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Generate impression based on findings. | Hand and joint pain, osteoarthritis with questionable rheumatoid arthritis Hands: Within the limitations of only two views provided, mild diffuse scattered osteoarthritic changes with narrowing, sclerosis and small osteophytes most pronounced involving the radiocarpal joint and distal articulations. No overt specific c... | Old scattered mild osteoarthritic and traumatic changes without evidence to support inflammatory arthritis. See limitations described |
Generate impression based on findings. | Reason: 69 yo M hx of DMII, CAD, former smoker with RLL 8mm ground glass nodule. one year followup to eval progression History: asxic LUNGS AND PLEURA: Right middle lobe groundglass nodule (image 137 series 5) measures 6 mm x 4 mm.No other pulmonary nodules or masses can be identified.Again noted is a azygos pseudo-lob... | Stable right middle lobe groundglass nodule. Follow-up examination in one year is recommended. |
Generate impression based on findings. | I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.Report Electronically Signed: 3/30/2015 1:44 PM Daniel Ginat, MD | 1. Mild focal plaque at the bilateral vertebral artery origins, but no evidence of vertebral artery dissection. 2. No evidence of intracranial aneurysm or high-grade stenosis.3. Atherosclerotic calcifications at the bilateral carotid artery bifurcations with up to approximately 50% stenosis of the left internal carotid... |
Generate impression based on findings. | Reason: s/p avm resection History: HA Right common carotid artery: There is no evidence for stenosis at the carotid bifurcation on the basis of NASCET criteria. No evidence for carotid dissection.Right internal carotid artery: There is opacification of the right anterior and middle cerebral arteries. Venous and parench... | 1.Postsurgical findings are present. No residual arteriovenous malformation is appreciated.2.Findings were communicated to Dr Awad at the end of the procedure. |
Generate impression based on findings. | Female 82 years old; Reason: 82 y/o F with DLBCL on DA-EPOCH-R-R completed C3/6 needs interim scan please History: fatigue CHEST: Right chest wall port with tip in distal SVC.LUNGS AND PLEURA: Minimal right lower lobe linear atelectasis or scarring. Visualized lung fields without significant change otherwise. Scattered... | 1. Interval decrease in size of chest wall mass2. Improvement in size of bilateral renal lesions, most likely reflecting improving neoplastic disease/lymphomatous renal involvement, correlation with patient's clinical history/laboratory values recommended to exclude underlying infectious etiology/abscess formation, alt... |
Generate impression based on findings. | 5 year old with IL2 beta receptor deficiency treated with allo SCT, with history of disseminated MAC infection. NECK: The cervical lymph nodes appear unchanged. For example, a right level 2a lymph node measures 11 x 17 mm, unchanged from previous and a right level 2b lymph node measures 4 x 7 mm. There are no new masse... | 1.Stable appearance of the cervical lymph nodes.2. No evidence of intracranial lesions.3. Partially imaged persistent left perihilar opacities. Please refer to the separate chest CT report for additional details. |
Generate impression based on findings. | History of base of tongue cancer in 1968 and T4aN0 larynx cancer in 2012. There are postoperative findings from laryngectomy, tracheostomy, and bilateral neck dissections with flap reconstruction. There is persistent ill-defined soft tissue in the right supraclavicular fossa in the region of the surgical bed. The remai... | 1. Extensive post-treatment findings in the neck with apparent persistent, but nonspecific ill-defined right supraclavicular soft tissue. A PET may be useful for further delineation.2. Severe stenosis of the bilateral carotid bifurcations.3. Paranasal sinus opacification with findings suggestive of acute sinusitis. |
Generate impression based on findings. | Recurrent Hodgkin's lymphoma multiple times status post resection and chemoradiation. Last chemotherapy completed September 2014 per patient.RADIOPHARMACEUTICAL: 11.7 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 83 mg/dL. Today's CT portion grossly demonstrates enlarged right lower paratracheal, right hil... | Multiple lymph nodes in the chest and abdomen remain abnormally metabolically active and have all somewhat progressed from previous. These are highly suspicious for tumor progression. The largest and most active progressed lymph node is seen in the right lower paratracheal location. |
Generate impression based on findings. | Reason: Pt w/ metastatic breast cancer s/p radiation, eval for progression. History: Pt w/ metastatic breast cancer s/p radiation, eval for progression. CHEST:LUNGS AND PLEURA: Small clustered opacities in the right middle lobe, new from previous, likely inflammatory.Pleural thickening in the right lower hemithorax, no... | Slightly increased size of mediastinal nodes but decreased size of axillary lymph nodes. Interval resection or treatment of anterior chest wall mass. No new lesions. |
Generate impression based on findings. | Right hip hardware check Interval removal of the right femoral intermedullary rod with a persistent mid diaphyseal deformity from an old healed fracture. Incompletely observed minimal degenerative changes observed involving the knee and pronounced osteoarthritic changes with associated AVN of the right hip grossly unch... | IM rod removed |
Generate impression based on findings. | pT3N0 parotid squamous cell cancer status post radiation therapy now with new lung nodules. Restaging exam.RADIOPHARMACEUTICAL: 13.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 91 mg/dL. Today's CT portion grossly demonstrates posttherapy changes in the neck. An approximately 1 cm right upper lobe pulmon... | 1.Small but significantly hypermetabolic right upper lobe pulmonary nodule, highly suspicious for tumor either metastatic disease or synchronous primary lung.2.Punctate hypermetabolic right superior internal mammary lymph node, suspicious for additional metastatic tumor.3.Hypermetabolic right anterior fourth rib segmen... |
