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Generate impression based on findings. | Female 84 years old; Reason: appendicitis? mets? History: RLQ pain, TTP; hx metastatic BrCA with R hip bone mets ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Multiple hypodense liver lesions suspicious for metastatic disease.A reference right hepatic lobe lesion measures 2.1 x 2.1 cm (imag... | 1.CT findings most compatible with acute cholecystitis in the setting of cholelithiasis.2.Metastatic disease to the liver and bones. |
Generate impression based on findings. | Female 44 years old; Reason: 44 yo with hx of retroperitoneal sarcoma; please evaluate recurrence History: retroperitoneal sarcoma CHEST:LUNGS AND PLEURA: There is a 5 mm sub-pleural nodular opacity in the right upper lobe (image 32 /series 11) which is nonspecific.MEDIASTINUM AND HILA: Heart size is normal. No pericar... | 1.Findings suspicious for residual or recurrent disease in the right lower abdomen. |
Generate impression based on findings. | Female 43 years old; Reason: rlq abd pain. f/u abd us. ct to further evaluate History: ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Stable hypodense lesion in segment 7 of the liver. Hepatic and portal veins are patent. No biliary ductal dilatation.SPLEEN: No significant abnormality noted.... | 1.Etiology for the patient's right lower quadrant pain is not evident. Appendix is normal. |
Generate impression based on findings. | Male 36 years old; Reason: history of SB and colonic Crohn's s/p 3 resections. Need to determine extend of inflammation, if obstruction is present. (can hold PO contrast if necessary). History: Abdominal distention, bloating, nausea, unable to complete prep for colonoscopy. ABDOMEN:LUNG BASES: No significant abnormalit... | 1.Findings suspicious for active disease involving neoterminal ileum without bowel obstruction. |
Generate impression based on findings. | Female 85 years old; Reason: 85 yo female with newly dx pancreatic cancer (HOP). Needs pancreas protocol Ct Scan. Had scan at OSH, without contrast. History: jaundice ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal in morphology. Nonspecific subcentimeter hypodense lesion in s... | 1.Pancreatic mass as detailed above with two other near cystic appearing lesions. |
Generate impression based on findings. | Female 65 years old; Reason: Metastatic pancreas cancer please assess and compare to previous scans and provide index lesion measurements for RECIST History: As above CHEST:LUNGS AND PLEURA: No dominant lung lesion. Scattered punctate micronodules. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal... | 1.No significant change in the infiltrative pancreatic mass.2.No definite new sites of disease. |
Generate impression based on findings. | Male 72 years old; Reason: hx urothelial cancer, needs restaging History: hx urothelial cancer, needs restaging CHEST:LUNGS AND PLEURA: Upper lobe predominant emphysema. No dominant lung lesion. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is enlarged. There are coronary calcifications. No mediastinal ... | 1.Postsurgical changes from a cystoprostatectomy. There is ill-defined soft tissue at the aortic bifurcation which may represent either postoperative change or disease. |
Generate impression based on findings. | Male 33 years old; Reason: hx of testicular cancer, evaluate for metastatic disease History: see above ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No suspicious hepatic lesions.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significa... | 1.No evidence of metastatic disease. |
Generate impression based on findings. | 40 year old female. MVC. Evaluate for fracture or dislocation. No fracture or dislocation. | No significant abnormality. |
Generate impression based on findings. | 61-year-old male. Fall. Evaluate for fracture. Right ankle: Mild soft tissue swelling. Lucency through the distal fibula is suspicious for a nondisplaced fracture. Small ankle joint effusion. Well corticated accessory ossicle inferior to the medial malleolus.Right foot: Diffusely demineralized bones. No acute fracture ... | Finding suspicious for a nondisplaced fracture of the distal fibula. Small ankle joint effusion. |
Generate impression based on findings. | 86 years, Male. Reason: r/o obstruction, assess stool burden History: constipation hx, abdominal distension Nonobstructive bowel gas pattern. A large amount of amorphous stool is present throughout the colon. | Greater than average stool burden. No evidence of obstruction. |
Generate impression based on findings. | 39 year old male status post NG tube placement. There are multiple dilated loops of small bowel appearing similar to the prior study. No evidence of pneumatosis intestinalis or portal venous gas. Interval placement of a NG tube coiled within the fundus with the tip coiled projecting at the level of the body of the stom... | 1. NG tube coiled within the fundus with the tip coiled projecting at the level of the body of the stomach. 2. No significant interval change in multiple dilated loops of small bowel consistent with small bowel obstruction versus adynamic ileus. |
Generate impression based on findings. | 48 years, Male. Reason: increasing abdominal distention History: pain Continued distention of the small bowel and colon, with air seen distally in the colon, suggestive of an ileus pattern, which is minimally more pronounced than prior exam. Multiple clips are projected in the left upper abdomen.Post surgical changes i... | Bowel gas pattern suggestive of ileus. |
