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Generate impression based on findings. | Reason: r/o fx History: rip TTP There is a minimally displaced fracture through the left eighth posterior rib. No additional fractures identified.Degenerative changes affect the glenohumeral and acromioclavicular joint, without acute shoulder fracture or dislocation. The humeral head is appears high riding, which can b... | 1.Minimally displaced left posterior eighth rib fracture.2.Degenerative changes of the right shoulder. 3.Suggestion of chronic rotator cuff tear. |
Generate impression based on findings. | cerebellar ICH, IVH and SAH, post ventriculostomy insertion. Ventriculostomy tube has been inserted via right frontal burr hole, and the tip is located at the right foramen of Monroe.There is no evidence of unusual finding on the ventriculostomy tube track.Ventricle size remains stable comparing to prior scan.No change... | 1. Ventriculostomy tube has been inserted through the right frontal burr hole, and the tip is located at the right side foramen of Monroe.2. Otherwise no interval change of the size of ventricular system, the extent of the cerebellar ICH, IVH and SAH since prior exam. |
Generate impression based on findings. | 52-year-old male with brief onset of slowed pressured speech and left sided hemiplegia. There has been marked progression of encephalomalacia centered in the right inferior parietal lobule extending into the superior parietal lobule and posterior superior temporal lobe as well as involving the right centrum semiovale a... | No evidence of acute intracranial hemorrhage. Progression of encephalomalacia relating to prior infarction as described above. |
Generate impression based on findings. | 50 year old male. Patient with possible ileus versus obstruction on plain film. Evaluate further. ABDOMEN:LUNG BASES: Bilateral small pleural effusions.LIVER, BILIARY TRACT: Two hyperdense foci in segment 8 consistent with ablation defects. As this is not a dedicated liver protocol, evaluation for residual tumor cannot... | 1. No bowel obstruction.2. Long segment of edematous wall thickening of the cecum to the transverse colon is favored to be related to portal colopathy, less likely a nonspecific colitis but correlation with patient's clinical history/laboratory values recommended.3. Two ablated lesions in the right hepatic lobe, which ... |
Generate impression based on findings. | 62-year-old male with history neck cancer status post chemoradiation CHEST:LUNGS AND PLEURA: Apical scarring is unchanged. Mild apical centrilobular and paraseptal emphysema. Scattered, nonspecific micronodules are unchanged. No new suspicious nodule or mass.No pneumothorax or pleural effusion. No focal consolidation. ... | Stable interval exam without evidence of metastatic disease in the chest or abdomen. |
Generate impression based on findings. | 14-month-old female with cough and feverVIEWS: Chest AP/lateral (two views) 3/29/15 The cardiothymic silhouette is normal. Right middle lobe opacity is present suggesting atelectasis or pneumonia. No pleural effusion or pneumothorax. Large lung volumes and bronchial wall thickening. | Right middle lobe opacity may represent a pneumonia or atelectasis on a background of reactive airway disease/bronchiolitis. |
Generate impression based on findings. | 76-year-old female with recurrent stage IIIB ovarian cancer receiving Taxol/carbo. Assess disease. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Much of the stomach is intrathoracic with mild dilatation and air filled esophagus proximally.CORONARY ARTERY CALCIFICATION: Mild -- moderate ... | Mildly asymmetric soft tissue in the right adnexa which is poorly measurable. Previously described right adnexal mass not identified.Improved right hydronephrosis with stent in place.No evidence for metastatic disease. |
Generate impression based on findings. | There is no significant interval change of the shunted ventricular system with effacement of the left lateral ventricles and dilatation of the right lateral ventricle that is at least partially attributable to ex vacuo effects. The hematoma in the left posterior parietal lobe with vasogenic edema and extension into th... | 1.No significant interval change in size of the shunted ventricular system.2.No significant interval change in the left parietal hematoma with vasogenic edema and intraventricular extension, although the third ventricular hemorrhage appears to have slightly diminished.3.Extensive right hemispheric encephalomalacia rela... |
Generate impression based on findings. | 65 years, Male. Reason: s/p proctocolectomy, now with nausea and vomit History: Nausea and vomit There is gaseous distention of multiple loops of small bowel which may reflect postoperative ileus although distal obstruction is not excluded. There is a right lower quadrant ostomy. Lucency over the right upper quadrant r... | Gaseous distention multiple loops of small bowel compress reflecting ileus or distal obstruction. Findings suggestive pneumoperitoneum, presumably postoperative in etiology.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Lower extremity DVT. New tracheostomy.VIEW: Chest AP (one view) 03/30/15, 0302 Tracheostomy tube tip is at thoracic inlet. A gastrostomy tube is present.Subsegmental atelectasis and right upper lobe continues. Subsegmental atelectasis is present in left lower lobe. Lung volumes are large. Cardiothymic silhouette is nor... | Bilateral subsegmental atelectasis. |
