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Generate impression based on findings. | Preoperative for right total hip arthroplasty MAKO/Stryker system. Pain. Scans through the right hip show severe osteoarthritis of the right hip joint with bone on bone apposition and subchondral cyst formation in the acetabulum and femoral head. Similar osteoarthritic changes affect the left hip as seen on the large f... | Osteoarthritis. |
Generate impression based on findings. | 68 years, Male. Reason: assess bowel gas pattern and NGT position History: bowel obstruction There is a nasogastric tube with its tip projecting over the proximal body of the stomach. Oral contrast in the large bowel limits evaluation. Small bowel dilation as seen on prior CT likely reflective of distal small bowel obs... | There is a nasogastric tube with its tip projecting over the proximal body of the stomach. Small bowel dilation as seen on prior CT likely reflective of distal small bowel obstruction. |
Generate impression based on findings. | Female 51 years old; Reason: Sigmoid colon cancer s/p EMR, evaluate for lymph node and liver mets ABDOMEN:LUNGS BASES: Atherosclerotic abdominal aorta. Mild cardiomegaly. LIVER, BILIARY TRACT: No liver mass seen. Prominent liver, likely due in part to Reidel lobe. Patent portal veins. Patent splenic vein and SMV.SPLEEN... | 1. No evidence of hepatic metastatic disease or enlarged lymph nodes to suggest metastatic nodal disease. |
Generate impression based on findings. | Reason: left knee pain History: left knee pain Four views of the left knee demonstrate mild osteoarthritis including mild joint space narrowing of the medial compartment and tricompartmental osteophytosis, which appears similar to prior exam accounting for technical differences. There is no joint effusion or acute frac... | Mild osteoarthritis of the knees, appearing similar to prior. |
Generate impression based on findings. | History of sickle cell disease and preseptal cellulitis: acute progressing eye swelling, pain of jaw. Head: There is right preseptal fat stranding. There is no evidence of post-septal extension or fluid collection. The bilateral globes and ocular adnexa appear unremarkable. The cerebellar tonsils are low-lying and obli... | 1. Right preseptal cellulitis without evidence of post-septal extension or abscess formation.2. Findings compatible with Chiari I malformation.3. Diffuse expansion of the bone marrow spaces the maxillofacial skeleton and endplate depressions of the imaged upper thoracic vertebrae are likely related to sickle cell disea... |
Generate impression based on findings. | 82-year-old female patient with metastatic lung cancer status post 14 cycles of chemotherapy. Please evaluate and compare with prior study. ABDOMEN:LUNG BASES: Bibasilar emphysematous changes are again noted. Please refer to dedicated CT chest performed same day for complete lung findings.LIVER, BILIARY TRACT: Stable s... | 1.No evidence of inflammatory or metastatic disease in the abdomen or pelvis.2.New L4 vertebral body compression fracture with 20% height loss.3.Please refer to dedicated chest CT performed the same day for additional findings. |
Generate impression based on findings. | Male 7 days old Reason: Eval bowel loops History: Feeding intoleranceVIEW: Abdomen AP (one view) 04/03/15 at 1100 NG tube terminates in the stomach. Disorganized, nonspecific abdominal gas pattern. No evidence of obstruction, free air, pneumatosis intestinalis or portal venous gas. | Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | Reason: 59M with new diagnosis of esophageal cancer History: pre-treatment staging CT CHEST:LUNGS AND PLEURA: Bilateral upper lobe patchy ground glass and reticular opacities, increased compared to the previous scan.No suspicious nodules.MEDIASTINUM AND HILA: Moderately enlarged nonspecific superior mediastinal, paratr... | Bilateral upper lobe groundglass opacities which are markedly FDG avid on a PET scan performed the same day compatible with an acute inflammatory reaction such as due to a drug reaction. If treatment has not been started, viral pneumonia or aspiration are possibilities in spite of the unusual distribution. Acute hypers... |
Generate impression based on findings. | Male 7 days old Reason: Eval bowel loops History: NPO, feeding intoleranceVIEW: Abdomen AP (one view) 4/3/15 at 1105 hrs. NG tube terminates in the stomach. ET tube tip is at the right atrium/IVC junction. Disorganized, nonspecific abdominal gas pattern. No evidence of obstruction, free air, pneumatosis intestinalis or... | Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | The cervical spine is in normal alignment, with straightening of the normal cervical lordosis. The vertebral body and disk heights are not significantly changed although the vertebral body height loss of C6 appears progressed with worsened endplate degenerative changes at C6-C7. No worrisome focal marrow signal abnorm... | Slight progression of disk pathology at C6-C7, with underlying developmental narrowing of the cervical spinal canal. Moderate-severe central spinal canal stenosis noted at this level with evidence of chronic myelomalacia, as well as within the right aspect of the cord at the C3-C4 level. Persistent severe right and mod... |
