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Generate impression based on findings. | 77 years, Male. Reason: eval for obstruction History: nausea, emesis There is a nonobstructive bowel gas pattern. Gastrostomy tube projects over the left upper quadrant. Previously administered oral contrast opacifies the colon. Bibasilar atelectasis/scarring. Low lung volumes. Esophageal stent in place with tip termin... | There is a nonobstructive bowel gas pattern. |
Generate impression based on findings. | Male, 7 years old. Pain, fractureVIEWS: Left clavicle AP, axial (2 views) 3/30/15, 2129 Linear lucencies along the mid clavicle are again seen, unchanged from prior, with angulation and inferior positioning of the lateral clavicle.No acute fracture or malalignment. | Unchanged linear lucencies in the mid clavicle compatible with sequela of prior fracture. |
Generate impression based on findings. | Female, 89 years old, hypertensive and lethargic. Assess for hemorrhage. A new subdural collection is evident along the right cerebral hemisphere with mixed areas of high and low attenuation. This collection measures up to 18 mm in the coronal plane and results in significant generalized mass effect including 11 mm of ... | 1.Large mixed attenuation subdural hemorrhage along the right cerebral hemisphere resulting in significant generalized mass effect.2.A small focus of acute ischemia, visualized on the prior MRI, is now apparent in the posterior limb of the left internal capsule. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Aunt with cancer. Two standard digital views with tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. No suspicious masses, microcalcifications or areas of architectural dist... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. If patient submits prior mammograms, an addendum will be issued.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are digital mammographic images (3/11/15), ultrasound images of left breast (3/11/15), Images from ultrasound guided biopsy of left breast and post-procedural left mammographic images (3/11/15) performed at Northwestern Memorial Hospital. For comparison... | Biopsy proven malignancy in the left breast. MRI from outside hospital will be dictated separately.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Reason: eval for sinusitis, r/o Wegener's History: perf septum, hemoptysis / epistaxis, dilated cardiomyopathy Study is limited by streak artifact from dental fillings. There is mild mucosal thickening of the right maxillary sinus. There is left maxillary sinus mucous retention cyst. Stranding debris in the nasal passa... | 1.No convincing evidence of active sinus disease.2.Nasal septal defect, which could reflect Wegener's granulomatosis, among many other possibly etiologies. |
Generate impression based on findings. | 66-year-old male patient with rectal pain and concern for abscess. PROSTATE, SEMINAL VESICLES: Enlarged prostate, measuring up to 5.3 cm.BLADDER: No significant abnormality noted.LYMPH NODES: No significant pelvic lymphadenopathy.BOWEL, MESENTERY: There is a rim enhancing perirectal fluid collection the measures approx... | Perirectal fluid collection with possible fistulous communication with the anus bilaterally. MRI is recommended to better evaluate for fistula. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views with tomosynthesis of both breasts were performed 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 suspicious masse... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Numbness of the left arm and left hand for one year. Question of DJD with cervical entrapment. Six views of the cervical spine show no acute fracture. Alignment is anatomic. Vertebral body heights and disk spaces are preserved. | No specific radiographic findings to account for the patient's symptoms. |
Generate impression based on findings. | There is enhancement of the labyrinthine, geniculate, tympanic and mastoid segments of the right facial nerve. The internal auditory canals are symmetrical and normal in size and signal intensity. The inner ears are normal, with normal T2 signal and no pathological enhancement. No abnormal mass is seen within the cere... | 1. Right facial nerve enhancement, which may be an inflammatory or post-infectious phenomenon. No obvious abnormality of the vestibulocochlear nerve or internal auditory canals. 2. Patchy opacification of the right mastoid air cells, which may reflect inflammation.3. Mild to moderate chronic small vessel ischemic chang... |
Generate impression based on findings. | 51 year year-old female status post mastectomy and adjuvant chemotherapy for invasive ductal carcinoma and Paget's disease in 2009, presents today for routine follow up. No current breast complaints. Breast cancer in mother. Three standard views of the left breast were performed digitally and reviewed with the aid of R... | Stable left breast masses and calcifications without 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 - Diagn... |
Generate impression based on findings. | Male 35 years old; Reason: appendicitis History: rlq pain, anorexia ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, UR... | 1.Short segment ascending colitis, favor secondary to diverticulitis with microperforation. |
