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Generate impression based on findings. | There is interval expected evolution of postoperative relating to debulking of the right cerebellopontine angle cistern mass. Prominent susceptibility is present along the right aspect of the pons and medulla. There is persistent fluid along the craniotomy flap/craniectomy site measuring 2.3 x 3.6 cm in greatest axial... | 1. Interval slight decreased cranial extent of extracranial fluid collection along the craniotomy flap/craniectomy site, although now with a moderately thick rind of enhancement. This remains nonspecific and may represent a seroma, although superinfection cannot be entirely excluded. No significant surrounding inflamma... |
Generate impression based on findings. | There has been interval placement of a surgical drain into the left subdural hematoma. The previously seen layering fluid has significantly decreased with residual low-attenuation fluid and moderate pneumocephalus over the left cerebral hemisphere. Overall, the collection measures up to 8 mm in thickness, previously 2... | 1.Interval drain placement into left subdural hematoma with decrease in size of collection and decrease in rightward midline shift.2.Re-expansion of right subdural collection with attenuation suggestive of hemorrhage in the interval between February and April 2015. 3.No new, acute intracranial hemorrhage. |
Generate impression based on findings. | Male, 61 years old, with history of stroke. Moderate patchy periventricular hypoattenuation is seen, a nonspecific finding.No evidence of parenchymal edema, mass effect or loss of gray-white distinction is seen. No intracranial hemorrhage or any abnormal extra-axial fluid collection is detected. The ventricles are norm... | 1.No definite evidence of acute ischemia.2.Moderate age indeterminate microvascular ischemic disease. |
Generate impression based on findings. | Newborn female with new umbilical line placementVIEW: Chest and abdomen AP (two views) 4/3/15 at 0416 UVC in the right atrium. UAC at T7.Bilateral diffuse lung haziness consistent with TTN or RDS. Cardiothymic silhouette is normal. No focal opacities. No pleural effusion or pneumothorax.Organized nonobstructive bowel g... | Bilateral diffuse lung haziness consistent with TTN or RDS. Organized nonobstructive bowel gas pattern. |
Generate impression based on findings. | 34-year-old male patient with left lower quadrant abdominal pain. Evaluate for diverticulitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnorm... | 1. Nonspecific right lower quadrant subcentimeter lymph nodes without evidence of adjacent bowel pathology.2. Unremarkable exam otherwise. |
Generate impression based on findings. | Reason: 81yo M with lung cancer, s/p RUL resection, p/w abdominal pain, with known R ureteral stent. Eval for malignant disease, and abdominal process. History: Abdominal pain, lung cancer, recent surgery, large parastomal hernia. LUNGS AND PLEURA: New postoperative findings related to right upper lobe wedge resection ... | 1.Findings of interval right upper lobe resection, with atelectasis and small right pleural effusion.2.Increased right mediastinal lymph node, nonspecific.3.New right hydronephrosis; see concomitant CT abdomen report. |
Generate impression based on findings. | 71-year-old male with history of pneumonia and Wegner's. LUNGS AND PLEURA: Redemonstrated is extensive honeycombing, interlobular septal thickening, large cysts, traction bronchiectasis, and architectural distortion compatible with severe fibrosis appearing similar to prior. There are new superimposed ground glass and ... | Severe fibrosis with new superimposed ground-glass and airspace opacities in bilateral lower lobes which are nonspecific but may represent an acute exacerbation of ILD, pulmonary hemorrhage, or drug reaction. Infection is considered possible but less likely given diffuse distribution. |
Generate impression based on findings. | 4-year-old female with hypoxia and first time wheezeVIEWS: Chest AP/lateral (two views) 4/3/15 The aortic arch, cardiac apex, and stomach are left-sided. The cardiothymic silhouette is normal. No focal pulmonary opacities. No pleural effusion or pneumothorax. Increased lung volumes and bronchial wall thickening consist... | Bronchiolitis/reactive airway disease pattern. |
Generate impression based on findings. | Male, 61 years old, with right-sided weakness. Assess for thrombus. Non-angiographic findings:Patchy periventricular and subcortical hypoattenuation is contained. Again, no definite evidence of parenchymal edema, mass effect or loss of gray-white distinction is detected. No intracranial hemorrhage or any abnormal extra... | 1. No significant vascular abnormalities in the neck.2. Moderate to severe atherosclerotic stenosis of the right cavernous ICA with up to 70% luminal narrowing.3. Scattered mild/moderate focal stenoses are seen elsewhere in the intracranial circulation. No definite additional high-grade stenosis or vascular occlusion i... |
Generate impression based on findings. | 12-year-old male status post reduction.VIEWS: Right tibia-fibula AP and lateral (two views) 4/3/15 at 0827 Again seen is a predominantly oblique fracture of the distal tibial diaphysis and distal fibular metadiaphysis. There is persistent posterior and medial displacement of the distal fibular fracture fragment. There ... | Redemonstration of oblique fractures of the distal fibula and tibia. |
