instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | Female 4 years old Reason: increased WOB and wheezing, r/o worsening pulm pathology History: increased resp distressVIEW: Chest AP (one view) 4/2/15 1004 hrs Cardiac silhouette size is normal. Peribronchial thickening, large lung volumes and right middle and lower lobe opacities, either atelectasis or pneumonia. | Reactive airway disease pattern with superimposed multifocal opacities. |
Generate impression based on findings. | 28 year-old female with family history of breast cancer diagnosed in mother age 37. 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 heterogeneously dense, which may obscure small masses, unchanged in pattern an... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Annual MRI is also recommended given patient's breast density and family history. Results and recommendation were discussed with the patient. Brochure for cancer r... |
Generate impression based on findings. | 60 year-old female with history of breast cancer now with t-AML and decreased LVEF and shortness of breath LUNGS AND PLEURA: Central airways are patent. Small right greater than left pleural effusions with adjacent atelectasis.Scarring in the right lung apex. Mild apical predominant centrilobular emphysema. Pleural bas... | 1.Small right greater than left pleural effusions with adjacent atelectasis, very mild edema pattern.2.Pleural nodularity and focal pleural thickening in the right upper lobe as described above. Provided history of breast cancer in addition to prominent left axillary and mediastinal lymph nodes, this may represent meta... |
Generate impression based on findings. | 17 year-old male with right wrist fracture.VIEWS: Right wrist PA, lateral (two views) 4/2/15 at 1000 Interval cast placement. Overlying cast material obscures fine bone detail. Healing nondisplaced oblique fracture of the distal radial epiphysis extending to articular surface. The distal radius is in near anatomic alig... | Healing oblique fracture of the distal radius in anatomic alignment. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts obtained on 8 total images were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. A round mass is present in the posterior depth of the left ... | Round mass in the left breast may be of benign etiology, but should be further evaluated with spot compression and possible ultrasound given that no prior studies are available to prove stability.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Female; 47 years old. Reason: History of cyctic neuroendocrine carcinoid. Follow up History: asymptomatic ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Previously described crescentic area of decreased attenuation at the lateral aspect of the inferior right hepatic lobe has become less consp... | 1. No evidence of recurrent or metastatic disease.2. No suspicious hepatic lesions. On next follow-up examination, the patient should have a routine CT abdomen and pelvis with intravenous contrast in the venous phase with added arterial phase of the liver. |
Generate impression based on findings. | 15-year-old female with cough and shortness of breathEXAMINATION: Chest upright PA, lateral (two views) 4/2/15 at 0949 Cardiothymic silhouette is normal. Mild peribronchial thickening and large lung volumes consistent with reactive airway disease pattern. No focal opacities. No pleural effusion or pneumothorax. | Reactive airway disease pattern. No pneumonia. |
Generate impression based on findings. | Hand and knee pain. Assess for gout and confirm tophi. Three views of the left hand are provided. There is soft tissue swelling about scattered interphalangeal joints, predominantly of the second and third digits. There is narrowing of the second digit PIP and DIP joints with erosions at the head of the second digit pr... | Gout and arthritis as described above. |
Generate impression based on findings. | Male 26 years old Reason: Eval for fx History: Pain s/p GLF Bone mineralization is normal. Alignment is anatomic. The joint spaces are normal. No acute fracture or malalignment.Possible trace joint effusion. | No acute fracture or malalignment. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history breast cancer diagnosed in sister. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Benign calcifications including arte... | 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. | Female 28 years old Reason: left knee pain History: knee pain Patient is status post left ACL graft repair as evidenced by tunnels and interference screws. No postoperative complication is evident. No joint effusion.There is mild medial compartment joint space narrowing and small tricompartmental osteophytes.Small ossi... | Postsurgical changes from left ACL graft with developing osteoarthritis |