Generate impression based on findings. | Female; 34 years old. Reason: rule out fluid collection History: fecal peritonitis, persistent leukocytosis ABDOMEN:LUNG BASES: Persistent small pleural effusions with nonspecific bibasilar atelectasis/consolidation, right greater than left, similar to prior study.LIVER, BILIARY TRACT: No significant abnormality notedS... | 1. Expected postsurgical changes from small bowel obstruction repair with right lower quadrant diverting loop ileostomy. Nonspecific high density ascites, most likely due to postoperative change. No well-formed, loculated fluid collections to suggest intra-abdominal or pelvic abscess.2. Persistent small pleural effusio... |
Generate impression based on findings. | Male, 58 days old. With recurrent right congenital diaphragmatic hernia into thepericardium, Status post repeat diaphragmatic repair with CorMatrix. Gastrostomy tube placement. Evaluate for pneumothorax.VIEWS: Chest and abdomen AP (two views) 3/30/15, 2116 ET tube tip below the thoracic inlet and above the carina. Gast... | Small right pneumothorax. Disorganized bowel gas pattern and postoperative pneumoperitoneum. |
Generate impression based on findings. | new SDH and ICH NONCONTRAST CT HEADNo change of right middle and inferior temporal gyri ICH and SDH since prior exam.Ventricle size appears to be stable.The ventricles, sulci, and cisterns are symmetric and unremarkable. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. CTA... | 1. No change of the size and configuration of right temporal lobe ICH and SDH since prior exam.2. Right PCA P2 and P3 segments appear to be a bit larger than those of the left side, this could be related to adjacent venous structure.3. No definitive evidence of intracranial arterial aneurysm nor arteriovenous shunting. |
Generate impression based on findings. | 48 year-old male with chest pain and dyspnea CHEST:LUNGS AND PLEURA: Central airways are patent. No pleural effusion or pneumothorax.Scattered punctate, calcified micronodules are similar to the prior exam. Scarring/atelectasis at the dependent lung bases. Mild bronchial wall thickening.Focal groundglass opacity in the... | 1.Increased intraperitoneal soft tissue density and inflammatory change surrounding the LVAD drive line is suspicious for infection extending to the skin surface. No specific evidence of a mediastinal or intraperitoneal fluid collection.2.Sessile thrombus within the efferent cannula of the LVAD is unchanged from prior ... |
Generate impression based on findings. | Female, 89 years old, with subdural hemorrhage status post evacuation. Since the prior examination, a wide right calvarial craniotomy has been performed. The right-sided subdural hemorrhage has been partially evacuated with a significant reduction in the thickness of the residual blood. Trace layering subdural blood re... | Interval evacuation of the right hemispheric subdural hemorrhage with significant reduction in quantity of blood product and marked improvement in generalized parenchymal mass effect. |
Generate impression based on findings. | 8-year-old male patient with free air seen on noncontrast CT and concern for bladder injury. ABDOMEN:LUNG BASES: Medium-sized right pleural effusion with overlying atelectasis. Left basilar atelectasis. Cardiomegaly and pericardial effusion again noted without evidence of tamponade. Cardiac pacer leads are incompletely... | 1.Extravasation of contrast at the bladder neck with fluid in the pelvis that is favored to be extraperitoneal.2.Right renal lesion suspicious for neoplasm.Findings discussed with Dr. Desai via telephone at 9:35 AM on 3/31/2015. |
Generate impression based on findings. | 22-year-old male with sickle cell with knee painVIEWS: Right knee AP, lateral, oblique; pelvis AP, frog leg (5 views) 3/30/15 at 1721 Right knee: No fracture or malalignment. No joint effusion. Subtle rounded lucency along the weight-bearing surface of the medial femoral condyle may represent a early osteochondral defe... | Subtle rounded lucency along weight-bearing surface of the medial femoral condyle may represent an early osteochondral defect. MRI is recommended for further evaluation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Daughter and two paternal aunts with breast cancer. Two standard digital views with tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution.... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | The left frontal ventriculostomy catheter has been removed. There is a small amount of pneumocephalus in the frontal horn of the left lateral ventricle, otherwise ventricular size is stable from the prior examination. There is slight decrease in attenuation, otherwise no significant change in the right thalamic hemato... | 1.Interval removal of ventriculostomy catheter without significant change in ventricular size.2.Minimal interval evolution in but stable size of right thalamic hematoma with intraventricular extension and minimal subarachnoid hemorrhage. |
