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Generate impression based on findings. | Male 77 years old Reason: shoulder pain History: as above Three views of the left shoulder demonstrate diffuse demineralization. There is osteoarthritis of the acromioclavicular joint. There is no fracture or dislocation. | No acute fracture or dislocation. |
Generate impression based on findings. | 45-year-old male with history of metastatic neuroendocrine tumor status post RT and a left paraspinal lesion. Evaluate response. CHEST:LUNGS AND PLEURA: Right middle lobe micronodule (9/54) is unchanged.MEDIASTINUM AND HILA: Right thyroid lobe nodule (7/12) has decreased in size over the interval.CORONARY ARTERY CALCIF... | 1.Hepatic metastases without significant interval change.2.Left paraspinal mass is unchanged in size.3.No new foci of metastatic disease. |
Generate impression based on findings. | Reason: evaluate ILD History: soboe fibrosis cough LUNGS AND PLEURA: Small lung volumes. Postsurgical scarring in the right lower lobe with surgical staples and pleural thickening.Subsegmental atelectasis at the left base.Multiple calcified micronodules and focal subpleural scars consistent with previous infection.Foca... | Focal areas of scarring and atelectasis but no convincing evidence of diffuse interstitial lung disease. |
Generate impression based on findings. | Female 88 years old Reason: s/p Fall, suspect left, but non-native hip on right History: as above The superior pelvis is outside the field of view.Right hemiarthroplasty device with areas of adjacent heterotopic bone. No definite fracture of the right hip or acetabulum. Chronic appearing deformity of the right inferior... | Acute, mildly comminuted fracture of the left ischium. Given that the superior pelvis is outside the field of view, recommend CT study to evaluate for sacral fractures. |
Generate impression based on findings. | Fall from monkey bars. Pain at base of metatarsal.VIEWS: Right foot AP/lateral/oblique (3 views) 04/06/15 The bones are normal in appearance. No fracture is identified. No significant soft tissue swelling is seen. | Normal examination. |
Generate impression based on findings. | History of left mastectomy in 2012 for DCIS. No new breast complaints Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No dominant mass, suspic... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Reason: evaluate for changes to ILD History: cough soboe fibrosis LUNGS AND PLEURA: Mild basilar and peripheral predominant interstitial reticulation, more marked on the left, similar to prior. Mild architectural distortion and traction bronchiectasis. No evidence of honeycombing. No ground glass opacity. No evidence o... | 1.Nonspecific fibrotic changes predominantly in the left lung base. This may represent UIP and is unchanged from the prior exam. 2.Calcified cystic lesion in the body of the pancreas, incompletely visualized, most likely related to chronic pancreatitis, unchanged from the prior exam and has been reported in a remote ex... |
Generate impression based on findings. | 67-year-old female with history of esophageal cancer. CHEST:LUNGS AND PLEURA: Left apical scarring and fibrosis, unchanged. Multiple bilateral pulmonary nodules and masses are seen compatible with metastases with minimal change in most since prior exam. Reference measurements as follows:Cavitary left upper lobe nodule ... | 1. Stable mid esophageal wall thickening compatible with patient's known esophageal cancer.2. Pulmonary metastatic disease with most nodules not significantly changed, but one right middle lobe reference nodule slightly increased as above.3. Stable left 5th rib lytic lesion. Osseous metastatic disease can be better eva... |
Generate impression based on findings. | FractureVIEWS: Right foot AP oblique lateral (3 views) 9:29:06 Cast material obscures fine osseous detail. Healing minimally displaced transverse fractures through the first and second metatarsal diaphyses in near-anatomic alignment, with interval increase in sclerosis. No additional fracture or dislocation identified. | Healing minimally displaced transverse fractures through the first and second metatarsal diaphyses. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is prominence of the extra-axial spaces and widening of the anterior interhemispheric fissure, which in the setting of enlarged head circumference and can represent benign external hydrocephalus, an entity that should resolve by two years ... | 1.No acute intracranial hemorrhage or skull fracture.2.Bilateral otomastoid fluid could represent otomastoiditis.3.Finding suggesting benign extra-axial hydrocephalus, please correlate with head circumference. This entity should resolve by two years of age. |
Generate impression based on findings. | Male 26 years old Reason: fracture History: pain Three views of the left hand demonstrate calcifications within the third MCP joint which likely represents chondrocalcinosis. A trace amount may also be present in the second MCP joint. Scapholunate dissociation is noted. There is no fracture or dislocation. | No acute fracture or dislocation. Chondrocalcinosis and scapholunate dissociation is visualized which can be seen with CPPD arthropathy. The findings were discussed by telephone with the emergency department physician, Dr. Cheney, at 10:30 a.m. on 4/6/2015. |
