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Generate impression based on findings. | 64 years, Male. Reason: Evaluate for NG tube adjustment History: NG tube adjustment Lower abdomen and pelvis excluded from the field of view.Enteric tube tip in the gastric fundus with side hole proximal to the GE junction.Nonobstructive bowel gas pattern.Cholecystectomy clips. | Enteric tube tip in the gastric fundus with side hole proximal to the GE junction. |
Generate impression based on findings. | Female, 14 years old. Tenderness s/p fall to inferior medial malleolusVIEWS: Left ankle AP, lateral, oblique. (Three views) 4/1/15, 1719 The osseous structures and joint spaces are normal.Mild soft tissue swelling around the lateral malleolus. No significant joint effusion. | Soft tissue swelling without fracture or malalignment. |
Generate impression based on findings. | Male, 11 years old. Right knee pain and swelling tenderness medially. No patellar tenderness.VIEWS: Right knee AP, lateral, oblique (3 views) 4/1/15, 1730 The osseous structures and joint spaces are normal.No significant joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Male 3 months old Reason: is there obstruction in small intestines, UGI follow thru History: bowel distentionVIEW: Abdomen AP (one view) 4/1/15 at 1825 hours NG tube terminates at the stomach. Bibasilar lung haziness noted. Intra-progression of contrast material up to the rectum. A right inguinal hernia is noted. Contr... | Nonspecific bowel distention with no evidence of obstruction.Right inguinal hernia. |
Generate impression based on findings. | 70 year-old female with rising lactate -- concern for intra-abdominal source. Evaluate for possible duodenal mass/necrosis. ABDOMEN:LUNG BASES: New small right pleural effusion with atelectasis/airspace consolidation. Similar left basilar atelectasis/air space consolidation.LIVER, BILIARY TRACT: Prior cholecystectomy w... | 1. Minimal increase in free peritoneal fluid without loculation since 3/29/15 without underlying abnormality seen otherwise in the gastrointestinal tract. 2. Dobbhoff tube with tip of tube in the antrum of the stomach. 3 . Both kidneys now show no significant abnormalities. 4. Stable benign left adrenal adenoma. 5. New... |
Generate impression based on findings. | Reason: Right knee pain History: right knee pain Four views of the right knee demonstrate compartment osteophytosis and narrowing of the medial joint space, consistent with moderate osteoarthritis. A small joint effusion is present. There is no acute fracture or malalignment. | Degenerative arthritic changes and small joint effusion, without evidence of acute fracture or malalignment. |
Generate impression based on findings. | Pain, warmth, swelling, and erythema. Question of osteomyelitis and fluid pocket/abscess. Three views of the right foot show no acute fracture. There is no specific radiographic evidence of osteomyelitis. The bones appear demineralized. There is extensive soft tissue reticulation compatible with edema. Pockets of gas a... | Pockets of gas are again noted, however, there is no specific radiographic evidence of osteomyelitis. |
Generate impression based on findings. | Female 4 days old Reason: is the ett in proper position are the lungs clear, is the uvc central History: replacement of uvcVIEW: Chest and abdomen AP (two views) 4/1/15 at 2023 hrs. ET tube terminates above the carina. UVC tip is at the left atrium or left superior pulmonary vein. NG tube terminates in the stomach.Card... | Misplaced UVC. |
Generate impression based on findings. | 74-year-old male with head and neck cancer and history of COPD with worsening shortness of breath, evaluate for pulmonary embolism PULMONARY ARTERIES: Technically adequate examination without evidence of pulmonary embolism. The main pulmonary artery caliber is within normal limits.LUNGS AND PLEURA: Small amount of debr... | 1.No evidence of pulmonary embolism.2.Interval increase in size of reference right paratracheal mass/lymph node conglomerate and right lower lobe nodule.3.Improving right lower lobe nodular consolidation with bronchial thickening and septal thickening compatible with improving aspiration pneumonia. The residual opaciti... |
Generate impression based on findings. | Female 42 days old Reason: are the lungs clear History: apnea , desaturationVIEW: Chest and abdomen AP (two views) 4/2/15 at 102 hours. NG tube and central line have been removed. Cardiac silhouette size is normal. Minimal diffuse lung haziness with no focal lung opacities effusions or pneumothorax.Nonspecific bowel di... | Interval removal of NG tube and central line.Diffuse lung haziness with no focal lung opacities.Nonspecific bowel distention. |
Generate impression based on findings. | Known right hemispheric subdural hematoma follow-up. Slightly decreased maximum diameter of the right convexity SDH since prior exam.No evidence of mass effect toward underlying brain.No change of overlying scalp swelling since prior exam.Subtle low attenuations on the left basal ganglia and periventricular white matte... | 1. Slightly decreased diameter of the right convexity SDH since prior exam.2. Otherwise no change since prior exam. |
