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Generate impression based on findings. | 71-year-old male with palpable lump in the left breast for 3 month. Family history of breast cancer in sister. Patient indicates the palpable mass has reduced in the last few months. Three standard views of both breasts and two spot compression views of left breast were performed digitally and reviewed with the aid of ... | Palpable abnormality in the left breast corresponds to left unilateral gynecomastia. Clinical correlation is recommended. Patient indicates that he has been prescribed at least 8 medications however, does not remember names of any medications.BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage or mass. There are chronic infarcts with encephalomalacia in the right occipital lobe with ex vacuo dilatation of the right occipital horn, and in the right lateral cerebellar hemisphere, both of which are new from prior exam. There are old infarcts involving the right c... | 1.No acute intracranial hemorrhage or skull fracture. 2.Chronic infarcts with encephalomalacia in the right occipital lobe and right lateral cerebellar hemisphere, which are new from prior exam.3.Unchanged chronic bilateral basal ganglia region lacunar infarcts.4.Moderate age indeterminate small vessel ischemic changes... |
Generate impression based on findings. | 52-year-old female. Severe pain and black toe. Evaluate third toe for infection. No fracture or dislocation. No destructive osseous changes to suggest osteomyelitis. | No fracture or radiographic evidence of osteomyelitis. |
Generate impression based on findings. | 24 year old male. Evaluate for subluxation, fracture. Evaluate status post PIP dislocation status post reduction. Bones of the third finger are in anatomic alignment without evidence of a fracture. | No evidence of a fracture. Bones are anatomic alignment. |
Generate impression based on findings. | Age: 85 years. Sex : Female. Reason for study: Reason: Evaluate dysphagia History: ICH. 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 films were obtained. The exam was... | The exam was positive for penetration and negative for aspiration. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The cerebellar tonsils are low-lying, although the tonsillar tips are not included in the field-of-view. The ventricles and basal cisterns are normal in size and configuration. There is no hydrocephalus. There is no midline shift or herniation. ... | 1.No acute intracranial hemorrhage or mass effect.2.Low lying cerebellar tonsils which are not fully included in the field-of-view. Further evaluation for Chiari I malformation can be performed with nonemergent MRI cervical spine without contrast, if clinically indicated.I personally reviewed the Images and/or procedur... |
Generate impression based on findings. | Male 18 years old Reason: eval P1 fx History: P1 Fx of R SF Three views of the right fifth digit demonstrate a comminuted but predominantly oblique fracture of the proximal phalanx with extension to the PIP joint. There is approximately 2 mm of radial displacement of the distal fracture fragment. | Proximal phalanx fracture of the right fifth digit as above. |
Generate impression based on findings. | 51 years old, female with a history of GERD, present ot ER with chest pain for 2 weeks. She is referred for coronary artery CT to rule out obstructive coronary artery disease.CPT Code: 75574 Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of Valsalva and trifurcates into the lef... | There are no significant coronary artery stenoses present.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 62 years old Female. Reason: colon cancer History: colon cancer 2012 with new enlarging retroperitoneal lymph node. Assess for PET avidity and presence of other PET avid areas that may be more accessible for biopsy. RADIOPHARMACEUTICAL: 14 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 94 mg/dL. Today's CT ... | 1.Multiple enlarged hypermetabolic lymph nodes in the mesentery in the midline of the lower abdomen and upper pelvis, highly suspicious for nodal metastasis.2.Small focus increased activity in the mesentery in the left lower quadrant of abdomen without definite CT correlation, which is nonspecific. |
Generate impression based on findings. | Reason: R/O Fracture History: Pediatric TraumaVIEW: Chest AP (one view) 15:20:53, Abdomen AP (one view) 15:22:32, Pelvis AP (one view) 15:19:04 Chest: No evidence of pneumothorax. No pleural effusion. Cardiomediastinal silhouette is normal. No air space opacity.Abdomen: Nonobstructive bowel gas pattern. No evidence of ... | 1.No evidence of pneumothorax. No acute cardiopulmonary process. 2.Nonobstructive bowel gas pattern. No evidence of pneumoperitoneum.3.No evidence of pelvic fracture. |
Generate impression based on findings. | 79 years, Male, Reason: PE History: SOB. The comparison chest radiograph performed on 10/23/2015 demonstrates elevation of the right hemidiaphragm with a chronic appearing right basilar atelectasis/scarring. A left-sided pacemaker is notedThe ventilation images show a small amount of decreased activity in the left lowe... | No scintigraphic evidence to support a pulmonary embolus. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in maternal grandmother. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density.No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 62 year-old female. Pre-op for left THA MAKO Stryker System. Pain. Moderate to severe osteoarthritis of the left hip with small osteophytes and large degenerative cysts in the acetabulum and femoral head. Moderate osteoarthritis also affects the right hip. Small spiculated sclerotic focus in the right femoral head, lik... | Moderate to severe osteoarthritis of the left hip. |
