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Generate impression based on findings. | 86 year-old female with right knee swelling and pain. Four nonweightbearing views of the right knee demonstrate a stellate fracture of the patella with fracture fragments in near anatomic alignment. The fracture extends to the undersurface of the bone. There is a small joint effusion and/or hemarthrosis with adjacent s... | Patellar fracture as described above. |
Generate impression based on findings. | 34-year-old male with groin pain, back pain. Five views of the lumbar spine demonstrate normal vertebral body heights and disk spaces. There are no specific findings to account for the patient's pain.An AP view of the pelvis and two views of both hips are provided. There is a mild coxa valga deformity of the right hip.... | Right hip dysplasia and other findings as described above. |
Generate impression based on findings. | 16 year old girl with history of fever and rigidity. There is no evidence of intracranial hemorrhage, mass or edema. The ventricles and basal cisterns are normal in size and configuration. The calvaria and skull base are normal. The visualized paranasal sinuses and mastoid air cells are clear. | Unremarkable brain CT. If clinical concern for meningitis persists, MRI or lumbar puncture can be considered. |
Generate impression based on findings. | Female, 44 years old, low back pain with left-sided paresthesias. Spinal alignment is anatomic. Vertebral body morphology is normal. No fracture or dislocation is seen.Degenerative disk disease is present at L5-S1 with evidence of vacuum disk phenomena, loss of disk height and disk bulging. There is, however, no signif... | 1.Degenerative disk disease at L5-S1 results in mild disk bulging but no significant generalized spinal canal stenosis.2.Posterior element hypertrophy, in combination with degenerative disk findings, do however produce at least moderate neuroforaminal narrowing at L5-S1. |
Generate impression based on findings. | 59-year-old male with esophageal cancer status post esophagectomy complicated by gastric necrosis CHEST:LUNGS AND PLEURA: No pleural effusion or pneumothorax.Central airways are patent.No suspicious nodules or mass. Calcified micronodule in bilateral lower lobes. Mild bronchial mucous plugging. Patchy ground glass opac... | Status post esophagectomy without evidence of complication. No specific evidence of metastatic disease. |
Generate impression based on findings. | 53-year-old male with history of oral tongue cancer treated with surgery and CRT. Evaluate for metastatic disease. CHEST:LUNGS AND PLEURA: Scatter nonspecific pulmonary micronodules. No suspicious pulmonary lesions.MEDIASTINUM AND HILA: The heart size is normal without pericardial effusion. There is a mildly enlarged p... | No evidence of metastatic disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of archite... | 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. | Female, 16 years old. Reason: rigid abdomen History: rigid abdomen, fevers, chills, sickle cell. ABDOMEN:LUNG BASES: Scattered left lower lobe consolidation most compatible with dependent atelectasis. No pleural effusions.LIVER, BILIARY TRACT: No focal hepatic lesions. No intrahepatic or extrahepatic biliary ductal dil... | Left pyelonephritis. The appendix is normal. |
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 heterogeneously dense. No suspicious masses, microcalcifications or areas of archit... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Mammogram works best when searching for changes. Submission of prior mammogram is, therefore, recommended for future reference. If the patient submits her old mamm... |
Generate impression based on findings. | 41-year-old female patient with history of colorectal cancer on palliative chemotherapy. Please reevaluate. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules.MEDIASTINUM AND HILA: Right-sided chest port with catheter tip in the right atrium. Low-attenuation in surrounding the catheter in the superior vena cava is... | Hepatic lesions are stable in size.Reference, non- enlarged retroperitoneal lymph node is stable.No significant change in low attenuation in the inferior vena cava and associated evidence for venous obstruction.Low attenuation in the superior vena cava adjacent to cancer likely due to add mixture of unopacified blood a... |
Generate impression based on findings. | Female, 44 years old, status post assault, with headache, visual changes and neck pain. Head:The right frontal scalp is focally swollen, and within the subjacent subcutaneous tissues, there are several curvilinear hyperattenuating fragments. Mild skin thickening is thickening is also seen within the left frontal scalp.... | 1.No acute intracranial abnormality.2.Focal right frontal scalp swelling is seen with associated subcutaneous hyperattenuating fragments. These may represent foreign bodies, particularly if there is clinical evidence of recent injury. Otherwise, they may reflect dystrophic calcification or foreign bodies from a chronic... |
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. No suspicious masses, microcalcifications or areas of archite... | 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. | 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, unchanged in pattern and distribution. A focal asymmetry is seen at upper outer quadrant in the righ... | A focal asymmetry at upper outer quadrant in the right breast, for which spot compression views and possible ultrasound study are recommended.. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 64-year-old female with history of T11 plasmacytoma. SKULL: No significant abnormality noted.CERVICAL SPINE: Two views of the cervical spine demonstrate severe multi-focal degenerative disk disease, without discrete lytic lesions identified.THORACIC SPINE: Two views of the thoracic spine demonstrate posterior rods and ... | 1.Findings compatible with stated diagnosis of T11 plasmacytoma and orthopedic fixation of the thoracolumbar spine, as above. 2.We see no definitive additional myelomatous lesions. Expansile remodeling of the left third metacarpal is favored to represent old trauma or enchondroma rather than a myelomatous deposit.3.Art... |