Generate impression based on findings. | Pain Knee: A discrete well-defined medial metaphyseal exostosis is observed extending away from the articulation. No findings to support degeneration. Underlying articulation is otherwise intact. No additional radiographic abnormalities. No effusionLower leg: No additional radiographic abnormality. Soft tissues unremar... | Benign-appearing exostosis involving the proximal tibial metaphysis |
Generate impression based on findings. | Interleukin-2 beta receptor deficiency treated with stem cell transplant. History of MAC infection. CHEST:LUNGS AND PLEURA: Scarring in the left upper lobe posteriorly is unchanged. No new lung opacity is identified.MEDIASTINUM AND HILA: Lymph node adjacent to aortic arch measures approximately 1 cm in diameter and is ... | Unchanged left mediastinal and hilar lymphadenopathy. No new adenopathy. |
Generate impression based on findings. | Lower extremity hypotonia. History of myelomeningocele. Evaluate for dislocation.VIEWS: Pelvis AP/frog leg (two views) 03/30/15 Lumbosacral spinal dysraphic is noted. The urinary bladder appears to be distended.The femoral head ossification centers are normally positioned with respect to the acetabula. Acetabular angle... | No hip subluxation or dislocation. |
Generate impression based on findings. | L4 compression fracture. History of lymphoma Overall similarity of the partially collapsed L4 vertebral body, losing proximally half the height with deep endplate depressions. No significant change in alignment or overall appearance. No distinct soft tissue elements. Scattered degenerative changes of the upper lumbar l... | Overall stability of the compression fracture L4. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are bilateral diagnostic mammogram 2/19/15 and right breast spot magnification views The breast parenchyma is heterogeneously dense. 2.5 cm spiculated hyperdense mass with calcifications identified in the left breast 4 o'clock position posterior on mamm... | 1.Multicentric biopsy proven breast cancer of the left breast. 2.No suspicious findings in the right breast. Benign outside right breast histology is concordant.3.Due to patient's young age, dense breasts, and multicentric disease, MRI is recommended to evaluate for extent of disease. 4.Recommend submission of prior ou... |
Generate impression based on findings. | History of encephalitis and bitemporal medically intractable epilepsy.RADIOPHARMACEUTICAL: 12.2 mCi F-18 fluorodeoxyglucose (FDG)BLOOD GLUCOSE (FASTING): 110 mg/dL Today's CT portion demonstrates no gross intracranial pathology.Today's PET examination very mild hypometabolism involving bilateral anterior temporal poles... | Symmetric very mild hypometabolism involving bilateral anterior temporal poles as well as bilateral anterior-inferior frontal lobes. These are suspicious for intraictal foci, particularly those at the anterior temporal poles. |
Generate impression based on findings. | History of right lumpectomy in 2006 for breast cancer. Patient received radiation and chemotherapy. No current 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 pat... | 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. | Pain Old well corticated ossific punctate change along the dorsal aspect of the IP articulation. Old remote injury is suspected. Mild degenerative changes otherwise observed without additional acute abnormality. Soft tissues unremarkable | Old mild degenerative changes with prior traumatic injury to the IP joint. See detail provided |
Generate impression based on findings. | 61 year-old female with history of right lumpectomy in 2007. Patient received neoadjuvant chemotherapy, radiation and hormonal therapy. No new breast complaints. Family history of breast cancer in maternal grandmother and three maternal great aunts. Three standard views of both breasts were performed digitally and revi... | 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. | 65-year-old female patient with history of colon cancer on chemotherapy. Please evaluate for response and compared to prior. CHEST:LUNGS AND PLEURA: Again seen are numerous bilateral nodules compatible with metastases, generally decreased in size compared to prior exam. Reference left lower lobe nodule currently measur... | 1.Interval reduction in size of metastatic disease in the lungs, liver, and peritoneum compatible with treatment response.2.Right chest port with thrombus at the tip. |
Generate impression based on findings. | 28 year-old female with shortness of breath and palpitations PULMONARY ARTERIES: Technically adequate examination without evidence of pulmonary embolism. Main pulmonary artery caliber is within normal limits.LUNGS AND PLEURA: Central airways are patent. No pneumothorax or pleural effusion.No pulmonary nodule or mass. M... | No 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. | 65-year-old female history of small cell carcinoma LUL. CHEST:LUNGS AND PLEURA: Moderate to severe apical centrilobular predominant emphysema. Right lower lobe mass has dramatically increased in size measuring 6.6 x 4.0 cm (image 63 of series 5). This lesion is now cavitary containing debris and air-fluid levels and de... | 1. Large cavitary lesion in the right lower lobe containing debris and air-fluid levels with direct bronchial communication with known right perihilar tumor. This likely represents a necrotizing metastatic lesion although superimposed infection cannot be excluded given its appearance and rapid evolution.2. Relatively s... |
Generate impression based on findings. | Reason: evaluate for evidence of disease recurrence / metastasis History: history of head and neck CA CHEST:LUNGS AND PLEURA: Numerous calcified and noncalcified micronodules unchanged from the prior exam is.No new suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: Calcified mediastinal l... | No evidence of metastatic disease. |
