings in the chest, please see dedicated chest CT performed on the same day. |
Generate impression based on findings. | 54-year-old female with metastatic breast cancer to sinus and left femur, recent note of a pulmonary nodule. CHEST:LUNGS AND PLEURA: Right apical fibrosis consistent with postradiation changes. There is unchanged convex margins to this region. Close attention on follow-up studies is recommended. Reference left lower lo... | Slight interval increase in size of micronodules in the lungs as described above. Close follow-up is recommended to exclude metastatic disease. |
Generate impression based on findings. | 47-year-old female with TTP of lateral malleolus. Moderate soft tissue swelling about the lateral aspect of the ankle without evidence of underlying fracture or malalignment. | Soft tissue swelling without fracture or malalignment. |
Generate impression based on findings. | Reason: pre-op History: pain Two views of the right hip demonstrates severe osteoarthritis including bone-on-bone apposition, subchondral sclerosis and extensive osteophyte formation. There is no evidence of acute fracture or malalignment.Single AP view of the pelvis demonstrates the aforementioned severe osteoarthriti... | 1.Severe osteoarthritis of the right hip.2.Concern for hardware loosening about the femoral component of the left hip prosthesis. |
Generate impression based on findings. | Female 59 years old, history of breast cancer Today's CT portion grossly demonstrates multiple left breast masses. Enlarged axillary lymph nodes. Right chest port with tip in the SVC. Median sternotomy hardware as well as surgical clips in the thyroid bed.Today's PET examination demonstrates multiple hypermetabolic, co... | 1.Hypermetabolic, multifocal left breast cancer.2.Hypermetabolic left axillary / supraclavicular lymph node metastases.3.Several additional hypermetabolic foci highly suspicious for internal mammary lymph node and osseous sternal metastases. |
Generate impression based on findings. | Female 79 years old Reason: evaluate for RA, crystalline arthritis History: +RF Left hand: Bone mineralization is decreased. Moderate to severe joint space loss at the interphalangeal joints and the radiocarpal joints with osteophyte formation. No acute fracture or malalignment. No focal erosive change.Right hand: Bone... | 1.Osteoarthritis of the hands.2.Diffuse joint space narrowing in the midfoot without significant osteophyte formation possibly the sequela of rheumatoid arthritis. |
Generate impression based on findings. | Reason: possible fracture History: pain, blister ,swollen. Metallic fragments in the medial soft tissues likely from ballistic injury. Severe soft tissue swelling about the ankle. Joint effusion is present. Ankle mortise appears intact. No evidence of underlying fracture or malalignment. No osteolysis to suggest osteom... | Severe soft tissue swelling without fracture, malalignment, or osteomyelitis. |
Generate impression based on findings. | Female 53 years old Reason: History of lung cancer, restaging post chemotherapy and radiationRADIOPHARMACEUTICAL: 8.4 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 87 mg/dL. Today's CT portion grossly demonstrates changes status post left pneumonectomy, with pleural calcifications. Several right rib fractu... | No suspicious FDG avid lesion to indicate tumor activity currently. |
Generate impression based on findings. | 22-year-old male with right first toe pain. Three views of the right first toe demonstrate diffuse soft tissue swelling without evidence of underlying fracture or malalignment. | Soft tissue swelling without evidence of underlying fracture or malalignment. |
Generate impression based on findings. | Female 66 years old Reason: eval for arthritis History: pain Bone mineralization is normal. Alignment is anatomic.There is moderate medial compartment joint space loss with small osteophytes. No acute fracture or malalignment. No joint effusion. | Mild to moderate right knee osteoarthritis |
Generate impression based on findings. | Female 53 years old Reason: abnormality History: pain and swelling mid foot Bone mineralization is near normal. Alignment is anatomic. No acute fracture is evident.Mild osteoarthritis affects the first MTP joint.There is a small calcaneal heel spur and moderate midfoot osteoarthritis.There is soft tissue swelling along... | Osteoarthritis without acute fracture. |
Generate impression based on findings. | Female 66 years old Reason: knee pain History: knee pain Severe osteoarthritis affects the medial compartment with severe joint space narrowing. There are tricompartmental osteophytes.No acute fracture or malalignment. No joint effusion. The bones are demineralized. | Severe left knee osteoarthritis. |