Generate impression based on findings. | There is mild, mucosal thickening in the nasal passages with mild opacification of the right infundibulum. Otherwise, the paranasal sinuses, ethmoid air cells, and mastoid air cells are clear without air-fluid levels. There is minimal opacification of the inferior nasal cavities. The nasal septum is midline. The lamin... | Mild findings that may be related to allergic rhinitis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Male, 10 months old. Reason: rule out hernia or bowel strangulation in scrotum History: increased swelling and tenderness of left testicle RIGHT TESTIS: The right testis measures 1.8 x 1.2 x 1.7 cm and appears normal in echotexture and morphology.LEFT TESTIS: The left testis measures 2.0 by 1.1 x 0.8 centimeters and ap... | Large bilateral hydroceles. No evidence of bowel-containing hernia. |
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. No suspicious masses, microcalcifications or areas of archite... | 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. | 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. No suspicious masses, microcalcifica... | 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. | Asymptomatic female presents for routine screening mammography. History of benign biopsy in the left breast in 2013. 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 an... | 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. | 47-year-old male with early stage lung cancer status post resection with new onset cough LUNGS AND PLEURA: Nodular scarring in the right apex is unchanged. Small groundglass opacities seen in the right upper lobe (arrows) are unchanged in size measuring 8 and 5 mm (series 5, image 72 and 73). These remain compatible wi... | Unchanged, indeterminate small groundglass nodular opacities in the right upper lobe may represent atypical adenomatous hyperplasia or adenocarcinoma in situ versus nodular fibrosis. Continued surveillance is recommended with a low dose nonenhanced CT scan in approximately 2 years time. |
Generate impression based on findings. | 82 year old female with history of left mastectomy in 2010 for IDC. No new breast complaints. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Benign ca... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Patient with pain in right lower back and down into right hamstring The bones appear slightly demineralized. Vertebral body heights and intervertebral disk spaces are preserved. Alignment is within normal limits. There is perhaps mild facet joint osteoarthritis at L5/S1. A surgical drain, sutures and clips are noted wi... | Postoperative and mild degenerative arthritic changes as described above.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
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. Stable focal asymmetry in the left br... | 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. | HPV(+) cT1N2c squamous cell carcinoma of the left base of tongue status post treatment. The presence of dental amalgam artifact partially obscures the tongue base region. There are post-treatment findings in the neck. There is no discernible residual left base of tongue, without appreciable submucosal extension. There ... | 1.No evidence of measurable residual left tongue base tumor.2.Interval decrease in size of the left suprahyoid lymphadenopathy. 3. The presence of secretions in the tracheal lumen suggests aspiration. |
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. An oval mass is unchanged at upper outer quadrant in the righ... | 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 heterogeneously dense, unchanged in pattern and distribution. Scattered calcifications have mildly progressed in benign fas... | 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: NSC - Screening Mammogram. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Partial atelectasis right middle lobe which may be from aspirated secretions. There is no evidence of metastases, however.MEDIASTINUM AND HILA: There is no mediastinal or hilar lymphadenopathy.Right jugular catheter tip in S... | No sign of metastases, or other significant abnormality. |
Generate impression based on findings. | Pain after fall Friday, March 20. Evaluate for fracture. I see no fracture or malalignment. There is partial sacralization of L5 with hypertrophy of its transverse processes. Small osteophytes project from the anterior aspects of the lumbar vertebrae. | No fracture evident. Other findings as above. |
Generate impression based on findings. | Female, 73 years old, with worsening mental status. A small amount of hyperattenuating subarachnoid blood is evident layering within the right postcentral and intraparietal sulci. This blood causes no significant mass effect.No additional areas of intracranial hemorrhage or any other pathologic fluid collection is seen... | 1. A small amount of acute subarachnoid blood product is seen within the right postcentral and intraparietal sulci. There is no significant associated mass effect or parenchymal edema.2. Patchy white matter hypoattenuation is a non-specific finding which may reflect age indeterminate microvascular ischemic disease. |
Generate impression based on findings. | Overlying swelling second and third MCPs The bones appear demineralized, suggesting osteopenia. Mild osteoarthritic changes affect scattered interphalangeal joints as well as the first carpometacarpal joint. I see no erosions or definite chondrocalcinosis. | Mild osteoarthritis. |
Generate impression based on findings. | Help evaluate for PE related Hickman versus air embolism. Evaluate for tip of Hickman location, it is floating in the right atrium, also for air embolism. PULMONARY ARTERIES: Large bilateral filling defects in the lower lobes bilaterally, left greater than right. The left descending artery is enlarged and occluded as a... | Positive examination for pulmonary embolus with large clot burden in the left lower lobe, but no signs of right heart strain. Moderate volume of pericardial fluid. Central line terminates low in the right atrium. Mediastinal lymphadenopathy..PULMONARY EMBOLISM: PE: Positive.Chronicity: Acute.Multiplicity: Multiple.Most... |
