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Generate impression based on findings. | 69 year old female status post basilar artery aneurysm coiling complicated by aneurysm rupture. There are post treatment findings related to basilar tip aneurysm stent-assisted coiling and right frontal approach ventricular drain placement, the tip of which terminates within the anterior body of the right lateral ventr... | 1.Post treatment findings related to basilar tip aneurysm stent-assisted coiling and right frontal approach ventricular drain placement.2.Diffuse subarachnoid blood products and contrast material. 3.Interval mild increase in ventricular size concerning for developing hydrocephalus.4.Unchanged, non-specific low attenuat... |
Generate impression based on findings. | Back pain. Evaluate for evidence of hardware malpositioning, displaced screw. Evaluation of the vertebrae is limited due to bone demineralization and overlying bowel contents.Five views of the lumbar spine show posterior stabilization devices with screws entering L4 and L5. There is no evidence of hardware complication... | Postoperative and degenerative changes as described above with progression of degenerative disk disease at L3/L4. We see no evidence of hardware complication. |
Generate impression based on findings. | Omphalocele. Central line placement.VIEW: Chest AP (one view) 4/3/15 at 1349 hrs. Tracheostomy and NG tubes are unchanged, interval placement of right IJ central line, tip is at the SVC. Cardiac silhouette size is normal. Large lung volumes and left lower lobe chronic atelectasis unchanged. Giant omphalocele again note... | Central line positioning as described. |
Generate impression based on findings. | 47 years, Male. Reason: kidney stone History: stone. Nonobstructive bowel gas pattern. No distinct calcification is seen in the bilateral renal fossa to suggest a radiopaque renal calculus. Radiopaque density in the right pelvis likely correlates to phlebolith seen on recent CT. | No distinct calcification is seen in the bilateral renal fossa to suggest a radiopaque renal calculus. Radiopaque density in the right pelvis likely correlates to phlebolith seen on recent CT. |
Generate impression based on findings. | 85 year-old female with history of metastatic lung cancer. CHEST:LUNGS AND PLEURA: Postsurgical changes from left upper lobectomy. Loculated fluid collection within the anterosuperior aspect of the left hemithorax in size and appearance. Moderate centrilobular emphysema. Cluster of micronodules in the right upper lobe ... | Stable exam with no new sites of disease or evidence of recurrence. |
Generate impression based on findings. | Wrist pain. Three views of the left wrist again show a fracture through the dorsal lip of the radius. The fracture fragment is in near anatomic alignment. Portions of the fracture are less distinct which may reflect some interval healing. The bones are slightly demineralized. There is mild soft tissue swelling. | Distal radius fracture as described above. |
Generate impression based on findings. | Reason: Acute mental status changes, on anticoagulation, concern for bleed History: Acute mental status changes The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified wit... | 1.No evidence for acute intracranial hemorrhage, mass effect or edema.2.CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction. |
Generate impression based on findings. | 52 year-old female with two new left upper lobe nodules. Please do superD protocol CT scan. LUNGS AND PLEURA: At least 6 nodules occupy the left upper lobe, measuring up to 35 x 22 mm in the lingula (series 6, image 162). A second lesion for future reference measures 8 x 8 mm (series 6, image 120). Other scattered bila... | Multiple left upper lobe nodules. Considerations include conglomerate sarcoid nodules; however, given their asymmetric distribution, infection of bacterial or fungal etiology should also be considered. Malignancy cannot be entirely excluded, though considered less likely. |
Generate impression based on findings. | Fall, right wrist swelling at radial aspect of wrist. Pain right hand second through third metacarpals. One week ago. Three views of the right wrist show a comminuted, intra-articular fracture of the distal radius with nearly 30 degrees of dorsal angulation of the distal fracture fragment and slight proximal displaceme... | Distal radius and ulna fractures as described above. |
Generate impression based on findings. | Female 27 years old; Reason: 27F h/o obesity s/p gastric sleeve performed in NYC June 2014, p/w abdominal pain/vomiting/diarrhea since yesterday evening, non-toxic on exam but very tender in epigastrium and LUQ ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.... | 1. Status post gastric sleeve procedure and mild focal dilatation of stomach at distal aspect, nonspecific and may be related to peristalsis. No evidence of significant upstream dilatation otherwise or bowel obstruction otherwise. Enteric contrast reaches colon. Small hiatal hernia. If there is continued clinical conce... |
Generate impression based on findings. | Severe headache. There is no evidence of acute intracranial hemorrhage or mass effect. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The skull is unremarkable. There is mild right frontal scalp soft tissue scarring/irregularity, likely related to prior ... | No evidence of acute intracranial hemorrhage, mass, or mass effect. If there is continued suspicion for structural abnormality, MRI can be considered for further evaluation. |
Generate impression based on findings. | 3-year-old male with history of choking, concern for foreign body.VIEWS: Soft tissue neck lateral (one view) 4/3/15 at 1410 No radiopaque foreign body is identified. No evidence of fracture or subluxation. No significant prevertebral soft tissue swelling. Prominence of the adenoids. | No evidence of radiopaque foreign body. Adenoid hypertrophy. |