Generate impression based on findings. | Male 48 years old; Reason: hematuria ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: Splenic hypoattenuating lesion, may be a small hemangioma or mildly complex cystic focus. PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnorma... | 1. Obstructing left-sided UPJ 6 mm calculus. |
Generate impression based on findings. | Female; 31 years old. Reason: 31F with metastatic TNBC dx 9/2014 with no treatment. History: Evaluate extent of disease CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary nodules, compatible with metastatic disease. For future reference, a right lower lobe nodule measures 8 mm (series 4/140).MEDIASTINUM AND HILA: A p... | 1. Right breast cancer.2. Right axillary/subpectoral lymphadenopathy.3. Multiple pulmonary metastases.4. Hepatic metastasis.5. Osseous metastatic disease, for which bone scintigraphy would be a more sensitive and accurate indicator of extent of disease.6. Marked pathologic compression fracture of L2 vertebral body with... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in mother and grandmother Two standard digital views of both breasts and additional bilateral MLO views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pat... | Small cluster of calcifications in the left central slightly lateral breast needs further evaluation with spot magnification views.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EA - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy. Two standard digital views of both breasts with tomo synthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Stable asym... | 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. | 18 year-old female with abdominal pain and fever after colonoscopy. ABDOMEN:LUNG BASES: The lung bases are clear.LIVER, BILIARY TRACT: No focal hepatic lesions. The portal vessels are patent. No intra-or extrahepatic biliary ductal dilatation. The gallbladder is normal in appearance.SPLEEN: No significant abnormality n... | 1. Mild thickening of the descending and sigmoid colon may represent inflammation or nondistention.2. Mild prominence of the left adnexa is normal in a post-menarchal female.3. No free fluid, free air, or abscess as clinically questioned. |
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. Stable focal asymmetries in the upper outer bre... | 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. | 60 year-old male with history of left-sided effusion and altered mental status. LUNGS AND PLEURA: Motion limits evaluation, especially at the bases. There is a large left pleural effusion with complete atelectasis of the left lung. The left mainstem bronchus is occluded which is thought to be secondary to mucous pluggi... | 1. There is homogeneous enhancement of the visceral and parietal pericardium with moderate underlying pericardial effusion compatible with acute pericarditis. Cardiomegaly with evidence of chronic lateral wall infarction.2. Complete atelectasis of the left lung and large left pleural effusion, thought to be secondary t... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography with a strong family history of breast cancer in her mother and sister. History of benign MR guided left breast biopsy in March 2013. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is... | No mammographic evidence of malignancy. As long as the patient's physical examination remains 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. History of right breast benign lumpectomy in 2010. Sister with history of breast cancer. Two standard digital views of both breasts with tomo synthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered f... | 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 with tomo synthesis 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 architectura... | 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 of prior benign right breast biopsy. History of breast cancer in her twin sister at age 53. Two standard digital views of both breasts and additional left CC view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is compo... | 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. | Benign neoplasm of the meninges status post tumor resection. There are postoperative findings related to a biparietal craniotomy for partial resection of the recurrent meningioma along the posterior falx. There is pneumocephalus along the bilateral frontal convexities, as well as subjacent to the craniotomy and a small... | 1. Postoperative findings related to a biparietal craniotomy for partial resection of the recurrent meningioma along the posterior falx. 2. Persistent complete opacification of the right mastoid air cells and right middle ear, which may represent chronic otomastoiditis. I personally reviewed the Images and/or procedure... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left breast cyst aspiration in 2012 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 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 calcifications bilaterally. Family history breast cancer diagnosed in her sister. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and dist... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional left MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. 17 mm focal asymmetry in the right breast 12 o'c... | 17 mm focal asymmetry in the right breast 12 o'clock position, needs further evaluation with spot compression views and possible ultrasound.