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Generate impression based on findings. | 77-year-old female with new bilateral breast swelling. Normal screening mammogram 10/17/2014. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Increase pare... | Bilateral breast edema and skin thickening. These findings could relate to CHF. Differential diagnosis besides heart failure include lymphatic or venous congestion, mastitis or a systemic inflammatory process. Bilateral inflammatory cancer is overwhelmingly unlikely, especially given that the most recent chest X-ray sh... |
Generate impression based on findings. | Reason: eval for thymic cancer History: eval for thymic cancer status post chemo/RT LUNGS AND PLEURA: Basilar scarring and subsegmental atelectasis similar to the prior exam.No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: Significant interval reduction in the heterogeneous right ant... | Significant interval reduction in size this intermediastinal mass abutting the aortic root and less likely involving the pericardium. No additional sites of disease identified. |
Generate impression based on findings. | 84 years, Female. Reason: possible NGT dislodgement History: possible NGT dislodgement, There is a Dobbhoff tube with its tip projecting over the prepyloric stomach. Mild gaseous distention of both large and small bowel may reflect mild ileus. Central venous catheter tip terminates at the cavoatrial junction. The pelvi... | Dobbhoff tube with its tip projecting over the prepyloric stomach. |
Generate impression based on findings. | 70 year-old female with history of head and neck cancer, parotid gland, status post CRT CHEST:LUNGS AND PLEURA: Central airways are patent. No pneumothorax or pleural effusion. No focal consolidation. Micronodule the left upper lobe is unchanged. No suspicious nodules or mass. Minimal scarring at the lung apices and ba... | No evidence of metastatic disease, and no significant interval change. |
Generate impression based on findings. | 66 years, Male. Reason: Eval for obstruction. History: Constipation There is a nonobstructive bowel gas pattern. There is a nasogastric tube with its tip projecting over the proximal body of the stomach. No evidence of pneumoperitoneum. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 62 years, Male. Reason: s/p DHT placement History: eval DT placement Nonobstructive bowel gas pattern. There is a Dobbhoff tube with its tip projecting over the body of the stomach. IVC filter position is unchanged. Multilevel vertebroplasty is again evident. Right percutaneous cholecystostomy catheter unchanged in pos... | Dobbhoff tube tip projects over the body of the stomach. |
Generate impression based on findings. | Subarachnoid hemorrhage, status post coil embolization of basilar artery aneurysm. There are post-treatment findings related to coiling of an aneurysm at the junction of the basilar tip and left posterior cerebral artery. There is an unchanged focus of flow-related enhancement at the neck of the embolized aneurysm that... | Post-treatment findings related to coiling of an aneurysm at the junction of the basilar tip and right posterior cerebral artery with an unchanged recanalized neck that measures up to 2 mm. |
Generate impression based on findings. | Male; 55 years old. Reason: Nasopharyngeal cancer s/p CRT and surgery History: Nasopharyngeal cancer s/p CRT and surgery CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCORONARY ARTERY CALCIFICATION: No visible coronary artery calcifications.CHEST WALL: Righ... | No evidence of metastatic disease. |
Generate impression based on findings. | 75-year-old male patient with history of prostate cancer presents for staging. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules. Dependent atelectasis.MEDIASTINUM AND HILA: No significant mediastinal or hilar lymphadenopathy. Cardiac size within normal limits without pericardial effusion. Large heterogeneous, ri... | 1.Exophytic mass arising from the right peripheral zone of the prostate without definite evidence of metastatic disease.2.Nonspecific scattered prominent pelvic lymph nodes. |
Generate impression based on findings. | 67-year-old female with history of right lumpectomy in 2008 for adenoid cystic carcinoma followed by radiation therapy. Long-standing right 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 de... | 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. | 67-year-old female with right breast mass at 10 o'clock position presents for ultrasound guided biopsy. The patient underwent left breast biopsy after this procedure. Right ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a isoechoic mass measuring 14 x 7 mm at the 10 o’clock position... | Successful ultrasound-guided core biopsy of the right breast lesion and clip placement. Pathology is pending at this time. BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 67-year-old female with left breast mass at 3 o'clock position presents for ultrasound guided biopsy. Patient underwent right breast biopsy prior to this procedure. Left ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is an intraductal hypoechoic mass measuring 13 x 6 mm at the 3 o’cloc... | Successful ultrasound-guided core biopsy of the left breast lesion and clip placement. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Lumbar spinal stenosis Again seen are posterior rods with screws entering the L4 and L5 vertebrae. I see no hardware complications. There is an intervertebral spacer device at L4/5 with bone graft appearing similar to that seen on the prior study. There is a grade 1 anterolisthesis of L4 likewise that appears similar t... | Orthopedic fixation of the lower lumbar spine appearing similar to that seen on the prior study. |