Generate impression based on findings. | 69-year-old male with history of treated left upper lobe small cell carcinoma with new left lower lobe small cell carcinoma status post wedge resection (second primary). CHEST: LUNGS AND PLEURA: Moderate paraseptal predominant emphysema. Status post wedge resection of the left lower lobe. Stable paramediastinal radiati... | 1. Posttreatment changes in the chest without evidence of recurrent disease.2. New small right hepatic lobe hypoattenuating lesions are suspicious for metastatic disease, however they are incompletely characterized. A dedicated liver MRI may be considered for further workup. |
Generate impression based on findings. | Reason: ILD, shortness of breath, lung transplant eval History: as noted above LUNGS AND PLEURA: Diffuse basilar predominant chronic interstitial disease with reticular and ground glass components. Mild traction bronchiectasis is present consistent with fibrosis but no definite honeycombing.There has probably been mild... | Diffuse basilar predominant chronic interstitial disease with evidence of fibrosis but no definite honeycombing, most compatible with fibrosing NSIP or atypical UIP. |
Generate impression based on findings. | Reason: ex-33wk now 7wks old with acholic stools, direct hyperbili, but normal abd u/s History: acholic stools Angiographic images are unremarkable. There is prompt clearance of radiotracer from the blood pool and uniform accumulation of the tracer by the liver. Dynamic imaging performed at 2 hours demonstrates mobile ... | Findings suggestive of a small amount of tracer excretion into bowel argue against biliary atresia. Abnormal hepatic radiotracer retention is favored to represent an alternative etiology of hepatocyte dysfunction, such as neonatal hepatitis. |
Generate impression based on findings. | Pretransplant workup. Areas of radiotracer activity in the upper abdomen and retroperitoneum indicate MIBG avid tumor which correlates with findings on recent CT. Tumor activity in this region is decreased since the outside 1/2015 MIBG study. MIBG avid osseous lesions in the left scapula and right acetabulum are decrea... | Interval improvement since the 1/14/2015 exam, with decrease in size of multifocal MIBG avid soft tissue and osseous lesions as detailed above. No new lesions are identified. |
Generate impression based on findings. | Reason: 57 y.o. F with HPT \T\ multinodular goiter. Please evaluate for parathyroid adenomas History: HPT There is asymmetry of the left thyroid lower pole which projects posteriorly and extends inferiorly to the sternal notch. There is no abnormality present on delayed images. | Asymmetry of the lower pole of the left thyroid may represent anatomic variation, a thyroid nodule, or possibly a parathyroid adenoma, though there is no specific evidence of an adenoma on delayed imaging. Further evaluation with thyroid ultrasound may be helpful as warranted clinically. |
Generate impression based on findings. | Reason: Lung Transplant Evaluation,ILD, dyspnea History: as noted above The comparison chest radiograph performed on 4/3/15 demonstrates severe basilar predominant interstitial disease. The ventilation images are limited by the ability of the patient to perform the examination. Allowing for this limitation, there is de... | Limited examination as described, with ventilation and perfusion images as quantified above. |
Generate impression based on findings. | Male 63 years old; Reason: HCC, please assess and compare to previous scan CHEST:LUNGS AND PLEURA: Visualized central airways patent. No suspicious lung nodule. No pleural effusion. Left axillary surgical clips.MEDIASTINUM AND HILA: Small triangular shaped anterior mediastinal soft tissue attenuation, may reflect resid... | 1. Findings compatible with interval increase in size of one of the two reference liver masslesions and new hepatic masses, suspicious for multifocal HCC. 2. Enlarging lymphadenopathy, suspicious for metastatic disease. |
Generate impression based on findings. | 65-year-old male patient with metastatic lung cancer status post RT to the chest wall and 14 cycles of chemotherapy. Please compare with previous study and evaluate treatment response. ABDOMEN:LUNG BASES: Calcified granulomas noted. Coronary artery calcifications. Hilar lymph node calcifications.LIVER, BILIARY TRACT: D... | No evidence of intra-abdominal metastatic disease. |
Generate impression based on findings. | 13-year-old female with left knee pain, possible patellar subluxationVIEWS: Left knee sunrise view (one view) 4/3/15 at 1428 No evidence of patellar subluxation. No fracture or malalignment. No significant soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Male 56 years old Reason: s/p VAD, fungemia History: fungemia CHEST:LUNGS AND PLEURA: Minimal bibasilar dependent subsegmental atelectasis.MEDIASTINUM AND HILA: Cardiomegaly. No pericardial effusion. Scattered, tiny locules of gas in the right atrial appendage, most likely related to iatrogenic introduction venous air ... | No driveline associated or intra-abdominal fluid collections to indicate an abscess. |
Generate impression based on findings. | 57 year old female with newly diagnosed chest and questionable recurrent neuroendocrine tumor. s/p resection, but also nodule on pancreatic tail, questionable neuroendocine from OSH (?). CHEST:LUNGS AND PLEURA: No focal consolidation or pleural effusion. Few scattered nonspecific pulmonary micronodules. No suspicious p... | 1.No pancreatic lesion identified on this nondedicated study. Dedicated triple-phase CT or MRI of the pancreas can be considered for further evaluation if clinically indicated.2.Partial gastrectomy, with nodular contour of the gastric cardia which may represent post operative changes; residual or recurrent tumor cannot... |