Generate impression based on findings. | Post mold Evaluation of fine detail is limited by overlying splint/cast material. The previously seen fractures of the distal radius and ulnar styloid are barely visible on this study. Alignment is near-anatomic. | Distal radius and ulnar styloid fractures in near-anatomic alignment post mold. |
Generate impression based on findings. | There is no fluid tagging or stool tagging present. There is a moderately large amount of retained fluid particularly in the right colon. Nevertheless, exam is diagnostic. Distention is excellent.No significant size polyps or masses seen anywhere in the colon. Rare scattered occasional diverticulum.Note: CT colonograp... | No significant size polyps or masses. No significant extracolonic findings.*OPTIONAL C-RADS CLASSIFICATION:C-1E-1*(see full definitions in: Zalis et al. CT Colonography reporting and data system: a consensus proposal. Radiology 2005;236:3-9)C1: Normal or benign lesions (no polyps > 6mm). Continue routine screening.C2: ... |
Generate impression based on findings. | Sinusitis? Febrile, DHT in place. The paranasal sinuses are clear. The nasal cavity is also clear. The nasal septum is deviated to the right. The lamina papyracea and ethmoid roofs are intact. The carotid grooves and optic canals are covered by bone. There are bilateral lens implants. There is partial opacification of ... | 1. No evidence of sinusitis.2. Nonspecific partial opacification of the bilateral mastoid air cells may be related to intubation or mastoiditis.3. Stigmata of diabetic vasculopathy. |
Generate impression based on findings. | 81-year-old female with known pelvic mass and abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There are again noted multiple low attenuation masses throughout the liver which appear stable and are likely benign cysts although density of several of these lesions is indeterminate... | Large pelvic mass appears stable or minimally increased in size.No change in low attenuation liver masses.Right inguinal hernia containing small bowel. |
Generate impression based on findings. | Right leg pain in area of injury with bump at the site immediately below right knee There is mild soft tissue swelling anterior to the patellar tendon, but the tendon itself appears intact, and I see no fracture. Osteoarthritis affects the knee, particularly the patellofemoral joint, with possible loose bodies in the p... | Soft tissue swelling and osteoarthritis. |
Generate impression based on findings. | cT1,pN2a versus N3,M0 right base of tongue/hypopharynx squamous cell carcinoma status post surgery and CRT. The images are degraded by motion artifact and dental amalgam artifact. There are postoperative findings related to right neck dissection and sequale of radiation therapy. There is persistent ill-defined soft tis... | 1. Post-treatment findings in the right upper aerodigestive track with nonspecific asymmetric prominence of the soft tissues, which may represent treatment effects. However, underlying tumor cannot be entirely excluded and follow up via PET may be useful for further evaluation.2. No evidence of residual significant cer... |
Generate impression based on findings. | Female 7 months old Reason: Cardiac Arrest; Drowning - lung fields; ETT position VIEW: Chest AP (one view) 3/27/15 Right mainstem bronchus intubation. A central line terminates at the infrahepatic IVC. NG tube terminates in the stomach. The aortic arch, cardiac apex and stomach are left-sided.Cardiac silhouette is norm... | Right mainstem bronchus intubation and left lower lobe opacity.Findings were communicated to and acknowledge by PHILLIPS, MOLLY on 3/27/15 at 1240 PM hrs |
Generate impression based on findings. | T3N2C base of tongue squamous cell carcinoma on EPIC (CFHX) completed in 12/07. Neck: There is persistent mild pharyngeal mucosal edema. There are stable postoperative findings related to neck dissection. There is no evidence of measurable mass in the tongue base or significant cervical lymphadenopathy. The thyroid and... | 1. Post-treatment findings in the neck with appreciable evidence of recurrent tongue base tumor or significant cervical lymphadenopathy.2. Multiple osseous metastases appear to have further progressed slightly.3. Partially imaged left pleural thickening with apparent extension into the supraclavicular fossa and a right... |
Generate impression based on findings. | Postoperative changes from previous suboccipital Chiari decompression are again seen, without significant expansion of CSF cistern, again similar to the prior exams. The cerebellar tonsils extend to approximately the level of the upper margin of the odontoid process, similar to that of the prior exam when allowing for... | 1. No significant interval change in appearance of postoperative remote Chiari decompression. Stable positioning of the cerebellar tonsils with stable posterior fossa stent. CSF flow imaging also appear similar with poor visualization of biphasic flow along the dorsal neo-foramen magnum, where there is no significant r... |
Generate impression based on findings. | Status post right distal fibula fracture. Evaluate interval healing. Right ankle pain. Again seen is an oblique fracture of the distal fibula with fracture fragments in near-anatomic alignment. A small amount of callus has formed along the fracture indicating some interval healing. There is mild soft tissue swelling. A... | Healing distal fibular fracture. |
Generate impression based on findings. | 54 year old male with right frontal AVM POD #0 status post resection. There are postoperative findings related to right parietal craniotomy for resection of a right frontal lobe arteriovenous malformation and hematoma evacuation. There is pneumocephalus as well as minimal subjacent blood products and areas of low atten... | Postoperative findings related to resection of a right frontal lobe arteriovenous malformation and hematoma evacuation with minimal subjacent blood products, edema, and swelling, but no midline shift or herniation. |