Generate impression based on findings. | 45-year-old female with seizure activity. Postsurgical changes related to suboccipital craniectomy and posterior C1 arch resection are again visualized. Just below the margin of the craniectomy are two foci of gas in the posterior fossa, neither of which is intravascular. In addition a small hypoattenuating fluid colle... | Foci of gas, hypoattenuating fluid, and hyperattenuating focus likely representing blood product in the posterior fossa just below the margin of the prior craniectomy. MRI is recommended to further evaluate this area. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in mother. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 72-year-old male with weight loss, history of base of tongue cancer. Evaluate for neoplastic process. CHEST:LUNGS AND PLEURA: Severe diffuse emphysematous changes throughout, greatest in the upper and mid lung zones. Bibasal or severe interstitial disease seen with superimposed calcifications. This may relate to chroni... | 1. Marked dilatation with fluid-filled esophagus throughout its entire length -- although this may relate to hiatal hernia with reflux, distal small obstructing lesion not visualized cannot be excluded. 2. Marked diffuse emphysema. 3. Bibasilar severe interstitial lung disease with associated superimposed calcification... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of BRCA1 mutation. Two standard digital views of both breasts and an additional right MLO were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty.No suspicious masses, microcalcifications or areas of a... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density.No suspicious masses, microcalcifications or areas of architectural d... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 56-year-old male with history of colon cancer approximately 25 cm from the anal verge. Evaluate for metastatic disease. CHEST:LUNGS AND PLEURA: Bilateral pulmonary micronodules are present the largest of which is located in the anterior aspect of the right lower lobe measuring 4 mm (image 60 of series 5). No pleural ef... | 1. Enhancing intraluminal polypoid mass located at the junction between the descending and sigmoid colon likely representing site of patient's known colorectal carcinoma. Adjacent enlarged mesenteric node is highly suspicious for metastasis.2. Multiple bilateral pulmonary micronodules are indeterminant. 3-6 month follo... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of skin cancer diagnosed at age 66. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty.No suspicious masses, microcalcifications or areas of arc... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 43-year-old male with history of right lower quadrant pain/back pain status post biopsy. RIGHT KIDNEY: Right kidney measures 11.6 cm, and there is a moderate size perinephric hematoma. We cannot assess for active extravasation. Subtle increased echogenicity of the kidney is noted.LEFT KIDNEY: Left kidney measures 9.2 c... | Right moderate sized perinephric hematoma as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign left breast biopsy in 1998. Family history of breast cancer in sister and paternal aunt. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Female, 34 years old, with headache. Assess for sinusitis. The frontal sinuses, ethmoid air cells and sphenoid sinuses are completely opacified with soft tissue material. The maxillary sinuses show peripheral mucosal thickening and collected bubbly secretions. All of the major sinus ostia are obstructed.The nasal cavit... | Findings compatible with significant pansinusitis. |
Generate impression based on findings. | 41-year-old male. Left humerus pathologic fracture through fibrous dysplasia. Evaluate for healing. Again seen is fibrous dysplasia affecting the left humerus and scapula. Transverse fracture through the distal humeral metadiaphysis with adjacent callus formation, similar to prior. There is deformity of an upper left t... | Healing pathologic fracture of the distal humerus. Fracture of a left upper rib, favored to be subacute. |
Generate impression based on findings. | 25 year old female with history of Crohn's disease, proctocolectomy and ileoanal anastomosis with new episodes of severe abdominal pain, nausea and obstipation. ABDOMEN:LUNG BASES: Right lung base micronodule (4/22), nonspecific.LIVER, BILIARY TRACT: Heterogeneous opacification of the inferior right hepatic lobe liver ... | 1. Chronic appearing obstruction with transition point at the distal anastomosis at the ileoanal pouch/rectum. 2.Marked distension of ileo-anal pouch (or featureless rectum if no prior proctectomy) with retained fecal material. |
