instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | 53-year-old female with history of slamming thumb in door. Evaluate for fracture. No acute fracture or malalignment. The soft tissues are unremarkable. | No acute fracture. or malalignment. |
Generate impression based on findings. | 28-year-old male with history of pain. No acute fracture or malalignment. The soft tissues are unremarkable. | No acute fracture or malalignment. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in paternal aunt at age 65. Two standard digital views of both breasts and an additional right MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibrogl... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 64-year-old female history of swollen digits. Evaluate for osteomyelitis. Right hand: 02 sat monitoring overlies the distal second digit. There is been interval amputation of the distal third finger. There is moderate soft tissue swelling about the third digit without underlying osseous erosions to suggest osteomyeliti... | 1.Soft tissue swelling as above without evidence of osteomyelitis.2.Interval amputation of distal third finger. |
Generate impression based on findings. | Reason: restaging scans s/p 6 cycles of oral investigational therapy; please provide bi-dimensional measurements History: as above CHEST:LUNGS AND PLEURA: Stable size and number of widespread bilateral pulmonary metastases.Reference left lung base nodule measures 28 x 15 mm (series 5, image 63), unchanged.MEDIASTINUM A... | Stable pulmonary nodules and intrathoracic lymphadenopathy. |
Generate impression based on findings. | Reason: r/o acute intraabdominal process History: abdominal pain Evaluation of solid organ pathology limited without intravenous contrast.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Nodular liver contour with ill-defined hypoattenuating diffuse hepatic lesions incompletely evaluated on non... | 1.Extensive ill-defined hypoattenuating hepatic lesions incompletely evaluated on noncontrast examination but highly suspicious for markedly progressed metastatic disease, most likely of a lung primary origin given comparison to PE protocol chest CT from 9/5/2014. 2.Gastrohepatic/periportal lymphadenopathy. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and an additional right CC view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. The tightly clu... | Stable right calcifications. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 24-year-old female with history of pain. There is a small suprapatellar joint effusion. No acute fracture or malalignment. The soft tissues are unremarkable. | Small suprapatellar joint effusion without acute fracture. |
Generate impression based on findings. | Ms. Lisec is a 59 year old female with biopsy proven right breast papilloma with atypia. She presents today for needle localization of this area prior to surgery. On review of the prior studies, a wing clip with small associated focal asymmetry is identified in the right upper outer breast, 11 o'clock location. Target ... | Successful needle localization of the right breast clip and focal asymmetry.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Female; 64 years old. Reason: r/o bronchiectasis, abnormal pulmonary process History: worsening SOB, DOE LUNGS AND PLEURA: Bibasilar bronchiectasis with mild bronchial wall thickening has slightly progressed since prior study. Mucous plugging and mild subsegmental atelectasis is noted in the left lower lobe. Mild clust... | 1. Slight progression in bibasilar bronchiectasis with mild bronchial thickening and mucous plugging, again suggestive of asthma or bronchitis.2. New mild clustered micronodules in the left upper lobe, which may be due to infectious bronchiolitis. |
Generate impression based on findings. | 58-year-old male with history of pain, especially with shoulder flexion. Mild degenerative disease affects the AC joint. There is no underlying fracture or malalignment. The soft tissues are unremarkable. | No acute fracture or malalignment. |
Generate impression based on findings. | Reason: r/o stone, hydronephrosis History: hx of UPJ obstruction, hx of drains, left flank pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnor... | 1.Severe left UPJ obstruction has progressed since the prior study as described above. 2.Moderate right hydronephrosis without significant change. 3.Bilateral ovarian cysts with suggestion of hydrosalpinx on the right which is more conspicuous compared to the prior study. Pelvic sonography may be helpful for further ev... |
Generate impression based on findings. | 80 year-old male with history of anterior shoulder dislocation status post reduction. There has been interval reduction of an anterior shoulder dislocation. Alignment is now anatomic. There are no acute fractures. Mild degenerative disease affects the AC joint. | Interval reduction of anterior shoulder dislocation without acute fracture. |
Generate impression based on findings. | Male; 41 years old. Reason: eval for possible sarcoid History: dyspnea, lymphadenopathy, abnormal CXR LUNGS AND PLEURA: Mild central bronchial wall thickening, which may be due to bronchitis. Otherwise, no significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted. There are a few scattered pr... | Mild central bronchial wall thickening, consistent with bronchitis. No specific evidence of sarcoidosis. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Stable thickening and calcification of the pleura. Linear atelectasis or scarring in right middle lobe. Unchanged right apical scarring. Unchanged calcified nodules consistent with prior granulomatous disease. No suspicious ... | No evidence of metastatic disease. Incidental findings as above. |