Generate impression based on findings. | Right hip pain. Progression of arthritis versus AVN of right hip? Moderate osteoarthritis affects the right hip. There is mild sclerosis of the femoral head which could conceivably represent avascular necrosis, but may simply be degenerative in etiology. I see no findings to suggest progression when compared with the p... | Osteoarthritis as above. |
Generate impression based on findings. | Clinical question: Follow-up post op changes after AVM resection. Signs and symptoms: Not oriented. Nonenhanced head CT:There is no detectable acute intracranial hemorrhage, mass, mass effect, midline shift or hydrocephalus.There is a focus of low attenuation involving the cortex and subcortical white matter of left po... | 1.No evidence of acute intracranial hemorrhage, mass effect or midline shift.2.Parenchymal low-attenuation surrounding the surgical clips in the left posterior temporal lobe.3.Findings suggestive of age indeterminate small was ischemic strokes remain grossly similar to prior study. |
Generate impression based on findings. | Status post C3 -- T4 cervicothoracic posterior spinal fusion. Evaluation of the upper thoracic spine on the lateral view is limited due to overlying anatomy. There are posterior rods and screws entering the C3, C4, C5, C6, T1, T2, and T3 vertebrae. Amorphous bone graft material is noted along the posterior aspect of th... | Postoperative changes of cervicothoracic spine fusion and other findings as described above. |
Generate impression based on findings. | Right-sided sciatica Severe degenerative disk disease affects L5/S1. Severe degenerative disk disease also affects L4/5 which has progressed compared with the prior study. Mild/moderate degenerative disk disease at L3/4 has also progressed compared with the prior study. Osteophytes project from the anterior aspects of ... | Degenerative arthritic changes as described above. |
Generate impression based on findings. | Right shoulder pain. Right wrist pain. Mild osteoarthritis affects the glenohumeral joint. There is mild deformity of the distal end of the clavicle, as well as a small ossicle overlying the acromioclavicular joint, which may be due to prior trauma or surgery, but I see no acute abnormality of the joint. Three views of... | Mild glenohumeral joint osteoarthritis and other findings as above. |
Generate impression based on findings. | Postop prosthetic assessment Two views of the left hip show components of a total hip arthroplasty device situated in near anatomic alignment without radiographic evidence of hardware complication. The previously seen surgical drain has been removed. Surgical clips are again noted within the medial soft tissues of the ... | Left total hip arthroplasty and other findings as above. |
Generate impression based on findings. | Female 86 years old; Reason: c/o abd bloating but no constipation. Negative US in 10/14. R/o abd path, esp the intestine History: abd bloating ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abn... | 1.No bowel obstruction as clinically questioned. |
Generate impression based on findings. | Check for lung cancer, long history of tobacco use LUNGS AND PLEURA: Mild bronchial wall thickening without distinct evidence of bronchiectasis. No suspicious nodules or masses. No effusions. Minimal centrilobular emphysematous changes.MEDIASTINUM AND HILA: No lymphadenopathy.The cardiac and pericardium are within limi... | Bronchial wall changes suggesting bronchiolitis and or possibly mild asthma, yet without additional superimposed abnormalities to suggest a possible malignancy. |
Generate impression based on findings. | Metastatic lung cancer status post intramedullary rod in left femur An intramedullary rod and screw device affixes the left femur. I see no hardware complications. Immature heterotopic ossification has formed in the soft tissues above the greater trochanter. There is a poorly defined lytic lesion of the intertrochanter... | Orthopedic fixation of the left femur as described above. |
Generate impression based on findings. | Pain Four views of the left knee are provided. Moderate osteoarthritis affects the knee, particularly the patellofemoral joint. There is a small joint effusion. Scattered arterial calcifications are noted in the soft tissues.There is near bone on bone apposition of the lateral tibiofemoral compartment of the right knee... | Osteoarthritis. |
Generate impression based on findings. | Status post left total knee arthroplasty Three views of the left knee are provided. Components of a total knee arthroplasty device are situated in near anatomic alignment without radiographic evidence of hardware complication. The previously seen skin staples and drain have been removed. Anterior soft tissue swelling l... | Total knee arthroplasty as above. |
Generate impression based on findings. | Status post right total knee arthroplasty Components of a right total knee arthroplasty device are situated in near anatomic alignment without radiographic evidence of hardware complication. Skin staples, a drain, and foci of gas density in the anterior soft tissues reflect recent surgery. | Postoperative changes of total knee arthroplasty as above. |