Generate impression based on findings. | History of left lumpectomy in 2007 for invasive ductal carcinoma with lobular features. Patient received radiation, chemotherapy and hormonal therapy. History of benign right breast biopsy. No new breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. T... | Stable postsurgical changes in the left breast. 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: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mam... |
Generate impression based on findings. | Reason: eval for PE vs signs of Pulmonary HTN History: exertional SOB PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus. No specific evidence of right heart failure. The main pulmonary artery is within normal limits.LUNGS AND PLEURA: Mild upper lobe predominant centrilobular emphysema. Scattered foci... | 1.No acute pulmonary embolus.2.Scattered bronchial/bronchiolar wall thickening and mucus impaction.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | History of left mastectomy 2/2011 for IDC. Patient received radiation and hormonal therapy. Known right breast cysts. Right breast mastopexy and implant placement 2012. Personal history of renal cell carcinoma. No new breast complaints. Two full field and 4 implant displaced views of the right breast were performed dig... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | The paranasal sinuses are clear. The nasal cavity is also clear. The nasal septum is essentially midline. The lamina papyracea and ethmoid roofs are intact. The carotid grooves and optic canals are covered by bone. The nasopharynx, facial soft tissues, orbits, and imaged intracranial structures appear to be unremarkab... | Clear paranasal sinuses.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | FractureVIEWS: Left elbow AP, oblique lateral Again noted healing fracture involving the distal humerus in near anatomic alignment. Periosteal reaction are noted reflecting interval healing. There is no elbow joint effusion. | Healing fracture distal humerus as described above. |
Generate impression based on findings. | Reason: Esophageal cancer History: Evalaute disease/ compare to previous CHEST:LUNGS AND PLEURA: Unchanged left lower lobe scarring and mild bronchiectasis.No new nodules.MEDIASTINUM AND HILA:Reference high right paratracheal lymph node measures 8 mm, unchanged (series 3, image 17). Additional smaller regional lymph no... | Stable esophageal mass and reference lymph nodes, no new sites of disease. |
Generate impression based on findings. | 68-year-old male with history of colitis status post total proctocolectomy with end ileostomy now complicated by pelvic fluid collection status post IR drainage 3/23. Evaluate collection. ABDOMEN:LUNG BASES: Scattered pulmonary micronodules. No significant pleural effusions.LIVER, BILIARY TRACT: There are again two sma... | 1. Presacral fluid collection with drainage catheter present has significantly decreased in size now measuring 3.1 x 1.9 x 4.7 cm.2. Slightly increased size of small right hepatic dome fluid collection.3. Resolved ascites and right pleural effusion. |
Generate impression based on findings. | 30 year-old female with history of hepatitis B. Hepatocellular carcinoma screening. LIVER: The liver measures 15 cm in length. Liver parenchyma is of slightly increased echogenicity. No evidence of biliary ductal dilatation. The portal vein demonstrates hepatopetal blood flow. Common duct is normal in caliber measuring... | Slightly increased hepatic parenchymal echogenicity, without focal mass or other significant abnormality. |
Generate impression based on findings. | Injury to right zygomatic process, assess for acute versus previous fracture: right check trauma. There is no deformity or fracture of the right zygomatic arch. Likewise, the rest of the maxillofacial skeleton appears to be intact. The orbits and imaged intracranial structures appear unremarkable. The facial soft tissu... | No evidence of right zygomatic arch fracture or deformity. |
Generate impression based on findings. | 58 year old female with history of hepatitis C, evaluate for hepatoma. LIVER: The liver measures 15 cm in length. Liver parenchyma is of normal homogeneous echogenicity. No evidence of biliary ductal dilatation. The portal vein demonstrates hepatopetal blood flow. Common duct is normal in caliber measuring 5.7 mm in di... | 1.Evaluation of the liver is within normal limits.2.Mild right renal hydronephrosis. |
Generate impression based on findings. | Male 50 years old Reason: eval LT wrist History: pain Redemonstrated is an cannulated orthopedic screw affixing a fracture of the radial styloid in anatomic alignment. The fracture line is indistinct suggesting healing, which is similar to prior exam. There has been interval removal of the two K wires.The fracture thro... | Postoperative changes of distal radius fracture fixation as above. |
Generate impression based on findings. | Reason: 38 year old patient hx of GERD, please do barium swallow to rule out any abnormalities History: trouble swallowing, food gets stuck Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions. However, portions of the chest are excluded from the field-of-view... | Findings suggestive of achalasia. |
Generate impression based on findings. | 3-year-old female with cough. Evaluate for infection.VIEWS: Chest AP/lateral (two views) 4/5/2015 There is no focal airspace opacity, pleural effusions or pneumothorax. Peribronchial thickening and streaky perihilar opacities are noted, compatible with bronchiolitis/reactive airways disease.The cardiothymic silhouette ... | Reactive airways disease/bronchiolitis pattern. |