Generate impression based on findings. | 50 year-old female. Previously seen high probability benign calcifications and cysts in the left breast. Of note, during compression for mammogram, right milky discharge was noted by the technologist. Mammogram: Three standard views of both breasts and two spot magnification views of left breast were performed digitall... | 5-mm sonographically detected lesion with atypical features in an area of fibrocystic change in the left breast 6 to 6:30 o'clock position, needs further evaluation with ultrasound guided core biopsy.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | Male, 14 years old. Proteinuria. Assess renal morphology. BLADDER Wall Thickness: Normal Contents: Contracted and normal. Distal Ureter -- SFU Grade** Right: 0 Left: 0 Ureteral Jets Right: Not observed Left: Not observedKIDNEYS Cortical Echogenicity: Normal Medullary Echogenicity: Normal Pelvicaliceal Syste... | Normal examination.*SFU grading system: Grade 0: No hydronephrosis. Grade 1: The renal pelvis is visualized. Grade 2: A few but not all of the calices are identified in addition to the renal pelvis. Grade 3: Virtually all the calices are seen. Grade 4: Grade 3 and parenchymal thinning. **SFU grading system retrovesical... |
Generate impression based on findings. | 68-year-old male patient with history of metastatic renal cell cancer to the brain. Evaluate for systemic recurrence. CHEST:LUNGS AND PLEURA: There is a new 5-mm solid nodule in the right lower lobe (series 5 image 76) and an enlarging nodule in the left upper lobe nodule that measures 5 mm (series 5 image 58), previou... | Interval progression of disease with increasing retrocrural and retroperitoneal lymphadenopathy as well as pulmonary and adrenal metastases. |
Generate impression based on findings. | There is slight flattening of the right nasal valve compared to the left. There is significant leftward nasal septal deviation without osseous septal spur. The mucosa of the nasal septum contacts the mucosa of the left inferior turbinate, significantly narrowing the nasal cavity. There is a minute amount of patchy muc... | 1.Leftward septal deviation with narrowing of the nasal cavity.2.Slight narrowing of the right nasal valve.3.No significant sinus disease or structural abnormality. |
Generate impression based on findings. | Clinical question: History of breast cancer now with T -- AML. Signs and symptoms: Decreased hearing in right ear and also assess for any infection. Nonenhanced maxillofacial CT:All paranasal sinuses are well pneumatized. Minimal focal mucosal thickening in the dependent bilateral maxillary sinuses these noted. Patent ... | Unremarkable nonenhanced maxillofacial CT. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with repeat right MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses... | 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. | Clinical question: Altered mental status. Signs and symptoms: Altered mental status. Unenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute non-hemorrhagic ischemic stroke.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces a... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | 25 year-old male with right scrotal pain. RIGHT TESTIS: Measures 5.3-cm x 2.4 cm x 3.5 cm and is normal in echogenicity with no intratesticular masses identified.LEFT TESTIS: Measures 5.2 cm x 2.4 cm x 3.7 cm and is normal in echogenicity with no intratesticular mass identified.RIGHT EPIDIDYMIS: Measures 3.7 cm x 0.8 c... | 1. Findings suggestive of mild right sided epididymitis. 2. Lymph node in the right groin at the site of radiating pain noted by the patient is likely reactive. |
Generate impression based on findings. | Joint pain. Polyarticular gout. Three views of the left foot show a erosion at the head and base of the first digit proximal phalanx. No acute fracture is evident. Three views of the right foot show an erosion at the first tarsometatarsal joint along the medial aspect of the medial cuneiform. No acute fracture is evide... | Erosions consistent with gout. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with repeat right MLO view 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 suspicio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Clinical question: Evaluate paranasal sinuses. Signs and symptoms: Facial pain, tooth pain and nasal congestion. Medtronic fusion sinus CT:All paranasal sinuses are well pneumatized. Minute mucosal thickening in the left frontal sinus, ethmoids and dependent bilateral maxillary sinuses are noted. Ostiomeatal units of m... | 1.Minute patchy mucosal thickening of the paranasal sinuses and unremarkable exam otherwise.2.Small nonspecific focus of soft tissue subcutaneous stranding at the level of nasal bridge on the right.3.Unremarkable images through the orbits, mastoid air cells and middle ear cavities.4.Periapical lucencies of bilateral ma... |
Generate impression based on findings. | Left foot ulcer. Question of osteomyelitis. Three views of the left foot show no acute fracture or malalignment. There is no specific radiographic evidence of osteomyelitis. No soft tissue swelling is seen. | No specific radiographic evidence of osteomyelitis. |
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, unchanged in pattern and distribution. No suspicious masses... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 61 year-old female with history of stage IV pancreatic adenocarcinoma. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Normal heart size. No pericardial effusion. No mediastinal or hilar lymphadenopathy. Stable nonspecific small thyroid nodules.CORONARY ARTERY CALCIFICATION: No visible co... | 1. Mildly increased pancreatic tail mass, most likely due to pancreatic adenocarcinoma, which now extends to and likely involves the greater curve of the stomach.2. Slightly increased size of hepatic metastases. |