Generate impression based on findings. | Left shoulder pain Components of a "reverse" total shoulder arthroplasty are situated in near anatomic alignment without radiographic evidence of hardware complication. Mild osteoarthritis affects the acromioclavicular joint. | Total shoulder arthroplasty as above. |
Generate impression based on findings. | Postop prosthetic assessment Two views of the right hip show components of a total hip arthroplasty device situated in near-anatomic alignment without radiographic evidence of hardware complication. Heterotopic ossification between the greater trochanter and ilium appears similar to that seen on the prior study.The AP ... | Right total hip arthroplasty and other findings as above. |
Generate impression based on findings. | Male, 64 years old, with temporal lobe hemorrhage. Status post fall. Evaluate neck. Head:A hyper attenuating hematoma is redemonstrated centered within the anterior left temporal lobe dissecting superiorly into the insula and basal ganglia. The quantity and morphology of this blood product have not significantly change... | 1. The left temporal hematoma has not significantly changed in size or morphology. Associated mass-effect is also unchanged. No frank brain herniation is seen. Minimal intraventricular extension of blood product is also stable.2. No evidence of C-spine fracture or dislocation. Incidental findings include a hypoattenuat... |
Generate impression based on findings. | Pain to the anterior and lateral shoulder post injury. Fracture? I see no fracture, malalignment, or other findings to account for the patient's pain. | No fracture or other findings to account for the patient's pain are evident. |
Generate impression based on findings. | Female 44 years old; Reason: eval for SBO, chole/pancreatitis or other cause of acute abd pain and vomiting History: epigastric abdominal pain, vomiting, writhing in pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.... | 1.No acute abdominal or pelvic pathology. |
Generate impression based on findings. | Reason: fracture? History: pain; Three views of the left hand demonstrate irregularity along the cortex of the fourth distal interphalangeal joint, which may represent a small, minimally displaced fracture, but this is equivocal. Sclerosis of the second and third distal phalanges likely represent bone islands. | Questionable fracture along the fourth distal interphalangeal joint. |
Generate impression based on findings. | Reason: Left distal femur lesions, evaluate for interval change History: above Two views of the left knee again demonstrate two small foci of sclerosis in the medial femoral condyle, unchanged when compared to prior exam. One lies in the intercondylar notch and the other at the medial aspect of the medial femoral condy... | Unusual osteoid osteoma along the medial aspect of the medial femoral condyle, unchanged when compared to priors. The second, more lateral sclerotic lesion, likely represents a bone island. |
Generate impression based on findings. | Male, 4 years old. Evaluate PICC placement.VIEW: Chest AP (one view) 4/1/15, 1147 Left central venous catheter, tip at the SVC/RA junction. Right arm PICC, tip in the right IJ vein. Surgical clips in the right upper quadrant.The cardiothymic silhouette is normal.Moderate to large right pleural effusion.Diffuse hazy pul... | Right arm PICC, tip directed superiorly in the right IJ vein. Moderate to large right pleural effusion. |
Generate impression based on findings. | 72-year-old female. Lung cancer screening. LUNGS AND PLEURA: There is a suspicious multilobulated solid mass located in the left lower lobe measuring 2.6 x 1.5 cm. There are no calcifications or foci of fat. In comparison, a 5-mm nodule was present in the same location from a remote abdominal CT. No consolidations or p... | Multilobulated solid mass located in the left lower lobe measuring 2.6 x 1.5 cm highly suspicious for primary lung carcinoma.Findings discussed with Dr. Kurtz on 4/1/15 at 1330. Lung-RADS: Category: 4B (Suspicious: Findings for which additional diagnostic testing and/or tissue sampling is recommended)RECOMMENDATION: Ch... |
Generate impression based on findings. | Bilateral knee osteoarthritis. Three views of the left knee show severe osteoarthritis with near bone-on-bone apposition of the medial compartment and tricompartmental osteophyte formation.Three views of the right knee show moderate to severe osteoarthritis with narrowing of the medial compartment and tricompartmental ... | Osteoarthritis left greater than right. |
Generate impression based on findings. | 61-year-old male patient with recently drained retroperitoneal abscess with IR drain in place. Evaluate for resolution of collection. ABDOMEN:LUNG BASES: Stable round 6-mm nodule in the left lung base. LIVER, BILIARY TRACT: Small posterior right lobe renal cyst again noted. Cholelithiasis.SPLEEN: No significant abnorma... | Significant interval decrease in size of right retroperitoneal hematoma with percutaneous pigtail drain in place. |
Generate impression based on findings. | 42 year old female with history of positive Budd Chiari. Assess TIPS patency. LIMITED ABDOMENLIVER: Measures 15.8 cm in length. No focal hepatic lesions.BILIARY TRACT: Shadowing calculus along the dependent portion of gallbladder. No gallbladder wall thickening. No pericholecystic fluid. Common duct measures 6 mm in ca... | 1. Patent TIPS and expected reversal of flow in the undivided left portal vein. No ascites.2. Cholelithiasis with no evidence of cholecystitis. |