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. Two standard digital views of both breasts and additional 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. A pacema... | 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. Family history of of breast cancer in maternal aunt at age of 65 Two standard digital views of both breasts and additional left MLO and right CC view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, un... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with tomo synthesis 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... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Female 55 years old; Reason: history of vulvar cancer, s/p ileostomy, palpable mass lateral to umbilicus and superior to ileostomy, please evaluate for hernia History: palpable mass in right abdomen, lateral to umbilicus and superior to ileostomy ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRAC... | 1. Right sided fat containing hernia as described. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography.History of benign right breast biopsy, and bilateral needle aspirations. Family history of breast cancer in 2 paternal aunts. Two standard digital views of both breasts with tomo synthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast p... | 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.Bilateral breast implants. Two standard and pushback 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. Bilater... | 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 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. Two small cluster of calcifications me... | Two small cluster of calcifications measuring less than 1 cm in the right upper, outer quadrant and left breast 8 to 9 o'clock position, increasing from prior studies and need further evaluation with spot magnification views.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: NSC - Screening Mammo... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Patient complains of right breast heaviness Two standard digital views of both breasts with tomo synthesis 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 ... | A loosely scattered cluster of calcification in the left breast lower outer quadrant has few linear forms, spanning approximately 5.4 cm that needs further evaluation with spot magnification views.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 49-year-old male with history of polycystic kidney disease, evaluate left kidney lesion superior pole. Please note lack of IV and oral contrast limits evaluation of solid organ pathology, and also of the GI tract.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Multiple cysts are noted within t... | Findings compatible with autosomal dominant polycystic kidney disease. Previously noted large area of hyper density at the left superior pole has significantly decreased likely related to prior hemorrhage. New areas of hyper density within several cysts are likely related to hemorrhage. Note that detection of solid mas... |
Generate impression based on findings. | 53 yo F with h/o mixed connective tissue disease, h/o PE, here with Chest pain and SOB. PULMONARY ARTERIES: Technically adequate exam for evaluation of pulmonary embolism. No pulmonary embolus is identified.LUNGS AND PLEURA: No focal consolidation, pleural effusion. Few stable micronodules, some calcified. No suspiciou... | 1.No evidence of pulmonary embolism. 2.No other findings to account for chest pain and shortness of breath.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 52 year-old female patient with diarrhea, fevers, malaise. Evaluate for abscess and colitis. ABDOMEN:LUNG BASES: Basilar atelectasis.LIVER, BILIARY TRACT: Status cholecystectomy with associated prominence of the common bile duct.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL... | 1.Heterogenous uterus most likely represents fibroids, at least one of which appears to be degenerating. Recommend correlation with clinical history and dedicated pelvic ultrasound as clinically indicated, as the endometrium is not well assessed on CT.2.Loculated fluid in the pelvis is favored to be physiologic. |
Generate impression based on findings. | Reason: eval for gouty erosions History: gout Six views of the cervical spine demonstrate severe degenerative disk disease at C6-7 and C7-T1, with relatively mild degenerative disk disease affecting the remaining cervical levels. There are anterior vertebral body osteophytes throughout the cervical spine. Multilevel fa... | Degenerative arthritic changes as above. |
Generate impression based on findings. | 69 year old male with HNC, need baseline scan post surgery. CHEST:LUNGS AND PLEURA: Mild upper lobe paraseptal emphysema. Minimal apical scarring/fibrosis. No focal consolidation or pleural effusion. No suspicious pulmonary nodules.MEDIASTINUM AND HILA: Marked upper esophageal nearly concentric wall thickening with mar... | 1.Upper esophageal mass with marked luminal compromise, highly suggestive of malignancy.2.Mildly dilated small bowel loops proximal to a possible area of small bowel wall thickening, which may represent the patients known small bowel malignancy.3.Findings compatible with aspiration. |
Generate impression based on findings. | Female 73 years old; Reason: kidney stone ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Right hepatic cyst. Subcentimeter periportal lymph nodes.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Unchanged left adrenal thickening.KIDNEYS, UR... | 1. Nonobstructing left-sided nephrolithiasis, largest stone measuring 9 mm in left renal upper pole, punctate additional left upper pole obstructing stone. New from prior imaging is dilatation of the left renal collecting system, may reflect more pronounced extrarenal pelvis but indeterminate and unusual in that this w... |