Generate impression based on findings. | Female, 13 years old. Right lower quadrant, periumbilical pain. Evaluate for free air.VIEW: Abdomen upright (one view) 4/2/15, 0234 Nonobstructive bowel gas pattern. Nonspecific mild dilation of small bowel and colon. Moderate stool burden, predominantly in the right colon.No free air, although a small portion of the l... | No free air, although a small portion of the left hemidiaphragm is excluded from view. See subsequent decubitus radiograph for additional findings. |
Generate impression based on findings. | Male 14 years old Reason: evaluate for broken ribs s/p trauma History: splenic lacerationVIEW: Chest AP (one view) 4/2/15 at 138 hours. The aortic arch, cardiac apex and stomach are left-sided.Cardiac silhouette is normal in size and shape. No focal lung opacities. No effusions or pneumothorax.Visualized osseous struct... | Normal examination. |
Generate impression based on findings. | Female, 13 years old. Abdominal pain. Evaluate for obstruction, stool burden.VIEW: Abdomen AP (one view) 4/1/15, 1929 Nonobstructive bowel gas pattern. Moderate stool burden. A small triangular lucency over the inferior edge of liver in the right upper quadrant is nonspecific.No pneumatosis or portal venous gas. | A small triangular lucency over the inferior edge of liver in the right upper quadrant is nonspecific and free air is not completely excluded on this exam. See follow-up upright and decubitus abdominal radiographs for additional details. |
Generate impression based on findings. | 97 years, Female. Reason: Barium passing? History: s/p xr esophagraphy Contrast is seen in the esophagus and minimal residual contrast in stomach. Additional contrast is seen in the ascending and transverse colon. Unchanged bibasilar opacities compatible with effusions and atelectasis. | Contrast in esophagus and colon. |
Generate impression based on findings. | 97 years, Female. Reason: Barium contrast passing History: s/o XR esphography A moderate amount of contrast is seen in the distal dilated esophagus, partially in the stomach, as well as in the small bowel and ascending colon. No specific statement can be made about masses, particularly in at the gastroesophageal juncti... | Moderate amount of residual contrast is seen in the distal esophagus. No specific statement can be made about masses, particularly in at the gastroesophageal junction. |
Generate impression based on findings. | 52-year-old male patient with fever. Evaluate for pathology. ABDOMEN:LUNG BASES: Basilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant a... | Diffuse colonic bowel thickening appears slightly increased compared to prior examination, compatible with chronic known ulcerative colitis. No evidence of acute inflammation or complication. |
Generate impression based on findings. | 64 years, Male. Reason: Evaluate for NG tube placement History: NG tube placement Lower abdomen and pelvis excluded from the field of view.Enteric tube tip in the gastric fundus with side hole proximal to the GE junction.Nonobstructive bowel gas pattern.Cholecystectomy clips. | Enteric tube tip in the gastric fundus with side hole proximal to the GE junction. |
Generate impression based on findings. | 59 year-old male. History of renal mass. Evaluate for renal mass. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Two small left adrenal adenomas.KIDNEYS, URETERS: ... | 9 mm hypodense lesion in the upper pole of the left kidney is poorly characterized due to its small size; questionable enhancement and a possible thin septation make it indeterminate, continued follow-up recommended. Prior outside hospital studies are requested for comparison to establish its stability; addendum can be... |
Generate impression based on findings. | Reason: Evaluate for NG tube placement History: NG tube placement Lower abdomen and pelvis excluded from the field of view.Enteric tube tip in the gastric fundus with side hole proximal to the GE junction.Nonobstructive bowel gas pattern.Cholecystectomy clips. | Enteric tube tip in the gastric fundus with side hole proximal to the GE junction. |
Generate impression based on findings. | Evaluate for bleed, skull fracture. History of alcohol intoxication, fall from bike, forehead contusion Head:No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal l... | 1. No evidence of intracranial hemorrhage or skull fracture. 2. No cervical spine fracture or subluxation.3. Moderate chronic paranasal sinus disease as detailed above including polypoid opacification extending from the left maxillary sinus into the left nasal cavity. |
Generate impression based on findings. | Female 53 years old Reason: Assess for umbilical, pelvic midline surgical bowel herniation site, wall thickening History: 53 y.o. woman with a history of celiac disease, abd pain, wt loss. Abd exam with focal left periumbilical protrusion and pain. Father with lymphoma. ABDOMEN:LUNG BASES: Calcification in the right lu... | 1. The stomach and duodenum are markedly distended with abrupt narrowing in the region of the superior mesenteric vessels. This may be physiologic relating to fluid ingestion as per CT enterography protocol however this could be easily further evaluated with fluoroscopy if there is clinical concern for gastric/duodenal... |
