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Generate impression based on findings. | 86 year-old female with aortic stenosis See CARDIAC CT for cardiac vessel measurements.VESSELS: There are mild atherosclerotic vascular calcifications.SUPRARENAL ABDOMINAL AORTA: 1.9 X 1.8 cmINFRARENAL ABDOMINAL AORTA: 1.4 X 1.4 cmRIGHT COMMON ILIAC ARTERY: 10 X 10 mmRIGHT EXTERNAL ILIAC ARTERY: 11 X 10 mmRIGHT COMMON ... | 1.Trace effusions and interstitial edema. See chest addendum to cardiac CTA report for further details.2.Non-obstructive left renal calculus.3.Non-complicated right small bowel containing inguinal hernia. |
Generate impression based on findings. | Enlarged thyroid possible extension into pyramidal lobe with submental swelling. The thyroid is diffusely enlarged and contains a nodule with punctate calcifications in the right lobe that measures up to 15 mm. The left lobe of the thyroid extends inferiorly to the level of the manubrium. There is no significant narrow... | 1. Enlarged thyroid gland with a partially calcified nodule that measures up to 15 mm, but no significant narrowing of the trachea. A thyroid ultrasound may be useful for further characterization.2. Hyperattenuating areas in the posterior root of the tongue that measure up to 15 mm with diffuse surrounding swelling of ... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two maternal cousins with breast cancer. Prior mammogram at Trinity in 2013. 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. Benign calcifications are noted ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is most sensitive when assessing for interval change. If outside studies are submitted, comparison can be made. BIRADS: 1 - Negative.RECOMMENDATION: NSA ... |
Generate impression based on findings. | The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted abnormaliti... | Negative noncontrast brain MRI. Specifically, there are no MRI findings to explain the patient's symptoms. |
Generate impression based on findings. | Reason: 50 yr old patient with fallopian tube cancer s/p 3 cycles of Taxol IV/CDDP IP/ Taxol IP/ Avastin and oral agent. eval disease process compare to baseline scan i History: none CHEST:LUNGS AND PLEURA: 3-mm right lower lobe pleural-based nodule unchanged (series 4 image 59). No new nodules or masses. No pleural ef... | 1. No specific evidence of recurrent or metastatic disease. 2. Small right renal angiomyolipoma unchanged. |
Generate impression based on findings. | PHARYNX/LARYNX: The nasopharynx, oropharynx, hypopharynx, and larynx are unremarkable. The upper trachea and esophagus are unremarkable.GLANDS: The left parotid gland is heterogeneous and enlarged relative to the right, slightly decreased in size from the MRI of 2008 There are multiple hyperattenuating nodules within ... | 1.Enhancing heterogeneous left parotid gland is slightly decreased in size from the MRI of 2008.2.Left-sided cervical lymph nodes are slightly decreased in size.3.Large stone in the left submandibular duct with atrophy of the left submandibular gland.4.Patchy upper lobe pulmonary opacities are partially visualized. An ... |
Generate impression based on findings. | 75 year old man with mitral regurgitation referred for evaluation of cardiovascular anatomy prior to robotic mitral valve surgery.CPT: 75572 Aortic and Aortic Root. There is a left sided aortic arch with normal brachiocephalic branching pattern. No thoracic aortic dissection or aneurysm is noted; however, the ascending... | 1. Thoracic aortic anatomy as above. 2. There is moderate posterior mitral annular calcification which extends onto the posterior leaflet. There is significant prolapse of the posterior mitral valve leaflet. 3. Mild LV dilation with evidence of a subtle perfusion defect involving the LV apex, correlation with recent c... |
Generate impression based on findings. | Male; 80 years old. Reason: prostate cancer History: prostate cancer LUNGS AND PLEURA: Stable upper lobe emphysema, biapical scarring, and mild chronic interstitial changes at the lung bases. Stable mild chronic Stable index right middle lobe nodule measures 7 x 4 mm (image 39, series 5), previously 7 x 4 mm. No new or... | No significant interval change since 10/13/14. No new or suspicious pulmonary nodules. Stable extensive bone metastases. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of NHL in remission. Maternal uncle with 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 obscure small masses. No s... | 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. | Reason: hx of urothelial carcinoma in left ureter and bladder, evaluate for metastatic disease with delayed imaging History: see above ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality no... | 1. Mildly limited study due to incomplete opacification of both distal ureters but no specific evidence of recurrent/metastatic disease.2. Bilateral renal scarring with increased cortical atrophy of the left kidney since the prior study. |
Generate impression based on findings. | Reason: 26M w/ h/o AML s/p ASCT now neutropenic with purulent sinus drainage History: as above LUNGS AND PLEURA: 1- 2-cm poorly defined predominately groundglass nodular opacity at the right lung base (image 88/114) which is likely due to infection or aspirate. Calcified granuloma on the right.MEDIASTINUM AND HILA: Ven... | Small predominately groundglass nodular opacity at the right lung base is nonspecific but likely due to infection (possibly fungal) or aspirate. |
Generate impression based on findings. | Male; 58 years old. Reason: h/o base of tongue ca and CRT, compare to previous, measurements pls History: none LUNGS AND PLEURA: Minimal bibasilar dependent subsegmental atelectasis. Minimal paraseptal emphysema. No suspicious pulmonary nodules. Small amount of debris is again seen in the distal trachea.MEDIASTINUM AND... | No evidence of metastatic disease in the chest. |