Generate impression based on findings. | 48-year-old male patient with history of cholangiocarcinoma presents with abdominal pain and vomiting. Evaluate for acute intra-abdominal process. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Hepatomegaly with diffuse hepatic hypoattenuating metastatic lesions that are significantly increa... | 1.Short segment bowel intussusception compatible with at least partial small bowel obstruction. No evidence of mass at the lead point.2.Progression of metastatic disease with ascites.3.Thrombus at the confluence of the common iliac veins at the IVC. If clinically desired, dedicated sonographic imaging of the bilateral ... |
Generate impression based on findings. | 68-year-old male with metastatic urothelial cancer, evaluate for progression LUNGS AND PLEURA: Reference lung lesions as follows:Irregularly marginated, solid left lower lobe mass measures 3.8 x 2.2 cm (series 6, image 76), previously 2.9 x 1.6 cm.Left lower lobe paramediastinal mass measures 3.0 x 1.5 cm (series 6, im... | Interval progression of pulmonary metastatic disease with reference measurements as provided above. |
Generate impression based on findings. | 65-year-old male with head and neck cancer metastatic to the lungs, evaluate for progression CHEST:LUNGS AND PLEURA: Significant interval increase in size and number of widespread bilateral pulmonary nodules. Interval increase in size of reference right lower lobe nodule measuring 21 mm, previously 12 (series 8, image ... | Significant interval increase in size and number of widespread bilateral pulmonary nodules. |
Generate impression based on findings. | 18 year-old female with sickle cell, evaluate for acute chestVIEWS: Chest PA/lateral (two views) 3/29/15 at 2255 Vertebral central endplate depression consistent with sickle cell disease. Cholecystectomy clips are noted. The cardiothymic silhouette is normal. No focal pulmonary opacities. No pleural effusion or pneumot... | No evidence of acute chest. |
Generate impression based on findings. | 65-year-old female with history neck cancer, thyroid cancer CHEST: Limited by severe respiratory motion.LUNGS AND PLEURA: Multiple scattered pulmonary nodules are again noted with slight interval increase in size.Index right lower lobe nodule measures 21 x 19 mm (series 4, image 50), previously 17 x 16 mm.Index left up... | 1.Progression of pulmonary metastatic disease with mediastinal or hilar lymphadenopathy; reference measurements as provided above.2.New consolidation in the right lower lobe may be secondary to partial proximal bronchial obstruction. 3.New hepatic lesion suspicious for metastasis. |
Generate impression based on findings. | 35 years, Male. Reason: evaluate bowel gas pattern; r/o obstruction History: abdominal distension and pain Moderate/large stool burden. There is a nonobstructive bowel gas pattern. The heart is enlarged. Retrocardiac opacity suggest atelectasis. Post cystectomy clips project over the right upper quadrant. | Moderate/large stool burden.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 61 year-old female with syncope and head trauma, rule out bleed No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits for age without evidence of hydrocephal... | 1. No evidence of intracranial hemorrhage, mass effect or skull fracture. 2. Small focus of encephalomalacia in the left superior frontal gyrus is likely vascular related. 3. Findings suggesting remote cerebellar infarction as described above. |
Generate impression based on findings. | 52-year-old male with history of head and neck cancer status post chemoradiation CHEST:LUNGS AND PLEURA: No suspicious nodule or mass. Central airways are patent. No pneumothorax or pleural effusion. Bibasilar groundglass opacities likely reflect mild aspiration, scarring or atelectasis.MEDIASTINUM AND HILA: Heart size... | No evidence of metastatic disease. |
Generate impression based on findings. | Seizure and intubated.VIEW: Chest AP (one view) 03/30/15, 0311 Endotracheal tube tip is just above carina. A gastrostomy tube is present.Left thoracolumbar curve is again seen.Subsegmental atelectasis in right upper and left lower lobes is decreasing. No other focal opacities present. Cardiothymic silhouette is normal. | Decreasing subsegmental atelectasis. |
Generate impression based on findings. | cerebellar ICH, IVH and SAH, post ventriculostomy follow up No evidence of new ischemic or hemorrhagic lesion.The extent of the cerebellar ICH, does not show any significant interval change since prior exam.The ventricle size measured at the level of foramen of Monroe appears to be slightly decreased (14mm to 13mm) sin... | 1. Slightly decreased the size of ventricular system and slightly decreased the extent of SAH since prior exam as described above.2. Otherwise stable cerebellar ICH and ventriculostomy tube location since prior exam. |
