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Generate impression based on findings. | headache, nausea, INR=9 Chronic ischemic infarction on the left posterior middle temporal gyrus and left cerebellar paramedian hemisphere, no change since prior exam.No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, mi... | No evidence of acute ischemic or hemorrhagic lesion.No change of left temporal and cerebellar chronic ischemic infarction since prior exam. |
Generate impression based on findings. | Reason: Eval cardiac structures and aorta (without contrast) prior to Port access AVR History: SOB DOE LUNGS AND PLEURA: Centrilobular emphysema. Bilateral apical pleural parenchymal scar.Diffuse bronchial wall thickening and mild central bronchiectasis which can be seen the presence of bronchitis. Scattered pulmonary ... | Severe aortic valvular and coronary artery calcification. Mitral annular calcification concentrated at the anterior and lateral annulus. There is a component of calcification extending to the mitral annular fibrous skeleton. No thoracic aortic aneurysm. Atherosclerotic disease at the origins of the arch vessels. Emphys... |
Generate impression based on findings. | 68-year-old female with history of multiple myeloma and left leg pain, concern for myelomatous lesions. Two views of the left femur show a complete fracture through the femoral neck, with approximately 3-4 cm of superolateral displacement of the diaphyseal fracture fragment. We cannot determine if this fracture is acut... | Left femoral neck fracture as described above, which may be secondary to underlying myeloma, and may be possibly chronic in etiology.Findings discussed with the ordering provider, Dr. Alex Gyftopoulos, on 3/27/15 at 10am. |
Generate impression based on findings. | Rhinovirous infection and acute respiratory failure. Bone marrow transplant.VIEW: Chest AP (one view) 03/27/15, 0343 Endotracheal tube tip is below thoracic inlet. Feeding tube tip is either at the duodenojejunal junction or in stomach. Right internal jugular line tip is in superior vena cava. Lower extremity central l... | Decrease in lung opacities. |
Generate impression based on findings. | Stenosis. Spondylosis? For the purposes of this study we will designate 6 non-rib bearing lumbar type vertebrae. Severe degenerative disease affects L5/6 appearing similar to that seen on the prior study. Relatively mild degenerative disk disease affects L4/5. Vertebral body heights are preserved. Moderate to severe fa... | Degenerative arthritic changes as described above appearing similar to those seen on the prior study. |
Generate impression based on findings. | sudden onset headache, right lateral gaze deficit. No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrha... | No evidence of acute ischemic or hemorrhagic lesion.Brain MRI with and without contrast can be considered for further evaluation if clinically indicated. |
Generate impression based on findings. | 77-year-old female with history of Crohn's enterocutaneous fistula, fever, elevated WBC, no source. Evaluate for intra-abdominal abscess. ABDOMEN:LUNGS BASES: No focal consolidation or pleural effusion. Small pericardial effusion, unchanged. LIVER, BILIARY TRACT: The liver enhances homogeneously without focal lesion.SP... | 1.Findings of active Crohn's disease with inflammatory changes mildly decreased from previous exam. 2.No evidence of intraabdominal abscess. |
Generate impression based on findings. | Left calf cut with glass.VIEWS: Left 50 AP and lateral 3/26/15 (2 view/s) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. No right opaque foreign bodies. | Normal examination. |
Generate impression based on findings. | 30 year old pregnant female with left breast lump/dense tissue. The patient states that she feels dense tissue in the left breast around 12 o'clock position.With physical exam, no discrete mass was palpated. Focused ultrasound did not detect any abnormalities at the area of palpable concern. | No sonographic evidence of malignancy. Clinical follow up is recommended. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 7-year-old male status post reduction and casting of fractureVIEWS: Right forearm AP, lateral (two views) 3/26/15 at 2047 Cast material obscures fine bone detail. Interval casting of both bones fracture of the right forearm with improved alignment, now in near-anatomic alignment. | Interval casting of both bones fracture of the right forearm, now in near-anatomic alignment. |
Generate impression based on findings. | altered mental status No evidence of acute ischemic or hemorrhagic lesion.Diffuse moderate to severe brain atrophy with prominent ventricular system without evidence of ventricular occlusion.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no ... | No evidence of acute ischemic or hemorrhagic lesion.Diffuse brain atrophy with enlarged ventricular system. |
Generate impression based on findings. | Right foot painVIEWS: Right foot and right ankle AP, lateral and oblique 3/26/15 (6 view/s) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | post AVM resection status About 1.6cm x 1cm sized ovoid shape blood products on the left posterior temporal gyrus adjacent to the surgical clip area which is a new finding since prior exam. However, this finding could be an obscured finding on prior exam since prior exam showed significant artifacts due to resection si... | Postoperative no unusual finding on the left temporo-occipital AVM resection with craniotomy.About 1.6cm x 1cm sized blood product is seen on the mesial and slightly inferior aspect of the surgical clip which could have been masked by air densities on prior exam. Follow up exam is recommended. |
