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Generate impression based on findings. | 30 year-old female. Foot pain. Salmonella bacteremia. Evaluate for osteomyelitis. Left foot: No fracture, dislocation, or radiographic evidence of osteomyelitis.Right foot: No fracture, dislocation, or radiographic evidence of osteomyelitis. | No radiographic evidence of osteomyelitis. |
Generate impression based on findings. | Clinical question: New CVA. Signs and symptoms: Concern for status epilepticus. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic stroke.No appreciable interval change in extensive coronal parenchymal volume loss since prior stud... | 1.No detectable acute or new finding since prior study.2.Cerebral volume loss without change. |
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. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in mother at 82 years of age. 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, unchanged in pa... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Male 71 years old. Reason: lumbar compression fx (?) s/p mechanical fall. History: LBP The bones appear demineralized. There is mild anterior wedging of L1 with mild angular deformity of the anterior cortex indicating a mild compression fracture of indeterminate age.There is mild diffuse loss of height of L4 which may ... | Mild L1 compression fracture of indeterminate age. |
Generate impression based on findings. | Reason: pna? History: cough, feversVIEWS: Chest AP/lateral (two views) 18:22:46 Aortic arch, cardiac apex, and stomach are left-sided. Retrocardiac opacity with air bronchograms compatible with pneumonia or atelectasis. No pleural effusions. No evidence of pneumothorax. Cardiomediastinal silhouette is normal. | Retrocardiac opacity with air bronchograms compatible with pneumonia or atelectasis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with 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 distribution. No suspicious masses, microc... | 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. | 71-year-old male with extensive asbestos exposure, prior CT with pleural-based abnormalities, referred with diagnosis of bronchiectasis and daily sputum production. LUNGS AND PLEURA: Diffuse bilateral pleural-based plaques and calcifications associated with parenchymal scarring. Mild bronchial wall thickening without s... | 1. Unchanged diffuse pleural-based plaques and calcifications with associated parenchymal scarring compatible with prior asbestos exposure. 2. Mild bronchial wall thickening without significant bronchiectasis also unchanged. 3. Right lower lobe nodule unchanged. |
Generate impression based on findings. | Postoperative findings related to right partial glossectomy and right neck dissection are redemonstrated with no measurable tumor in the resection bed. There is mildly hyperattenuating/enhancing, asymmetric soft tissue at the posterolateral aspect of the tongue base, which may represent treatment-related changes, thou... | 1.Postoperative findings with no measurable tumor in the surgical bed.2.Mildly hyperattenuating asymmetric soft tissue at the posterolateral aspect of the right tongue favored to represent treatment-related change; correlation with direct visual inspection is suggested.3.No significant cervical lymphadenopathy. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of U. right breast biopsies, benign. Personal history of lung cancer diagnosed at age 71. Two standard digital views of both breasts with tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of sca... | 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. | The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted abnormaliti... | No acute intracranial or intraorbital abnormality. No evidence of pseudotumor cerebri or orbital pseudotumor. |
Generate impression based on findings. | Female 19 years old. Reason: arm caught in car door yesterday, eval for trauma. History: arm caught in car door yesterday, eval for trauma. We see no fracture, malalignment, or joint effusion. | No fracture evident. |
Generate impression based on findings. | Female 86 years old. Reason: r/o occult fx of hip. History: hip pain unable to ambulate s/p fall, Xrays neg. The bones appear demineralized but we see no fracture. There are chronic appearing enthesopathic changes along the greater trochanter and ischium. We see no joint effusion. There is mild osteoarthritis of the le... | No fracture is evident. Degenerative changes and other findings as described above. |