Generate impression based on findings. | 74-year-old male with right empyema, evaluate for loculations LUNGS AND PLEURA: Large right pleural effusion with simple fluid attenuation and no appreciable loculations with adjacent compressive atelectasis. Small left pleural effusion with adjacent groundglass and nodular opacities. Calcified, probable lymph nodes in... | 1.Large right pleural effusion with simple fluid attenuation and no appreciable loculations as clinically questioned.2.Left upper and lower lobe groundglass and nodular opacities compatible with aspiration/aspiration pneumonia.3.Porcelain gallbladder with soft tissue density within the lumen. This finding is associated... |
Generate impression based on findings. | 65 year-old female with Hepatitis C, rule out HCC LIVER: Mild increased echogenicity of the liver measuring 12.6 cm in length. No focal hepatic lesions. Main portal vein is patent with appropriate directional flow; peak velocity measures 0.2 m/s. GALLBLADDER, BILIARY TRACT: Nonmobile echogenic focus with no acoustic sh... | 1. Mild increased echogenicity of the liver suggestive of parenchymal dysfunction/fatty infiltration. No focal hepatic lesion. 2. Stable subcentimeter gallbladder polyp. |
Generate impression based on findings. | There are postoperative findings related to recent anterior and posterior cervical fusion at C3 through C6. The disc spacers are appropriately placed, the anterior plates and screws are well seated within the vertebral bodies, and the posterior screws are within the lateral masses. Bone graft material is present along... | Postoperative findings related to recent anterior and posterior cervical fusion at C3 through C6 with intact hardware in appropriate position. |
Generate impression based on findings. | Female 28 years old Reason: eval for fx, dislocation, etc History: pain s/p fall Bone mineralization is normal. Alignment is anatomic. No acute fracture or malalignment. No joint effusion. There are small tricompartmental osteophytes | 1.No acute fracture or malalignment.2.Mild osteoarthritis. |
Generate impression based on findings. | 85 year old female with 4 days of dysphagia for solids and liquids recently, now resolved. Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions. Mild cardiomegaly and AICD noted.Double contrast evaluation of the esophagus and gastric cardia/fundus revealed sma... | 1.Prolonged delay in passage of test pill at the gastroesophageal junction, possibly indicating small stricture at this location. However patient's symptoms were not reproduced.2.Small anterior web and prominent cricopharyngeus, of uncertain clinical significance. Oropharyngeal motility study can be considered for furt... |
Generate impression based on findings. | Male 68 years old Reason: pre-op History: pain Right knee: Severe osteoarthritis affects the right knee with bone on bone apposition in the medial compartment and moderate joint space loss in the extensor compartment. There are tricompartmental osteophytes. Small joint effusion. No acute fracture.Mechanical axis: Mecha... | Severe right knee osteoarthritis. |
Generate impression based on findings. | 17-year-old male with two weeks of pain when playing basketballVIEWS: Left femur AP, lateral (two views) 4/2/15 at 1044 The left femoral head is seated at the well formed acetabulum. No fracture or malalignment. No significant soft tissue swelling | No fracture or malalignment. |
Generate impression based on findings. | 63 year old with history of left lumpectomy for IDC 2/2008 followed by adjuvant radiation and chemotherapy. 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 distribut... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with moderate age-related volume loss. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are scattered punctate and confluent areas of abnormal low density in the periventricular and subcortical white matter, consistent with mild age... | No acute intracranial hemorrhage. Mild age-indeterminate small vessel ischemic changes. If there remains clinical concern for an acute ischemic event, MRI of the brain is recommended. |
Generate impression based on findings. | 57-year-old male patient with history of clear cell renal cell carcinoma status post partial nephrectomy. Evaluate for recurrence. CHEST:LUNGS AND PLEURA: Small left basilar micronodule is unchanged (series 4 image 89). Basilar atelectasis..MEDIASTINUM AND HILA: No significant mediastinal or hilar lymphadenopathy. Card... | 1.Post surgical changes from partial left nephrectomy without evidence of recurrence or metastatic disease.2.Nonspecific gastrohepatic lymph node has been stable for over 1 year. |
Generate impression based on findings. | No acute facial bone fracture is identified. The temporomandibular joints are intact.There is right lateral periorbital soft tissue swelling. No orbital fracture is identified. The globes are intact. There is no evidence of intraorbital hematoma or stranding.There is a left maxillary sinus mucosal retention cyst. The ... | 1. Right periorbital soft tissue swelling especially laterally, without fracture.2. Incidental ground glass sclerosis of the body of the right hemimandible with mild expansion. No associated abnormalities to suggest that this represents condensing osteitis, therefore findings may represent fibrous dysplasia or other fi... |
