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Generate impression based on findings. | Female 90 years old Reason: R hip fracture Two views of the right femur show comminuted intertrochanteric fracture with superomedial displacement of a portion of the lesser trochanter. The distal femur is intact. | Intertrochanteric fracture. |
Generate impression based on findings. | Male 65 years old; Reason: prostate cancer and SOB History: as above; please compare with previous scans CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Chest wall pacer device and leads.Extensive osseous metastatic disease.OTHER: ABDOMEN:LIVER, ... | 1.Osseous metastatic disease. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous imaging History: none CHEST:LUNGS AND PLEURA: There is new consolidation and atelectasis within the lingula that abuts the major fissure (4/67) suspicious for pneumonia. No evidence of infection elsewhere. No associated pleural effusion. No suspicious pulmonary nodule.MEDIAS... | Interval consolidation within the lingula suspicious for pneumonia.No evidence of metastases. |
Generate impression based on findings. | Male 64 years old; Reason: History Of Metastatic Colon Cancer S/P Hepatic Resection In 2008 Evaluate For Interval Change History: Met Colon Cancer CHEST:LUNGS AND PLEURA: There are a few scattered pulmonary micronodules. No dominant lesion. The pleural spaces are clear.MEDIASTINUM AND HILA: The esophagus is dilated.CHE... | 1.Stable exam |
Generate impression based on findings. | Pregnant patient with elevated LFTs with fatty liver; need to assess hepatic vasculature PORTAL VENOUS: Patent portal vein with normal directional flow. Main portal vein velocity 20 cm/secHEPATIC ARTERIES: No significant abnormality noted.HEPATIC VEINS: No significant abnormality noted.INFERIOR VENA CAVA: No significan... | Patent hepatic vessels with normal directional flow. |
Generate impression based on findings. | Male 62 years old; Reason: eval for progression History: metastatic RCC CHEST:LUNGS AND PLEURA: There are multiple metastatic deposits in the lungs. Reference left lower lobe pulmonary lesion measures 1.9 x 1.5 cm (image 68/series 5). Band of atelectasis near the right middle lobe likely due to postobstructive atelecta... | 1.Left renal neoplasm with metastatic disease to the liver, lungs, peritoneum and regional extension to the spleen and pancreas. |
Generate impression based on findings. | Increased work of breathing and absent right breast sounds. Possible pneumothorax. Bilateral varus derotational osteotomy 04/06/15VIEW: Chest AP (one view) 04/07/15, 0038 Ventriculoperitoneal shunt tubing is present. The superior aspect of the spica cast is noted in the abdomen. There appears to be a right thoracic cur... | Subsegmental atelectasis in left lower lobe. |
Generate impression based on findings. | Female 11 years old Reason: r/o fracture History: midline tenderness L1-L3.VIEWS: Thoracic spine AP, lateral and venous view. Lumbar spine AP and lateral. Lateral view of the sacrum 4/7/15 (6 views) Vertebral body heights and disk spaces are maintained. Slight straightening of the lumbar lordosis may be related to pain... | Normal examination. |
Generate impression based on findings. | Male 55 years old; Reason: r/o lymphadenopathy History: night sweats CHEST:LUNGS AND PLEURA: Mild right basilar atelectasis. No dominant lesions or pleural effusionsMEDIASTINUM AND HILA: Heart size is enlarged. Chronic calcifications. No mediastinal lymphadenopathy.CHEST WALL: Enlarged thyroid with multiple nodules.OTH... | 1.No lymphadenopathy in the chest, abdomen or pelvis.2.Extensive replacement of the pancreatic parenchyma and multiple cysts. If needed, further evaluation with MRI/M.R.C.P. can be performed.3.Status post pancreas and kidney transplant without evident complication. |
Generate impression based on findings. | Intubated. Pericardial drain. Wilson's disease.VIEW: Chest AP (one view) 04/07/15, 0527 Endotracheal tube tip is below thoracic inlet. Right central line tip is at junction of superior vena cava and right atrium. Left upper extremity PICC tip is in superior vena cava. Feeding tube tip is in stomach and side-port is at ... | Continued enlargement of cardiac silhouette and bilateral pleural effusion. |