Generate impression based on findings. | 16 year old female with history of necrotizing pancreatitis and pseudocyst formation with epigastric pain and emesis. Evaluate for pancreatitis and complications. ABDOMEN:LUNG BASES: Focal focal area groundless opacity with centrilobular nodules within the right lower lobe may represent bronchiolitis. There is peripher... | Findings compatible with acute pancreatitis without specific evidence of complication. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional bilateral MLO 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. No suspicious masses, microcalcific... | 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. Complains of skin changes in the right breast. Family history of breast cancer in maternal aunt diagnosed at 55 years of age. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast pa... | 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. | 59-year-old male. History of multiple myeloma. Pre-auto SCT evaluation. SKULL: Multiple lucencies in the skull consistent with myelomatous deposits.CERVICAL SPINE: Several small lucent foci in the posterior elements of the cervical spine suspicious for myelomatous deposits. Multilevel mild degenerative disk disease wit... | Multiple lytic lesions in the calvarium and right humerus consistent with myelomatous deposits. There are questionable additional lesions in the left humerus, cervical spine, and bilateral proximal femurs. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with 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 distribution. No suspicious masses, microc... | 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. | 66 year old female status post left mastectomy in 2012 for DCIS, presents today for routine follow up patient has a history of left lumpectomy in 2005 for invasive ductal carcinoma status post radiation and Arimidex. History of benign right breast biopsy. No current breast complaints. Family history of breast carcinoma... | 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. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in a maternal aunt diagnosed at age 75 and a paternal aunt diagnosed at age 65. Family history of ovarian cancer in a maternal grandmother diagnosed in her 40s. Two standard digital views of both breasts with tomosynthesis w... | 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with tomosynthesis 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 ... | 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. | History of right lumpectomy and axillary node dissection for breast cancer. Three standard views of both breasts 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, susp... | 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. Two standard digital views of both breasts with additional left frontal and left 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. No suspicious masses, m... | 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. | Feeding difficultiesVIEW: Abdomen AP (one view) 4/7/15 at 839 hours Gastrostomy tube is again noted. Bibasilar atelectasis unchanged. Less residual contrast material is visualized on a background of generalized bowel distention. No evidence of free air or pneumatosis intestinalis. No portal venous gas. Obstruction cann... | Findings concerning for bowel obstruction. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign right breast biopsy in 2011. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distr... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. If patient submits prior mammogram, we will compare to current study and submit an additional report.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 53 year old female with history of left partial nephrectomy for RCC. Here for screening exam RIGHT KIDNEY: The right kidney measures 11 cm. Incidentally noted is a subcentimeter hyperechoic focus in the right kidney parenchyma, nonspecific but most likely representing a benign angiomyolipoma. This may be followed on su... | No masses or other significant abnormality, as above. |
Generate impression based on findings. | 6-year-old male patient with neck mass. Question of PICC placement.VIEW: Chest AP (one view) 4/6/2015, 1732 The aortic arch and cardiac apex are on the left. The cardiothymic silhouette is normal in size. Mild peribronchial thickening is noted. No focal lung opacity, pleural effusion, pneumothorax is identified.Right P... | Right PICC terminates at the superior atriocaval junction. |
Generate impression based on findings. | 59-year-old male with a history of esophageal carcinoma. Status post esophagectomy with jejunal interposition. Evaluate for leak and emptying. Scout radiograph of the chest showed no mediastinal widening or definite pleural effusions. There is right apical pleural thickening which appears to correspond to prominent med... | Postsurgical changes of a jejunal interposition without evidence of anastomotic leak, as clinically questioned. |
Generate impression based on findings. | Female 62 years old. Reason: knee pain. History: knee pain. Four views of the right knee demonstrate moderate osteoarthritis affecting the knee. There are small ossicles within the posterior aspect of the joint which may represent loose bodies. Ossification along the medial femoral condyle may represent old injury to t... | Osteoarthritis of the right knee. |
Generate impression based on findings. | 51-year-old male. Follow-up. FWB. Sideplate and screws affix an oblique fracture of the distal fibula in near anatomic alignment, unchanged. The fibular fracture line remains visible on the lateral view. Mildly displaced fractures of the "posterior malleolus" of the distal tibia as well as the medial malleolus, similar... | Orthopedic fixation of distal fibular fracture and other findings as above, not significantly changed. |
Generate impression based on findings. | 10 month old male patient with BPD exacerbation. Question of atelectasis.VIEW: Chest AP (one view) 4/6/2015, 1749 The tracheostomy tube tip is above the thoracic inlet. The enteric tube tip is above the GE junction. The lower extremity PICC tip is within the intrahepatic IVC.Lung volumes are large with the hemidiaphrag... | Increased airspace opacities within the bilateral mid lungs. |