Generate impression based on findings. | 40-year-old female with nonspecific elevation of levels of transaminase or lactic acid dehydrogenase. Evaluate for abnormality, left lung nodule seen on MRI liver 3/12/2015. Status post OLT 2/08 from live liver donor LUNGS AND PLEURA: Scattered subcentimeter subpleural nodularity in the left lung base. Mild scarring an... | 1. No suspicious pulmonary nodules. 2. Volume loss in the right hemithorax with pleural effusion which may be organized or loculated. 3. Moderate mediastinal lymphadenopathy is nonspecific but likely reactive. 4. Mild hepatic congestion and splenomegaly. Small amount of upper abdominal ascites. |
Generate impression based on findings. | 60 year-old male with chest pain. LUNGS AND PLEURA: Small partially loculated left pleural effusion, decreased compared to prior. Overlying compressive atelectasis and left lower lobe consolidation, increased compared to prior. Right basilar dependent atelectasis.MEDIASTINUM AND HILA: Interval placement of right intern... | 1.Postsurgical changes of a CABG with increased diastasis at the inferior margin of the sternotomy. Increased foci of gas within the sternotomy without drainable loculated fluid collection. Infection cannot be excluded.2.Interval decrease in loculated left pleural effusion. Interval increase in left lower lobe overlyin... |
Generate impression based on findings. | 62 years, Male. Reason: s/p Dobbhoff placement History: feeding access Enteric tube projects over the prepyloric antrum/duodenal bulb. Nonspecific gaseous distention of loops of small and large bowel may represent early ileus.IVC filter, multilevel vertebral body kyphoplasty, cholecystostomy catheter, and median sterno... | Enteric tube projects over the prepyloric antrum. Findings suggestive of early ileus. |
Generate impression based on findings. | 19 year-old male. Left hand swelling. No acute fracture or dislocation. Mild soft tissue swelling at the ulnar aspect of the hand. No radiopaque foreign body. | No acute fracture. Mild soft tissue swelling. |
Generate impression based on findings. | 55 years, Female. Reason: abdominal pain History: abdominal pain Gastrostomy balloon projects over the gastric body. Linear radiopaque density in the right lower quadrant likely represents a G-tube tac, which was previously seen overlying the gastrostomy balloon on the fluoroscopy procedure dated 3/27/15. Mild nonspeci... | Radiopaque density in the right lower quadrant likely represents a G-tube tac. |
Generate impression based on findings. | 89 years, Female. Reason: ng placement History: ng placement Enteric tube projects over the prepyloric antrum. Nonspecific air-filled loops of small and large bowel; a developing ileus cannot be excluded.Degenerative changes are present in the lower lumbar spine. Mild to moderate osteoarthritis affects the right hip. T... | Enteric tube projects in the region of the prepyloric antrum. Finding suggestive of early/developing ileus. |
Generate impression based on findings. | 25 year old male with AMS s/p assault. r/o fracture, bleed. CT head:There is no evidence of intracranial hemorrhage, mass effect or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. The calvaria and skull base are unremarkable. The imaged portions of the paranasal sinuses and masto... | 1.No intracranial hemorrhage or cerebral edema.2.No acute fracture of the maxillofacial bones is evident.3.Deformity of the right nasal bone likely reflects old trauma. |
Generate impression based on findings. | Reason: NG tube placement check History: abdominal distension Suboptimal exam secondary to poor penetration and motion. A nasogastric tube is not definitively identified. Curvilinear tubing projecting over the mediastinum may terminate under the right diaphragm. However, on subsequent chest radiographs dated 4/6/15, th... | NG tube is not definitively identified. |
Generate impression based on findings. | 66 year old female. Swelling. Evaluate for fracture. Comminuted, predominately transverse mildly impacted fracture of the distal radial metaphysis. Mild associated soft tissue swelling. Mild to moderate osteoarthritis affects the PIP and DIP joints. | Distal radius fracture. |
Generate impression based on findings. | Head CT: There is redemonstration of parenchymal hemorrhage and associated edema involving the vermis and right cerebellum. There is persistent mass effect on the fourth ventricle. There is residual pneumoventricle. The third and lateral ventricles are unchanged in size, remaining mildly dilated. There is unchanged pa... | 1. Gradual evolution of a right cerebellar hematoma. 2. No discernible vascular malformation in the posterior fossa. 3. Bilateral opthalmic segment internal carotid artery aneurysms, measuring up to 3 mm on the right and 5 mm on the left.4. No significant interval change in the appearance of the ventricular system. |
Generate impression based on findings. | 57-year-old male. Laceration. Evaluate for fracture. No acute fracture or dislocation. Irregularity and swelling of dorsal soft tissues of the palm with overlying bandage consistent with stated history of laceration. No radiopaque foreign body. Linear 2 mm density at the radial aspect of the 5th middle phalanx head is ... | Soft tissue swelling. No acute fracture or radiopaque foreign body. |
Generate impression based on findings. | There are geographic areas of marrow abnormality within the iliac bones and to lesser extent the sacrum and lower lumbar vertebrae which appear somewhat demineralized centrally with a sclerotic border. These demonstrate narrow zones of transition with intact overlying cortices, and therefore appear nonaggressive.Align... | Diffuse bone infarcts throughout the lower lumbar spine and visualized pelvic bones. |