Generate impression based on findings. | Breast cancer staging.IMAGES: Submitted for interpretation are FDG-PET/CT images from the skull base through the thighs. (The nonenhanced CT images were obtained solely for purposes of completing the PET scan, are not of diagnostic quality and are thus not interpreted or used to diagnose disease independently of the PE... | 1.Markedly hypermetabolic left breast mass, compatible with breast cancer.2.Asymmetric mildly hypermetabolic left axillary lymph nodes of some suspicion for regional lymph node metastases. No evidence of more distant FDG avid metastatic disease. |
Generate impression based on findings. | Pain, decreased range of motion. Fracture? There is an anterior subcoracoid dislocation of the humeral head with respect to the glenoid. Flattening of the lateral aspect of the humeral head may reflect a Hill-Sachs deformity. I see no displaced fracture fragment, but postreduction radiographs are recommended. Mild oste... | Anterior shoulder dislocation. |
Generate impression based on findings. | Esophageal cancer status post CRT and surgery. CHEST:LUNGS AND PLEURA: Few scattered air space opacities, likely postinflammatory, suggestive aspiration or possibly early infection. No suspicious nodules or masses. No pleural fluid.MEDIASTINUM AND HILA: Unremarkable appearance of the neoesophagus, which contains fluid ... | No signs of recurrent or metastatic disease. Probable aspirate within the left lung, correlate for signs of infection. |
Generate impression based on findings. | Right hip/groin pain, long-term use of steroids. Assess for aseptic necrosis, osteoarthritis. There is perhaps mild narrowing of the superior aspect of the hip joint, suggesting very mild osteoarthritis. I see no specific radiographic features of avascular necrosis. A V-shaped metallic density overlying the pelvis may ... | Mild osteoarthritis; I see no specific radiographic features of avascular necrosis. If further imaging evaluation is clinically warranted, MRI may be considered. |
Generate impression based on findings. | Pain. Preop. Moderate to severe osteoarthritis affects the left hip with loose bodies in the hip joint, appearing similar to the previous study. Moderate osteoarthritis also affects the right hip. Chronic enthesopathic changes are noted along the iliac wings. Moderate to severe degenerative arthritis affects the visual... | Osteoarthritis as above. |
Generate impression based on findings. | Fracture of the second proximal phalanx. Evaluate interval healing. Again seen is a comminuted fracture through the proximal phalanx of the second toe with fracture fragments in near-anatomic alignment. The fracture margins are perhaps slightly less distinct on the current study than on the prior study, suggesting some... | Second toe fracture as above. |
Generate impression based on findings. | Pain and bony abnormality. Evaluate for fracture, bony overgrowth. Severe osteoarthritis affects the first metatarsophalangeal joint. There is slight prominence of the navicular tuberosity, a normal variant. Ossicles proximal to the navicular tuberosity likely reside in the posterior tibial tendon and are not necessari... | Severe osteoarthritis of the first metatarsophalangeal joint and other findings as above. |
Generate impression based on findings. | 60-year-old female s/p duodenal perforation repair. Bile draining from JPs. Evaluate for leak/blood collections. ABDOMEN:LUNGS BASES: Moderate bilateral pleural effusions, possibly loculated on the right. Mild associated compressive atelectasis. Severe coronary and aortic valve calcifications.LIVER, BILIARY TRACT: No e... | 1.Findings compatible with bowel leak with air and contrast/fluid collection surrounding the second and third portions of the duodenum.2.Wall thickening of the sigmoid colon and rectum, concerning for colitis of infectious, inflammatory, or ischemic etiology.3.Abdominal aortic aneurysm measuring 3.1 cm.Findings discuss... |
Generate impression based on findings. | 49-year-old male with history of tongue cancer. CHEST:LUNGS AND PLEURA: There is a semi-solid nodule in the posterior aspect of the right lower lobe measuring approximately 7 mm, not significantly changed when compared to the study from 1/2015 (image 42 series 6). There is an additional groundglass focus in the medial ... | 1. Semisolid nodule in the posterior aspect of the right upper lobe is stable from 1/2015 and does not demonstrate increased FDG uptake. Differential includes infectious etiologies as well as indolent primary carcinomas. No definitive evidence of pulmonary metastatic disease.2. Sclerotic lesion in the right clavicle an... |
Generate impression based on findings. | 56 year old female patient with colon cancer on chemotherapy. Please compare to prior examination. CHEST:LUNGS AND PLEURA: Scattered micronodules. No suspicious pulmonary nodules.MEDIASTINUM AND HILA: Cardiac size is mildly enlarged. No pericardial effusion. No mediastinal or hilar lymphadenopathy. Right-sided chest po... | 1.Right-sided chest port tip in the azygous vein.2.Status post partial colectomy without evidence of metastatic disease.Position of port catheter tip was communicated to Carrie Eickhoff via telephone at 2:40 PM on 3/27/2015 by Dr. S McCann. |
Generate impression based on findings. | 16 year-old male status post fall two days agoVIEWS: Thoracic spine AP, lateral; and lumbar spine AP, lateral (4 views) 3/27/15 Vertebral heights and the spaces are maintained. No fracture or malalignment. No subluxation. Mild leftward curvature of the lumbar spine. | Mild leftward curvature of the lumbar spine without fracture or malalignment. |