Generate impression based on findings. | 63 years old Female. History: h/o anaplastic thyroid cancer, s/p CRT, and wedge resection of lung lesion. Please compare to previous study and provide, measurements. RADIOPHARMACEUTICAL: 12.7 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 134 mg/dL. Today's CT portion of the neck demonstrates no significant... | 1.New nodal metastasis in the mediastinum at left paratracheal and AP window regions. 2.Nonspecific focal mild FDG uptake in the right lung hilum.3.Interval resolution of the left upper lobe hypermetabolic nodule.Diagnostic CTs of the chest also performed at today's visit will be reported separately. |
Generate impression based on findings. | Reason: met breast ca - eval response to therapy History: BRCA Again seen are innumerable osseous metastases throughout the visualized axial and appendicular skeleton with an overall similar distribution compared to prior exam. The osteoblastic activity has mildly decreased over the interval, suggesting continued impro... | Continued slight improvement in osseous metastases. No new lesions identified. |
Generate impression based on findings. | 70 year-old female. Breast cancer. Evaluate for progression. CHEST:LUNGS AND PLEURA: Biapical scarring consistent with radiation fibrosis. No suspicious pulmonary nodules.Persistent left hemidiaphragm elevation with overlying atelectasis, consistent with diaphragmatic paralysis.MEDIASTINUM AND HILA: Mediastinal lymphad... | Stable examination with no new sites of disease. |
Generate impression based on findings. | Male 23 years old Reason: osteosarcoma off therapy ; assess for pulmonary metastasis LUNGS AND PLEURA: Bilateral lung surgical clips and sutures are again noted. No lung nodules. No focal lung opacities, effusions or pneumothorax.MEDIASTINUM AND HILA: No significant abnormality noted. No pericardial effusion.CHEST WALL... | impression |
Generate impression based on findings. | Chronic sinusitis status post sinus surgery, with recurrent symptoms. There are postoperative findings related to endoscopic sinus surgery, including bilateral uncinectomy, middle turbinectomy with conchae bullosa, and partial internal ethmoidectomy. There is mild mucosal thickening within the maxillary sinuses and par... | Postoperative findings related to endoscopic sinus surgery with overall mild residual paranasal sinus opacification. |
Generate impression based on findings. | Male 50 years old Reason: anastomotic leak History: abdominal pain. Scout: The pelvis is excluded from the field of view. Cholecystectomy clips. Skin staples. Right drainage catheter, bilateral surgical coils, clips, suture material are noted. There is a vascular stent overlying the expected location of the right iliac... | There was no extravasation of contrast to suggest an anastomotic leak. |
Generate impression based on findings. | The frontal sinus and frontoethmoidal recesses are clear. Minimal mucosal thickening is seen in the ethmoid sinuses. The anterior and posterior ethmoid air cells are otherwise clear. Minimal septations are seen within the maxillary sinuses. The maxillary sinuses are otherwise clear. The ostiomeatal units are clear. Th... | 1. No significant paranasal sinus disease.2. Partially visualized osseous defect involving the left anterior maxilla compatible with cleft palate.3. Leftward nasal septal deviation. |
Generate impression based on findings. | Female; 62 years old. Reason: Metastatic colon cancer compare to last and measure 1) RUL nodule, 2) subcarinal node, 3) aortocaval node 4) mass at level of aortic bifurcation LUNGS AND PLEURA: Bilateral numerous lung metastases have mildly increased in size. No new suspicious pulmonary nodules or masses.Index right upp... | Interval increased size of index lesions as detailed above. |
Generate impression based on findings. | 71 year-old female patient with weight loss, umbilical hernia. Evaluate for abnormalities. Exam is not sensitive for detecting lesions in the solid organs due to the lack of intravenous contrast. Given those limitations, the following observations are made:CHEST:LUNGS AND PLEURA: Dependent atelectasis. No suspicious pu... | Mildly complex right renal cyst is incompletely evaluated in this noncontrast CT scan. Recommend dedicated renal ultrasound for further characterization. |
Generate impression based on findings. | Male, 59 years old, with history of tongue cancer. An oval lucency within the left basal ganglia, and a smaller lucency within the right basal ganglia, may represent perivascular spaces or, less likely, lacunar infarcts. Otherwise, parenchymal morphology is unremarkable.No evidence of parenchymal edema, mass effect or ... | No evidence of intracranial metastatic disease. |
Generate impression based on findings. | Female; 49 years old. Reason: LLQ abdominal pain and diarrhea History: as above ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS,... | Prominent mesenteric root lymph nodes with slight haziness of the surrounding mesenteric fat, which is nonspecific and may be reactive or related to panniculitis. Otherwise, no acute abnormality is evident. |
Generate impression based on findings. | 47 years, Male. Reason: Abdominal pain History: ab pain Left flank is not entirely included in field of view. Nonobstructive bowel gas pattern. Note is made of pelvic phleboliths.Left lung basilar airspace opacity may reflect subsegmental atelectasis. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 47-year-old female, evaluate for bleed Postoperative changes of Chiari decompression including resection of the posterior arch of C1 and suboccipital craniectomy with a small amount of extradural fluid noted posteriorly. No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midli... | 1. No evidence of acute intracranial hemorrhage or mass effect. 2. Expected postoperative changes of Chiari decompression. |