Generate impression based on findings. | Reason: New NG tube placement History: Intraparenchymal hemorrhage and seizure Lower pelvis excluded from the field of view.Enteric tube tip in the gastric fundus with side hole proximal to the GE junction.Nonobstructive bowel gas pattern.Cholecystectomy clips. | Enteric tube tip in the gastric fundus with side hole proximal to the GE junction. |
Generate impression based on findings. | Known right convexity subdural hematoma, nausea vomiting and weakness NONCONTRAST CT HEADSlightly decreased size of the right convexity SDH comparing to Apr 1 2015 head CT scan.No evidence of acute ischemic lesion on this scan.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter dif... | 1. Extensive craniocervical arterial wall calcifications without evidence of significant (more than 50%) of luminal stenosis indicating atherosclerotic changes.2. No evidence of intracranial arterial aneurysm, significant luminal stenosis or irregularity. |
Generate impression based on findings. | Female, 9 years old. Pain status post fall. Evaluate for fracture.VIEWS: Right ankle AP, lateral, oblique. Right foot AP, lateral, oblique. (Six views) 4/1/15, 2046 The osseous structures and joint spaces are normal.No significant joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Reason: assess prosthesis History: S/P revision TEA 07/29/13 Four views of the right elbow demonstrate hardware components of a total hinge elbow prosthesis in near-anatomic alignment. Multiple osseous fragments in the surrounding soft tissues may represent fracture fragments versus heterotopic ossification. There has ... | Right total hinged elbow prosthesis, similar to prior exam. |
Generate impression based on findings. | 60 year-old male with history of base of tongue cancer. CHEST:LUNGS AND PLEURA: Focal ground glass opacities at the posterior aspect of the left lower lobe are nonspecific, but may be related to aspiration. No pleural effusions. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: The heart size is normal wi... | Focal ground glass opacities in the left lower lobe are likely the sequela of aspiration. No evidence of metastatic disease. |
Generate impression based on findings. | Reason: 5th metacarpal fx ? alignment History: pain Three views of the left hand demonstrate a nondisplaced oblique, spiral fracture of the head of the fifth metacarpal. There is mild soft tissue swelling along the ulnar aspect of the hand. | Fifth metacarpal fracture as above. |
Generate impression based on findings. | 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 or abnormal enhancement is seen within the cerebellopontine angle, cisterns bilaterally or within the internal auditory canals. The vi... | 1. Unremarkable contrast-enhanced MR appearance of the IACs.2. Mild chronic small vessel ischemic changes. |
Generate impression based on findings. | Reason: NG tube History: NGT Lower pelvis excluded from the field of view.Enteric tube tip in the gastric fundus with side hole likely at the GE junction.Nonobstructive bowel gas pattern.Cholecystectomy clips. | Enteric tube tip in the gastric fundus with side hole likely at the GE junction. |
Generate impression based on findings. | 49-year-old female with history of head and neck cancer. Evaluate for metastatic disease. LUNGS AND PLEURA: Moderate apical predominant emphysema. Scattered pulmonary micronodules, nonspecific. No suspicious pulmonary masses or nodules. No pleural effusions.MEDIASTINUM AND HILA: The heart size is normal without pericar... | No evidence of metastatic disease. |
Generate impression based on findings. | 83-year-old female patient with feculent emesis and dizziness. Evaluate for obstruction. Exam is not sensitive for detecting lesions in the solid organs due to the lack of intravenous contrast. Given those limitations, the following observations are made:ABDOMEN:LUNG BASES: Small bilateral pleural effusions with overly... | 1.Short segment bowel wall thickening within the portion of transverse colon contained in the ventral hernia is favored to represent peristalsis, however, cannot exclude focal colitis.2.Bilateral pleural effusions and septal thickening suggestive of pulmonary edema.3.Marked degenerative changes in the lumbar spine with... |
Generate impression based on findings. | Reason: abnormality History: toe pain Three views of the left foot and 3 views of the left second toe demonstrate normal anatomic alignment, without evidence of acute fracture. There is no significant soft tissue swelling. | There is no acute fracture or malalignment. |
Generate impression based on findings. | Reason: check position of DHT History: difficulty pushing through DHT Low pelvis excluded from the field of view.Dobhoff tube is coiled in the stomach with tip in the pylorus/duodenal bulb.Nonobstructive bowel gas pattern.Retained contrast material in the collecting systems. | Dobhoff tube is coiled in the stomach with tip in the pylorus/duodenal bulb. |
Generate impression based on findings. | CT CARD W/CON PULMNARY VEIN, 4/1/2015 1:05 PM Aortic and Aortic Root. There is a left sided aortic arch with normal brachiocephalic branching pattern. There is no significant atherosclerosis of the proximal brachiocephalic vessels. No thoracic aortic dissection or aneurysm is noted. The thoracic aorta has minimal tortu... | 1. Mildly dilated aortic root. 2. Anterior and poster mitral leaflet thickening with prolapse of the posterior leaflet. Systolic anterior motion of the mitral valve leaflets is noted. 3. Mild left atrial dilation. 4. No significant calcification noted of the coronary vessels.This portion of the report pertains to the h... |