Generate impression based on findings. | 60 year-old male patient with history of prostate cancer. CHEST:LUNGS AND PLEURA: Index subpleural right lower lobe nodule currently measures 0.8 x 0.6 cm (4 image 50), unchanged since 2009. Scattered micronodules without significant interval change. Basilar atelectasis. Subtle non-solid density in the right lung base ... | 1.Multifocal osseous metastatic disease with new sclerotic foci in the left lateral ribs. Please refer to nuclear medicine bone scan performed the same day for complete details of disease activity. Otherwise, no evidence of intra-abdominal disease.2.Subtle non-solid density in the right lung base is unchanged compared ... |
Generate impression based on findings. | There is a separate origin of the left subclavian artery, left common carotid artery, and brachiocephalic artery from the arch. There is atherosclerotic disease of the aortic arch and the origins of its major branch vessels without significant stenoses. There is atherosclerotic calcification and moderate narrowing at ... | 1.4 mm basilar tip aneurysm is not completely imaged on this exam and further characterization with a head CTA is recommended. 2.Atherosclerotic disease of the bilateral subclavian arteries, left greater than right, that remain patent. 3.Moderate narrowing of the right vertebral artery origin and approximately 50% sten... |
Generate impression based on findings. | Male, 15 months old. Reason: evaluate for aspiration History: chronic cough, stridor, wheezingEXAMINATION: Oropharyngeal motility study 3/27/15, 1015 Dana Sussman, speech and language therapist, supervised the examination.1 minute 51 seconds of fluoroscopy was used.Impaired oral transit, with one to 4 sucking motions p... | Aspiration and penetration as detailed above.Please see the speech and language therapist's report for feeding recommendations. |
Generate impression based on findings. | Male, 14 days old. Reason: are the lung fields open History: s/p surfactant for rds, prematurityVIEW: Chest AP (one view) 3/27/15, 1154 Enteric tube with distal side port below the level of the GE junction. Right arm PICC, now with tip at the right subclavian/brachiocephalic vein junction.The cardiothymic silhouette is... | Persistent diffuse lung haziness. |
Generate impression based on findings. | 67 year-old female with thyroid cancer with increasing thyroglobulin LUNGS AND PLEURA: Calcified mediastinal and left hilar lymph nodes are unchanged. Multiple calcified and noncalcified micronodules not significantly changed since prior exam. No pleural effusion or pneumothorax. The central airways are patent.MEDIASTI... | Scattered pulmonary micronodules not significantly changed since prior exam but should continue to be monitored for growth. No convincing evidence of active metastatic disease. |
Generate impression based on findings. | 9-month-old female assess NG placement and liver transplantVIEW: Chest AP (one view) 3/27/15, 1146 Nasogastric tube tip and proximal sidehole are within the gastric body. Left central line with tip at the cavoatrial junction. IVC stent is unchanged. Partially visualized biliary drain is unchanged. Multiple surgical cli... | Nasogastric tube tip and proximal sidehole are within the gastric body. |
Generate impression based on findings. | 65-year-old female with left lower leg and ankle pain and swelling status post fall. Three views of the left foot demonstrate mild hallux valgus deformity, without evidence of underlying fracture. The bones appear slightly demineralized. Small lucencies in the head of the first metatarsal are likely degenerative in eti... | Mild hallux valgus deformity. However, no specific findings to account for patient's pain. |
Generate impression based on findings. | 39 years, Female. Reason: nasal cystostomy tube in place, but was retracted \R\6 cm. please comment on tip placement. also, please eval for ileus History: as above Limited study, left flank not included in field of view. Interval placement of enteric tube with its tip overlying the proximal jejunum. A cystogastrostomy ... | 1. Nasal cystostomy tube tip overlies the midline abdomen and appears to project over the expected location of the fluid collection seen on CT. 2. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Metastatic kidney cancer compared to previous. CHEST:LUNGS AND PLEURA: Masslike area of consolidation in the left lower lobe measures 3.9 x 4.6 cm (4/74), previously 12.5 x 2.7 cm, larger. Index lesion in the lingula 9 mm, previously 8-mm (4/54). New right upper lobe micronodule (5/68) and a new lesion in the right low... | Diffuse metastatic disease appears slightly increased overall, with index measurements provided in the body of the report. Tumor within the spinal canal extends into the neural foramen of T6/T7 and T7/T8 on the right but were present previously given the benefit of retrospect. The thecal sac appears deviated to but not... |
Generate impression based on findings. | Locally recurrent head and neck cancer status post chemoradiation therapy. Restaging exam.RADIOPHARMACEUTICAL: 14.7 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 109 mg/dL. Today's CT portion grossly demonstrates extensive postsurgical and post radiation changes in the neck. Right chest Port-A-Cath with ti... | 1.Markedly hypermetabolic right paraspinal soft tissue density lesion at T7/8, very suspicious for metastatic disease. A small more mildly hypermetabolic right lower paratracheal lymph node is considered more likely inflammatory although could represent additional metastatic disease.2.Markedly hypermetabolic lesion lef... |
Generate impression based on findings. | 22 years, Male. Reason: Please check dobhoff position History: newly placed dobhoff The pelvis is excluded from the field of view. There is a Dobbhoff tube with its tip projecting over the fundus of the stomach. There is a nonobstructive bowel gas pattern. | Dobbhoff tube with its tip projecting over the fundus of the stomach. |