Generate impression based on findings. | 42-year-old male with history of cough and shortness of breath with history of severe smoke inhalation. Please see dedicated CT soft tissue neck from the same date for further details.LUNGS AND PLEURA: Minimal apical subpleural cysts compatible with mild apical paraseptal emphysema. No suspicious nodules or masses. No ... | Minimal apical paraseptal emphysema, but otherwise unremarkable exam. |
Generate impression based on findings. | Reason: Evaluate for subclinical rib fracture History: Right back/rib pain Three views of the right ribs demonstrate radiopaque markers placed overlying the right lower rib cage indicating region of patient's pain. No rib fractures are identified. Mild degenerative arthritis affects the visualized spine. Cardiomegaly a... | No fracture evident. |
Generate impression based on findings. | 67 years old female with right lung nodule/infiltrate. This study was performed for the diagnosis of the lung nodule/infiltrate.RADIOPHARMACEUTICAL: 10.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 122 mg/dL. Today's CT portion grossly demonstrates patchy and nodular opacities in the right lower lobe. Fo... | Patchy and nodular opacities in the right lower lobe with a mildly increased activity, suspicious for inflammatory change, although tumor cannot be excluded completely. Suggest follow-up with CT.New hypermetabolic lymph nodes in the right hilum and mediastinal subcarinal region, which are nonspecific.Nonspecific focus ... |
Generate impression based on findings. | Reason: wrist pain History: above Three views of the left elbow again demonstrate a comminuted fracture of the coronoid process of the ulna, partially affixed by an orthopedic screw, appearing similar to prior exam. There is soft tissue swelling along the posterior aspect of the elbow.Three views of the left wrist demo... | Orthopedic fracture fixation as above. |
Generate impression based on findings. | Reason: dropped weight on finger History: evaluate for fracture at PIP Three views of the left ring finger demonstrate normal anatomic alignment without evidence of acute fracture. There is mild soft tissue swelling overlying the proximal interphalangeal joint. | Mild soft tissue swelling without evidence of acute fracture. |
Generate impression based on findings. | Reason: 68 yo F with L shoulder pain - eval DJD, fx, calcific tendinosis History: L shoulder pain, limited rom Three views of the left shoulder demonstrate osteophytosis of the glenohumeral joint, suggestive of mild osteoarthritis. Minimal osteoarthritis affects the acromioclavicular joint. There is no evidence of acut... | Osteoarthritis of the shoulder as above. No specific radiographic evidence of calcific tendinosis. |
Generate impression based on findings. | Reason: history of pulmonary HTN, DVT/PE with new dyspnea on exertion, assess for PE History: dyspnea on exertion. The comparison chest radiograph performed on 4/2/15 demonstrates no focal pulmonary opacities or pleural fluid. The ventilation images show a uniform distribution of activity on single-breath and wash-in i... | High probability of pulmonary embolism. These findings were discussed by phone with Dr. Nikhil Narang and with the patient at the time of dictation. |
Generate impression based on findings. | Evaluate for progression: breast cancer. There is an unchanged appearance of the supraclavicular fossa and imaged portions of the left chest wall likely related to prior surgery. There is no evidence of significant cervical lymphadenopathy based on size criteria. However, subcentimeter nodules in the left anterior ches... | The appearance of the soft tissues in the left supraclavicular fossa region and anterior left chest wall is unchanged and likely consists of treatment-related effects. However, subcentimeter nodules in the left anterior chest wall, right supraclavicular fossa, and upper mediastinum that were hypermetabolic on the prior... |
Generate impression based on findings. | 21 years, Female. Reason: s/p NJT placement, confirm placement History: tube placement confirmation Nonobstructive bowel gas pattern. There is a nasojejunal tube with its tip projecting over the jejunum. Visualized lung bases are unremarkable. | NG tube tip projects over the jejunum. |
Generate impression based on findings. | Screening call back for two areas of focal asymmetry in the right breast. An ML view and multiple spot compression views of the right breast 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. Two... | Typically benign morphology mammographic findings in the right breast 12 o'clock position have no suspicious sonographic correlate. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended in 6 months. Results and recommen... |
Generate impression based on findings. | 87-year-old female with history of possible obstruction near SVC/IVC/RA seen on echo. LUNGS AND PLEURA: Nonspecific minimal ground glass opacities at the periphery of the right upper lobe may be related to aspiration. Mild bibasilar scarring and bronchiectasis. No suspicious nodules or masses identified.MEDIASTINUM AND... | No evidence of IVC or SVC obstruction as clinically queried. Moderate coronary and aortic valvular calcifications. |
Generate impression based on findings. | 57 years old Female. Reason: restaging. History: restaging of colorectal cancer after chemotherapy. RADIOPHARMACEUTICAL: 13 mCi F-18 fluorodeoxyglucose (FDG). Today's CT portion grossly demonstrates dependent changes in the lower lungs. The tip of the Port-A-Cath is in the right atrium.Today's PET examination demonstra... | 1.Interval improvement of the hepatic and abdominal metastases.2.Stable to mild progression of the tumor in the pelvis. |