Generate impression based on findings. | 62-year-old male with history of metastatic non-small cell lung cancer with new left upper lobe lesion. CHEST:LUNGS AND PLEURA: Moderate emphysema. Reference left upper lobe nodule measures 8 mm, previously 6 mm (image 21 of series 5). Cavitary left lower lobe lesion measures 11 mm, previously 9 mm (image 62 of series ... | 1. Increase in size of reference left upper and lower lobe pulmonary nodules.2. Left adrenal nodule has increased in size compatible with metastatic disease.3. Pancreatic head lesion has increased in size which may represent an additional site of metastasis.4. Stable sclerotic focus in the T7 vertebral body. |
Generate impression based on findings. | 9-year-old male with cerebral palsyEXAMINATION: Oropharyngeal motility study 4/2/15 Julie Eccelestone, speech and language therapist, supervised the examination.63 seconds of fluoroscopy was used.Mild oral inversion with positive gag to purée. No penetration or aspiration with nectar, purée, or thin liquids. | No penetration or aspiration with nectar, purée, or thin liquids.Please see the speech and language therapist's report for feeding recommendations. |
Generate impression based on findings. | 79 year-old female with recent transverse colonic polypectomy demonstrating invasive well-differentiated colonic adenocarcinoma arising in a colonic adenoma. Evaluate for metastatic disease. CHEST:LUNGS AND PLEURA: Scattered nonspecific pulmonary micronodules, some of which are calcified. For future reference, the larg... | No definite metastatic disease. |
Generate impression based on findings. | 47-year-old female status post right mastectomy in 2006 for IDC and DCIS. Patient received radiation, chemotherapy, and hormonal therapy. No current breast complaints. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 4-year-old male with decreased breath sounds, concern for foreign body.VIEWS: Chest PA/lateral (two views) 4/2/15 at 1058 The aortic arch, cardiac apex, and stomach are left-sided. The cardiothymic silhouette is normal. No focal pulmonary opacities. No pleural effusion or pneumothorax. No radiopaque foreign body as cli... | No radiopaque foreign body as clinically questioned. Bronchiolitis/reactive airway disease pattern. No pneumonia. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and repeat left MLO 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, micro... | 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. | 75-year-old female patient with metastatic breast cancer. Patient presents for baseline prior to starting new treatment regimen. History of pulmonary and bone metastases. CHEST:LUNGS AND PLEURA: There is a right-sided pleural effusionwith numerous enhancing pleural nodules and scattered right micronodules, all new comp... | 1.Marked progression of disease since 2013 with new right sided enhancing pleural nodules, right pleural effusion, right hilar node, paraesophageal nodules, enlarging cardiophrenic nodes, and increased sclerotic bone lesions. Please refer to dedicated bone scan performed same day for complete details on osseous metasta... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Bilateral breast implants. Two standard and 2 implant displaced 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 d... | 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. | 9-year-old male with pleuritic right chest pain.VIEWS: Chest AP/lateral (two views) 4/2/15 at 1053 Left central line with tip at the cavoatrial junction.Cardiothymic silhouette is normal. Overall low lung volumes. No focal opacities. No pleural effusion or pneumothorax. Radiodensities in the left upper quadrant likely ... | Low lung volumes. |
Generate impression based on findings. | 24 year-old female with history of right mastectomy for breast cancer in 2014 presents for annual mammogram of the left breast. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is extremely dense, unchanged in pattern and distribution. No s... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, left unilateral diagnostic mammogram is recommended annually. In view of the history of breast cancer in young age and extremely dense breast tissue, breast MRI should be considered for annual follow-up. Results ... |
Generate impression based on findings. | Postoperative changes are seen from recent VP shunt revision. There is pneumocephalus in the left frontal horn. There is also focus of air just lateral to the mid body of the ventricle. A previous left parietal approach ventriculostomy catheter has been replaced, with the new catheter coiled within the left parietal p... | 1. Interval shunt revision with coiled ventriculostomy catheter in the left parietal, and tip not reaching ventricular lumen. At time of dictation, subsequent repositioning is noted on a later CT head.2. Small amount of hyperdensity along the lateral margin of the posterior body of the left lateral ventricle. This may ... |