Generate impression based on findings. | Female; 65 years old. Reason: re-evaluation of metastatic breast cancer, on therapy History: large right breast mass CHEST:LUNGS AND PLEURA: Few scattered pulmonary micronodules are stable. No new suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Stable nonspecific thyroid nodules. No mediastinal or hilar ly... | 1. Multiple right breast masses and bilateral axillary lymphadenopathy, decreased since prior study.2. Extensive sclerotic foci in the visualized bones have increased in size and number, which is nonspecific and may be due to treated metastases and/or increased metastatic disease. Correlation with nuclear medicine bone... |
Generate impression based on findings. | Female 41 years old; Reason: Patient with chronic ileus and bilateral chronic adnexal masses, IR consult for drainage History: chronic ileus, abdominal pain ABDOMEN:LUNGS BASES: Tip of central line seen in right atrium. Small dependent bibasilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted. Patent... | 1. Bilateral mixed solid/cystic adnexal masses, appear to be exerting mass effect on adjacent thickened colon and associated with at least partial bowel obstruction as described. Findings are suspicious for neoplastic etiology, abscess formation/infection considered less likely given patient's lack of elevated WBC. 2. ... |
Generate impression based on findings. | 28 year-old female 6 months status post resection of right pleural based schwannoma. LUNGS AND PLEURA: Central airways are patent. No pneumothorax or pleural effusion. Interval resection of right upper lobe pleural-based mass with mild residual pleural thickening. Scattered nonspecific micronodules. No suspicious nodul... | Interval resection of right upper lobe pleural-based mass with residual mild pleural thickening. |
Generate impression based on findings. | Female; 6 years old. Reason: assess split renal function History: h/o of severe right sided reflux. Sequential renal images demonstrate a left kidney that is normal in size, shape, and position. The right kidney is small relative to the left. There is decreased binding of tracer in the right lower pole, which exhibits ... | 1.Decreased binding of tracer in the right lower pole with discrete thinning and reduced cortical volume. Findings may represent scarring and/or infarction in this area. 2.Mildly asymmetric split renal function, with functional decrease most pronounced in the right lower pole as quantitated above. |
Generate impression based on findings. | Male 74 years old Reason: s/p esophagectomy eval for leak History: same. Single contrast evaluation of the esophagus revealed postsurgical changes compatible with an esophagectomy without evidence of leak. Following administration of thin barium, no leak was identified. There is no evidence of distal outlet obstruction... | Status post esophagectomy; no evidence of leak or distal outlet obstruction. |
Generate impression based on findings. | The frontal sinus and frontoethmoidal recesses are clear. The anterior ethmoid air cells are clear. The posterior ethmoid air cells are clear. The maxillary sinuses are clear. The ostiomeatal units are clear. The sphenoid sinus and bilateral sphenoethmoidal recesses are clear. There is rightward nasal septal deviation... | 1. Paranasal sinuses are clear.2. Rightward nasal septal deviation. |
Generate impression based on findings. | 59 years, Female. Reason: 59yo F w/ copd, abdominal distension History: as above There is a nasogastric tube with its tip projecting over the prepyloric stomach. There is mild gaseous distention of the stomach. There are dilated loops of small bowel measuring up to 3.5 cm in diameter compatible with a small bowel obstr... | 1.Developing small bowel obstruction with dilated loops of small bowel measuring up to 3.5 cm in diameter.2.Redemonstration of lobulated high density material projecting over the right lower quadrant, presumably reflecting previously administered oral contrast. However, correlation with cross-sectional imaging is recom... |
Generate impression based on findings. | 9-year-old with history of acute lymphoid leukemia, hemophagocytic lymphohistiocytosis in remission. CT HEAD: There is interval resolution of the previously seen intraventricular hemorrhage and subarachnoid hemorrhage along the occipital lobes. There is interval increase in size of the ventricles as well as increased p... | 1. Interval resolution of the previously seen intraventricular hemorrhage as well as subarachnoid hemorrhage along the occipital lobes. 2. Interval increase in size of the ventricles with associated mild prominence of the sulci, likely representing progression of advanced parenchymal volume loss; however, a component o... |
Generate impression based on findings. | Pain at base of her left thumb, decreased ROM. Concern for fracture versus ligamentous injury. Three views of the left hand show no fracture or malalignment. | No acute fracture is evident. |
Generate impression based on findings. | Male; 55 years old. Reason: HCC please assess for bone involvement. No abnormal osseous foci are identified to indicate metastatic disease. Increased but symmetric tracer activity in the knees and shoulders is compatible with degenerative disease. | No evidence of bone metastases. |
Generate impression based on findings. | 82-year-old male with history of pharyngeal carcinoma status post chemoradiation CHEST:LUNGS AND PLEURA: No pleural effusion or pneumothorax. Tracheostomy with no debris in the central airways. Right apical and paramediastinal scarring consistent with radiation changes.No significant interval change in right basilar sc... | 1.No specific evidence of metastatic disease.2.Partially visualized postoperative changes involving the right supraclavicular region. Please refer to dedicated CT neck report for full details. |
Generate impression based on findings. | 65 year-old male patient with concern for kidney stone. Exam is not sensitive for detecting lesions in the bowel and solid organs due to the lack of oral and intravenous contrast. Given those limitations, the following observations are made:ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Ther... | 1.Trabeculated bladder with diverticula compatible with chronic outlet obstruction from enlarged prostate. 2.Bladder calculi. |