Generate impression based on findings. | 25-year-old male with history of left lower quadrant pain. Evaluate for colitis. ABDOMEN:LUNG BASES: Mild bibasilar dependent atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality not... | 1. No evidence of colitis.2. Epiploic appendagitis in mesentery adjacent to descending colon. |
Generate impression based on findings. | 28 years, Male. Reason: eval iabp position History: asx The distal IABP marker projects over the inferior aspect of the L2 vertebral body. A nonobstructive bowel gas pattern is identified. Surgical drains terminate out of field-of-view, and are better evaluated on concurrent chest radiograph. Clips project over the T11... | Distal IABP marker projects over the L2 vertebral body. |
Generate impression based on findings. | 49-year-old male. Evaluate for foreign body prior to MRI. Patient was in army. Right tibia/fibula: No fracture. Round density at the lateral and anterior aspect of the mid fibula is likely a dystrophic calcification. No radiopaque foreign body.Left hip: Very mild osteoarthritis. No fracture or dislocation. No radiopaqu... | Extensive dystrophic calcifications, raising the possibility of connective tissue disease. Very mild osteoarthritis of the hips. No radiopaque foreign body. |
Generate impression based on findings. | ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Low attenuation diffusely within the liver parenchyma is noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Hypoattenuating nonenhancing 1... | 1.Findings suggestive of cellulitis of the posterior scrotum and perineum anterior to the anus as above, without abscess or soft tissue gas.2.Hepatic steatosis. |
Generate impression based on findings. | Female; 67 years old. Reason: evidence of bowel obstruction, evidence of Crohn's flare History: RLQ pain, diarrhea, nausea ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Calcified granulomata. Stable subcentimeter hypoattenuating lesions, which are too small to accurately characterize but lik... | No acute abnormality is evident or specific evidence of active bowel inflammation. |
Generate impression based on findings. | Head trauma, + ETOH. There is no evidence of acute intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. There is septum cavum pellucidum and vergae. There is prominent dural ossification along the anterior falx cerebri. There is no midline shift or herniation. The imaged paranasa... | No evidence of acute intracranial hemorrhage or skull fracture. |
Generate impression based on findings. | 20 years, Female. Reason: eval for Ileus, obstruction History: adm w Gallstone pancreatitis, lots of stones in GB, now s/p ERCP drainage. Now High pitched BS, nauseated, vomiting Mild gaseous distention of small and large bowel, in a nonobstructive pattern.Patchy airspace opacities throughout the entire left lung are s... | Mild gaseous bowel distention in a nonobstructive pattern. Patchy airspace opacities throughout the left lung are suggestive of infection. |
Generate impression based on findings. | Female, 66 years old, with fever, headache and new restless leg movements. No evidence of parenchymal edema, mass effect or loss of gray white distinction is seen. There is no evidence of intracranial hemorrhage or abnormal extra-axial fluid. The ventricles are normal in size and morphology. The sulci are mildly promin... | No acute intracranial abnormality. |
Generate impression based on findings. | Respiratory insufficiencyVIEW: Chest AP 4/6/15 ET tube tip below thoracic inlet and above the carina. Cardiothymic silhouette normal. Right upper lobe atelectasis increased in the interval. Patchy atelectasis in the left upper lobe. No pleural effusion or pneumothorax. | Right upper lobe atelectasis increased from prior study. |
Generate impression based on findings. | 60-year-old male. Postop. Prosthetic assess. Moderate osteoarthritis affects the right knee and mild osteoarthritis affects the left knee as seen on the frontal view, similar to prior. Small right knee joint effusion. | Osteoarthritis, not significantly changed. |
Generate impression based on findings. | 61-year-old male with history of urothelial cancer status post cystectomy and neobladder formation. Evaluate for obstruction versus incarcerated hernia. ABDOMEN:LUNG BASES: Stable left lower lobe pulmonary micronodule.LIVER, BILIARY TRACT: Subcentimeter hypodensities are unchanged, and likely benign.SPLEEN: Small splen... | 1. Improved right hydronephrosis. Slightly delayed right nephrogram which is nonspecific.2. Fat containing ventral hernia containing fat in the supine position. |
Generate impression based on findings. | DesaturationVIEW: Chest AP 4/5/15 Endotracheal tube tip below thoracic inlet and above the carina. Cardiothymic silhouette normal. Patchy atelectasis in the right upper lobe and perihilar regions not significantly changed. No pleural effusion or pneumothorax. | Bilateral patchy atelectasis not significantly changed. |
Generate impression based on findings. | 15-year-old male status post right ankle injury.VIEWS: AP, lateral, and oblique views of the right ankle (3 views) 4/5/2015 at 1211 Soft tissue swelling is adjacent to the lateral malleolus. There is no underlying fracture or malalignment. No significant tibiotalar joint effusion is present. | Lateral soft tissue swelling without fracture or joint effusion. |