Generate impression based on findings. | Female 61 years old Reason: Include weight bearing views. Evaluate for degree of osteoarthritis or stress fracture History: right groin pain in runner. History of recurrent breast cancer. Pelvis: Bone mineralization is normal. Alignment is anatomic. The joint spaces are normal. No acute fracture or malalignment.Postsur... | No acute fracture.Findings suspicious for early osteoarthritis of the right hip which may be better evaluated with MRI. |
Generate impression based on findings. | Female, 12 years old. Headaches. Evaluate for shunt fracture.VIEWS: Shunt series: Skull AP/lateral (two views), chest AP/lateral (two views), abdomen AP/lateral (two views) 4/2/15, 1114 Ventriculostomy catheter tip is in the middle cranial fossa near midline, unchanged. The catheter tubing approaches the valve, without... | No evidence of extracranial shunt malfunction. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with repeat bilateral CC views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious ma... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Hand pain and stiffness for one year. Three views of the left hand show deformity of the distal radius and fifth metacarpal suggestive of old fracture. No acute fracture is evident.Three views of the right hand show no acute fracture or malalignment. There is mild basilar joint osteoarthritis. | Mild right basilar joint osteoarthritis. |
Generate impression based on findings. | Female 68 years old; Reason: assess for intraabdominal pathology, rp hematoma History: epigastric abd pain The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations were made:CHEST:LUNGS AND PLEURA: Diffuse centrilobular emp... | 1.No specific cause for patient's epigastric pain is identified.2.Fluid within the endometrial cavity, more than would be expected for a patient of this age. Transvaginal ultrasound plus tissue sampling is recommended.3. Diffuse centrilobular emphysema with an apical predominance. Hilar and mediastinal lymphadenopathy,... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with repeat bilateral MLO views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious m... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts 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: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male; 56 years old. Reason: Saccular aneurysm thoracic aorta. PT on dialysis ESRD. History: saccular aneurysm CT angiogram: Stable mild dilation of the ascending aorta measuring up to 4.1-cm. Stable appearance of aortic arch eccentric, saccular aneurysm located just distal to the left subclavian artery origin measuring... | Stable dilated ascending aorta and aortic arch eccentric, saccular aneurysm as detailed above. |
Generate impression based on findings. | 12-month-old with unresponsiveness and facial trauma after 22 inch flat screen TV fell onto back of head. Abrasions over right maxilla and nasal bridge.VIEWS: Cervical spine AP, lateral; chest AP; pelvis AP (4 views) 4/2/15 at 1119 Cervical spine: No fracture or subluxation. No significant prevertebral soft tissue swel... | Normal examinations. |
Generate impression based on findings. | The paranasal sinuses are clear. There are small bony spurs within the bilateral maxillary sinuses. The nasal cavity is also clear. There is no significant nasal septal deviation. The lamina papyracea and ethmoid roofs are intact. The carotid groove and optic canals are covered by bone. The nasopharynx, facial soft ti... | No evidence of sinusitis. |
Generate impression based on findings. | Male 3 months old Reason: evaluate ETT and PTX History: desaturationsVIEW: Chest AP (one view) 4/2/15 1133 hours NG tube terminates in the stomach. ET tube tip is at the carina. Cardiac silhouette is non sizable due to a complete atelectases of the left lung. No focal opacities the right lung. | Complete atelectasis of the left lung, either ET tube or mucous plugging related. |
Generate impression based on findings. | Male 52 years old Reason: left total hip History: left total hip arthroplasty Two views of the left hip shows components of a total left hip arthroplasty device in anatomic alignment without radiographic evidence of hardware complication.AP pelvis: Single view of the pelvis severe right hip osteoarthritis. Degenerative... | Total left hip arthroplasty without radiographic evidence of hardware complication. |
Generate impression based on findings. | 43 year old with high probability benign mass in the right breast presents for follow-up examination. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. A c... | No mammographic or sonographic evidence of malignancy. Benign fibroadenoma in the right breast. 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: 2 - Benign finding.RECOMMENDATION: NS ... |
Generate impression based on findings. | Female 5 months old Reason: evaluate NJ placement History: NJ replacedVIEW: Chest AP (one view) 4/2/15 1139 hrs. Right IJ access terminates at the RA/SVC. Right lower extremity central line tip is at the retrohepatic IVC. Feeding tube terminates at the second/third duodenal portion junction.Cardiac silhouette size is n... | Feeding tube positioning as described. |