Generate impression based on findings. | Pleural effusion.VIEWS: Chest AP/lateral (two views) 4/7/15 at 1015 hrs. Residual lymphatic contrast material in the mid retroperitoneum and cholecystectomy clips again noted. Central lines unchanged. Cardiac silhouette size is normal. No change in right subpulmonic pleural effusion, but the avidity of right diaphragma... | Stable right subpulmonic effusion versus diaphragmatic paralysis. Chest sonogram is recommended for differential diagnosis. |
Generate impression based on findings. | 6-day-old former 25 to 26 week gestational age patient with pneumothorax. Desaturations.VIEW: Chest AP (one view) 04/06/15, 2118 Endotracheal tube tip is above carina. Feeding tube is in stomach and side-port is at GE junction. Two right chest tubes are present. Umbilical venous line tip is in right atrium. Umbilical a... | Continued right pneumothorax. |
Generate impression based on findings. | Left ankle painVIEWS: Left ankle AP, lateral and oblique 4/7/15 (3 views) Soft tissue swelling and posterior joint effusion with no fracture or malalignment. | Soft tissue swelling and joint effusion with no fracture. |
Generate impression based on findings. | Female, 45 years old, with headache and seizures and generalized weakness. Assess for progression of posterior fossa hemorrhage. Again seen are postsurgical findings related to Chiari decompression. Deep to the suboccipital craniectomy bed, there remains a small curvilinear focus of hyperdense material, likely hemorrha... | Slight interval reduction in the amount and conspicuity of hemorrhage in the posterior fossa.Resorption of some of the intracranial gas seen on the prior examination.No new intracranial lesions are detected. |
Generate impression based on findings. | The patient is status post anterior spinal fusion at L4-L5 and L5-S1 with intervertebral disc spacers at L4-L5 and L5-S1. The lumbar spine is in normal alignment, with a normal lumbar lordosis. The vertebral body heights are well-maintained. There is loss of disc height at T11-T12. There is diffusely decreased T1 sign... | 1. Status post anterior spinal fusion at L4-L5 and L5-S1 with intervertebral disc spacers at L4-L5 and L5-S1. 2. Increased T2/STIR signal and associated enhancement of the L4, L5 and S1 vertebrae as well as enhancing paravertebral and prevertebral soft tissue at these levels which may be related to postsurgical changes... |
Generate impression based on findings. | Male 20 years old; Reason: 20 year old male with history of relapsed Hodgkin lymphoma, 18 months status post auto sct History: every 6 month follow up to evaluate for disease. CHEST:LUNGS AND PLEURA: No focal pulmonary lesions.MEDIASTINUM AND HILA: No mediastinal lymphadenopathy.CHEST WALL: No significant abnormality n... | 1.Stable exam without evidence of metastatic disease. |
Generate impression based on findings. | Male, 79 years old, with history of vocal cord squamous cell carcinoma, status post tracheostomy and G-tube, needs CT for evaluation of disease. A 10-mm enhancing nodule is evident within the subcutaneous tissues of the left premaxillary region, just adjacent to the nose. This lesion seems to be slightly larger than on... | 1.No obvious mucosal tumor is detected in the neck. Edema of the soft palate and larynx may be related to treatment.2.No pathologic adenopathy is detected by size criteria.3.A subcutaneous enhancing nodule is evident in the left premaxillary region adjacent to the nose. This lesion was probably present on the prior exa... |
Generate impression based on findings. | Male 79 years old; Reason: 79M SCC of supraglottis and lung, CT for cancer staging History: SCC supraglottis and lung CHEST:LUNGS AND PLEURA: Left upper lobe lung mass measures 3.1 x 2.3 cm (image 33/series 5) previously, 3.2 x 2.6 cm. Small bilateral pleural effusions. Emphysematous changes.MEDIASTINUM AND HILA: Enlar... | 1.Left upper lobe lung mass as above. |
Generate impression based on findings. | Again seen are postsurgical changes of a left suboccipital craniectomy with underlying left cerebellar encephalomalacia. There are no cystic or enhancing lesions to suggest recurrence. There are no extraaxial fluid collections or subdural hematomas. The ventricles and basal cisterns are stable in size and configuratio... | Stable postoperative changes of suboccipital craniectomy without evidence of recurrence. |
