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Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast biopsy in 2007. History of bilateral breast reductions in 2014. Chronic history of bilateral nipple inversion. Two standard digital views and ML views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The... | New and enlarging asymmetries in the left upper outer breast. Additional views, including spot compression views and possible ultrasound are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EA - Additional Mammo/Ultrasound Workup Require |
Generate impression based on findings. | Female, 56 years old, status post craniotomy. A right parietotemporal craniotomy has been performed. There is a resection cavity within the right temporal lobe corresponding to the location of a previously demonstrated mass. The cavity itself contains largely hypoattenuating material with a trace rim of hyperattenuatio... | Expected immediate postoperative findings following lesion resection from the right temporal lobe. |
Generate impression based on findings. | Reason: Eval frac History: pain Interval removal of overlying cast material. Again demonstrated is evidence of a comminuted intra-articular fracture of the distal radius, with fracture fragments in near-anatomic alignment. There is been interval improvement of the overlying soft tissue swelling. There appears to be int... | Healing distal radial fracture as above. |
Generate impression based on findings. | Male; 58 years old. Reason: evaluate for peri-anal abscess History: neutropenic fever with clinically suspected abscess near R gluteal fold PELVIS:PROSTATE, SEMINAL VESICLES: Prostatomegaly with the prostate gland measuring up to 4.9 x 3.7 cm.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormal... | Perianal abscess with inflammatory changes seen extending into the bilateral ischioanal fossas, medial gluteal folds, and presacral space. |
Generate impression based on findings. | Female 20 years old Reason: Assess for SMA syndrome History: LUQ/epigastric pain that is constant, vomiting. Normal EGD, history of ulcerative colitis. Colon in remission on colonoscopy. UGI: Limited single limited single contrast evaluation of the upper GI tract demonstrated no dilatation of the duodenum at the level ... | 1.Delayed gastric emptying, which is nonspecific, but can be seen in the setting of gastroparesis. Further evaluation with nuclear medicine gastric emptying exam can be considered as clinically indicated.2.No evidence of superior mesenteric artery syndrome.3.Normal small bowel follow-through. |
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. | 53 year-old male patient with history of bladder cancer. ABDOMEN:LUNG BASES: Trace basilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Stable subcentimeter right adrenal nodule.KIDNEYS, URETERS: Cy... | 1.No measurable lesion within the bladder or suspicious filling defect in the collecting systems. No pelvic lymphadenopathy.2.Nonspecific prominent right para-aortic lymph node noted.3.Heterogenous prostate noted with hypoattenuation in the right peripheral zone. |
Generate impression based on findings. | 59 years, Female. Reason: Evaluate for perforation History: abdominal pain Nonobstructive bowel gas pattern. There is no subdiaphragmatic free air. No specific evidence for perforation. Note is made of pelvic phleboliths. | No radiographic evidence of perforation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast biopsy for fibroadenoma in 2013. Family history of breast cancer diagnosed in two sisters. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parench... | 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. | Reason: Arthritis - other cause for pt left knee pain. Mild sharpening of the tibial spines, minimal joint space narrowing, and osteophytosis suggest mild osteoarthritis of the left knee. There is a significant joint effusion. No evidence of acute fracture or malalignment.Mild osteoarthritis also affects the right knee... | Mild osteoarthritis as above. |
Generate impression based on findings. | 2-year-old female with concern for fractureVIEWS: Left foot AP, lateral (two views) 3/30/15 Increased transverse sclerosis within the cuboid bone representing a healing fracture. The joint spaces are normal. No evidence of joint effusion. | Healing transverse cuboid bone fracture. |
Generate impression based on findings. | Female, 13 years old. Fracture, follow-up.VIEWS: Left third finger PA, lateral (two views) 3/30/15, 0915 Widening of the physis of the third proximal phalanx, with minimal lateral displacement. The medial metaphyseal fracture fragment is not significantly displaced. Periosteal reaction is noted medially and posteriorly... | Healing Salter-Harris two fracture of the proximal phalanx of the third finger. |
Generate impression based on findings. | Reason: pulm infiltrates History: sob LUNGS AND PLEURA: Diffuse ground glass and reticular opacities uniformly distributed throughout the lungs, increased since the previous scan. Mild focal bronchiectasis is present in the upper lobes and right middle lobe, which raises the possibility of developing fibrosis.Increased... | Interval increase in diffuse ground glass and reticular opacity with mild bronchiectasis suggestive of developing fibrosis. Pleural effusions and pericardial effusion have also increased. The findings suggest diffuse lung injury of uncertain etiology, with a component of superimposed fluid overload. |