Generate impression based on findings. | Female 64 years old; Reason: evaluate for blood collection/ bleeding History: persistent anemia The presence of motion and the absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations were made:ABDOMEN:LUNG BASES: Bibasal opaci... | 1.No evidence of intra-abdominal hemorrhage.2.Mildly prominent central small bowel loops raising the possibility of ileus.3.Nonspecific abdominal and pelvic free fluid with diffuse anasarca.4.Sarcoidosis. Right middle lobe nodularity may be associated with this underlying process however superimposed infection is not e... |
Generate impression based on findings. | Male 44 years old; Reason: assess etiology of abdominal pain History: severe left sided abdominal pain ABDOMEN:LUNG BASES: Atelectasis/scarring at the lung bases.LIVER, BILIARY TRACT: Fatty liver.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormali... | 1.No acute abdominal or pelvic pathology. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, repeat right MLO 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, unchanged in pattern and distribution. No... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Male 57 years old; Reason: 57M w/ hx rectal ca s/p LAR in the past, now POD#6 status post ileostomy takedown, now with persistent n/v History: nausea, vomiting The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations were m... | 1.Small bowel obstruction, with a transition zone in the distal small bowel, likely secondary to adhesions.2.Segment of proximal jejunal thickening and luminal narrowing is nonspecific. While this may relate to peristalsis, focal inflammation/infection could have a similar appearance.3.Nonspecific inflammation/infectio... |
Generate impression based on findings. | Planning for scoliosis surgery.VIEWS: Spine supine AP/right bending/left bending (3 views) 04/02/15 Ventriculoperitoneal shunt tubing is seen. Vagal nerve stimulator device is in place. A gastrostomy tube is present. The left femoral head is superiorly positioned with respect to the acetabulum.Right curve between T1 an... | Right thoracic and left thoracolumbar curves with minimal flexibility. |
Generate impression based on findings. | Reason: right kidney cancer s/p right partial nephrectomy, evaluate nodes seen on previous study and note any change in size ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADR... | 1.Baseline study post partial right nephrectomy. No evidence of residual or recurrent disease in the nephrectomy bed.2.Stable reference retroperitoneal lymph node. |
Generate impression based on findings. | 64 year-old female with metastatic colon cancer to liver and lungs, on chemotherapy, surveillance. Abdominal pain. CHEST:LUNGS AND PLEURA: There's been a slight increase in size of many of the bilateral pulmonary parenchymal nodules. The referenced right upper lobe nodule (series 5, image 49) has not changed and measur... | 1. Concordant slight increases in size in metastatic disease seen in the lung parenchyma, liver, mesentery and abdominal lymph nodes as described above. |
Generate impression based on findings. | HLA-B27 +. Question joint space narrowing and erosions. Pain.VIEWS: Pelvis AP/frog leg (two views) 04/02/15 The round, smooth femoral heads are well directed into normally formed acetabula. The hip joint spaces are normal. The SI joints appear normal. No fracture is seen. A small amount of feces is present in the recto... | Normal examination. |
Generate impression based on findings. | Head and neck cancer, unknown primary, evaluate disease. There is a large necrotic left neck mass measuring up to 6.3 x 4.5 x 6.0 cm in the AP, transverse, and craniocaudal dimensions similar to outside PET study. Small foci of calcifications are noted. Neck mass involves left levels 2 and 3 with loss of fat planes wit... | 1. 6.3 x 4.5 x 6.0 cm necrotic nodal mass involving levels 2 and 3 with evidence of extracapsular invasion and infiltration of the left sternocleidomastoid muscle. There are additional nonspecific left neck lymph nodes at levels 3 and 4 which are not enlarged or necrotic but asymmetrically prominent on the left. No rig... |
Generate impression based on findings. | 61-year-old male with HCC and history of isolated left sacro- lesion; status post XRT, needs surveillance. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCORONARY ARTERY CALCIFICATION: None.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY ... | 1. Stable appearance to large lytic left sacral lesion. 2. No other sites of metastatic disease seen. 3. Status post liver transplantation without evidence of recurrent tumor in the liver. |
Generate impression based on findings. | Postoperative changes are again seen from recent VP shunt revision. There is scattered residual foci of pneumocephalus on the left. The previously coiled ventriculostomy catheter has been repositioned, and it now traverses the posterior body of the left lateral ventricle with tip abutting the lateral wall of the mid b... | 1. Interval repositioning of coiled ventriculostomy catheter, with tip now in the region of the mid body of the right lateral ventricle.2. Stable to slight decreased lateral ventricular size.3. Stable minimal hyperdensity along the lateral margin of the posterior body of the left lateral ventricle. This may represent p... |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. There is patchy opacification of paranasal sinuses. The visualized portions of the mastoids/middle ears ... | 1. No acute intracranial abnormality.2. Right frontal apex soft tissue swelling of the scalp without fracture.3. No facial bone fracture identified. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids/middle ears are grossly clear. There is sl... | No acute intracranial abnormality. |