Generate impression based on findings. | 44 year old female with history of callbacks from screening in past two screening examinations with no suspicious abnormalities found on diagnostic mammography. No current breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is c... | 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. | Chronic sinusitis. There is partial opacification of the right sphenoid sinus with sclerosis of the surrounding sinus walls. The other paranasal sinuses are clear. The nasal cavity is clear. The nasal septum is slightly deviated to the right. The lamina papyracea and ethmoid roofs are intact. The carotid grooves and op... | Partial opacification of the right sphenoid sinus with features of chronic sinusitis. |
Generate impression based on findings. | 66 year old male with renal cell cancer with pulmonary nodules and upper left retroperitoneal mass. Measure using resist criteria and immune response criteria. Prechemotherapy. CHEST:LUNGS AND PLEURA: Biapical Scarring. Scattered subcentimeter nodules are noted, for example nodule in the right lower lobe measures 5 mm ... | 1. Heterogeneous mixed solid cystic mass in the left nephrectomy bed invading the left psoas muscle and left hemidiaphragm is consistent with disease recurrence. 2. Findings suggestive of metastatic disease involving the right adrenal gland. 3. Bilateral subcentimeter pulmonary nodules. 4. Findings of osseous metastati... |
Generate impression based on findings. | Male, 66 years old, with progressive renal cell cancer. Assess for brain metastases. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No pathologic parenchymal or extra-axial enhancement is detected. No intracranial hemorrhage or abnormal extra-axial fluid is seen. There i... | 1.No evidence of intracranial metastases.2.Sinus mucosal inflammation. |
Generate impression based on findings. | 71 years old Male. Reason: r/o mets. Please compare to prior PET scan. History of thyroid cancer with spread to CNS, now s/p surgery and XRT. Thyroglobulin has increased again as well. RADIOPHARMACEUTICAL: 14.3 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 119 mg/dL. Today's CT portion grossly demonstrates... | New foci of increased metabolic activity in the right vocal cord and soft tissue density in the right tracheoesophageal groove with SUV Max of 9.8, highly suspicious for metastasis.Interval resolution of the left level 2 hypermetabolic lymph nodes. |
Generate impression based on findings. | Reason: h/o met thyroid cancer, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Stable scattered pulmonary micronodules, some of which are calcified. No new suspicious pulmonary nodule or pleural effusion.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion.CORONARY ARTERY CAL... | New enhancing nodule within the anterior left sternocleidomastoid muscle at the superior field of view. A second new nodule at the midline at the mid clavicular level. Interval enlargement of several left axillary lymph nodes. There is increased metabolic activity in these locations on a PET CT that was performed subse... |
Generate impression based on findings. | Male, 74 years old, history right neck squamous cell carcinoma of unknown primary. Head:A small region of abnormal parenchyma is seen within the left lateral cerebellar hemisphere corresponding to the location of a known lesion. No discretely measurable mass is identified. No new pathologic enhancement, edema or mass e... | 1. Infiltrative tumors along the right carotid space, invading the right trapezius muscle, and within the right supraclavicular fossa have decreased in size and degree of enhancement. In some of these areas, there is no longer any reliably measurable disease.2. Mottling of the proximal right first rib is unchanged comp... |
Generate impression based on findings. | Reason: eval for bullet fragment History: GSW to L foot Three views of the left ankle and 3 views of the left foot demonstrate bandage material along the lateral ankle. Gas within the underlying soft tissues is compatible with stated history of gunshot wound. No foreign body/bullet fragment is identified. However, ther... | Fracture of the medial surface of the talus, with probable gas density in the joint, extending along the flexor hallucis longus tendon. |
Generate impression based on findings. | 45 years old Female with a history of breast cancer. Multiple foci of increased activity are seen in the right breast, corresponding to the soft tissue densities seen on CT. The SUV Max in the abnormal FDG uptake is 9.8.A focus of increased activity is seen in the inferior aspect of the left breast, corresponding to a ... | 1.Multifocal abnormal FDG uptake in the right breast, highly suspicious for breast cancer.2. A focus of increased activity in the inferior portion of the left breast, which may represent tumor or inflammatory change. |
Generate impression based on findings. | Female 79 years old; abnormal mammogram, renal lesion ABDOMEN:LUNGS BASES: Incompletely imaged large sliding type hiatal hernia with stomach in intrathoracic location with organoaxial type configuration, adjacent subcentimeter lymph nodes seen in hernia sac. Associated left basilar atelectasis seen.LIVER, BILIARY TRACT... | Outside examination read:1. Renal cysts as above. 2. Presacral soft tissue attenuation foci, comparison to prior imaging if available or attention on follow up recommended to exclude metastatic disease, fat containing neoplasm such as liposarcoma also a consideration.3. Mild mesenteric stranding seen at level of root w... |
Generate impression based on findings. | Reason: evaluation for memory loss of unknown etiology History: as above There is decreased perfusion of both parietal regions, including the precuneus and cingulate regions, greater on the left. There is also decreased perfusion of the left temporal lobe. | Bilateral cerebral perfusion abnormalities greater on the left in a distribution most likely due to Alzheimer disease. |