Generate impression based on findings. | Male; 66 years old. Reason: Newly diagnosed with NHL in need of initial staging.RADIOPHARMACEUTICAL: 14.9 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 112 mg/dL. Today's CT portion grossly demonstrates small right and trace left pleural effusions. Small pericardial effusion is also present. There are scat... | Widespread tumor involving numerous lymph nodes from the neck through pelvis, as well as pulmonary parenchymal, splenic, and osseous tumor involvement. |
Generate impression based on findings. | 41 years, Female. Reason: assess for free air vs. obstruction History: increasing abdomnial pain The pelvis is excluded from the field of view. There is a nasogastric tube with its tip projecting over the antrum of the stomach. There is a nonobstructive bowel gas pattern. No free intraperitoneal air is identified. Part... | Nonobstructive bowel gas pattern. No free intraperitoneal air. |
Generate impression based on findings. | 67-year-old male with history of suspicious lung nodule, multiple non-diagnostic biopsies, and increased activity on recent PET. CHEST:LUNGS AND PLEURA: There is severe emphysema. Mild basilar predominant dependent atelectasis. Multiple suspicious pulmonary nodules are noted bilaterally. New scarring/atelectasis in the... | 1. Significant decrease in size of referenced left upper lobe spiculated FDG avid nodule, which in the absence of any interval treatment, suggest an infectious/inflammatory etiology.2. Stable measurements of remaining referenced nodules.3. Severe emphysema. |
Generate impression based on findings. | 75 year-old female with right lower quadrant pain, guarding, history of mesenteric ischemia. ABDOMEN:LUNGS BASES: No focal consolidation, pleural effusion, or suspicious pulmonary nodules.LIVER, BILIARY TRACT: Few hepatic cysts and other subcentimeter hepatic hypodensities, too small to further characterize.SPLEEN: No ... | Increased inflammatory changes of the cecum and ascending colon with new pneumatosis, raising concern for ischemic colitis. Correlation with trending serum lactate is recommended.Findings discussed via telephone with Dr. Velamati at 1:57 PM on 3/27/2015. |
Generate impression based on findings. | 60 year-old male with left parotid cancer, evaluate for metastatic disease LUNGS AND PLEURA: Central airways are patent. No pleural effusion or pneumothorax.Scattered micronodules bilaterally. For reference, there is a 3-mm right upper lobe micronodule (series 4, image 30). No focal consolidation. Mild bronchial thicke... | 1.Mild mosaic pattern with bronchial wall thickening, centrilobular opacities and interlobular septal thickening is suggestive of, but not pathognomonic for, the appearance of RB-ILD.2.Left adrenal nodule as described above.3.Scattered pulmonary micronodules are nonspecific. No specific evidence of metastatic disease. ... |
Generate impression based on findings. | The ventricles and sulci are within normal limits. The basal cisterns remain patent. There is no midline shift or mass effect. There is a small triangular-shaped area of CSF signal intensity along the peripheral right lateral occipital lobe, measuring 11 x 8 mm in greatest axial dimensions by 9 mm CC. There is minimal... | 1. Tiny CSF signal intensity triangular shaped structure in the peripheral right occipital lobe cortex with minimal marginal FLAIR hyperintensity. Given the patient's history of TBI, this could represent posttraumatic changes although the possibility of intrinsic parenchymal lesion should be excluded. Thin-section post... |
Generate impression based on findings. | Neck GSW status post exploration. The entrance wound was in the left submandibular area, and the bullet remained in the neck on the left side. The exam limited by beam hardening artifact and a weak arterial phase contrast bolus, which limits assessment of the major cervical vessels. Nevertheless, there is a lobulated o... | 1.A lobulated outpouching from the left carotid bifurcation is compatible with a pseudoaneurysm. Otherwise, beam hardening artifact from various types of hardware and a poor arterial phase contrast bolus limits the assessment of the major cervical vessels and a Doppler carotid ultrasound may be useful for further evalu... |
Generate impression based on findings. | Male, 6 months old. Increase oxygen requirement, trachVIEW: Chest AP (one view) 3/27/2015, 1216 Tracheostomy tube in place. Enteric tube coiled within the stomach.The cardiothymic silhouette is normal.Diffuse pulmonary haziness is unchanged. Streaky retrocardiac opacity, compatible with atelectasis. No pleural effusion... | Left lower lobe atelectasis and stable bilateral hazy opacities. |
Generate impression based on findings. | 55 year old female with history of right mastectomy in 2007 for multicentric invasive ductal carcinoma arising in a background of ductal carcinoma in situ. Patient received radiation, chemotherapy and hormonal therapy. Family history of breast cancer in maternal cousin and paternal grandmother. Reports occasional left ... | 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: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 14-year-old female abdominal pain ABDOMEN:LUNG BASES: The lung bases are clear.LIVER, BILIARY TRACT: The noncontrast liver is normal in appearance. No intra-or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormal... | No appendicitis. |
Generate impression based on findings. | Hodgkin's lymphoma s/p 2 cycles of chemotherapy. There is extensive left cervical, left axillary, and upper mediastinal lymphadenopathy. For example, a left level 4 lymph node measures 17 x 17 mm, previously 26 x 30 mm, a left level 5B lymph node measures 4 x 6 mm, previously 12 x 16 mm, and a left level 3 lymph node m... | 1. Interval decrease in lymphadenopathy related to lymphoma. 2. Nonspecific mottled appearance of the T2 vertebral body bone marrow. |
Generate impression based on findings. | Female 64 years old Reason: 64 y/o F with dysphagia to solids and liquids History: as above Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Double contrast evaluation of the esophagus and gastric cardia/fundus revealed a patulous esophagus, especially the... | 1.Significant minor motor abnormality.2.Patulous distal esophagus, clinical correlation is recommended. |