Generate impression based on findings. | Gunshot woundVIEWS: Right knee PA and lateral (2 views) 15:45:48, right tibia/fibula PA and lateral (2 views) 15:47:02, right femur PA and lateral (2 views) 15:43:40, left femur PA and lateral (two views) 15:41:32, right ankle PA oblique lateral (3 views) 15:49:25 Left femur: Subcutaneous emphysema at the medial aspect... | Comminuted fracture of the distal diaphysis of right femur. Small joint effusion of the right knee. Subcutaneous emphysema at the medial aspect of the left thigh. |
Generate impression based on findings. | 44-year-old male with shortness of breath, thrombosis. Evaluate for pulmonary embolism. PULMONARY ARTERIES: Technically adequate study. There are numerous filling defects seen within the bilateral pulmonary arteries in a lobar distribution involving the right middle lobe, right lower lobe and left upper lobe (for examp... | 1. Acute extensive pulmonary embolism in a lobar distribution involving the right middle lobe, right lower lobe and left upper lobe with associated infarction.2. Large heterogeneous soft tissue mass in the left anterior chest wall encasing several pacemaker leads is suggestive of a hematoma or infectious process. Findi... |
Generate impression based on findings. | Abdominal distentionVIEW: Abdomen AP 4/6/15 There is a gastrostomy tube in place. Minimal retained contrast within the large bowel and in the rectum. Multiple dilated loops of bowel increased when compared to the prior study. No pneumatosis or pneumoperitoneum. Patchy atelectasis left lower lobe. | Abnormal dilated loops of bowel without pneumoperitoneum. |
Generate impression based on findings. | Ovarian carcinoma CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CORONARY ARTERY CALCIFICATION: None.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Stable subcentimeter low attenuation foci.SPLEEN: No significant abnormality no... | Stable examination |
Generate impression based on findings. | NG placementVIEW: Abdomen AP 4/6/15 NG tube tip in the stomach. There is a urinary catheter in place. Right femoral line with tip in the IVC. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. | NG tube tip in the stomach. |
Generate impression based on findings. | Left neck and shoulder pain. Multiple myeloma. Three views of the cervical spine are provided. Severe degenerative disk disease affects C4/5 and C5/6 and has progressed compared with the prior study. Moderate degenerative disk disease affects C3/4. There is loss of the normal cervical lordosis. I see no focal lytic les... | Equivocal subcentimeter myelomatous deposit within the superior aspect of the left glenoid. Progression of degenerative arthritic changes of the cervical spine. |
Generate impression based on findings. | Reason: s/p reduction History: sameVIEWS: Left wrist PA and lateral (2 views) 16:37:12 Overlying cast limits evaluation of fine bony details. Status post reduction of fracture of the distal radial diaphysis with near anatomic alignment. | Status post reduction of fracture of the distal radial diaphysis with near anatomic alignment. |
Generate impression based on findings. | Male 52 years old; Reason: hx of prostate cancer, pt scheduled for RALP History: see above Study done for research purposes. | 1.Unenhanced and contrast enhanced CT scan of the pelvis performed for research |
Generate impression based on findings. | Female 76 years old; Reason: patient with a history of uterine cancer - and abdominal pain with history of previous hernia History: now with worsening symptoms- rule out hernia vs recurrence ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic l... | 1.Stable exam without evidence of metastatic disease. |
Generate impression based on findings. | 79-year-old female with elevated liver function tests. Evaluate for liver mass, pancreatitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Near total atrophy of segment 2/3 with residual calcification. Remaining liver parenchyma appears normal with the exception several scattered small subc... | 1. Atrophy segment 2/3 of the liver with residual calcification. No neoplastic mass lesion appears to be associate with this and appears more related to post traumatic or post inflammatory. 2. Mildly dilated pancreatic duct with accessory ampulla or pancreas divisum (uncinate process/head pancreatic duct is not dilated... |
Generate impression based on findings. | Male; 29 years old. Reason: 29M with CD c/b fistulae to the bladder and enterocolonic s/p POD5 ex lap redo ileocolic resection, sigmoid colectomy, DLI. please check for intraabdominal or pelvic process History: persistent leukocytosis and inability to tolerate a diet (nausea, vomiting) Lack of oral contrast limits sens... | 1. Dilated small bowel loops diffusely, most suggestive of obstruction at the level of the ostomy. 2. Nonspecific loculated fluid collection in the pelvis with mild rim enhancement measures up to 5.8 x 3.3 cm (12/129) and may be due to early abscess.3. Mild pneumoperitoneum and pneumoretroperitoneum, greater than expec... |
Generate impression based on findings. | Female; 49 years old. Reason: evaluate for abscess causes of leukocytosis History: leukocytosis, cough, UTI Lack of intravenous contrast limits evaluation for solid organ pathology.CHEST:LUNGS AND PLEURA: Marked multifocal patchy and more confluent areas of consolidation in both lungs diffusely with moderate bibasilar ... | 1. Marked multifocal bilateral airspace opacities, most suspicious for pneumonia.2. Cirrhotic liver morphology.3. Moderate pleural effusions, marked abdominopelvic ascites, and body wall anasarca. Nonspecific omental nodularity may be related to ascites.4. 4.6-cm left ovarian dermoid. |