Generate impression based on findings. | Male; 83 years old. Reason: eval for mesenteric ischemia in pt with recurrent feeding intolerance History: distention, leukocytosis, diarrhea CT ANGIOGRAM:No acute abdominal aortic dissection or rupture. Normal caliber of the abdominal aorta. Moderate calcified and noncalcified atherosclerotic plaque affects the abdomi... | 1. No acute abdominal aorta dissection or rupture.2. Atherosclerotic narrowings of the abdominal aorta branch vessels as detailed above, including focal 50% luminal diameter narrowing of the proximal SMA.3. Tight stenosis of the celiac artery origin in a configuration associated with median arcuate ligament syndrome. |
Generate impression based on findings. | 68-year-old male with history of shortness of breath. LUNGS AND PLEURA: Moderate bronchial wall thickening. The lung volumes are increased with flattening of the hemidiaphragms. Scattered calcified micronodules. No suspicious nodules, masses or effusions. Minimal bibasilar linear scarring. Small amount of debris in the... | Large lung volumes, moderate bronchial wall thickening, and debris within the trachea, compatible with asthma as indicated in a previously supplied clinical history. |
Generate impression based on findings. | Reason: r/o pulmonary embolism History: shortness of breath tachycardia PULMONARY ARTERIES: Technically adequate examination without evidence of pulmonary embolism. The main pulmonary artery caliber is within normal limits.LUNGS AND PLEURA: Minimal amount of debris within bilateral mainstem bronchi. Interval decrease i... | 1.No evidence of pulmonary embolism.2.Improving bilateral pleural effusions with adjacent atelectasis. 3.Improving opacity in the posterior segment of the right upper lobe compatible with improving aspiration/infection.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proxima... |
Generate impression based on findings. | Right foot pain. Evaluate for stress fractureTECHNIQUE 3 views with weight bearing Three views of the right foot reveal periosteal reaction in the distal diaphysis of the third right metatarsal. This represents a healing stress fracture. | Stress fracture third metatarsal |
Generate impression based on findings. | 97 years, Female. Reason: barium passing History: s/p xr esophagraphy Contrast is seen in the distal esophagus, unchanged from prior exam. Interval decrease in contrast seen in stomach and contrast is seen in the distal small bowel, ascending colon and transverse colon. Unchanged bibasilar opacities compatible with eff... | Contrast in distal esophagus, small bowel, and colon. |
Generate impression based on findings. | 75 years, Male. Reason: NG Tube verification (extubated; tube ?moved) History: as above Lower abdomen and pelvis excluded from the field of view.Partially imaged AICD, with leads unchanged.Enteric tube tip in the distal second portion of the duodenum.IVC filter noted in the expected location.Nonobstructive bowel gas pa... | Enteric tube tip in the second portion of the duodenum. |
Generate impression based on findings. | Male; 65 years old. Reason: lung cancer. History: former smoker, age 65, being evaluated for heart transplant LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural effusions or evidence of infection.MEDIASTINUM AND HILA: Left chest wall AICD with lead in the right ventricular apex. A stent is present ... | No evidence of malignancy or infection. |
Generate impression based on findings. | Assess prosthesis Three views of the right hip reveal a total hip arthroplasty is in anatomic alignment. No evidence of fractures or dislocations. Note is made of skin staples. | Right total hip arthroplasty in anatomic alignment. |
Generate impression based on findings. | Known left superior hypophyseal artery aneurysm. 3D time of flight MOTSA MRA brain images with maximum intensity projections of the anterior/posterior intracranial circulation demonstrate 7.3mm x 6.3mm sized relatively wide neck left superior hypophyseal artery aneurysm.Comparing to prior MRA, even considering slightly... | 1. Likely interval increase in size of the left superior hypophyseal artery aneurysm (about 1mm since 2012 and about 0.6mm since 2013). Clinical correlation is recommended.2. No change of right distal ICA aneurysms in size of 2mm. |
Generate impression based on findings. | 87 year old with history of right breast cyst aspiration and benign left breast percutaneous biopsy. 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 heterogeneously dense, unchanged in pattern and distribution. A ... | 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. | Acute chest syndrome.VIEW: Chest AP (one view) 4/2/15 at 521 hours. ET tube terminates below thoracic inlet. Central line tip is at the RA/SVC junction. NG tube is present.Cardiac silhouette size is enlarged and stable. No focal lung opacities, effusions or pneumothorax. | No evidence of acute chest. |