Generate impression based on findings. | Female; 69 years old. Reason: mets lung cancer, s/p multiple chemo, on MDPL3280A, pls c/w previous study and evaluate tx response. Pls provide bi-imensional measurement to all lesion. History: lung ca ABDOMEN:LUNG BASES: See report from dedicated CT chest performed concomitantly.LIVER, BILIARY TRACT: Stable hepatic cys... | No significant interval change or evidence of metastatic disease in the abdomen and pelvis. |
Generate impression based on findings. | Reason: HIP AND BUTTOCK PAIN Two views of the lumbar spine demonstrate severe multilevel degenerative disk disease, with relative sparing of L1/L2. Facet joint osteoarthritis affects the lower lumbar spine. A posterior stabilization rod is incompletely visualized. Slight leftward curvature of the lumbar spine. Large ca... | Degenerative arthritic changes as above. |
Generate impression based on findings. | Evaluate for inflammatory arthritis. Three views of the left hand are provided. The bones are demineralized. We see no discrete erosions or other specific features of inflammatory arthritis. There are multiple soft tissue calcifications throughout the wrist and hand, however, which could conceivably represent scleroder... | Limited evaluation of the right hand as described above. We see no specific features of inflammatory arthritis. Soft tissue calcifications, however, could reflect an underlying connective tissue disease. |
Generate impression based on findings. | Male; 58 years old. Reason: ct per living kidney donor protocol History: kidney donor CT ANGIOGRAM: Normal caliber of the abdominal aorta and its branch vessels. Mild atherosclerotic calcifications of the abdominal aorta and bilateral common iliac arteries. The celiac artery, SMA, bilateral renal arteries, and IMA are ... | 1. Three left renal arteries as detailed above. 2. A small left lumbar vein drains into the left renal vein.3. Mild emphysema, partially visualized. |
Generate impression based on findings. | Reason: evaluate for left hi pain History: left hip pain AP view of the pelvis demonstrates moderate bilateral osteoarthritis of the hip joints, left greater than right, which appears to have progressed from the prior exam. Rounded calcific densities in the soft tissues likely represent injection granulomas.Two views o... | Osteoarthritis as above. |
Generate impression based on findings. | 69 year-old female with altered mental status. No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift, or uncal herniation. Gray-white differentiation is maintained. No extra-axial collections. Ventricles are within normal limits without evidence of hydrocephalus.The... | No evidence of acute intracranial hemorrhage or mass effect. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion. |
Generate impression based on findings. | Male, 2 months old. Evaluate PCVC placement.VIEW: Chest AP (one view) 4/1/15, 1311 New right jugular venous catheter, tip in right atrium. ET tube tip below the thoracic inlet and above the carina. Gastrostomy tube in place.Large right pleural effusion, with a small amount of residual right lung aeration, similar to th... | Right jugular venous catheter, tip in right atrium. Large right pleural effusion. |
Generate impression based on findings. | 47-year-old female patient with recurrent overt GI bleeding and iron deficiency anemia. Evaluate for small bowel wall thickening, mass lesion, and Meckel's diverticulum. Note that the examination is mildly limited by the lack of small bowel distension with negative contrast agent. Given this limitation, the following o... | No evidence of wall thickening, inflammatory changes, or mass lesion involving the bowel. |
Generate impression based on findings. | Reason: s/p radial head replacement History: above Four views of the left elbow again demonstrate a radial head prosthesis, in anatomic alignment. There is a stable appearance of slight lucency along the stem of the prosthesis, which may reflect early loosening. Small densities in the surrounding soft tissues likely re... | Postoperative changes of radial head prosthesis as above. |
Generate impression based on findings. | Metastatic thymic carcinoma, status post multiple chemo and palliative radiation therapy. There are postoperative findings in the anterior mediastinum. There are prominent left level 4 and supraclavicular lymph nodes, which have not significantly changed in size. For example, a left level 4 lymph node measures 14 mm in... | 1. No significant interval change in the enlarged left level 4 and supraclavicular lymph nodes, which may harbor metastatic disease. An unchanged left parotid tail nodule may represent a metastatic lymph node or a Warthin tumor, for example.2. A sclerotic vertebral lesions may also represent metastatic disease.3. Secre... |
Generate impression based on findings. | Pain. Two views of the bilateral hips and an AP view of the pelvis are provided. The bones appear demineralized suggesting osteopenia. Severe osteoarthritis affects the right hip. Severe osteoarthritis affects the left hip. Visualization of portions of the pelvis is limited by overlying enteric contrast. There is chond... | Osteoarthritis. |
Generate impression based on findings. | Female; 58 years old. Reason: Evaluate for residual lung disease History: metastatic leiomyosarcoma s/p chemotherapy. RADIOPHARMACEUTICAL: 15.3 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 107 mg/dL. Today's CT portion grossly demonstrates expected postsurgical changes and scarring in the left lower lobe.... | No suspicious FDG avid lesions to indicate tumor, specifically no pulmonary parenchymal foci of increased radiotracer activity to indicate metastatic disease. |