Generate impression based on findings. | Fall, hematoma above right eye, low platelets, status post BMT. History of multiple myeloma. Head CT: 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 f... | 1. No evidence of intracranial hemorrhage or mass effect.2. No maxillofacial fracture.3. Small soft tissue hematoma and laceration in the right superficial periorbital soft tissues. No retrobulbar hematoma. Underlying bony orbital walls are intact.4. Multiple small lytic lesions in the calvarium compatible with history... |
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 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 densit... | Ovoid circumscribed mass in the right upper outer quadrant, mid-depth, for which additional views including spot compression views and possible ultrasound are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Male, 13 years old. Pain.VIEWS: Pelvis AP, frog leg (two views) 3/30/15, 0948 The femoral heads are round and smooth, and well directed into well formed acetabula. The proximal femoral physes are not widened.The femoral necks are shortened and mildly broadened, with decreased femoral neck to shaft angle. | Coxa vara deformities. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts for a total of 10 images 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. Circular skin marker w... | 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: prosthetic assess History: post-op Components of a right total knee arthroplasty device are situated in near anatomic alignment, without radiographic evidence of hardware complication. Interval improvement of overlying soft tissue swelling. Interval increase in the density of the superior patellar enthesophyte.... | Total knee arthroplasty as above. |
Generate impression based on findings. | 83-year-old female with shortness of breath and elevated d-dimer PULMONARY ARTERIES: Technically adequate examination without evidence of pulmonary embolism. Aneurysmal dilatation of the ascending aorta measuring 4.3 cm. Main pulmonary artery caliber is top normal.LUNGS AND PLEURA: Central airways are patent. No pleura... | No evidence of pulmonary embolism.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Reason: Staging History: Head and Neck SCC CHEST:LUNGS AND PLEURA: Mild focal subsegmental atelectasis and/or scarring at the left lung base and lingula.No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy.Cardiac size is normal without evidence of... | No evidence of metastatic disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Patient reports chronic history of lumpy breasts. Family history of ovarian cancer diagnosed in paternal grandmother. Two standard digital views of both breasts including additional MLO views were performed and reviewed with the aid of R2 CAD 9.3. The brea... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: 87 yo F hx of pulmonary fibrosis on CT scan in 2005, with one month epidode of cough/SOB, now resolved. Currently with night sweats and fatigue. R/o progression PF, malignancy, other. pt has IV contrast allergy History: cough, nightsweats LUNGS AND PLEURA: Mild diffuse subpleural reticular opacity, suggestive o... | 1.Large left supraclavicular mass, with associated vertebral erosion, possibly due to a neurogenic tumor. An MRI scan is recommended for further evaluation.2. Mild subpleural interstitial fibrosis, slightly increased over the past 10 years. |
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, unchanged in pattern and distribution. Circular skin markers were pl... | 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. | Reason: s/p tibial tubercle osteotomy Postsurgical findings related to tibial tubercle osteotomy, including two orthopedic screws in the proximal tibial diaphysis and an osteotomy, in near-anatomic alignment. There is perhaps trace joint effusion and mild soft tissue swelling, particularly along the anterior aspect of ... | Status post tibial tubercle osteotomy, without evidence of complication. |
Generate impression based on findings. | Reason: eval for fx, ich History: fall CT head:The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a moderate degree are present. This is unchanged compared to the prior examA small focus of encephalomalacia is present in the l... | 1.No evidence for cervical spine fracture2.No evidence for acute intracranial hemorrhage mass effect or edema.3.Degenerative changes are present in the cervical spine with multilevel encroachment of exiting nerve roots.4.The tracheal airway is mildly distorted by the innominate artery.5.Periventricular and subcortical ... |
Generate impression based on findings. | Reason: please do ILD protocol. 59F with h/o chronic cough, worsening fatigue, no h/o smoking with CXR showing COPD; concern for bronchiectasis, please evaluate History: see 1 LUNGS AND PLEURA: Large lung volumes without evidence of either emphysema or chronic bronchitis.No suspicious pulmonary nodules or masses.No ple... | No significant cardiopulmonary abnormalities identified. No evidence of interstitial lung disease or chronic obstructive pulmonary disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were and tomosynthesis performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Circular skin markers were placed over the left axilla and breast.No... | 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. Patient reports chronic history of occasional right breast pain. Two standard digital views of both breasts including additional left MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may... | New bilateral upper outer quadrant posterior depth focal asymmetries, for which additional views including spot compression views and possible ultrasound are recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Reason: eval for fx History: hip pain Moderate osteoarthritis affects the bilateral hip joints as well as the bilateral sacroiliac joints. Multilevel degenerative changes affect the visualized lower lumbar spine. There is no acute fracture or malalignment.Findings related to a right total knee arthroplasty in near-anat... | 1.No evidence of acute fracture or malalignment. 2.Moderate osteoarthritis of the bilateral hips.3.Total right knee arthroplasty, without evidence of complication. |