Generate impression based on findings. | Evaluate fracture Two views of the left tibia fibula reveal an imaginary rod in the tibia transversing a distal diaphyseal fracture. The fracture is indistinct consistent with healing.There is also an oblique fracture of the distal fibula in anatomic alignment. | Rodding of the left tibia in anatomic alignment. |
Generate impression based on findings. | Congenital diaphragmatic hernia. Right-sided or effusion. Intubation.VIEW: Chest AP (one view) 4/2/15 at 535 hours. Central line terminates at the right atrium. ET tube tip is below the thoracic inlet. Gastrostomy tube unchanged. Persistent right-sided fluid collection, effusion/chylothorax/hemothorax are consideration... | Persistent right-sided fluid collection, effusion/chylothorax/hemothorax are considerations. |
Generate impression based on findings. | Reason: evaluate for septic arthritis History: right wrist effusion, erythema, warmth Three views of the right wrist demonstrate normal anatomic alignment, without evidence of acute fracture. No soft tissue gas is present. There are no osseous erosions to suggest osteitis. | No evidence of osteomyelitis or acute fracture. |
Generate impression based on findings. | Reason: r/o FB (glass) and fx- s/p punching windows History: pain, swelling, lacerations Three views of the right hand demonstrates normal anatomic alignment without evidence of acute fracture or radiopaque foreign object. | No radiopaque foreign object or acute fracture. |
Generate impression based on findings. | Reason: assess fracture History: S/P proximal phalanx fx week ago Three views of the left hand are provided. Overlying cast material limits fine bone detail. The previously seen fracture of the fifth proximal phalanx is not well visualized on this study, however, appears in anatomic alignment. | The known fracture through the proximal fifth phalanx is not visualized on this study, however, the bones appear in anatomic alignment. |
Generate impression based on findings. | Status post fracture.VIEWS: Right forearm AP and lateral 4/2/15 (two views) Cast material obscures fine bone detail. Healing transverse fractures of the diaphysis of the right radius and where none with lateral and dorsal displacement are unchanged in alignment. | Healing fractures unchanged in alignment. |
Generate impression based on findings. | There is ill-defined soft tissue involving the right parapharyngeal space and carotid space and extends along the right neck inferiorly to the supraclavicular region. The mass at level 2 measures 3.5 cm in transverse dimension with mild residual FDG uptake noted on recent PET. Compared to prior outside studies there i... | 1.Ill-defined right neck soft tissue mass involving the levels 2, 3, 4 and extending into the supraclavicular region which demonstrates significant decrease in size since MRI 9/12/2014. Residual soft tissue mass and small neck lymph nodes in the right neck and supraclavicular fossa are seen with some residual FDG uptak... |
Generate impression based on findings. | Reason: Thenar pain History: above Three views of the left hand demonstrate normal anatomic alignment without evidence of acute fracture or significant soft tissue swelling. | Unremarkable study of the left hand. |
Generate impression based on findings. | Patient with sickle cell anemia admitted with crisis. Complaining of sacral/coccygeal pain. Three views of the sacrum/coccyx show diffusely sclerotic bones compatible with the patient's history of sickle cell anemia. No acute fracture or malalignment is evident. | No acute fracture is evident. |
Generate impression based on findings. | There is mild symmetric apparent diffusion restriction along the perirolandic cortex as well as within the right slightly greater than left occipital subcortical white matter. There may also be corresponding mild T2 hyperintensity within the occipital subcortical white matter. There is equivocal mild diffuse hyperinte... | Mild apparent diffusion restriction along the the perirolandic cortex and within the occipital subcortical white matter. Findings could relate to early MRI manifestations of sequela of hypoxic ischemic injury. Differential diagnosis could include encephalitis or metabolic etiologies. No focal abnormality to provide sei... |
Generate impression based on findings. | Assess fracture Three views of the right ankle reveal a side plate and screws in the distal fibula. The fracture line is indistinct. There are two syndesmotic screws. No change in position from the previous exam of March 19. | Healing distal fibular fracture |
Generate impression based on findings. | Male, 17 months old. Evaluate for hip dysplasia.VIEWS: Pelvis AP, frog leg (two views) 4/2/15, 0847 The femoral head ossification centers are symmetric and well directed into the acetabula.On frog leg view, there is less external rotation and abduction on the right. No significant uncovering.No acute fracture or malali... | No evidence of hip dysplasia. |
Generate impression based on findings. | Dorsal pain after blunt trauma Three views of the left foot reveal dorsal soft tissue swelling. note is made of an accessory navicular bone. Note is made of deformity of the fifth metatarsal from old remote trauma. No acute fractures or dislocations. | Dorsal soft tissue swelling. No fractures or dislocations |