Generate impression based on findings. | Male; 34 years old. Reason: left hydronephrosis. The posterior abdominal radionuclide angiogram demonstrates mildly asymmetric perfusion of the kidneys, with relative minimal delay in tracer uptake on the left. The kidneys are normal in size, shape, and position, although the distribution of tracer within the left kidn... | Mildly dilated left collecting system and asymmetric excretion, with pronounced expected response to Lasix and subsequent clearance. |
Generate impression based on findings. | Metastatic melanoma status post 4 cycles Pembro. Please evaluate disease status and compare to prior imaging. There is interval decrease in size of a hypoattenuating right supraclavicular lymph node, which now measures 22 x 20 mm, previously 27 x 26 mm. However, there is interval increase in size of a right level 2A ly... | Interval decrease in size of the cystic or necrotic right supraclavicular lymph node, but slight interval increase in size of nonspecific bilateral level 2A lymph nodes. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 68 years, Female. Reason: evaluate stool burden History: abdominal pain, constipation Unremarkable cardiomediastinal silhouette. Bibasilar scarring. Right lung base calcified granuloma, unchanged from prior exam. There is a nonobstructive bowel gas pattern with an average to greater than average stool burden. There is ... | Average to greater than average stool burden. |
Generate impression based on findings. | Female; 53 years old. Reason: 53 y/o female on chemo. Malignant neoplasm of peritoneum/liver. History: see above CHEST:LUNGS AND PLEURA: Stable scattered pulmonary micronodules. No new suspicious pulmonary nodules or masses.Mild bibasilar subsegmental atelectasis.MEDIASTINUM AND HILA: Stable small, nonspecific bilatera... | 1. Interval decreased size in mass located just medial to the uncinate process.2. Interval decreased hepatic metastases.3. Mild right hemiabdomen mesenteric fatty stranding and peritoneal thickening in the superior right paracolic gutter is mildly increased since prior study and nonspecific; this may be due to ascites ... |
Generate impression based on findings. | 67 year old female with history of left lumpectomy in 2007 for breast cancer, status post radiation therapy, presents today for routine follow up. No current 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 sca... | 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. | Patchy hyperattenuation in the pons is likely artifactual. Otherwise, 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. The mastoid air cells are clear.... | Patchy hyperattenuation in the pons is likely artifactual. Otherwise, no evidence of acute intracranial hemorrhage or skull fracture. However, non-contrast CT is insensitive for the detection of seizure foci and MRI may be useful for further evaluation if there are no contraindications for this modality.I personally re... |
Generate impression based on findings. | 44 years, Male. Reason: resolution of SBO pattern on CT, high narcotic needs, N/V/D, h/o gastroparesis, aspiration PNA History: NA Nonobstructive bowel gas pattern. Paucity of air in the small bowel. Note is made of sternotomy wires and epicardial leads. Please refer to same day chest radiograph for thoracic findings. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 76 year-old female patient with history of lung cancer status post 8 cycles of chemotherapy. ABDOMEN:LUNG BASES: Please refer to dedicated CT chest performed the same day for complete details.LIVER, BILIARY TRACT: No suspicious hepatic lesions seen. Mildly nodular contour is not significantly changed compared to prior.... | 1.Stable examination without evidence of metastatic disease in the abdomen or pelvis.2.Please refer to dedicated chest CT for complete details concerning the thorax. |
Generate impression based on findings. | Fall, pain, ambulating. Evaluate for evidence of an acute fracture. Two views of the right hip show no acute fracture or malalignment. Minimal degenerative changes affect the hip. | No acute fracture is evident. |
Generate impression based on findings. | Primary mediastinal diffuse large B-cell lymphoma status post resections of chemotherapy. Restaging exam.RADIOPHARMACEUTICAL: 15.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 92 mg/dL. Today's CT portion grossly demonstrates several bilateral small hypodense thyroid nodules. A left chest Port-A-Cath has ... | No substantially FDG avid tumor currently. There are several small mildly hypermetabolic lymph nodes in the left neck, right mediastinum, and right pelvis which may be inflammatory or mild tumor metabolism. If the patient's prior outside PET scan can be submitted for comparison, this would be useful and an addendum wou... |
Generate impression based on findings. | 80-year-old female. Metastatic breast cancer. Needs reevaluation and compare to previous. RECIST bidimensional measurements where applicable. CHEST:LUNGS AND PLEURA: Biapical scarring. Scattered micronodules, unchanged. No new suspicious nodule.MEDIASTINUM AND HILA: Increased size of a precarinal lymph node (series 3, ... | 1. Increased size of reference hepatic lobe lesion. New subcentimeter lesion in the right hepatic lobe, too small to characterize, suspicious for metastasis.2. Mild increased size of a borderline enlarged precarinal lymph node, indeterminate.3. Extensive sclerotic bone metastases, not significantly changed. Subcentimet... |
Generate impression based on findings. | Trauma.VIEWS: Cervical spine AP/lateral (two views) 03/30/15, 1350 and 1348 Kyphosis is centered at C3. Vertebral body heights and disk spaces are maintained. No prevertebral soft tissue swelling is identified. No fracture is seen.The head is tilted to the right. | Kyphosis and head tilt are most likely positional. |
Generate impression based on findings. | Status post ALIF. Two views of the lumbar spine show bone graft cages from L2 to L5 without evidence of extension into the spinal canal. Again seen are compression fractures of T12 and L1. A marked leftward curvature of the lumbar spine is noted. | No significant interval change in bone graft cages. |