Generate impression based on findings. | 10-year-old male with acute liver failure LIMITED ABDOMENLIVER: The liver is large but normal in echogenicity measuring 15 cm. No intra-or extrahepatic biliary ductal dilatation. No focal hepatic lesions.GALLBLADDER, BILIARY TRACT: No cholelithiasis. Decreased amount of pericholecystic fluid most likely secondary to ge... | Hepatosplenomegaly with increasing ascites. |
Generate impression based on findings. | Female, 42 years old, status post motor vehicle accident. Midline neck tenderness, facial bruising, prior history of intracranial hemorrhage. Head:Small areas of encephalomalacia are demonstrated along the anterior paramedian right frontal lobe, the anterior right temporal lobe, and perhaps minimally along the anterior... | 1. No evidence of any acute posttraumatic abnormality is seen intracranially. Small areas of encephalomalacia in the right frontal and bilateral temporal lobes could represent sequelae of prior trauma or prior ischemic lesions.2. No maxillofacial fractures are detected.3. No cervical spine fracture or dislocation is se... |
Generate impression based on findings. | 49-year-old female patient with history of J-tube and empyema status-post chest tube placement. Evaluate for fistula. CHEST:LUNGS AND PLEURA: Right-sided chest tube is unchanged in position compared to prior examination. Empyema is not significantly changed compared to prior examination given differences in distributio... | 1.No significant interval change in right sided empyema and chest tube, given changes in fluid distribution. There is layering material in the dependent portion of the right pleural space, which raises question of layering ingested material, however, there is no specific evidence of enteric fistula.2.Findings compatibl... |
Generate impression based on findings. | Male 21 years old Reason: off therapy for Ewings, monitoring VIEWS: Left tibia-fibula AP and lateral 4/3/15 (two views) Resected distal left fibula is again identified. Stable position of two radiopaque anchors, overlying the left tibia. No evidence of local recurrence. | No evidence of local recurrence of tumor. |
Generate impression based on findings. | Reason: fx f/u History: pain Three views of the right wrist demonstrate mild deformity of the distal radial metaphysis, compatible with a healing/healed fracture, with fracture fragments in near-anatomic alignment. There is a nonunited fracture fragment of the ulnar styloid. Mild positive ulnar variance and a small def... | Healing/healed distal radial fracture. Findings suggestive of ulnocarpal impaction. |
Generate impression based on findings. | 47-year-old female with history of AML status post stem cell transplant now with hypoxia and respiratory distress. LUNGS AND PLEURA: There are diffuse bilateral lower lobe predominant air space and nodular groundglass opacities. Small bilateral pleural effusions.MEDIASTINUM AND HILA: The heart size is normal with moder... | Diffuse bilateral lower lobe predominant air space and nodular groundglass opacities with small bilateral pleural effusions. Differential includes atypical infection such as viral, or less likely fungal or bacterial given the appearance and distribution. Mild basilar edema. Moderate pericardial effusion. |
Generate impression based on findings. | 66 your old female call back from screening mammography partially obscured masses in the right breast and asymmetry in the left breast. History of left breast cyst aspiration. 2012 exam demonstrated multiple cysts and a 5 mm hypoechoic mass in the 9 o'clock position, for which cyst aspiration had been recommended. Thre... | Bilateral cysts. 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. | 58 years, Female. Reason: 58yo female with abdominal pain. Evaluate stool burden History: abdominal pain, constipation Nonobstructive bowel gas pattern with a greater than average amount of stool. Note is made of right pelvic phleboliths. | Greater than average stool burden. |
Generate impression based on findings. | Pain with range of motion of the left hip. Two views of the left hip are provided. The bones appear slightly demineralized. Mild osteoarthritis affects the hip. | Osteoarthritis. |
Generate impression based on findings. | Left: Possible crystalline attack resolved now, flatfeet. Evaluate for erosions. Right: History of right great toe fracture four weeks ago, also evaluate for erosions vs Charcot. Three views of the left foot show a pes plano valgus deformity with mild osteoarthritis of the midfoot. The bones appear demineralized. Mild ... | 1. Multiple fractures involving the right foot as well as a nondisplaced fracture of the distal fibula. These findings were communicated via phone by Dr. Stacy to Meredith Hardt at 1146 hrs on 4/3/2014.2. Bilateral pes plano valgus deformity and osteoarthritic changes.3. Small defect in the first metatarsal head may be... |
Generate impression based on findings. | Left knee swelling.VIEWS: Left knee AP, lateral and oblique 4/3/15 (3 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Reason: pre heart transplant workup, former smoker; increased O2 with unknown cause History: severe heart failure LUNGS AND PLEURA: 17-mm groundglass nodule in the right upper lobe with a 5-mm central solid component (series 5/41).A second slightly smaller part solid nodule is present in the left upper lobe (series 5/4... | Bilateral upper lobe part solid nodules with a differential diagnosis that includes infection and primary adenocarcinoma. If due to infection, these findings are likely to evolve over the next few weeks. If due to primary adenocarcinomas, they will likely remain unchanged over several months or even years, as this morp... |