Generate impression based on findings. | Reason: ? PE, chest pain History: chest pain The comparison chest radiograph performed on 4/1/15 demonstrates no focal pulmonary opacities or pleural fluid. The ventilation images show a uniform distribution of activity on single-breath and wash-in images. There is no abnormal Xe-133 retention during the wash-out phase... | Very low probability of pulmonary embolism. |
Generate impression based on findings. | Carries outside diagnosis of rheumatoid arthritis. Please evaluate for significant inflammatory arthritis. Six views of the cervical spine are provided. There is loss of the normal cervical lordosis. Mild degenerative disk disease is noted at C6/C7 and C7/T1 with small anterior osteophytes. There is mild narrowing of t... | Arthritic changes suggesting combined osteoarthritis and rheumatoid arthritis. |
Generate impression based on findings. | Reason: History of metastatic breast cancer on treatment. Compare to prior imaging, evaluate for response and extent of disease. History: History of metastatic breast cancer on treatment. Compare to prior imaging, evaluate for response and extent of disease. CHEST:LUNGS AND PLEURA: Extensive bilateral nodular and massl... | Increased focal pulmonary opacity in the left upper lobe and right lower lobe suspicious for progression of disease. Other areas appear stable. |
Generate impression based on findings. | Reason: h/o anaplastic thyroid ca, compare to previous, measurements pls History: none. CHEST:LUNGS AND PLEURA: Stable small left pleural effusion and trace right pleural effusion. No focal consolidation. Minimal bilateral dependent basilar atelectasis, left greater than right. Few scattered pulmonary micronodules, sta... | 1.Increasing size and necrosis of multiple mediastinal lymph nodes, compatible with metastatic disease.2.Pericardial nodularity and increasing effusion, suspicious for pericardial metastases. |
Generate impression based on findings. | 62 year-old female patient with chest pain radiating to the back. CT ANGIOGRAM:No acute aortic dissection or rupture.Normal caliber of the thoracic aorta. Mild atherosclerotic calcifications of the thoracic aorta and its branch vessels, including the coronary arteries. Aortic arch branch vessels are patent.Normal calib... | No acute aortic dissection or rupture or other acute abnormality is evident. |
Generate impression based on findings. | Female 61 years old; Reason: eval for metastasis from RCC History: metastatic RCC, L upper arm pain, XR showing lucency in L proximal humerus. The left humerus cortex is intact. No suspicious sclerotic or lytic lesions. The scapula is intact. Left shoulder joint space is normal.No muscle atrophy.Imaged portion of the l... | 1.No suspicious sclerotic or lytic lesions. |
Generate impression based on findings. | Reason: ? OA History: back pain Seven views of the cervical spine demonstrate small osteophytes projecting from the anterior aspect of multiple cervical vertebral bodies. The lower cervical spine is not well seen on the lateral view due to overlying anatomy. The disk spaces appear well maintained. There is straightenin... | Mild degenerative arthritic changes and other findings as described above. |
Generate impression based on findings. | Male, 65 years old, history of metastatic thyroid cancer. Head:Two hypoattenuating and presumably enhancing lesions are demonstrated in the left parietal lobe, one within the postcentral gyrus and another immediately across the postcentral sulcus within the superior parietal lobule. Based on comparison with the prior M... | 1.Soft tissue nodules have increased in size in several locations in the neck concerning for progressive disease.2.A presumably enhancing lesion within the left superior parietal lobule has also increased in size relative to the prior MRI. Additional visualized brain parenchymal lesions show no significant change. Veri... |
Generate impression based on findings. | 68-year-old male with history of left lower lobe nodule. LUNGS AND PLEURA: Irregular nodule in in the left lower lobe measures 18 x 13 mm, (image 81 of series 5). Posterior left lower lobe solid nodule measures 13 x 10 mm (image 58 of series 5). No focal air space opacities or pleural effusions.MEDIASTINUM AND HILA: Th... | Indeterminant left lower lobe nodules. Given respiratory motion on outside PET/CT, accurate comparison is not possible. Follow-up in 6 month CT recommended. |
Generate impression based on findings. | Reason: lung nodule- super D protocol History: dyspnea LUNGS AND PLEURA: Multiple nonspecific micronodules in the 2 to 3 mm range are present bilaterally , at least one of which is calcified, most compatible with previous infection.In addition, an irregularly marginated, slightly lobulated and spiculated subpleural nod... | Indeterminate subpleural nodule in the left lower lobe which is suspicious for neoplasm. |
Generate impression based on findings. | 44-year-old female with abdominal pain, nausea/vomiting. Evaluate for cholelithiasis. LIVER: Mild increased echogenicity of the liver measuring 14.6 cm in length. No focal hepatic lesions. Main portal vein is patent with appropriate directional flow; peak velocity measures 0.5 m/s.GALLBLADDER, BILIARY TRACT: Normal ech... | 1. Mild increased echogenicity of the liver suggestive of parenchymal dysfunction/fatty infiltration. No focal hepatic lesions. 2. No evidence of cholelithiasis. |