Generate impression based on findings. | 56 year old female pre liver/kidney transplant. Evaluate liver lesion, vascular patency, iliac vessels. LIVER: Replaced by innumerable cysts are again seen. GALLBLADDER, BILIARY TRACT: Status post cholecystectomy. No obvious biliary ductal dilatation.PANCREAS: Not well-visualized.SPLEEN: Normal echogenicity of the sple... | 1. Polycystic liver and kidney disease as described above. Patent hepatic inflow and outflow vasculature, although it was difficult to visualize the middle hepatic vein. 2. Splenomegaly. 3. Small amount of abdominal ascites. |
Generate impression based on findings. | Male; 35 years old. Reason: pt with met melanoma s/p 4 cycles Pembro. Please eval disease status and compare to previous imaging History: met melanoma CHEST:LUNGS AND PLEURA: Reference left lower lobe nodule measures 4 mm (series 5/156), previously 4 mm. Additional scattered pulmonary micronodules are stable. No new su... | 1. New mesenteric implant located inferior to the gallbladder fundus.2. Increased size of subcutaneous lesion adjacent to the left latissimus dorsi muscle.3. Metastatic disease elsewhere in the chest, abdomen, and pelvis is overall stable to slightly decreased. |
Generate impression based on findings. | Trauma.VIEW: Pelvis AP (one view) 03/30/15 The round, smooth femoral heads are well directed into normally formed acetabula. No fracture is present. | Normal examination. |
Generate impression based on findings. | Pain. DJD/OA. Four views of the left knee show marked medial compartment joint space narrowing. Tiny osteophytes on the undersurface of the patella are seen. No joint effusion or acute fracture is evident.Four views of the right knee show mild medial compartment joint space narrowing. Tiny osteophytes along the undersu... | Mild right and marked left knee osteoarthritis. |
Generate impression based on findings. | Metastatic lung cancer status post neck radiation therapy and chemotherapy. There is no evidence of significant residual lymphadenopathy in the neck. For example, a left level 2A lymph node measures 4 mm in short axis, previously also 4 mm. Likewise, there is minimal residual stranding in the right supraclavicular regi... | 1. No evidence of residual lymphadenopathy in the neck. 2. No significant interval change of the metastases within the partially imaged portions of the lungs, but persistent right lung consolidation. Please refer to the separate CT chest report for additional details. |
Generate impression based on findings. | Left knee pain. Four views of the left knee with weight-bearing show postsurgical changes of ACL repair. Lucency surrounding the tibial interference screw is suspicious for loosening. There is moderate joint space narrowing of the medial and lateral compartments with subchondral sclerosis. Osteophytes are seen in the p... | 1. Moderate to severe osteoarthritis.2. Lucency around the femoral interference screw is suspicious for loosening. |
Generate impression based on findings. | 76-year-old female with metastatic lung cancer status post radiation therapy and 8 cycles of MPDL3280A LUNGS AND PLEURA: Left apical nodule (series 5, image 43) measures 9 x 6 mm, unchanged.Additional index left upper lobe nodule (series 5, image 50) measures 10 x 6 mm, unchanged.Left lower lobe superior segment nodule... | No significant change in small pulmonary nodules and mediastinal nodes. Unchanged right upper lobe and paramediastinal fibrosis and volume loss compatible with radiation changes. No new sites of disease identified. |
Generate impression based on findings. | Female; 59 years old. Reason: History of metastatic breast cancer on treatment. Compare to prior imaging, evaluate for response and extent of disease. Punctate focus of radiotracer accumulation in the left eighth rib is unchanged and compatible with remote trauma. Small focus of increased activity in the right pedicle ... | No definite evidence of abnormal tracer accumulation to suggest bone metastases, although it should be noted that diffuse sclerotic lesions seen on same-day CT have no scintigraphic correlate. |
Generate impression based on findings. | Fall on ice. Evaluate for bony injury. Five views of the lumbar spine show vertebral body heights and disk spaces within normal limits. Small osteophytes project from the anterior aspects of the vertebral bodies. We see no acute fracture or malalignment. | Minimal degenerative changes without acute fracture evident. |
Generate impression based on findings. | 87-year-old female patient with CLL and frequent infections. Evaluate for lymphadenopathy. CHEST:LUNGS AND PLEURA: Scattered micronodules are again noted. Pleural based nodule in the right lower lobe currently measures 7 mm (series 4 image 65), previously 8 mm. Scattered parenchymal cysts.MEDIASTINUM AND HILA: Interval... | 1.Overall interval decrease in lymphadenopathy in the thorax, abdomen, and pelvis.2.Nonspecific small hypoattenuating lesion in the spleen is incompletely characterized. |
Generate impression based on findings. | Recurrent left knee pain status post surgical intervention for a tibial fracture many years ago. Four views of the left knee shows a sideplate and screw device affixing the proximal left tibia in near anatomic alignment without evidence of hardware complication. Mild to moderate osteoarthritis affects the lateral compa... | Post-operative and degenerative changes appearing similar to the prior study. |
Generate impression based on findings. | There is unchanged ill-defined tissue within the right post-septal intraconal orbit that is inseparable from the anterior optic nerve and extraocular muscles, as well as the posterior globe. There is unchanged right enophthalmos and a right lens implant. The orbital walls are intact. There is persistent complete opaci... | 1.Unchanged ill-defined tissue within the right orbit compatible with treated metastasis.2.Chronic left maxillary sinusitis with reactive osseous changes and new left anterior ethmoid and frontal sinus disease.3.New erosion of the left maxillary alveolus is only partially imaged on this exam and may represent extension... |