Generate impression based on findings. | 17-year-old male with foot pain. Three views of both feet show no fracture or other specific findings to account for the patient's symptoms. There is perhaps a mild pes planus deformity. | No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Stable punctate micronodules.Scattered tree in bud opacities left lower lobe consistent with aspiration bronchiolitis.There is no sign of pulmonary or pleural metastases.MEDIASTINUM AND HILA: There is no mediastinal or hilar... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | The cerebral and cerebellar hemispheres and the brain stem are normal in morphology and attenuation. Ventricular size is within normal limits. No CT evidence of acute territorial infarction or bleed. No abnormal extra axial fluid collections or mass.The calvaria and skull base are radiographically normal. Mucosal thic... | No evidence of acute intracranial abnormality. |
Generate impression based on findings. | Female, 18 years old. Reason: 18 yr old w/ Hodgkin's lymphoma s/p 2 cycles chemotherapy. Evaluate disease status. LUNGS AND PLEURA: No pulmonary nodules or masses. No focal consolidation. No pleural effusions.MEDIASTINUM AND HILA: The cardiac size is normal, with no pericardial effusion.The previously described large a... | Significant interval decrease in size of the anterior mediastinal mass, with resolved supraclavicular and axillary lymphadenopathy, and a resolved left pleural effusion. |
Generate impression based on findings. | The cerebral and cerebellar hemispheres and the brain stem are normal in morphology and attenuation. Ventricular size is within normal limits. No CT evidence of acute territorial infarction or bleed. No abnormal extra axial fluid collections or mass.The calvaria and skull base are radiographically normal. The visualiz... | No hemorrhage or CT evidence of acute territorial infarction. |
Generate impression based on findings. | 56-year-old male with persistent opacity in chest radiograph following pneumonia LUNGS AND PLEURA: Well-defined lipid containing solid 8mm nodule in the left upper lobe (series 6, image 36) is unchanged since the prior CT favoring a benign etiology.Ill-defined streaky opacities in the right upper, left lung base and li... | 1.Slight interval improvement of mild scarring and bronchiectasis, likely postinflammatory. No focal airspace consolidation to suggest active infection.2.Unchanged well-defined nodule in the left upper lobe, probably benign. |
Generate impression based on findings. | History of left mastectomy in 2008 for IDC and DCIS. Patient received chemotherapy and radiation therapy. No new breast complaints. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Reason: Evaluate COPD and status of bronchial valves History: History of COPD. Subject had bronchial valves implanted Feb 2009 as part of research study. LUNGS AND PLEURA: Moderate upper lobe predominant centrilobular emphysema unchanged. Prior perihilar atelectasis adjacent to the endobronchial valves has for the most... | Unchanged emphysema with resolution of perihilar atelectasis. Endobronchial valves are unchanged in position. |
Generate impression based on findings. | EVD increased. There is a stable left frontal approach ventriculostomy catheter with tip near the left foramen of Monro. There is a similar appearance of the right thalamic parenchymal hemorrhage with associated localized mass effect. There is interval decrease in visualization of hyperdense blood products within the b... | 1. Stable left frontal approach ventriculostomy catheter with no significant interval change in ventricular size.2. Stable right thalamic parenchymal hemorrhage. Expected evolution and redistribution of ventricular blood products. |
Generate impression based on findings. | Metastatic thyroid cancer. There are postoperative findings related to thyroidectomy and neck dissection. There is ill-defined tissue in the thyroidectomy bed. There appear to be rather ill-defined partially calcified areas of subcentimeter soft tissue in the left neck level 4 lymph node region. The submandibular gland... | 1. Non-specific ill-defined tissue in the thyroidectomy bed. A nuclear thyroid scan or ultrasound may be useful for further evaluation.2. Apparent subcentimeter partially calcified left level 4 lymph nodes versus fibrosis. A nuclear thyroid scan or ultrasound may also be useful for further evaluation of this.3. A lytic... |
Generate impression based on findings. | 64-year-old male with history of head and neck cancer. CHEST:LUNGS AND PLEURA: Mild apical predominant centrilobular emphysema. Reference solid right upper lobe spiculated nodule has significantly decreased in size now measuring 14 x 11 mm, previously 18 x 17 mm (image 29 of series 5). Reference left lower lobe nodule ... | 1. Interval decrease in size of metastatic pulmonary lesions with measurements as above.2. No new suspicious lesions.3. Stable right hepatic lesion, indeterminate. |
Generate impression based on findings. | 22-year-old female patient with history of stem cell transplant, recently received ATG presents with elevated LFTs and abdominal pain. Evaluate for hepatic obstruction. Exam is not sensitive for detecting lesions in the bowel and solid organs due to the lack of intravenous contrast. Given those limitations, the followi... | 1.No evidence of liver pathology given the limitations of this noncontrast examination.2.Enlarged hypoattenuating right adnexa may represent an ovarian cyst. Follow up is recommended in 3 months with pelvic ultrasound.Findings discussed with Melissa Nietert via telephone at 2:42 PM on 3/27/2015. |
Generate impression based on findings. | Male; 48 years old. Reason: Evaluate for anatomic shunt History: hypoxia. The perfusion images show a physiologic distribution of pulmonary perfusion with no significant pulmonary parenchymal defects.No abnormal extrapulmonary tracer is identified on spot images of the brain, abdomen, or pelvis. | 1.No evidence of anatomic right to left shunt as clinically questioned. 2.Very low probability of pulmonary embolism. |