Generate impression based on findings. | Clinical question: Evaluate for acute process. Signs and symptoms: AMS. Nonenhanced head CT:Examination demonstrate no evidence of an acute intracranial hemorrhage, edema, mass effect or midline shift.Severely dilated supratentorial ventricular system without definitive change in the size based on measurements. There i... | 1.No acute intracranial process.2.Severe supratentorial ventriculomegaly without significant change since prior study. |
Generate impression based on findings. | 11-month-old male with cough and feverVIEWS: Chest AP/lateral (two views) 4/2/15 The aortic arch, cardiac apex, and stomach are left-sided. The cardiothymic silhouette is normal. Focal pulmonary opacity in left lower lobe may represent atelectasis or pneumonia. No pleural effusion or pneumothorax. | Left lower lobe retrocardiac opacity is favored to represent infection over atelectasis. |
Generate impression based on findings. | Female; 63 years old. Reason: assess for bleed History: assess for bleed Lack of IV and oral contrast limits sensitivity for solid organ and bowel pathology, respectively.ABDOMEN:LUNG BASES: Moderate bilateral pleural effusions with mild bibasilar dependent subsegmental atelectasis. Stable well circumscribed left breas... | 1. 9-mm obstructing right proximal ureteral stone causing moderate right hydronephrosis.2. Moderate pleural effusions and mild abdominopelvic ascites.3. New since 2013 large sacral decubitus ulcer with findings suspicious for osteomyelitis of the sacrum.4. New smaller posterior decubitus ulcer overlying the right ischi... |
Generate impression based on findings. | A 5-month-old female with shortness of breathVIEWS: Chest AP/lateral (two views) 4/2/15 at 0430 The aortic arch, cardiac apex, and stomach are left-sided. The cardiothymic silhouette is normal. No focal pulmonary opacities. No pleural effusion or pneumothorax. Bronchial wall thickening suggests reactive airway disease/... | Bronchiolitis/reactive airway disease. |
Generate impression based on findings. | Knee pain. Question of joint effusions. Four views of the left knee show sharpening of the tibial spines and small osteophyte formation along the medial and patellofemoral compartments. A trace joint effusion is noted. No acute fracture is evident.Four views of the right knee show tiny osteophyte formation. No joint ef... | Mild to moderate left and mild right knee osteoarthritis. |
Generate impression based on findings. | 40 year old with proven papilloma in the left breast presents for seed localization. Repeat ultrasound identified the target papilloma at 4 o'clock position, 1 cm from nipple, in the left breast, with adjacent marker clip. The procedure, risks including bleeding and infection, and benefits of needle-wire localization w... | Successful needle localization of the left breast mass.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Left shoulder pain and mass. Three views of left shoulder show no acute fracture or dislocation. | No acute fracture is evident. |
Generate impression based on findings. | 7-month-old femaleVIEW: Chest AP (one view) 4/2/15 at 0512 The cardiothymic silhouette is normal. Right upper lobe and left lingular and lower lobe opacities compatible with atelectasis, increased from prior. No significant pleural effusion or pneumothorax.Mildly disorganized bowel gas pattern without pneumatosis, free... | Scattered atelectasis. Mildly disorganized pattern is pattern. |
Generate impression based on findings. | Right shoulder pain, chronic prednisone. Question of fracture and AVN. Three views of the right shoulder show no acute fracture or malalignment. No specific radiographic evidence of avascular necrosis. Mild osteoarthritis affects the acromioclavicular joint with an undersurface spur. Mild osteoarthritis affects the gle... | Arthritic changes without fracture. |
Generate impression based on findings. | Nasal bone mass. Maxillofacial: There is a well-defined groundglass attenuation mildly expansile lesion within the left frontal process of the maxilla that measures up to 8 mm, which is unchanged. The nasolacrimal ducts are intact. The paranasal sinuses and nasal cavity are clear. There is a left maxillary mesiodens. T... | A subcentimeter lesion in the left frontal process of the maxilla that measures up to 8 mm likely represents fibrous dysplasia or other fibroosseous condition. |
Generate impression based on findings. | Status post right total knee arthroplasty. Two views of the right knee show hardware components of a total knee arthroplasty device situated in anatomic alignment. No acute fracture is evident. Surgical skin staples, surgical drain, and foci of gas in the soft tissues indicate recent surgery. | Right total knee arthroplasty. |
Generate impression based on findings. | Radicular low back pain. Evaluate for DJD. Five views of the lumbar spine show no acute fracture. Alignment is anatomic. Small anterior osteophytes are noted along the upper lumbar spine. There is moderate to severe disk space narrowing at L2/L3 and L5/S1 with vacuum disk phenomenon. Vertebral body heights are maintain... | Degenerative changes as above. |