Generate impression based on findings. | Female, 12 years old. Fracture s/p splinting.VIEWS: Left hand PA, lateral (two views) 3/27/15, 0440 The cast has been removed, and a splint applied, with obscuration of underlying fine osseous detail.Residual medial angulation of the distal fracture fragment of the previously visualized fifth proximal phalanx fracture,... | Fifth proximal phalanx fracture after reduction, without significant change. |
Generate impression based on findings. | 61-year-old female. Flank pain. Evaluate for stone. Known kidney disease. Lack of intravenous and oral contrast limits evaluation for solid organ and out pathology.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: ... | No renal or ureteral stones or other significant acute abnormality. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 57-year-old male with mesothelioma of the peritoneum status post resection and adjuvant chemotherapy, evaluate extent of disease and compare to previous. LUNGS AND PLEURA: Bilateral pleural plaques and subpleural scarring along the left upper lobe. Trace right pleural effusion with mild increase in pleural thickening. ... | 1.Enlarging distal paraesophageal mass is consistent with tumor extending through the diaphragmatic hiatus.2.Enlarging left pleural effusion with adjacent atelectasis. New trace right pleural effusion with pleural thickening. Increase in size of non-index cardiophrenic lymph nodes.3.Bilateral pleural plaques and nodula... |
Generate impression based on findings. | 51 years, Female. Reason: eval SBO History: daily xray per surgery, eval SBO There is a nasogastric tube with its tip projecting over the gastric pouch. Again seen are multiple dilated loops of small bowel suggestive of a distal small bowel obstruction abdomen not significantly changed from the prior exam. Please refer... | Multiple dilated loops of small bowel suggestive of a distal small bowel obstruction abdomen not significantly changed from the prior exam. |
Generate impression based on findings. | Male, 67 years old, with altered mental status. Mild patchy white matter hypoattenuation is again seen, a nonspecific finding. No intracranial hemorrhage is detected. No abnormal extra axial fluid collections are seen. There is no evidence of parenchymal edema, mass-effect or loss of gray-white distinction. Oval hypoat... | No acute intracranial abnormality. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 13-year-old male with history of trauma.VIEWS: Right ankle AP, oblique, lateral (3 views) 3/27/15 at 0214 Cast material obscures fine bone detail. Redemonstration of distal fibular greenstick fracture and distal tibial Salter-Harris two fracture in near anatomic alignment. | Interval casting of distal fibular and tibial fractures now in near anatomic alignment. |
Generate impression based on findings. | 51 years, Female. Reason: follow-up History: follow-up There is a nasogastric tube with its tip projecting over the gastric pouch. There are multiple dilated loops of small bowel, measuring up to 3.5 cm, suggestive of a distal small bowel obstruction. These appear to have slightly improved when compared to the CT from ... | Multiple dilated loops of small bowel suggestive of a distal small bowel obstruction, slightly improved when compared to prior CT. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Urinary calculus, unspecified microscopic hematuria The following observations are made given limitations of an unenhanced studyABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRE... | Punctate right lower pole renal calculus, nonobstructive. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is heterogeneously dense. Scattered benign calcifications and arterial calcifications are noted in both breasts.No suspicious ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 18 years, Female. Reason: Chronic abd pain and n/v causing malnutrition. Eval for obstruction or other etiology. History: abd pain Interval removal of enteric tube. There is a focally dilated loop of bowel in the left lower quadrant may reflect a focal small bowel obstruction. | There is a focally dilated loop of bowel in the left lower quadrant may reflect a focal small bowel obstruction. CT is recommended for further evaluation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts (total 8 images) were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. Scattered benign calcifications are unchange... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 13-year-old male with history of traumaVIEWS: Right ankle oblique; left ankle AP, oblique, lateral (4 views) 3/26/15 at 2128 Right ankle: Redemonstration of a distal fibular greenstick fracture and distal tibial Salter-Harris two fracture.Left ankle: No fracture or malalignment. No significant soft tissue swelling. No ... | Redemonstration of distal fibular greenstick fracture and distal tibial Salter-Harris two fracture. No fracture of the left ankle. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 34-year-old female with painful mass in the left axilla with left upper extremity SVT, presents for bilateral diagnostic mammogram. Mammogram: Three standard views of both breasts, exaggerated CC left lateral view and 2 spot compression views of left axilla were performed digitally and reviewed with the aid of R2 CAD 9... | No suspicious sonographic or mammographic abnormality corresponding to patient's area of pain in the left axillary region. 