Generate impression based on findings. | Pain. Evaluate right shoulder. Four views of the right shoulder show moderate to severe osteoarthritis of the acromioclavicular joint. Moderate osteoarthritis affects the glenohumeral joint. There is also spurring of the anterior acromial process. Narrowing of the acromiohumeral interval suggests a chronic rotator cuff... | Osteoarthritis and other findings as above. |
Generate impression based on findings. | Per EPIC, patient with history of OSA, HTN, DM2, multiple ischemic strokes in 2014. Patient had typical left sided headache (once monthly) 4 days go, went to OSH, and CTH was negative for bleed. His headache resolved, he went home, and the headache recurred 4/2 in the AM and he returned to the ER. At the OSH, they visu... | 1. A punctate focus of hyperattenuation in the right anteromedial thalamus with mild surrounding hypoattenuation likely represents acute hemorrhage, perhaps hypertensive in nature. 2. Confluent areas of abnormal low attenuation in the subcortical white matter, predominantly in the bilateral posterior parietal regions, ... |
Generate impression based on findings. | Pain/swelling at interphalangeal joint and metacarpal joint. Evaluate for joint instability, fragment/avulsion of the thumb. Three views of the right hand are provided. We see no fracture or malalignment. Minimal degenerative arthritic changes affect the thumb and fingers, essentially within normal limits for age. | Minimal degenerative arthritic changes without fracture or malalignment. |
Generate impression based on findings. | 22-year-old female with tuberous sclerosis, evaluate angiomyolipoma. ABDOMEN:LUNG BASES: Mild dependent bibasilar atelectasis. No focal pulmonary opacity.LIVER, BILIARY TRACT: No focal hepatic lesions are identified. No intra-or extrahepatic biliary ductal dilatation. The portal vessels are patent. No gallstones.SPLEEN... | Stable bilateral subcentimeter renal lesions which are too small to accurately characterize, unchanged. |
Generate impression based on findings. | Reason: Better characterization of pulmonary micronodules seen on abdominal CT History: None LUNGS AND PLEURA: Multiple bilateral pulmonary micronodules, measuring up to 3mm in diameter, the majority of which are calcified, compatible with previous granulomatous infection.No suspicious nodules.MEDIASTINUM AND HILA: Mul... | Multiple benign micronodules consistent with previous granulomatous infection. |
Generate impression based on findings. | Reason: ankle fx ED f/u History: pain Three views of the right ankle demonstrate interval removal of overlying cast material. There is soft tissue swelling, particularly along the lateral aspect of the ankle. The distal fibular physis appears slightly widened, and a subcentimeter triangular fragment along the medial as... | Findings suggestive of Salter-Harris III of the distal fibula. |
Generate impression based on findings. | Female; 72 years old. Reason: assess for aortic dissection History: chest pain, elevated troponin CT ANGIOGRAM:No acute aortic dissection or rupture.Normal caliber of the thoracic aorta. Aortic arch branch vessels are widely patent.Normal caliber of the abdominal aorta. The celiac artery, SMA, bilateral renal arteries,... | No acute aortic dissection or rupture or other acute abnormality evident. |
Generate impression based on findings. | Reason: Osgood Schlatter's pain over anterior tibia evaluate History: as above Four views of the left knee demonstrate normal anatomic alignment without evidence of acute fracture. There is perhaps slight thickening of the distal patellar tendon, which may or percent mild tendinosis, but the underlying bone appears nor... | Minimal thickening of the distal patellar tendon, which may represent mild tendinosis. Otherwise, normal study of the left knee. |
Generate impression based on findings. | 61 years, Male. Reason: 61yo male with abdominal pain and pancytopenia. History: abd pain and tenderness Multiple air containing distended loops of predominantly large bowel without definite radiographic evidence of obstruction. Rectal temperature probe is noted. Partially seen lungs show bilateral chronic interstitial... | Multiple air containing distended loops of predominantly large bowel without definite radiographic evidence of obstruction. |
Generate impression based on findings. | 64 years, Female. Reason: NG placed History: NG The pelvis is excluded from the field of view. There is a nasogastric tube with its tip projecting over the fundus of the stomach, with the side-port in the antrum of the stomach. Nonobstructive bowel gas pattern is noted. Please refer to concomitant chest radiograph for ... | There is a nasogastric tube with its tip projecting over the fundus of the stomach, with the side-port in the antrum of the stomach. |
Generate impression based on findings. | Reason: shoulder pain History: above Four views of the right shoulder demonstrate moderate osteoarthritis of the glenohumeral and acromioclavicular joints. A high riding humeral head is compatible with known rotator cuff tear. No acute fracture or dislocation is evident. | Osteoarthritis and findings compatible with rotator cuff tear, without evidence of acute fracture or malalignment. |
Generate impression based on findings. | 64 years, Female. Reason: NG tube History: NG placement The pelvis is excluded from the field of view. There is a NG tube coiled in the distal esophagus. Nonobstructive bowel gas pattern. Please refer to concomitant chest radiograph were thoracic findings. | NG tube is coiled in the distal esophagus. |