Generate impression based on findings. | Age: 63 years. Sex : Female. Reason for study: Reason: assess swallow History: swallows multiple times per food bolus. Fluoroscopic guidance was provided for an oropharyngeal motility study performed by the Speech Pathology section of the ENT service. The examination was recorded on videotape. No static or hard copy fi... | The exam was negative for penetration and negative for aspiration. |
Generate impression based on findings. | Exam is moderately limited by patient motion artifact.There is evidence of right hemispheric migrational abnormality involving the right frontal, parietal, and to a lesser degree temporal lobes. There are symmetric, bilateral intraventricular cysts in the occipital horns of the lateral ventricles measuring approximate... | Migrational abnormality of the right cerebral hemisphere and intraventricular cysts, compatible with known congenital cytomegalovirus infection. |
Generate impression based on findings. | 55-year-old female with history of left mastectomy in 2007 for invasive lobular carcinoma. Status post hormonal therapy. Family history of breast cancer in a maternal aunt and a paternal cousin. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parench... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Bilateral parotid masses, Warthin tumors. The images are degraded by patient motion. There is a heterogenous mass within the tail of the right parotid gland that measures up to 44 mm. There is also a mass the tail of the left parotid gland that measures up to 18 mm. The submandibular glands are unremarkable. There is n... | 1. Bilateral parotid tail masses, right larger than left, are compatible with Warthin tumors.2. Nonspecific left thyroid nodule that measures up to 30 mm. A thyroid ultrasound may be useful for further evaluation.3. A left apical lung nodule that measures up to 20 mm may represent a neoplastic or inflammatory process. ... |
Generate impression based on findings. | FractureVIEWS: Left tibia/fibula AP and lateral (2 views) 10:21:47 Cast material obscures fine bone detail. Redemonstration of oblique fracture of the distal tibial diaphysis with minimal posterior displacement of the distal fracture fragment. | Oblique fracture of the distal tibial diaphysis with minimal posterior displacement of the distal fracture fragment. |
Generate impression based on findings. | 16 year old female with midline tenderness at T4 -- T6 level. Status-post motor vehicle accident.VIEWS: Thoracic spine AP, lateral, and swimmer's (3 views) 4/5/2015 at 1750 There is no acute fracture or malalignment with preserved vertebral body heights and intervertebral disk spaces. The cervicothoracic junction is no... | No acute fracture or malalignment. |
Generate impression based on findings. | 14 years old, Male, Jaw fibromatosis, status post radical resection including Right neck dissection evaluate right jaw for recurrence Extensive postoperative changes are again seen related to previous right hemimandibulectomy and superficial parotidectomy. The surgical hardware along the right hemimandible are unchange... | Progressive cortical erosion both medially and posterolaterally along the cranial aspect of the right hemimandible reconstruction may indicate local recurrence. |
Generate impression based on findings. | Reason: History of right buccal carcinoma status post WLE with pectoralis flap reconstruction followed by radiation therapy completed June 2013 status post flap revision. Please evaluate for recurrence. History: As above LUNGS AND PLEURA: No change in lower lung zone predominant ground glass opacities with mosaic atten... | 1. No evidence of metastases.2. Continued stability of subcentimeter right upper lobe nodule, most likely benign in etiology. |
Generate impression based on findings. | There is thickening and subcutaneous fat stranding centered in the right tragus. There also appears to be mild swelling and hyperemia of the adjacent right parotid gland, but no discrete fluid collection to suggest abscess and no evidence of radioattenuating calculi. The right submandibular gland appears unremarkable.... | Evidence of cellulitis in the region of the right tragus with what appears to be adjacent mild right parotitis, but no evidence of residual drainable abscess. The right submandibular gland appears unremarkable. Nevertheless, MRI or ultrasound may be useful for further evaluation, particularly, if there is suspicion for... |
Generate impression based on findings. | Reason: head and neck cancer, post induction scans History: as above CHEST:LUNGS AND PLEURA: Minimal scarring in the right lower lobe, unchanged. Scattered punctate micronodules stable and likely benign.MEDIASTINUM AND HILA: Right chest port tip at RA SVC junction. Low density involving the jugular vein just superior t... | No evidence of metastatic disease. |
Generate impression based on findings. | Female; 39 years old. Reason: kidney stone History: blood in urine, back pain Lack of IV and oral contrast limits sensitivity for solid organ and bowel pathology, respectively.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality not... | No acute abdominal or pelvic abnormality. |