Generate impression based on findings. | 48 year old female with history of increased tracer uptake in right breast on nuclear stress test. Previous diagnostic mammogram demonstrated no mammographic or sonographic abnormalities. Family history of breast cancer diagnosed in two maternal great aunts and uterine cancer diagnosed in sister. Three standard views o... | 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. | 47-year-old female with history of left upper lobectomy. Six month follow-up. LUNGS AND PLEURA: Status post left upper lobectomy. Right lower lobe semisolid nodule measures 4 mm, previously 4 mm (image 77 of series 5). Right lower lobe ground glass opacities have resolved. Right lower lobe scarring appear similar to pr... | No evidence of disease recurrence or metastatic disease. Stable right lower lobe semisolid nodule likely representing atypical adenomatous hyperplasia. |
Generate impression based on findings. | Reason: laryngeal ca s/p laryngectomy History: laryngeal ca s/p laryngectomy CHEST:LUNGS AND PLEURA: Previously described right upper lobe nodule has calcified, suggestive of a granuloma (3/27) and 4/27). It is stable in size at 4 mm.Decreased dependent opacities favoring atelectasis. No interval pleural effusion or ne... | No evidence of metastatic disease. Previously referenced right upper lobe nodule is stable in size and has calcified, likely granuloma. |
Generate impression based on findings. | Follow-up of metastatic nasopharyngeal carcinoma that progressed through carboplatin/cetuximab/5FU. Neck: There is no evidence of measurable mass lesions in the nasopharynx. There is no significant lymphadenopathy in the neck, including a right level 1A lymph node that measures up to 7 mm in short axis. However, there ... | 1. No evidence of measurable mass lesions in the nasopharynx. 2. Unchanged nonspecific mildly prominent right level 1A lymph node.3. No evidence of intracranial metastases.4. Partially imaged upper mediastinal lymphadenopathy and nodules within the partially imaged lungs are compatible with metastatic disease. Please r... |
Generate impression based on findings. | 4-month-old male with feeding difficultiesEXAMINATION: Oropharyngeal motility study 4/3/15 Beth Harrison, speech and language therapist, supervised the examination.128 seconds of fluoroscopy was used.Penetration occurred without cough with nectar thick liquids. | Penetration without cough.Please see the speech and language therapist's report for feeding recommendations. |
Generate impression based on findings. | 65-year-old female with history of floor of mouth cancer status post CRT. CHEST:LUNGS AND PLEURA: Moderate centrilobular predominant emphysema. 4-mm scarlike opacity in the right upper lobe appear similar to prior (image 22 of series 4). No suspicious nodules or masses.MEDIASTINUM AND HILA: The heart size is normal wit... | Stable right apical scarlike pulmonary opacity. No evidence of metastatic disease. |
Generate impression based on findings. | Left knee injuryVIEWS: Left knee AP, lateral and oblique 4/3/15 (3 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Male 12 years old Reason: scoliosis eval History: 13 degree scoliometer to rightVIEWS: Lumbar spine PA, and upright bilateral 4/3/15 (two views) 14 degree thoracolumbar dextroscoliosis with no segmentation or fusion defect. Straightening of the thoracic kyphosis normal lumbar vertebral | Thoracolumbar dextroscoliosis and straightening of the thoracic kyphosis as described. |
Generate impression based on findings. | Female, 62 years old, with altered mental status. Assess for signs of hemorrhage or ischemia. Mild patchy subcortical white matter hypoattenuation is seen, a nonspecific finding. No evidence of parenchymal edema, mass effect or loss of grey white distinction is detected.A thin rim of hyperattenuation is seen along the ... | 1.Mild patchy subcortical white matter hypoattenuation is a nonspecific finding. This may reflect age indeterminate microvascular ischemia, among many other possible etiologies.2.Hyperattenuation along the high left cerebral vertex may simply reflect a beam hardening artifact, though the possibility of minimal hemorrha... |
Generate impression based on findings. | There is dense sclerosis throughout the calvarium, including the bilateral temporal bones with associated mild narrowing of the bilateral internal auditory canals, middle ear cavities, and external auditory canals. There is mild diffuse thickening of the bilateral ossicles. Round windows are patent. Bilateral tympanos... | Diffuse sclerosis of the calvarium, with mild narrowing of the bilateral internal auditory canals, middle ear cavities, and external auditory canals. There is also mild thickening involving the ossicles diffusely. Findings can be seen with osteopetrosis or other bone dysplasias. |
Generate impression based on findings. | The counting sequence suggests mild developmental narrowing of the cervical spinal canal with mild superimposed mid to lower cervical spondylotic changes. There is also apparent increased signal within the cord at C3-C4 and to the mid C7 level, although this could simply be artifactual in etiology given the appearance... | 1. Trace prominence of the central canal within the cord along the mid to lower thoracic levels.2. Severe bilateral facet arthropathy and ligamentum flavum thickening along the lumbar spine with underlying developmental narrowing of the central spinal canal. Resultant moderate-severe left L2-L3 and severe left L3-L4 fo... |