Generate impression based on findings. | Reason: r/o fluid collection in LVAD pt History: abd wound, elevated WBC CHEST:LUNGS AND PLEURA: Calcified granulomas. Lungs hypoinflated. No pleural effusion.MEDIASTINUM AND HILA: Punctate foci of mediastinal air adjacent to the aortic limb of the LVAD which is nonspecific but could be seen with infection. However, th... | Punctate foci of mediastinal air adjacent to the aortic limb of the LVAD which is nonspecific but could be seen with infection. However, there is no evidence of fluid collection or abscess. |
Generate impression based on findings. | 61-year-old male status post lumbar spine fusion Posterior stabilization rods with transpedicular screws entering the vertebral bodies at L4, L5 (unilateral right screw) and S1. Status post L4-L5 and L5-S1 diskectomy with placement of bone graft. A drain is noted in the soft tissues. | Orthopedic fusion of lower lumbar spine as described above. |
Generate impression based on findings. | Metastatic head and neck cancer. New baseline; beginning clinical trial.RADIOPHARMACEUTICAL: 14.9 mCi F-18 NaF Today's CT portion grossly demonstrates numerous bilateral pulmonary nodules. Right hilar mass is also noted. Extensive atherosclerotic including coronary arterial calcifications are seen. Trace pericardial ef... | Several osseous metastases as detailed above. |
Generate impression based on findings. | 61-year-old male with carpometacarpal joint pain Mild to moderate osteoarthritis affects the basilar joint and scattered interphalangeal joints, appearing similar to the prior exam. The bones are demineralized. | Osteoarthritis, as described above. |
Generate impression based on findings. | 9-year-old male with possible battery ingestion.VIEW: Abdomen AP (one view) 1/12/2015 No radiopaque foreign body is identified. The bowel gas pattern is nonobstructive. No pneumatosis intestinalis or free intraperitoneal air is evident. A moderate stool burden is distributed throughout the left hemicolon. | No radiopaque foreign body identified. |
Generate impression based on findings. | Chronic nasal congestion; possible nasal polyps. There is mild mucosal thickening in the left maxillary sinus. The other paranasal sinuses are clear. The nasal cavity is clear. There is no significant nasal septal deviation. The lamina papyracea and ethmoid roofs are intact. The carotid grooves and optic canals are cov... | Mild mucosal thickening in the left maxillary sinus. The other paranasal sinuses and nasal cavity are otherwise clear. |
Generate impression based on findings. | Reason: Assess location of possible enterocutaneous fistula thru fistula sight History: enterocutaneous fistula, possibly gastro-cutaneous Surgical clips, drains, spinal fusion device are noted on the scout image.There is dominant flow of the contrast into the jejunum with early filling of a sinus track. Brisk injectio... | Sinus tract to the skin. |
Generate impression based on findings. | Headache and blurry vision. There is no evidence of intracranial hemorrhage or mass. There is unchanged extensive cerebral white matter hypoattenuation, which may represent chronic small vessel disease. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. T... | 1. Unchanged extensive nonspecific cerebral white matter hypoattenuation, but no evidence of intracranial hemorrhage or abscess. 2. Acute sinusitis. |
Generate impression based on findings. | 58-year-old female with chronic pain in bilateral hips Pelvis: The osseous structures of the pelvis appear within normal limits. An aortic-biiliac stent graft is noted.Right hip: Alignment is within normal limits. No specific findings to account for the patient's symptoms.Left hip: Alignment is within normal limits. Th... | No specific radiographic findings to account for the patient's symptoms. |
Generate impression based on findings. | Right parietal approach ventriculostomy catheter with tip near the right foramen of Monro is unchanged in position from the CT of 12/24/2014. Mild ventricular asymmetry is unchanged. Ventricles are overall similar in size to the prior CT exam. Enhancement along the course of the catheter is decreased, as is a nodular ... | 1.Abscess adjacent to the ventriculostomy catheter is significantly decreased in size with only a small focus of residual enhancement. There is a small amount of residual enhancement and edema along the course of the catheter as well, however this is also significantly improved from the prior exam.2.Stable position of ... |
Generate impression based on findings. | Ms. Glass is a 50 year old female presenting for routine mammography. Personal history of lupus. Three standard views of both breasts and a right spot compression view were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchan... | Bilateral benign calcifications and decrease in size of left breast cyst. 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.REC... |
Generate impression based on findings. | 64-year-old female with history of ovarian cancer with retroperitoneal adenopathy. Evaluate pre-chemotherapy.Per chart review, patient with history of supracervical hysterectomy, BSO and appendectomy, all of which were positive for ER+PR-HER2+ grade 1 serous adenocarcinoma of the ovary. Now with recurrence. ABDOMEN:LUN... | 1.Hypoattenuating bilobed pelvic mass consistent with history of recurrent ovarian carcinoma. 2.Retroperitoneal and inguinal lymphadenopathy with reference measurement as above.3.Incompletely characterized left adrenal nodule.4.Slightly greater than fluid attenuation in the cleft of the liver capsule between segment 2 ... |
Generate impression based on findings. | 15 year old female with shortness of breath and intermittent chest pain.VIEWS: Chest PA/lateral (two views) 1/12/2015 The cardiomediastinal silhouette is normal. The aortic arch, cardiac apex and stomach are left-sided. No focal airspace opacity, pneumothorax or displaced rib fracture is evident. | Normal examination. |