Generate impression based on findings. | Male; 64 years old. Reason: esophageal cancer with lung and liver mets, please measure using recist criteria History: pre chemo CHEST:LUNGS AND PLEURA: Bilateral pulmonary nodules have slightly increased in size since prior outside CT chest dated 2/4/14 and are compatible with metastases. For future reference, a left l... | Enlarging metastases in the chest and abdomen as detailed above with largest metastatic lesion in the right hepatic lobe. |
Generate impression based on findings. | 64 years old Male. History: esophageal cancer with lung and liver metastases on clinical trial. RADIOPHARMACEUTICAL: 12.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 105 mg/dL. Today's CT portion of the neck demonstrates no significant pathology. Please see diagnostic CT reports for details of the chest,... | 1.Extensive metastatic disease in the liver and abdominal lymph nodes.2.Right peritoneal metastasis.3.Probable left chest wall and abdominal wall metastases.4.Probable metastatic lung micronodules in both lungs.Diagnostic CTs of the chest, abdomen, and pelvis also performed at today's visit will be reported separately. |
Generate impression based on findings. | Reason: History of metastatic breast cancer on treatment. Compare to prior imaging, evaluate for response and extent of disease. History: History of metastatic breast cancer on treatment. Compare to prior imaging, evaluate for response and extent of disease. There is no appreciable interval change in numerous metastati... | No significant interval change in osseous metastatic disease. |
Generate impression based on findings. | Status post left shoulder arthroplasty. Fine detail evaluation is limited by overlying artifact.There are components of a reverse total shoulder arthroplasty in near anatomic alignment without radiographic evidence of complication.The left lung is underinflated with probable atelectasis at the base. | Postoperative changes of left total shoulder arthroplasty. |
Generate impression based on findings. | Reason: h/o RMT ca and CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Multiple micronodules, unchanged from previous and likely benign, compatible with intrapulmonary lymph nodes and previous infection.No suspicious nodules.MEDIASTINUM AND HILA: A previously described subcarinal lymph ... | Stable micronodules and no specific evidence of metastatic disease. |
Generate impression based on findings. | 59-year-old male with history of tongue cancer. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural effusions or air space opacities.MEDIASTINUM AND HILA: No significant abnormality noted.CORONARY ARTERY CALCIFICATION: Moderate.CHEST WALL: No significant abnormality noted.ABDOMEN: Absence of e... | No evidence of metastatic disease. |
Generate impression based on findings. | Reason: follow up lung cancer History: fatigue.RADIOPHARMACEUTICAL: 12.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 97 mg/dL. Today's CT portion grossly demonstrates a left upper lobe mass which is decreased in size since the prior study. There is a right pleural effusion which is stable to minimally in... | 1.Overall significant improvement since 7/2014, with marked interval decrease in size and metabolic activity of spinal, pelvic, and rib osseous metastases, lymphadenopathy, hepatic, and pulmonary lesions.2.However, there has been interval increase in size and number of right humeral osseous metastases. Consider correla... |
Generate impression based on findings. | History of osteoporosis. Status post right ankle ORIF. Medial malleolar fragment cutting out of fixation. Two screws affix a fracture of the medial malleolus in near-anatomic alignment. The anterior screw appears to course along the anterior edge of the malleolar fracture fragment. The fracture line remains visible at ... | Orthopedic fixation of ankle fractures as described above. |
Generate impression based on findings. | Worsening headaches and restricted range of motion. Concern for cervical spinal stenosis, severe pain. Moderate degenerative disease affects C5/6, with small anterior and posterior vertebral body osteophytes. There is perhaps also a minimal retrolisthesis of C5 relative to C6. There is narrowing of the C5/6 neuroforame... | Degenerative disk disease and other findings as above. |
Generate impression based on findings. | Status post right total hip arthroplasty The AP view of the right hip reveals components of a total hip arthroplasty device situated in near-anatomic alignment without radiographic evidence of hardware complication. A drain and foci of gas density in the soft tissues reflect recent surgery.The AP view of the pelvis rev... | Total hip arthroplasty as above. |
Generate impression based on findings. | Wrist pain status post fall. Fracture? I see no fracture or malalignment. There is an osseous coalition of the lunate and triquetrum, a normal variant. | No fracture or other specific findings to account for the patient's pain are evident. |
Generate impression based on findings. | Female 50 years old Reason: eval for obstruction History: abd pain, vomiting, hx lvad This study is limited due to lack of intravenous contrast and streak artifact from bilateral hip arthroplastiesABDOMEN:LUNG BASES: Bilateral dependent atelectasis and small pleural effusions. Left ventricular assist device is in place... | Limited study due to left of intravenous contrast artifacts. No CT findings to explain patients abdominal pain and vomiting. Cholelithiasis without CT evidence of cholecystitis. |
Generate impression based on findings. | Male 75 years old Reason: 75 yo M admitted with new large L pleural effusion with pleural based mass primary lung vs mets, eval for mets/primary tumor in abdomen/pelvis History: new L pleural effusion with pleural based mass concerning for primarly lung ca vs metastatic disease ABDOMEN:LUNG BASES: Large left-sided pleu... | Left pleural-based mass and large left-sided pleural effusion, unchanged. |