Generate impression based on findings. | Reason: fell on coccyx History: and has persistent pain Three views of the sacrum/coccyx demonstrate normal anatomic alignment without evidence of acute fracture or other specific findings to account for patient's pain. | No fracture is evident. |
Generate impression based on findings. | 30 years, Female. Reason: position of NJ tube History: nausea and vomiting history of gastroparesis Nonobstructive bowel gas pattern. There is a nasojejunal tube with its tip projecting over the distal descending duodenum. Lung bases appear unremarkable. Note is made of sutures in the right lower pelvis. | Nasojejunal tube tip projects over the distal descending duodenum. |
Generate impression based on findings. | Reason: s/p right ankle fracture History: above Three views of the right ankle are provided. The previously seen fracture of the "posterior malleolus" of the distal tibia is barely visible on this study, compatible with healing. Tiny ankle joint osteophytes suggest degenerative arthritis. | Healing distal tibial fracture. |
Generate impression based on findings. | Metastatic thyroid carcinoma on cediranib + lenalidomide, held since 6.7.13. Neck: Streak artifact related to dental amalgam and a left shoulder prosthesis obscures surrounding structures. There are postsurgical findings related to thyroidectomy. Within the limits of artifact, there is no measurable mass lesion in the ... | 1. No evidence of locoregional tumor recurrence or significant cervical lymphadenopathy, although the assessment is limited by streak artifact. Subsequent follow up via PET or ultrasound may be useful.2. No evidence of intracranial metastases. 3. Persistent prominence of the triventricular system may indicate normal pr... |
Generate impression based on findings. | 89 years, Female. Reason: F/U NG placement History: F/U NG placement The pelvis is excluded from the field of view. There is an enteric tube which appears to be coiled in the right pleural space, tip overlying the midline mediastinum. Please refer to concomitant chest radiograph for additional thoracic findings. Nonobs... | Enteric tube appears to be coiled in the right pleural space. Please refer to concomitant chest radiograph for additional thoracic findings. |
Generate impression based on findings. | Anaplastic hemangiopericytoma, status post resection 11/22/2010 and radiation therapy. Postoperative changes related to a left anterior temporal/frontal craniotomy with resection cavity in the left middle cranial fossa are again seen. There is a stable appearance of encephalomalacia in the anterior left temporal lobe. ... | Continued stable examination without evidence of locoregional recurrence. |
Generate impression based on findings. | 43-year-old female with history of bilateral serous nipple discharge. Screening mammography in 3/10/2015 was negative. Limited physical exam did not demonstrate nipple discharge with compression bilaterally.A targeted bilateral ultrasound was performed in the retroareolar regions. There is no solid or cystic mass ident... | No sonographic evidence for malignancy.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 78-year-old female with history of left lumpectomy in 2005 for DCIS. Patient received radiation therapy. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. A ... | 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. | 89 years, Female. Reason: NG History: NG Study is limited due to motion artifact. The pelvis is excluded from the field of view. There is an enteric tube with its tip projecting over the body of the stomach. Nonspecific bowel gas pattern partially visualized. Please concomitant chest radiographically additional finding... | Enteric tube tip projects over the body of the stomach. |
Generate impression based on findings. | Reason: shoulder pain History: above Four views of the left shoulder again demonstrate a fracture of the greater tuberosity, with fracture fragments in near-anatomic alignment, appearing similar to prior. Mild osteoarthritis affects the shoulder. | Greater tuberosity fracture appearing similar to prior. |
Generate impression based on findings. | 77 years, Male. Reason: NJ History: NJ The pelvis is excluded from the field of view. There is an enteric tube with its tip projecting over the prepyloric stomach. High density material seen in the colon at the hepatic flexure in the transverse colon may represent retained contrast from recent exam.Partially imaged AIC... | 1. NG tube tip projects over the prepyloric stomach.2. Lung volumes are decreased and there are diffuse bilateral airspace opacities, greater on the left, with a left basilar consolidation. Dedicated chest radiograph is recommended. |
Generate impression based on findings. | 77 years, Male. Reason: replaced DHT History: DHT The pelvis is excluded from the field of view. There is a Dobbhoff tube with its tip projecting over the GE junction. Large colon appears similar to outside study CT from 4/1/2015. High density material seen in the colon at the hepatic flexure in the transverse colon ma... | Dobbhoff tube tip projects over the GE junction. Advancement is recommended. |