Generate impression based on findings. | 66 year old female who was recalled from screening mammogram for a possible architectural distortion lower outer quadrant in the right breast. Mammogram: An ML view and two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneous... | 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: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 74 year old female. Stage IV melanoma. Reevaluate disease status following disease progression on immunotherapy for new baseline. CHEST:LUNGS AND PLEURA: Multiple lung metastases, significantly increased in size. Reference left lower lobe lesion is 3.5 x 3.3 cm, previously 2.3 x 1.9 cm (series 5, image 41). Reference l... | 1. Significantly increased size of multiple lung metastases. Mild increase size of large splenic metastasis.2. Increased size of a necrotic perineal mass. 3. Soft tissue mass-like lesion in the anterior bladder, not well visualized due to streak artifact, and a metastatic deposit is not excluded. |
Generate impression based on findings. | Right proximal tibial resection for Ewing sarcoma. Evaluate for local recurrence. Two views of the right tibia/fibula again show post operative changes of a proximal fibular resection appearing similar to the prior study. There is no evidence of tumor recurrence. | Postoperative changes as above without radiographic evidence of tumor recurrence. |
Generate impression based on findings. | Female 79 years old Reason: primary hyperparathyroidism. please evaluate for localization History: primary hyperparathyroidism. please evaluate for localization There is physiologic distribution of the radiopharmaceutical. In the right inferior medial aspect of the thyroid there is an relatively ill-defined increase of... | Findings consistent with right inferior parathyroid adenoma, as detailed above. |
Generate impression based on findings. | Leukemia and hemophagocytic lymphohistiocytosis. Assess for residual disease. CHEST:LUNGS AND PLEURA: Linear opacities are noted in left upper lobe. These are most likely scarring or atelectasis. Few linear opacities are seen in right upper lobe. Subsegmental atelectasis is noted in the left base. No pleural effusion i... | Decrease in lung opacities. Resolved ileus. Improved appearance of the kidneys. |
Generate impression based on findings. | Male; 31 years old. Reason: Evaluate bilateral hands with finger markers please. History of frostbite mid February 2015 now w/ pain, color changes, decreased sensation. Blood flow images demonstrate symmetric perfusion to both distal forearms and hands without delay in radiotracer uptake. Blood pool images show expecte... | No evidence of vascular compromise to the bilateral distal upper extremities. |
Generate impression based on findings. | 56 year-old male patient with history of urinary tract infection. Evaluate with delayed images. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Splenic granulomata.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality no... | Unremarkable exam. |
Generate impression based on findings. | Female; 65 years old. Reason: metastatic breast cancer on treatment, has bone and visceral mets. Multiple foci of increased tracer activity are present in the right L5 vertebral body, left clavicular head, and right T5 posterior rib. These lesions are consistent with metastatic disease but not significantly changed. No... | Multifocal osseous metastases, not significantly changed. No definite evidence of new metastases, although many additional sclerotic lesions seen on CT have no corresponding scintigraphic correlate. |
Generate impression based on findings. | Acute sinusitis. There is mild bilateral maxillary sinus mucosal thickening and secretions. The other paranasal sinuses are clear. There are bilateral accessory maxillary sinus ostea. There is minimal nonspecific opacification of the left middle meatus. The nasal septum is deviated slightly to the left. The lamina papy... | Findings suggestive of acute maxillary sinusitis. |
Generate impression based on findings. | Altered mental status in chronic alcoholic 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 scattered areas of hypoattenuation in the periventricular and subcor... | 1. No evidence of intracranial hemorrhage, mass effect, or CT evidence of large vascular distribution infarct. 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. There is mild global parenchymal volume loss. There i... |
Generate impression based on findings. | Reason: characterize infiltrate, look for effusions History: lung txp w pna, effusions hx CHEST:LUNGS AND PLEURA: Status post bilateral lung transplants with the bronchial and vascular anastomoses appearing intact.Interval improvement in aeration and bilateral loculated pleural effusions with considerably less basilar ... | 1.Interval resolution of the right pectoral cysts/subtentorial hematoma.2.Interval improvement in the loculated pleural effusions and basilar atelectasis with overall improvement in aeration.3.No new focal areas of consolidation or evidence of acute pulmonary infection. |
Generate impression based on findings. | History of fall, joint effusion and point tenderness. Evaluate for fracture. Four views of the right show a moderate joint effusion. Moderate osteoarthritis affects the knee. Vertically oriented bandlike sclerosis in the distal femur likely represents osteonecrosis. | Joint effusion and osteoarthritis without acute fracture evident. |
Generate impression based on findings. | 49-year-old female without any breast complains presents for bilateral diagnostic mammogram. No family history of breast cancer. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchange... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram with tomo synthesis is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Sickle cell anemia and abdominal pain.VIEWS: Abdomen AP supine/upright (two views) 03/30/15 Cholecystectomy clips are present. Central endplate depressions at multiple vertebral levels are seen. Cardiac silhouette is mildly enlarged. No splenic shadow is identified.Bowel gas pattern is mildly disorganized. Few dilated ... | Disorganized bowel gas pattern. |