Generate impression based on findings. | Female 26 years old Reason: eval choledocholithiasis History: abd pain LIVER: Liver measures 17 cm, slightly enlarged. No focal liver lesions.BILIARY TRACT: Multiple stones in the gallbladder. There is mild gallbladder wall thickening without evidence of pericholecystic fluid or sonographic Murphy sign. Common bile duc... | Cholelithiasis with distended gallbladder and mild gallbladder wall thickening. These findings can be compatible with early acute cholecystitis despite the lack of pericholecystic fluid and sonographic Murphy sign. Mild intra-and extrahepatic biliary dilatation. A distal common bile duct stone cannot be excluded. M.R.C... |
Generate impression based on findings. | Baseline x-ray for ongoing treatment of known chronic osteomyelitis of right heel. Assess chronic osteomyelitis. Two views of the right ankle and two views of the right calcaneus are provided. There is ulceration of the soft tissues posterior to the calcaneus. Minimal scalloping along the posterior aspect of the calcan... | No evidence of disease progression. |
Generate impression based on findings. | Female 20 years old Reason: eval cholecystitis vs choledocholithiasis History: abd pain, vomiting LIVER: Liver measures 14.3 cm. no focal liver lesions.BILIARY TRACT: Numerous stones in the gallbladder. There is mild gallbladder wall thickening which may be compatible with mild cholecystitis. Gallbladder is distended. ... | Cholelithiasis and choledocholithiasis with mild cholecystitis and moderate intra-and extrahepatic biliary dilatation. |
Generate impression based on findings. | Female, 23 years old. Unspecified high-risk pregnancy, evaluate for retained foreign object Epidural catheter tip projects over the lumber spine. Horizontally oriented skin staples project over the lower pelvis. Nonobstructive bowel gas pattern. No unexpected radiopaque foreign objects. | No unexpected radiopaque foreign objects. Attending surgeon Dr. Harth was notified about the above findings at 6:38 p.m. on 4/3/2015. |
Generate impression based on findings. | Post reduction Evaluation of fine detail is limited by overlying cast material. The previously seen comminuted intra-articular fracture of the distal radius has been reduced to near-anatomic alignment. The previously seen ulnar styloid fracture is not well visualized on the current study. | Reduction of distal radius fracture. |
Generate impression based on findings. | Male 83 years old Reason: abdominal distension, eval for ileus History: abdominal distension Gastrostomy tube projects over the gastric body. Nonobstructive bowel gas pattern. No free air. | No free air. |
Generate impression based on findings. | Male 39 years old Reason: NG placement History: s/p NG Interval placement of enteric feeding tube with sidehole at the GE junction and tip projecting over the gastric body/fundus. Recommend repositioning. Other support devices are unchanged compared prior examination. | Interval placement of enteric feeding tube with sidehole at the GE junction and tip projecting over the gastric body/fundus. Recommend repositioning. |
Generate impression based on findings. | Female 54 years old Reason: eval for stool burden and bowel gas pattern History: diarrhea and constipation Large amount of stool in the colon. Nonobstructive bowel gas pattern. No free air. | No free air. |
Generate impression based on findings. | Male 62 years old Reason: r/o infection, dilation of colon History: elevated WBC The tip of the enteric tube is in the distal antrum. Nonobstructive bowel gas pattern. No free air. | No free air. |
Generate impression based on findings. | Male 71 years old Reason: Visualize LVAD (not seen on chest xray) History: s/p LVAD Left ventricle assist device and other support lines project over the upper abdomen. Mild gaseous distention of the bowel loops. No free air. | Mild gaseous distention of the bowel loops. |
Generate impression based on findings. | Male 74 years old Reason: r/o impaction History: diarrhea around solid stool Nonobstructive bowel gas pattern. No free air. IVC filter projects over the L3 vertebral body. Multiple surgical clips in the right lower quadrant. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Male, 8 months old, with complex febrile seizure, question of transverse sinus abnormality on brain MRI. The dural venous sinuses and deep venous structures demonstrate normal flow related signal. No evidence of venous sinus thrombosis is seen. In particular, the right transverse sinus is patent. | No evidence of venous sinus thrombosis. |
Generate impression based on findings. | Male 69 years old Reason: location of NG tube History: s/p NG tube advance The tip of the NG tube is in the antrum. Nonobstructive bowel gas pattern. No free air. | No free air. |
Generate impression based on findings. | Male 69 years old Reason: location of NG tube History: pt pulled NG tube back slightly The tip of the NG tube is at the GE junction. | The tip of the G-tube is at the GE junction. |
Generate impression based on findings. | Female 67 years old Reason: evidence of stricture, free air, stool burden, obstruction History: abdominal pain in Crohn's pt Nonobstructive bowel gas pattern. IVC filter is in place. G-tube projects over the abdomen. | No free air. |
Generate impression based on findings. | Male 50 years old Reason: hx of worsening abdominal pain, lvad History: abdominal pain Left ventricular assist device is in place. Nonobstructive bowel gas pattern. No free air. | No free air. |
Generate impression based on findings. | Female 62 years old Reason: NJ location History: NJ tube present The tip of the NG tube is in the right lower quadrant. Cystogastrostomy catheters project over the left side of the abdomen. Nonobstructive bowel gas pattern. | Nonobstructive bowel gas pattern. |
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