Generate impression based on findings. | Female 60 years old Reason: s/p L5-S1 fusion, evaluate construct History: see above Postsurgical changes in the lower lumbar spine with pedicle screw and fusion of L5 and S1. No hardware complication is evident.Vertebral body heights are normal. Alignment is near anatomic.There are facet hypertrophy changes of the lowe... | Postsurgical changes following L5-S1 fusion as detailed above. |
Generate impression based on findings. | Reason: r/o ischemia History: slurred speed There is a small focus of encephalomalacia in the left cerebellar hemisphere.Punctate hypodense foci are redemonstrated in the basal gangliaThe CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodens... | 1.No evidence for acute intracranial hemorrhage mass effect or edema. 2.CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction.3.Periventricular and subcortical white matter changes of a moderate degree are nonspecific. At this age they are most likely vascular related.4.Old lacunar infar... |
Generate impression based on findings. | Reason: left sided weakness History: left sided weakness CT neck:Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated.Within the visceral space the th... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Old lacunar infarcts in the basal ganglia3.Focus of encephalomalacia in the right occipital lobe is likely related to prior infarction4.degenerative changes are present in the cervical spine.5.No mass is identified in the soft tissues of the neck. |
Generate impression based on findings. | Reason: CT Venogram to rule out central venous sinus thrombosis; delayed History: L abducens palsy Brain CTV:The dural venous sinuses are patent. Straight sinus, internal cerebral veins and basal veins are identified and appear patent. There is opacification of the cavernous sinuses bilaterally. P. left sigmoid and tra... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.No intracranial venous occlusive disease is appreciated. |
Generate impression based on findings. | 57-year-old female status post fall on Coumadin, flank pain. Hematoma? ABDOMEN:LUNGS BASES: No consolidation or pleural effusion. Moderate cardiomegaly with partially imaged pacemaker leads.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormali... | No evidence of acute hemorrhage. |
Generate impression based on findings. | Male 52 years old Reason: rule out dissection History: chest pain radiating to the back w/ hx of aortic disease Angiography: Post-surgical changes from prior ascending aorta repair, likely a wrap-graft surrounding extensively calcified ascending thoracic aorta. Arising from the left side of the ascending arch at the wr... | 1. Saccular pseudoaneurysm with two necks arising from the ascending thoracic aorta, as described. 2. Two channels of contrast suggestive of soft tissue breakdown with pseudoaneurysms at the left ventricular outflow tract (intravalvular) location suspicious for endocarditis.Findings were discussed with Dr. Velamati (p2... |
Generate impression based on findings. | 58 year-old female patient with melena, nothing seen on capsule endoscopy. Evaluate for lesion, bleed, or mass. ABDOMEN:LUNG BASES: Bilateral small pleural effusions and basilar atelectasis.LIVER, BILIARY TRACT: Three hypoattenuating lesions in the right lobe of the liver are incompletely characterized and are favored ... | Diverticulosis without diverticulitis, mass lesion, or bowel wall thickening. Endoscopic capsule noted in the transverse colon.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 67 year old female with recent lap band removal, no bowel movement in 5 days. Rule out obstruction. ABDOMEN:LUNGS BASES: Minimal left basilar scarring/atelectasis. No focal consolidation or pleural effusion. Scattered calcified granulomas.LIVER, BILIARY TRACT: The liver enhances homogeneously without focal lesion. Stat... | Perigastric stranding and fluid collection presumably within the tract of the recently removed lap band; while these findings may represent postoperative changes with seroma or hematoma, clinical correlation is recommended to exclude postoperative infection with tract abscess. |
Generate impression based on findings. | Status post fall. Rule out fracture. I see no fracture. Mild sclerosis in the body of the right pubic bone is likely degenerative in etiology. Calcifications within the pelvis likely reside in uterine fibroids. | No fracture evident. Degenerative changes as described above. |
Generate impression based on findings. | Reason: pulmonary embolism? History: known PE - tachycardia, dyspnea on exertion PULMONARY ARTERIES: No significant abnormality noted.LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion.No mediastinal or hilar lymphadenopathy.CORONARY ARTERY CALCIFICATI... | No pulmonary embolism.PULMONARY EMBOLISM: PE: None Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 10-year-old male nonverbal patient refusing to lie supine or sitEXAMINATION: Pelvis: AP, frog leg; Lumbar spine, AP and lateral (two views) 3/2615 at 1532 Pelvis: The femoral heads are seated in the wall formed acetabula. No fracture or malalignment. Lumbar spine: The vertebral heights and disk spaces are maintained. N... | Normal examination. |