Generate impression based on findings. | evaluate pleural effusionVIEWS: Chest and abdomen AP, abdomen cross table lateral ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Left upper extremity PICC with tip in the left brachiocephalic vein. Left chest tube in place. Cardiothymic silhouette normal. Diffuse atelectasis bilatera... | Bilateral small pleural effusions left greater than right minimally increased in the interval. |
Generate impression based on findings. | There is an anterior shoulder dislocation. There is no evidence of underlying fracture. Mild degenerative disease affects the AC joint. | Anterior shoulder dislocation without underlying fracture. |
Generate impression based on findings. | 27-year-old female history of fall. Evaluate for fracture. Lumber spine: No acute fracture or subluxation. Intervertebral disk spaces and vertebral body heights are well-maintained. Alignment is anatomic. Cholecystectomy and tubal ligation clips are present.Sacrum: No acute fracture or subluxation. Tubal ligation clips... | No acute fracture or subluxation. |
Generate impression based on findings. | Male 12 years old Reason: fracture VIEWS: Right ankle AP, lateral and oblique 1/12/15 (3 views) Interval removal of cast. Alignment is anatomic. No joint effusion. No periosteal reaction or callus formation noted. | Interval cast removal as described. |
Generate impression based on findings. | 53-year-old female with recently perforated ulcer with surgery and gastrojejunostomy. Abdominal pain, epigastric. Evaluate for acute abnormality. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality noted in the liver. Patient is status post cholecystectomy with again sli... | 1. Expected postoperative appearance about the stomach from prior remote gastric bypass surgery and recent gastrojejunostomy. 2. Resolution of prior noted pneumoperitoneum without visible complication. 3. Anterior abdominal wall ventral pelvic hernia without complication unchanged. |
Generate impression based on findings. | 32-year-old male with abdominal pain. Evaluate pancreatic pseudocysts. ABDOMEN:LUNG BASES: Interval improvement in bilateral pleural effusions with associated atelectasis.LIVER, BILIARY TRACT: No focal hepatic lesions. Cholelithiasis without evidence of cholecystitis.SPLEEN: No significant abnormality notedPANCREAS: Ex... | 1.Findings consistent with worsening pancreatitis involving the head as above. 2.Peripancreatic complex fluid with cyst gastrostomy tube appears simpler to the previous examination. 3.New pelvic loculated fluid collection with interval decrease in the perihepatic ascites as above.4.Interval resolution of bilateral smal... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of bilateral breast reduction surgery. Personal history of cervical cancer. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, un... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Right middle lobe opacities have improved.MEDIASTINUM AND HILA: Mild coronary calcification.CHEST WALL: Interval removal left port catheter.ABDOMEN: Absence of enteric contrast material limits sensitivity for abdominal patho... | No evidence of metastatic disease. |
Generate impression based on findings. | Male; 44 years old. Reason: evaluate for COPD, possible spontaneous pneumomediastinum, any other cause of chest pain History: 44yoM tobacco, cocaine abuse presenting with chest pain LUNGS AND PLEURA: Mild biapical paraseptal emphysema, right greater than left where there is a large bulla. Although evaluation of the lun... | 1. Mild nonspecific diffuse ground glass opacity in both lower lobes, which may be due to the edema or hemorrhage.2. Paraseptal emphysema with a large right apical bulla. |
Generate impression based on findings. | Reason: h/o HNC and CRT History: none CHEST:LUNGS AND PLEURA: Mild nonspecific bronchial wall thickening. Punctate subpleural nodule in the lingula (image 63/110) is unchanged. No pulmonary nodules.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN: Absence of en... | No evidence of metastatic disease. |
Generate impression based on findings. | Nine year old female, evaluate residual stone burden. History of prior bilateral nephrolithiasis. ABDOMEN:LUNG BASES: No focal air space opacity.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormal... | 1.Interval placement of bilateral nephroureteral stents, with persistent mild/moderate right-sided hydronephrosis.2.Multiple bilateral renal stones measuring up to 11 mm as detailed above.3.Levoscoliosis and bilateral hip dysplasia.4.Small volume ascites within the pelvis. |
Generate impression based on findings. | Reason: 57 y/o woman with metastatic breast cancer with clinical progression in her left breast. Evaluate for progression of disease. History: Ulcerated left breast mass. CHEST:LUNGS AND PLEURA: Stable to slightly increased pulmonary metastases, most evident in the superior left upper lobe (image 26/103).Referenced nod... | Stable to marginally increased breast, intrathoracic, and intrahepatic reference measurements. |