Generate impression based on findings. | Female; 55 years old. Reason: eval hepatic ducts History: elevated NH3 and alk phos ABDOMEN:LUNG BASES: Large left atrial appendage acute thrombus, partially visualized. Cardiomegaly. Right ventricular pacemaker lead. Mild left basilar subsegmental atelectasis. LIVER, BILIARY TRACT: No focal hepatic lesions. No biliary... | 1. Large left atrial appendage thrombus with acute right renal and splenic infarcts.2. No focal hepatic lesions. No biliary ductal dilation.Findings discussed with Dr. Kak at 8:20 a.m. on 4/7/15. |
Generate impression based on findings. | Clinical question: Acute liver failure, AMS, assess for pathology. Signs and symptoms: As above. Nonenhanced head CT:There is no detectable acute intracranial process.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter differentiation.Unremarkable calvarium, orbits. Ext... | No acute intracranial process. |
Generate impression based on findings. | Clinical question: Hemorrhage? Signs and symptoms: Fall Nonenhanced head CT:No acute intracranial process. CT however is insensitive for early detection of acute non-hemorrhagic ischemic strokes.Mild periventricular and subcortical low attenuation of white matter likely secondary to age indeterminate small vessel ische... | 1.No acute intracranial or calvarial posttraumatic findings.2.Mild age indeterminate small vessel ischemic strokes is detected.3.Right frontal scalp hemorrhage, edema and emphysema.4.Small air fluid level within the left maxillary sinus without detectable fracture on this nondedicated imaging. |
Generate impression based on findings. | ET tube terminates below thoracic inlet. NG tube is noted. Cardiac silhouette size is normal. Streaky subsegmental opacities of both lung bases are unchanged. Right apical opacity may represent atelectases or mediastinal mass. | No change in bibasilar streaky opacities. Right apical opacity may represent atelectasis as well or mediastinal mass. |
Generate impression based on findings. | 60-year-old male. Neuropathic left arm pain, neck pain. Evaluate for stenosis. Cervical spine: Please note that the cervical spine is visualized down to only C6 on the lateral view. Straightening of the cervical spine, which may be positional; otherwise alignment is unremarkable. Vertebral body heights are preserved. M... | Mild degenerative changes of the cervical spine with multilevel neuroforaminal narrowing, as described above. Unremarkable left shoulder radiograph. |
Generate impression based on findings. | Clinical question: Evaluate for intracranial abnormalities. Signs and symptoms: Fell, altered mental status. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is seen sensitive for early detection of acute nonhemorrhagic ischemic strokes.Prominence of cortical sulci and ventricular syste... | 1.No acute intracranial process.2.Unremarkable calvarium.3.Extensive pansinusitis. |
Generate impression based on findings. | Clinical question: AMS, somnolence. Signs and symptoms: As above. Nonenhanced head CT: What year there is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Female, 40 years old.Surgical Case Information | Procedure(s): Procedure(s): | ROBOTIC VAGINAL HYSTERECTOMY WITH BSO | CYSTOSCOPY | Operating Room: CDOR 14 CENTRAL | Surgeon(s) and Role: | * Nicole M. Leong, M.D. - Primary | * Perpetua T. Goodall, M.D. - Assisting | * Xiaojie Zhou, M.D. - Resident - Assisting | * Seiko... | No radiopaque foreign object. NG tube with tip proximal to the GE junction, recommend advancing at least 9 cm.Findings discussed by the resident radiologist on call with the attending surgeon, Dr. Goodall, on 4/6/15 at 22:42. |
Generate impression based on findings. | 47 years, Male. Reason: r/o obstruction History: abd pain, vomiting Focally dilated loop of bowel displaced into the left upper quadrant, concerning for cecal volvulus or distended stomach. Large apical bullae appear similar to prior. Streaky air space opacities in the right lower lung fields may represent infection/as... | Findings suggestive of cecal volvulus vs distended stomach. Recommend further imaging with erect, decubitus views, or both.Findings discussed by the resident radiologist on call, with the surgery resident on call, Dr. Salabat on 4/7/15 at 5:29.Updated findings discussed with Kathleen Tepe, covering for Dr. Salabat on 4... |
Generate impression based on findings. | 90 year-old female with history of weight loss, persists abdominal pain. Mass. ABDOMEN:LUNG BASES: New minimal pleural thickening, right greater than left, and overlying atelectasis/scarring.LIVER, BILIARY TRACT: Multiple stable subcentimeter homogenously hypoattenuating lesions are again seen throughout the liver, lik... | 1.No identifiable mass, or other findings to explain the patient's pain.2.Minimal increased pleural thickening, right greater than left. |
Generate impression based on findings. | Trauma, MVC with loss of consciousness No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. No extra-axial collections. Ventricles are within normal limits without evidence of hydrocephalus.The visualiz... | No evidence of acute intracranial hemorrhage or skull fracture. |