Generate impression based on findings. | 67-year-old male with metastatic lung cancer. On Nivolumab, please compare with previous study and evaluate treatment response. Please provide bidimensional measurement. CHEST:LUNGS AND PLEURA: Redemonstration of postsurgical changes with left lower lobectomy with stable linear nodular scarring adjacent to the suture l... | 1.Significant decrease in size of cluster of subcentimeter right upper lobe nodules, likely post infectious/inflammatory in etiology.2.Postsurgical changes with no specific evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Weakness and history of strokes. There are subcentimeter hypoattenuating defects in the right pons, left midbrain, and right basal ganglia. The prior focus of ischemia in the right parietal lobe demonstrated on the prior MRI is not clearly discernible from the diffuse background of white matter hypoattenuation. There i... | Evidence of chronic lacunar infarcts and cerebral white matter small vessel ischemic disease without evidence of acute intracranial hemorrhage. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct and MRI may be useful for further evaluation. |
Generate impression based on findings. | 4 -year-old male with a history of vesicoureteral reflux. Evaluate for hydronephrosis. BLADDER Wall Thickness: Normal Contents: The urinary bladder is distended slightly beyond the expected normal volume. Distal Ureter -- SFU Grade** Right: 0 Left: 0 Ureteral Jets Right: Not observed Left: Not observedKIDNEYS C... | The urinary bladder is distended slightly beyond the expected normal volume. No hydroureteronephrosis.*SFU grading system: Grade 0: No hydronephrosis. Grade 1: The renal pelvis is visualized. Grade 2: A few but not all of the calices are identified in addition to the renal pelvis. Grade 3: Virtually all the calices are... |
Generate impression based on findings. | 37 year-old female with left abdominal/flank pain, urinary tract infection, history of stone. Within the limits of a non-IV contrast enhanced examination was sensibility due thyroid solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: No significant abnormality no... | Normal examination of the abdomen and pelvis -- no abnormality seen to account for patient's symptoms. |
Generate impression based on findings. | 92 year old male with history of HNC and CRT, compare to previous measurements. CHEST:LUNGS AND PLEURA: Bilateral pulmonary nodules are noted, one in the left lung base which is solid and subpleural nodule measuring 11 mm x 9 mm (series 6, image 65) previously measured 10 mm x 10 mm, and the other in the right upper lo... | 1. Two enlarging pulmonary nodules, one in the right upper lobe with central cavitation and the other in the left lung base which is solid and subpleural. These are suspicious for metastatic disease.2. Small mild subpleural reticular opacities suggestive of fibrosis. |
Generate impression based on findings. | Male, 59 years old, with altered mental status. Patchy areas of hypoattenuation are seen involving both white matter and cortex including within the right frontal lobe and the left lateral temporal lobe. These findings are unchanged.No evidence of parenchymal edema or mass effect is seen. No intracranial hemorrhage or ... | 1.Redemonstration of patchy areas of white matter and cortical hypoattenuation/encephalomalacia which probably reflect prior ischemic injury.2.Some component of superimposed age indeterminate microvascular ischemic disease is also present.3.No definite acute intracranial abnormalities. |
Generate impression based on findings. | 67-year-old female with history of diffuse abdominal pain and obesity, known hernias. Evaluate for diverticulitis versus new hernia versus obstruction. ABDOMEN:LUNG BASES: Minimal left lung base atelectasis. Slightly increased pericardial effusion.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No signifi... | Multiple ventral hernias, only one of which contains bowel. The bowel containing hernia has some free fluid in the sac and upstream mild distention of the small bowel, consistent with mild partial obstruction. |
Generate impression based on findings. | DesaturationVIEW: Chest AP 4/5/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Left central line with tip at the confluence of the brachiocephalic veins. Cardiothymic silhouette normal. Patchy atelectasis in the right upper lobe, left upper lobe and left lower lobe. No pleural effu... | Patchy atelectasis bilaterally without pleural effusion. |
Generate impression based on findings. | 85 years old, Female, Reason: change after EVD out History: evd out There has been interval removal of right frontal approach ventriculostomy catheter with a small amount of air in the anterior horn of the right lateral ventricle. Small amount of subcutaneous emphysema is present along the right frontal scalp. Hyperatt... | 1. Expected evolution of the parenchymal hematoma and associated edema involving the vermis and right cerebellar hemisphere.2. Interval removal of right frontal approach ventriculostomy catheter with an air-fluid level in the anterior horn of the right lateral ventricle, but no significant change in size of the ventric... |