Generate impression based on findings. | 49-year-old female with evidence of infection, spiking fevers in patient with recent sphincterotomy, stenting and IR drain placement. CHEST:LUNGS AND PLEURA: Bibasilar atelectasis. Left upper lobe nonspecific soft tissue nodule (series 7, image 47) measuring 0.7 x 0.6 cm and several smaller scattered nodules seen elsew... | 1. Status post right hemicolectomy. 2. Large amount of diffuse mesenteric fluid of high density raising question of metastatic disease, hemorrhage or infection. 3. Multiple lung nodules worrisome for metastatic disease. 4. Punctate air seen in bladder -- this may relate to recent instrumentation. 5. Right ureteral sten... |
Generate impression based on findings. | Reason: r/o ileus History: n/v Non-obstructive bowel gas pattern. G-tube is again seen overlying the gastric body. Calcified fibroid uterus is noted. | Non-obstructive bowel gas pattern. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Focal asymmetries in the upper, outer breast bi... | Grouped punctate calcifications are seen in the left retroareolar breast. Further evaluation with spot magnification films is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Female; 67 years old. Reason: Fever, SOB, pleural effusion History: As above LUNGS AND PLEURA: Moderate consolidation right upper lobe, compatible with pneumonia. Trace right pleural effusion. Mild bibasilar dependent subsegmental atelectasis.MEDIASTINUM AND HILA: Calcified mediastinal and bilateral hilar lymph nodes, ... | Moderate consolidation right upper lobe, compatible with pneumonia. |
Generate impression based on findings. | Ms. Antonesi is a 45 year old female with a personal history of right breast lumpectomy in December 2013 for atypical intraductal proliferation. She is currently on tamoxifen therapy. Family history of breast cancer in maternal great aunt and ovarian cancer in grandmother. Three standard views of both breasts with two ... | Expected postsurgical changes in the right breast. 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 - Diag... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign bilateral breast biopsies. Family history of breast cancer in two maternal aunts. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibrogland... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 68 years, Female. Reason: Evaluate progression of ileus History: vomiting. Nonobstructive bowel gas pattern. Right pelvic drain and bilateral common iliac stents again noted. Diffuse lucency over the right upper quadrant is again noted and likely represents post-procedural free air. Subcutaneous emphysema is present in... | 1.Nonobstructive bowel gas pattern.2.Persistent postprocedural free air and subcutaneous emphysema as described above. |
Generate impression based on findings. | Male; 54 years old. Reason: characterize lung processes History: SOB, cough, h/o adenoid cystic CA LUNGS AND PLEURA: Multiple metastases as detailed below. Lesion along the right cardiophrenic angle measures 40 x 18 mm (image 56, series 5), previously 40 x 19 mm and is not significantly changed, though reproducible mea... | Increased metastatic disease in the chest. Please see dedicated CT abdomen/pelvis report. |
Generate impression based on findings. | 97-year-old female status post reduction of right forearm fractures. Overlying cast material limits fine osseous detail. There is a partially reduced fracture of the distal ulnar diaphysis with mild lateral angulation. Additionally, there is a partially reduced fracture of the proximal radial diaphysis with persistent ... | Partially reduced right both bones forearm fracture. |
Generate impression based on findings. | 16-year-old male with history of ulcerative colitis and primary sclerosing cholangitis. Assess for progression of primary sclerosing cholangitis in setting of elevated liver function tests. LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Fusiform narrowing of the branch points of the left and right i... | Multifocal biliary dilatation and stricturing evident within both hepatic lobes, most consistent with primary sclerosing cholangitis, without significant interval progression. |
Generate impression based on findings. | Male 24 years old Reason: 24 male with acute promyelocytic leukemia, transaminitis. r/o parenchymal liver disease, PLEASE PERFORM DOPPLERS to r/o hepatic/portal vein thrombosis History: Transaminitis LIVER: The liver has a smooth contour. Liver measures 17 cm in length. The parenchyma is mildly echogenic . No suspiciou... | 1.Patent hepatic vasculature with normal directional flow. |
Generate impression based on findings. | Reason: h/o SGL ca and CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Minimal dependent edema and atelectasis.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Interval removal of right chest port.ABDOMEN: Absence of enteric contrast material limits sensitivity for abd... | No evidence of metastatic disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Recalled from screening multiple times for calcifications and asymmetries. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. Tomosynthesis was performed. The breast parenchyma is composed of scattered fibrog... | Stable calcifications and asymmetries. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 41-year-old female with epigastric pain. Rule-out pancreatitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Focal fatty infiltration seen about the ligamentum teres and falciform ligament. No other focal parenchymal abnormalities seen.SPLEEN: No significant abnormality notedPANCREAS: Pancr... | 1. Normal morphology to the pancreas without evidence of complications from potential pancreatitis. Normal CT appearance does not exclude pancreatitis. 2. Multiple small bilateral low-attenuation lesions scattered throughout the kidneys while too small to characterize, most likely benign cysts I see above discussion. |