Generate impression based on findings. | Male 93 years old; Reason: blood in urine History: blood in urine ABDOMEN:LUNG BASES: Atelectasis/scarring at the lung bases. Moderate coronary artery calcifications.LIVER, BILIARY TRACT: Fatty liver. Stable 1.8 x 2.5 cm hypodense lesion in the left lobe of the liver is incompletely characterized.SPLEEN: Lobulated cont... | 1.Limited secondary to lack of intravenous contrast. Given this, no CT identifiable cause for hematuria. |
Generate impression based on findings. | 78 year old 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, microcalcificatio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are mild areas of low density suggested in the occipital deep white matter bilaterally. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and m... | 1. No acute intracranial hemorrhage.2. Questioned subtle abnormal low density in the deep occipital white matter bilaterally which may represent age indeterminate small vessel ischemic changes. Given patient's history of headache and seizure, please correlate clinically to exclude the possibility of PRES. |
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. There is a new obscured mass with a fe... | Obscured left breast mass for which further evaluation with spot compression and possible ultrasound is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in her mother. 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 ... | 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. | 43 year old 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, unchanged in pattern and distribution. There is an asymmetry... | Left medial breast asymmetry with questioned spiculation for which further evaluation with spot compression mammography and possible ultrasound is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Male 59 years old; Reason: stage IV NED melanoma History: assess for metastatic cancer CHEST:LUNGS AND PLEURA: Atelectasis at the lung bases.MEDIASTINUM AND HILA: A few cardiomediastinal lymph nodes not enlarged by size criteria.CHEST WALL: No significant abnormality notedOTHER: ABDOMEN:LIVER, BILIARY TRACT: No signifi... | 1.No specific evidence of metastatic disease. |
Generate impression based on findings. | 64-year-old male with high with prostate cancer, restaging imaging. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS... | 1. Soft tissue mass extending posterior and right lateral from the prostate worrisome for large tumor burden. 2. Mildly enlarged left common iliac and bilateral common femoral lymph nodes worrisome for metastatic disease. 3. Enlarged inguinal lymph nodes of uncertain significance. 4. Scattered pelvic sclerotic foci wor... |
Generate impression based on findings. | Female, 2 years old. Evaluate for fracture or bony callousVIEWS: Right clavicle AP/axial (2 views) 4/2/2015, 1247 No acute or healing clavicular fracture identified.The other visualized osseous structures and joint spaces are normal. | Normal examination. |
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 morphology mass... | No mammographic evidence of malignancy. Multiple bilateral benign morphology masses. 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 ... |
Generate impression based on findings. | Female 37 years old History: axillary adenopathy. Biopsy c/w Castleman's disease. Evaluate extent of disease.RADIOPHARMACEUTICAL: 11.9 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 130 mg/dL. Today's CT portion grossly demonstrates enlarged left axillary lymph nodes.Today's PET examination demonstrates mul... | 1.Multiple enlarged mildly hypermetabolic left axillary lymph nodes not entirely specific but consistent with history of Castleman's disease. Other etiologies including low grade lymphoma could have a similar appearance.2.No additional FDG avid lesions identified. |
Generate impression based on findings. | 56 year old female patient with rising white count and concern for infection. Note that the lack of oral contrast limits evaluation of bowel and patient motion mildly limits the examination. Given its limitations, the following observations are made:ABDOMEN:LUNG BASES: Small left pleural effusion with overlying atelect... | 1.Interval increase in peripancreatic fluid and collection along the posterior stomach from prior pancreatitis as described above.2.Right external and common iliac vein nonocclusive thrombus may be due to recent central venous catheter placement. 3.Findings discussed with Stephanie Blummer via telephone by Dr. McCann a... |
Generate impression based on findings. | 55-year-old male with history of shortness of breath. Evaluate for PE. PULMONARY ARTERIES: No evidence of acute pulmonary embolus.LUNGS AND PLEURA: There is severe apical predominant paraseptal emphysema with large apical bullae with scarring and nodularity appearing similar to the prior study. No suspicious pulmonary ... | Severe emphysema with no evidence of acute pulmonary embolus.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Female 52 years old Reason: BL knee pain History: BL knee pain Right knee: Bone mineralization is normal alignment is near-anatomic. There is moderate medial compartment and mild extensor compartment joint space loss. There are osteophytes in the medial compartment. No joint effusion. No acute fracture or malalignment.... | Moderate right knee and mild left knee medial compartment osteoarthritis |