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 discusse... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. An S-shaped marking clip is present i... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 44-year-old male patient with history of ventricular assist device, partial cholecystectomy presents with suspected sepsis of unknown source. CHEST:LUNGS AND PLEURA: Interval increase in patchy basilar atelectasis/consolidation compared to prior examination. Small bilateral pleural effusions. Bronchiectasis and scarrin... | 1.Increased basilar atelectasis/consolidation raises concern for aspiration pneumonia.2.Mild interval decrease in size of pancreatic tail pseudocyst.3.Mild ileus. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male, 4 months old. Intubated. Evaluate for interval changes.VIEW: Chest and abdomen AP (two views) 3/27/15, 0520 ET tube tip below the thoracic inlet and above the carina. Two enteric tubes curled within the stomach. Right arm PICC, tip in the axillary vein. Right femoral catheter, tip in the IVC.The cardiothymic silh... | Gaseous distention of the bowel, without evidence of obstruction. Persistent bilateral pulmonary opacities. |
Generate impression based on findings. | 11-year-old male with history of constipationVIEW: Abdomen AP (one view) 3/26/15 at 2329 Nonobstructive bowel gas pattern. No pneumatosis, portal venous gas, or free air. Large stool burden throughout the entire colon. | Large stool burden without obstruction. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. Subcentimeter circumscribed mass in the right upper quadrant ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Multiple bilateral subcentimeter mass... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. There are multiple be... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 64-year-old female with screen detected architectural distortion in the left upper outer quadrant with sonographic correlate with path result of DCIS. For left breast wire loc lumpectomy. On review of the prior studies, 2/2/2015 and 2/26/2015 left breast mammography. Target architectural distortion morphology and clip ... | Successful needle localization of the left breast clip.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Male, 3 months old. Reason: interval changes History: post-opVIEW: Chest AP (one view) 3/27/15, 0525 ET tube, tip below thoracic inlet and above the carina.The cardiothymic silhouette is normal.Right apical opacity, which may represent a small right pleural effusion or atelectasis. No significant pneumothorax. | Small right pleural effusion or atelectasis. |
Generate impression based on findings. | Male, 10 months old. Reason: lung pathology History: increased O2 requirement, retractions, nasal flaringVIEW: Chest AP (one view) 3/27/15, 0651 Tracheostomy tube in place. Enteric tube extends below the lower margin of the image.Right lower extremity PICC tip is in the intrahepatic IVC.The cardiothymic silhouette is m... | Chronic lung disease, unchanged. |
Generate impression based on findings. | 56 year-old woman. Follow-up of thyroid nodules. RIGHT LOBE MEASUREMENTS: 2.9 x 1.1 x 1.1 cmLEFT LOBE MEASUREMENTS: 3.2 x 1.6 x 1.1 cmISTHMUS MEASUREMENTS: 0.3 cm similar to prior. RIGHT LOBE: The right thyroid lobe demonstrates heterogenous echotexture, similar to prior. No discrete lesions are identified.LEFT LOBE: T... | Stable examination. Reference measurements given above. |
Generate impression based on findings. | Repositioning of PICC. 22 day old former 24 week gestational age patient with history of NEC and fungemia.VIEW: Chest AP (one view) 03/27/15, 0705 Endotracheal tube tip is at thoracic inlet. Feeding tube tip is at GE junction. Right neck PCV C. tip is in superior vena cava. Left lower quadrant drain is again seen.Marke... | Complications from surfactant deficiency with superimposed opacities. These may be atelectasis or pneumonia. |
Generate impression based on findings. | 66-year-old male patient with history of urothelial cancer presents with small bowel obstruction and diarrhea. Evaluate extent of residual small bowel obstruction. ABDOMEN:LUNG BASES: Interval increase in small right pleural effusion and overlying atelectasis. Trace left basilar atelectasis.LIVER, BILIARY TRACT: No sig... | 1.Findings compatible with persistent partial distal small bowel obstruction.2.Small amount of air along the anterior mid abdomen is incompletely evaluated due to the lack of distension of the small bowel in the region. This air is favored to be intraluminal in a loop of collapsed bowel, however, cannot definitively ex... |
Generate impression based on findings. | 22 day old former 24 week gestational age patient with history of NEC and fungemia. PICC placement.VIEW: Chest AP (one view) 03/27/15, 0657 Endotracheal tube tip is at thoracic inlet. Feeding tube tip is at GE junction. Right neck PICC tip is in right atrium. Left lower quadrant drain is again seen.Marked soft tissue e... | Complications from surfactant deficiency. Decrease in left upper lobe opacity. |
Generate impression based on findings. | Status post L5/S1 transforaminal lumbar interbody fusion. There is facetectomy on the left. Bilateral pedicle screws and rods are intact and well positioned. Interbody graft in place. There is hyperdensity in the left L5-S1 neural foramen which is suspected to represent graft material/bone fragments.Alignment is anato... | Immediate postoperative changes of TLIF at L5-S1 with left sided facetectomy. Hardware is intact and appears well-positioned. There is small amount of hyperdensity in the left L5-S1 neural foramen which is suspected to represent small amount of graft material/bone fragments; neural foramen is otherwise patent. |