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. Benign intramammary lymph nodes are noted in bilateral upper outer quadrants. No suspi... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views with tomosynthesis of both breasts were performed 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. Few benign calcific... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Evaluate for infection, instability. History of esophageal cancer, status post resection and C3 to C6 anterior/posterior spinal fusion, now with severe neck pain, likely C6-C7 instability.Per chart, hx of laryngeal ca s/p laryngectomy '06 and RT '05 at OSH with many complications including TE fistula s/p repair in 2013... | 1. Postoperative changes in the cervical spine including C4-5 corpectomy, C3-6 anterior fusion and C3-6 posterior fusion. Compared to 12/17/2014, interval collapse of the C6-7 disc space and lytic changes involving the inferior C6 and superior C7 vertebral bodies noted with some loss of height, worse at C6 than C7. The... |
Generate impression based on findings. | Reason: eval fungal infection History: fever, cancer, h/o fungal infections There are postoperative changes of sinonasal surgery and debridement. There is interval improvement of the sinus opacifications with residual right maxillary sinus mucosal thickening and scattered right ethmoid air cell opacification. There is ... | Continued interval improvement of the sinonasal disease. No evidence of active aggressive fungal infection. |
Generate impression based on findings. | 31-year-old female with history of shortness of breath and right-sided chest pain. History of PE in the past. PULMONARY ARTERIES: No evidence of acute pulmonary embolus.LUNGS AND PLEURA: Minimal bibasilar atelectasis. No pleural effusions or consolidations.MEDIASTINUM AND HILA: The heart size is normal with no pericard... | 1. No evidence of acute pulmonary embolus.2. Subcentimeter oval lesion in the 4 o'clock position in the left breast 4 cm from the skin surface. This is likely benign given patient's age and appearance, however can be evaluated with ultrasound if clinically warranted.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not appl... |
Generate impression based on findings. | Female, 34 years old, with painful orthopedic implants, assess fusion status, implant position versus blood vessels. Instrumented left lateral fusion of T10 through L2 is demonstrated. A single vertebral body screw is present at each of these levels, affixed to a lateral stabilization rod. The screws are well seated wi... | Evidence of lateral instrumented fusion is seen from T10 through L2. Orthopedic instrumentation is well positioned. Some degree of osseous fusion has likely occurred through the operative region with bony buttressing along the fusion instruments and fusion of the facets. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Milky bilateral nipple discharge for 21 years. History of head and neck cancer right side of tongue at age 38 in remission. Maternal aunt with breast cancer. Two standard digital views of both breasts and additional bilateral MLO and right CC views were pe... | 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. | There has been interval removal of ventriculostomy catheter without significant change in ventricular size. A hematoma in the left posterior parietal lobe extending into the left lateral and third ventricles appears similar to the prior examination when accounting for differences in positioning. The degree of surround... | 1.Removal of ventriculostomy catheter without significant change in ventricular size.2.Stable appearance of left posterior parietal hematoma extending into the left lateral and third ventricles.3.Stable mass effect and rightward midline shift. |
Generate impression based on findings. | 15-year-old male, right PICC placementVIEW: Chest AP (one view) 3/30/15 at 1746 Right PICC with tip in the expected location of the SVC.Marked right cervical thoracic dextroscoliosis is present with left thoracolumbar curve. The heart is in the right hemithorax. No focal lung opacity. | Right PICC in the expected location of the SVC. |
Generate impression based on findings. | Status post left frontal approach ventricular shunt catheter revision. Radiopaque portion of the shunt is intact. There is interval decrease in the size of left and right lateral ventricles. Stable encephalomalacia in the right basal ganglia and thalamus demonstrate. Stable dysmorphic corpus callosum and left frontal ... | Status post shunt revision. Interval decrease in the size of the ventricles. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural di... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 64 years, Male. Reason: NG tube adjustment History: NG tube NG tube has been advanced with the tip now terminating in the fundus of the stomach with the side port above the GE junction. Mild gaseous distention of the small bowel with gas in the colon most suggestive of ileus. | NG tube tip terminating in the fundus of the stomach with the side port above the GE junction. Gas pattern most suggestive of ileus. |
Generate impression based on findings. | Female; 38 years old. Reason: concern for complication of pancreatitis v other etiology of abdominal pain History: abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hepatic steatosis. Focal fat deposition along the falciform ligament noted. Normal CT appearance of the gallbladder.... | Findings compatible with uncomplicated acute pancreatitis without evidence of necrosis or hemorrhage. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views with tomosynthesis 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, microc... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 64 years, Male. Reason: NG tube placement History: NG tube placement There is a nasogastric tube with its tip projecting over the distal esophagus. The pelvis is excluded from the field of view. | There is a nasogastric tube with its tip projecting over the distal esophagus. |