Generate impression based on findings. | 75 years, Male. Reason: assess for megacolon History: c diff. A gastrostomy tube projects in the distribution of the gastric body, with an adjacent t-tac. A nonobstructive bowel gas pattern is identified. No evidence of toxic megacolon or free air. Degenerative arthritic changes affect the lower lumbar spine. Atheroscl... | No evidence of toxic megacolon. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Reason: hx cancer involving lung History: chest pain, tachycardia PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus. Main pulmonary artery caliber is within normal limits. No specific evidence of right heart strain.LUNGS AND PLEURA: Innumerable bilateral pulmonary nodules compatible with metastases. ... | 1.No acute pulmonary embolus.2.Extensive metastatic disease involving the lungs, pleura, pericardium, bones, and liver.3.Extensive lymphadenopathy involving the chest and visualized upper abdomen.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV St... |
Generate impression based on findings. | The large heterogeneously enhancing tumor with necrotic components appears to have its epicenter the left maxillary alveolar ridge. This mass measures approximately 8.2 x 6.5 cm in axial dimensions (series 5, image 59). Posteriorly the tumor causes destructive changes of the left maxillary bone, filling the maxillary ... | Large heterogeneously enhancing partially necrotic destructive tumor centered on the left maxillary alveolar ridge and invading adjacent structures as detailed above. An MRI is recommended to further evaluate the extent of the tumor. |
Generate impression based on findings. | Metastatic lung cancer, treated brain metastasis on 6/2014. History of multiple metastatic lesions in the brain on remote brain MRI. There is a 4-mm enhancing lesion involving the left cerebellar hemisphere with questionable enhancement present within this region on prior CT from 2/5/2015. Otherwise, no abnormal parenc... | 4-mm enhancing lesion in the left cerebellar hemisphere which is not definitively identified on prior CT and may represent a new metastatic lesion. Comparison with prior MRI would be helpful if available. No large intracranial lesion or evidence of mass-effect is appreciated. |
Generate impression based on findings. | 60-year-old male. Bilateral ankle pain, leukemia. Please evaluate for inflammatory process, arthritis. Left ankle: No fracture, dislocation, or significant arthritic changes.Right ankle: No fracture, dislocation, or significant arthritic changes. Vascular calcifications. | Unremarkable ankle radiographs. No specific findings to explain the patient's symptoms. |
Generate impression based on findings. | Reason: Gastroc DVT, increased RR History: as above PULMONARY ARTERIES: Quality of this examination is adequate for diagnosis of pulmonary embolism. There is a small pulmonary embolus within a subsegmental left upper lobe pulmonary artery (7/153). No other filling defects to suggest pulmonary embolus is present.LUNGS A... | Subsegmental left upper lobe pulmonary embolus. Ill-defined material within the right bronchus intermedius becoming more solid within the right lower lobe bronchi. Associated right lower lobe atelectasis. Additional material within left lower lobe bronchi and central bilateral bronchial wall thickening suggestive of as... |
Generate impression based on findings. | Male 59 years old. Reason: right foot pain after injury. History: right foot pain after injury. Three views of the right foot demonstrate mild diffuse soft tissue swelling. There is mild deformity of the base of the distal phalanx of the great toe. This may represent an old, healed fracture but we see no acute fracture... | Soft tissues swelling and arthritic changes without evidence of fracture. |
Generate impression based on findings. | Reason: ng tube position History: new ng NG tube projects over the gastric fundus. A nonobstructive bowel gas pattern is identified. Surgical clips are present in the right upper quadrant. Catheter projecting in the right hemipelvis likely represents a nephroureteral tube to a renal graft in the right iliac fossa.Small... | NG tube tip projects over the gastric fundus. |
Generate impression based on findings. | 72 year-old female with lung cancer, staging LUNGS AND PLEURA: Redemonstration of irregular solid mass along the anterolateral aspect of the right lower lobe superior segment measuring 3.1 cm x 1.4 cm (series 9, image 58), previously measured 2.8-cm x 1.4 cm not significantly changed allowing for differences in techniq... | 1. Right lower lobe superior segment mass as well as mediastinal and hilar lymphadenopathy not significantly changed. Recommend continued evaluation with contrast enhanced studies for better evaluation of lymphadenopathy. 2. Right lower nodule containing punctate foci of low density likely a hamartoma unchanged. 3. No ... |
Generate impression based on findings. | 75-year-old male with history of possible small bowel obstruction in the setting of abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis, without findings of cholecystitis. No biliary dilatation or perihepatic fluid collections. Ill-defined hypodensities in the liver ... | Given limitations of the lack of intravenous contrast:1.Findings of small bowel obstruction as above, likely related to the patient's neoplastic process.2.Interval enlarged abdominal masses as above with peritoneal and omental metastases.3.Questionable duodenal wall edema, correlate with clinical presentation of peptic... |