Generate impression based on findings. | Reason: needs PET CT for staging History: newly diagnosed lung mass consistent with lung cancer.RADIOPHARMACEUTICAL: 10.6 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 165 mg/dL. Today's CT portion grossly demonstrates enlarged supraclavicular lymph nodes and mediastinal lymphadenopathy. There is bilateral... | 1.Hypermetabolic bilateral lung masses in the right lower lung and lingula, along with hypermetabolic supraclavicular, mediastinal, hilar, mesenteric, retroperitoneal, and right pelvic lymphadenopathy may be due to widely metastatic primary lung cancer, though lymphoma could also have a similar appearance. 2.Focal incr... |
Generate impression based on findings. | Female; 43 years old. Reason: Currently sepsis/SIRS. Severe peri-anal disease and fevers and hx of fistula and abscess. Assess for abscess, infection, Crohn's flare. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Small splenule.PANCREAS: No significant ... | 1. Active inflammatory bowel disease affecting the descending colon through rectum.2. Findings equivocal for terminal ileitis and appendicitis, and clinical correlation is recommended for the latter.3. Perianal abscesses appear improved since prior MRI, though comparison is limited. |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with a moderate global volume loss greater than expected for the patient's stated age. There is prominence of subarachnoid space at the convexities. The right temporal horn is slightly larger than the left, although the hippocampi appear symmetric in size and configur... | Moderate global volume loss greater than expected for the patient's stated age, with significant prominence of subarachnoid space at the convexities suggesting proximal frontal and parietal preferential volume loss. Otherwise, unremarkable noncontrast MRI of the brain. |
Generate impression based on findings. | Status post composite resection, staging neck dissections, and free flap reconstruction for a T4N2c cancer of the right oral cavity treated post-operatively with chemoradiation completed in November 2013. There are postoperative findings of right mandibulectomy and fibular free flap reconstruction with plate and screw ... | 1. Stable post-treatment findings without evidence of measurable locoregional tumor recurrence or significant lymphadenopathy, within the limits of streak artifact. 2. Bubbly secretions within the left maxillary sinus. may indicate acute sinusitis. 3. Unchanged irregular right apical lung lesion and pulmonary emphysema... |
Generate impression based on findings. | Frontal sinus: The right frontal sinus and frontoethmoidal recess are clear. There is new mucosal thickening of the left frontal sinus and frontoethmoidal recess.Anterior ethmoids: There is new moderate mucosal thickening of the anterior ethmoid air cells, left greater than right.Maxillary sinuses: There is progressio... | Acute rhinosinusitis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Corresponding to the abnormality seen on recent CT, there is focal prominence of CSF signal intensity along the posterior and superior margin of the cerebellum bilaterally. There is associated scalloping of the inner table of the calvarium. The falx cerebelli is visualized partially. The collection is slightly thicker... | Likely incidental retrocerebellar cyst versus mega cisterna magna in the posterior fossa, corresponding to noted abnormality on CT. No significant mass effect upon the cerebellar parenchyma. |
Generate impression based on findings. | 45 years, Female. Reason: NGT placement History: see above The pelvis is excluded from the field of view. There is a NG tube with its tip projecting over the distal body of the stomach. Multiple surgical clips and coils are seen in the right and left pelvis. A right-sided vascular stent is compatible with recent TIPS p... | NG tube tip projects over the distal body of the stomach. |
Generate impression based on findings. | 66 year-old female patient with malignant neoplasm of the lung presents for initial staging. ABDOMEN:LUNG BASES: Lesion in the right lower lobe measures 1.9 x 1.7 cm (series 4 image 8), unchanged in size compared to prior and less dense. Left lung base micronodules unchanged. Subcentimeter nonsolid nodules in the right... | 1.Mild interval decrease in metastatic disease in the liver and imaged portion of the right lung.2.Stable right pelvic subcutaneous soft tissue lesion correlating with hypermetabolic area on prior PET. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with tomo synthesis 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: 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 additional left MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious mass... | 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. | 32 years, Male. Reason: 32M ulcerative colitis, bloody diarrhea, urinary retention/hematuria, RP/IP bleed on AC with persistent lower abdominal pain History: abdominal pain There is mild colonic gaseous distention without obvious obstruction. No evidence of free air. | Mild colonic gaseous distention without obvious obstruction. No evidence of free air. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses, microcalcificati... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 68-year-old female with history of right mastectomy 5/2013 for IDC and DCIS. Patient received hormonal therapy. Family history of breast cancer diagnosed in sister at age of 66. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneo... | 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: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in mother at age of 78 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. 