Generate impression based on findings. | Female 72 years old; Reason: SBO esophageal/pyloric stenosis History: acute onset abd pain, hx of SBO x2, pyloric stenosis ABDOMEN:LUNG BASES: Scattered emphysematous bullae. Bibasal bronchiectatic changes.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No signi... | 1. Findings compatible with at least partial small bowel obstruction, likely secondary to adhesions. 2. Gastric distention. While this can be seen with rapid ingestion of oral contrast, this may relate to patient's known pyloric stenosis. |
Generate impression based on findings. | Reason: head and neck cancer/ per protocol scans History: see above CHEST:LUNGS AND PLEURA: Postop changes are identified compatible with a prior right lower lobectomy.Previous noted right upper lobe nodule (image 35 series 4) measures 6 mm x 4 mm previously measuring 6 mm x 5 mm.Additional small nodular opacities in r... | Stable exam with scattered nodules likely representing prior aspiration/infection. No new pulmonary nodules or new sites of disease identified. See dedicated CT of the head and neck for further evaluation. |
Generate impression based on findings. | 66-year-old male with history of tracheal stenosis and shortness of breath. LUNGS AND PLEURA: There is moderate apical predominant centrilobular emphysema. Moderate bronchial wall thickening most predominant at the bases. There is increasing bilateral dependent atelectasis, small pleural effusions, and smooth interlobu... | 1. Moderate tracheal narrowing just inferior to the tracheostomy site measuring down to 4 mm in width, appearing similar to the prior study.2. Moderate to severe emphysema with increasing bilateral pleural effusions, basilar atelectasis, and mild edema.3. Stable right upper lobe scarlike opacity for which 3-6 month fol... |
Generate impression based on findings. | Female; 87 years old. Reason: r/o aortic dissection History: chest pain radiating to back CT ANGIOGRAM: No acute aortic dissection or rupture. Normal caliber of the thoracic aorta. Small aortic ductus diverticulum is noted (sagittal series 80712/60). Mild atherosclerotic calcifications of the thoracic aorta and its bra... | 1. No acute aortic dissection or rupture.2. Severe emphysema. |
Generate impression based on findings. | 6-year-old male with increased work of breathingVIEW: Chest AP (one view) 3/31/15 at 0436 Endotracheal tube tip is above the carina. Left upper extremity PICC has its tip in superior vena cava. Feeding tube tip is past the GE junction. Cardiothymic silhouette is enlarged. Mild opacities in the lung bases, improved over... | Continued improvement in lung opacities. Stable cardiothymic silhouette. |
Generate impression based on findings. | Clinical question: Evaluate hydrocephalus and ICH. Signs and symptoms: ICH. Nonenhanced head CT:Ventricle is within normal size and with subtle interval decreased hemorrhage since prior exam.Stable size of supratentorial ventricular system since prior study and stable left frontal approach ventricular catheter which tr... | 1.No convincing evidence of any acute or new finding since exam.2.Stable nondilated supratentorial ventricular system and a left frontal approach ventricular catheter as detailed.3.Stable extensive postoperative changes of left hemispheric hematoma evacuation and residual edema/blood product. |
Generate impression based on findings. | 38 years, Female. Reason: concern for abdominal catastrophe History: abdominal pain The pelvis is excluded from the field of view. Nonobstructive bowel gas pattern. No evidence of subdiaphragmatic free air. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 51-year-old male with tonsillar squamous cell carcinoma status post CRT CHEST:LUNGS AND PLEURA: Central airways are patent. No pleural effusion or pneumothorax.No focal consolidation. No suspicious nodule or mass.MEDIASTINUM AND HILA: The heart size is normal. No pericardial effusion.No significant mediastinal or hilar... | 1.No evidence of metastatic disease.2.A 7 mm calculus is in the proximal right ureter with mild proximal hydroureter. Findings discussed with Dr. Villaflor at 1039 on 3/31/15. |
Generate impression based on findings. | 80 year old female with history of lung cancer status post resection in 2005. CHEST:LUNGS AND PLEURA: There is moderate to severe apical predominant emphysema. Volume loss and postsurgical changes in the left upper lobe from prior wedge resection. No evidence of local recurrence. Right lower lobe subpleural ground glas... | 1. No evidence of local recurrence in the left upper lobe.2. Stable right lower lobe subpleural and anterior mediastinal nodules. Continued annual followup is recommended. |
Generate impression based on findings. | 62 years, Male. Reason: DHT tip location History: new DHT Nonobstructive bowel gas pattern. There is a Dobbhoff tube with its tip projecting over the prepyloric stomach. IVC filter position is unchanged. Multilevel vertebroplasty is again evident. Right percutaneous cholecystostomy catheter unchanged in position. Recta... | Dobbhoff tube tip projects over the prepyloric stomach. |