Generate impression based on findings. | Male 74 years old; Reason: 74M s/p lap incisional hernia repair with distention and nausea ABDOMEN:LUNGS BASES: Trace pleural effusions. Right greater than left bibasilar consolidation. Anteriorly located irregular nodular focus, previously with possible internal cavitation, measuring 1.2 x 0.8 cm on image 21 series 4,... | 1. Fluid containing midline ventral hernia, measuring 6.6 x 2.9 cm on transaxial imaging. 2. Mildly dilated small bowel, measuring up to 4.2 cm without definite transition point, air and fluid seen distally in colon, appearance most suggestive of ileus at this time. Enteric tube coiled in stomach. Ascites present. 3. I... |
Generate impression based on findings. | Right ankle injury 3 weeks ago.VIEWS: Right ankle AP, lateral and oblique 4/3/15 (3 view/s) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Pain along the lateral joint line. Effusion on examination. Evaluate for joint effusion, fracture. I see no fracture, malalignment, or joint effusion. There is perhaps mild soft tissue swelling along the lateral aspect of the knee. | Mild soft tissue swelling without fracture or joint effusion evident. |
Generate impression based on findings. | Male 74 years old Reason: gastric cancer with carcinomatosis on chemo. Restaging History: none CHEST:LUNGS AND PLEURA: Small bilateral pleural effusions persist. Previously seen groundglass opacities have resolved.MEDIASTINUM AND HILA: No significant abnormality notedCORONARY ARTERY CALCIFICATION: Severe.CHEST WALL: No... | No significant change in the peritoneal carcinomatosis and metastatic anterior abdominal wall masses. |
Generate impression based on findings. | Female, 81 years old, history of metastatic breast cancer. Surveillance scan. Diffuse mixed lytic and sclerotic lesions through the cervical spine, with additional lesions in the mandible, manubrium, ribs, scapula, and left clavicle, show no significant interval change. No evidence of pathologic vertebral body compress... | 1. Extensive osseous metastatic disease without evidence of progression.2. No neck masses or evidence of pathologic cervical lymphadenopathy in the neck. |
Generate impression based on findings. | Female 59 years old Reason: gastric cancer with peritoneal washings positive for adenocarcinoma, on chemotherapy maintenance. Restaging History: none CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: The tip of the port is in the left subclavian vein.CORONARY ARTERY CALCIFICATION: Mild.CHES... | No significant change from previous study. No CT evidence of peritoneal carcinomatosis. |
Generate impression based on findings. | 65-year-old male with hematuria. 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: Scattered, very small low attenua... | Cause for hematuria not determined. |
Generate impression based on findings. | Male 59 years old Reason: 59M with metastatic pancreatic cancer History: surveillance scan ABDOMEN:LUNG BASES: Dependent atelectasis. A stenting aortic aneurysm measuring 5.5-cm in largest AP dimension. Incidentally noted is thrombus in the right lower lobe pulmonary artery.LIVER, BILIARY TRACT: Subcentimeter hepatic c... | Interval increase in the size of the patient's known pancreatic head mass and metastatic retroperitoneal adenopathy.Right lower lobe pulmonary artery embolus.Unchanged ascending aortic aneurysm.Dr. Galanina was notified and acknowledged about the above findings at the time of the dictation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Stable benign solid mass right breast 9 o'clock position. Strong family history of breast cancer. 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 o... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Right breast benign biopsy. 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. Scar marker overlies the righ... | 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 were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses, microcalcificati... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts (total 10 images) were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Scattered, benign calcifications are present bilater... | 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.History of multiple benign biopsies bilaterally for fibroadenomata. Family history of breast cancer diagnosed in maternal cousin and paternal cousin. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The 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: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with 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, microc... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts 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. | Male; 61 years old. Reason: preop MVR History: SOB CT ANGIOGRAM:Normal caliber of the abdominal aorta and its branch vessels. The celiac artery, SMA, renal arteries, and IMA are widely patent with normal runoffs. Normal caliber of the bilateral common iliac arteries and their branch vessels. Minimal atherosclerotic cal... | Minimal atherosclerosis of the abdominal aorta and its branch vessels. |