Generate impression based on findings. | 26 year old female patient with right breast pain and palpable lump underneath the right areola. On physical examination there was a 1 cm lump in the 6:00 o'clock position under the areola. A targeted right breast ultrasound was performed. There is a complex hypoechoic collection adjacent to the nipple that measures 2.... | Findings compatible with an immature abscess formation. Findings were communicated to Dr. Jaskowiak by Dr. Kulkarni.BIRADS: 2 - Benign finding.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | Paraganglioma treated with radiation (50.4 Gy approximately on 11/6/13). There has been interval decrease in size the left carotid space mass that measures up to approximately 40 mm, previously 43 mm. The mass also appears to be more diffusely hypoattenuating. Nevertheless, the mass continues to deviate the internal ca... | 1. Slight interval decrease in size of the left carotid space mass that measures up to approximately 43 mm is compatible with a paraganglioma. 2. Unchanged bilateral thyroid nodules, measuring up to 20 mm on the left with associated calciufications. |
Generate impression based on findings. | 61-year-old male with history of appendiceal cancer status post debulking in 5/2014. Evaluate for disease recurrence. CHEST:LUNGS AND PLEURA: Biapical scarring. Scattered pulmonary micronodules, nonspecific. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: The heart size is normal without pericardial eff... | Stable small pelvic lymph nodes of uncertain significance with no other evidence of disease recurrence. |
Generate impression based on findings. | Male, 69 years old, with history of T3N2c HPV+ left tonsillar squamous cell cancer. Head:No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. The bones of the calvarium and skull base are intact. Mucosal thickening seen previously in the maxillary sinuses has im... | 1.No evidence of disease progression in the neck.2.New thrombosis of the right IJ vein above the level of the venous catheter puncture site. Discussed with Dr. Villaflor at 12:00PM on 4/6/15.3.No evidence of intracranial metastases. |
Generate impression based on findings. | 68 year old male status post right mastectomy in 2012 for invasive ductal carcinoma, presents today for routine follow up. Patient received hormonal therapy. No current breast complaints. No family history of breast cancer. Three standard views of the left breast were performed digitally and reviewed with the aid of R2... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 80 years, Female. Reason: evaluate stool burden History: constipation; mass in sigmoid colon Multiple air-filled loops of small and large bowel, may be related to known sigmoid mass, without definite obstruction. Gas is seen distally within the colon. Compared to recent abdominal CT dated 4/3/15, the stool burden is si... | Mild gaseous distention of loops of small and large bowel, which is likely related to known sigmoid mass, without evidence of frank obstruction. Significant interval reduction in stool burden. |
Generate impression based on findings. | 48-year-old female with right breast carcinoma presents for presurgical needle wire localization. On review of the prior studies, a 7-mm mass is present within the central inner right breast, with corresponding coil shaped clip. Target coil shaped clip with associated mass is located in the central inner right breast l... | Successful needle localization of the right breast mass and clip.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 30 year-old male. Right foot heel ulcer. Nonhealing for 6 months. Malodorous drainage. Evaluate for osteomyelitis. Small ulcer in the heel of the foot with underlying soft tissue infiltration that leads to a 3.4 x 1.7 cm collection with subtle rim enhancement in the medial plantar aspect of the foot (series 4, image 45... | Small heel ulcer with underlying 3.4 x 1.7 cm phlegmon/developing abscess. No specific evidence for osteomyelitis. |
Generate impression based on findings. | 55 year old female with history of metastatic breast cancer, currently on clinical trial. Look for progression of disease in the setting of rising tumor markers. Low back pain. Fatigue CHEST:LUNGS AND PLEURA: Stable pulmonary fibrotic changes, particularly in the right lung, related to prior radiation therapy. No new s... | 1.Increased size of hypoattenuating hepatic metastatic focus as above.2.New ill-defined hepatic lesion, most consistent with new metastatic focus.3.Stable osseous metastatic disease. |
Generate impression based on findings. | Reason: s/p urethroplasty 3/17 check for extravasation of urine. A cystogram was performed in standard fashion and serial spot films were obtained.The cystogram was performed using an existing suprapubic catheter.Scout film demonstrated no abnormal calcification.Cystografin was administered by gravity via the suprapubi... | Left-sided vesicoureteral reflux, as above. No evidence of contrast extravasation. Negligible post-void residual. |
Generate impression based on findings. | 57 year old female status post left lumpectomy in December 2008 for DCIS,presents to evaluate physician palpated masses in the right breast. Patient complains of right breast pain. History of trauma to the right breast Family history of breast carcinoma in her mother at age 80. Mammogram: Three standard views of the ri... | No sonographic or mammographic abnormality corresponding to physician palpated masses in the right breast at 3 o'clock position, and 8 o'clock position. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually, due in No... |
Generate impression based on findings. | History of right buccal carcinoma status post WLE with pectoralis flap reconstruction followed by radiation therapy completed June 2013 status post flap revision. Please evaluate for recurrence. There are post-treatment findings in right buccal region and sequela of bilateral neck dissections. There is no evidence of m... | 1. Stable post-treatment findings without evidence of locoregional tumor recurrence or significant lymphadenopathy in the neck.2. Unchanged subcentimeter right lung nodule. Please refer to the separate chest CT report for additional details. |