Generate impression based on findings. | 52-year-old female with question of scar versus neoplasm in the left lung apex seen incidentally on MRI C-spine. LUNGS AND PLEURA: Spiculated nodule in the left upper apex measures 17 x 12 mm (series 6, image 16). Multiple scattered calcified and noncalcified nodules measuring up to 4 mm. Severe apical predominant cent... | 1.Spiculated solid nodule in the left apex is highly suspicious for primary lung malignancy with contralateral mediastinal and hilar lymphadenopathy.2.Multiple additional calcified and noncalcified nodes measuring up to 4 mm.3.Severe centrilobular and paraseptal emphysema.4.Indeterminate right kidney lesion may be eval... |
Generate impression based on findings. | 29-year-old female with left breast mass, FNA showed cells to be suspicious for papillary neoplasm. Left ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is an anechoic mass measuring 9 mm at the 2 o’clock position without increased vascularity, 3 cm from the nipple, which is decreased i... | 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. | 46-year-old female with abdominal pain, sepsis. ABDOMEN:LUNG BASES: Right lower lobe confluent airspace disease is seen in a pattern worrisome for a right lower lobe pneumonia. No pleural effusion. Chronic changes following left pneumonectomy is seen similar to findings on 2010 CT examination.LIVER, BILIARY TRACT: Mark... | 1. Status post left pneumonectomy with right lower lobe confluent airspace disease worrisome for pneumonia. 2. Diffuse wall thickening of the colon most consistent with diffuse infectious colitis, although nonspecific. 3. Moderate amount of free ascites fluid without loculation. 4. Wall thickening of the stomach -- low... |
Generate impression based on findings. | Female 57 years old Reason: stage IIIC fallopian tube cancer with new left cervical enlarged LN, assess for other evidence of disease History: left cervical enlarged lymph nodeRADIOPHARMACEUTICAL: 11.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 97 mg/dL. Please see diagnostic CT reports for details of t... | 1.Widespread hypermetabolic pathologic lesions involving lymph nodes from the neck through the pelvis as well as carcinomatosis, consistent with tumor such as metastatic ovarian cancer. Note however, given the widespread distribution extending superiorly to the neck, other etiologies including lymphoma are conceivable.... |
Generate impression based on findings. | Reason: r/o fracture History: pain post fall Three views of the ribs demonstrate normal anatomic alignment without evidence of rib fracture. An age indeterminate compression fracture of L1 is noted.Views of the pelvis and hips demonstrate mild osteoarthritis of the hip joints with osteophytosis and loose bodies within ... | 1.Age-indeterminant compression fracture of L1 vertebral body. Dedicated lateral lumbar spine imaging may be considered, if patient has pain corresponding to this region.2.No acute fractures.3.Degenerative changes as above. |
Generate impression based on findings. | 16 year old female with 3 cm right breast mass. History of neurofibromatosis. Right ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a mixed echogenicity mass measuring 28 mm at the 10 o’clock position with increased vascularity, 3 cm from the nipple. The lesion was readily visible.PR... | Successful ultrasound-guided core biopsy of the right breast lesion and clip placement. This is most likely a fibroadenoma. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Female; 57 years old. Reason: 57yo female with stage IIIC fallopian tube cancer with new left cervical enlarged LN, assess for other evidence of disease History: left cervical enlarged lymph node CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. Mild bibasilar dependent subsegmental atelectasis. No ple... | 1. New lymphadenopathy in the chest, abdomen, and pelvis, compatible with metastatic disease.2. Right perihepatic peritoneal implant, compatible with metastatic disease. |
Generate impression based on findings. | Reason: diabetic plantar ulcer, assess for osteomyelitis History: plantar foot ulcer Three views of the right foot demonstrate amputation of the first and third phalanges. Ill-defined joint spaces of the midfoot and sclerotic appearance of the bones are consistent with a neuropathic foot. A soft tissue ulcer is present... | Neuropathic foot without radiographic evidence of acute osteomyelitis. |
Generate impression based on findings. | 56 your old female with history of left IDC status post lumpectomy in 2013. Patient received radiation and chemotherapy. New left breast mass for two weeks. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibrogland... | Sonographically benign appearing mass at the patient's left lumpectomy scar. Differential includes a postsurgical seroma, foreign body granuloma, hematoma. No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended a... |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.