Generate impression based on findings. | Female, 7 years old. History of left leg ischemic thrombosis, s/p transmetatarsal foot amputation. Left distal tibia fracture on 2/17/15. Evaluate for healing.VIEWS: Left tibia/fibula AP and lateral (two views) 4/2/15, 0921 Interval removal of cast.Status post transmetatarsal amputation. The foot is held in equinus.Mus... | Healing oblique left distal tibial fracture. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are digital mammographic images (2/25/15), ultrasound images of left breast and left axilla (2/25/15), images from ultrasound guided biopsy of left breast and post procedural left mammographic images (3/4/15) performed at Rush University Medical Center.... | Biopsy proven left breast cancer with metastatic left axillary lymph node. Relatively extensive disease is expected on mammogram.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history breast cancer in her sister and grandmother. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. There is... | Small right breast mass could be benign but cannot be evaluated for stability. Given that the patient cannot recollect where her prior mammograms were performed, it is unlikely that stability of this mass can be evaluated. Therefore, further evaluation with spot compression and possible ultrasound is recommended.BIRADS... |
Generate impression based on findings. | 79-year-old female status post left lumpectomy and sentinel node biopsy 6/2011 for IDC, status post radiation on 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 fibrogla... | 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas o... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Call back from screening mammogram for new calcifications in the left breast. An ML view and two spot magnification views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. A cluster of pleomorphic calcifications is demonstrated at lower inner quadrant, distributing in the linear and ... | Suspicious new cluster of pleomorphic calcifications at lower inner quadrant in the left breast. Stereotactic core needle biopsy is recommended. Results and recommendations were discussed with the patient.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, repeat right CC view and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No susp... | 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 of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microca... | 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. | Per chart, recurrent T2N2M0 squamous cell carcinoma of BOT s/p bilateral SND. New central oral tongue lesion. There is less than 2 cm focus of ulceration involving the right posterior oral tongue to the right of the midline. There appears to be mild surrounding enhancement although amalgam artifact severely limits eval... | 1. Ulcerative lesion in the right posterior oral tongue consistent with known primary/recurrent neoplasm. There is mild surrounding enhancement with extensive dental artifact limiting evaluation of the size of the lesion on the current CT. On prior MRI from 1/5/2015 lesion measures up to 22x26x15 mm with enhancement ex... |
Generate impression based on findings. | 56-year-old male with chronic cough and dyspnea on exertion, outside CT raised question of ILD LUNGS AND PLEURA: Central airways are patent. No pleural effusion or pneumothorax.Linear opacities in bilateral lungs compatible with atelectasis and scarring.Mild mosaic attenuation on inspiration images. Mosaic attenuation ... | Mild mosaic attenuation with evidence of air trapping may represent obstructive airways disease or hypersensitivity pneumonitis among other etiologies. No other evidence of ILD. |
Generate impression based on findings. | Reason: BL knee pain History: knee pain Four views of the right knee demonstrate minimal joint space narrowing and sharpening of the tibial spines, compatible with minimal osteoarthritis. There is no acute fracture or joint effusion.Four views of the left knee demonstrate mild joint space narrowing of the medial tibia ... | Osteoarthritis as above. |
Generate impression based on findings. | 64-year-old female with bilateral hip and knee pain Views of the pelvis and bilateral hips demonstrate mild bilateral osteoarthritis of the hips, left greater than right. Degenerative arthritic changes also affect the sacroiliac joints, pubic symphysis, and the lower lumbar spine.Four views of the right knee demonstrat... | Degenerative arthritic changes of the hips and knees as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. Area of focal asymmetry in the left inner breast on the CC ... | Left breast focal asymmetry for which further evaluation with spot compression and possible ultrasound is recommended. If the patient can recollect where in Texas her prior mammograms were performed and the finding could be proven stable, then further evaluation may not be necessary.BIRADS: 0 - INCOMPLETE; Need additio... |
Generate impression based on findings. | 87-year-old female with head trauma No intracranial hemorrhage is identified. Right frontal scalp hematoma. No intracranial mass or evidence of mass-effect. No midline shift, or uncal herniation. Gray-white differentiation is maintained. There are scattered areas of hypoattenuation in the periventricular and subcortica... | 1. No evidence of acute intracranial hemorrhage or mass effect. 2. Right frontal scalp hematoma.3. Scattered areas of hypoattenuation in the periventricular and subcortical white matter which are nonspecific but favored to represent intervally developed age indeterminate small vessel ischemic changes. |