Generate impression based on findings. | Respiratory insufficiencyVIEW: Chest AP 4/6/15 Cardiothymic silhouette normal. Cardiac apex left-sided. Peribronchial wall thickening with patchy atelectasis in the right lower lobe and left lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | 93 year-old female with pain along spinous process. Rule out lumbosacral fracture. There is marked demineralization of the visualized bones, suggesting osteopenia or osteoporosis. Moderate degenerative changes affect the lumbar spine, with disproportionally marked osteoarthritis of the spinous processes, including hype... | 1.Marked hypertrophy of the spinous processes with osteoarthritic changes at sites of articulation, raising suspicion for Baastrup syndrome.2.Other degenerative changes of the lumbar spine, as above.3.No evidence of acute fracture or malalignment in the lumbar spine.Findings relayed via telephone to Dr. Mulliken in the... |
Generate impression based on findings. | 20 year old male with a history of FAP s/p proctocolectomy with IPAA and ileostomy, evaluate pouch for healing and dynamic properties. There is prompt opacification of the anus of normal static morphology. Contrast flows freely through the ileoanal anastomosis without evidence of significant stenosis, obstruction, or a... | Post surgical changes of proctocolectomy with ileoanal anastomosis without evidence of anastomotic leak or other complication. |
Generate impression based on findings. | 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 collections or subdural hematomas. The visualized portions of the paranasal sinuses and mas... | Negative unenhanced brain CT. |
Generate impression based on findings. | Altered mental status. Sickle cell disease. Evaluate for acute intracranial process. Motion artifact degrades image quality. There is suggestion of decrease in gray-white matter differentiation of the bilateral frontal lobes, which is likely artifactual. There is no evidence of acute intracranial hemorrhage or mass eff... | 1. No evidence of acute intracranial hemorrhage or mass effect.2. Apparent decrease in gray-white matter differentiation of the bilateral frontal lobes is likely artifactual, given the extent of motion artifact. Please note that CT is insensitive for the detection of acute nonhemorrhagic ischemic event. If there is con... |
Generate impression based on findings. | Right leg weakness, more falls. There is no evidence of acute intracranial hemorrhage or mass. There is diffuse cerebral white matter hypoattenuation. The third and lateral ventricles, as well as Sylvian fissures are disproportionately enlarged out of proportion to the sulci, which is unchanged. There is no midline shi... | 1. Cerebral white matter small vessel ischemic disease without evidence of acute intracranial hemorrhage. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct.2. The third and lateral ventricles, as well as Sylvian fissures are disproportionately enlarged out of proportion to the s... |
Generate impression based on findings. | Respiratory insufficiencyVIEW: Chest AP 4/6/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Left chest tube in place. Cardiothymic silhouette normal. Patchy atelectasis left lower lobe. No pleural effusion or pneumothorax. | Left lower lobe atelectasis without pneumothorax. |
Generate impression based on findings. | Male, 24 years old, status post MVC with neck pain. Alignment is anatomic. Vertebral height and morphology are normal. No fracture or dislocation is detected. The paraspinal soft tissues are unremarkable. No compromise of the spinal canal is suspected. | No cervical spine fracture or dislocation. |
Generate impression based on findings. | 28-year-old male status post cyst fenestration and rickham placement, and anisocoria, intracranial hemorrhage. Stable positioning of two frontal approach ventricular catheters is redemonstrated. One of these terminates in the right frontal horn. The other traverses posteriorly and inferiorly to terminate within the cys... | 1.Stable hemorrhage within the right frontal lobe along the course of the catheter destined for the cystic midbrain/posterior fossa mass.2.Stable layering hyperattenuating hemorrhage is also seen within the cystic mass itself.3.A small amount of layering blood product within the left occipital horn is slightly diminish... |
Generate impression based on findings. | Respiratory insufficiencyVIEW: Chest AP 4/6/15 Endotracheal tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Right central line and left upper extremity PICC with tips at the cavoatrial junction. Cardiomegaly unchanged. Patchy opacities bilaterally with bilateral small pleural effusions n... | Bilateral patchy lung opacities with small pleural effusions not significantly changed. |
Generate impression based on findings. | Bladder carcinoma ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status-post cholecystectomySPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Bilateral benign renal cysts. Nonobstructing left ren... | No evidence for regional adenopathy or metastatic focus. Nonobstructing left renal stone. |
Generate impression based on findings. | Reason: r/o fracture History: tenderness to anterior-medial femur approximately 1/3rd from hip, unable to bear weightVIEWS: Right femur AP and lateral (two views), pelvis AP (1 view) No acute fracture or malalignment. | No acute fracture or malalignment. |
Generate impression based on findings. | 43-year-old female with diffuse abdominal pain.? Colitis,? Diverticulitis,? Mass. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKI... | 1. Small ventral umbilical hernia containing only mesenteric fat, unchanged. 2. No other abnormality seen and no findings seen to account for patient's symptomatology. |
Generate impression based on findings. | FractureVIEWS: Left ankle AP, oblique and lateral Healing fracture involving the fibular malleolus again noted. The fracture line is indistinct reflecting interval healing. The ankle mortise joint is normal. The alignment is anatomic. | Healing distal fibula fracture as described above. |