Generate impression based on findings. | Female 42 years old Reason: ro rp hematoma History: anemia with back pain on xarelto This study is limited due to lack of intravenous contrastABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnorma... | No evidence of retroperitoneal hematoma. |
Generate impression based on findings. | 13-year-old male with right ankle fracture Redemonstration of a greenstick fracture of the distal fibula with multiple small fracture lines in the horizontal and vertical plane. Salter-Harris two fracture of the distal tibia with a vertical lucency through the lateral tibial metaphysis extending to the physis. The epip... | Greenstick fracture of the distal fibula and Salter-Harris two fracture of the lateral distal tibia. No other fractures are identified. |
Generate impression based on findings. | Status post right-sided L2/3 diskectomy, foraminotomy and medial facetectomy. There is heterogeneous T1 and T2 signal dorsal to the surgical bed, compatible with blood products. There is effacement of the ventral thecal sac related to residual disk and postoperative changes and dorsal thecal sac effacement related to ... | 1.Essentially expected postoperative changes related to right L2-L3 diskectomy. Small 2x2 cm fluid collection posterior to right L2-3 laminectomy with thin tract of fluid extending to the skin surface along the surgical tract. There is mild peripheral enhancement which may be due to granulation tissue, although infecti... |
Generate impression based on findings. | Female, 32 years old, motor vehicle collision, with C1 fracture. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid is seen. There is no evidence of mass effect or parenchymal edema. The ventricular system is normal in... | No acute intracranial abnormality. |
Generate impression based on findings. | 59 year old female with history of left lumpectomy 8/2012 for IDC. Patient received neoadjuvant chemotherapy and adjuvant radiation therapy. No new breast complaints. Family history Three standard views of both breasts and additional left CC and ML spot magnification views were performed digitally and reviewed with the... | 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. | 80 year-old male patient with history of prostate cancer, persistent pelvic fluid collection, foreign body, concern for abscess. Admitted for septic shock. ABDOMEN:LUNG BASES: New bilateral moderate pleural effusions with overlying atelectasis, left greater than right.LIVER, BILIARY TRACT: Stable subcentimeter hypoatte... | 1.New moderate bilateral pleural effusions with overlying atelectasis.2.Mild interval decrease in size of loculated fluid collection in the pelvis. Cannot exclude an underlying fistula.3.Unchanged presumed pelvic foreign body.4.Sclerotic osseous metastases again noted. |
Generate impression based on findings. | Concern for right subclavian vein compression versus clot. There are recent postoperative findings related to total laryngectomy with flap reconstruction with drainage catheters in position and tracheostomy. There is scattered emphysema and fluid in the region of the surgical bed. In particular, there is a fluid collec... | 1. Recent postoperative findings related to total laryngectomy with flap reconstruction with what likely represents a hematoma or other postoperative fluid collection in the right supraclavicular region that results in compression and/or thrombosis of the adjacent right subclavian and brachiocephalic veins, although th... |
Generate impression based on findings. | 70-year-old male with history of pneumonia on recent chest x-ray. LUNGS AND PLEURA: No focal air space opacities or pleural effusions. Scattered calcified and noncalcified pulmonary micronodules. No evidence of edema or infection.MEDIASTINUM AND HILA: Heart size is normal with no significant pericardial effusion. There... | 1. No evidence of right lower lobe pneumonia as clinically queried.2. Findings compatible with healing/healed granulomatous disease. |
Generate impression based on findings. | Known ICH follow up Left parietal ICH withe IVH, ventriculomegaly, with midline shift toward right side no change since prior exam.Encephalomalacia on the right hemispehre, no change since prior exam.No change of ventriculostomy tube via right frontal lobe.The paranasal sinuses and mastoid air cells are clear. | No significant change of ICH, IVH with ventriculomegaly and mass effects since prior exam. |
Generate impression based on findings. | There are scattered areas of mineralization in the bilateral cerebellar hemispheres and basal ganglia which are stable from 10/2014. There is mild enlargement of the temporal horn and atrium of the right lateral ventricle, stable from the prior examinations. Scattered areas of hypoattenuation in the periventricular wh... | Stable parenchymal calcifications and mild right lateral ventriculomegaly without evidence of acute hemorrhage. |
Generate impression based on findings. | 65-year-old male with metastatic prostate cancer to bone; pulmonary nodules. Evaluate for progression. CHEST:LUNGS AND PLEURA: Scattered micronodules are stable in size and number. No suspicious new pulmonary nodules are identified. No focal consolidation or pleural effusion is present.MEDIASTINUM AND HILA: Heart size ... | New and increased sclerotic bone lesions, as above. Correlate with today's bone scan is recommended. |