Generate impression based on findings. | 60 year-old female patient with stage IV endometrial cancer status post IVC filter placement. Evaluate recurrent disease for possible debulking surgery. CHEST:LUNGS AND PLEURA: Again seen are multiple bilateral nodules, overall decreased compared to prior examination. Reference left upper lobe nodule measures 1.5 x 1.1... | 1.No significant interval change in large uterine mass, peritoneal masses, and peritoneal carcinomatosis. 2.Mild interval decrease in retroperitoneal lymphadenopathy, hypoattenuating liver lesions, and lung nodules.3.Thrombi again noted in the pelvic veins and right femoral vein. |
Generate impression based on findings. | History of breast cancer with persistent headache and new blurry vision. Evaluate for metastases. There is no evidence of enhancing intracranial mass. There is no evidence of acute intracranial hemorrhage within the limitation of contrast technique. The ventricles and basal cisterns are normal in size and configuration... | 1. No CT evidence of intracranial metastases. Please note MRI is more sensitive for detection of small lesions and should be considered as clinically warranted.2. No evidence of intracranial hemorrhage or mass effect. 3. Multiple nonspecific ill-defined calvarial lucencies, which may be related to patient's hyperparath... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of rheumatoid arthritis. Family history of breast cancer diagnosed in sister age 27. Two standard digital views of both breasts for a total of 11 images were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirel... | 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: NSA - Screening Mammogram. |
Generate impression based on findings. | History of left lumpectomy in 2005 for multifocal infiltrating adenocarcinoma. Patient received radiation and hormonal therapy. History of breast carcinoma in maternal grandmother. 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... | 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. | 59-year-old female with history of lung cancer. CHEST:LUNGS AND PLEURA: Right upper lobe mass is partially obscured by adjacent pleural effusion/atelectasis. The mass appears slightly less bulky, although reference measurement remains stable at 19 mm, previously 19 mm (image 26 of series 5). Left pleural effusion has d... | 1. Less bulky appearing right upper lobe mass, although stable reference measurement. Right paramediastinal lymph node conglomerate and other sites of metastatic disease have slightly decreased in size with measurements as above.2. Increasing right pleural effusion with chest tube present which may indicate drain malfu... |
Generate impression based on findings. | 35 year old with left breast pain and fullness presents for bilateral diagnostic mammogram. No family history of breast cancer. Patient does not palpate a lump. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is extremely dense, which lowers t... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually starting at the age of 40. Results and recommendation were discussed with the patient. If the patient submits mammograms from outside hospital, a comparison will be... |
Generate impression based on findings. | 60 female with right knee pain. Severe tricompartmental osteoarthritis affects the right knee with bone-on-bone apposition of the medial tibiofemoral compartment, osteophytosis, subchondral sclerosis as well as moderate varus angulation with respect to normal mechanical axis. There is no significant joint effusion or e... | Severe bilateral osteoarthritis, worse on the right. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in maternal aunt. 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, micr... | 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: prosthetic assess History: post-op Redemonstration of bilateral total knee arthroplasties, without evidence of significant interval change or hardware complication. Heterotopic ossification is again observed along the medial aspect and adjacent to the retinaculum on the left. Enthesopathic changes affect the su... | Bilateral total knee arthroplasties, without evidence of significant hardware complication. |
Generate impression based on findings. | Female; 62 years old. Reason: Biochemical hyperparathyroidism. There is physiologic distribution of the radiopharmaceutical. No focus of activity consistent with abnormal parathyroid tissue is seen. | No scintigraphic evidence for parathyroid adenoma. |