Generate impression based on findings. | 58-year-old male with history of cholangiocarcinoma of treatment. Evaluate for disease progression. CHEST:LUNGS AND PLEURA: There has been progression of metastatic disease with increase in size and number of innumerable pulmonary nodules in a miliary pattern. There are scattered areas of ground glass opacities within ... | 1. Interval significant progression of disease with measurements as above.2. Increase in biliary ductal dilation raising the question of stent occlusion.3. Scattered areas of ground-glass opacities in the upper lobes are nonspecific, but may represent infection or hemorrhage. |
Generate impression based on findings. | Female; 54 years old. Reason: Dissection History: HTN, back pain CT ANGIOGRAM:No acute aortic dissection or rupture. Normal caliber of the aorta. Mild atherosclerotic calcifications of the distal abdominal aorta. Aortic arch branch vessels are widely patent. The celiac artery, SMA, bilateral renal arteries, and IMA are... | 1. Large left renal mass, most compatible with clear cell type renal cell carcinoma, as detailed above.2. 13-mm enhancing left adrenal nodule, is incompletely characterized.3. No acute aortic dissection or rupture. |
Generate impression based on findings. | 67 years, Female. Reason: Assess partial SBO History: partial SBO Scattered gas-filled loops of bowel, without evidence of frank obstruction. Surgical clips and suture material project in the left upper quadrant; degenerative changes affect the bilateral hips. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 4-year-old male with abdominal pain. Assess stool burden.VIEW: Abdomen AP (one view) 4/6/2015 There is gaseous distension of colon within the left lower quadrant which is slightly featureless. Non-obstructive bowel gas pattern. The stool burden is low. No evidence of free intraperitoneal air, pneumatosis, or portal ven... | Slightly featureless distended loop of colon in the left lower quadrant; this may be related to infection or inflammation. No evidence of obstruction. |
Generate impression based on findings. | 71 years, Female. Reason: assess DHT post advancement History: same Dobbhoff tube tip has been retracted approximately 1 cm. Unchanged appearance of spinal fusion and bone graft hardware, IVC filter, and surgical clips in the right upper quadrant. The bowel gas pattern is nonobstructive. No acute cardiopulmonary proces... | Slight interval retraction of Dobbhoff tube, with the tip likely in the prepyloric antrum. |
Generate impression based on findings. | Reason: s/p DHT placement for supplemental TF, evaluate line History: see above A Dobbhoff tube projects over the lumbar spine, likely in the distribution of the distal gastric body/prepyloric antrum. Hardware components related to spinal fusion with bone grafts, IVC filter, and right quadrant surgical clips are noted.... | Dobbhoff tube tip overlies the L2 vertebral body, likely in the distribution of the gastric body/antrum. |
Generate impression based on findings. | Female 28 years old. Reason: Known fracture of the humerus. History: one week old fx, re-evaluate Again seen is a comminuted, predominantly spiral fracture the left humeral diaphysis with mild posterolateral displacement of the distal fracture fragment. This appears similar to the prior study given differences in techn... | Distal left humerus fracture as described above. |
Generate impression based on findings. | 1-year-old female with patient with cough and hypoxia. Question of pneumonia.VIEWS: Chest AP/lateral (two views) 4/6/2015 at 2334 hrs. The cardiothymic silhouette is normal. There is mild peribronchial thickening and streaky perihilar and right middle lobe atelectasis. No pleural effusion or pneumothorax is seen. | Bronchiolitis/reactive airways disease pattern with subsegmental atelectasis. |
Generate impression based on findings. | Reason: 29M with CD POD5 redo ileocolonic rxn, sigmoid colectomy, DLI. History: leukocytosis PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus. Main pulmonary artery is within normal limits. No specific evidence of right heart strain.LUNGS AND PLEURA: Biapical pleural-parenchymal scarring. Scattered ... | 1.No acute pulmonary embolus.2.See separately dictated CT abdomen and pelvis performed on the same day.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Female 39 years old. Reason: fracture/effusion. History: anterior and lateral knee pain post MVC. We see no fracture, malalignment, or joint effusion. There are osteophytes suggestive of mild osteoarthritis. | Mild osteoarthritis without fracture or effusion. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of ovarian cancer and great-grandmother. Two standard digital views of both breasts and additional left MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density.No... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 10 year old female patient with respiratory distress. Question of consolidation or collapse.VIEW: Chest AP (one view) 4/7/2015, 0042 hours. A leftward thoracolumbar curve is noted with elevation of the right hemidiaphragm. Right basilar, right upper lobe, and left retrocardiac atelectasis is seen. No specific evidence ... | Atelectasis without specific evidence of infection. |