Generate impression based on findings. | 33 years, Female. Reason: s/p roux en y gastric bypass evaluate jejunojejunal anastomosis through g tube in gastric remnant with upper GI exam. History: abdominal pain s/p gastric bypass. The scout radiograph demonstrates a large amount of residual contrast material in the colon, presumably from recent upper GI examina... | Large amount of residual colonic contrast material from recent upper GI exam, which precludes follow-up exam today. Serial radiographs can be obtained to document clearance of contrast, at which time the patient can return for the follow-up exam. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Per patient, she reports having a lumpectomy sometime in the past. Patient is uncertain of any additional medical history. Three standard digital views of both breasts (total of 9 images) were performed and reviewed with the aid of R2 CAD 9.3. The breast p... | Architectural distortion in the left upper outer breast with surgical clips in the left axilla. These findings may all be postsurgical in etiology, however, this is not certain given the lack of prior mammograms. Additional mass in the left inner breast. A release form has been faxed to Stroger Hospital to obtain the p... |
Generate impression based on findings. | Two month old male, former 29 week gestational age with increased work of breathing.VIEW: Chest AP (one view) 1/12/2015, 14:52 Apparent right upper lobe opacity reflects normal thymic tissue and patient rotation. Persistent and unchanged left upper and right lower lobe subsegmental atelectasis. The cardiothymic silhoue... | Subsegmental atelectasis of the left upper and right lower lobes persist. |
Generate impression based on findings. | 61-year-old female with history of intra-medullary rod stabilization of left humerus fracture. Evaluate for healing. An intramedullary rod and screw device affixes a healing pathologic fracture of the left proximal humerus in anatomic alignment. There is no evidence of hardware complication. The callus has matured slig... | Orthopedic fixation of healing pathologic humerus fracture as above. |
Generate impression based on findings. | 15-year-old female with right knee injury after playing basketball. Pain on ambulation.VIEWS: Right knee AP, oblique and lateral (3 views) 1/12/2015 A moderate joint effusion is evident, but no underlying fracture or malalignment is seen. | Moderate joint effusion without underlying fracture or malalignment. |
Generate impression based on findings. | Male 71 years old; Reason: Pleural mesothelioma No abnormal osseous foci are identified to indicate metastatic disease.Scattered uptake likely degenerative in nature, such as in the cervical spine, shoulder and sternum. | No suspicious focal uptake to suggest metastatic disease. |
Generate impression based on findings. | New diagnosis of squamous cell lung cancer. Evaluate extent of disease. There is no evidence of abnormal intracranial enhancement or mass. There is no midline shift or herniation. There are postoperative findings related to anterior circulation cerebral aneurysm clipping with encephalomalacia in the inferior right fron... | 1. No evidence of intracranial metastases. 2. Chronic right PICA territory infarct and nonspecific scattered hypoattenuation in the subcortical white matter likely represents small vessel ischemic disease. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct.3. Postoperative findin... |
Generate impression based on findings. | 12-year-old female, evaluate new Dobbhoff position.VIEW: Abdomen AP (one view) 1/12/2015 Dobbhoff tube and nasogastric tube are in place, with their tips in the distal body of the stomach. Right femoral venous catheter with tip projecting over the region of the right external iliac vein. Previously administered contras... | Dobbhoff tube and nasogastric tube with tips in the distal body of the stomach. |
Generate impression based on findings. | 51-year-old male with history of right ankle soreness and instability. Right ankle: No acute fracture. Mild soft tissue swelling about the lateral aspect of the ankle.Right foot: There is a mild pes-planovalgus deformity. No acute fracture. | Mild soft tissue swelling about the lateral aspect of the ankle and mild pes-planovalgus deformity. |
Generate impression based on findings. | Reason: s/p stoma takedown >1 month prior now w chronic mildline and right lateral wound drainage, ?fistula v abscess History: above ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Normal hepatic morphology without focal lesion. Cholelithiasis without specific secondary signs of inflammation.S... | 1. Postoperative changes of total colectomy and right lower quadrant ileostomy revision. At the area of prior ileostomy along the subcutaneous soft tissues lateral to the current ileostomy, there is a tract of inflammatory changes which may reflect a combination of postoperative changes and infection/phlegmon, but no d... |
Generate impression based on findings. | 16-year-old male with neurofibromatosis type I and known plexiform neurofibroma of the pelvis with extension into the left leg, now with pain. Evaluate extent of tumor. Innumerable neural fibromas are again identified within the pelvis, extending along the lumbosacral nerve roots, appearing similar in size and morpholo... | Extensive plexiform neurofibromas of the pelvis bilateral legs, without significant interval change. |
Generate impression based on findings. | Rule out tracheal compression. Dyspnea. There is a heterogeneous diffusely enlarged thyroid with mild narrowing of the trachea, which measures a minimum of 9 mm in width. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The major salivary glands are unremar... | A heterogeneous diffusely enlarged thyroid with mild narrowing of the trachea is compatible with multinodular goiter. |