Generate impression based on findings. | Clinical motion: Evaluate ventricles. Signs and symptoms: Clamped EVD, IVH. Nonenhanced head CT:A large acute hematoma in the pons and surrounding vasogenic edema and mass effect on the fourth ventricle demonstrate no change since prior study. Images through the supratentorial space demonstrate a stable normal size of ... | 1.Stable normal size of shunted ventricular system and a ventricular catheter since prior exam.2.Stable large acute pontine hematoma, surrounding vasogenic edema and mass effect. |
Generate impression based on findings. | Significant stool burden and bowel cleanout. History of Hodgkin lymphoma and abdominal pain.VIEW: Abdomen AP (one view) 03/31/15, 0828 and 0829 A small amount of feces is present in ascending colon. The rest of the colon contains a trace amount. A few mildly dilated bowel loops are noted. | Small amount of feces in ascending colon. |
Generate impression based on findings. | Clinical question: Newly diagnosed advanced lung cancer. Evaluate for brain metastases. Signs and symptoms: None. Enhanced head CT:Examination demonstrate no evidence of abnormal parenchymal or leptomeningeal enhancement to suggest metastatic disease. There is a slight prominence of current plexus enhancement in the ri... | 1.Slight prominence of enhancing in the anterior right temporal horn compared to left likely representing choroid plexus. To entirely exclude an unusual presentation of intraventricular metastatic lesion follow-up with an MRI is recommended.2.Unremarkable enhanced head CT otherwise. |
Generate impression based on findings. | Peroneal muscular atrophy. Charcot-Marie-Tooth disease.VIEW: Pelvis standing AP (one view) 03/31/15 Femoral heads are well directed into normally formed acetabula. Right iliac crest is lower than left.A small to moderate amount of feces is present in the rectosigmoid. | Femoral head is well directed into the acetabula. Right lower extremity appears shorter than left. |
Generate impression based on findings. | 58 year old with history of left lumpectomy and radiation therapy in 2011 for DCIS. History of breast cancer in paternal aunt. No new breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is mostly fatty replaced. Stable postsurg... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 7-month-old female intubated with respiratory failure.VIEW: Chest AP (one view) 3/31/15 at 0425 Endotracheal tube tip is between the thoracic inlet the carina. Feeding tube tip in proximal sidehole are within the stomach. Lower charity PICC tip likely in the intrahepatic IVC. Left chest tube in place, appearing kinked ... | Persistent left pneumothorax and pneumomediastinum/pneumopericardium. Left chest tube is kinked just proximal to the pigtail, which may impair some functioning. |
Generate impression based on findings. | 28 year old who underwent breast ultrasound in 2013 at Northwestern Memorial Hospital, in which fibroadenoma was detected and recommended follow-up study, presents for ultrasound follow up. No prior images are available at the time of this study. Patient does not recall the location of fibroadenoma. Patient has no palp... | No sonographic evidence for malignancy. As long as physical examination remains unremarkable, screening mammogram is recommended at age 40. Results and recommendations were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 52-year-old male. Metastatic lung cancer. Follow-up of chest findings. Stabbing pain in the LLQ abdomen intermittently. Evaluate for changes from prior. ABDOMEN:LUNG BASES: See separately dictated CT chest report.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No ... | No evidence of metastatic disease in the abdomen or pelvis. No specific findings to explain the left lower quadrant abdominal pain. |
Generate impression based on findings. | Clinical question: Rule-out cerebral vascular accident. Signs and symptoms: Rule-out cerebral vascular accident. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokesslight prominence of cortical sulci and supratento... | 1.Unremarkable nonenhanced head CT. 2.CT is insensitive for early detection of acute nonhemorrhagic ischemic strokes. |
Generate impression based on findings. | Subglottic stenosis on prior CT. There is a midline tracheostomy soft tissue defect. The previously noted subglottic stenosis just distal to the tracheostomy defect now measures 17 x 10 mm, previously 12 x 8 mm. There is a right tracheal diverticulum. There is no evidence of mass lesions or significant cervical lymphad... | Mild interval improvement in previously noted subglottic stenosis. Please refer to the separate chest CT report for additional details. |
Generate impression based on findings. | 40 year old female presents routine screening mammography. Had 2 episodes of spontaneous clear discharge 2 months ago from right breast. 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 ... | 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 74 years old; Reason: stones ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Tiny splenule.PANCREAS: Fatty atrophy of pancreas. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: The largest stone again measures 7 mm and is locate... | 1. The largest stone again measures 7 mm and is located in the upper pole of the right kidney, there is new mild focal pelvocaliectasis above this stone, may be clinically insignificant/asymptomatic but correlation with patient's symptoms recommended. No significant hydronephrosis or perinephric stranding seen on right... |