Generate impression based on findings. | Motor vehicle collision with questionable loss of consciousness. Head: There is mild soft tissue swelling of the forehead without underlying calvarial fracture. There are apparent scattered foci of hyperattenuation along the right anterior frontal lobe, which are likely artifactual. There is no evidence of mass effect.... | 1. Mild contusion of the forehead without underlying calvarial fracture. Scattered foci of apparent hyperattenuation along the right anterior frontal lobe are likely artifactual. 2. No acute fracture or subluxation of the cervical spine.I personally reviewed the Images and/or procedure with the Resident/Fellow and agre... |
Generate impression based on findings. | Reason: r/o fracture vs ligament/tendon injury History: tenderness to lateral malleolus after inversion injuryVIEWS: Right ankle AP lateral oblique (3 views) 22:16:06 Soft tissue swelling of the ankle, predominantly along the lateral malleolus. No joint effusion. Cortical irregularity of the medial aspect of the fibula... | Probable nondisplaced fracture of fibular epiphysis. Recommend follow-up radiograph in 7 to 10 days. Soft tissue swelling of the ankle, predominantly along the lateral malleolus. |
Generate impression based on findings. | Suspected sepsisVIEW: Chest AP 4/6/15 NG tube tip in the stomach. Left upper extremity PICC has been removed in the interval. Cardiothymic silhouette normal. Minimal atelectasis right lower lobe. No pleural effusion or pneumothorax. | Minimal atelectasis right lower lobe. |
Generate impression based on findings. | 9-year-old female with renal stones. BLADDER Wall Thickness: Normal Contents: Partially distended. A left-sided ureteral stent is noted and is coiled in the bladder. Distal Ureter -- SFU Grade** Right: 0 Left: 0 Ureteral Jets Right: Not observed Left: Not observedKIDNEYS Cortical Echogenicity: Normal Medullar... | Multiple bilateral kidney stones are present with no associated hydronephrosis. A left ureteral stent is in place.*SFU grading system: Grade 0: No hydronephrosis. Grade 1: The renal pelvis is visualized. Grade 2: A few but not all of the calices are identified in addition to the renal pelvis. Grade 3: Virtually all the... |
Generate impression based on findings. | Female, 65 years old, with altered mental status. Parenchymal morphology and attenuation are within normal limits. No evidence of edema, mass effect or loss of gray white distinction is seen. No evidence of intracranial hemorrhage or any abnormal extra axial fluid collection is detected. The ventricles are normal in si... | No acute intracranial abnormality. |
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, version 9.3. The breast parenchyma is heterogeneously dense. A benign-appearing round mass is seen at left retroareolar region. Benign calcifications and calcifi... | A benign-appearing round mass at left retroareolar region. Comparison to prior mammogram is recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OC - OLD FILM FOR COMPARISON |
Generate impression based on findings. | Male 63 years old Reason: b/l heel ulcers concern for OM History: b/l heel ulcers concern for OM Three views of the left foot show diffuse demineralization of the bones. There is a soft tissue defect on the posterior plantar surface consistent with ulceration. There is cortical irregularity along the lateral aspect of ... | Findings suspicious for osteomyelitis of the right great toe and left calcaneus. |
Generate impression based on findings. | 68-year-old male with history of cirrhosis. Alpha I antitrypsin deficiency. LIVER: The liver measures 12 cm in length. Subtle hepatic contour nodularity is noted. No evidence of biliary ductal dilatation. The portal vein demonstrates hepatopetal blood flow. Common duct is normal in caliber measuring 3 mm in diameter. G... | Mild cirrhosis without mass or additional significant normality. |
Generate impression based on findings. | 28-year-old male status post cyst fenestration and rickham placement, and anisocoria, intracranial hemorrhage. Stable positioning of two frontal approach ventricular catheters is redemonstrated. One of these terminates in the right frontal horn. The other traverses posteriorly and inferiorly to terminate within the cys... | 1.Stable hemorrhage within the right frontal lobe along the course of the catheter destined for the cystic midbrain/posterior fossa mass.2.Stable layering hyperattenuating hemorrhage is also seen within the cystic mass itself.3.Hemorrhage is seen within the bilateral occipital horn horns, increased, likely representing... |
Generate impression based on findings. | Reason: r/o fracture History: pain limp s/p traumaVIEWS: Left knee AP lateral oblique (3 views), left tibia/fibula AP lateral (two views) 23:20:43 No evidence of acute fracture or malalignment. No evidence of joint effusion. | No evidence of acute fracture or malalignment. |
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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 6-day-old female with respiratory distress syndrome and pneumothorax.VIEW: Chest AP (one view) 4/5/2015, 1709 The endotracheal tube tip is between thoracic inlet and carina. There are two right-sided chest tubes overlying the mid and lower right lung. The proximal side-port of the more superior chest tube is within the... | Persistent right pneumothorax is slightly decreased. |