Generate impression based on findings. | 50 year old female who has a complaint of physician palpated left breast mass in the upper outer quadrant. Patient states she cannot feel this area. History of benign left breast biopsy. No family history of breast cancer. MAMMOGRAM: Three standard views of both breasts were performed digitally and reviewed with the ai... | 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. | Asymptomatic female presents for routine screening mammography. Personal history of adenocarcinoma of the small bowel diagnosed at 43 years of age. Family history of ovarian cancer in mother. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is comp... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | History of gunshot wound, evaluate for foreign body, bulletVIEWS: Left tibia/fibula AP lateral (2 views) 18:49:35, Left knee AP lateral (2 views) 18.48:15, Left foot AP oblique lateral (3 views) 18:50:35 Tibia/Fibula: No fracture or malalignment. No evidence of radiopaque foreign body. Knee: No fracture or malalignment... | Normal knee, tibia/fibula, and foot. |
Generate impression based on findings. | Male, 72 years old, with history of base of tongue cancer and 8-pound weight loss over the last 6 months. 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. Neck:Anatomic asymmetry of the tongue is sim... | 1.No definite imaging evidence of recurrent tumor is seen in the neck. 2.Deformity of the tongue and areas of asymmetric attenuation along the left oropharynx/palatine tonsil may reflect prior treatment. Continued follow-up is advised.3.No evidence of pathologic adenopathy is seen in the neck.4.No intracranial metastas... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. There is a 14-mm cluster of calcifications the left upper outer breast.No sus... | 14-mm cluster of calcifications in the left upper outer breast requires additional spot magnification views.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign biopsy left breast in 1987. Family history of breast cancer in maternal aunt in her 70s. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, wh... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Female 8 months old Reason: interval change History: intubated, chest tube tube left-sided pneumothorax.VIEW: Chest AP (one view) 4/7/15 at 602 hours ET tube terminates at the carina. NG tube tip is in a distended stomach. Left-sided chest tube unchanged.Cardiac silhouette size is normal. No change in left lower lobe a... | Left lower lobe atelectases with no pneumothorax. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. Small hypodensity in the left caudate and posterior limb of the internal capsule likely represent age indeterminate infarcts. Mild prominence of left lateral ventricle is likely secondary to adjacent encephalomalacia. Patchy p... | 1. No acute posttraumatic intracranial calvarial or scalp abnormalities.2. Age indeterminate lacunar infarcts and chronic encephalomalacia. |
Generate impression based on findings. | 80 year-old female. Known right pubic rami fracture. Radiology recommended repeat CT to evaluate for possible sacral fractures given sacrum not included in previous imaging. Mild comminuted vertical left sacral wing fracture with an adjacent small fracture fragment (series 5, image 51). No extension of the fracture lin... | Left sacral wing fracture. Again seen are displaced left superior and inferior pubic rami as well as ischium fractures. |
Generate impression based on findings. | 22-year-old male with a history of gunshot wound and multiple cervical spine fractures. Status post neck exploration. Increased drain output and elevated WBC. Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions. Tracheostomy tube in place. Additionally, there... | No evidence of esophageal perforation or leak. If strong clinical concern for abscess formation, further evaluation with CT could be considered. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign left breast biopsy. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. There is a 5 mm cluster of cal... | Cluster of calcifications in the upper outer left breast and focal asymmetry in the 12 o'clock position of the left breast. Recommend magnification spot compression views.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 39-year-old male with history of bandemia, evaluate for intra-abdominal infection/abscess. ABDOMEN:LUNG BASES: Minimal left greater than right pleural fluid/pleural thickening. Multiple soft tissue nodules are seen along the diaphragmatic surface (4/26).LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No s... | Large retroperitoneal mass, favor lymphoma, encasing the vasculature and terminal ileum with upstream partial small bowel obstruction. |
Generate impression based on findings. | 53 year-old female with history of abdominal pain. Evaluate for diverticulitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Small splenules.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Be... | Acute sigmoid diverticulitis with adjacent contained perforation and small amount of mesenteric fluid. No frank pneumoperitoneum. |