Generate impression based on findings. | Male; 68 years old. Reason: eval for progression History: metastatic urothelial cancer ABDOMEN:LUNG BASES: See report from dedicated CT chest performed concomitantly.LIVER, BILIARY TRACT: Stable punctate foci are nonspecific but likely due to cysts.SPLEEN: No significant abnormality notedPANCREAS: No significant abnorm... | 1. No evidence of residual or recurrent disease in the abdomen and pelvis with no significant interval change.2. See report from dedicated CT chest performed concomitantly. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of basal cell carcinoma of the leg diagnosed age 35. Two standard digital views of both breasts, additional right MLO view, and tomosynthesis and additional cleavage view were performed and reviewed with the aid of R2 CAD 9.3. The breast p... | 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: NSC - Screening Mammogram. |
Generate impression based on findings. | Sarcoidosis. There is no evidence of significant residual cervical lymphadenopathy. The salivary glands are no longer particularly enlarged. The thyroid gland appears to be unremarkable. There is a well-defined left lateral upper neck exophytic skin mass that measures up to approximately 5 mm. The major cervical vessel... | 1. The cervical lymph nodes are salivary glands are no longer significantly enlarged. 2. A left neck keloid measures up to approximately 5 cm. |
Generate impression based on findings. | 50 year-old male with recent TIPS, evaluate patency. PORTAL VENOUS: Patent with appropriate directional flow. Main portal vein peak velocity measures 0.7 m/sec.HEPATIC ARTERIES: Patent with appropriate directional flow. Common hepatic artery peak velocity measures 0.6 m/sec with resistive index of 0.7. Right hepatic ar... | 1. Cirrhotic liver morphology. Patent TIPS as well as inflow and outflow hepatic vasculature. 2. Splenomegaly. 3. Moderate ascites. Bilateral pleural effusion. |
Generate impression based on findings. | Female 56 years old Reason: 56 yo F s/p RY gastric bypass c/b SBO due to adhesions presents with epigastric abdominal pain after eating or drinking. r/o stenosis, adhesions History: post-prandial pain. Single contrast visualization of the esophagus and gastric pouch showed no morphologic abnormalities of the mucosal su... | Nonobstructing small bowel adhesions at the site of the proximal anastomosis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast biopsy in 1990. Personal history of colon cancer diagnosed in 1997 at age 49. 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 fi... | 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. | History of right lumpectomy in January 2004 for IDC and DCIS. Patient received radiation and chemotherapy. History of CLL diagnosed in 2009. History of breast carcinoma in mother diagnosed at the age 70. No new breast complaints. Three standard views of both breasts and right exaggerated CC lateral view were performed ... | 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 bilateral cyst aspirations in the 1990s. Two standard digital views of both breasts, additional right CC view, and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandula... | 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. | Evaluate for osteoarthritis or rotator cuff injury. Three views of the right shoulder show no acute fracture or malalignment. The glenohumeral joint appears normal for age, vacuum joint phenomenon is noted. | No acute fracture is evident. |
Generate impression based on findings. | 45 year-old female with right knee pain. There is perhaps a small joint effusion, without evidence of acute fracture or malalignment. There is subchondral sclerosis and mild osteophytosis of the patellofemoral compartment, as well as bilateral chondrocalcinosis. | There is no acute fracture or malalignment. A small joint effusion, chondrocalcinosis, and patellofemoral joint space narrowing would suggest CPPD, in the appropriate clinical setting. |
Generate impression based on findings. | Reason: prosthetic assess History: post-op Three views of the right knee reveal a total knee arthroplasty in anatomic alignment. No evidence of loosening or hardware failure. There has been mild progression of enthesopathic changes, particularly along the superior aspect of the patella. Mild osteoarthritis affects the ... | Right total knee arthroplasty in anatomic alignment. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast biopsy and aspiration. Family history of breast cancer diagnosed in maternal aunt at age 60 and maternal cousin at age 33. Two standard digital views of both breasts including additional right MLO view were performed and revie... | 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. | Male 33 years old; Reason: s/p kidney/panc 2/4/15 History: confirm stent removal 3/18/15 Postsurgical changes with multiple suture lines in the right lower abdomen. The left pelvic stent is no longer present. There is moderate amount of colonic stool. The bowel gas pattern is nonobstructive. | 1.Stent that projects over the left pelvis is not present |
Generate impression based on findings. | Knee contractures, rheumatoid arthritis. Evaluate for extent of osteoarthritis. Four views of the left knee show marked tricompartmental joint space narrowing with subchondral sclerosis. Osteophytes are noted at the patellofemoral joint. No joint effusion is seen. No acute fracture is evident.Four nonweightbearing view... | Marked osteoarthritis, progressed from the prior exams. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in maternal grandmother. Two standard digital views of both breasts including additional left MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibrogla... | 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. | Total knee arthroplasty. Two views of the right knee show a total knee arthroplasty device situated in anatomic alignment without evidence of hardware complication. No fracture is evident. | Right total knee arthroplasty. |