Generate impression based on findings. | 14-year-old female with chest pain post EGDVIEWS: Abdomen AP and upright; chest PA and lateral (4 views) 3/30/15 Chest: The aortic arch, cardiac apex, and stomach are left-sided. The cardiothymic silhouette is normal. No focal pulmonary opacities. No pleural effusion or pneumothorax.Abdomen: Nonobstructive bowel gas pa... | Normal examinations. |
Generate impression based on findings. | Fracture.VIEWS: Left wrist PA/lateral (two views) 03/30/15 Sclerosis and callus formation at the radial metaphyseal fracture has increased. Alignment remains anatomic. | Further healing of radial fracture. |
Generate impression based on findings. | Male, 64 years old, with stroke and basilar artery stenosis. Non angiographic findings:Numerous small areas of hypoattenuation are identified within the cerebral white matter, right basal ganglia and brainstem compatible with age indeterminate small vessel ischemia. Similar hypoattenuation is also seen within the right... | 1.Evidence of extensive scattered age indeterminate microvascular ischemic disease with at least one region of chronic cortical infarction in the right cerebellum.2.Severe atherosclerotic disease affecting the posterior circulation, most particularly the mid portion and distal basilar artery which are completely or nea... |
Generate impression based on findings. | 25 day old former 24 week gestational aged and with respiratory distress and possible fluid overload.VIEW: Chest AP (one view) 03/30/15, 0608 Endotracheal tube tip is at thoracic inlet. Feeding tube tip is at GE junction. Right neck PCVC tip is in superior vena cava.Moderate to marked soft tissue edema persists. Early ... | Complications from surfactant deficiency. |
Generate impression based on findings. | 53 years, Male. Reason: evaluate for free air History: h/o gastritis, pancreatitis s/p splenectomy, partial pancreatectomy, p/w acute epigastric pain, r/o PUD with perforation There is a nonobstructive bowel gas pattern. Supine radiographs are insensitive for the detection of pneumoperitoneum. Previously administered c... | There is a nonobstructive bowel gas pattern. Supine radiographs are insensitive for detection of pneumoperitoneum.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Ankle pain after fall down stairs. Evaluate for fracture. Three views of the left ankle show diffuse soft tissue swelling without acute fracture. Alignment is within normal limits. | No acute fracture is evident. |
Generate impression based on findings. | 2-year-old female with wheezing and increased work of breathingVIEWS: Chest AP/lateral (two views) 3/30/15 at 0003 Cardiothymic silhouette is normal. Bronchial wall thickening is present. Left lingular opacity may represent pneumonia or atelectasis on a background of bronchiolitis/reactive airway disease. The BMI is ab... | Focal lingular pulmonary opacity may represent pneumonia or atelectasis background of bronchiolitis/reactive airway disease pattern. |
Generate impression based on findings. | 59 year old female who was recalled from screening mammogram for cluster of calcifications in the central outer left breast. An ML view and two spot magnification views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure ... | New 5-mm cluster of calcifications left upper outer quadrant for stereotactic biopsy. Findings and recommendations were discussed with the patient in detail.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | Abdominal distention and pain. Jejunostomy tube revision.VIEW: Abdomen AP (one view) 03/30/15, 0734 Jejunostomy tube is in the right lower quadrant. Right femoral line tip is at junction of inferior vena cava and right atrium. Multiple fine surgical staples are noted in right lower quadrant and left pelvis. Postoperati... | Overall decrease in amount of bowel gas. |
Generate impression based on findings. | Leg pain. Evaluate orthopedic hardware. Question of osteomyelitis. Suboptimal images secondary to overlying internal and external orthopedic fixation hardware.Three views of the right ankle show comminuted fractures of the distal tibia and tibia, best seen on the lateral view with posterior displacement of the distal f... | Distal tibia and fibula fractures. |
Generate impression based on findings. | 47-year-old male with gross hematuria. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Nonobstructing 6 x 9 mm cal... | Nonobstructing calculus right renal pelvis.Right renal cysts. |
Generate impression based on findings. | 54-year-old male with history of adenoid cystic carcinoma. CHEST: LUNGS AND PLEURA: Small right pleural effusion appearing similar to prior. Multiple pleural based metastatic lesions are noted, with reference measurements as follows:Right cardiophrenic angle solid lesion measures 39 x 18 mm, previously 40 x 18 mm (imag... | 1. Extensive metastatic disease with measurements as above, with little overall change.2. Cirrhosis with extensive splenic and gastric varices compatible with portal hypertension. |