Generate impression based on findings. | Fall, evaluate for intracranial hemorrhage Head:No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. No extra-axial collections. There is advanced global parenchymal volume loss commensurate with age. N... | 1. No evidence of acute intracranial hemorrhage or mass effect. 2. Right parietal scalp laceration with intact underlying calvarium.3. No acute fracture or traumatic subluxation in the cervical spine.4. Nodular opacification at the right lung apex measuring up to 2 cm in diameter is seen on the most inferior slice. Fin... |
Generate impression based on findings. | Reason: h/o SGL ca and CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: New patchy groundglass nodular opacities in the right upper lobe (images 21 and 31/114). Previously noted scattered punctate micronodules are unchanged.MEDIASTINUM AND HILA: Moderate coronary calcification.CHEST WALL... | New patchy groundglass nodular opacities in the right upper lobe. These are more typical of aspirate or infection than metastatic disease though continued follow up is recommended. |
Generate impression based on findings. | Reason: abscesses or other pathology in buttock History: s/p injection into B buttock, now with recurrent infection UTERUS, ADNEXA: Small left adnexal cysts. Mild pelvic free fluid.BLADDER: Partially collapsedLYMPH NODES: Enlarged bilateral inguinal lymph nodes left greater than right. Reference left inguinal lymph nod... | 1. Extensive inflammatory changes in the left gluteal subcutaneous soft tissues as described above are highly suspicious for developing phlegmonous infection with intramuscular extension/myositis. However, there is no discrete abscess or drainable fluid collection at this time.2. Bilateral inguinal and left iliac lymph... |
Generate impression based on findings. | 62 year old male with abdominal pain, fever, concern for air under the diaphragm in the setting of recent G tube placement. Follow up left lateral decubitus film. History: Abdominal pain, G tube, fever. No free air is present. Lucencies seen along the diaphragm and right abdominal wall correspond to intraperitoneal fat... | Nonobstructive bowel gas pattern. No free air. |
Generate impression based on findings. | 62 year old male with G tube and abdominal distention, constipation, vomiting. Assess for stool burden and free air. History: abdominal distention, mild tenderness on exam. Gastrostomy tube projects over the gastric body. Nonobstructive bowel gas pattern. No gross intraperitoneal free air. Probable residual contrast ma... | Nonobstructive bowel gas pattern. While no gross free air is seen, supine films are insensitive for its detection, and upright or decubitus films can be obtained for further evaluation if clinically indicated. |
Generate impression based on findings. | Fracture.VIEWS: Right wrist PA/lateral (two views) 01/12/15 A cast obscures bone detail. Periosteal reaction around the distal radius has increased. Alignment is anatomic. | Healing distal radial fracture. |
Generate impression based on findings. | 76-year-old female with tachycardia, right lower quadrant pain. Rule-out infection. Within the limits of a non-IV contrast enhanced examination, which limits the ability to evaluate solid parenchymal organs and vascular structures the following observations can be made:ABDOMEN:LUNG BASES: No significant abnormality not... | 1. Large hiatal hernia without other complication. 2. Uncomplicated sigmoid diverticulosis. 3. Slight haziness to the surrounding fat anterior and inferior to the uncinate pancreatic process which is of uncertain age and/or significance. This may reflect focal pancreatitis in uncinate/head of pancreas although other et... |
Generate impression based on findings. | 81-year-old with history of right lumpectomy in 1992 for breast cancer. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No dominant mass, suspicious microc... | 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. | No abnormal DWI signal to suggest acute infarct. Scattered periventricular and subcortical T2 hyperintensities are unchanged from the prior exam. Ventricles are normal in size and morphology. A focus of susceptibility immediately adjacent to the left occipital horn in the left temporal lobe with mixed central T1 and T... | 1.Focus of susceptibility in the left temporal lobe is unchanged and likely represents a cavernous malformation.2.Scattered periventricular and subcortical T2 hyperintensities are nonspecific but abnormal for age, possibly related to small vessel ischemic disease or migraines. |
Generate impression based on findings. | 69-year-old male with nasal blockage and history of sinonasal polyposis There is interval worsening of mucosal thickening within the bilateral maxillary sinuses including new bilateral superimposed air-fluid levels (right greater than left). Bilateral ostiomeatal units remain obstructed.Redemonstrated is scattered opac... | 1.There is interval worsening of mucosal thickening within the bilateral maxillary sinuses including new bilateral superimposed air-fluid levels (right greater than left). Bilateral ostiomeatal units remain obstructed.2.Persistent paranasal sinus opacification there in a sporadic pattern and sinonasal polyposis are rel... |