Generate impression based on findings. | Evaluate out perforationVIEWS: Chest AP, abdomen AP and left lateral decubitus 4/5/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Cardiothymic silhouette normal. Minimal patchy atelectasis in the right upper lobe. No pleural effusion or pneumothorax. Multiple abnormal dilated loop... | Abnormal bowel gas pattern without pneumoperitoneum. |
Generate impression based on findings. | 63-year-old male tachy, shortness of breath, prior VTE. Evaluate for PE. PULMONARY ARTERIES: Filling defects in two segmental pulmonary arteries supplying the right lower lobe consistent with pulmonary embolism. Main pulmonary artery measures 2.6-cm in caliber, within normal limits. No evidence of right heart strain. L... | Findings compatible with acute pulmonary embolism in the right lower lobe segmental branches.PULMONARY EMBOLISM: PE: PositiveChronicity: AcuteMultiplicity: Multiple.Most Proximal: Segmental.RV Strain: Negative. |
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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements. A small focal asymmetry is seen in the right retroareolar region. No suspici... | A small focal asymmetry in the right retroareolar region. Spot compression views and possible ultrasound study are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 43-year-old male, assess change after EVD clamping, intracranial hemorrhage A pontine hemorrhage is stable when compared to the prior examination. Extensive associated edema tracking from the pons into the middle cerebellar peduncles is unchanged.A right frontal approach the catheter remains in stable position. The cal... | 1.Stable pontine hemorrhage.2.Stable edema tracking through the midbrain into the thalami.3.Stable mildly enlarged ventricles.4.Stable dependent blood products in the lateral ventricles. |
Generate impression based on findings. | Midline tenderness and motor vehicle accident.VIEW: Thoracic spine swimmer's (one view) 04/05/15, 2119 Adenoids are moderately to markedly enlarged and the nasopharyngeal airway is normal. T1 -- T3 are normal in appearance. No fracture is seen. | Normal examination. |
Generate impression based on findings. | Reason: r/o fracture History: tenderness to anterior ankle after inversion injury, mild swelling, limpVIEWS: Right ankle AP lateral oblique (3 views) 0:45:56 Diffuse soft tissue swelling. No joint effusion. Ankle mortise joint is unremarkable. No evidence of acute fracture or malalignment. | Diffuse soft tissue swelling. No evidence of acute fracture or malalignment. |
Generate impression based on findings. | Evaluate bowel perforationVIEWS: Abdomen AP and left lateral decubitus 4/6/15 Multiple abnormal dilated loops of bowel but improved from prior study. No pneumatosis or pneumoperitoneum. Note that the tip of the NG tube is looped within the GE junction. | Malpositioned NG tube. Minimal improvement in the abnormal dilated loops of bowel without pneumoperitoneum. |
Generate impression based on findings. | Motor vehicle accident. Tenderness midline C2 -- C3.VIEWS: Cervical spine AP/lateral (two views) 04/05/15, 1723 and 1729 Adenoids are moderately to markedly enlarged and nasopharyngeal airway is narrowed. No prevertebral soft tissue swelling is present.Vertebral body heights and disk spaces are maintained. No fracture ... | No fracture identified. |
Generate impression based on findings. | New onset vertigo. There is no evidence of acute intracranial hemorrhage or mass. There is an area of hypoattenuation within the right precentral gyrus in the region of prior infarct. Thre is unchanged mild periventricular white matter hypoattenuation that likely represents small vessel ischemic disease. The ventricles... | An area of hypoattenuation within the right precentral gyrus corresponds to the region of infarction demonstrated on the prior MRI, without evidence of acute hemorrhage, although a superimposed acute infarct cannot be excluded. If there is persistent concern for acute ischemia, an MRI may be considered.I personally rev... |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Reason: SBO History: abdominal pain ABDOMEN:LUNG BASES: Lung bases are unremarkableLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRET... | 1.Right ovarian torsion cannot be excluded. Correlate with clinical symptoms and follow-up with pelvic ultrasound as indicated.2.Large stool burden without evidence of bowel obstruction.3.VP shunt tubing terminates at the right rectus abdominis the level of the portal vein. |
Generate impression based on findings. | Male 75 years old Reason: eval L knee effusion and r/o fracture; 75yo M with H\T\N and esophageal cancer, on chemo, neutropenic History: neutropenic fever with unclear source, L knee swelling Two views of the left knee demonstrate severe medial and lateral joint space narrowing. There is a large joint effusion with ove... | Severe osteoarthritis with a large joint effusion and overlying ossification which may represent synovial osteochondromatosis. |
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, version 9.3. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of archite... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements. There is a small mass at lower inner... | A small mass at lower inner quadrant in the right breast. Spot compression views and possible ultrasound study are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