Generate impression based on findings. | Facial swelling and venous thrombosis. There is persistent non-opacification and narrowing of the bilateral inferior internal jugular veins with mild collateral vein formation with the patent bilateral superior internal jugular veins. The bilateral brachiocephalic veins and proximal superior vena cava appear to be pate... | 1. Chronic thrombosis of the bilateral inferior internal jugular veins. 2. No appreciable facial edema or evidence of measurable mass lesions or significant cervical lymphadenopathy.3. Partially-imaged nonspecific prominent lymph nodes in the upper mediastinum and mild interstitial opacities in the left lung apex. A de... |
Generate impression based on findings. | There has been interval enlargement of the third and lateral ventricles associated with interval clamping of the right frontal approach ventriculostomy. However, there is no significant change in the intraparenchymal hematoma centered in the pons with associated vasogenic edema and extension into the third ventricle, ... | 1.Interval increase in size of shunted third and lateral ventricles associated with interval clamping of the ventriculostomy catheter.2.New trace layering blood products in the left occipital horn suggests redistribution of the hemorrhage associated with the otherwise stable pontine hematoma with vasogenic edema and ex... |
Generate impression based on findings. | Fall, evaluate for acute bleed 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 are extensive areas of hypoattenuation in the periventricular and subcortical white ... | 1. No evidence of intracranial hemorrhage or mass effect. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion.2. Advanced chronic small vessel ischemic changes as well as chronic infarcts involving the left frontal coro... |
Generate impression based on findings. | Female 31 years old; Reason: LUQ abdominal pain, persistent vomiting, fever ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KID... | 1.Unremarkable exam. |
Generate impression based on findings. | 12 year old female with headache and vomiting. There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unrem... | No acute intracranial findings by noncontrast CT head. |
Generate impression based on findings. | Right hand infection tracking up to right arm. Three views of the right hand show no acute fracture or malalignment. There is diffuse soft tissue swelling about the hand with fat reticulation.Two views of the right forearm show no acute fracture or malalignment. There is diffuse soft tissue swelling about the forearm w... | Diffuse soft tissue swelling without acute fracture. |
Generate impression based on findings. | 56-year-old male. Evaluate size of abscess cavity, compare to previous. ABDOMEN:LUNG BASES: Two subcentimeter hepatic hypodensities, too small to characterize, unchanged. Hepatic and portal veins are patent. No biliary ductal dilatation.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnorm... | 1. Interval resolution of small bowel dilatation.2. Colorectal anastomosis leak with interval mild decreased size of presacral abscess. |
Generate impression based on findings. | 23-day-old female with stridorVIEW: Chest AP (one view) 3/30/15, 0523 Interval extubation. Feeding tube tip is distal to the GE junction and below the caudal edge of this image.Increasing bilateral lung haziness and obscuration of the left heart border. The cardiothymic silhouette cannot be fully assessed. No pleural e... | Interval extubation with increasing bilateral lung haziness. |
Generate impression based on findings. | 16 year old female with daily headaches for 1 year. There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged mastoid air cells are clear. There are mild secretions and mucosal thickening within the left f... | 1.No acute intracranial findings by noncontrast CT head.2.Findings suggestive of chronic sinusitis. |
Generate impression based on findings. | Pain, multiple surgeries, infections. Evaluate for evidence of infection. Four views of the right knee show interval replacement of a right total knee arthroplasty device with a fusion device. There is extensive chronic appearing periosteal reaction along the remaining mid-distal femur. No lucency is seen at the cement... | No gross bone destruction. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of basal cell carcinoma of the face and chest. 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 a... | 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. | Fell onto right shoulder playing softball yesterday. Question of shoulder fracture. Three views of the right shoulder show no acute fracture or malalignment. | No acute fracture is evident. |
Generate impression based on findings. | There is a left frontal approach ventriculostomy catheter with tip near the foramen of Monroe, stable from the prior examination. There is no appreciable change in the appearance of the ventricular system. There is also no significant interval change in the right thalamic hematoma with extension into the right lateral... | 1.No appreciable change in the appearance of the shunted ventricular system.2.No significant interval change in the right thalamic hematoma with intraventricular extension and small amount of subarachnoid hemorrhage, although the hemorrhages have gradually diminished since the initial presentation on 3/19/15.3.Encephal... |