Generate impression based on findings. | Male, 16 years old, status-post VP shunt placement, now experiencing increased sleepiness Redemonstrated changes from right retrosigmoid craniotomy/craniectomy for resection of a right CP angle tumor. A fluid collection centered on the craniectomy spanning both the intracranial and extracranial spaces is unchanged. Aga... | Redemonstrated is a left parietal approach ventricular shunt catheter which traverses the left ventricular atrium terminating at midline at the level of the lateral ventricular bodies, unchanged in position. Hypodensity within the parenchyma adjacent to the catheter has increased. Ventricular sizes are unchanged. |
Generate impression based on findings. | 32 years, Female, Reason: VP shunt infection History: persistent headache along VP tract. Normal physiologic radiotracer distribution is seen throughout the chest abdomen and pelvis as well as the osseous structures. There is no abnormal focus of activity to indicate an gallium avid lesion. Specifically, on dedicated v... | No abnormal uptake along the course of the VP shunt to suggest inflammation. Is strong clinical suspicion remains, a white blood cell scan may be considered. |
Generate impression based on findings. | History of pain after dislocation, evaluate for DJD of the shoulder CT of the left shoulder demonstrates normal glenohumeral alignment without acute fracture. No acute osseous Bankart lesion is present however a mild deformity represents an old healed lesion associated with the mild depression of the posterior superior... | Mild Hill-Sachs and Bankart deformities with moderate degenerative changes of the shoulder. No acute abnormality. |
Generate impression based on findings. | 48-year-old male. Evaluate L1-5 ALIF with BMP2 and allograft, L2 corpectomy, L1-5 posterior instrumentation. Interval partial L3 corpectomy, bilateral posterior stabilization rods fusing L1 to L5, and a left lateral anterior instrumented fusion with a sideplate and screws in L2 to L4. L1-L2 intervertebral fusion device... | Post-surgical changes of L3 corpectomy, posterior fusion of L1 to L5, and lateral sideplate fusion from L2 to L4. No evidence of hardware complication. |
Generate impression based on findings. | 17 year-old male with a history of spontaneous left pneumothorax and chest tube placement.VIEWS: Chest PA/lateral (two views) 4/6/2015 at 1037 A left-sided chest tube is present with its tip directed towards the left lung apex. There is a small left apical pneumothorax, new since prior exa,.No focal airspace opacity or... | Small left apical pneumothorax. |
Generate impression based on findings. | Female 62 years old Reason: right knee pain History: right knee pain No radiographic abnormality. Specifically, no fracture or dislocation. | Negative right knee examination. |
Generate impression based on findings. | Follow-up exam, check healing fracture Continued interval mild healing of the distal oblique fibular fracture without change in alignment. Persistent small get decreasing soft tissue swelling. Mortise intact | Continued healing of distal fibular fracture |
Generate impression based on findings. | 81 year old female status post left lumpectomy in 2011 for invasive ductal carcinoma, presents today for routine follow up. Patient received radiation, chemotherapy, and hormonal therapy. No current breast complaints. No family history of breast cancer. Three standard views of both breasts, and laterally exaggerated le... | Stable postsurgical changes of the left breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnos... |
Generate impression based on findings. | Pain Forearm: Interval persistent proximal ulnar sideplate and numerous screws without evidence of hardware complication. Alignment preserved. Underlying fracture planes appear similar with increasing callus formation. Radius is unremarkable other than minimal degenerative changes largely involving the radiocarpal arti... | Degenerative changes of the left wrist and healing proximal ulnar fracture |
Generate impression based on findings. | There is bilateral periorbital swelling, left greater than right. There is no underlying globe, orbital, intracranial, or osseous associated abnormality.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 ... | There is bilateral periorbital swelling, left greater than right. There is no underlying globe, orbital, intracranial, or osseous associated abnormality. |
Generate impression based on findings. | Hardware check Proximal ulnar fixation with a side plate is observed without evidence of current patient. Diffuse demineralization limits sensitivity however no discrete fracture line is observed compatible with healing. No effusion. Mild degenerative changes | Healing proximal ulnar olecranon fracture |
Generate impression based on findings. | 53 year old female status post left modified radical mastectomy for IDC in November 2010. Patient received chemotherapy and radiation. History of ovarian carcinoma in maternal grandmother diagnosed at age 85. No new breast complaints. Three standard views of the right breast were performed digitally and reviewed with t... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 48-year-old male with history of DVTs. Chronic DOE. Evaluate for chronic pulmonary embolism. PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary caliber and measures 2.8 cm, within normal limits. No evidence of right heart strain.LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. Mild depend... | 1. No evidence of pulmonary embolism. No significant cardiopulmonary abnormalities.2. Enlarged and heterogeneous right thyroid lobe. Recommend ultrasound for further evaluation. PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicab... |