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. Left breast cyst aspiration in 2001 Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is extremely dense, which lowers the sensitivity of mammography, unchanged in pattern and distribut... | Area of architectural distortion in the left central breast needs further evaluation with spot compression views.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: ED - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Recurrent cutaneous squamous cell carcinoma of the right auricle status post prior XRT who presented with locally recurrent disease status post resection with pathology demonstrating T2N0 squamous cell carcinoma of the right auricle with PNI and positive deep margins. Head: There are post-treatment findings related to ... | 1. Post-treatment findings related to right lateral temporal bone resection and radiation therapy without measurable residual or recurrent tumor. However, subsequent follow up via PET may be useful.2. No significant cervical lymphadenopathy.3. A subcentimeter right apical lung nodule likely represents a granuloma. Plea... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with tomo synthesis 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: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: multi-infarct disease, new onset dementia, R/O sub-dural hematoma History: multi-infarct disease, new onset dementia, R/O sub-dural hematoma The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a moderate degree are pres... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of nonhemorrhagic CVA.3.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. 4.Encephalomalacia along the left occipital l... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts additional left CC, MLO view and cleavage view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. Multiple circumscribed, benign morphology, masses in both brea... | 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. | 59 years old male with new diagnosis of esophageal cancer. Reason: pre-treatment staging scan.RADIOPHARMACEUTICAL: 9.0 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 141 mg/dL. Today's CT portion of the neck and pelvis demonstrates mucosal thickening of the ethmoid sinus. The pelvic portion of the CT is not... | 1.Two foci of increased activity in the distal portion of the esophagus and gastric cardia, slightly decreased as compared with prior study, which may represent tumor.2.Multifocal abnormal FDG uptake in the pancreatic head and neck as well as in the peripancreatic lymph nodes, which may be due to tumor or inflammatory ... |
Generate impression based on findings. | 59-year-old female with history of left mastectomy for IDC in 2008. Patient received chemotherapy and radiation. Family history of breast cancer diagnosed in two sisters and 3 maternal aunts, all in their 20s and 30s. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Male; 59 years old. Reason: 59M with history of esophageal cancer s/p esophagectomy c/b neoesophagus necrosis requiring excision, now s/p jejunal interposition. Eval for: recent 6g hgb drop; right arm swelling (Right axillary/subclavian veins not visualized on US). Art & ven phases History: severe hgb drop, right arm s... | 1. Interval postsurgical changes from jejunal interposition for esophageal reconstruction. Small amount of anterior mediastinal fluid and hemorrhage, compatible with expected postoperative change.2. Nonvisualization of the right subclavian vein, likely due to chronic occlusion. An enlarged collateral vein in the subcut... |
Generate impression based on findings. | 54-year-old male with new diagnosis of ALL with abdominal pain. Evaluate spleen, liver and aorta. LIVER: Coarse echogenicity of the liver measuring 18.1 cm in length. No focal hepatic lesions. The portal vein is patent with appropriate directional flow; peak velocity measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: Gallb... | 1. Liver upper limits of normal for size with coarse echotexture suggestive of parenchymal dysfunction/fatty infiltration. No focal hepatic lesions. 2. Splenomegaly. 3. Cholelithiasis with no evidence of cholecystitis. |
Generate impression based on findings. | Reason: none History: H/O head and neck cancer sp chemorads, ck response in enlarged LN and soft txRADIOPHARMACEUTICAL: 12.3 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 185 mg/dL. Today's CT portion grossly demonstrates scattered small cervical lymph nodes. Evaluation of the perioral soft tissues is limi... | 1.No specific evidence of tumor recurrence or metastatic disease. 2.Increased activity throughout the thyroid gland and in the proximal and distal esophagus may reflect thyroiditis and esophagitis, possibly treatment related. Likewise, increased subcutaneous and muscular activity in the face and neck as described above... |
Generate impression based on findings. | Status post C3-C7 laminectomy and C3-T2 posterior spinal fusion. Evaluate laminectomy and posterior spinal fusion. Three views of the cervical spine show postsurgical changes of a multilevel laminectomy. There are posterior rods with screws entering C3-T2, excluding C7. There is no evidence of hardware complication. Th... | Postoperative and degenerative changes as described above. |
Generate impression based on findings. | Hand and foot pain, positive CCP. Evaluate for erosions. Three views of the left hand show negative ulnar variance and slight ulnar translation of the carpus. Mild osteoarthritis affects the basilar joint and trapezioscaphoid articulation. There is equivocal juxta-articular demineralization about the metacarpophalangea... | Arthritic changes as described above which appear predominantly degenerative in etiology. No definite radiographic evidence of inflammatory arthritis. |