Generate impression based on findings. | 61-year-old female with history of pain. Evaluate for fracture. Bandage material overlies to the 2nd finger. Soft tissue irregularity along the mid aspect of the 2nd finger may represent a laceration. There are degenerative arthritic changes at the 2nd MCP with slight volar subluxation of the 2nd finger. Additional mil... | Degenerative arthritic changes with slight volar subluxation of the index finger, but we see no acute fracture. |
Generate impression based on findings. | 75 year old man with mitral regurgitation referred for evaluation of cardiovascular anatomy prior to robotic mitral valve surgery.CPT: 75572 Aortic and Aortic Root. There is a left sided aortic arch with normal brachiocephalic branching pattern. No thoracic aortic dissection or aneurysm is noted; however, the ascending... | 1. Thoracic aortic anatomy as above. 2. There is moderate posterior mitral annular calcification which extends onto the posterior leaflet. There is significant prolapse of the posterior mitral valve leaflet. 3. Mild LV dilation with evidence of a subtle perfusion defect involving the LV apex, correlation with recent c... |
Generate impression based on findings. | 26-year-old male with neutropenic fever and foul-smelling nasal discharge. There is new complete opacification of the right maxillary sinus obstructing the right ostiomeatal unit also involving several adjacent ethmoid air cells as well as a rudimentary right frontal sinus, obstructing the right frontoethmoidal recess.... | There is new complete opacification of the right maxillary sinus obstructing the right ostiomeatal unit also involving several adjacent ethmoid air cells as well as a rudimentary right frontal sinus, obstructing the right frontoethmoidal recess. |
Generate impression based on findings. | 63-year-old male with history of liver cancer? CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Calcified right hilar lymph nodes presumably from prior granulomatous disease. Lobular mildly enlarged anterior mediastinal lymph node (series 12, image 36) measures 1.5 x 1.3 cm -- in light of o... | 1. Cirrhotic morphology to liver portal hypertension findings. 2. Multiple masses in the liver most consistent with multiple and diffuse hepatocellular carcinoma -- -- some hypervascular and meeting imaging criteria for HCC as measured and delineated above. Additional multiple hypovascular lesions seen only on delay ph... |
Generate impression based on findings. | Fall one week ago, on coumadin. There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. There are postoperative findings related to right mastoidectomy. There is opa... | 1. No evidence of acute intracranial hemorrhage or skull fracture.2. Findings suggestive of acute sinusitis. |
Generate impression based on findings. | Reason: surveillance imaging for lung caner History: s/p radiation for LUL non small cell lung cancer CHEST:LUNGS AND PLEURA: Redemonstration of post treatment changes in scarlike opacities in the left upper lobe. There is however increasing nodular component to this region (sagittal image 90) and (coronal image 49) me... | 1.Left upper lobe post treatment opacities are redemonstrated. Interval increase in nodular component raise the question of recurrent/residual neoplasm. Continued follow-up examination is recommended.2.Stable axillary, mediastinal, and retroperitoneal lymphadenopathy.3.Noted sites of disease identified. |
Generate impression based on findings. | Male 74 years old; Reason: PCa restaging History: asymptomatic Focal uptake along the anterior aspect of several left-sided ribs arranged in a linear pattern, suggestive of a posttraumatic process. Again seen is scattered uptake along the cervical spine and right elbow likely degenerative in etiology. In addition, ther... | 1. No suspicious scintigraphic evidence to suggest metastatic disease. 2. Additional findings as described above. |
Generate impression based on findings. | 56 year old male with dysphagia s/p OG tube placement. The pelvis is excluded from the field of view. Feeding tube tip in the gastric body, with the distal side-port just past the GE junction. Nonobstructive bowel gas pattern. Postsurgical changes in the right lung with persistent right pleural effusion; please see rec... | Feeding tube tip in the gastric body, with distal side-port just past the GE junction. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 32 years, Male. Reason: Evaluate NGT, r/o kinking to explain pt's vomiting/fullness History: leukocytosis, poor po/tolerance of tube feeds. NJ tube tip in the jejunum well past the ligament of Treitz. Nonobstructive bowel gas pattern with residual contrast material in the colon, presumably from recent CT scan. Pigtail ... | NJ tube tip in the jejunum, well past the ligament of Treitz. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Male 67 years old; Reason: Abscess, obstruction History: obstruction, decreased colostomy output ABDOMEN:LUNG BASES: New small bilateral pleural effusions, right greater than left. There is right basilar atelectasis.LIVER, BILIARY TRACT: Liver is normal in morphology. There is several hepatic lesions. Reference hepatic... | 1.Two fluid pockets within the pelvis one in midline anterior pelvis and second within the left paracolic gutter with wall enhancement and foci of gas suspicious for abscess. |