Generate impression based on findings. | Reason: mets neuroendocrine carcinoma, pancreatic lesion. s/p multiple chemo and palliative RT to panscreas. Pls c/w previous study and evaluate dz status. History: thymic carcinoma CHEST:LUNGS AND PLEURA: Left paramediastinal post radiation fibrosis redemonstrated.Multiple pulmonary and pleural nodules are similar to ... | 1.Multiple pulmonary and pleural nodules not significant changed.2.Mediastinal, hilar, left supraclavicular, and retroperitoneal lymphadenopathy stable to slightly decreased in size.3.Pancreatic metastases stable to slightly increased in size from the exam dated 12/1/15 |
Generate impression based on findings. | Left upper lobe lung cancer, follow-up LUNGS AND PLEURA: Left upper lobe postsurgical changes including lobectomy and volume loss. Suture line appears distinct and unchanged. 5-mm unchanged lower lobe nodule (image 39 series 5) remains similar numerous additional scattered pulmonary micronodules. An additional nodule t... | Postsurgical changes with scattered unchanged micronodules and a descending aorta aneurysm. No suspicious new abnormality |
Generate impression based on findings. | 13-year-old male with swelling and bruising status-post fallVIEWS: Right ankle AP, oblique and lateral (3 views) 4/1/15 at 1244 Significant soft tissue swelling along the lateral malleolus. Cortical irregularity along the posterior aspect of the fibula with lucency through the physis represents a Salter-Harris two frac... | Non displaced Salter Harris II fracture of the posterior aspect of the fibula. |
Generate impression based on findings. | Rib pain. Evaluate for fracture. Metallic BBs denote the site of the patient's pain. We see no fracture or other findings to account for the patient's pain. | No fracture or other findings to account for the patient's pain. |
Generate impression based on findings. | Female, 69 years old, with metastatic lung cancer status post chemotherapy. A right level 4 nodal aggregate has increased in size measuring 28 x 22 mm (image 52 series 6), previously 20 x 19 mm.A centrally hypoattenuating right paratracheal node is not significantly changed, measuring 25 x 16 mm (image 65 series 6), pr... | 1.Continued interval increase in the size of conglomerate right level 4 adenopathy.2.Additional reference nodes in the neck are not convincingly changed.3.Mediastinal adenopathy and a right upper lobe mass are better assessed on the accompanying chest CT. |
Generate impression based on findings. | Male 2 months old Reason: position of NG tube History: placement of NGVIEW: Abdomen AP (one view) 4/1/15 NG tube stomach fundus. A left side subpulmonic pneumothorax noted. Disorganized, almost gasless and nonspecific abdominal gas pattern. No evidence of obstruction, free air, pneumatosis intestinalis or portal venous... | NG tube tip is at the stomach.Left subpulmonic pneumothorax.Disorganized, almost gasless and nonspecific abdominal gas pattern. |
Generate impression based on findings. | Right shoulder pain status post arthroplasty 2010. Pain in hand, evaluate for arthritis. Three views of the right shoulder show hardware components of right total shoulder arthroplasty situated in near anatomic alignment. Thin lucency along the humeral component of the prosthesis appears similar to the prior study and,... | Right total shoulder arthroplasty and other findings as above. |
Generate impression based on findings. | RFO trigger: Organ Transplant Suspected RFO location: abdomen Name of suspected RFO: sponge Attending Surgeon name/pager: Dr. Millis 8217 Body Mass Index (BMI): 27.86 There is a nasogastric tube with its tip projecting over the fundus of the stomach. Surgical drain in place with the tip terminating in the right upper q... | No unexpected radiopaque foreign object is identified.These findings were discussed by telephone with Dr. Millis, the attending surgeon, on 4/1/2015 at 13:31. |
Generate impression based on findings. | Female; 64 years old. Reason: Patient with persistent SBO failing conservative management. New abdominal pain. Evaluate for any acute process. History: As above ABDOMEN:LUNG BASES: Mild bibasilar subsegmental dependent atelectasis. Central venous catheter tip in the right atrium. Moderate coronary artery calcifications... | 1. Persistent high-grade distal small bowel obstruction. No pneumatosis, portal venous gas, or free air.2. Stable moderate right hydronephrosis with unchanged positioning of right ureteral stent. The proximal tip of the right ureteral stent is at the right UPJ, and this positioning may be contributing to obstruction. N... |
Generate impression based on findings. | Radiation pneumonitis, follow-up LUNGS AND PLEURA: Interval resolution of prior small effusion. Decreased atelectasis in overall partial resolution of the multifocal and largely perihilar opacities previously greater on the right. No new suspicious nodules, masses or airspace. Improved and decreased compression of the ... | Interval decreasing lymphadenopathy with new measurements provided. Decreasing patchy nonspecific air space catheter, suspected diminishing post radiation pneumonitis. Large pericardial effusion, unchanged |
Generate impression based on findings. | Left hyperacusis and otic fullness. Left: The external auditory canal is patent. The middle ear and mastoid air cells are well-pneumatized and clear. The ossicular chain is intact. The inner ear structures are unremarkable. The facial nerve describes a normal course. The jugular bulb and carotid canal are intact. Right... | 1. No evidence of superior semicircular canal dehiscence.2. Mild right temporomandibular joint degenerative changes. |