Generate impression based on findings. | Seven day old former 25 to 26 week gestational age patient with pneumothorax.VIEW: Chest AP (one view) 04/07/15, 0609 Endotracheal tube tip is between thoracic inlet and carina. Feeding tube tip is in stomach with side port at GE junction. Two right chest tubes remain in place. Umbilical venous line tip is in right atr... | Persistent right pneumothorax. |
Generate impression based on findings. | Clinical question: Assess the status of hematoma. Signs and symptoms: Decreased alertness, slight right facial droop and drooling. Nonenhanced head CT:Examination demonstrates no detectable acute or new finding since prior exam.Interval decreased density of acute hematoma in the left frontal lobe however but stable ext... | 1.No evidence of new acute findings.2.Interval decreased density of the left frontal hematoma indicating further evolution.3.Stable extensive left hemispheric vasogenic edema surrounding the hematoma and trace deviation of midline to the right. |
Generate impression based on findings. | Male 51 years old; Reason: bladder cancer and pulmonary nodule History: as above; please compare with last CT-Scans CHEST:LUNGS AND PLEURA: Subcentimeter micronodule in the right middle lobe (image 59/series 4).MEDIASTINUM AND HILA: No mediastinal lymphadenopathy. Subcarinal lymph node measures 1.1 x 0.8 cm on image 43... | 1.Stable exam. |
Generate impression based on findings. | 58 year-old male with history of gallbladder nodule seen on recent ultrasound. Also atypical septated cyst in kidney. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Several small hypoattenuating foci, most likely cysts but too small to characterize. Hypoattenuating, nonenhancing hepatic cysts... | 1.Findings consistent with end-stage renal disease, and several bilateral cystic renal foci, too small to characterize on this exam which is limited by relatively poor contrast uptake and excretion.2.The gallbladder is not distended, and appears within normal limits. |
Generate impression based on findings. | Clinical question: Recurrent sinusitis. Signs and symptoms: Nasal congestion and discharge. Medtronic fusion sinus CT:Frontal sinuses are well pneumatized and unremarkable.Ethmoid sinuses are well pneumatized and unremarkable.Sphenoid sinus is well pneumatized. Tiny foci of mucosal thickening (left greater than right) ... | 1.No evidence of acute sinusitis.2.Mild bilateral maxillary sinus mucosal thickening and tiny retention cyst however with patent bilateral ostiomeatal units.3.Tiny foci of mucosal thickening with resultant occlusion of the left and compromised right sphenoethmoidal recesses.4.Unremarkable paranasal sinuses otherwise. |
Generate impression based on findings. | Age: 49 years. Sex : Female. Reason for study: Reason: dysphagia + aspiration risk following prolonged NPO/Intubation History: Dysphagia. 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 sta... | The exam was positive for penetration and negative for aspiration. |
Generate impression based on findings. | 80 year-old female. Left rib pain. Upper back pain. Assess for DJD. Ribs: No acute fracture is identified. Median sternotomy. Calcifications of the aortic arch.Thoracic spine: Vertebral body heights are maintained. Minimal degenerative arthritic changes with tiny anterior osteophytes.Lumbar spine: Vertebral body height... | No evidence of a rib fracture. Moderate degenerative disk disease at L4-L5 and L5-S1. |
Generate impression based on findings. | 25 years, Female, Reason: 25 y/o with relapsed osteosarcoma History: lung mets. Photopenic region in right distal femur corresponds with endoprosthesis. Increased uptake surrounds the tibial component and acetabulum which may be inflammatory. No additional foci of increased uptake in the right femur to suggest a skip l... | No evidence of osseous metastatic disease. |