Generate impression based on findings. | 67-year-old male with RCC. Restaging. CHEST:LUNGS AND PLEURA: Numerous bilateral pulmonary metastases are not significantly changed in size or number. There reference left lower lobe lesion measures 3.2 x 1.9 cm (series 5, image 76), previously 3.1 x 1.7 cm. The reference right lower lobe lesion measures 0.8 x 0.7 cm (... | Stable pulmonary and hepatic metastases. |
Generate impression based on findings. | There is no evidence of acute intracranial hemorrhage or skull fracture. There is mild diffuse prominence of the ventricles and sulci due to cerebral volume loss. There is an expanded empty sella. There is no midline shift or herniation. The imaged paranasal sinuses are clear. There is right tympanomastoid opacificati... | 1. No evidence of intracranial acute hemorrhage or skull. 2. Nonspecific right tympanomastoid opacification. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Female, 32 years old, C1 to C3 midline pain status post MVC. Assess for fracture. Spinal alignment is anatomic. Vertebral body heights are preserved.A thin cleft is evident traversing the right C1 lamina just posterior to the lateral mass. The edges of this cleft are circumscribed and corticated, and the bone of the ad... | 1. A cleft is evident traversing the right C1 lamina just posterior to the lateral mass. Given the corticated margins and the associated mild dysmorphic appearance of the adjacent laminar bones, a congenital fusion anomaly is suspected. Given the history, however, the possibility of an unusual fracture cannot be entire... |
Generate impression based on findings. | Male 53 years old Reason: Patient s/p ureteral reimplant. Evaluate for extravasation of contrast. Please include post-evac film to look for any extravasation History: As above Scout imaging revealed a right nephroureteral stent with the proximal tip terminating in the distribution of the bladder as well is a left pelvi... | 1.No evidence of extravasation to suggest leak.2.Reflux into the right ureter and right renal collecting system with note made of mild right-sided hydronephrosis.3.Postsurgical changes related to right ureteral reimplantation as above. |
Generate impression based on findings. | Female 80 years old Reason: evaluate for any esophageal dysmotility or obstruction History: sensation of food and pills getting stuck that is new. Limited scout radiograph the left aspect excluded in field of view. However, scout showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Double ... | Focal area of smooth narrowing of the cervical esophagus at the level of the thoracic inlet with pseudodiverticulosis of the esophagus. Direct visualization of this area is recommended. |
Generate impression based on findings. | 37-year-old female with left knee pain, right hand pain. Three views of the right hand are provided. There is mild narrowing of the interphalangeal joints which may indicate minimal osteoarthritis, otherwise the hand is within normal limits.Four views of the left knee are provided. There are small osteophytes indicatin... | Minimal osteoarthritis as described above. |
Generate impression based on findings. | Hemangioendothelioma for lung compared CT and measure left upper lobe lesion, prevascular lymph node and hepatic metastasis post 3 cycles of chemotherapy. CHEST:LUNGS AND PLEURA: Innumerable pulmonary metastases. Suture line from presumed prior wedge resections in the right lung. Small loculated fluid collection in the... | No significant change in metastatic disease in the chest or upper abdomen. Esophageal lesion was present previously given the benefit of retrospect. |
Generate impression based on findings. | 56-year-old male with kyphosis, pathologic fracture. Two views of the thoracic spine show anterior wedging of T10 and diffuse loss of height of the T9 vertebral body with loss of disk space and focal kyphosis. There appears to be slight retropulsion of bone from the inferior aspect of T9. There appears to be osteolysis... | Loss of height of T9 and T10 with focal kyphosis as described above, perhaps representing diskitis/osteomyelitis. |
Generate impression based on findings. | 64-year-old male patient status post Whipple procedure and placement of feeding jejunostomy tube on 2/24/2015 complicated by retroperitoneal abscess status post drain placement. Evaluate fluid collection. ABDOMEN:LUNG BASES: Interval resolution of small bilateral pleural effusions.LIVER, BILIARY TRACT: Unchanged simple... | 1.New complete interval resolution of intra-abdominal abscess following percutaneous drainage.2.Interval removal of jejunostomy tube.3.Mild interval decrease in intra-abdominal lymphadenopathy.4.Postsurgical changes from Whipple procedure. |
Generate impression based on findings. | There is no evidence of acute intracranial hemorrhage or extra-axial fluid collection. There are no masses, mass effect, edema, or midline shift. The ventricles and sulci are normal in size and configuration. The imaged paranasal sinuses and mastoid air cells are clear. | No acute intracranial abnormality. |
Generate impression based on findings. | Reason: 18 yo M with GVHD and chronic sinusitis History: chronic sinusitis Soft tissue edema involving the oropharynx, hypopharynx and larynx. There is small retropharyngeal effusion. There is extensive opacification of the bilateral frontal sinuses and scattered bilateral ethmoid air cell opacification. There is also ... | 1.No significant change in moderate degree of diffuse sinonasal opacification compared to recent MRI brain from 1/20/2015 but improved since CT 10/2/2014. Again seen are hyperdensities within the sinuses which may be related to inspissated secretions and/or chronic fungal colonization. No findings to suggest an aggress... |