Generate impression based on findings. | Female 54 years old. Reason: pain. History: pain. Three views of the right shoulder show components of a total shoulder arthroplasty in near-anatomic alignment. We see no fracture or specific radiographic evidence of hardware complication. | Total shoulder arthroplasty as described above. |
Generate impression based on findings. | 39 years, Female. Reason: r/o constipation vs. SBO (visualize air-fluid levels or stool in rectum) History: abdominal pain, h/o hernia repair Stool is visualized throughout the colon, with a greater than average burden. There is no evidence of bowel obstruction. No acute cardiopulmonary process. Moderate degenerative c... | Greater than average stool burden, without evidence of bowel obstruction. |
Generate impression based on findings. | 58-year-old female. Evaluate extent of arthritis. Moderate osteoarthritis of the right knee with tricompartmental osteophytes and joint space narrowing, lateral greater than medial tibiofemoral compartment. Mild osteoarthritis also affects the left knee as seen on the frontal view. | Moderate osteoarthritis. |
Generate impression based on findings. | 13-week-old male with ongoing grunting and constipation since surgery on 3/30. Assess improvement in atelectasis/pneumothorax and stool burden.VIEW: Chest and abdomen AP (two views) 04/06/15 The cardiothymic silhouette is normal. Interval improved aeration of the left lower lobe with streaky opacity within the bilatera... | 1. Bilateral upper lobe streaky atelectasis.2. Skeletal maturation appears advanced. |
Generate impression based on findings. | Knee pain Four views of the left knee are provided. Small osteophytes indicate mild osteoarthritis. There is perhaps a small joint effusion, as well as mild soft tissue swelling anteriorly.Mild osteoarthritis affects the right knee as seen on the frontal views. | Mild osteoarthritis. |
Generate impression based on findings. | 80 year-old female. Pain. Evaluate OA extent. Left shoulder: No fracture or dislocation. Moderate osteoarthritis of the glenohumeral joint and acromioclavicular joint, similar to prior exam.Cervical spine: Mild degenerative disease with disk space narrowing at C4-5 to C6-C7 and multilevel small anterior osteophytes. Ve... | Moderate left osteoarthritis of the left shoulder. Mild degenerative disk disease of the cervical spine with multilevel bilateral neural foraminal narrowing. |
Generate impression based on findings. | 43-year-old male, poor neurological exam, evaluate for stability of pontine hemorrhage Pontine hemorrhage is stable when compared to the prior examination. Associated surrounding edema is unchanged.A right frontal approach the catheter remains in stable position. The caliber of the ventricular system is mild enlarged, ... | 1.Stable pontine hemorrhage and surrounding edema.2.Stable mildly enlarged ventricles.3.Stable dependent blood products in the lateral ventricles. |
Generate impression based on findings. | Left hip pain Two views of the left hip are provided. The bones appear slightly demineralized. Mild osteoarthritis affects the left hip, essentially within normal limits considering the patient's age.The AP view of the pelvis reveals the aforementioned mild left hip osteoarthritis. The bones appear demineralized. Sever... | Degenerative arthritic changes as described above. |
Generate impression based on findings. | 57-year-old female with history of lung cancer. Evaluate for metastatic disease. UTERUS, ADNEXA: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: Postsurgical changes from posterio... | No evidence of metastatic disease in the pelvis. |
Generate impression based on findings. | Seven day old female with acute desaturations and recurrent pneumothoraces status post chest tube.VIEWS: Chest AP prone and cross table lateral prone (two views) 4/6/2015,1902 Endotracheal tube tip is above the thoracic inlet. Enteric tube tip is in the stomach with side ports above the GE junction. Two right sided che... | Persistent right pneumothorax, mostly posteriorly located, with chest tube tips located anteriorly. |
Generate impression based on findings. | Right knee pain. Right knee osteoarthritis. Four views of the right knee are provided. Fixation devices within the distal femur and proximal tibia are compatible with prior ACL reconstruction. Severe osteoarthritis affects the right knee, with bone on bone apposition of the lateral compartment on the skiers view; this ... | Postoperative changes of the right knee with severe osteoarthritis predominately affecting the lateral tibiofemoral compartment. |
Generate impression based on findings. | H/o Right breast cancer s/p Neo-adj Chemo, then Right lumpectomy and SNBx. Axillary lymph node with clip still present in pt, assess stability of this node. LUNGS AND PLEURA: Scattered foci of peripheral consolidation and ground glass opacity located anteriorly in the right middle lobe and right lower lobe, and may be ... | 1.Right middle and lower lobe foci of consolidation and ground glass opacity located anteriorly in a subpleural location may be related to acute radiation changes. 2.No evidence of intrathoracic metastatic disease.3.Postsurgical changes of the right breast and axilla. Stable right axillary biopsy clip. |