Generate impression based on findings. | 50 years, Male. Reason: 50 yo M s/p ex-lap, concern for obstruction History: eval for air fluid levels Evaluation limited as only decubitus imaging obtained. No evidence of pneumoperitoneum. No specific evidence of obstruction, although evaluation limited as only decubitus imaging was obtained. Surgical clips project o... | No evidence pneumoperitoneum. Limited evaluation of the bowel shows no specific evidence of obstruction. |
Generate impression based on findings. | 66 years, Female. Reason: S/P LVAD. hx of SBO. S/P EGD. eval for SBO History: N/V, abdominal pain LVAD and pacemaker leads unchanged. There is a nonobstructive bowel gas pattern. Retained contrast opacifies portions of the large bowel. There are moderate degenerative changes of the bilateral hips and lower lumbar spine... | There is a nonobstructive bowel gas pattern. |
Generate impression based on findings. | Female, 3 years old. Reason: presence of focality History: hypoxia, tachypnea, rales in RLLVIEW: Chest AP (one view) 3/27/15, 0717 VP shunt tubing is unchanged in position.The cardiothymic silhouette is normal. Moderate peribronchial thickening and increased lung volumes.Subsegmental atelectasis in the bilateral upper ... | Bronchiolitis/reactive airway disease pattern. |
Generate impression based on findings. | 72 years, Male. Reason: abdominal pain and constipation History: abdominal pain and constipation Large stool burden distributed throughout the colon. There is a gastrostomy tube in place. There mild degenerative changes of the lower lumbar spine and bilateral hips. Patchy right basilar opacity may reflect atelectasis. ... | Large stool burden distributed throughout the colon. |
Generate impression based on findings. | 63-year-old male patient with abdominal pain and ascites. Evaluate for signs of metastases. CHEST:LUNGS AND PLEURA: Scattered micronodules are not significantly changed compared to prior examination. Trace right and small left pleural effusions with overlying atelectasis.MEDIASTINUM AND HILA: Reference enlarged preaort... | 1.Cirrhotic liver morphology with interval increase in intra-abdominal ascites and mild increase in size hepatic lesions compatible with progression of hepatocellular carcinoma. 2.No significant interval change in nonspecific hepatoduodenal ligament lymphadenopathy.3.Nonspecific preaortic lymph node enlargement in the ... |
Generate impression based on findings. | 82 years, Female. Reason: 82 yo s/o NJ placement History: s/p NJ placement Extensive subcutaneous emphysema of the chest increased from the prior exam. There is a Dobbhoff tube with its tip projecting over the proximal jejunum, beyond the ligament of Treitz. There is diffuse mild gaseous distention of the small bowel w... | 1.There is a Dobbhoff tube with its tip projecting over the proximal jejunum, beyond the ligament of Treitz. 2.Increased extensive subcutaneous emphysema.These findings were discuss with Dr. Acton via telephone at 11:41 on 3/27/2015. |
Generate impression based on findings. | 50 year-old female with sepsis and sacral decubitus ulcer. Evaluate for signs of osteomyelitis. Evaluation of the pelvis and left hip joint is limited by inability to optimally position the patient. Furthermore, evaluation of the lower sacrum is limited by overlying bowel contents. Given these limitations, I see no spe... | Limited study as described above with no specific radiographic features of osteomyelitis. If further imaging evaluation is clinically warranted, CT or MRI may be considered. |
Generate impression based on findings. | Male, 7 years old. Reason: stool burden? History: abdominal distensionVIEW: Abdomen AP (one view) 3/26/15, 2356 Right femoral catheter, tip in iliac vein.Nonobstructive bowel gas pattern. Small to moderate stool burden.Distended, debris filled stomach. | Small to moderate stool burden. |
Generate impression based on findings. | 13-year-old male history of traumaVIEWS: Pelvis: AP; cervical spine AP and lateral; chest AP (4 views) 3/26/15 at 1837 Pelvis: No acute fracture or malalignment. The femoral heads are well seated in the acetabula bilaterally.Cervical spine: Straightening of the normal cervical lordosis is secondary to patient being in ... | No acute traumatic injury. Normal examination. |
Generate impression based on findings. | Reason: Eval for hemorrhage, fibrosis; hx of DAH, HF with balloon pump History: Hx of DAH, no recent hemoptysis LUNGS AND PLEURA: Mild centrilobular and paraseptal emphysema. Previous parenchymal densities or away disorder noted on the previous two CTs have resolved. No pleural effusions remain. There are scattered pul... | Interval resolution of the previous parenchymal densities and interstitial thickening. No evidence of pulmonary hemorrhage at this time. No pleural effusion. Right subclavian intra-aortic balloon pump in place with the proximal balloon positioned at the left mainstem bronchus. |