Generate impression based on findings. | Right chest mesothelioma staging.RADIOPHARMACEUTICAL: 14.0 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 89 mg/dL. Today's CT portion grossly demonstrates multiple foci of soft tissue thickening involving the right pleural surfaces diffusely. Multiple sharply demarcated hypodense hepatic lesions demonstrat... | 1.Multifocal markedly hypermetabolic soft tissue lesions studding the right pleural surfaces diffusely, compatible with mesothelioma.2.No convincing contralateral thoracic or extrathoracic FDG avid tumor. Small symmetric mild hypermetabolic bilateral hilar lymph nodes are considered more likely inflammatory. |
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. Please see below for details regarding the paranasal sinus and in The mastoids/middle ears are grossly c... | 1. No acute intracranial abnormality. 2. Slight improved appearance of the right anterior paranasal sinus acute sinusitis, with residual small air-fluid level in right maxillary sinus. New lobulated opacification of the left maxillary sinus, with hyperdensity in both maxillary sinuses which may represent blood products... |
Generate impression based on findings. | 80 year old female with pain, evaluate for RA or crystalline arthritis. Three views of the left foot demonstrate mild to moderate first MTP degenerative changes. Erosions along the medial aspect of the first metatarsal head are nonspecific and may be degenerative in etiology or could possibly represent sequela of cryst... | Degenerative changes as described above appear primarily osteoarthritic in nature, but may also represent sequela of crystalline arthropathy. |
Generate impression based on findings. | Tobacco use disorder, history of R. A. LUNGS AND PLEURA: Previously questioned cavitary lesion in the left upper lobe is better seen on today's study and may reflect scarring adjacent to foci of emphysema. When viewed on the coronal sequence it appears flat and scarlike (image 34). No pneumothorax, pleural fluid or sus... | Probable left upper lobe scar. Paraseptal emphysema. No suspicious pulmonary nodules or masses. Left adrenal gland myolipoma. Right proximal humerus medullary lucency incompletely included within the scanning range, consider assessment with dedicated radiographs for further characterization. Pseudocoarctation of the ao... |
Generate impression based on findings. | Male; 48 years old. Reason: NHL History: Newly diagnosed NHL in need of initial staging.RADIOPHARMACEUTICAL: 13.9 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 109 mg/dL. Today's CT portion grossly demonstrates near-complete opacification of a (probably congenitally) small left maxillary sinus. Right chest... | 1.Extensive hypermetabolic tumor involving lymph nodes in the chest and abdomen as well as diffuse splenic and focal hepatic parenchymal tumor involvement.2.Moderate left anterior descending coronary calcifications, which may be clinically significant in a patient of this age. Further evaluation with myocardial perfusi... |
Generate impression based on findings. | 88 year-old female with history of lymphoma for restaging. CHEST:LUNGS AND PLEURA: Central airways are patent. No pleural effusion or pneumothorax. Stable right upper lobe granulomas.Left apical scarring unchanged. No suspicious nodules or masses. No focal consolidation.MEDIASTINUM AND HILA: Mild cardiomegaly. No peric... | Interval increase in size of right subpectoral lymph node. Follow-up is recommended. |
Generate impression based on findings. | Female, 53 years old, with new onset headaches. 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 size and morphol... | No acute intracranial abnormality or other specific findings to account for the patient's headaches. |
Generate impression based on findings. | 64-year-old male history of lung cancer status post resection in 2005. CHEST:LUNGS AND PLEURA: There is moderate to severe apical predominant emphysema. Volume loss and postsurgical changes in the left upper lobe from prior wedge resection. No evidence of local recurrence. Right lower lobe subpleural ground glass nodul... | 1. No evidence of local recurrence in the left upper lobe.2. Stable right lower lobe subpleural and anterior mediastinal nodules. Continued annual followup is recommended. |
Generate impression based on findings. | History of left mastectomy in 2005 status post radiation chemotherapy. Right breast reconstruction in May 2009. Family history of breast cancer in 3 sisters. No new breast complaints. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is comp... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | There is subtle hyperattenuation at the left inferior frontal lobe, corresponding to a T1 hyperintense lesion on MRI. There is hypoattenuation in the left posterior temporal lobe, which may represent gliosis/encephalomalacia. The ventricles and sulci are mildly prominent, consistent with mild age-related volume loss. ... | 1. No significant interval change in size of a 31 mm enhancing mass in the left posterior parotid space. The bulk of the mass is lateral to the stylomandibular canal with some mild infiltration of the fat in the left parapharyngeal space. Skull base foramina are grossly unremarkable. However, dedicated skull base MR im... |
Generate impression based on findings. | 18-year-old with Hodgkin lymphoma does post two cycles of chemotherapy. Restaging exam.RADIOPHARMACEUTICAL: 10.7 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 87 mg/dL. Today's CT portion of the abdomen and pelvis demonstrates no significant pathology. Please see diagnostic CT reports for details of the ne... | 1.Near-complete to complete resolution of previous hypermetabolic tumor without definite of FDG avid tumor currently. Small moderate residual cutaneous focus in the right anterior axilla is more likely inflammatory although clinical attention to this region can be made.Diagnostic CTs of the neck and chest also performe... |
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