Generate impression based on findings. | Left hip pain. Question of fracture. Two views of the left hip show no acute fracture or malalignment.Additional AP view of the pelvis shows no acute fracture or malalignment. A right pelvic vascular stent is noted. | No acute fracture is evident. |
Generate impression based on findings. | Female 78 years old; Reason: 78yo F w/ MRSA UTI, concern for renal abscess or other abdominal process Suboptimal exam due to extensive patient motion artifact.CHEST:LUNGS AND PLEURA: Left greater than right dependent atelectasis and small left lower lobe consolidation. MEDIASTINUM AND HILA: Mild cardiomegaly. Aneurysma... | 1. Findings suspicious for right-sided pyelonephritis. 2. Small fluid versus artifact seen adjacent to inferior pole of liver, may be related to right-sided pyelonephritis but correlation with patient's LFTs recommended as well to exclude possibility of underlying hepatitis/liver injury. 3. Wedge-shaped defects, suspic... |
Generate impression based on findings. | Female 32 years old; Reason: eval for pathology History: fall, bloody ostomy output The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations were made:ABDOMEN:LUNG BASES: Basilar pulmonary opacities are overall improved. Re... | 1.No specific cause identified for patient's bloody ostomy output within the limitations of this noncontrast study. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left stereotactic core biopsy in 2/1991. History of taking tamoxifen for 4 years status post oophorectomy at age 56. Family history of breast cancer diagnosed in mother at 56, maternal grandmother, maternal great aunt, and paternal grandm... | 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. | Fall and hip pain. Evaluate for occult fracture. CT images of the left hip show no acute fracture.Limited visualization of the intrapelvic structures is unremarkable. The soft tissues are unremarkable. | No acute fracture is evident. |
Generate impression based on findings. | Brain: No acute intracranial hemorrhage is identified. No evidence of intracranial mass, mass-effect, or hydrocephalus. No extra-axial fluid collections. Incidental asymmetric enlargement of the right ventricle. Mild white matter hypoattenuation compatible with age indeterminant small vessel ischemic disease. Scattere... | 1. No acute intracranial abnormality.2. No acute skull or cervical fracture is identified. |
Generate impression based on findings. | 8 year old male with history of vein of Galen malformation embolization now presenting with fever, vomiting, and concern for shunt malfunction. There is a right parietal approach ventriculostomy catheter terminating near the right frontal horn that again appears collapsed. The imaged portion of the catheter is intact. ... | 1.Unchanged shunted ventricles. 2.Limited exam secondary to extensive streak artifact related to embolic material throughout the intracranial venous system. |
Generate impression based on findings. | There is minimal mucosal thickening involving the left inferior frontal sinus and anterior ethmoid air cells. There is a small right maxillary mucous retention cyst. There is also minimal left maxillary mucosal thickening. The bilateral frontal, maxillary, ethmoid, and sphenoid sinuses are otherwise clear. The ostiome... | Minimal nonspecific opacification of the paranasal sinuses as described above. No findings to suggest aggressive sinonasal process. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Patient reports chronic history of left breast tenderness. 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 di... | 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. | Plantar heel spur, pain to dorsum 2-4 MTB/cuneiform region right foot with ganglion cyst. Evaluate for heel spur and dorsal spurring. Three views of the right foot show no acute fracture or malalignment. No calcaneal heel spur is seen.Three views of the left foot show no acute fracture or malalignment. No calcaneal hee... | No acute fracture is evident. |
Generate impression based on findings. | Male; 68 years old. Reason: 68 yo M with history of diarrhea, with low fecal elastase suggestive of severe pancreatic exocrine insufficiency. CT pancreas protocol to r/o chronic pancreatitis History: diarrhea, pancreatic exocrine insufficiency ABDOMEN:LUNG BASES: Numerous bilateral pulmonary nodules in the partially vi... | 1. Large pancreatic head mass, most compatible with pancreatic adenocarcinoma, with extensive local infiltration as detailed above.2. Upper abdominal retroperitoneal lymphadenopathy, suspicious for metastatic disease.3. Findings suspicious for peritoneal carcinomatosis with large amount of abdominopelvic ascites.4. Inn... |
Generate impression based on findings. | Reason: knee pain History: knee pain No evidence of acute fracture, malalignment, or significant joint effusion. The joint space is well preserved. | There is no acute fracture or malalignment. |
Generate impression based on findings. | No acute intracranial hemorrhage is identified. No evidence of intracranial mass, mass-effect, or hydrocephalus. No extra-axial fluid collections. Gray-white matter differentiation is preserved. The imaged paranasal sinuses and mastoid air cells are clear. The imaged orbits are intact. The osseous structures are unrem... | No evidence for acute intracranial abnormality. |