Generate impression based on findings. | Routine screening mammography. Mole under right arm. History of benign right breast stereotactic core needle biopsy. History of breast carcinoma in maternal aunt diagnosed at the age of 40. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is compos... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | A small solitary focus of mucosal thickening within the left maxillary sinus narrows the left ostiomeatal unit. The remaining paranasal sinuses are clear as are the bilateral mastoid air cells and middle ear cavities and there are no air-fluid levels. The bilateral maxillary sinus ostia are patent as are the bilateral... | A small solitary focus of mucosal thickening within the left maxillary sinus narrows the left ostiomeatal unit. The remaining paranasal sinuses are clear as are the bilateral mastoid air cells and middle ear cavities and there are no air-fluid levels. |
Generate impression based on findings. | Reason: 77 yo with newly dx pancreatic adneocarcinoma of body of pancreas (2 cm). Questionable vessel involvement of OSH CT Scan. Known 4.8cm AAA. History: weight loss ABDOMEN:LUNGS BASES: Patchy nonspecific bibasilar groundglass opacities with mild atelectasis/scarring.LIVER, BILIARY TRACT: No significant abnormality ... | 1. Pancreatic body mass as described above with short segment 180 degree abutment of the proximal splenic artery. 2. Enlarged periportal lymph node. 3. Infrarenal abdominal aortic and iliac artery aneurysms. |
Generate impression based on findings. | 32-year-old male with history of trauma. Left knee: No acute fracture or malalignment. Small well corticated density within the patellar tendon is likely the result of remote trauma. There is no joint effusion.Left hip: No acute fracture or dislocation. Alignment is anatomic. The soft tissues are unremarkable.Left hand... | No acute fracture or malalignment. Findings suggestive of remote trauma to the patellar tendon are stable. |
Generate impression based on findings. | Status post fracture.VIEWS: Right hand AP, lateral and oblique 1/12/15 (3 views) Cast has been removed and two K wires are affixing the transverse healing fracture of the proximal metaphyses of the first metacarpal in near anatomic alignment and interval. | Postsurgical changes as described on first metacarpal healing fracture. |
Generate impression based on findings. | There are two, small, linear foci which appear as restricted diffusion involving the right posterolateral pons and left superior cerebellar peduncle (with matching ADC hypointensity), best seen series 50 on image 206. However, this is an area prone to artifact on diffusion imaging, and if patient symptomatology does n... | 1.There are two, small, linear foci which appear as restricted diffusion involving the right posterolateral pons and left superior cerebellar peduncle (with matching ADC hypointensity). However, this is an area prone to artifact on diffusion imaging, and if patient symptomatology does not correlate with this, artifact ... |
Generate impression based on findings. | BRAIN:The ventricles and sulci are within normal limits. The cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal or pathological enhancement. There is no diffusion abnormality. No extra-axial fluid collection is identified. Myelination pattern appears appropriate for... | No evidence of Chiari malformation, syrinx, or tethered cord. |
Generate impression based on findings. | Female, 18 years old, newly diagnosed SLE, suspected orbital myositis. Presenting with periorbital edema and blurred vision right greater than left. The globes are symmetric and round and the lenses are normally positioned. The optic nerves demonstrate a normal CT appearance. The extraocular muscles are symmetric and o... | 1. No definite orbital abnormalities are detected within the limits of CT.2. Numerous calcifications are evident through the parotid glands which is compatible with the diagnosis of SLE. |
Generate impression based on findings. | Male 65 years old; Reason: met prostate cancer, evaluation of disease after 12 cycles of investigational treatment History: met prostate cancer CHEST:LUNGS AND PLEURA: Right middle lobe pulmonary nodule measures 5 mm (image 63/series 5), unchanged. Other scattered micronodules are also unchanged.MEDIASTINUM AND HILA: H... | 1.Stable exam with no significant change in the size of the pulmonary nodules. 2.Small sclerotic foci in the thoracic spine suspicious for 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 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. A focal asymmetry in the central left breast mi... | No interval change or mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 33 year old female with history of trauma. Cervical spine: No acute fracture or subluxation. There is loss of the normal cervical lordosis which may be secondary to patient positioning or muscle spasm. Anterior osteophytes are present at C5-6 and C6-7. Intervertebral disk spaces and vertebral body heights are well-main... | No acute fracture or subluxation. |
Generate impression based on findings. | 35-year-old female with history of right knee pain status post fall. No acute fracture or dislocation. Alignment is anatomic. There is no joint effusion. The soft tissues are unremarkable. | No acute fracture. |