Generate impression based on findings. | Female 31 years old. Reason: look for gas. History: swelling. Three views of the right hand demonstrate soft tissue swelling particularly on the dorsum of the wrist. There is no gas density within the soft tissue. The bones appear normal.Two views of the right forearm demonstrate soft tissue swelling along the dorsal a... | Soft tissue swelling without soft tissue gas. |
Generate impression based on findings. | 78 years, Male, Reason: H/o bone mets, prostate cancer, evaluate for progression, back pain History: bone mets, back pain. L5 lesion extending into the L5 transverse process is stable. Increased uptake along the left sacroiliac joint is stable. Increased uptake in the left hip is stable. No new lesions.Increased uptake... | Stable osseous metastatic disease. No new lesions. |
Generate impression based on findings. | 42 years, Male, Reason: hydronephrosis History: hydronephrosis. The posterior abdominal radionuclide angiogram demonstrates decreased perfusion bilaterally, right greater than left. Sequential renal images shows mild scarring on the left, unchanged. There is bilateral hydronephrosis, right greater than left, with decre... | 1.Bilateral hydronephrosis, right greater than left.2.Bilateral retention of radiotracer, right greater than left, without appropriate response upon Lasix administration. This has progressed since the prior exam and is suspicious for obstruction. |
Generate impression based on findings. | 75 years, Female. Reason: bilious vomiting, hernia - check for SBO History: see above A nonobstructive bowel gas pattern is identified. An NG tube tip overlies the gastric fundus. Extensive atherosclerotic calcification affects the abdominal aorta and iliac vessels. Partially visualized vascular catheter in the left he... | No evidence of bowel obstruction. |
Generate impression based on findings. | 61 years old female with a history of new esophageal mass and history of CLL. Reason: staging for possible esophageal CA in patient with known chronic lymphocytic leukemia. RADIOPHARMACEUTICAL: 15.4 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 131 mg/dL. Today's CT portion grossly demonstrates a large eso... | 1.Hypermetabolic mass in the distal esophagus, consistent with the patient's diagnosis of esophageal cancer.2.Hypermetabolic lymph nodes in the right lung hilum, mediastinum, upper abdomen and retroperitoneal cavity, suspicious for metastasis. However, lymphoma can have similar findings.3.Mild FDG uptake in small bilat... |
Generate impression based on findings. | Female 32 years old. Reason: r/o fx. History: "full nelson" hold yesterday possible shoulder/AC joint injury. Pain on the right side at approximately the 6th rib. Three views of the right shoulder demonstrate no fracture or malalignment.Three views of the ribs are provided. We see no fracture or other specific finding ... | No fracture or malalignment is evident. |
Generate impression based on findings. | Supracondylar fracture.VIEWS: Right elbow AP/lateral (two views) 04/07/15 Splint has been removed. Two K wires remain in place. Supracondylar fracture is in anatomic alignment. Periosteal reaction encircles distal humerus. | Healing supracondylar fracture. |
Generate impression based on findings. | Abdominal pain ABDOMEN:LUNG BASES: Lung bases are normal. No evidence of pericardial effusion.LIVER, BILIARY TRACT: No significant abnormality noted. No biliary ductal dilatation. SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, U... | Moderate stool burden. |
Generate impression based on findings. | 61-year-old male status post fall with loss of consciousness, hit head. Evaluate for intracranial hemorrhage. Areas of encephalomalacia are redemonstrated in the right frontal and parietal lobe with associated confluent predominantly white matter hypodensity, unchanged from the previous exam. Additional bilateral peria... | 1.No acute intracranial hemorrhage identified.2.Evidence of chronic ischemia in the right frontal and parietal lobes as well as age-indeterminate small vessel ischemic disease, unchanged. |