Generate impression based on findings. | 58 years, Female. Reason: s/p EVAR check graft location. Upper abdomen is excluded from the field of view. Infrarenal aortobi-iliac endograft is noted and in the expected position. Nonobstructive bowel gas pattern. Average stool burden. | Aortic endograft in the expected position but please correlate clinically. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Restaging head and neck supraglottic cancer status post chemoradiation, left 10/31/14. Attention stable 5-mm nodule left lower lobe on recent CT.RADIOPHARMACEUTICAL: 13.3 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 135 mg/dL. Today's CT portion grossly demonstrates extensive emphysematous changes bilater... | Complete interval resolution of previous hypermetabolic supraglottic lesion without convincing FDG avid tumor currently in the neck, chest, abdomen or pelvis. Small faint parenchymal focus in the right upper lobe is most likely inflammatory as detailed above although further CT follow up can be performed to assure reso... |
Generate impression based on findings. | Male, 50 years old, with chronic sinusitis. Evidence of functional endoscopic sinus surgery is seen including resection of the uncinate processes, some of the ethmoid air cells and the middle nasal turbinates. Surgical findings have not significantly changed from prior.The frontal sinuses are clear. There is mild mucos... | 1. Evidence of functional endoscopic sinus surgery appearing similar to the prior exam.2. Fluctuating areas of mucosal thickening and/or fluid/debris in the maxillary sinuses, improved in some areas and more pronounced in others.3. Chronic postoperative findings status post left paraclinoid aneurysm clipping. |
Generate impression based on findings. | 74-year-old male with prostate cancer -- staging (rise in PSA). ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Stable appearance to the right adrenal gland nodule ... | 1. No evidence for lymphadenopathy. Prior referenced left iliac lymph node continues to decrease in size and now is not visualized. 2. Stable appearance to nonspecific right adrenal gland mass/nodule. 3. No evidence for skeletal metastases, however nuclear medicine bone scintigraphy is more accurate insensitive indicat... |
Generate impression based on findings. | Hypodensity is present throughout the white matter without associated mass effect. The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collecti... | Advanced small vessel ischemic disease of indeterminate ages. If there is continued clinical concern for acute ischemia, MRI would be recommended. |
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. Round marker was placed on a skin lesion overly... | 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: Pt w/ new diagnosis of squamous cell lung cancer, eval extent of disease. History: Pt w/ new diagnosis of squamous cell lung cancer, eval extent of disease. CHEST:LUNGS AND PLEURA: Right upper lobe mass measures 36 x 29 mm on image 41/101 (34 x 26 mm on prior). Small satellite nodule has increased from 7 to 8 m... | Right upper lobe mass with an adjacent satellite nodule compatible with known lung cancer.Right hilar and paratracheal lymphadenopathy. Borderline subcarinal and contralateral intrathoracic nodes.No evidence of upper abdominal metastatic disease. |
Generate impression based on findings. | 67-year-old female with history of pain. Evaluate for degenerative joint disease. Right knee: No acute fracture or malalignment. Tiny osteophytes are essentially within normal limits given the patient's age. No joint effusion.Left knee: No acute fracture or malalignment. Tiny osteophytes are essentially within normal l... | Severe osteoarthritis at the hips and minimal osteoarthritis at the knees bilaterally . |
Generate impression based on findings. | Brain MRI:The right cerebellar tonsil lies 8 mm below the level of foramen magnum and demonstrates a slightly pointed configuration.The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There... | 1.MRI evidence for Chiari malformation. Otherwise negative noncontrast brain MRI.2.Negative MR venogram of the brain with and without contrast. |
Generate impression based on findings. | Female, 56 years old, with headaches, and right MCA aneurysm on MRI, assess aneurysm for potential surgical planning. Patient has acoustic neuroma as well. Non-angiographic findings:A large right CP angle tumor is identified corresponding to an enhancing lesion noted on prior MRI and compatible with the stated history ... | 1. A broad-based aneurysm arises from the right MCA bifurcation incorporating the origins of both the superior and inferior divisions. This lesion measures up to 6 mm in width and to 4 mm in length.2. A 2-mm superiorly projecting outpouching arising from the left M1 segment of the MCA is seen. Although a small vessel a... |
Generate impression based on findings. | 64 year-old female with pancreas cancer -- compared to previous imaging and provide index lesion measurements. CHEST:LUNGS AND PLEURA: Stable appearance to small right upper lobe micronodules without significant other nodule or new nodules seen. MEDIASTINUM AND HILA: No significant abnormality noted. Atherosclerotic ca... | 1. Slight increase in size of pancreatic tail mass, invading the splenic hilum. 2. Increasing size and number of hepatic metastases. 3. Stable appearance to two foci of suspected peritoneal metastatic disease. 4. Small amount of free peritoneal fluid in pelvis not seen previously may indicate peritoneal metastatic dise... |
Generate impression based on findings. | Male 67 years old; Reason: pt with a history of prostate cancer, currently receiving chemotherapy, rising PSA. Please assess for disease progression History: prostate cancer CHEST:LUNGS AND PLEURA: Ground-glass nodule in the superior segment of the left lower lobe measures 8 mm (image 42 is series 5). The pleural space... | 1.Extensive osseous metastatic disease.2.8mm left lower lobe pulmonary nodule for which follow up is suggested.3.Aorta caval lymphadenopathy. |