Generate impression based on findings. | 72-year-old male patient with history of Hodgkin's disease. Evaluate for continued remission. CHEST:LUNGS AND PLEURA: Calcified pleural plaques and right apical scarring is again noted. Scattered pulmonary micronodules are not significantly changed from prior.MEDIASTINUM AND HILA: Stable mediastinal lymphadenopathy. Re... | Stable mediastinal and retroperitoneal lymphadenopathy without new lymphadenopathy. |
Generate impression based on findings. | History of right lumpectomy for IDC in 2008. Patient received chemotherapy and radiation. Currently on Aromasin. No new breast complaints. History of breast cancer in mother and ovarian cancer in maternal aunt. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The br... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 49-year-old female with pain and swelling. Three views of the left wrist demonstrate a comminuted intra-articular fracture of the distal radius with fracture fragments in near anatomic alignment. There is also a minimally displaced fracture through the ulnar styloid. There is orthopedic fixation of the base of the fift... | Distal radius and ulnar styloid fractures as described above. |
Generate impression based on findings. | 18 year-old male with history of cystic fibrosis. Evaluate for progression. LUNGS AND PLEURA: Mild to moderate apical predominant cylindrical bronchiectasis, bronchial wall thickening and mucoid impaction. Additionally, extensive basilar predominant tree in bud opacities are compatible with bronchiolitis. Scattered are... | Cystic fibrosis with findings of bronchiolitis and fluid in the airways suspicious for superinfection of the airways with pseudomonas or other agents. No air space opacities to suggest the presence of parenchymal pneumonia. |
Generate impression based on findings. | 18 year-old female patient with recurrent abdominal pain and hematochezia. Evaluate for small bowel inflammatory bowel disease. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.... | No bowel or other intra-abdominal abnormalities to account for patient's symptoms. |
Generate impression based on findings. | 83-year-old female with left ankle pain, lateral malleolus fracture, evaluate healing. Again seen is an oblique fracture of the medial malleolus in near-anatomic alignment. There appears to be slight progression of callus formation suggesting some interval healing. We see no fracture of the distal fibula. The ankle oth... | Healing medial malleolar fracture. |
Generate impression based on findings. | Overlying swelling second and third MCPs Mild osteoarthritis affects the interphalangeal joints. There are also tiny osteophytes at the second and third MCP joints with small nonspecific juxta-articular calcifications, but I see no definite chondrocalcinosis. The bones appear demineralized suggesting osteopenia. I see ... | Mild degenerative arthritic changes as above.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 66 year old female patient with HIV on antiretroviral therapy status post arthroscopic robotic low anterior resection with diverting loop ileostomy for villous adenoma complicated by abscess formation requiring percutaneous drainage. Please reevaluate collection prior to drain removal. ABDOMEN:LUNG BASES: Interval reso... | 1.Interval decrease in size of presacral loculated fluid collection with following percutaneous drain placement.2.No evidence of bowel obstruction.3.Postsurgical changes from low anterior resection and diverting loop colostomy. |
Generate impression based on findings. | 36-year-old male pinned between machinery. Evaluate for myocardial or vascular injury. CHEST:LUNGS AND PLEURA: No focal consolidation or pleural effusion. No pneumothorax.MEDIASTINUM AND HILA: No mediastinal hematoma or contrast extravasation into the mediastinum. There is mild right atrial and right ventricular dilati... | 1.No evidence of aortic dissection.2.Mild right atrial and right ventricular dilation, query tricuspid regurgitation.3.Mild bilateral gynecomastia. |
Generate impression based on findings. | 64 years, Female. Reason: Patient with known SBO now with worsening abd pain. No significant tenderness on palpation History: As above Limited study, right hemidiaphragm is not entirely included in the field of view. There is an enteric tube with its tip projecting over the fundus of the stomach. There are multiple dil... | 1. Partial small bowel obstruction.2. Proximal aspect of the right nephroureteral stent projects over the midureter. |
Generate impression based on findings. | 60 year-old female with history of benign left breast biopsy in 2005 & 2013 and history of right breast cyst aspiration. No family history of breast cancer. History of multiple cysts documented on ultrasound. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The brea... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 64 year old female with history of bilateral breast cancer status post bilateral mastectomies for right DCIS, grade 3 and left grade 1 IDC and DCIS. New tender right neck mass for 1 month. Enlarged right submandibular gland on CT. Positive for carcinoma on FNA. Here for ultrasound guided core biopsy. Right neck ultraso... | Successful ultrasound-guided core biopsy of the right neck lesion. Pathology is pending at this time.BIRADS: 5 - Highly suggestive of malignancy.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 16-year-old male with pain at fifth metatarsal, evaluate for stress fracture.VIEWS: Right foot AP, oblique and lateral; left foot AP, oblique, lateral (6 views) 3/27/15 at 1007 Right foot: No fracture or malalignment. No significant soft tissue swelling.Left foot: Obliquely oriented lucency with smooth margins is prese... | Findings are favored to represent a stress fracture of the medial base of the left fifth metatarsal. |