Generate impression based on findings. | Male, 48 years old, low back pain, preop exam. A severe compression deformity of the L3 vertebral body is demonstrated with evidence of an attempted kyphoplasty. The residual vertebral body is severely flattened and deformed.The L2 vertebral body is also slightly deformed, tapering somewhat at its inferior aspect and t... | 1.Severe compression deformity of the L3 vertebral body with flattening and deformation. The L2 vertebral body is severely subluxed posteriorly relative to L3 and L4, such that the spinal canal is markedly encroached upon at these levels.2.Evidence of prior surgical intervention is seen including findings related to ky... |
Generate impression based on findings. | Reason: great to eval for fx History: GSW to toe There is a comminuted fracture of the proximal phalanx of the great toe, with dorsal angulation of the distalmost fracture fragment. There is also fracture involving the base of the distal phalanx of the great toe. Significant soft tissue deformity affects the great toe.... | Fractures of the proximal and distal phalanges of the great toe as above. |
Generate impression based on findings. | 58-year-old male with history of left tonsillar cancer. LUNGS AND PLEURA: Post surgical changes of wedge resection of the right lung base. Stable right middle and right lower lobe perihilar consolidation. Reference metastatic lesions as follows:Reference right lower lobe nodule measures 26 x 17 mm, previously 27 x 17 m... | Stable appearing metastatic disease with measurements as above. No new sites of disease identified. |
Generate impression based on findings. | Patient reports tingling sensation in the right nipple for approximately one week. Family history of breast cancer diagnosed in sister. Two standard digital views of both breasts for a total of 8 images were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this r... |
Generate impression based on findings. | 58-year-old female history of hypoxia and shortness of breath. Evaluate for pulmonary embolus. PULMONARY ARTERIES: No evidence of acute pulmonary embolus.LUNGS AND PLEURA: Moderate to severe apical centrilobular predominant emphysema. Scattered pulmonary micronodules, nonspecific. Mildly dilated distal bronchi, some of... | 1. No evidence of acute pulmonary embolus.2. Moderate to severe emphysema. PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Status post ACL reconstruction. Two views of the right knee show postsurgical changes of an ACL reconstruction with suture anchors within the distal femur and proximal tibia. No acute fracture is evident. | No acute fracture is evident. |
Generate impression based on findings. | Reason: evaluate for fracture of fourth/fifth metatarsals History: stubbed toes; has pain with difficulty ambulating Three views of the right foot demonstrate a comminuted fracture involving the distal diaphysis of the fifth proximal phalanx, with lateral and volar angulation of the distal fracture fragment. There is a... | Fifth proximal phalanx distal diaphyseal fracture, as above. |
Generate impression based on findings. | Altered mental status No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits for age without evidence of hydrocephalus. No extra-axial collections. There are ... | 1. No evidence of intracranial hemorrhage or mass effect. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion.2. Prior right frontal and parietal burr holes are again seen for subdural collection drainage. |
Generate impression based on findings. | Reason: 20 healthy M, pedestrian vs. MVA, right knee soreness with medial knee soreness, possible fibular tenderness, able to bear weight and ambulate, ?fibular injury There is moderate soft tissue swelling and joint effusion, without evidence of underlying fracture or malalignment. The joint space is well-preserved. | Soft tissue swelling and joint effusion, without underlying fracture. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed, additional right CC, and tomosynthesis and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Scatter... | 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. | Male; 33 years old. Reason: 33M with EtOH and tobacco abuse, p/w painless progressing to painful gross hematuria, left sided flank pain, TTP in LLQ, CVA tenderness, ?nephrolithiasis History: 33M with EtOH and tobacco abuse, p/w painless progressing to painful gross hematuria, left sided flank pain, TTP in LLQ, CVA tend... | No findings to explain the patient's hematuria. These findings do not obviate the need for cystoscopy as clinically indicated. |
Generate impression based on findings. | Reason: fracture History: pain , effusion Mild soft tissue swelling in the prepatellar region. No significant joint effusion, fracture, or malalignment is identified. | Mild soft tissue swelling, without acute fracture or malalignment. |
Generate impression based on findings. | Reason: 71M with right knee pain, tenderness in anterior/lateral regions, bruising on anterior knee but denies trauma Moderate osteoarthritis affects the right knee including joint space narrowing and osteophytosis, most significant in the patellofemoral compartment. Enthesopathic changes also affect the patellofemoral... | Moderate degenerative changes as above; no acute fracture or malalignment. |