Generate impression based on findings. | Reason: s/p 11/12/14 pleurX removal, bronch, pleurectomy decortication, and right chest mass resection for malignant mesothelioma History: none. LUNGS AND PLEURA: Trace right pleural effusion and mild right basilar atelectasis/consolidation. Stable discontinuous partially calcified pleural plaques in the left hemithora... | 1.Findings suspicious for new tumoral invasion of the peritoneum and right hepatic lobe.2.Stable to slight interval decrease in pleural thickening of the right hemithorax.3.Decreased right pleural effusion. |
Generate impression based on findings. | Reason: fx? History: pain snuff box tender Three views of the right wrist demonstrate mild soft tissue swelling along the radial aspect of the wrist. Minimal degenerative arthritic changes affect the wrist. No fracture is evident. | Soft tissue swelling without acute fracture or malalignment. |
Generate impression based on findings. | Reason: hx of head and neck cancer/ per protocol scans History: see above CHEST:LUNGS AND PLEURA: Previously referenced pulmonary nodules have increased in size. For example:The anterior right upper lobe nodule measures 22 x 26 mm (4/31), as compared to 20 x 26 mmThe nodule within the superior segment of the left lower... | Continued interval enlargement of several reference pulmonary nodules. The additional non-referenced pulmonary nodules have not significantly changed in size. No new pulmonary nodules are present. Stable mediastinal and hilar lymphadenopathy. |
Generate impression based on findings. | Reason: 58y/o female with breast ca; surgery Friday 43/15 at 3pm Left axillary SNBx in DCAM History: breast caRADIOPHARMACEUTICAL: The left breast was prepared in a sterile manner. A total of 0.5 mCi Tc-99m filtered sulfur colloid was injected in four periareolar injections. A focus of increased activity is noted in th... | Sentinel node identified in the left axilla. |
Generate impression based on findings. | 67-year-old female with multiple ulcerations, concern for osteomyelitis. Three views of the right foot demonstrate diffuse soft tissue swelling and arterial calcifications, without radiographic evidence of osteomyelitis.Three views of the right ankle demonstrate mild diffuse soft tissue swelling and arterial calcificat... | Soft tissue swelling and other findings, as above. No radiographic evidence of osteomyelitis. |
Generate impression based on findings. | 56-year-old male with fungemia status VAD Extensive encephalomalacia in the left middle cerebral artery territory is again visualized. Mild ex vacuo dilatation of the left lateral ventricle. Scattered patchy white matter hypoattenuation in the periventricular and subcortical white matter which are nonspecific, but most... | 1. No evidence of abnormal intracranial enhancement, abscess, or other specific finding to account for the patient's symptoms. 2. Remote left middle cerebral artery territory infarction and age indeterminate small vessel ischemic disease. |
Generate impression based on findings. | Reason: Has metastatic head and neck cancer, now reporting posterior chest wall pain and left lower back and hip pain. Evaluate for bone mets History: as above Abnormal radiotracer uptake in the L5, T11, T7, and T6 vertebral bodies, the left sacrum and bilateral sacroiliac joints greater on the left, the left iliac spi... | Multifocal osseous metastatic disease as described above. |
Generate impression based on findings. | 55-year-old female with history of right lower lobectomy for carcinoid tumor. Annual follow up. LUNGS AND PLEURA: Multiple bilateral pulmonary micronodules are unchanged, nonspecific. Biapical scarring. Post surgical changes from right lower lobectomy.MEDIASTINUM AND HILA: The heart size is normal with no pericardial e... | Stable pulmonary micronodules with no evidence of recurrent disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural distortion are pre... | 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. Family history of breast cancer in paternal grandmother. Bilateral breast pain off and on. 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 dens... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Patient's complain of bilateral breast pain should be managed clinically.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Chronic sinusitis seen on head CT in 2011; chronic nasal congestion; sharp septal spur to the left on endoscopy. There is moderate mucosal thickening within the bilateral maxillary sinuses. The other paranasal sinuses are clear. The nasal cavity is clear. There is a paradoxical right middle turbinate. There is S-shaped... | 1. Persistent inflammatory changes within the bilateral maxillary sinuses. 2. S-shaped nasal septal deviation with a leftward directed spur. 3. Ventriculomegaly, which has not significantly changed since 2011. |
Generate impression based on findings. | No acute intracranial hemorrhage is identified. No evidence of intracranial mass, mass-effect, or hydrocephalus. There is soft tissue swelling of the scalp overlying the left parietal bone near the midline. No extra-axial fluid collections. Orbits are unremarkable. Scattered opacification of the ethmoid air cells. Mas... | 1.No evidence of acute intracranial hemorrhage or calvarial fracture.2.Scalp soft tissue swelling overlying the left parietal bone. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Known bilateral cysts. 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. Previously described cys... | 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 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. | Reason: chondrocalcinosis or any evidence of fracture? History: likely patellar dislocation earlier today Four views of the left knee demonstrate a small joint effusion without evidence of fracture or malalignment. No chondrocalcinosis is evident. | Small effusion without fracture or malalignment. |