Generate impression based on findings. | 58-year-old female with history of AML; pre-allogenic stem cell transplant evaluation. The frontal sinuses, frontal-ethmoid recesses, anterior/posterior ethmoids, and sphenoid sinuses are well developed and clear. There is trace maxillary sinus mucosal thickening inferiorly. Maxillary sinuses are otherwise clear. The o... | No significant paranasal sinus disease. |
Generate impression based on findings. | 52 year old female status post left mastectomy in 2007 for breast carcinoma, and right lumpectomy in 1995 for breast carcinoma. Patient received radiation, chemotherapy, and hormonal therapy. Personal history of stroke. She presents today for routine follow up. No current breast complaints. Family history of breast car... | 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. | 46-year-old male with history of urachal cancer. Evaluate for disease progression. CHEST:LUNGS AND PLEURA: Innumerable pulmonary metastatic lesions are present which are difficult to compare, but have progressed in size and number when compared to prior. Reference measurements as follows:Left upper lobe nodule measures... | Disease progression in the chest with measurements as above. |
Generate impression based on findings. | Reason: hx of Crohn's disease, previous esophageal dilations. History: sensation of food stuck in distal esophagus (eventual passes). Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions. Extensive degenerative changes affect the cervical spine, including larg... | 1.Hypoperistalsis of the distal half of the esophagus with a small hiatal hernia, as well as retention of contrast/barium pill in the distal esophagus; favored to be related to dysmotility rather than a mechanical stricture.2.Findings suggestive of mild SMA syndrome as above. |
Generate impression based on findings. | 72-year-old female with history of lung cancer. Staging exam. ABDOMEN:LUNG BASES: Chest findings, including right lower lung nodule, will be reported in the chest CT report.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLA... | 1.Indeterminate left adrenal thickening, may be evaluated with dedicated adrenal imaging if clinically warranted.2.Pulmonary findings, including right lower lung nodule, will be reported on CT of the chest final report. |
Generate impression based on findings. | Reason: 58 y/o f with possible bronchiectasis visualized incidentally on last CT of neck. Please do prone views as well. History: see above LUNGS AND PLEURA: Right apical paramediastinal mild traction bronchiectasis and ground glass opacity, likely post-inflammatory in etiology. Scattered foci of ground glass opacity b... | 1.Diffuse basilar predominant bronchiectasis and mucus plugging. More prominent and long segment intrabronchial filling defect in the left lower lobe and associated bronchiectasis. Recommend evaluation with bronchoscopy to exclude malignancy.2.Additional findings as above. |
Generate impression based on findings. | 24 year old female with history of abdominal pain and vomiting. Evaluate for acute intra-abdominal abnormality. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No s... | Small amount of pelvic free fluid and right adnexal corpus luteum. Otherwise no significant abnormality. |
Generate impression based on findings. | Male, 42 years old, with a large floor of mouth/tongue mass-like process. A large, well circumscribed hypoattenuating lesion is present involving the tongue and floor of mouth. This lesion measures up to 66 x 46 mm in the axial plane and up to 79 mm in the sagittal plane. The internal attenuation of this lesion is fair... | A very large, well-circumscribed space-occupying process is evident within the tongue and floor of mouth. This lesion displaces the adjacent structures without frank invasion or tissue destruction. It contains no significant vascularity, and at most the rim may enhance thinly. The internal attenuation of this lesion is... |
Generate impression based on findings. | Reason: evaluate for pe History: chest pain, shortness or breath, lue dvt non compliance w coumadin PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus. Main pulmonary artery measures 3.4 cm, although is not larger than the aorta at the same level.LUNGS AND PLEURA: No suspicious pulmonary nodules. No f... | 1.No acute pulmonary embolus.2.Moderate coronary artery calcifications.3.Cardiomegaly.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 56-year-old male with history of metastatic pancreatic cancer. CHEST:LUNGS AND PLEURA: Innumerable pulmonary metastatic nodules again appreciated, stable to minimally smaller.Reference left lower lobe nodule measures 7 x 5 mm, previously 8 x 7 mm (image 67 of series 5).MEDIASTINUM AND HILA: The heart size is normal wit... | 1. Minimal decrease in tumor burden with reference measurements as above.2. Fat density lesions in the right hepatic dome seem to wax and wane over the past studies and likely related to chemotherapy. If further characterization is necessary, an MRI may be obtained. |