Generate impression based on findings. | 10-year-old male post operative imageVIEWS: Left humerus AP external rotation (one views) 3/31/15 Bubbly lucency with endosteal scalloping expands the proximal humeral metadiaphysis. This lucency does not cross the physis and is consistent with a unicameral bone cyst. K wire projects over the length of the unicameral b... | Unicameral bone cyst with intraoperative changes. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Sister with breast cancer. Two standard digital views with tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. No suspicious masses, microcalcifications or areas of architect... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 57 year old with history of wire localization and excisional biopsy for fibroadenomatous changes associated with calcifications in the left breast. No new breast complaints. History of breast cancer in maternal aunt and maternal second cousin. Three standard views of both breasts were performed digitally and reviewed w... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 69-year-old male. Microscopic hematuria. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffuse mild fatty infiltration of the liver. No biliary ductal dilatation. No focal mass.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Bilateral adrenal... | Enlarged prostate with diffuse mild bladder wall thickening likely from chronic outlet obstruction. No suspicious renal or ureteral mass. No urinary tract stones. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views with tomosynthesis 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, microc... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed 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 suspicious masses, microcalcificati... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views with tomosynthesis 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. Few benign scattered calcifi... | 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. | 59 year old with history of right lumpectomy for IDC in 2008. Patient received radiation, chemotherapy and tamoxifen. No new breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular elements, ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Surgery for distal radial growth arrest.VIEWS: Left wrist PA/lateral (two views) 03/31/15 The splint has been removed.Round lucency bridging the medial aspect of the central and posterior radial physis is again seen. The Madelung deformity persists. Ossification adjacent to ulnar styloid is unchanged. | Postoperative changes with no evidence of complication. |
Generate impression based on findings. | Male; 49 years old. Reason: castleman's disease History: abdominal pain CHEST:LUNGS AND PLEURA: Mild nonspecific bibasilar atelectasis/consolidation.MEDIASTINUM AND HILA: Mild mediastinal lymphadenopathy is not significantly changed. Reference left paratracheal lymph node measures 5 mm in short axis, previously 6 mm (s... | Slightly increased retroperitoneal lymphadenopathy with new mild retroperitoneal fatty stranding diffusely, likely related to the patient's known Castleman's disease. Otherwise, no significant interval change. |
Generate impression based on findings. | 31-year-old female patient status post recent salpingectomy for ruptured ectopic pregnancy presents with abdominal pain. ABDOMEN:LUNG BASES: A 4-mm right lower lobe nodule is unchanged from prior examination (series 4 image 19).LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality no... | 1.Expected postsurgical changes without acute intra-abdominal pathology. 2.Likely corpus luteum cyst noted in the right ovary. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views with tomosynthesis 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, microc... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Possible left oval mass in retroareolar region measuring 9 mm. No microcalcifications ... | Possible 9mm left retroareolar mass. Comparison with prior mammograms is recommended. If patient cannot submit prior mammograms for comparison, further evaluation with spot compression views and possible ultrasound is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FO... |