Generate impression based on findings. | 73-year-old female call back from screening for focal asymmetry in the right upper outer quadrant, anterior depth. Family history of breast cancer diagnosed in mother, maternal grandmother, and maternal cousin. An ML view and two spot compression views of the right breast were performed digitally and reviewed with the ... | 1.Highly likely benign morphology lesion in the right 9 o'clock breast may represent a complex cyst, and short term 6 month mammographic and sonographic follow up is recommended to confirm stability. 2.Adjacent normal intramammary lymph node.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Int... |
Generate impression based on findings. | Left knee pain. Four views of the left knee show moderate osteoarthritis particularly affecting the patellofemoral joint, which appears progressed from the prior study. There is chondrocalcinosis. A small joint effusion is noted.Mild to moderate osteoarthritis affects the right knee as seen on the frontal view. | Degenerative arthritic changes as described above. |
Generate impression based on findings. | Female, 92 years old, altered mental status on anticoagulation. The examination is limited by motion and streak artifact.Moderate patchy periventricular and subcortical hypoattenuation is seen, a nonspecific finding which probably represents age indeterminate small vessel ischemic disease.No definite evidence of any la... | 1.Limited examination as above.2.Moderate age indeterminate microvascular ischemic disease.3.No definite acute intracranial abnormality. |
Generate impression based on findings. | Immunocompromised with cough and hypoxia.VIEWS: Chest AP and lateral 4/3/15 (2 view/s) The aortic arch, cardiac apex and stomach are left-sided. Right diaphragmatic elevation may represent partial eventration. Cholecystectomy clips and gastrostomy tube are noted.Cardiac silhouette is normal in size and shape. No focal ... | Right diaphragmatic elevation as described. |
Generate impression based on findings. | Ankle pain. Three views of the left ankle show a sideplate and screw/pin device affixing the distal fibula in near anatomic alignment. The fibular fracture is perhaps slightly less distinct suggesting some interval healing. Two screws affix the medial malleolus and the fracture line is less distinct suggesting some int... | Orthopedic fixation of healing fractures. |
Generate impression based on findings. | 74-year-old female who with sudden onset hypertension evaluate for renal vascular stenosis. ULTRASOUND KIDNEYSRIGHT KIDNEY: The right kidney measures 8.5 cm in length. No hydronephrosis, shadowing calculus or mass. Echogenicity is normal.LEFT KIDNEY: The left kidney measures 9.2 cm in length. No hydronephrosis, shadowi... | Significant atherosclerotic change without Doppler evidence for renal artery stenosis. |
Generate impression based on findings. | Reason: HbSS pw VOC, ? bone infarct History: point tenderness in lumbar/sacral area Three views of lumbar spine demonstrate normal anatomic alignment. The vertebral body heights and disk spaces are preserved. The bones overall appear demineralized, compatible with history of sickle cell disease. No evidence of bone inf... | Equivocal avascular necrosis of the femoral heads; no bone infarction involving the visualized spine. |
Generate impression based on findings. | Male 60 years old Reason: 60M hx esophageal cancer with esophageal stent, eval for acute changes History: discomfort, agitation s/p stent removal. Scout radiograph of the chest showed esophageal stent in place. no mediastinal widening, abnormal pulmonary opacities, or pleural effusions. Partially imaged left basilar op... | Esophageal stent in place without evidence of leak or obstruction. |
Generate impression based on findings. | Known mammographically occult complex right breast cyst at 12:00. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No dominant mass, suspicious microcalcifi... | No mammographic evidence of malignancy. Right breast complicated cyst seen sonographically. 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 - Dia... |
Generate impression based on findings. | Reason: history of cutaneous diffuse large B cell lymphoma in 2007 and again in 2008 treated with excision and local radiation. He was well until recently, when he developed a hoarse voice. Evaluation revealed 3 PET-avid superior anterior mediastinal masses. Lesions, History: hoarse voice Corresponding to PET avidLUNGS... | Superior mediastinal masses corresponding to PET avid lesions, suspicious for recurrent lymphoma. |
Generate impression based on findings. | Male 29 years old Reason: H/O Crohn's disease with jejunal stricture and h/o ileal colonic resection, evalute for stricture History: Nausea with vomiting. Scout radiograph showed a nonobstructive bowel gas pattern with a moderate amount of stool in the colon.Transit time to the colon was 15 minutes. Study was limited d... | 1. Dilated loop of small bowel with proximal and distal strictures as described above, most compatible with chronic changes from known Crohn's diease. Other mildly dilated loops of bowel proximal to the early stricture. 2. Limited evaluation of the neoterminal ileum due to overlying stool and possible fistulous tracts ... |
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