Generate impression based on findings. | Six week postop. Status post right total knee arthroplasty. Three views of the right knee show a total knee arthroplasty device situated in anatomic alignment without evidence of hardware complication. No acute fracture is evident. A small joint effusion is noted. | Right total knee arthroplasty without evidence of hardware complication. |
Generate impression based on findings. | Osteoarthritis. Two views of the cervical spine show no acute fracture. Alignment is anatomic. Vertebral body heights and disk spaces are maintained. Intercalating osteophytes are noted at C4-C7.Two views of the lumbar spine show small anterior osteophytes along the spine, slightly increased in size from the prior exam... | Minimal degenerative changes of the cervical and lumbar spine. |
Generate impression based on findings. | 40 year-old female with history of right breast pain for one month. 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. No dominant mass, suspicious microcalcifications or areas of architectural dis... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient and her husband, who translated.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Female 62 years old; Reason: STAGE III COLON CANCER. EVALUATE FOR DISEASE RECURRENCE History: COLON CANCER CHEST:LUNGS AND PLEURA: Two 4mm pulmonary nodules in the right middle lobe (5:60 and 5:58) and left lower lobe, not significantly changed. Additional micronodules are unchanged.MEDIASTINUM AND HILA: Stable small p... | 1. Interval increase in size of mesenteric lymphadenopathy and haziness is nonspecific, but can be seen in lymphoma. 2. 8mm arterially enhancing focus in the right pelvic sidewall may represent a small aneurysm, and further characterization with ultrasound is suggested. |
Generate impression based on findings. | Reason: Cause for patient's low back pain History: Low back pain with radiculopathy x 1 week Four views of the lumbar spine demonstrate joint space narrowing of L4-5 and L5-S1 as well is anterior vertebral body osteophyte formation at these levels. Vertebral body heights are preserved. Alignment is anatomic, there is n... | Degenerative arthritic changes of the lower lumbar spine as above. |
Generate impression based on findings. | 54 year-old female with bilateral knee pain and left hand pain, concern for osteoarthritis. Moderate osteoarthritis affects the bilateral knees, including mild joint space narrowing, osteophytosis and subchondral sclerosis. There is a more pronounced joint space narrowing and subchondral cyst formation of the left pate... | 1.Moderate bilateral osteoarthritis of the knees.2.Degenerative changes of the left hand, as above. |
Generate impression based on findings. | Severe HA with recent supratherapeutic INR. There is no evidence of acute intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. There is opacification of the right maxillary, anterior eth... | 1. No evidence of acute intracranial hemorrhage.2. Right ostiomeatal unit opacification suggestive of sinusitis. |
Generate impression based on findings. | 36 year old female with history of right 6 o'clock cyst. Family history breast cancer diagnosed in mother at age 42 and paternal grandmother also age 42. 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 d... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Hip replacement and back pain Pelvis and hip: The right total hip arthroplasty remains unchanged without evidence of new complication. Small punctate focus of heterotopic bone is again observed in the superior soft tissues. Alignment maintained.L-spine: Mild osteoarthritic of the upper levels with sparing of the lower ... | Mild osteoarthritis of the upper lumbar spine and an unchanged or complicated right hip arthroplasty |
Generate impression based on findings. | 39-year-old male with hemoptysis on Coumadin, supratherapeutic INR . LUNGS AND PLEURA: Unchanged moderate left pleural effusion. Interval resolution of right pleural effusion.Central airways are patent. No pneumothorax.Diffuse patchy groundglass opacities appearing improved when compared to the prior exam. Persistent a... | 1.Diffuse patchy groundglass opacities appearing improved when compared to the prior exam and most likely represents resolving pulmonary edema. No evidence of acute pulmonary hemorrhage.2.Persistent associated bronchial wall thickening and interstitial septal thickening with fibrotic changes appears similar to the prio... |
Generate impression based on findings. | Male; 55 years old. Reason: HCC please assess and provide index lesion measurements for RECIST prior to start of therapy History: As above CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary nodules, the majority of which are new since prior study on 1/7/14 and most compatible with metastases.For future reference, the... | Numerous hepatic lesions compatible with HCC with pulmonary metastases. |