Generate impression based on findings. | Reason: eval big toe for fracture History: trauma, pain, swelling Soft tissue swelling, without evidence of underlying fracture or malalignment. | No fracture identified. |
Generate impression based on findings. | Female, 16 years old. 16 y/o F with h/o HgbSS disease s/p urosepsis with E. Coli. Evaluate for perforation or other abnormality.VIEW: Abdomen AP (one view) 3/30/15, 0635 Nonobstructive bowel gas pattern. Small to moderate stool burden.No free intraperitoneal air.Cardiac silhouette is mildly enlarged. Left basilar pulmo... | Small to moderate stool burden. |
Generate impression based on findings. | Reason: upright in brace History: s/p fusion Bone graft cages are present overlying the lumbar spine from L2 to L5, without evidence of extension into the spinal canal. Again demonstrated is a compression fractures of the T10, T12, and L1 vertebral bodies, similar to recent CT. Marked levocurvature affects the thoracol... | 1.Bone graft cages, without evidence of extension to the spinal canal.2.Compression fractures of T10, T12, and L1, similar to recent CT.3.Marked levocurvature of the thoracolumbar spine. |
Generate impression based on findings. | Male; 30 years old. Reason: CT per living donor kidney protocol History: kidney donor CT ANGIOGRAM: Normal caliber of the abdominal aorta and its branch vessels. The celiac artery, SMA, single bilateral renal arteries, and IMA are widely patent.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: N... | Examination within normal limits. |
Generate impression based on findings. | History of left lumpectomy 1/2012 for DCIS. Patient received radiation and is currently on tamoxifen. Patient had left unilateral mammogram 3/2014 for an area of palpable concern at the lumpectomy site without mammographic or ultrasound correlate. Patient presents today for her annual right mammogram. No current 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 - Diagnostic Mammogram. |
Generate impression based on findings. | Reason: Preop XR of spine History: Back pain There is methacrylate and fragmentation of the L3 vertebral body, with evidence of prior L3 laminectomy. There is complete retropulsion of L2 on the remnants of the L3 vertebral body, with associated narrowing of the spinal canal. Methacrylate also appears to be present alon... | 1.Posttraumatic/postsurgical changes related to L3 burst/compression fracture.2.Complete retropulsion of L2 on the remnants of L3, with associated narrowing of the spinal canal.3.Other degenerative arthritic changes as above. |
Generate impression based on findings. | 63 year old female with history of metastatic lung cancer and shortness of breath. PULMONARY ARTERIES: No evidence of acute pulmonary embolus to the level of the segmental branches.LUNGS AND PLEURA: Lingular mass abutting the left cardiac border measures 27 x 29 mm (image 160 of series 8). Stable to slightly increased ... | 1. No evidence of acute pulmonary embolus.2. New geographic areas of groundglass opacities in the right lung. Differential diagnosis includes drug toxicity, atypical infection, and hemorrhage.3. Stable left lingular mass, sclerotic osseous foci, and metastatic hepatic lesions.PULMONARY EMBOLISM: PE: Negative.Chronicity... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in mother. 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. Occasional scattered benign calci... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this r... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy in 1967. History of rheumatoid arthritis. 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, unchan... | 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. | 7-year-old male with history of fractureVIEWS: Right forearm PA, lateral (two views) 3/30/15, 0840 Cast material obscures fine bone detail. Both bones fracture of the right forearm is again seen. Persistent minimal lateral displacement of the distal fracture fragments without angulation. Fracture fragments are now in n... | Both bones fracture of the right forearm in near anatomic alignment. |
Generate impression based on findings. | 43 year-old female with a known left breast cancer with possible satellite lesion seen on the recent MRI (3/17/15) presents for MRI guided biopsy. On subtraction images, an enhancing focus is present in superior left breast, at 12 o'clock position, inferior and medial to the index cancer. This was chosen as the target.... | Successful MR guided core needle biopsy of the left breast 12 o'clock enhancing lesion. Successful clip placement. Pathology is pending.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts including additional right MLO 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. Scattered b... | 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis 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 areas of architectural ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this r... |