Generate impression based on findings. | Male, 10 months old. Evaluate for fracture/osteopenia. Elevated alk phosVIEWS: Left wrist PA. Left knee AP. (Two views) 4/2/15, 0942 Metaphyseal cupping and fraying involving the distal radius and ulna, distal femur, and proximal tibia/fibula.No acute fracture or malalignment. | Rickets. |
Generate impression based on findings. | 77 years, Male. Reason: OG History: OG Lower abdomen and pelvis excluded from the field of view.Enteric tube coiled in the stomach with tip in the fundus.Partially imaged AICD.Nonobstructive bowel gas pattern.High density material seen in the colon at the hepatic flexure and in the distal transverse colon; may represen... | Enteric tube coiled in the stomach. |
Generate impression based on findings. | Reason: assess healing History: S/P R fifth middle phalanx fx 03/21 Three views of the right fifth finger demonstrate fracture of the neck of the fifth middle phalanx, in near-anatomic alignment. The fracture line is indistinct, compatible with some interval healing. Interval improvement of overlying soft tissue swelli... | Healing fracture of the fifth middle phalanx as above. |
Generate impression based on findings. | Male; 22 years old. Reason: r/o diverticulitis History: LLQ pain ABDOMEN:LUNG BASES: Cardiomegaly. Multiple large cardiac or pericardial calcifications are stable in appearance. Mild bibasilar subsegmental atelectasis and/or scarring. Trace pleural effusions.LIVER, BILIARY TRACT: Dilated IVC and reticular pattern of at... | 1. Small amount of pelvic ascites in dependent pelvis of uncertain etiology and significance -- no other acute abnormality.2. Findings of hepatic passive congestion. |
Generate impression based on findings. | 69-year-old male with prostate and kidney cancer, evaluate for metastasis LUNGS AND PLEURA: Scattered, nonspecific calcified and noncalcified micronodules. No suspicious nodules. No focal consolidation. Central airways are patent. No pneumothorax or pleural effusion.MEDIASTINUM AND HILA: Heart size is normal. No perica... | Lytic lesion in the L1 vertebral body with compression deformity may represent a metastatic lesion with pathologic fracture. Lytic lesion in the T7 vertebral body is nonspecific but may represent a hemangioma. Please see dedicated nuclear medicine bone scan report. |
Generate impression based on findings. | Reason: thumb long finger and wrist pain r/o djd History: pain Three views of the right hand demonstrate evidence of previous trapezium resection, with small residual bone fragments lateral to the scaphoid. Tiny lucent foci in the third metacarpal head are likely degenerative in etiology. Osteoarthritis affects the bas... | Degenerative arthritic changes as above. |
Generate impression based on findings. | 55 year old female status post left lumpectomy in 2012 with radiation, chemotherapy, and hormonal therapy. Three standard views of both breasts and two spot magnification views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microca... | 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: knee pain, evaluate for arthritis History: Knee pain Four views of the right knee demonstrate moderate osteoarthritis including medial compartment joint space narrowing, subchondral sclerosis, and osteophytosis. There is no significant joint effusion or acute fracture.Four views of the left knee demonstrates se... | Osteoarthritis as above. |
Generate impression based on findings. | 52-year-old female with chronic sinusitis status post antibiotic treatment, ongoing pain and pressure. Small bilateral maxillary sinus retention cysts/polyps and minimal left maxillary mucosal thickening. Mild mucosal thickening of the left frontoethmoidal recess. The maxillary sinuses, frontal sinuses, anterior/poster... | 1. Small bilateral maxillary sinus retention cysts/polyps and mild mucosal thickening of the left frontoethmoidal recess.2. Minimal leftward deviation of the posterior aspect of the nasal septum. |
Generate impression based on findings. | 72-year-old female patient with recently resected renal cell carcinoma in the pancreas on the 1/26/2015. Evaluate for recurrence. Patient has no complaints. CHEST:LUNGS AND PLEURA: Scattered micronodules are not significantly changed compared to prior examination. Lingular scarring.MEDIASTINUM AND HILA: Prominent preca... | 1.Peripancreatic fluid collection and postsurgical changes from distal pancreatectomy and splenectomy.2.No evidence of recurrent or metastatic disease. |
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: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History bilateral breast reductions. Patient reports chronic history of lumpy breasts. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this r... |
Generate impression based on findings. | Male 79 years old Reason: pain History: pain Bone mineralization is decreased. Mild joint space narrowing is noted in the medial compartment and extensor compartments. There is a lucent fracture line involving the lateral femoral epicondyle and distal femur metaphysis. The fracture line is more evident on the current e... | Healing lateral femoral condyle fracture. |
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