Generate impression based on findings. | 71-year-old male patient with ascites, likely cirrhosis of unknown etiology, abnormal LFTs and cachexia. Evaluate for possible malignancy and liver pathology. CHEST:LUNGS AND PLEURA: Right pleural effusion with overlying compressive atelectasis. Patchy right upper lobe densities may be associated with adjacent atelecta... | 1.Hepatic cirrhosis with large amount of ascites without suspicious liver lesions.2.Right pleural effusion. |
Generate impression based on findings. | Female, 1 day old, term infant with apnea. A moderate quantity of extra-axial hyper-attenuating blood product is seen along the right temporal lobe. This blood product is largely subdural, though there is some degree of subarachnoid extension. The collection measures up to 8 mm in thickness in the coronal plane.In addi... | Intraparenchymal and extra-axial blood product as described above within and around the right temporal lobe. Mild subarachnoid and intraventricular blood is also seen.It is possible that the primary site of hemorrhage was parenchymal with secondary dissection into the extra-axial spaces, though this is just speculative... |
Generate impression based on findings. | History of left ankle pain. Knee pain. Evaluate for left ankle pain and osteoarthritis. Three views of the left ankle show marked soft tissue swelling about the lateral ankle. No acute fracture is evident. There is pes planus deformity.Three views of the left knee shows severe joint space narrowing and subchondral scle... | 1. Severe osteoarthritis of the left knee.2. Soft tissue swelling about the lateral ankle without acute fracture evident. |
Generate impression based on findings. | 14-year-old male with history of fractureVIEWS: Pelvis AP (one view) 3/30/15 at 1040 Avulsion fracture involving the right anterior inferior iliac spine is again noted with new callus formation. Both femoral heads are seated at the well formed acetabula. | Healing avulsion fracture of the right anterior inferior iliac spine with new callus formation. |
Generate impression based on findings. | 55 year-old female with right knee pain. Near severe osteoarthritis affects the right knee, including near bone-on-bone apposition of the medial tibiofemoral compartment, subchondral sclerosis, and osteophytosis. There is trace joint effusion, without evidence of acute fracture. There is mild varus deformity of the rig... | Near severe osteoarthritis of the right knee. |
Generate impression based on findings. | Reason: eval for fracture or deg disc disease History: mid thoracic back pain There is normal anatomic alignment of the thoracic spine. Mild multilevel anterior vertebral body osteophytosis suggests mild degenerative changes. Vertebral body heights and disk spaces are grossly preserved within the thoracic spine. There ... | No evidence of acute fracture or malalignment. Mild degenerative changes as above. |
Generate impression based on findings. | Reimplant. Preop. Bone length study demonstrates severe osteoarthritis of the right knee with removal of a medial unicompartmental prosthesis. The cavity is filled with cement. There is 8 degrees of varus deformity. No acute fracture is evident. | Severe osteoarthritis. |
Generate impression based on findings. | 86 year-old male. Metastatic lung cancer status post chemo and palliative RT. Follow-up exam. Lack of intravenous and oral contrast limits evaluation for solid organ and bowel pathology.ABDOMEN:LUNG BASES: See same day separately dictated CT chest report.LIVER, BILIARY TRACT: Bilobar subcentimeter hepatic hypoattenuati... | Stable examination with no new sites of disease. |
Generate impression based on findings. | Status post left hip cephalomedullary nail revision. Three views of the left femur show a long left femoral intramedullary rod with a trochanteric femoral nail. Two distal femoral interlocking screws are present, the proximal screw is again noted to be fractured. No acute fracture is evident. There is cortical irregula... | Orthopedic fixation of the left femur with an unchanged fractured interlocking screw. |
Generate impression based on findings. | Reason: eval for fx History: hip pain, fall Bilateral moderate osteoarthritis of the hips, right greater than left. There is no evidence of acute fracture or malalignment. Subtle cortical irregularity of the right femoral head is felt likely to represent degenerative changes. | No evidence of acute fracture or malalignment. |
Generate impression based on findings. | 59-year-old female history of metastatic breast cancer. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules, nonspecific. No suspicious modules or masses identified. There is biapical scarring. No pleural effusions.MEDIASTINUM AND HILA: Heart size normal without pericardial effusion. Calcified mediastinal lymph no... | No suspicious pulmonary nodules or masses. Stable hepatic and osseous lesions. No new sites of disease. |
Generate impression based on findings. | Status post right total knee arthroplasty 6 weeks ago. Evaluate right total knee arthroplasty. Three views of the right knee show a right total knee arthroplasty device situated in anatomic alignment. There is no evidence of hardware complication. No acute fracture is evident. Interval removal of surgical skin staples. | Right total knee arthroplasty device in anatomic alignment. |