Generate impression based on findings. | 46 year old female with history of right mastectomy in 6/2012 and radiation therapy for ILC. No new breast complaints. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, unilateral left 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. | T1N2c squamous cell carcinoma of the right oral tongue treated with surgery and CRT. The presence of dental amalgam artifact limits the assessment of oral cavity. There are post-treatment findings related to right partial glossectomy and radiation therapy. However, there is no evidence of measurable mass lesions or sig... | 1. No evidence of locoregional tumor recurrence, although the presence of dental amalgam artifact limits the assessment of oral cavity. If clinically indicated and there are no contraindications, follow up via PET or MRI may be useful. 2. Fluid within the right maxillary sinus may indicate acute sinusitis. |
Generate impression based on findings. | 48-year-old male with history of shortness of breath and hypoxia. LUNGS AND PLEURA: Scattered calcified and noncalcified pulmonary micronodules, nonspecific. No suspicious pulmonary lesions identified. There is mild basilar atelectasis/scarring. No evidence of infection or edema. Borderline basilar bronchiectasis. Low ... | Low lung volumes are likely the result of body habitus. Mild bibasilar atelectasis/scarring and borderline basilar bronchiectasis, but otherwise no acute cardiopulmonary abnormality. |
Generate impression based on findings. | 73-year-old male with history of gallbladder carcinoma. Restaging gallbladder/cholangio after chemotherapy. CHEST:LUNGS AND PLEURA: Minimal left basilar atelectasis. Scattered pulmonary micronodules, most of which are calcified. No new suspicious pulmonary nodules identified.MEDIASTINUM AND HILA: Left subclavian pacema... | 1.Stable gallbladder nodularity and retroperitoneal lymphadenopathy.2.Enhancing segment 2 hepatic lesion is unchanged in size and may represent benign hemangioma. |
Generate impression based on findings. | There is a predominantly hyperattenuating right frontal scalp hematoma that measures up to 15 mm in thickness. The underlying skull appears to be intact and there is no evidence of acute intracranial hemorrhage. There is mild diffuse prominence of the ventricles and sulci due to cerebral volume loss. There is also min... | 1. Right frontal scalp hematoma, but no evidence of acute intracranial hemorrhage or skull fracture.2. Air-fluid levels in the maxillary sinuses may represent acute sinusitis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Tongue cancer. There are post-treatment findings in the oral cavity region. There is apparent interval decrease in size of the right floor of mouth mass, which now measures up to at least 3 cm, previously at least 5 cm accounting for differences in technique. However, precise measurement of the mass is limited by the i... | 1. Post-treatment findings in the neck with interval decrease in size of the right floor of mouth mass.2. Interval increase in size and development of necrosis in a right level 2B lymph node.3. A right supraclavicular mass likely represents metastatic disease.4. Patchy sclerosis in the right medial clavicle may represe... |
Generate impression based on findings. | 8-month-old male, ex 39 weeker, presents with persistent fussiness worsening of head tilt without torticollis. Evaluate for mass or congenital anomaly. The cerebellar tonsils are peg-like in configuration with severe crowding at the foramen magnum and extending at least 15 mm below the level of the foramen magnum. Ther... | 1. Cerebellar tonsils extend at least 15 mm below the foramen magnum with significant crowding, consistent with Chiari malformation. No evidence of syrinx of the visualized spinal cord.2. Mild retroflexion of the odontoid process, which may be better assessed on plain film or CT.3. Slight asymmetry of the cervical spin... |
Generate impression based on findings. | Patient with left parotid neoplasm (low-grade adenocarcinoma on pathology 3/6/2015) and left submandibular pleomorphic adenoma. Evaluate for brain metastases. There is an 8 mm lesion in the left inferior frontal gyrus with intrinsic T1 shortening, complete hypointense T2 rim and associated blooming susceptibility artif... | 1. Redemonstration of a 31 mm enhancing mass in the posterior left parotid space with the bulk of the mass lateral to the stylomandibular canal, and some soft tissue extension deep to it, compatible with known parotid neoplasm. This is incompletely characterized and a dedicated skull base MR imaging can be considered.2... |