Generate impression based on findings. | 49-year-old with history of left breast cancer status post mastectomy. Right breast implant. Two standard and 2 implant displaced views with repeat MLO displaced view 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 s... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Annual MRI should be considered based on her history and breast density, and would be due in September 2015. Results and recommendation were discussed with... |
Generate impression based on findings. | 3 year old female with lymphoblastic lymphoma, assess extent of disease CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules. Mild dependent atelectasis.MEDIASTINUM AND HILA: No evidence of mediastinal or hilar lymphadenopathy. Previously seen soft tissue fullness represents thymus. Partially imaged supraclavicular ... | 1.Prominent axillary lymph nodes, left greater than right.2.Mildly enlarged left kidney slightly prominent renal pelvis.3.Prominent azygos, hemiazygos, and right external jugular veins. Right IJ and SVC are not well visualized. Hypodensity noted in the expected location of the SVC. Collateral drainage of the upper body... |
Generate impression based on findings. | 56 year old female patient with screen detected focal asymmetry in the right breast with lesion seen in the 11:00 position in the retroareolar region on targeted ultrasound. Presents for ultrasound guided core needle biopsy. Targeted right retroareolar breast ultrasound re-identified the target lesion for biopsy. The l... | Successful ultrasound-guided core biopsy of a breast lesion seen on ultrasound without mammographic correlate in the 11 o'clock position and clip placement. Please refer to subsequent stereotactic biopsy for details on additional right breast lesions (Acc #14915395).BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X ... |
Generate impression based on findings. | History of right breast cancer status post lumpectomy in 2008. Three standard views of both breasts 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, suspicious microcalcificat... | 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. | 80 year-old female with history of unintentional weight loss, epigastric and substernal chest pain and history of hiatal hernia. CHEST:LUNGS AND PLEURA: There is biapical scarring. Scattered pulmonary micronodules. No suspicious nodules or masses.MEDIASTINUM AND HILA: Right sided pacemaker with leads in the expected lo... | Small hiatal hernia and complete midgut malrotation without evidence of complication. |
Generate impression based on findings. | 71 year old female with history of hemoglobin drop after femoral line placement. Evaluate for retroperitoneal bleed. ABDOMEN:LUNG BASES: Left lung base focal consolidation with air bronchograms and small pleural effusion, and to a lesser extent focal opacities are noted within the right lung base. This may represent in... | 1.Left lower lung focal consolidation, consider infectious versus aspiration pneumonia.2.No retroperitoneal fluid collections that would explain the patient's hemoglobin drop.3.Extensive infiltration of the fat around the pancreas, nonspecific. |
Generate impression based on findings. | Female 56 years old Reason: hx failed back syndrome. Evaluate fusion/hardware, sagittal balance History: back pain Intervertebral device at L4-5 and the vertebral bodies at this level appear fused. The patient is also status post L4 laminectomy with mature bone graft along the lateral aspects of L4. Grade 1/2 anterolis... | Postoperative changes in the lower lumbar spine and positive sagittal balance as described above. |
Generate impression based on findings. | 57-year-old female with history of right breast masses and new onset of left breast swelling, induration, erythema, and tenderness for the past 4 months. Biopsy of the right breast masses was recommended in 2013, however was declined by the patient. Family history of breast carcinoma in her mother at age 81. MAMMOGRAM:... | 1. Multilobulated conglomerate of masses within the right retroareolar region, increased in size from prior examination. Ultrasound guided core needle biopsy is again recommended. Results and recommendations were discussed with the patient, however she does not want to proceed with biopsy at this time.2. Asymmetric ede... |
Generate impression based on findings. | The avidly enhancing subependymal lesion at the level of the right foramen of Monro is not significantly changed in size, measuring 3.0 x 2.2 x 2.5 cm (AP x ML x CC), consistent with subependymal giant cell astrocytoma. Note is made of cavum septum pellucidum and cavum vergae versus arachnoid cyst of the left lateral ... | 1.SEGA at level of right foramen of Monro, unchanged in size with stable associated dilatation of the left lateral ventricle and mass effect on cavum septum pellucidum and vergae.2.Other stigmata of tuberous sclerosis are stable. |
Generate impression based on findings. | 36 year old female. Neck pain. Straightening of the cervical spine, which may be positional; alignment is otherwise unremarkable. Vertebral body heights are preserved. No significant degenerative disk disease or neural foraminal narrowing. No dens fracture is evident. | No significant abnormality to explain the patient's pain. |