Generate impression based on findings. | 55 years, Female. Reason: 55 yo F w nec fasc, tracheostomy, abdominal distension History: abdominal distension, emesis There is a generalized paucity of bowel gas. There is a Dobbhoff tube with its tip projecting over the third portion of the duodenum. There is a nasogastric tube with its tip projecting over the antrum... | Generalized paucity of bowel gas. Dobbhoff tube with tip projecting over the third portion the duodenum and nasogastric tube with tip projecting over the antrum of the stomach. |
Generate impression based on findings. | 30-year-old -old female with abdominal pain. Evaluate for complication from pyelonephrosis. ABDOMEN:LUNGS BASES: Minimal right basilar atelectasis. Low density cardiac blood pool is typical of anemia.LIVER, BILIARY TRACT: Diffuse liver hypoattenuation is compatible with hepatic steatosis. Gallbladder is unremarkable.SP... | 1.Findings suggestive of pyelonephrosis without evidence of abscess.2.Hepatic steatosis. |
Generate impression based on findings. | The patient submitted outside mammogram dated 7/23/13, 1/17/08. Submitted outside study was compared to the current mammogram dated 3/3/15. Focal asymmetry with calcifications in the right breast lateral aspect is unchanged. There is no significant change between current and old studies. | 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 34 years old Reason: eval for acute appy vs SBO History: pt with periumbilical abdominal pain and nausea. prior chole and bilat ooph ABDOMEN:LUNG BASES: Basilar dependent subsegmental atelectasis.LIVER, BILIARY TRACT: Status post cholecystectomy. Mild prominence of the common bile duct (8 mm) is likely related t... | No acute abnormality to account for the patient's pain. Additional incidental findings as described above. |
Generate impression based on findings. | 40 years, Female. Reason: r/o megacolon History: diarrhea, C. Diff+, Nausea, vomiting There is a nonobstructive bowel gas pattern. No evidence of megacolon. | Nonobstructive bowel gas pattern, no evidence of megacolon. |
Generate impression based on findings. | The patient submitted outside mammogram dated 7/23/13, 1/17/08. Submitted outside study was compared to the current mammogram dated 3/3/15. Focal asymmetry with calcifications in the right breast lateral aspect is unchanged. There is no significant change between current and old studies. | 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, 12 years old. Reason: displacement of R fifth digit History: fracture identified at OSHVIEWS: Left hand PA, lateral (two views) 3/27/15, 0149 Fracture through the base of the fifth proximal phalanx. The physis is widened, and metaphyseal fragments are present medially and laterally. There is posteromedial angul... | Salter-Harris two fracture of the fifth proximal phalanx. |
Generate impression based on findings. | 64-year-old male with right foot and toe pain. Three views of the right foot demonstrate diffuse demineralization, suggestive of osteopenia. Swelling of the fifth toe with skin irregularity suggests ulceration. Exaggerated demineralization of the phalanges of the fifth toe suspicious for osteomyelitis; step off along t... | 1.Demineralization of the phalanges of the fifth toe is worrisome for osteomyelitis, with possible pathologic fracture of the fifth proximal phalanx.2.Deformity of the distal great toe may represent osteomyelitis, but may be chronic in etiology.3.Findings may be further evaluated with MRI if clinically warranted.Findin... |
Generate impression based on findings. | 13-year-old male with history of traumaVIEWS: Right tibia-fibula AP and lateral; right ankle AP and lateral; right knee AP and lateral; right foot AP and lateral (8 views) 3/24/15 at 1917 Acute greenstick fracture of the distal fibula with lateral angulation of the distal fracture fragment. Vertical lucency seen throug... | Greenstick fracture of the distal fibula with lateral angulation of the distal fracture fragment. Salter Harris two fracture of the distal tibia. |
Generate impression based on findings. | Constipation. History of imperforated anus.VIEW: Abdomen AP (one view) 3/26/15 at 2344 hrs Improvement in the amount of colonic feces. No evidence of obstruction or free air. | Interval improvement in fecal accumulation. |
Generate impression based on findings. | 32-year-old female status post MVC, pain to the mid and lower back. Three views of the thoracic spine demonstrate no evidence of fracture, malalignment, or other findings to account for the patient's pain.Four views of the lumbar spine demonstrate partial sacralization of the L5 vertebral body with hypertrophy of the l... | No fracture is evident. Transitional lumbosacral morphology as described above. |