Generate impression based on findings. | 15-year-old female patient in motor vehicle collision. Patient was restrained backseat passenger with loss of consciousness and buttock pain with pelvic fracture on CT.VIEWS: Pelvis AP/inlet/outlet/frog leg (four views) 4/7/2015 A minimally displaced fracture of the right superior pubic ramus is noted. There is widenin... | Pelvic ring fractures and intrapelvic hematoma. |
Generate impression based on findings. | 15-year-old female patient in motor vehicle collision. Patient was restrained backseat passenger with loss of consciousness and buttock pain.VIEW: Chest AP (one view) 4/7/2015, 0056 The aortic arch, cardiac apex, and stomach are on the left. The cardiomediastinal silhouette is normal. No focal lung opacity, pleural eff... | Normal examination. |
Generate impression based on findings. | 15-year-old female patient in motor vehicle collision. Patient was restrained backseat passenger with loss of consciousness and buttock pain.VIEW: Cervical spine lateral (one view) 4/7/2015, 0108 Straightening of the normal cervical lordosis is likely due to patient position or muscle spasm. No acute fracture is eviden... | No acute fracture is evident. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Sister diagnosed with breast cancer unknown age. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in patter... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 15-year-old female status post motor vehicle collision with loss of consciousness. Elevated liver function tests. Question of bleed. ABDOMEN:LUNG BASES: The lung bases are without focal opacity or pleural effusion.LIVER, BILIARY TRACT: Parallel linear hypoattenuation measuring approximately 2.5 cm in depth is seen in t... | 1. Grade II hepatic injury.2. Superior pubic ramus fracture and widening of sacroiliac joint with interposed fracture fragment with presumed sacral donor site.3. Right pelvic hematoma. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural di... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. Hypodensity in right right basal ganglia are present prominent perivascular space or chronic infarct. Patchy periventricular white matter hypoattenuation compatible with age indeterminate s... | 1. No intracranial hemorrhage. Please note that CT is insensitive for the detection of acute nonhemorrhagic stroke. If there is continued clinical concern for CVA, MRI may be obtained.2. Densely sclerotic osseous structure in the right frontal sinus is favored to represent a benign osteoma.3. Patchy periventricular whi... |
Generate impression based on findings. | Female; 32 years old. Reason: abscess History: lower abd pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No s... | Mild acute diverticulitis of the distal descending colon. No pericolonic abscess. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional bilateral CC views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. New subcentimeter oil cysts is seen ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 28-year-old female with history of flank pain. Evaluate for stone. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Tiny hepatic hypodensities are present which are too small to accurately characterize.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLA... | Innumerable bilateral renal cysts are present, some of which are hyperattenuating suggesting a hemorrhagic component. These findings suggest polycystic kidney disease. |
Generate impression based on findings. | History of left breast cancer. Three standard views of both breasts, repeat right CC view and left spot magnification views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No dominant mass, su... | 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. | Medically complex former preemie who has been living at home and then had a cardiac arrest at home on 4/4 and then progressed to brain death; Gift of hope patient.VIEW: Chest AP (one view) 18:21:54 Redemonstration of tracheostomy tube with tip above carina. Bilateral chest tubes are again seen. The left chest tube side... | Interval complete atelectasis of the left lung, likely due to mucous plugging. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in two maternal aunts and a maternal cousin. Two standard digital views of both breasts and additional left MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibr... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Left tibia fracture.VIEWS: Left tibia and fibula AP and lateral , left and right humerus AP and internal and external rotation right forearm AP, oblique and lateral 4/6/15 (9 view/s) Left tibia and fibula: Bowing deformity of the left tibia may represent healed fracture. No evidence of acute fracture.Right arm: There i... | Multiple fractures of the right forearm and left tibia. Nonaccidental trauma or osteogenesis imperfecta are considerations. |
Generate impression based on findings. | There is no evidence of restricted diffusion to suggest acute infarction. As seen on prior CT, areas of encephalomalacia are again noted in the right temporal lobe, right occipital lobe, and right lateral cerebellar hemisphere, as well as a small focus in the left posterior cerebellar hemisphere, compatible with chron... | 1.No evidence of acute infarction.2.Multifocal areas of encephalomalacia and chronic hemorrhages bilaterally, as above. |
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