Generate impression based on findings. | Redemonstrated is a focus of dural based enhancement at the site of previously resected meningioma, which is unchanged in size and extent compared to prior study. This lesion is at T3 level and measures at 8 x 5 mm similar to prior study. Findings are compatible with minimal residual meningioma with component of posto... | 1. Postoperative changes of thoracic meningioma resection with unchanged focus of extramedullary dural-based enhancement at T3 level, compatible with minimal residual tumor and/or postoperative change. No evidence of progression. 2. Unchanged subtle increased cord T2 signal and deformity compatible with mild myelomalac... |
Generate impression based on findings. | Status post chemoradiation for a T2N2B tonsil SCC s/p TFHX-10/15/10, LND 7/13/11. History of HNC and CRT, compare to previous imaging. There are stable post-treatment findings in the neck without evidence of recurrent mass or significant lymphadenopathy. For example, a right supraclavicular lymph node measures 5 mm in ... | Stable post-treatment findings in the neck without evidence of recurrent mass or significant lymphadenopathy. |
Generate impression based on findings. | Male; 77 years old. Reason: pt with TAA and AAA increasing in size, eval prior to TEVAR/EVAR History: asymtpomatic Lack of oral contrast limits sensitivity for bowel pathology.CT ANGIOGRAM:No evidence of acute aortic dissection or rupture on the current exam. However, there is intrinsic increased attenuation of the mur... | 1.Intrinsic increased attenuation of the thoracic aorta mural thrombus, with mild increased enhancement on contrast images is consistent with intramural hemorrhage and is associated with increased risk of rupture.2.Aneurysmal dilation of the aorta is similar to prior, as described above.Findings discussed with Jackie B... |
Generate impression based on findings. | Reason: eval cause of tracheal narrowing on cxr History: pt denies cp or resp sxs, but has luq pain and abnormal cxr LUNGS AND PLEURA: No focal consolidation, pleural effusion, or pneumothorax. MEDIASTINUM AND HILA: Rare normal variant double aortic arch with associated tracheal narrowing at that level correlates with ... | Rare normal variant double aortic arch, which is typically an isolated anomaly, correlates with radiographic findings and results in mild narrowing of the trachea. Additional findings as above. |
Generate impression based on findings. | Reason: history of Stage IV Hodgkin's lymphoma s/p biopsy, chemotherapy, radiation therapy History: off therapy evaluation CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: Reference right paratracheal lymph node is decreased in size measuring 1.6 x 1.1 cm (se... | 1.Continued decrease in the size of lymph nodes in the chest. 2.Stable abdominal lymph nodes.3.Stable nonspecific T12 vertebral body lesion. |
Generate impression based on findings. | Reason: eval recurrent PNA History: cough/sputum production LUNGS AND PLEURA: Severe upper lobe predominant centrilobular emphysema. Scattered pulmonary micronodules/nodules, the largest in the left upper lobe measures 5 mm (series 5 image 75). Bibasilar scarring and/or linear atelectasis. No focal consolidation. No pl... | 1.Severe emphysema without focal consolidation.2.Scattered pulmonary micronodules/nodules; the largest measures 5 mm in the left upper lobe. In a high risk patient, 12 month CT follow-up is recommended with consideration of continued low dose annual screening CT. |
Generate impression based on findings. | Female 38 years old; Reason: 38 y/o hx of colorectal ca, please re-stage History: see above CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No mediastinal lymphadenopathy.Right chest wall port with the cavoatrial junction.CHEST WALL: No signi... | 1.Peritoneal/omental nodularity as detailed above with measurements.2.Persistent bowel obstruction due to obstruction at the level of the small bowel to colonic anastomosis in the left lower abdomen. Part of the obstruction is due to spread of disease along the visceral peritoneum of the small bowel. |
Generate impression based on findings. | 56-year-old male with history of malignant peritoneal mesothelioma. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant parenchymal abnormality noted, however there is a small amount of perihepatic ascites.SPLEEN: No significant abnormality notedPANCREAS: Fatty atrophy of the pancre... | Extensive tumor rind in the anterior abdomen appear similar to prior, with interval increased abdominal/pelvic ascites. |