Generate impression based on findings. | Oval presumably enhancing lesion in the right frontal lobe measuring 7-mm. There is another oval presumably enhancing lesion in the left subcortical white matter at the frontoparietal junction measuring 11-mm. There are also multiple scattered punctate enhancing foci at the gray-white matter junction including the rig... | Multiple scattered small enhancing brain lesions as above suspicious for metastasis. MRI is recommended for a more complete evaluation. |
Generate impression based on findings. | 10-year-old male with abdominal distention, and pleural effusion CHEST: Right-sided simple pleural effusion. No left sided pleural effusion.LIVER: The liver is large but normal in echogenicity measuring 16.0 cm. No intra-or extrahepatic biliary ductal dilatation. No focal hepatic lesions.GALLBLADDER, BILIARY TRACT: No ... | Hepatosplenomegaly without ascites. |
Generate impression based on findings. | 48-year-old female with history of hypertension, chronic headache. 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. Ventricles are within normal limits without evidence ... | 1. No evidence of acute intracranial hemorrhage or mass effect. 2. Air-fluid levels and foamy debris within the paranasal sinuses bilaterally suggesting acute sinusitis, correlate clinically. |
Generate impression based on findings. | Female; 69 years old. Reason: persistent primary hyperparathyroidism, would like to identify location of glands History: hypercalcemia. There is physiologic distribution of the radiopharmaceutical. There is a small subtle focus of increased activity posterior to the left lower thyroid pole, seen best on SPECT but not o... | 1.Small subtle focus of increased activity posterior to the left lower pole is suspicious for parathyroid adenoma, although slightly equivocal. 2.Nonspecific 6 mm solitary left lower lobe pulmonary nodule. Given that no previous radiographs or cross-sectional studies are available to determine stability, correlation wi... |
Generate impression based on findings. | 53-year-old female with history of chest pain with radiation into the abdomen. CHEST:LUNGS AND PLEURA: There is minimal apical predominant subpleural reticulation and a focal area of honeycombing in the posterior aspect of the left apex. Mild fibrotic changes are also noted in the lower lobes. No suspicious pulmonary n... | 1. No evidence of aortic dissection on this limited non-contrast enhanced study.2. Very mild nonspecific findings of ILD. Followup is recommended.3. Patulous esophagus.4. Left breast nodule as above. Follow up with ultrasound is recommended as clinically warranted. |
Generate impression based on findings. | 73 years, Male. Reason: severe constipation History: abdominal pain Above average stool burden. Sternotomy wires are partially imaged. There is a nonobstructive bowel gas pattern. Right hip arthroplasty device in place. Mild/moderate degenerative change of the lower lumbar spine are noted. | Above average stool burden. |
Generate impression based on findings. | 52 years, Female. Reason: Pt has a hx of constipation, poor hx per pt. History: constipation 24 Sitz markers identified, distributed predominantly throughout the cecum and ascending colon. Surgical clips project over the GE junction. There is a nonobstructive bowel gas pattern. | 24 Sitz markers identified, distributed predominantly throughout the cecum and ascending colon. |
Generate impression based on findings. | 69-year-old female with metastatic lung cancer status post CRT on MPDL3280A. Please provide bi-dimensional measurements. LUNGS AND PLEURA: Central airways are patent. No pneumothorax or pleural effusion.Right upper lobe mass (series 10293, image 39) is unchanged measuring 42 x 13 mm. Right middle lobe nodule measures 1... | No significant interval change in metastatic disease with reference measurements as provided above. |
Generate impression based on findings. | Male; 75 years old. Reason: prostate cancer, staging. No abnormal osseous foci are identified to indicate metastatic disease. Focal areas of increased tracer uptake in the left shoulder, lumbar spine, sacrum, and left knee are compatible with degenerative disease, confirmed on same day CT. | No evidence of bone metastases. |
Generate impression based on findings. | Reason: LUMBAR PAIN History: LUMBAR PAIN Two views of the lumbar spine demonstrate tiny anterior vertebral body osteophytes affecting the lower lumbar spine, consistent with early degenerative changes. Vertebral body heights and disk spaces are preserved. No acute fracture is evident. Alignment is anatomic. | Minimal degenerative changes as above. No acute fracture or malalignment. |
Generate impression based on findings. | Reason: evaluate L TKA History: s/p L TKA 6 weeks ago Hardware components of a total left knee arthroplasty are situated in anatomic alignment, without radiographic evidence of hardware complication or acute fracture. Interval removal of surgical drain and skin staples. Mild residual soft tissue swelling. Arterial vasc... | Total knee arthroplasties as above. |
Generate impression based on findings. | There is a masslike lesion in the right occipital lobe slightly lateral and inferior to the prior resection cavity with mild peripheral enhancement appearing grossly similar to the lesion seen on prior MR, although direct comparison between modalities is limited. There is regional vasogenic edema with local mass effec... | 1.Masslike lesion in the right occipital lobe lateral and inferior to resection cavity, grossly similar to the lesion seen on prior MR.2.Regional vasogenic edema and mass effect on the adjacent ventricle which appears to have increased slightly when comparing to the prior MR. No midline shift or herniation. |