Generate impression based on findings. | Male 61 years old; Reason: hx of microscopic hematuria, evaluate for disease with delayed imaging History: see above ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: A few scattered subcentimeter hypodensities are too small to actually characterize, likely cysts or hemangiomas. A1.6-cm lesion ... | 1.No CT identifiable cause of hematuria. |
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 almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural di... | 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: NSA - Screening Mammogram. |
Generate impression based on findings. | History of left lumpectomy in 2008 for invasive ductal carcinoma and DCIS. Patient received radiation and hormone therapy. History of benign right breast biopsy in 2011 with pathology of PASH. No new breast complaints. History of breast carcinoma in maternal aunt. Three standard views of both breasts were performed dig... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right biopsy 16 years ago at Christ Hospital. History of rheumatoid arthritis. Two standard digital views of both breasts including additional right MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is... | 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. | There is flow related enhancement at the left middle cerebral artery bifurcation measuring 8 x 9 mm, suspected to represent a residual aneurysm with evidence of prior endovascular coiling. The intracranial internal carotid arteries are normal in course and caliber. The right middle and bilateral anterior cerebral arte... | Evidence of prior endovascular coiling with 8 x 9 mm residual lobulated aneurysm at the left MCA bifurcation. No additional aneurysm identified. Recommend comparison with prior angiographic studies. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy in 1998. 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 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. | Asymptomatic female presents for routine screening mammography. Family history breast cancer diagnosed in maternal aunt and 3 maternal cousins. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandul... | 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. | 60 year-old female with multiple left breast biopsies including an excisional biopsy for ADH. No new breast complaints. 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 d... | 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. | Asymptomatic female presents for routine screening mammography. History of left breast biopsy and aspiration in 1974 for fibroadenoma. 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 pa... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 60 years old; Reason: Stage IV colon cancer status post hepatic resection in October 2013, evaluate for interval change CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Stable to interval decrease in size of mediastinal and hilar adenopathy. Decreased size of reference right hilar l... | 1. Stable to interval decrease in size of mediastinal and hilar adenopathy.2. Unchanged diastases of rectus muscles with widemouthed ventral abdominal hernia formation as above. |
Generate impression based on findings. | Pain after fall. Rule-out fracture.VIEWS: Left foot AP/lateral/oblique (3 views), left ankle AP/lateral/oblique (3 views) 03/30/15 The foot is normal in appearance. No fracture is identified.Mild soft tissue swelling is noted medially and laterally around the ankle. The bones are normal in appearance. No fracture is se... | Soft tissue swelling in the ankle. No fracture. |
Generate impression based on findings. | 8 year-old female with fractureVIEWS: Left tibia-fibula AP/lateral (two views) 3/30/15 Cast material obscures fine bone detail. Oblique fracture of the distal tibial diaphysis with less than 0.5 cm of posterior displacement of the distal fracture fragment. | Oblique fracture of the distal tibial diaphysis with minimal posterior displacement of the distal fracture fragment. |
Generate impression based on findings. | Male 73 years old; Reason: history of metastatic colon cancer s/p hepatic resection in august 2014. evaluate for recurrent hepatic disease and continued growth of lung nodules History: colon cancer CHEST:LUNGS AND PLEURA: Reference left basilar nodule (4:57) now measures 1.0 cm, previously 9 mm. Non-reference right pul... | 1.Interval increase in size of multiple pulmonary nodules concerning for metastatic disease. No new hepatic lesions. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts including additional right MLO and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcificat... | 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. No suspicious masses, microcalcifications or areas of archi... | 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. | Female, 2 years old. Follow-up fracture.VIEWS: Right foot AP, lateral (two views) 3/30/15, 0859 Overlying casting material obscures fine osseous detail.Cortical disruption of the lateral aspect of the distal second and third metatarsals, with local periosteal reaction. There may be some sclerosis of the proximal aspect... | Healing fractures of the second and third metatarsals. Possible sclerosis of the cuboid may represent an additional fracture. |
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