Generate impression based on findings. | Little finger pain, fifth digit Diffuse demineralization limits sensitivity. Mild contractures largely involving the second and fifth digits are observed with superimposed underlying moderate degenerative changes again more pronounced involving the distal articulations and second MCP. No discrete superimposed acute abn... | Diffuse moderate scattered osteoarthritic changes without distinct superimposed specific changes to support inflammatory arthritis. |
Generate impression based on findings. | Female 33 years old. Reason: mechanical axis view bilateral legs. History: knee pain Mechanical axis study of the left lower extremity shows minimal (3 to 4 degrees) varus alignment of the left knee with respect to the neutral mechanical axis. Mechanical axis study radiograph of the right lower extremity shows two scre... | Minimal varus alignment and other findings as described above. |
Generate impression based on findings. | Fracture.VIEWS: Right foot AP/lateral (two views) 04/06/15 A cast has been applied in the interval. The fractures of the first and second metatarsals are in anatomic alignment. | Interval cast placement. |
Generate impression based on findings. | Left patellar instability Limited evaluation of a single view, however the appearance is unremarkable within limits | Normal |
Generate impression based on findings. | Hemophagocytic lymphohistiocytosis and stem cell transplant. Nasojejunal tube placement.VIEW: Abdomen AP (one view) 04/06/15, 1100 Feeding tube tip is at junction of duodenum and jejunum. Right lower extremity PICC tip is in the intrahepatic IVC.Bowel gas pattern is disorganized. No dilated bowel loops are present. Str... | Feeding tube tip at duodenojejunal junction. |
Generate impression based on findings. | 25 year old female with history of elevated LFTs and twin pregnancy (32 weeks gestation). LIVER: Hepatomegaly, with the liver measuring 20 cm in length. Liver parenchyma demonstrates slightly increased echogenicity. No evidence of biliary ductal dilatation. The portal vein demonstrates hepatopetal blood flow. Common du... | Findings suggestive of hepatic steatosis with hepatomegaly. |
Generate impression based on findings. | Female 66 years old; Reason: 66-Yrs old female patient who presents for relapsed AITL s/p CHOPx1 CHOEPx5 and autoSCT, now s/p 2 cycles of romidepsin. Please compare to prior. History: Relapsed AITL CHEST:LUNGS AND PLEURA: No specific evidence for metastatic disease to the lungs.The pleural spaces are clear.MEDIASTINUM ... | 1.No enlarged lymph nodes in the chest abdomen or pelvis2.Thickened esophagus may represent esophagitis. |
Generate impression based on findings. | 48 years, Female, Reason: 48y/o female with Right breast ca; surg4/6/15 at 1230pm DCAM right breast wire loc parital mastectomy and SNBx History: right breast cancer.RADIOPHARMACEUTICAL: The right breast was prepared in a sterile manner. A total of 0.48 mCi Tc-99m filtered sulfur colloid was injected in four periareola... | Sentinel node identified in the right axilla. |
Generate impression based on findings. | Left reversed total shoulder glenoid revision, check glenoid positioning Marked abnormality of the glenoid component similar to the recent plain film imaging. The component appears rotated with the stem projected directly posterior without distinct anchoring. Distortion and artifact limit specifics but cortical break t... | Abnormal glenoid component of a total reverse total shoulder arthroplasty. Suspect cortical break through and fracturing complicate this finding. |
Generate impression based on findings. | 58 years, Female, Reason: History of metastatic breast cancer on treatment, evaluate for response and extent of disease. History: History of metastatic breast cancer on treatment, evaluate for response and extent of disease.. Right sacral lesion is unchanged. Increased uptake in in the right acetabulum unchanged. No ne... | Stable osseous metastatic disease. No new lesions. |
Generate impression based on findings. | Reason: s/p urethroplasty 3/17 check for extravasation of urine History: s/p urethroplasty 3/17 check for extravasation of urine A cystogram was performed in standard fashion and serial spot films were obtained.The cystogram was performed using an existing suprapubic catheter.Scout film demonstrated no abnormal calcifi... | No evidence of vesicoureteral reflux or contrast extravasation. However, continuous involuntary penile leakage of contrast was observed, somewhat limiting study. |
Generate impression based on findings. | Female 58 years old Reason: eval frac History: pain The fracture line of the fourth metatarsal neck is indistinct consistent with healing. Alignment is unchanged.There are moderate degenerative changes of the first MTP joint with joint space narrowing. | Healing fracture of the fourth metatarsal neck. |
Generate impression based on findings. | 29-year-old male. Unable to extend DIP after injury. Evaluate for fracture. Mildly displaced small avulsion fracture at the dorsal aspect of the fourth distal phalanx base (Mallet fracture). | Mallet fracture, as described above. |