Generate impression based on findings. | 69 year-old female patient status post radical cystectomy and ileal conduit complicated by pelvic fluid collection now readmitted with altered mental status and acidosis. Evaluate for abdominal infectious process. Patient has acute kidney injury, so no contrast could be administered. Exam is not sensitive for detecting... | 1.Interval placement of percutaneous drainage catheter with decrease in pelvic collection.2.New mild right hydronephrosis is nonspecific without evidence of obstruction. Correlate with obstructive renal symptoms. |
Generate impression based on findings. | 86-year-old male with lung cancer LUNGS AND PLEURA: No pleural effusion or pneumothorax.Central airways are patent.Bronchial thickening and mild bronchiectasis particularly at the lung bases.Moderate apical predominant centrilobular emphysema.Index left lower lobe peripheral nodule remains unchanged measuring 2.3 x 1.3... | No significant interval change in size of pulmonary nodule. |
Generate impression based on findings. | Postop. Varus derotational osteotomyVIEW: Pelvis frog leg (one view) 03/30/15, 1110 Left femoral head remains superiorly positioned with respect to the dysplastic acetabulum. Right femoral head is well directed into the acetabulum.Left proximal femoral plate and screws device from there is derotational osteotomy is aga... | Left femoral head remains superiorly displaced from dysplastic acetabulum. |
Generate impression based on findings. | 66-year-old male with history of shortness of. Evaluate for pneumonia versus ILD. LUNGS AND PLEURA: There is moderate apical predominant centrilobular and paraseptal emphysema. There is bibasilar predominant smooth interlobular septal thickening, atelectasis, and scarring. Moderate bronchial wall thickening most predom... | 1. Moderate to severe emphysema and mild reticular pattern, likely chronic with possible edema, with small bilateral pleural effusions.2. Right upper lobe scarlike opacity is new from the prior study. Followup in 3-6 months is recommended. |
Generate impression based on findings. | Six week postop. Evaluate hip pinning. Two views of the left hip show three parallel pins affixing the left femoral neck. A previously seen lucency through the medial cortex of the femoral neck is less apparent. Two views of the right hip show three parallel pins affixing a right femoral neck fracture. The fracture lin... | Orthopedic fixation of bilateral femoral neck fractures. |
Generate impression based on findings. | Male 40 years old; Reason: stage III colon cancer, on surveillance, compare to prior History: vague abd pain CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant mediastinal or hilar lymphadenopathy. No significant coronary artery calcification.CHEST WALL: Interval removal of rig... | 1.Stable examination without evidence of disease recurrence or metastatic disease. |
Generate impression based on findings. | Status post right ankle ORIF. Three views of the right ankle show a side plate and screw device affixing the distal fibula and two orthopedic screws affixing the medial malleolus. The fracture lines are less distinct suggestive of healing. Alignment is grossly anatomic. Soft tissue swelling is still noted about the ank... | Orthopedic fixation of ankle fractures. |
Generate impression based on findings. | Male, 6 years old, history of sickle cell disease with new intracranial hemorrhage, assess for vascular malformation. Non angiographic findings:No significant interval change is seen in the size or morphology of a large left parieto-occipital parenchymal hematoma. Also unchanged is minimal subdural blood product along ... | 1. No angiographic abnormality to account for the intracranial hemorrhage.2. No significant interval change in the size or distribution of intracranial blood product. |
Generate impression based on findings. | Male 66 years old Reason: determine extend of stricutring at anastomosis and if proximal dilation present. History: Crohn's disease, obstructive symptoms. Scout radiograph showed a nonobstructive bowel gas pattern. Transit time to the colon was 15 minutes. Fluoroscopic evaluation showed postsurgical end-to-side ileocol... | Unchanged stricturing at neoterminal ileum measuring approximately 7 mm without evidence of proximal dilation. Minor nonobstructive adhesions surrounding neoterminal ileum are unchanged from prior exam. |
Generate impression based on findings. | Rheumatoid arthritis. Three views of the left hand show joint space narrowing of the radiocarpal and carpal articulations, similar to the prior exam. There is scapholunate dislocation with rotatory subluxation of the scaphoid. No new erosions are identified.Three views of the right hand show no specific evidence of ero... | Very slight progression of an erosion of the left fifth metatarsal head. |
Generate impression based on findings. | 34-year-old female with left knee pain. Minimal osteoarthritis affects the left knee including very mild medial joint space narrowing and subchondral sclerosis. There is no evidence of acute fracture or malalignment. No significant joint effusion.Mild osteoarthritis affects the right knee on the frontal projection, inc... | Mild osteoarthritis, right greater than left. |