Generate impression based on findings. | Female 57 years old; Reason: anal cancer completed chemotherapy and radiation therapy in April 2014. evaluate for disease recurrence History: anal cancer CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:L... | 1.Stable exam with no significant change in size of the small retroperitoneal lymph nodes. No new sites of disease. |
Generate impression based on findings. | Male, 31 years old, with hypertension and headache. 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 mor... | No evidence of ischemia or any other acute intracranial abnormality. |
Generate impression based on findings. | 55-year-old female with history of left total hip arthroplasty 6 weeks prior. Left hip: Hardware components of a left total hip arthroplasty are situated in anatomic alignment without radiographic evidence of hardware complication. Orthopedic fixation of the left acetabulum and lumbosacral spine appears similar to prio... | Left total hip arthroplasty and other findings as above. |
Generate impression based on findings. | Ankle fractureVIEWS: Right ankle AP, lateral and oblique 1/12/15 (3 views) Healing distal tibia fracture with periosteal reaction is seen in the alignment. Cast material obscures fine bone details. | Healing fracture in anatomic alignment. |
Generate impression based on findings. | Male, 60 years old, with extensive alcohol and tobacco abuse presenting with stridor from a new laryngeal mass, likely cancer status post biopsy. CT for staging. Diffuse mucosal thickening and hyper-enhancement is evident involving the bilateral base of tongue, the preepiglottic space, the epiglottis and epiglottic roo... | Extensive infiltrative mucosal space tumor with suspected involvement of the bilateral base of tongue, epiglottis, aryepiglottic folds, paraglottic space, false and true vocal cords. Within the limitations of CT, no definite evidence of cartilaginous invasion or extralaryngeal spread is detected.Bulky adenopathy is see... |
Generate impression based on findings. | Newly diagnosed epiglottic cancer, hoarseness. There are focal nodular thickening at the inferior aspect of the of the epiglottis along the laryngeal surface anteriorly at the midline presumably represent site of known tumor. Preepiglottic fat appears preserved. Laryngeal cartilages are intact. No masses are seen invol... | 1. 10-mm nodular lesion involving the laryngeal surface of the epiglottis in its inferior aspect presumably corresponding to the known tumor. Correlate with endoscopic findings. Preepiglottic fat appears preserved. Laryngeal cartilages are intact. No evidence of glottic or subglottic extension. Slight prominence of the... |
Generate impression based on findings. | Reason: Stage IV HCC please provide index lesions to include repeat measurement of enhancing component of the liver as previously captured as image number 30, series number 8 in the lateral aspect of the mass History: As above CHEST:LUNGS AND PLEURA: Basilar scar/atelectasis without suspicious nodule or mass.MEDIASTINU... | 1.No significant interval change in hepatic mass with nodular peripheral enhancement consistent with the given history of hepatocellular carcinoma.2.Persistent rim enhancing fluid collections along the gallbladder fossa. The enhancing component near the gastric antrum surgical clip has slightly decreased in size but th... |
Generate impression based on findings. | 72-year-old female with history of breast cancer. Evaluate for systemic metastasis. CHEST:LUNGS AND PLEURA: There are multiple bilateral pulmonary nodules highly suspicious for metastatic disease. Reference right upper lobe nodule measures 1.0 x 0.8 cm (series 4, image 59). Moderate to severe upper lobe predominant cen... | 1.Multiple bilateral pulmonary nodules compatible with metastatic disease.2.Soft tissue mass encasing the sternum compatible with metastatic disease.3.Multiple osseous lesions consistent with metastatic disease including right pubic ramus and acetabulum which also demonstrates underlying nondisplaced pathological fract... |
Generate impression based on findings. | 34-year-old female with history of cirrhosis of unknown etiology and refractory hypoxia. Evaluate for pneumonia and liver pathology. CHEST:LUNGS AND PLEURA: Diffuse multifocal air space opacities predominately groundglass in nature particularly in the upper and mid lung zone regions although bibasilar consolidation/ate... | 1. Diffuse multifocal airspace pulmonary parenchymal opacities predominately groundglass in nature but with some foci of consolidation/atelectasis in the bases -- nonspecific in nature. 2. Cirrhotic liver morphology with evidence of portal hypertension.. 3. Gallstones without other biliary tract complication. 4. Dilate... |
Generate impression based on findings. | 25-year-old male with history of kyphoscoliosis. There is approximately 30 degrees of dextroscoliosis in the thoracic spine measured from the superior endplate of T5 to the inferior endplate of T9. Hyperkyphosis of the thoracic spine is also appreciated, appearing similar to prior. There is approximately 23 mm of posit... | Scoliosis as above. |