Generate impression based on findings. | 53 year-old female. Pain Evaluate right wrist. Overlying cast obscures fine bone detail. The distal radius and ulnar styloid fractures are in anatomic alignment. | Casting of the distal radius and ulnar fractures, which are in anatomic alignment. |
Generate impression based on findings. | 57-year-old female. Left knee pain. No acute fracture or dislocation. The knee is within normal limits for patient age with no specific findings to explain patient's pain. | No significant abnormality. |
Generate impression based on findings. | Right hip pain Hips: Severe to marked right over left hip osteoarthritic changes are again observed and similar to the plain film imaging. The right hip demonstrates bone-on-bone narrowing with relative preservation of the femoral head shape. Extensive sclerosis, osteophytes and subchondral cysts are observed both with... | Moderate knee and more pronounced to severe hip osteoarthritis. See detail provided |
Generate impression based on findings. | 71-year-old female. Postop. Prosthetic assess. Left hip total arthroplasty device is in near anatomic alignment. No radiographic evidence of hardware complication. Heterotopic ossification along the medial aspect of the proximal femur, similar to prior. | Left hip total arthroplasty device without radiographic evidence of hardware complication. |
Generate impression based on findings. | 26 year old female. Right knee pain. No acute fracture or dislocation. Bones appear normal with no specific findings to explain the patient's symptoms. | No significant abnormality. |
Generate impression based on findings. | 56-year-old female with history of right breast cancer status post right lumpectomy in 2003. The patient has also had bilateral plastic surgery procedures in March 2008. Family history breast cancer in her sister. Three standard views of both breasts, right, exaggerated CC lateral view and two spot magnification views ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 55-year-old male. Left knee pain. Tiny tricompartment osteophytes consistent with minimal osteoarthritis. No fracture or dislocation. | Minimal osteoarthritis. |
Generate impression based on findings. | Check for healing fracture Increased density observed throughout the proximal mildly expansile cyst of the humerus. Suggested partial healing and periost reaction in the region of the previously described fracture. Anatomic alignment grossly preserved | Mild interval healing |
Generate impression based on findings. | 62-year-old male. Evaluate right hand pain. Two screws affix the first metacarpophalangeal joint and multiple staples in the medial soft tissues of the hand and wrist, unchanged. No fracture. | Postoperative changes of first MCP joint fixation, unchanged. |
Generate impression based on findings. | 40 year-old female with fever, abdominal pain, diarrhea and history of Crohn's disease. Evaluate for acute infection. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted in the liver. Status post cholecystectomy without other biliary tract abnormalitySPLEEN: No si... | 1. Prior total colectomy with ileoanal pouch. 2. New diffuse moderate wall thickening of ileal pouch with surrounding inflammatory stranding but without new fluid collections. 3. Small residual right adnexal loculated fluid collection or cystic lesion markedly decreased in size since 12/13/14. |
Generate impression based on findings. | Cough and fever. Possible pneumonia.VIEWS: Chest AP/lateral (two views) 04/06/15 Left lower lobe airspace disease is a new finding.Streaky opacities are present bilaterally. Cardiac silhouette size is normal.Sternal sutures are seen, two of which are fractured. Mediastinal surgical clips are noted. Barium is present in... | Left lower lobe pneumonia. |
Generate impression based on findings. | RIGHT: There is marked narrowing of the medial internal auditory canal, measuring up to 1 to 2 mm in craniocaudal dimension associated with a prominent bony excrescence superiorly. There is a defect in the pars tensa portion of the tympanic membrane measuring up to 4 mm in width with retraction of the remaining membra... | 1. Right tympanic membrane perforation.2. Bilateral osseous stenosis of the medial internal auditory canals in the craniocaudal dimensions, right more than left, associated with what may represent an osteoma or exostosis versus a developmental variant. A dedicated MRI is recommended in order to evaluate the status of t... |
Generate impression based on findings. | Ms. Baim is a 74 year old female with a history of right lumpectomy for DCIS in December 2009 and two left breast lumpectomies for invasive ductal carcinoma in January 2011 followed by abscess at the 3 o'clock position of the left breast. She has received radiation therapy and hormonal therapy. Three standard views of ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Injury.VIEWS: Left ankle AP/lateral/oblique (3 views) 04/06/15 The cast has been removed. Alignment appears anatomic. No fracture is seen. | No fracture identified after cast removal. |
Generate impression based on findings. | Wrist injury.VIEWS: Right wrist PA/lateral (two views) 04/06/15 Lunate and triquetral are fused, normal variant anatomy. No fracture is seen. Alignment is anatomic. | Normal examination. |