Generate impression based on findings. | Female; 17 years old. Reason: Evaluate for median arcuate ligament syndrome History: abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant a... | Marked focal narrowing of the celiac artery compatible with median arcuate ligament syndrome as detailed above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views with tomosynthesis of both breasts were performed 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 suspicious masse... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 22 year old with bilateral breast pain. Whole breast ultrasound was performed for both breasts. No solid or cystic lesions are detected in either breast. | No sonographic evidence of malignancy. Pain should be managed clinically. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 52-year-old male with history of metastatic lung cancer (adenocarcinoma with brain mets). LUNGS AND PLEURA: Right lower lobe infrahilar mass measures 4.3 x 2.0 cm, previously 4.8 x 2.1 cm (image 73 of series 5). Subpleural right middle lobe nodule measures 6 x 5 mm, previously 7 x 7 mm (image 87 of series 5). Scattered... | Stable to slight decrease in size of right lower lobe mass and right middle lobe nodule. No new sites of disease identified. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Mother with breast cancer. Two standard digital views of both breasts and additional left MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distr... | 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. | Cirrhosis status post TIPS, evaluate for flow and for HCC LIVER: Liver measures 16.3 cm. Markedly heterogeneous parenchymal echotexture with nodular contour, compatible with cirrhosis. Right hepatic mildly complex cystic focus measuring 2.5 x 2.2 x 2 cm, nonspecific. Additional right hepatic cyst seen measuring 2.1 x 1... | 1. Cirrhotic morphology of liver, evaluation for solid parenchymal lesion suboptimal due to degree of heterogeneity of liver parenchyma. Right hepatic mildly complex cystic focus measuring 2.5 x 2.2 x 2 cm, nonspecific, additional right hepatic simple cyst seen. If there is continued clinical concern, further evaluatio... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast biopsy. Two standard digital views with tomosynthesis 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 dist... | 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. | 77-year-old male. Stage IV melanoma. Reevaluate disease status following drug intolerance. Compare to previous scan and provide bidimensional measurements. CHEST:LUNGS AND PLEURA: Stable scattered micronodules, likely postinflammatory. Mild dependent atelectasis.MEDIASTINUM AND HILA: Reference aortopulmonary lymph node... | Stable examination with no new sites of disease. |
Generate impression based on findings. | 55-year-old male patient with metastatic pancreatic cancer currently on therapy/clinical trial. Please compare to prior examination. CHEST:LUNGS AND PLEURA: Again seen are multiple bilateral pulmonary metastases, not significantly changed compared to prior.Reference left upper lobe lung nodule currently measures 2.2 x ... | Stable pulmonary metastases and pancreatic tail/splenic lesions as detailed above. |
Generate impression based on findings. | Male, 2 months old. IntubatedVIEW: Chest AP (one view) 3/31/15, 0952 Interval exchange of ET tube, with tip at the level of the carina.The cardiothymic silhouette is normal.New hyperexpansion of the left lung, with right lung base atelectasis.No pneumothorax or pleural effusion. | New hyperexpansion of the left lung, with right lung base atelectasis may be related to aspiration/mucus plugging or ET tube placement. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Left breast benign biopsy in 1961. Two standard digital views with tomosynthesis 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 distrib... | 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. | 13-year-old male with fracture of fifth metacarpal base. Comminuted, predominantly oblique fracture of the base of the fifth metacarpal. The fracture involves the fifth carpometacarpal joint. The medial fracture fragment is minimally displaced. The fracture does not appear to extend into the diaphysis of the fifth meta... | Comminuted, predominantly oblique fracture of the base of the fifth metacarpal. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography.History of breast cancer in mother diagnosed in her 60s. Three standard digital views of both breasts with tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distrib... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | prior SAH with recent severe headache, prior CTA and Diagnostic angiography were negative. NONCONTRAST CT HEADNo evidence of acute ischemic or hemorrhagic lesion on this scan.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, ede... | 1. No evidence of acute ischemic or hemorrhagic lesion on this scan.2. No evidence of intracranial arterial aneurysm or evidence of arteriovenous shunting.Comment: After reviewing prior CT scan and Catheter angiography, the patient had non-typical perimesencephalic hemorrhage with negative initial DSA. Current CTA is n... |
Generate impression based on findings. | Reason: left upper arm above the elbow History: r/o disrupted triceps, felt a pop in left upper arm just above elbow when lifting a pt.. Now pain with movement Four views of the left elbow demonstrate normal anatomic alignment. There is no significant soft tissue swelling or joint effusion. No acute fracture is identif... | No acute fracture or significant joint effusion. |