Generate impression based on findings. | 54-year-old male with history of head and neck cancer. Reason: h/o SGL ca and CRT, compare to previous. Persistent posttreatment changes, including diffuse supraglottic mucosal thickening and edema.Diffuse hyperenhancement of the supraglottic mucosa, similar in appearance to prior exam. However, no areas of discrete no... | Redemonstration of posttreatment changes in the neck, without convincing evidence of progression/recurrence of disease. No significant lymphadenopathy by size criteria. |
Generate impression based on findings. | 10-year-old male with pain over cuneiform with ambulation.VIEWS: Right foot AP, lateral and oblique (3 views) 1/12/2015 No acute fracture or malalignment evident. Normal appearing cuneiforms. | Normal exam. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of aspiration of a cyst in the left breast upper outer quadrant. Family history of mother diagnosed with ovarian cancer at unknown age. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast pa... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 25 year old female with abdominal pain, nausea, and vomiting. Assess for SMA syndrome. Incidental note is made of mild reversal of the cervical lordosis. Double contrast visualization of the esophagus showed no morphologic abnormalities of the mucosal surfaces or mural contours. During the exam, no spontaneous or provo... | 1.Unremarkable examination of the stomach and duodenum, without evidence of SMA syndrome as clinically questioned. 2.Findings compatible with minor esophageal motility disorder as described above, which is of doubtful clinical significance. |
Generate impression based on findings. | 44 year old asymptomatic female presents for routine screening mammography. Prior mammogram in early 30s. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 45-year-old female history of left total hip arthroplasty. Hardware components of a left total hip arthroplasty are situated in near-anatomic alignment without radiographic evidence of hardware complication. The femoral head component has not yet been installed. Soft tissue defect about the lateral proximal thigh is li... | Left total hip arthroplasty as above. |
Generate impression based on findings. | Female 35 years old; Reason: 34 F with stage IIIC colon cancer, please eval for evidence of disease recurrence. History: none CHEST:LUNGS AND PLEURA: Few scattered left pulmonary micronodules are unchanged. No dominant lung lesion.MEDIASTINUM AND HILA: Heart size is normal. Right-sided aortic arch. Left ventricle feeds... | Stable exam. No new sites of disease. |
Generate impression based on findings. | 46-year-old female with history of pain. Thoracic spine: No acute fracture or subluxations. Alignment is anatomic. Intervertebral disk paces and vertebral body heights are well-maintained. The soft tissues are unremarkable.Lumbar spine: Mild leftward curve of the lumbar spine. No acute fracture or subluxation. Interver... | No acute fracture or subluxation. Mild degenerative disc disease of the lumbar spine. |
Generate impression based on findings. | Reason: eval for kidney stone History: right flank pain Evaluation of solid organ and bowel pathology is limited without oral/IV contrast.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality... | No specific findings to account for the patient's right flank pain. No significant interval change since 1/4/15. |
Generate impression based on findings. | 66-year-old male with history of thumb abscess. Evaluate for osseous involvement. No acute fracture or malalignment. Mild soft tissue swelling about the distal volar aspect of the thumb. There is no evidence of underlying osseous involvement. | Soft tissue swelling without radiographic evidence of osteomyelitis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast carcinoma in two maternal aunts and ovarian carcinoma in a sister. Two standard digital views of both breasts were performed with an additional right MLO view and reviewed with the aid of R2 CAD 9.3. Tomosynthesis was also performed. The ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 18 year-old male with history of healing fracture. A single orthopedic screw affixes a transverse fracture of the fifth metacarpal in near-anatomic alignment. There is no evidence of hardware complication. There has been minimal interval healing. Mild soft tissue swelling about the fracture. | Orthopedic fixation of 5th metatarsal fracture as above. |
Generate impression based on findings. | PHARYNX/LARYNX: Posttreatment changes with decreased subglottic edema. The airway is clear. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass or pathological enhancement.GLANDS: The postcontrast appearance of the salivary glands is unremarkable. The thyroid gland is unremarkable. ... | 1.Posttreatment changes without evidence of tumor recurrence.2.For findings in the chest, please see dedicated chest CT. |
Generate impression based on findings. | Male; 41 years old. Reason: bilateral consolidation with LLL sparing, hypoxia History: as above LUNGS AND PLEURA: Severe, diffuse groundglass opacity with scattered areas of denser atelectasis/consolidation in a predominantly perihilar distribution, upper lobes greater than lower lobes. Moderate bilateral pleural effus... | Severe, diffuse airspace disease as detailed above, most suggestive of ARDS and/or pulmonary edema. Interval development of mild bronchiectasis bilaterally, with areas of architectural distortion and volume loss consistent with proliferative phase of ARDS. |