Generate impression based on findings. | 73 year-old female status post right lumpectomy and SLNB for T1bN0 IDC with negative margins (05/17/2012), followed by radiation therapy and aromatase inhibitor therapy. No current breast complaints. Three standard views of both breasts and two spot magnification views of right breast were performed digitally and revie... | 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. | A patient submitted outside study for review. Submitted for review are bilateral screening mammogram (3/2/2015), left diagnostic mammogram and ultrasound (3/10/2015) performed at Advocate Good Shepherd. Bilateral Screening Mammogram 3/2/2015:Reportedly, patients baseline exam. Two standard views of both breasts were pr... | 12 o'clock left breast tiny 2 mm mass on ultrasound may represent a pseudolesion. Recommend repeat ultrasound for confirmation.Normal morphology left low lying axillary lymph nodes on mammogram and ultrasound. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: T - Take Appropriate Action - No Let... |
Generate impression based on findings. | History of right lumpectomy for node positive invasive ductal carcinoma in 3/2011 at an outside hospital, followed by radiation therapy. No current breast complaints. Three standard views of both breasts and repeat left CC view were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is c... | 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. | The colon is well distended on the right and just adequately distended on the left. Residual fluid throughout the colon is well tagged with oral contrast. Residual particulate fecal matter (<6mm size) is identified within the colon. The sigmoid colon and distal transverse colon are markedly tortuous. No polyps > 6 mm ... | No polyps > 6 mm or colonic masses are identified.*OPTIONAL C-RADS CLASSIFICATION:C-1E-2*(see full definitions in: Zalis et al. CT Colonography reporting and data system: a consensus proposal. Radiology 2005;236:3-9)C1: Normal or benign lesions (no polyps > 6mm). Continue routine screening.C2: Intermediate polyp (less ... |
Generate impression based on findings. | 79-year-old female status post right mastectomy 1981 presents with a palpable lump in the right superior chest wall, measuring two to 3 mm presents for ultrasound A targeted right chest wall ultrasound was performed for the patient’s area of concern. On physical examination, a superficial 2-mm lump as palpated in the s... | Palpable abnormality in the superior medial right chest wall corresponds to areas of fat necrosis. No suspicious sonographic abnormality noted. Annual left unilateral diagnostic mammogram is recommended, due in January 2016.Findings and recommendations were discussed with the patient in detail.BIRADS: 2 - Benign findin... |
Generate impression based on findings. | Male 51 years old Reason: eval for stent patency History: esophageal stent Limited scout radiograph demonstrated an esophageal stent in the mid thoracic esophagus as well as a cannulated right chest wall Port-A-Cath. Surgical clips project over the right hemithorax.Initial evaluation of the esophagus was performed usin... | Patent esophageal stent without evidence of extravasation to suggest leak. |
Generate impression based on findings. | Female 64 years old Reason: evaluate for stricture/obstruction vs. motility disorder History: distension, abd pain The scout film showed anastomotic suture line in the left hemipelvis as well as bilateral hip arthroplasty devices.The previously seen stenotic colorectal anastomosis now measures 1.2 cm in maximal diamete... | 1.Relative transition point in the mid descending colon, which is nonspecific but may reflect sequelae of adhesive disease.2.Colorectal anastomosis increased in maximal diameter compared to the prior examination. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are bilateral diagnostic mammogram and right breast ultrasound (3/13/2015), images from a right ultrasound guided biopsy and post procedure mammogram (3/17/2015) performed at Good Samaritan Hospital. Two standard views of both breasts and two spot compr... | 1.Right breast 8 o'clock, posterior depth, mass with clip placement correlates with biopsy proven cancer. 2.No mammographic abnormality in the left breast.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | TXN2 squamous cell carcinoma in 2002 resection f/b 6000 cGy RT. Recurrence/new primary tongue base 2007, followed by a new recurrence resection of neck mass and a subsequent recurrence in 12/09 resected with 6/9 LN +. There are post-treatment findings in the neck. Extensive dental amalgam artifact obscures much of the ... | 1. Extensive dental amalgam artifact obscures much of the oral cavity and oropharynx. Otherwise, no evidence of measurable mass lesions or significant cervical lymphadenopathy amidst post-treatment findings, although further evaluation via PET and/or endoscopy may be useful. 2. An unchanged lytic defect in the posterio... |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are bilateral diagnostic mammogram, right breast ultrasound, images from a right breast ultrasound guided biopsy and post procedure mammogram (3/17/2015) performed at Diagnostic Imaging Specialists of Chicago. For comparison, standard mammogram (1/11/20... | 1.10 o'clock right breast mass correlates with patient's biopsy proven cancer. Given patients dense breast parenchyma, breast mri can be considered. 2.No mammographic abnormality in the left breast. BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | Chronic bilateral nasal and right sided ear congestion; left sided nasal polyps seen on endoscopy. There is scattered paranasal sinus opacification that consists of mucosal thickening and fluid. There is diffuse sclerosis and thickening of the paranasal sinus walls. There is also mild scattered opacification of the nas... | Findings suggestive of acute upon chronic rhinosinusitis. |
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