Generate impression based on findings. | 15-year-old male with left hip joint effusion post incision and drainage PELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: The bladder is mildly dilated with a thickened wall. Calcifications or layering calculi are present along the posterior aspect of the bladder wall.LYMPH NODES: Unchanged m... | 1.Worsening osteomyelitis of the left femoral head, neck, left acetabulum, and iliac wing, with septic arthritis, a persistent loculated fluid collection, and increasing extensive soft tissue infection. Tuberculosis is a consideration.2.Bladder wall thickening may be secondary to cystitis. |
Generate impression based on findings. | Female, 11 months old. Tracheostomy with oxygen requirement.VIEW: Chest AP (one view) 3/27/15, 0928 Tracheostomy tube in place. PDA clip unchanged.The cardiothymic silhouette is normal.Low lung volumes. Chronic bilateral pulmonary opacities. Linear right upper lobe opacities, compatible with atelectasis. | Chronic lung disease and right upper lobe atelectasis. |
Generate impression based on findings. | 33 year old female with newly diagnosed breast cancer; will be 10.5 wks pregnant on day of surgery for left palpably guided partial mastectomy and left SNBx.RADIOPHARMACEUTICAL: The left breast was prepared in a sterile manner. A total of 0.54 mCi Tc-99m filtered sulfur colloid was injected in four periareolar injectio... | Sentinel node identified in the left axilla. |
Generate impression based on findings. | 77 year old female who was recalled from screening mammogram for new focal asymmetry at lower inner left breast . Mammogram: An ML view and 3 spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Male, 11 years old. Reason: pain due to injury History: elbow dislocation A healed fracture of the lateral condyle is noted. An ossified free body is noted anterior to the elbow joint (series 4, image 66), similar in location to prior radiographs.An additional free fragment is located just anterior to the ulna below th... | An ossified free body anterior to the elbow joint and an additional free fragment just anterior to the ulna below the coronoid process. |
Generate impression based on findings. | Female 25 years old Reason: imaging of terminal ileal Crohn's disease before ileocecectomy History: abdominal pain and diarrhea Scout radiograph showed a nonobstructive bowel gas pattern. Transit time to the colon was one hour. Fluoroscopic evaluation showed long segment of mucosal irregularity (cobblestoning) affectin... | Long segment mucosal irregularity of the distal ileum with associated poor luminal distention consistent with terminal ileitis. |
Generate impression based on findings. | 57-year-old female with history of presurgical venous planning. History of failed renal transplant. LUNGS AND PLEURA: Moderate bilateral pleural effusions with associated compressive atelectasis.MEDIASTINUM AND HILA: Occluded distal SVC stent with retrograde opacification of the central veins via chest wall collaterals... | 1. Bilateral pleural effusions with associated compressive subsegmental atelectasis.2. Chronic central venous occlusion with thrombosis of the distal SVC stent. Collateral venous drainage achieved through an enlarged azygous, right internal mammary, and chest/abdominal wall collateral veins.3. Thrombus in the right int... |
Generate impression based on findings. | 78-year-old male with history of bladder cancer. ABDOMEN:LUNGS BASES: Severe coronary and aortic calcifications. Calcified right hilar and subcarinal lymph nodes. Stable 7-mm left lower lobe pulmonary nodule (series 3, image 16) and stable right upper lobe micronodule are present. There is also a left upper lobe micron... | 1.No specific evidence of metastatic disease. Stable hepatic hypodense lesions, two stable pulmonary nodules and one micronodule which was not included on prior scan.2.Cystic renal lesions are mildly increased in complexity on right and in size on the left. They remain incompletely characterized; better characterizatio... |
Generate impression based on findings. | Male, 49 years old, with left submandibular space abscess status post I&D, now with acute progression of swelling across the submental space, flushed mouth and oropharynx. Please evaluate for abscess, progression of deep neck space infection. A hypoattenuating collection is re-identified situated within the left floor ... | 1.Interval maturation of a left submandibular and sublingual space abscess. The abscess itself may also be somewhat larger than on the prior examination.2.Extensive associated edema has progressed with swelling of the pharyngeal and laryngeal mucosa. An ET tube is in place.3.Progression of superficial cellulitis involv... |
Generate impression based on findings. | 66 year old female with swelling, pain along the thumb and fifth finger. Three views of the left hand are provided. There is a fracture through the base of the proximal phalanx of the fifth finger in near-anatomic alignment. The fracture probably extends to the articular surface though this is equivocal. Moderate osteo... | Nondisplaced fracture of the base of the proximal phalanx of the fifth finger. |
Generate impression based on findings. | Reason: r/o vasculitis History: headache w abnormal MRI MRA brain:Antegrade flow is present in the distal internal carotid arteries, the distal vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries.There is no evidence for intracranial aneurysm or cerebrovascular occlu... | 1.There is no flow present in the left transverse sinus which is a relatively hypoplastic sinus. Of note, the left sigmoid sinus and jugular bulb are small in this patient.2.There is no evidence for intracranial cerebral aneurysm or intracranial cerebrovascular occlusion. |
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