Generate impression based on findings. | 72 year-old female with recent stereotactic biopsy for benign calcifications in 2012 presents for bilateral diagnostic mammogram. Family history of breast cancer in sister and maternal aunt with ovarian cancer. Mammogram: Three standard views of both breasts and two spot magnification views off left breast were perform... | 24-mm pleomorphic calcifications in the left upper outer quadrant without sonographic correlate, need stereotactic biopsy for further evaluation. Findings and recommendations were discussed with the patient in detail.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | met breast cancer - please eval disease status and compare to previous imaging History: met breast cancer Female; 63 years old. Reason: met breast cancer - please eval disease status and compare to previous imaging History: met breast cancer CHEST:LUNGS AND PLEURA: Stable appearance of the lungs. Redemonstration of low... | 1. New moderate left hydronephrosis. Mild increase in left ureteral soft tissue thickening, most compatible with increased tumor. 2. Decreased size of an enlarged right supraclavicular lymph node, which has a cystic appearance on the current examination, likely due to treatment change.3. Grossly stable osseous metastat... |
Generate impression based on findings. | 56 years, Female. Reason: confirm NJT placement History: see above Nasojejunal tube tip has been retracted, now in the proximal jejunum, just past the ligament of Treitz. There is gaseous distention of both large and small bowel most consistent with ileus. Spinal fixation hardware unchanged. | Nasojejunal tube with tip in the proximal jejunum. |
Generate impression based on findings. | Locoregionally advanced left base of tongue base squamous cell carcinoma, currently undergoing induction chemotherapy. NECK: There are postoperative findings related to left neck biopsy. There is interval decrease in size of the conglomerate of left level 2 lymph nodes, which measures up to approximately 40 mm, previou... | 1.No measurable residual left tonsil region tumor. 2.The metastatic left cervical lymphadenopathy has decreased in size and accrued calcifications.3.No evidence for intracranial metastases. |
Generate impression based on findings. | 3-day-old female evaluate endotracheal tubeVIEWS: Chest and abdomen AP (two views) 3/30/15 UAC at T9 - T10. UVC tip in the right atrium. Endotracheal tube at thoracic inlet.Cardiac apex and stomach are right-sided. The cardiac silhouette size is normal. The liver is left-sided. The lower lumbar vertebra are hypoplastic... | Endotracheal tube at the thoracic inlet. Increasing right apical pulmonary opacity. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Male; 83 years old. Reason: prostate cancer with rising PSA. There is normal physiologic distribution of radiopharmaceutical. No abnormal osseous foci are identified to indicate metastatic disease.Areas of increased tracer activity in the lower cervical spine, right L4 vertebral body, bilateral shoulders, sternomanubri... | No evidence of bone metastases. |
Generate impression based on findings. | 63 year-old female patient with abdominal pain and sepsis. Evaluate for intra-abdominal infection. ABDOMEN:LUNG BASES: Interlobular septal thickening is noted at the bilateral lung bases.LIVER, BILIARY TRACT: Again seen are two hypoattenuating lesions in the left lobe that measure water density, compatible with simple ... | 1.Findings compatible with long segment enterocolitis involving the the ileum and proximal colon.2.Interlobular septal thickening is noted at the bilateral lung bases is nonspecific and suggestive of pulmonary edema. |
Generate impression based on findings. | 63-year-old male 7-month status post left upper lobe lobectomy for stage IA non-small cell lung cancer (well differentiated adenocarcinoma). LUNGS AND PLEURA: Unchanged postsurgical changes of a left upper lobectomy with associated mild paramediastinal pleural thickening.No pleural effusion or pneumothorax. Central air... | Postoperative changes of a left upper lobectomy without evidence of local recurrence or metastatic disease. |
Generate impression based on findings. | 63 year-old female patient with persistent leukocytosis status post heart transplant. Evaluate for abscess. Left lung consolidation seen on prior chest radiograph. Note that significant patient motion and lack of intravenous contrast limits evaluation. Given these limitations the following observations are made:CHEST:L... | 1.Limited examination with postsurgical changes from heart transplant with pericardial effusion without evidence of tamponade.2.Left pleural effusion.3.Thick walled stomach. Correlate clinically for gastritis. |
Generate impression based on findings. | 5 year old ex 26 week male with prior anoxic brain injury, ESRD, DI, now presenting with altered mental status that improved with antibiotics and fluid. There is no evidence of acute intracranial hemorrhage. There is unchanged extensive volume loss involving the cerebellum and brainstem. The ventricles are minimally di... | 1.No evidence of acute intracranial hemorrhage or change in ventricular size. 2.Unchanged extensive volume loss involving the cerebellum and brainstem.3.Unchanged mild low-attenuation within the periventricular white matter is nonspecific, but may represent chronic periventricular leukomalacia. I personally reviewed th... |
Generate impression based on findings. | Reason: avulsion fracture History: diffuse knee pain with ttp over mcl and effusion 1 day post fall Four views of the right knee demonstrate a small joint effusion, without underlying acute fracture or malalignment. The joint space is preserved. | Small joint effusion, without evidence of avulsion fracture or malalignment. If further imaging is clinically warranted, consider MRI. |
Generate impression based on findings. | Reason: h/o trauma, eval for fracture, osteo. Two views of the right tibia/fibula demonstrate no acute fracture. Mild osteoarthritis affects the ankle. Small ossicles distal to the medial and lateral malleoli may reflect old trauma. Small ossicles overlie the knee joint, which may represent intra-articular loose bodies... | Soft tissue wound of the left leg and degenerative arthritic changes, without evidence of acute fracture or osteomyelitis. |