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, version 9.3. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. Multiple benign calcifications are unchanged in both breasts.... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 62 year-old female with history of abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis without evidence of acute cholecystitis. Mild hepatomegaly.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormal... | 1. Small bowel obstruction with apparent transition point in the mid-pelvis with mild adjacent mesenteric edema.2. Age indeterminant T12 compression fracture.3. There is a round soft tissue density along the right pelvic sidewall measuring 3.6 x 2.8 cm which may cystic lesion in ovary -- given its size and appearance, ... |
Generate impression based on findings. | Evaluate for evolution of epidural hematoma. There is no significant interval change in the left frontal parietal extra-axial fluid hematoma, which measures up to 4 mm in width. Likewise, the the left frontoparietal scalp hematoma is not significantly changed. There is an unchanged non-displaced fracture of the left pa... | 1. No significant interval change in left frontoparietal extra-axial fluid collection and left scalp hematoma. 2. Nondisplaced left parietal bone fracture. |
Generate impression based on findings. | 54 years, Female. Reason: NGT placement History: NGT Nonobstructive bowel gas pattern. NG tube tip projects at the level of the body of the stomach. Surgical clips project over the right upper quadrant. | NG tube tip projects at the level of the body of the stomach. |
Generate impression based on findings. | Male 73 years old Reason: fracture? History: swelling, ttp, s/p car vs ped 3/27 Focal soft tissue swelling along the lateral aspect of the distal left leg without underlying fracture or dislocation. Vascular calcifications are noted. | Soft tissue swelling along the lateral left leg without underlying fracture or dislocation. |
Generate impression based on findings. | 6-day-old female with right pneumothorax.VIEW: Chest AP (one view) 4/5/2015, 1327 The endotracheal tube tip is between thoracic inlet and carina. There are two right-sided chest tubes overlying the mid right lung. An umbilical venous catheter has its tip at the level of the right atrium and an umbilical artery catheter... | Persistent right pneumothorax. |
Generate impression based on findings. | 2 years old, Female, Reason: 2yo F with fall on head 9 days ago, now with subgaleal hematoma over left temporal/parietal bone History: fussy, otherwise normal neuro exam There is a left frontoparietal subgaleal hematoma with heterogeneous components that measures up to 12 mm in thickness. There is an underlying nondepr... | 1. Acute left frontoparietal extra-axial fluid hematoma measuring up to 4 mm without significant mass effect.2. Nondepressed skull fracture involving the left parietal bone.3. Left frontoparietal subgaleal hematoma.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 86 year old female with a history of Zenker's diverticulum. Evaluate Zenker's. Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Note is made of a 11 x 6 mm outpouching along the posterior margin of the cervical esophagus just proximal to the level of the c... | 1. Limited esophagram demonstrates findings consistent with the patient's known history of Zenker's diverticulum, with reference measurements provided above.2. Short segment stricture of the distal cervical esophagus, with reference measurements provided above.3. Minor motor abnormality of the esophagus, as detailed ab... |
Generate impression based on findings. | Female 37 years old. Reason: evaluate for injury History: pain s/p fall Four views of the left elbow demonstrate an anterior joint effusion with elevation of the anterior fat pad. There may be a trace posterior joint effusion. No acute fracture or malalignment is visualized. | Anterior joint effusion of the left elbow without acute fracture or malalignment. If concern for fracture persists, repeat radiograph may be obtained in 7 to 10 days. |
Generate impression based on findings. | 22 year old female with history of neutropenic fever and AML/stem cell transplant. ABDOMEN:LUNG BASES: Small bilateral pleural effusions and associated atelectasis.LIVER, BILIARY TRACT: Mild gallbladder wall thickening, which is out of proportion to the amount of abdominal ascites, this should be further evaluated with... | 1. Diffuse small bowel wall thickening, with relative sparing of the colon, most consistent with infectious/inflammatory enteritis.2.Gallbladder wall thickening there is out of proportion to the amount of abdominal ascites, recommend ultrasound correlation. |
Generate impression based on findings. | 6-day-old female with history of right-sided pneumothorax.VIEW: Chest AP (one view) 4/5/2015, 1549 The endotracheal tube tip is below the thoracic inlet and above the carina. There are two right-sided chest tubes overlying the mid and lower right lung. An umbilical venous catheter tip is at the level of the right atriu... | Persistent right pneumothorax is slightly decreased in size. |
Generate impression based on findings. | Headache, ataxia and recent craniotomy. There are postoperative findings related to a bifrontal craniotomy for resection of a colloid cyst. There is interval decrease in pneumocephalus. There is a transcallosal approach with minimal residual hemorrhage along the surgical tract. There is unchanged punctate high density ... | 1. Evolution of postoperative changes with interval decrease in pneumocephalus and unchanged minimal blood products along surgical tract and at the left foramen of Monro.2. Increased conspicuity of a focus of hypoattenuation in the right frontal lobe periventricular white matter with loss of gray-white matter different... |
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