Generate impression based on findings. | 62 year-old female history of right total hip arthroplasty. Six-week follow-up. Right hip: Hardware components of a right total hip arthroplasty are situated in anatomic alignment without radiographic evidence of hardware complication. There is scattered heterotopic bone about the right hip. The soft tissues are otherw... | Right total hip arthroplasty as above. |
Generate impression based on findings. | 42 year-old female with altered mental status and hyperglycemia who presents for evaluation for perforated viscera versus mesenteric ischemia versus pancreatitis. Motion artifact limits evaluation.ABDOMEN: LUNG BASES: Mild bilateral basilar atelectasis. Bilateral breast calcifications and nonspecific haziness in the ri... | 1.Findings consistent with acute pancreatitis. 2.No pneumoperitoneum as clinically questioned. 3.Examination is limited for evaluation of mesenteric ischemia given lack of contrast enhancement; however, no evidence of colitis or small bowel obstruction. 4.Diffuse hepatic steatosis. 5.High-density within the gallbladder... |
Generate impression based on findings. | Ms. Roundtree is a 50-year-old female with biopsy proven ADH in the right breast. She presents today for seed localization prior to surgery on 1/15/2015. On review of the prior studies, there is a focal asymmetry along with an X-shaped clip at the 9 o'clock position of the right breast which was biopsied. PROCEDURE: Th... | Successful radioactive seed localization of the right breast clip and asymmetry.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Male; 60 years old. Reason: 60 yo male w/ extensive etoh abuse and tobacco abuse p/w large neck mass causing stridor s/p trach and biopsy - concern for head and neck cancer. CT for staging so please do to adrenals. History: neck mass - staging of likely H/N cancer CHEST:LUNGS AND PLEURA: Moderate bibasilar dependent at... | 1. Moderate bibasilar atelectasis/consolidation, presumably secondary to aspirate or infection.2. No specific evidence of metastatic disease in the chest and abdomen. |
Generate impression based on findings. | 73-year-old female, evaluate fracture healing Mildly impacted fracture of the surgical neck of the humerus with interval increase in callus formation indicating some interval healing. Near severe osteoarthritic changes affect the glenohumeral joint. | Healing proximal humerus fracture. |
Generate impression based on findings. | A few scattered pericallosal T2 hyperintensities are unchanged and compatible with stated history of multiple sclerosis. No new lesions are evident.No evidence of parenchymal edema or mass effect. A pineal cyst is unchanged in size. Ventricles are normal in size and morphology. No extra-axial fluid collections. | Stable white matter lesions compatible with history of multiple sclerosis. No new lesions are evident. |
Generate impression based on findings. | 55 year-old female, preoperative evaluation for right total hip arthroplasty. Moderate joint space narrowing of the right hip with subchondral cysts in the femur and acetabulum consistent with osteoarthritis. Osteoarthritis affects the visualized portions of the SI joints. Conglomerate density within the pelvis likely ... | Osteoarthritis and additional findings as described above. |
Generate impression based on findings. | 21-year-old male with finger pain Three orthopedic screws transverse an oblique fracture of the proximal phalanx in near-anatomic alignment. There is mild lucency surrounding the distal orthopedic screw without clear engagement of the threads. Interval removal of cast. Sclerosis about the fracture line indicates some i... | Orthopedic fixation of healing proximal phalanx fracture as described above. |
Generate impression based on findings. | 49-year-old male, postoperative evaluation Interval removal of surgical drain. Postoperative changes of bilateral total hip arthroplasties are identified in near-anatomic alignment. Lucency about the acetabular component of the right hip arthroplasty is unchanged from the prior exam. Cortical defects along the proximal... | Total hip arthroplasty as described above, appearing similar to the prior exam. |
Generate impression based on findings. | 70-year-old male with history of right total knee arthroplasty. Six-week follow-up. Hardware components of a right total knee arthroplasty are situated in near-anatomic alignment without radiographic evidence of hardware complication. Surgical clips are present within the medial soft tissues of the visualized left leg.... | Right total knee arthroplasty as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 65-year-old male with multiple myeloma, status post stem cell transplant The bones are diffusely demineralized.SKULL: Lucency within the right skull adjacent to the midline is unchanged and may represent a venous lake.CERVICAL SPINE: Moderate degenerative arthritic changes affect the mid to lower cervical spine.THORACI... | No new discrete lytic lesion and additional findings as described. |
Generate impression based on findings. | 37-year-old female with history of perianal Crohn's disease. Evaluate for new abscess or fistula. PELVIS:UTERUS, ADNEXA: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: Partially visualized postoperative changes at the ileocolonic a... | Multiple new complex fistulous tracts in the perirectal/anal region, specifically on the left, terminating into abscesses as detailed above. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.