Generate impression based on findings. | Reason: left hip pain History: left hip pain Views of the pelvis and left hip demonstrate mild osteoarthritis of the left hip with mild superior joint space narrowing and small osteophytes. The right hip is within normal limits. There is no acute fracture or malalignment. | Mild osteoarthritis of the left hip. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural di... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 72-year-old female with history of lung nodule on chest radiograph. Follow-up CT. LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. An intramammary lymph node is present along the minor fissure. No focal air space opacities or pleural effusions.MEDIASTINUM AND HILA: The heart size is normal without pericardi... | No suspicious pulmonary nodules or masses. |
Generate impression based on findings. | Shortness of breath and history of fire/smoke inhalation/aspiration. Flow volume loops are squared: cough. The upper airways are patent. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unremarkable. The major cervi... | 1. The upper airways are patent. 2. Emphysematous changes in the partially-imaged lungs. Please refer to the separate chest CT report for additional details. |
Generate impression based on findings. | Reason: shoulder pain, ? mass History: same Three views of the right shoulder demonstrate geographic lucent lesions within the humeral head, glenoid, and distal clavicle. The largest lesion, best seen on the axial view, measures between 6-7 cm. We see no definitive cortical breach, on this study. Moderate osteoarthriti... | Multiple lucent lesions involving the bones of the shoulder, as above. While it is possible this could represent an arthritic process in the setting of a full thickness rotator cuff tear, the extent of the lesions on MRI are also worrisome for possible neoplastic process such as multiple myeloma or metastatic disease. |
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 heterogeneously dense, which may obscure small masses, 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: NSC - Screening Mammogram. |
Generate impression based on findings. | Female 38 years old Reason: Patient with Foley catheter in place s/p left ureteral reimplant. Instill contrast via Foley and eval for extravasation at anastomosis site of left ureteral reimplant History: As above. Limited scout film demonstrated no abnormal calcification. Pelvic surgical clips, left sided nephrouretera... | 1. Postoperative changes of the bladder without evidence of leak at left-sided anastomosis.2. Left-sided vesicoureteral reflux into the distal ureter. |
Generate impression based on findings. | Female; 56 years old. Reason: Metastatic breast cancer with lung nodules. Currently on chemotherapy. Assess for treatment response and extent of disease. History: Lung nodules are metastatic breast cancer versus primary lung malignancy. CHEST:LUNGS AND PLEURA: Interval decreased right lower lobe consolidation, though s... | 1. Interval decreased right lower lobe consolidation, though some nonspecific patchy atelectasis/consolidation persists. 2. Stable nonspecific right upper lobe nodule. No new suspicious pulmonary nodules or masses.3. Stable pelvic sclerotic lesions. No new suspicious osseous lesions.4. Mild dilation of the biliary tree... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography.History of right breast surgery for removal of sebaceous cysts in 2005. Family history of breast cancer in sister diagnosed at age 68. Two standard digital views of both breasts with tomo synthesis were performed and reviewed with the aid of R2 CAD 9.3. The... | 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. | 16 year-old female with GI bleed requiring multiple transfusions, assess for possible coiling ABDOMEN:LUNG BASES: The lung bases are clear.LIVER, BILIARY TRACT: No focal hepatic lesions. The portal vessels are patent. No gallstones. No intra-or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality n... | Rectal inflammation consistent with proctitis/IBD without evidence of active extravasation of contrast. |
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. Multiple loosely scattered benign calcification... | 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. | 56-year-old male with possible TB infection, following right lung abnormality. LUNGS AND PLEURA: Complete resolution residual right upper lobe ground glass opacity. The previously noted right 5-mm nodule is also nearly resolved, now 3 mm and semisolid (series 4, image 51). Given its location along the right major fissu... | 1.Complete resolution of the previously seen residual right upper lobe ground glass opacity.2.Near complete resolution of right upper lobe nodular fissural density, compatible with an intrapulmonary lymph node. |