Generate impression based on findings. | Female 90 years old Reason: r/o fracture History: R hip deformity and pain s/p fall The bones are demineralized. Complete intertrochanteric fracture of the right femur. | Complete intertrochanteric fracture of the right femur. |
Generate impression based on findings. | 71 year old female status post right lumpectomy in 2009 for DCIS, presents today for routine follow up. Patient received radiation therapy. History of left breast surgery for abscess. No current breast complaints. No family history of breast cancer. Three standard views of both breasts were performed digitally and revi... | 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. | 5-month-old female, assess for infiltrate, opacity History: coarse breath sounds, Hemophagocytic lymphohistiocytosis and stem cell transplant. VIEW: Chest and abdomen AP (one view) 10:15:52 Chest: Lung apices are outside the field of view. Multifocal patchy opacity with increased vascular markings. Retrocardiac opacity... | Multifocal patchy opacity. Retrocardiac opacity with air bronchogram concerning for consultation/atelectasis. Disorganized bowel gas pattern. |
Generate impression based on findings. | There is extensive lymphadenopathy involving the left cervical and supraclavicular lymph nodes with scattered small right cervical lymph nodes which are not enlarged. There is a new thin rim enhancing focus along the left cervical chain with central low attenuation and multiple foci of gas likely secondary to biopsy. ... | 1. Interval development of low density within multiple enlarged left neck lymph nodes with foci of air consistent with recent biopsy. Underlying necrotic changes not excluded although less likely.2. Overall size of cervical lymphadenopathy is not significantly changed compared to prior exam. |
Generate impression based on findings. | 71 year old female with history of metastatic small cell cancer on chemotherapy. CHEST:LUNGS AND PLEURA: Right middle lobe focal consolidation/atelectasis and bronchial wall thickening particularly anteriorly, nonspecific but likely post infectious/inflammatory in etiology.MEDIASTINUM AND HILA: Multiple small lymph nod... | 1.Bulky retroperitoneal and mesenteric lymphadenopathy with measurements as above.2.Bilateral hydronephrosis and hydroureter is not significantly changed.3.Bladder mass is similar in size, and may now have some internal necrosis.4.Partially visualized right neck mass. |
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) 4/7/15, 10:46 Interval reexpansion and aeration of the left lung except for residual atelectasis in the lingual segment. Cardiac si... | Interval expansion and aeration most of the left lung. |
Generate impression based on findings. | 28 years, Male, Reason: 28yo male that feels full after eating, epigastric pain History: early satiety, pain. Visually there was significant and progressive gastric emptying. Using anterior and posterior geometric means, residual gastric activity at the following postprandial intervals was calculated as follows:30 mins... | Gastric emptying within normal limits. |
Generate impression based on findings. | Reason: mediastinal lymphadenopathy in pt with GIST History: none LUNGS AND PLEURA: Mild upper lobe predominant centrilobular and paraseptal emphysema. Middle and lower lobe bronchial/bronchiolar wall thickening and scattered areas of mucus plugging and ground glass opacity in the upper lobes likely related to inflamma... | 1.Mediastinal, hilar, and retroperitoneal necrotic lymphadenopathy.2.Diffuse bronchitis/bronchiolitis.3.Right adrenal and splenic lesions also may represent metastases.4.Extensive abdominal aortic atherosclerotic disease. |
Generate impression based on findings. | Chest pain. Possible vaso-occlusive crisis.VIEWS: Chest AP/lateral (two views) 04/07/15 Cardiothymic silhouette is upper limits of normal in size. No focal lung opacities present. A pleural effusion is not identified.Bone changes from sickle cell anemia are noted. Small right thoracic curve is seen. Thoracic kyphosis i... | No pneumonia or evidence of acute chest. |
Generate impression based on findings. | 38-year-old female. Fifth toe proximal phalanx fracture. Redemonstration of a distal fifth toe proximal phalanx fracture. The fracture line is less distinct than on prior exam indicating interval healing. Alignment is anatomic. | Healing fifth toe proximal phalanx fracture. |
Generate impression based on findings. | 29 year old female. Right shoulder pain. No fracture or dislocation. Glenohumeral joint space is preserved. | No significant abnormality. |
Generate impression based on findings. | 45-year-old female. Right proximal fibula fracture. Again seen is an oblique nondisplaced proximal fibular fracture with indistinctness of the fracture line consistent with interval healing. Moderate osteoarthritis of the right knee. | Healing fibular fracture. |
Generate impression based on findings. | Female 82 years old Reason: s/p revision R L3-L5 posterior instrumentation There are postsurgical changes with stabilization rods and pedicle screw fixation from L2 to L5. The right L2 screw has been removed. A drain in the posterior soft tissues reflects recent surgery. Again seen are spacers in the L2-3, L3-4 and L4-... | Postoperative and degenerative changes as described above. |