Generate impression based on findings. | History of left mastectomy for breast cancer in 1985. No new breast complaints Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No dominant mas... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Reason: compression fracture History: b/l neck pain Two views of the cervical spine demonstrate severe degenerative disk disease affecting C5-6, and mild degenerative disk disease affecting C6-7. There is multilevel mild facet joint osteoarthritis. Grade 1 anterolistheses of C3 and C4. There straightening of the cervic... | Degenerative arthritic changes, without evidence of compression fracture. If there is strong clinical concern for fracture, CT is recommended. |
Generate impression based on findings. | 69-year-old female with right shoulder pain. Three views of the right shoulder demonstrate slight demineralization of the bones. Mild osteoarthritis affects the acromioclavicular joint, with associated spurring of the anterior aspect of the acromion. Deformity of the right second rib may represent an old fracture. The ... | Mild acromioclavicular joint osteoarthritis. No fracture or dislocation is evident. |
Generate impression based on findings. | Male; 2 years old. Reason: History of medulloblastoma s/p autologous transplant, here for evaluation pre-transplant # 2. The patient’s weight of 11 kg and height of 92 cm were used for all calculations.Raw GFR = 36 mL/minBSA = 0.559 m2Estimated GFR/m2 = 64 mL/min/m2Estimated GFR/m2 * 1.73 m2 (average adult BSA) = 110 m... | GFR measurements as above. |
Generate impression based on findings. | Reason: R distal femur lesion, s/p fall with improving pain, evaluate underlying lesion for interval changes History: Right knee pain Two views of the right femur are provided. There is a geographic lucent lesion in the distal femoral metadiaphysis, which results in mild expansile remodeling of the femur, particularly ... | Large lucent lesion of the distal femur, with expansile remodeling and periosteal reaction, as described above. While the relatively well-defined and partially sclerotic margins as well as expansile remodeling could indicate a benign lesion (e.g., large fibroxanthoma, aneurysmal bone cyst, chondromyxoid fibroma or desm... |
Generate impression based on findings. | 3-day-old female with dextrocardia LIVER: The liver is left-sided. Otherwise there is no significant abnormality. Liver measures 6.2 cm in length. The hepatic parenchyma is normal in echogenicity.GALLBLADDER, BILIARY TRACT: The gallbladder is present there is a minimal amount of pericholecystic fluid, likely secondary ... | Situs inversus. |
Generate impression based on findings. | 66-year-old male with base of tongue cancer status post chemoradiation therapy CHEST:LUNGS AND PLEURA: Central airways are patent. No pneumothorax or pleural effusion.Scattered foci of tree in bud nodules in the right upper and superior segment of the right lower lobes. Improving atelectasis of the right middle lobe. I... | New tree in bud opacities in the right upper and superior segment of the right lower lobe compatible with aspiration/bronchiolitis. Significant interval improving of basilar atelectasis. No evidence of metastatic disease. |
Generate impression based on findings. | 67-year-old male patient with shortness of breath and worsening ascites. Restaging of metastatic prostate cancer. ABDOMEN:LUNG BASES: New small right pleural effusion with overlying atelectasis. Micronodules are again noted and not significantly changed compared to prior. Reference left lower lobe nodule is unchanged i... | 1.Interval progression of disease with mild interval increase in size of pancreatic mass and significant increase in ascites. 2.Mildly increased right hepatic dome lesion and subcentimeter lesion in the liver concerning for progression of metastases.3.Peritoneal nodules compatible with carcinomatosis.4.Stable left adre... |
Generate impression based on findings. | 47-year-old female with a recent stereotactic biopsy of the right breast demonstrating FEA and columnar cell change, and a strong family history breast cancer are presents for bilateral diagnostic mammogram. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breas... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram with tomosynthesis is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 53-year-old female with slurred speech. 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 a subcentimeter left maxillary sinus retention cyst. T... | No evidence of acute intracranial hemorrhage or mass effect. Please note that CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report... |
Generate impression based on findings. | 11 year old female with left flank painVIEWS: Chest AP, abdomen AP, abdomen upright(3 views) 3/30/15 at 1508 The cardiothymic silhouette is normal. No focal pulmonary opacities. No pleural effusion or pneumothorax.Nonobstructive bowel gas pattern. Moderate to large amount of stool is present. No pneumatosis, free air, ... | Normal examination of the chest. Moderate to large amount of stool. |
Generate impression based on findings. | 19 year-old male with swelling and painEXAMINATION: Right tibia-fibula AP, lateral; right knee AP, oblique, lateral (5 views) 3/20/15, 1428 Small joint effusion. No fracture or malalignment. In the distal femoral metadiaphysis there is a lobulated lucent lesion with well-defined sclerotic borders measuring up to 2.6 cm... | Distal femoral metadiaphyseal lucent lesion with well-defined sclerotic borders representing a nonossifying fibroma. |
Generate impression based on findings. | Increasing abdominal distention. ABDOMEN:LUNG BASES: Small bilateral pleural effusion is identified. Dependent opacities are present bilaterally left greater than right. Septal occluder device is in place. Central line tip is in right atrium.LIVER, BILIARY TRACT: Enhancement is normal. Gallbladder is distended and norm... | No bowel obstruction. Majority of dialysate in retroperitoneum. Rickets. |
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