Generate impression based on findings. | Male; 46 years old. Reason: eval for diverticulitis History: LLQ abdominal pain and TTP with diarrhea ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant... | No acute abdominopelvic abnormality is evident. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are right digital mammographic images (2/18/15), ultrasound images of right breast (2/18/15), images from ultrasound guided biopsy of right breast and post procedural right mammographic images (2/27/15) performed at Rush University Medical Center. For c... | 1. Biopsy proven invasive carcinoma in the right breast.2. Images of left breast are not submitted.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Male 57 years old; Reason: evaluate for adhesions, incisional hernias, recurrent SB Crohn's. Previous ileocolectomy, sigmoid resection, repair of incisional hernias. History: abdominal pain, distension ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: There is a well circumscribed, subcapsular ... | 1. Focal narrowing within the distal transverse colon. The appearance is suggestive of a stenotic segment with mild acute on chronic inflammation. Colonic neoplasm could have a similar appearance and direct visualization is recommended.2. Subcapsular posterior right hepatic lobe hypoattenuating lesion with punctate foc... |
Generate impression based on findings. | 42 year old female with dyspepsia, evaluate for delayed gastric emptying. Visually there was significant and progressive gastric emptying. Using anterior and posterior geometric means, residual gastric activity at the following postprandial intervals was calculated as follows:30 mins: 75 % of peak activity (normal >70 ... | Gastric emptying within normal limits. |
Generate impression based on findings. | Pain. Fracture follow-up. Three views of the left shoulder are provided. The bones appear demineralized suggesting osteopenia. Again seen is a comminuted fracture of the proximal humerus involving the surgical neck and greater tuberosity with 6 mm of medial displacement of the diaphyseal fracture fragment. We see no fr... | Proximal humerus fracture appearing similar to the prior study. |
Generate impression based on findings. | 24-year-old female breast-feeding with right mass and pain. History of breast abscess in the same location, drained 5 times in Qatar. Patient denies current fever or pain at that location. Generalized breast pain related to breast feeding. A targeted right ultrasound was performed for the palpable area of concern. Ther... | No sonographic evidence for malignancy. Patient can refer to her regular physician regarding symptom management.BIRADS: 1 - Negative.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | Restaging metastatic breast cancer status post 4 cycles of chemotherapy.RADIOPHARMACEUTICAL: 9.7 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 86 mg/dL. Today's CT portion grossly demonstrates porencephaly in the right anterior frontal lobe likely old infarct. There has been a left mastectomy with anterior... | Significant interval progression of hypermetabolic metastases most notably involving the liver but with additional progression left anterior chest wall, mediastinum, and right hip. |
Generate impression based on findings. | Reason: right hand fracture History: above Three views of the right hand demonstrate normal anatomic alignment, no fracture plane is identified.Three views of the right wrist demonstrate normal anatomic alignment, no fracture plane is identified. | Unremarkable exam of the right hand and wrist. |
Generate impression based on findings. | Male; 62 years old. Reason: HPT. There is physiologic distribution of the radiopharmaceutical. There is a persistent abnormal focus of increased activity identified posteromedial to the mid/upper right thyroid lobe, highly suspicious for parathyroid adenoma. | Findings consistent with parathyroid adenoma located posteromedial to the mid/upper right thyroid lobe. |
Generate impression based on findings. | Male 65 years old Reason: eval for obstruction History: hx of esophageal cancer s/p resection and anterior/posterior cervical fusion. Study limited due to poor patient positioning following recent surgery. Post surgical changes compatible with prior laryngectomy. Voice prosthesis is noted. Single contrast evaluation of... | 1. Leakage of contrast around the prosthesis. 2. Stricture of the cervical esophagus is only partially visualized due to surgical hardware. 3. Below the level of T1/vocal prosthesis is a compression effect of the right aspect of the esophagus without correlation on recent CT. |
Generate impression based on findings. | 61-year-old male patient with metastatic renal cell cancer status post investigational immunotherapy. Please compared to prior examination. CHEST:LUNGS AND PLEURA: Stable micronodules. Stable reference left cardiophrenic angle nodular focus measures 0.6 x 0.4 cm (series 5 image 88).MEDIASTINUM AND HILA: No significant ... | Minimally improved to stable reference pancreatic lesions. No new metastatic lesions seen. |