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. A 1 cm lobulated mass is present near the 12 o'clock position of the right breast. No ... | Right breast mass. Spot compression imaging and ultrasound are recommended. As well, if the patient can obtain outside mammograms, comparison will be made.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Increased desaturations. 31 day old former 24 to 26 week gestational age patient.VIEW: Chest AP (one view) 01/12/15, 1551 Endotracheal tube tip is at thoracic inlet. Right upper extremity PICC tip is in right brachiocephalic vein. Feeding tube tip is distal to GE junction and not included on the image.Cardiothymic silh... | Continued hazy lung opacity. |
Generate impression based on findings. | Reason: history of prostate cancer History: prostate cancer Lack of IV contrast limits evaluation of solid organ pathology.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL G... | 1.Postoperative changes of prostatectomy with a bilobed fluid collection in the left pelvic sidewall likely representing a postoperative lymphocele or seroma.2.No evidence of metastatic disease. |
Generate impression based on findings. | 2-year-old male status post right pyelolithotomy, now with abdominal distention and emesis. Evaluate for urine leak. BLADDER Wall Thickness: Normal Contents: Distended and normal. Distal Ureter -- SFU Grade** Right: 0 Left: 3 Ureteral Jets Right: Not observed Left: Not observedKIDNEYS Cortical Echogenicity: Mildl... | 1.Previously seen right renal stone no longer evident, with focus of gas in the right collecting system presumably postoperative in etiology.2.Resolution of the previously seen distal right hydroureter.3.New grade 3 left hydroureter, likely relating to vesicoureteral reflux.4.Two shadowing stones again present in the l... |
Generate impression based on findings. | 81-year-old female with history of left hip pain Moderate osteoarthritis affects the left hip, appearing similar to the prior exam. Multiple small densities projecting over the soft tissues of the hip are likely due to prior heavy-metal injection. Arthritic changes also affect the sacroiliac joint and visualized lower ... | Moderate osteoarthritis appearing similar to the prior exam. |
Generate impression based on findings. | 21-year-old female status post femoral rod placement Interval placement of intramedullary rod and 2 screws affixing the comminuted right femoral fracture without evidence of hardware complication. The distal aspect of the rod extends beyond the field of view. Gas in the soft tissues reflect recent surgery. | Status post orthopedic fixation of proximal femur fracture as described above. The distal end of the intramedullary rod is not visualized. |
Generate impression based on findings. | 53-year-old female with history of subcutaneous gas on recent radiographs. Concern for necrotizing fasciitis versus tumor. There is a large air- and fluid-filled collection centered within the posterior compartment of the leg which measures 8.2 x 7.5 cm in the axial dimension and nearly 30 cm craniocaudally. There is a... | 1.Large collection containing fluid and gas involving the majority of the calf musculature and extending laterally to the skin surface with additional soft tissue edema extending into the foot. This constellation of findings most likely represents an abscess, perhaps arising in a necrotic metastatic focus. The extent o... |
Generate impression based on findings. | 70 year-old male, evaluate osteoarthritis There is marked joint space narrowing, osteophyte formation and subchondral cysts involving the left hip consistent with severe osteoarthritis. Mild osteoarthritis affects the right hip. Relatively minimal osteoarthritis also affects the lower lumbar spine and SI joints. | Severe osteoarthritis affecting the left hip. |
Generate impression based on findings. | 60 year-old male with pain Small, rounded calcific bodies projecting over the inferior axillary recess are suggestive of loose bodies. Mild osteoarthritis affects the supraclavicular joint and glenohumeral joint. | Small calcified loose bodies may reside in the inferior axillary recess of the glenohumeral joint. |
Generate impression based on findings. | Female 30 years old; Reason: 30 y/o with breast cancer now completed 12 weeks of taxol, please re-stage History: see above CHEST:LUNGS AND PLEURA: No suspicious pulmonary lesions. The pleural spaces are clear.MEDIASTINUM AND HILA: Right chest wall port at the caval atrial junction. No mediastinal lymphadenopathy.CHEST ... | 1.Extensive osseous metastatic disease. |
Generate impression based on findings. | Female 69 years old Reason: colon cancer with elevated bilirubin compare to last Ct \T\ measure 1) cardiophrenic node, 2) segment 4b liver met,; 3) peritoneal mass, 4) gastrohepatic node, 5) anterior gastrohepatic node, History: post chemo CHEST:LUNGS AND PLEURA: Again noted bilateral lung nodules. Previous index nodul... | Overall progression of disease with interval increase in the size and number of index lesions other than the bilateral lung nodules.Interval placement of right double J stent. |
Generate impression based on findings. | Sickle cell. Rule-out infiltrate. Pre-study evaluation.VIEWS: Chest PA/lateral (two views) 01/12/15 Cholecystectomy clips are present. Bone changes from sickle cell anemia are noted.Cardiac silhouette size is normal. The pulmonary artery branches are mildly dilated. Linear opacities are present in the lung bases. Focal... | Improvement in appearance of the lungs. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of bilateral breast reduction. 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, microcalc... | 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. | 67 year-old female with right rib pain Skin markers were placed over the right lower chest wall. No underlying fracture is evident. No rib fracture or other specific finding to account for the patient's pain. | No fracture or other findings to account for the patient's symptoms. |