Generate impression based on findings. | 41 year old with biopsy proven left breast cancer presents for ultrasound study of left axilla. Focused ultrasound of left axillary region was performed. Two normal appearing lymph nodes are detected. There is no abnormal lymph node in the left axilla. | No abnormal lymph node in the left axilla. BIRADS: 1 - Negative.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional bilateral MLO views 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. Benign coars... | 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: metastatic small cell lung cancer, on chemotherapy History: cough and shortness of breath CHEST:LUNGS AND PLEURA: Scarlike opacity in the right upper lobe (image 27 series 5) representing the site of the patient's primary neoplasm. Small micronodule posteriorly in the right upper lobe (image 30 series 5) simila... | 1.Residual scarlike opacity in the right apex at the site of the prior neoplasm.2.Significant interval reduction in size of the mediastinal, hilar, and right supraclavicular lymphadenopathy.3.Significant interval reduction in size of the anterior abdominal wall and pancreatic metastases. |
Generate impression based on findings. | 58-year-old male with history of head and neck cancer. CHEST:LUNGS AND PLEURA: Scatter nonspecific pulmonary micronodules. No suspicious nodules or masses identified. No pleural effusions or consolidations.MEDIASTINUM AND HILA: Heart size is normal with no pericardial effusion. Small mediastinal lymph nodes appear simi... | No evidence of metastatic disease. |
Generate impression based on findings. | Female; 54 years old. Reason: 54 yo female with hx of rectal cancer; please evaluate for recurrence and or abnormalities History: rectal cancer Lack of intravenous contrast limits sensitivity for solid organ pathology.CHEST:LUNGS AND PLEURA: Scattered nonspecific pulmonary micronodules. The largest nodule measures 4 mm... | 1. No evidence of residual or recurrent disease. No definite metastatic disease.2. 4-mm left distal ureteral stone causing mild to moderate upstream hydroureteronephrosis.3. Large fat-containing left parastomal hernia without evidence of complication.4. Left chest wall Port-A-Cath with catheter tip directed posteriorly... |
Generate impression based on findings. | Male, 58 days old. Desaturation, increased work of breathing.VIEW: Chest and abdomen AP (two views) 3/31/15, 1015 ET tube tip below the thoracic inlet and above the carina. Gastrostomy tube and urinary catheter in place.The cardiac silhouette is mildly enlarged.Increasing right pleural fluid collection. No significant ... | Increasing right pleural effusion. Disorganized bowel gas pattern. |
Generate impression based on findings. | 73-year-old male with history of stage 3a squamous cell carcinoma status post resection. CHEST:LUNGS AND PLEURA: Right apical and perihilar architectural distortion and post radiation reaction has not significantly changed. Loculated right pleural effusion is stable. No new suspicious nodules or masses.MEDIASTINUM AND ... | Stable exam with no evidence of metastatic or recurrent disease. |
Generate impression based on findings. | 69 year old with history of right lumpectomy in 2013 for IDC. Patient received radiation and hormonal therapy. 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 elements, unc... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Status post fracture.VIEWS: Left forearm AP and lateral 3/31/15 (two views) There is a healing transverse fracture of the distal ulna with profuse callus formation. Alignment is anatomic. | Healing fracture of the left distal ulna is in anatomic alignment. |
Generate impression based on findings. | 54 year old with bilateral breast pain. 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 elements, unchanged in pattern and distribution. No suspicious mass, suspicious microcalcifications or suspicious ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Male, 66 years old, with right submandibular tenderness at the angle of the mandible with expression of malodorous sputum. A region of asymmetric soft tissue thickening and subtle hyperenhancement is seen along the right base of tongue extending anteriorly into the floor of mouth. This tissue measures at least 22 x 19 ... | Asymmetric soft tissue thickening is seen at the right base of tongue with involvement of the floor of mouth and possible extension posteriorly into the vallecula. Findings are concerning for the presence of tumor. As such, direct or endoscopic visualization of this region is recommended.No definite pathologic adenopat... |
Generate impression based on findings. | 44 year old female with history of right breast lumpectomy and sentinel node biopsy for IDC/DCIS in 07/2013. No current breast complaints. Three standard views of both breasts and two spot magnification views of the right breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 29-year-old female patient with history of colon cancer status post hepatic resection and resection of primary neoplasm with new lesions on CT in February of unclear significance. Evaluate for interval change. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Right-sided chest port with tip... | Progression of disease with interval increase size and number of metastatic lesions in the liver as well as enlarging soft tissue lesion inferior to the pancreatic head. These lesions correlate with hypermetabolic foci seen on prior CT PET. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Benign left breast biopsy 2007. 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. Clip in left su... | 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. |
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