Generate impression based on findings. | Male 44 days old Reason: Please assess bowel gas pattern after sonde placed to gravity. History: Abdominal distension, hx of septic shockVIEW: Abdomen AP (one view) 3/27/15 at 321 hours NG tube terminates at the stomach. Mediastinal tip again noted. Central line tip is in the SVC. Disorganized, nonspecific abdominal ga... | Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | 28-year-old female with pain to the left arm status post fall. Two views of left humerus demonstrate a comminuted fracture of the distal humeral diaphysis, with slight anterolateral displacement of the distal fracture fragment. The proximal humerus is unremarkable.Two views of the forearm demonstrate no fracture of the... | Distal humeral fracture as above. |
Generate impression based on findings. | altered behavior No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air ... | No evidence of acute ischemic or hemorrhagic lesion.If clinically indicated, brain MRI can be considered for further evaluation. |
Generate impression based on findings. | Male 55 years old Reason: rule out uroma, recent surgery w/ urology History: abdominal pain radiating to the back ABDOMEN:LUNG BASES: Dependent basilar subsegmental atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL... | 1.Postoperative changes from prior prostatectomy. Small pockets of free fluid and free air within the pelvis remain. Therefore a continued leak cannot be entirely excluded despite no evidence of contrast extravasation from the bladder. There is irregularity of the prosthetic urethra possibly representing the site of th... |
Generate impression based on findings. | 45-year-old female with abdominal pain, history of rectal bleeding, rectocele. Evaluate for diverticulitis. ABDOMEN:LUNGS BASES: No focal consolidation or pleural effusion. A 7-mm left lower lobe subpleural nodule is unchanged since at least 2013. Small hiatal hernia.LIVER, BILIARY TRACT: Multiple hepatic hypodense les... | No findings to account for abdominal pain. |
Generate impression based on findings. | Venoocclusive disease. History of bone marrow transplant.VIEW: Chest AP (one view) 03/27/15, 0333 Right upper extremity PICC tip is in superior vena cava. Right central line tip is in right atrium. Surgical clips are noted at the level of the GE junction.Bilateral subpulmonic pleural effusion persists. Focal opacities ... | Persistent lung opacities. Bilateral pleural effusion. |
Generate impression based on findings. | 52-year-old male. Abdominal pain. Evaluate for infection. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No signi... | No specific findings to explain the patient's symptoms or other significant abnormality. |
Generate impression based on findings. | 51-year-old male with left sided perihilar mass LUNGS AND PLEURA: Central airways are patent. No pleural effusion or pneumothorax.Multiple, scattered, nonspecific calcified and noncalcified micronodules bilaterally, many of which are new. No focal consolidations.MEDIASTINUM AND HILA: Debris within the esophagus may rep... | 1.No hilar mass is clinically questioned. 2.Multiple, new, scattered, nonspecific calcified and noncalcified micronodules bilaterally. In patients with a higher risk, such as smokers, follow-up is recommended in one year. Patients with a known malignancy are at increased risk for metastasis and should receive three mon... |
Generate impression based on findings. | 59-year-old female with left hip pain. Two views of the left hip again demonstrate an intramedullary rod with screw/nail device affixing a healed intertrochanteric fracture of the proximal femur, in near-anatomic alignment. There is no evidence of hardware complication or acute fracture. Mild narrowing of the hip joint... | Postoperative changes and left hip osteoarthritis as described above, appearing similar to prior. |
Generate impression based on findings. | Female, 12 years old. Reason: s/p attempted reduction little finger fracture History: aboveVIEWS: Left hand PA, lateral (2 views) 3/27/15, 0341 Fine osseous detail is limited by overlying cast material.Residual medial angulation of the distal fracture fragment of the previously visualized fifth proximal phalanx fractur... | Fifth proximal phalanx fracture after reduction. |
Generate impression based on findings. | 54-year-old male with left shoulder pain and decreased range of motion status post trauma. Three views of the left shoulder demonstrate normal anatomic alignment. There is no evidence of glenohumeral joint dislocation or acromioclavicular joint separation. A lucency along the lateral margin of the scapula could represe... | 1.Linear lucency traversing the lateral cortex of the scapula may represent a Looser zone, if the patient has a history of osteomalacia. The probability of acute fracture is considered much less likely given the mechanism of injury. 2.We see no malalignment.Findings discussed with the emergency physician, Dr. Checkett,... |
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