Generate impression based on findings. | Male 63 years old Reason: evaluatio of bicusid arotic valve, aortic dilatation History: chest pain, palpitations LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Again noted dilated aortic root. Aorta measures 4.4 cm in its largest dimension at the level of the aortic root. Again noted bicuspid ... | No significant change from previous study with dilated ascending aorta and bicuspid aortic valve with calcifications. |
Generate impression based on findings. | Male 28 years old; Reason: 6 month colon cancer survellance History: surveillance CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedOTHER: ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No sign... | 1.No evidence of recurrence. |
Generate impression based on findings. | Male 63 years old Reason: 63 yo female with hx of ampullary cancer; s/p resection in 2013 patient having abdominal pain; please evaluate for recurrence and or abnormalities History: ampullary adenocarinoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHES... | New infiltrative soft tissue density encasing the major retroperitoneal vessels and infiltrating into the hepatic hilum through the hepatic artery consistent with tumor recurrence. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsies. 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. Linear... | Stable postsurgical scarring in the right breast. 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. | 11-year-old male with abdominal pain.VIEW: Abdomen AP (one view) 1/12/2015 The bowel gas pattern is nonobstructive. No pneumoperitoneum or pneumatosis intestinalis is seen. An average stool burden is distributed throughout the colon. | Normal examination. |
Generate impression based on findings. | 20-year-old male with altered mental status, evaluate for bleed or mass. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear... | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in sister. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, with interval fatty involution. Two newly visualiz... | Two right breast masses. Spot compression imaging and ultrasound are recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Left arm weakness, confusion, and slurred speech. There is no evidence of intracranial hemorrhage or mass. There is encephalomalacia in the left inferior frontal gyrus with mild ex vacuo dilatation of the left lateral ventricle. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells... | 1. No evidence of intracranial hemorrhage, mass, or cerebral edema.2. Chronic in the left inferior frontal gyrus. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct. |
Generate impression based on findings. | 14-year-old male with knee and shoulder pain.EXAMINATION: Right shoulder AP, Grashey and Y (3 views), right knee standing AP and notch , lateral, sunrise (4 views), left knee standing AP and notch (two views) 1/12/2015 KNEES: A small osteochondroma is again seen affecting the posteromedial left femoral metaphysis, with... | Small osteochondroma of the posteromedial left femoral metaphysis without significant change in size or morphology. Normal right knee. Normal shoulder. |
Generate impression based on findings. | Distal swelling. Second and third phalanx fracture?VIEWS: Left hand PA/lateral/oblique (3 views) 01/12/15 Moderate soft tissue swelling surrounds the distal phalanx of the middle finger. Mild soft tissue swelling surrounds the distal phalanx of the index finger. The distal phalanx of the middle finger is abnormal. The ... | Salter II fracture distal phalanx of middle finger. Soft tissue injury distal phalanx of index finger. |
Generate impression based on findings. | 84-year-old male with fall, nose pain No fracture or malalignment. The nasal bone, specifically, is intact. The frontal, ethmoidal, and mastoid air cells appear clear. | No facial fracture evident. |
Generate impression based on findings. | Swelling. Pain. Three views of the right shoulder are provided. There is a comminuted fracture of the proximal humerus involving the surgical neck and greater tuberosity, and resulting in slight varus angulation at the surgical neck. There is a double density along the superomedial aspect of the humeral head, raising t... | Proximal humerus fracture other findings as described above. |
Generate impression based on findings. | 80 year-old male with history of prostate cancer. Evaluate for progression. Motion artifact heavily degrades exam sensitivity. There is interval increase in mottled radiotracer activity in all the long bones as well as the skull, compatible with marked progression of metastatic disease. There is, however, relative impr... | Mixed response to therapy with evidence of disease progression specifically involving all 4 limbs and decreased activity within the axial skeletal components. See detail provided. |
Generate impression based on findings. | Status post left total knee replacement The previously seen total knee arthroplasty device has been removed and replaced with a cement spacer. There is a fracture/osteotomy of the anterior cortex of the proximal tibia affixed to the underlying bone via two cerclage wires. Alignment is near-anatomic. Skin staples and fo... | Postoperative changes of total knee arthroplasty removal as described above. |
Generate impression based on findings. | Two month history of left wrist pain. No history of trauma. History of right wrist sarcoma. Rule out bony pathology. There is swelling of the soft tissues along the radial aspect of the wrist which is nonspecific but could reflect DeQuervain tenosynovitis in the correct clinical context. Mild osteoarthritis affects the... | Nonspecific soft tissue swelling along the radial aspect of the wrist. This could represent DeQuervain tenosynovitis in the correct clinical context. If further imaging evaluation is clinically warranted, MRI may be considered. |