Generate impression based on findings. | Reason: dobhoff placement History: Dobbhoff placement The lower pelvis is excluded from the field-of-view. Dobbhoff tube tip in the distribution of the gastric fundus. A nonobstructive bowel gas pattern is identified. | Dobbhoff tube tip projects over the gastric fundus. |
Generate impression based on findings. | There is a 3.0 x 1.6 cm soft tissue mass at the tongue base, compatible with stated history of tongue cancer, unchanged from the previous exam. A large left cervical level IIa/III lymph node measuring 2.5 x 3.1 x 4.9 cm (AP by ML by CC) is not significantly changed from the previous exam. Few hypoattenuating areas wit... | 1.Stable tongue base lesion, compatible with known tongue cancer.2.Increased left cervical lymphadenopathy. |
Generate impression based on findings. | Reason: granuloma with post inflammatory changes surveillance History: doe LUNGS AND PLEURA: Biapical pleural-parenchymal scarring. Scattered non-calcified and calcified pulmonary nodules. No suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: Small nonenlarged mediastinal lymph nodes. No... | 1.No suspicious pulmonary nodules or masses. 2.Bilateral apical pleural thickening and evidence of prior granulomatous disease. |
Generate impression based on findings. | Reason: please eval for cryptogenic organizing pneumonia History: hypoxia, wheezing, SOB in pt w/o history of asthma or COPD and no e/o infection. LUNGS AND PLEURA: Small scars and micronodules consist with previous infection, unchanged.No sign of organizing pneumonia or other acute disease.No significant bronchial thi... | No sign of organizing pneumonia or other significant interval change over the past week. |
Generate impression based on findings. | 73-year-old female. Fall, patellar tenderness. Evaluate for fracture. No fracture or dislocation. Moderate osteoarthritis with tricompartmental osteophytes and joint space narrowing, greatest in the lateral tibiofemoral compartment. Small knee joint effusion. | Moderate osteoarthritis. No fracture. |
Generate impression based on findings. | Postoperative changes are again seen from a right neck dissection. There is diffusely increased platysma thickening and infiltration of fat planes related to radiation treatment. Diffuse edema involving the supraglottic and glottic larynx as well as minimal retropharyngeal fluid appears similar to prior, related to ch... | 1. No significant change in size of minimal residual abnormal enhancement of the right tongue base.2. Post treatment changes within the neck as described above without residual cervical lymphadenopathy. |
Generate impression based on findings. | 72 year old female status post right lumpectomy in 2012 for invasive lobular carcinoma, presents today for routine follow up. Patient received radiation therapy and Arimidex. No current breast complaints. Patient has known CLL. Family history of breast carcinoma in her maternal aunt. Three standard views of both breast... | 1. No mammographic evidence of primary breast malignancy. 2. Stable, enlarged left axillary and intramammary lymph nodes, compatible with the patient's known CLL. Clinical follow-up is recommended. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Resu... |
Generate impression based on findings. | 74-year-old male with history of bladder cancer status post cystectomy. Evaluate for recurrence. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Bilateral hepatic hypoattenuating lesions are stable and likely benign. No suspicious hepatic lesions identified.SPLEEN: No significant abnormality n... | 1. Postoperative changes of cystoprostatectomy with right lower quadrant urinary diversion now with increased hydronephrosis and hydroureter with diffuse enhancement of the ureteral walls. Additionally, there is enhancement and thickening of a 3 cm segment of distal ureter in the region of the anastomosis with adjacent... |
Generate impression based on findings. | L5 radiculopathy after revision fusion. Evaluate L5 -- S1 interbody fusion and revision of instrumentation. Again seen are posterior rods with screws entering the iliac wings, S1, and L5. The previously seen screw traversing the superior endplate of S1 and inferior endplate of L5 is no longer visible and presumably rem... | Postoperative changes of lumbosacral fusion as described above. |
Generate impression based on findings. | 61 year old female with history of long-standing anemia and possible small bowel obstruction. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Splenic granulomata.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKI... | No small bowel obstruction. The right kidney is absent. |
Generate impression based on findings. | Reason: HNSCC. 6mo FUP post CRT. Compare to previous. History: as above CHEST:LUNGS AND PLEURA: Previous patchy consolidation within the left lower lobe is nearly completely resolved. Residual groundglass does remain. The right lower lobe groundglass opacities have nearly completely resolved with only a focal component... | Near complete resolution of patchy consolidation within the left lower lobe favoring aspiration.No evidence of metastatic disease. |