Generate impression based on findings. | 15-year-old female with ankle painVIEWS: Left ankle AP, oblique, lateral; left foot AP, oblique, lateral (3 views) 4/1/15 at 1320 No fracture or malalignment. No significant soft tissue swelling. No joint effusion. Subcentimeter round lucent lesion with well-defined sclerotic borders likely represents a cortical fibrou... | No fracture or malalignment. Subcentimeter cortical fibrous defect in the distal tibial metadiaphysis. |
Generate impression based on findings. | 67-year-old male with history of esophageal cancer. CHEST:LUNGS AND PLEURA: Mild emphysema. Scattered calcified nodules. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: The heart size is normal with no pericardial effusion. Scattered small mediastinal lymph nodes are not significantly changed. Reference... | Stable distal esophageal/proximal stomach wall thickening, mediastinal lymph nodes and numerous hepatic metastases. No new sites of disease identified. |
Generate impression based on findings. | Female; 85 years old. Reason: right proximal clavicle mass, assess for tumor/mass/DJD. Increased activity at the right sternoclavicular junction is compatible with degenerative changes; this activity corresponds to the site of anterior protrusion of the right clavicular head seen on CT from September 2014. No suspiciou... | Mild degenerative changes, including involvement of the right sternoclavicular joint. No suspicious lesions to indicate fracture or tumor. |
Generate impression based on findings. | Male, 4 years old. Right foot pain; non-weight bearingVIEWS: Right ankle AP, lateral, oblique. Right foot AP, lateral, oblique (6 views) 4/1/2015, 1342 The osseous structures and joint spaces are normal.No significant joint effusion or soft tissue swelling. | Normal examination. |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: great toe pain-eval for fracture History: left foot pain Three views of the left foot demonstrate an oblique, nondisplaced fracture through the proximal/medial aspect of the great toe. Moderate soft tissue swelling along the medial aspect of the forefoot. | Fracture through the base of the proximal phalanx of the great toe, as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. No suspicious masses,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSA - 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, version 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of archite... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Male, 4 years old. PICC adjustment.VIEW: Chest AP (one view) 4/1/15, 1323 Interval adjustment of right arm PICC, now with tip at the SVC/RA junction. Left central venous catheter, tip at the SVC/RA junction. Surgical clips in the right upper quadrant.The cardiothymic silhouette is normal.Large right pleural effusion, u... | Right PICC, tip at the SVC/RA junction. Large right pleural effusion. |
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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements. No suspicious masses, microcalcifications or areas of architectural distorti... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Mammogram works best when searching for changes. Submission of prior mammogram is, therefore, recommended for future reference. If the patient submits her old mamm... |
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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 81 years, Male. Reason: 81 M, RLQ pain, eval for ileus, obstruction, stool burden History: RLQ pain The pelvis is excluded from the field of view. Large left lateral ventral hernia with dilated loops of bowel suggestive of at least a partial mild bowel obstruction. Less than average stool burden. Right nephroureteral s... | Large left lateral ventral hernia with dilated loops of bowel suggestive of at least a partial mild bowel obstruction. Less than average stool burden. |
Generate impression based on findings. | Female; 32 years old. Reason: hematuria, pelvic pain History: pelvic pain, frequency, hematuria Lack of intravenous and oral contrast limits sensitivity for solid organ and bowel pathology, respectively. Streak artifact from posterior spinal fusion hardware also limits examination.ABDOMEN:LUNG BASES: No significant abn... | No GU calculi evident. No hydronephrosis or perinephric stranding. |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 86 year old female with history of lung cancer status post right middle lobe resection in 2009. LUNGS AND PLEURA: Postoperative changes from right middle lobe wedge resection. Stable lower lobe predominant subpleural reticulation, bronchiectasis and architectural distortion. Scattered nonspecific calcified and noncalci... | Stable postsurgical changes of right middle lobe wedge resection with no evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 42-year-old female patient with breast cancer and liver metastases status post TheraSphere administration. CHEST:LUNGS AND PLEURA: Interval increase in size and number of bilateral pulmonary nodules, right greater than left. Reference left lower lobe nodule measures 0.8 cm (series 12 image 76), previously 0.4 cm.Poster... | Overall progression of disease in the lungs, liver, bones, and chest wall. |
Generate impression based on findings. | Reason: FX f/u History: pain Two views of the clavicle demonstrate a plate and screw device affixing a distal clavicular fracture, in near anatomic alignment. The fracture plane is indistinct, compatible with some interval healing. The acromioclavicular joint alignment is within normal limits. A vascular stent overlies... | Orthopedic fixation of a distal clavicular fracture, as above. |
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