Generate impression based on findings. | 63-year-old female with family history of breast cancer diagnosed in sister. Patient received annual diagnostic mammogram per her request. 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... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram with tomosynthesis is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - 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. | Asymptomatic female presents for routine screening mammography. History of breast carcinoma in mother and maternal cousin. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Benign oil ... | 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. | 52 year old with a palpable right breast masses for one week. Three standard views of both breasts and a right spot compression views 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 dominan... | 1. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. 2. Targeted right breast ultrasound is separately dictated. BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Pain. Evaluate for gouty erosions, tophi. Three views of the left hand are provided. Mild osteoarthritis affects the hand and wrist but we see no evidence of tophi or gouty erosions. Small lucencies with sclerotic margins within the head of the third metacarpal and possibly the lunate likely represent cysts. Arterial c... | Arthritic changes as described above appearing primarily degenerative in etiology. We see no gouty erosions or tophi. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Patient has always palpated lump in left breast. Family history of breast cancer in 3 maternal cousins. 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 i... | 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: Right knee pain History: Right knee pain Four views of the right knee demonstrate mild medial compartment joint space narrowing and small osteophytes, consistent with mild osteoarthritis. There is also a joint effusion. No fracture is evident.Sharpening of the tibial spines of the left knee, seen on the AP view... | Bilateral osteoarthritis and joint effusion. |
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. | 76 year old female with history of right lower lobe pulmonary nodule with new diagnosis of ascending colon adenocarcinoma. LUNGS AND PLEURA: Anterior right middle lobe solid nodule measures 7 mm, previously 7 mm (image 47 series 4). Stable left lower lobe micronodule. Mild dependent atelectasis.MEDIASTINUM AND HILA: Th... | Nonspecific anterior right middle lobe solid nodule appears similar to the prior study. Given short term stability and small size, a benign process somewhat more likely. However, 3-6 month followup CT is recommended as the differential diagnosis includes metastases. No other suspicious nodules or masses. |
Generate impression based on findings. | 8-month-old male with fever cough and wheezeVIEWS: Chest AP/lateral (two views) 4/3/15 at 1336 The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. Mild to moderate peribronchial wall thickening consistent with a reactive airway disease/bronchiolitis pattern. Scattered areas of streaky atelectasi... | Bronchiolitis/reactive airway disease pattern with some scattered atelectasis. No pneumonia. |
Generate impression based on findings. | 59 year old female with autoimmune hepatitis, abdominal pain LIVER: Nodular contour and heterogeneous echotexture of the liver measuring 12.0 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: Status post chole... | Cirrhotic liver morphology. No focal hepatic lesions. |
Generate impression based on findings. | No acute intracranial hemorrhage is identified. Abnormal gyral morphology and bandlike subcortical gray matter signal intensity related to known band heterotopia is better evaluated on prior MRI. Stable anomalous shape and size of the ventricles. Redemonstration of prominent retrocerebellar space with mild mass effect... | No acute intracranial process. No subarachnoid hemorrhage as clinically questioned. |
Generate impression based on findings. | Lethargy, evaluate for worsening edema No intracranial hemorrhage is identified. No worsening mass-effect. Again seen is extensive hypoattenuation involving the right frontal and temporal periventricular and subcortical white matter which is not significantly changed since 3/31/2015. Additional areas of hypoattenuation... | Compared to 3/31/2015, no significant change in white matter based lesion involving the right frontal lobe, right temporal lobe, and the right external capsule. No significant mass-effect, midline shift or herniation. Compared to more remote CT from 3/20/2015, there is decrease in associated sulcal effacement and local... |
Generate impression based on findings. | 56 year old female patient status post left flank drain placement and anemia. Evaluate for abdominal bleed. Exam is not sensitive for detecting lesions in the bowel and solid organs due to the lack of oral and intravenous contrast. Given those limitations, the following observations are made:ABDOMEN:LUNG BASES: No sign... | 1.Interval placement of a left posterior approach percutaneous pigtail catheter with tip within peripancreatic fluid without significant interval change in fluid volume or evidence of hematoma.2.Stable to slight interval increase in peripancreatic fluid collection anteriorly displacing the stomach. |