Generate impression based on findings. | 62-year-old male. History of multiple myeloma with compression fractures. Evaluate for any new or worsening compression fractures. Lower back pain, left hip pain. Lumbar spine: Compression fracture of the T12 vertebral body, unchanged. Compression deformity of the superior endplate of L4 with grade 1 anterolisthesis, u... | Stable compression deformities of the T12 and L4 vertebrae. Myelomatous lesions in the bilateral proximal femurs without evidence of a pathologic fracture. |
Generate impression based on findings. | 78 year old female status post right lumpectomy in 2009 for DCIS, presents today for routine follow up. Patient received radiation therapy. No current breast complaints. No family history of breast cancer. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast ... | Stable postsurgical changes of the right bresat. 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 - Diagno... |
Generate impression based on findings. | Reason: Evauate possible R sided lung mass and further characterize L sided PNA and possible parapneumonic effusion History: DOE, tachycardia, leukocytosis LUNGS AND PLEURA: Two discrete foci of consolidation within the right upper and lower lobes containing air bronchograms. Right lower lobe bronchial wall thickening ... | Discrete foci of consolidation within the right upper and lower lobes. Endobronchial obstruction left inferior lobar bronchus with resultant left lower lobe atelectasis. Ground glass and consolidation within the superior segment left lower lobe. Moderate large amount of debris throughout the esophagus. Constellation of... |
Generate impression based on findings. | Male 68 years old. Reason: eval hardware. History: s/p revision arthrodesis. Three views is of the left foot are provided. Again seen is orthopedic fixation of the first, second, and third tarsometatarsal joints in near-anatomic alignment. We see no hardware complications. The fracture of the first metatarsal is less d... | Orthopedic fixation of the tarsometatarsal joints and other findings as described above. |
Generate impression based on findings. | Female 90 years old Reason: comparison of R and L hip History: c/f R hip fracture. Complete intertrochanteric fracture of the right femur. The bones are demineralized. Mild osteoarthritis of both hip joints. Severe degenerative disk disease of the lower lumbar spine. | Complete intertrochanteric fracture of the right femur. |
Generate impression based on findings. | 36-year-old female. History of breast cancer status post chemotherapy and lumpectomy. Currently on hormone therapy presents with acute low back pain. Evaluate for osseous recurrence or compression fracture. Vertebral body heights are maintained. Moderate degenerative disk disease of L5-S1 with disc space narrowing and ... | No compression fracture or radiographic evidence of metastases. Moderate degenerative disk disease of L5-S1. 7 cm linear density projecting over the right hemipelvis, likely artifactual, though clinical correlation is recommended. |
Generate impression based on findings. | 68-year-old with history of right lumpectomy for breast cancer in 2007. Three standard views of both breasts with repeat left MLO view were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. ... | 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. | Female 32 years old. Reason: please get scaphoid views to r/o wrist fx. History: pain in right wrist. PA view of the right wrist in ulnar deviation is provided. We see no fracture, specifically of the scaphoid. The bones appear normal. | No fracture evident. |
Generate impression based on findings. | 72 years old Female with history of small cell lung cancer. Reason: small cell lung cancer, staging. RADIOPHARMACEUTICAL: 15.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 120 mg/dL. Today's CT portion grossly demonstrates right lower lobe superior segment mass and nodules, mediastinal subcarinal and hila... | 1.Hypermetabolic mass in the right lower lobe, consistent with patient diagnosis of lung cancer.2.Hypermetabolic lymph nodes in the right hilum and mediastinum, highly suspicious for nodal metastasis.3.Nonspecific faint FDG uptake in the left lung hilum and mediastinal AP window.4. Foci of increased activity in the rig... |
Generate impression based on findings. | Male 42 years old Reason: LUMBAR PAIN History: LUMBAR PAIN Two views of the right hip and the AP view of the pelvis demonstrate moderate osteoarthritis of the right hip with narrowing of the joint superiorly. The lateral center edge angle measures approximately 35 degrees. On the false profile view, the anterior center... | Osteoarthritis and degenerative disk disease with hip measurements as described above. |
Generate impression based on findings. | 76 year old female with personal history of uterine carcinoma, and family history of breast carcinoma in her sister at age 65. Three standard views of both breasts were performed digitally 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, 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. | 20 year-old female. Left foot pain. 3 mm linear densities in the soft tissues immediately lateral to the calcaneocuboid joint on the AP view and dorsal to the navicular on the lateral view, likely avulsion fractures, unchanged. No new fracture is evident. | Small avulsion fractures, unchanged. No new fracture is identified. |
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