Generate impression based on findings. | Female 64 years old; Reason: rectal cancer History: rectal cancer CHEST:LUNGS AND PLEURA: Pulmonary nodule in the superior segment of the right lower lobe measures 0.8 x 0.6 cm (image 40/series 5). There is subsegmental atelectasis in the right lower lobe.MEDIASTINUM AND HILA: No mediastinal lymphadenopathy.CHEST WALL:... | 1.Increase in the multiloculated cystic solid mass along the right hepatic lobe. Sampling of this cystic solid mass is suggested to exclude either infection or neoplasm.2.Presacral fluid most likely represents postsurgical change rather than neoplasm. |
Generate impression based on findings. | Surgery.VIEW: Pelvis AP (one view) 04/06/15 A spica obscures bone detail. Blade plate and screws devices are seen in the proximal femurs. The femoral heads are directed into acetabula. Left acetabulum appears slightly dysplastic.Ventriculoperitoneal shunt tubing is noted. | Femoral heads directed into acetabula. |
Generate impression based on findings. | There has been interval resection of a previously described lesion in the right occipital lobe slightly lateral and inferior to a prior resection cavity. Expected postprocedural changes are present including pneumocephalus, fluid within the surgical site, extra-axial fluid admixed with hemorrhagic products, changes fr... | Expected postprocedural changes. |
Generate impression based on findings. | Male, 38 years old.Multiple teem intraoperative procedure for ruling out retained foreign object. AP examination the abdomen with two images shows normal bowel gas pattern. No abnormal radiopaque foreign objects are seen. No other abnormalities are seen. | No radiopaque foreign objects seen. Normal examination of the abdomen.These findings were discussed by telephone with Dr. Raymond Grogan, the attending surgeon, on 4/6/15 at 12:15 p.m. |
Generate impression based on findings. | 62-year-old male with anaplastic large cell lymphoma, and head and neck cancer. Needs staging. CHEST:LUNGS AND PLEURA: New posterior right upper lobe confluent airspace disease abutting the major fissure -- while nonspecific this is worrisome for pneumonia although other causes of airspace disease including infarct is ... | 1. Diffuse miliary involvement through the liver with hypodense lesions -- this may represent either aggressive lymphoma involvement, miliary metastatic head and neck cancer, or microabscess these from infectious source such as candidiasis or other fungal infection. 2. Diffuse changes of quiescent colitis diffusely thr... |
Generate impression based on findings. | Images at the cephalad aspect of the brain and calvarium were not included within the field of view. Given this caveat:Hypodense foci are present within the white matter without associated mass effect, including right basal ganglia. The ventricles and sulci are normal in size. There are no masses, mass effect or midli... | 1.Images at the cephalad aspect of the brain and calvarium were not included within the field of view.2.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. | Female 45 years old; Reason: r/o diverticulitis, colitis, abscess History: LLQ abdominal pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic lesions. There is a trace perihepatic fluid. Hepatic and portal veins are patent.SPLEEN: The splee... | 1.Multilobular fundal uterine mass most likely representing large fibroids.2.Left adnexa is mildly enlarged. Further elevation with sonography is suggested to exclude torsion.3.Trace perihepatic fluid.4.No bowel obstruction.5.No CT findings of diverticulitis. |
Generate impression based on findings. | Reason: metastatic breast cancer History: assess disease response to current chemotherapy CHEST:LUNGS AND PLEURA: Multiple new subcentimeter bilateral noncalcified pulmonary nodules suggestive of metastatic disease. For continued reference a nodule in the right lower lobe measure 7 mm (image 50/13) and a nodule in the ... | Multiple new bilateral subcentimeter pulmonary nodules highly suggestive of metastatic disease. |
Generate impression based on findings. | Hip and pelvis pain Mild bilateral hip osteoarthritis with no additional distinct acute abnormalities. Upper pelvis mildly obscured by gas and stool | Bilateral hip osteoarthritis |
Generate impression based on findings. | Low back pain. Evaluate for stenosis. There is straightening of the normal lumbar lordosis. There is minimal levoconvex curve centered at the L4-L5. There is no evidence of fracture. The vertebral body heights are preserved. There is severe right-sided and moderate left-sided loss of disc height at L4-L5. The paraverte... | Degenerative spondylosis, most prominent at the lower lumbar spine, with mild spinal canal and bilateral neural foraminal stenosis at L3-L4 and moderate spinal canal and bilateral neural foraminal stenosis at L4-L5. |
Generate impression based on findings. | Pain Knees: Mild tricompartmental osteoarthritic changes with small osteophytes, minimal narrowing and sclerosis. No effusions or malalignmentL-spine: Similar mild osteoarthritic changes with narrowing, sclerosis and osteophytes. Preserved vertebral body heights. Cholecystectomy clips. SI joints intact | Mild osteoarthritis |
Generate impression based on findings. | HPV+ T4 left tonsillar squamous cell carcinoma. There are post-treatment findings in the left oropharyngeal region. There has been interval decrease in size of the infiltrative left tongue base and palatine tonsil mass, which now measures up to approximately 30 mm, previously 45 mm. There has also been interval decreas... | Interval decrease in size of the left tonsillar squamous cell carcinoma and associated left cervical lymphadenopathy, indicating treatment response. |
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