Generate impression based on findings. | 48 years, Male. Reason: kidney stone History: kidney stone The inferior pelvis is excluded from the field of view. Nonobstructive bowel gas pattern with contrast seen in the large bowel. Moderate amount of stool. A focal calcification seen in the inferior pole of the left renal fossa is compatible with a renal calculus... | Left renal calculus measures approximately 7 mm. |
Generate impression based on findings. | Reason: further eval of carotid body tumor History: carotid/paraphygeal mass Neck CTA: There is a mass present in the left neck which extends from the level of the left carotid bifurcation superiorly to the level of the C1 vertebra. It measures 53 x 27 mm in sagittal dimension this and 53 x 34 mm coronal dimensions. It... | 1.There is a left neck mass present which displaces the left external and internal carotid arteries and most likely represents a carotid body tumor 2.No evidence for intracranial aneurysm.3.No evidence for cervicocerebral occlusive disease. |
Generate impression based on findings. | Reason: 80F with metasatic breast cancer, History: surveillance CHEST:LUNGS AND PLEURA: Stable right apical and anterior upper lobe reticulation with volume loss related to prior radiation. Stable scattered calcified and noncalcified micronodules. Nonspecific focus of ground glass within the left upper lobe (4/35) may ... | Nonspecific focus of ground glass within the left upper lobe may be inflammatory. Follow-up on subsequent imaging recommended. Mild interval enlargement of mediastinal lymph nodes which may be reactive in nature.No suspicious pulmonary nodules.Stable osseous metastases. |
Generate impression based on findings. | 40 year old female who was recalled from screening mammogram for an oval asymmetry at the superior posterior aspect of the left breast. History of bilateral breast reductions 13 to 14 years ago. Family history of breast cancer diagnosed in maternal grandmother. An ML view and one spot compression view of the left breas... | Indeterminate 11 o'clock left breast mass, for which ultrasound guided biopsy is recommended. Results and recommendations were discussed with the patient.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | History of pT1N2b left retromolar trigone squamous cell carcinoma. ~1 year 5 months since completion of RT on 10/9/13. Compare to prior study. There are post-treatment findings within the left retromolar trigone region. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on siz... | 1. Stable post-treatment findings without evidence of gross locoregional tumor recurrence or significant lymphadenopathy in the neck.2. Left apical pulmonary micronodules. Please refer to the separate chest CT report for additional details. |
Generate impression based on findings. | 65 years old male with a history of metastatic thyroid cancer. Please compare to previous study and provide measurements. RADIOPHARMACEUTICAL: 12.6 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 102 mg/dL. Today's CT portion of the neck demonstrates no significant pathology. Please see diagnostic CT reports... | 1.Multiple metastatic lesions involving the lymph nodes and osseous structures in the thorax, stable to mildly progressed as compare with prior study.2.Stable left renal exophytic lesion with increased FDG uptake, suspicious for renal cell carcinoma.3.Multiple foci of mildly increased activity in the thoracic and lumba... |
Generate impression based on findings. | Left elbow pain. Four views of the left elbow show mild to moderate osteoarthritis of the elbow. There is an approximately 1.5 cm ossicle within the olecranon fossa of the distal humerus, presumably representing a loose body. Mild chronic enthesopathic changes are noted along the lateral epicondyle of the distal humeru... | Degenerative changes and a large intra-articular loose body as described above. |
Generate impression based on findings. | 82-year-old female with metastatic lung cancer, s/p 14 cycles of MPDL3280A, s/p RT to C-spine. LUNGS AND PLEURA: Subpleural right lower lobe medial opacity (5/75), unchanged, measuring 43 x 18 mm, previously 39 x 19 mm. Given the history of malignancy/hypermetabolic right lower lobe mass on PET, this likely represents ... | 1.No significant interval change in right lower lobe opacity, which possibly represents residual tumor. Organizing pneumonia is remains a consideration. 2.Stable right middle lobe nodule and mediastinal lymph nodes. |
Generate impression based on findings. | Pain. Right fourth finger fracture follow-up. Three views of the right ring finger again show a Mallet fracture through the base of the distal phalanx. The fracture fragment now appears slightly dorsally/proximally displaced, approximately 1 mm, when compared to the prior study. We see no specific radiographic features... | Mallet fracture as described above. |
Generate impression based on findings. | 48 year-old female patient with a concern for femoral neuropathy and right leg weakness. Evaluate for retroperitoneal bleed. UTERUS, ADNEXA: There is right adnexal prominence, which may represent a loop of bowel (series 5 image 65).BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.... | 1.Right iliopsoas muscle hematoma favored to be acute to subacute.2.Right adnexal prominence may represent a loop of bowel versus hyperattenuating ovary. Recommend correlation with clinical history and possible evaluation with pelvic ultrasound as clinically indicated to evaluate for a hemorrhagic cyst.Findings discuss... |
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