Generate impression based on findings. | Pain with movement. Evaluate for pathology. There is diffuse soft tissue swelling about the wrist that extends into the hand. IV tubing overlies the radial aspect of the wrist. There is chondrocalcinosis of the triangular fibrocartilage as well as the articular cartilage of the ulnar aspect of the wrist. Small osteophy... | Soft tissue swelling and arthritis as described above. Given the presence of chondrocalcinosis, the possibility of pseudogout is considered. |
Generate impression based on findings. | Fall with bruising and tenderness of left hip and coccyx. Large ecchymosis over left buttock. Three views of the sacrum/coccyx are provided. The bones appear demineralized, suggesting osteopenia/osteoporosis. I see no findings to suggest fracture of the sacrum or coccyx. Severe degenerative disk disease affects the vis... | Degenerative disk disease of the lower lumbar spine and mild osteoarthritis of the left hip. I see no fracture. |
Generate impression based on findings. | Hip pain. Difficulty walking. Lower back pain. Two views of the left hip are provided. Mild osteoarthritis affects the left hip. I see no fracture or malalignment.Two views of the right hip are provided. Mild osteoarthritis affects the hip. I see no fracture or malalignment.Three views of the lumbar spine are provided.... | Severe degenerative disk disease and mild hip joint osteoarthritis. Slight anterior wedging of the T12 vertebral body is of uncertain chronicity or clinical significance. |
Generate impression based on findings. | 44-year-old with history of idiopathic scoliosis and osteoporosis, status post fall on January 9, 2015, 12 metal stairs, complains of left shoulder, left elbow, low back and left hip pain. Swelling. Four views of the left elbow are provided. I see no fracture or malalignment.Three views of the left shoulder are provide... | Scoliosis and severe degenerative disk disease at L4/5. Cam deformity of the left femoral head/neck junction. I see no acute fracture. |
Generate impression based on findings. | A patient submitted the following outside studies for review. 1. Bilateral digital screening mammogram 9/16/20142. Left unilateral digital diagnostic mammogram 9/26/20143. Post procedure left unilateral digital diagnostic mammogram 10/2/20144. Left unilateral digital diagnostic mammogram 11/19/20145. Post procedure lef... | Multicentric left DCIS. If definitive surgery has not been performed, a bilateral breast MRI may be helpful in assessing extent of disease and evaluating the right breast, given the parenchymal density. Pathology slides should be reviewed at University of Chicago. Surgical consultation is recommended.BIRADS: 6 - Known ... |
Generate impression based on findings. | fall on the back of head, weakness No evidence of acute ischemic or hemorrhagic lesion on this scan.No change of mild ventricular enlargement and non specific small vessel disease since prior exam.There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structu... | No evidence of acute ischemic or hemorrhagic lesion on this scan.No change of mild ventricular enlargement and non specific small vessel disease since prior exam. |
Generate impression based on findings. | No evidence of acute ischemic or hemorrhagic lesion on this scan.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cel... | No evidence of acute ischemic or hemorrhagic lesion on this scan. |
Generate impression based on findings. | altered mental status No evidence of acute ischemic or hemorrhagic lesion on this scan.Minimal patchy low attenuations on bilateral periventricular white matter indicate non specific small vessel disease.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, i... | No evidence of acute ischemic or hemorrhagic lesion on this scan.No change of minimal non specific small vessel disease since prior exam. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. Minimal mucosal thickening of the right maxillary sinus, otherwise the paranasal sinuses and mastoid air... | No acute intracranial abnormality. |
Generate impression based on findings. | altered mental status Multifocal low attenuation lesions involving right temporal lobe, left basal ganglia, and periventricular white matter indicating age indeterminate ischemic lesions.In addition, there are multiple scattered patchy low attenuations on bilateral periventricular white matter and centrum semiovale ind... | 1. Multifocal age indeterminate ischemic lesions as described above.2. Non specific small vessel ischemic disease.3. No evidence of acute hemorrhagic lesion.rec: if clinically indicated, brain MRI is recommended to evaluate associated acute ischemic lesion. |
Generate impression based on findings. | Cortical and sulcal prominence suggest a mild degree of volume loss. Unchanged tortuosity of the vertebro-basilar system. Extensive periventricular and subcortical hypoattenuation is nonspecific but unchanged, consistent with chronic small vessel ischemic disease. Right thalamic hypodensity is consistent with a small ... | 1.No acute intracranial hemorrhage.2.Stable chronic small vessel ischemic disease. |
Generate impression based on findings. | Ventricular and sulcal prominence suggest a mild degree of volume loss. There is no midline shift or mass effect. There is no intracranial hemorrhage. Periventricular and subcortical hypoattenuation is nonspecific but slightly worse than the prior exam and likely reflects moderate chronic small vessel ischemic disease... | 1.No evidence of mass effect or edema to suggest metastatic disease. If there is strong clinical concern for metastases, an MRI would be more sensitive than nonenhanced CT.2.Nonspecific white matter changes, likely representing chronic small vessel ischemic disease, are slightly worse than the prior exam. |
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