Generate impression based on findings. | 80 year-old male with history of metastatic prostate cancer. CHEST:LUNGS AND PLEURA: Interval resolution of bilateral pleural effusions. Moderate apical predominant centrilobular emphysema. Biapical scarring and basilar subpleural reticulation appearing similar to prior. Scattered pulmonary micronodules. Right middle l... | 1. Interval decrease in size of presacral fluid collection with adjacent foreign body.2. Resolution of bilateral pleural effusions.3. Diffuse osseous metastases are better evaluated on same day nuclear medicine bone scan. |
Generate impression based on findings. | 58 year old female with history of AML; Pre-allo SCT evaluation. LUNGS AND PLEURA: Scattered punctate micronodules including a right lower lobe calcified micronodule are seen likely due to prior granulomatous disease. No suspicious pulmonary nodules or masses. Mosaic attenuation at the lung bases which is not further c... | No evidence of active infection.Mosaic attenuation at the lung bases of uncertain etiology; however, could represent small airway disease. |
Generate impression based on findings. | Male, 21 years old, history of stage IV Hodgkin's lymphoma status post biopsy, chemotherapy and radiation. Right paratracheal adenopathy is redemonstrated in the superior mediastinum. These lesions are incompletely visualized, though one component measures 15 x 10 mm (image 73 series 6), previously 15 x 13 mm.No additi... | 1. Right paratracheal adenopathy is again partially visualized, at least one component of which seems to be smaller than on the prior examination.2. No new or progressive adenopathy is seen elsewhere in the neck. |
Generate impression based on findings. | Reason: Angiosarcoma s/p RT, eval response History: Angiosarcoma s/p RT, eval response CHEST:LUNGS AND PLEURA: Previous reference left upper lobe nodule is unchanged in size, measuring 7 mm (series 7 image 28). Interval increase in adjacent scarring and traction bronchiectasis, likely post radiation changes. Previous r... | 1.Growing right upper lobe pulmonary nodule, highly suspicious for metastasis.2.Interval postradiation changes adjacent to the left upper lobe metastasis, which is unchanged in size, as are several other small bilateral pulmonary nodules. |
Generate impression based on findings. | 58-year-old female with history the neck supraglottic cancer status post chemoradiation therapy. From the previous exam, there is new symmetric supraglottic laryngeal edema from the level of the epiglottis to the vocal cords, likely representing treatment related effects. No measurable tumor is present in the site of o... | Interval development of treatment related effects without evidence of residual or recurrent tumor. |
Generate impression based on findings. | Female 70 years old Reason: Bilateral knee pain Right knee: Moderate/severe narrowing of the medial compartment with near bone on bone appearance on the skiers view. Also small tricompartmental osteophytes are noted. There is mild varus deformity.Left knee: Mild osteoarthritis affects the left knee. | Osteoarthritis, right greater than left. |
Generate impression based on findings. | 53 years old Male. Reason: melanoma. History: pt is s/p 4 cycles of Ipilimumab. Please assess disease status and compare to previous imaging. RADIOPHARMACEUTICAL: 12.6 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 100 mg/dL. Today's CT portion grossly demonstrates multiple, stable borderline-enlarged bilat... | Significant interval progression of hypermetabolic metastatic tumor, in the neck, chest, abdomen and pelvis as well as in the right proximal thigh. |
Generate impression based on findings. | Female 56 years old Reason: 6 months post op acdf. Anterior plate with screws entering the C5 and C6 vertebral bodies. We see no hardware complications. There is a spacer device within the anterior aspect of the C5-6 intervertebral space. Small posterior vertebral body osteophytes at C4-5 and C5-6. There is fusion of t... | Postoperative changes of ACDF as above. |
Generate impression based on findings. | There is no evidence for intracranial hemorrhage. There are no masses, mass effect or midline shift. The ventricles and sulci are prominent in size but within normal limits for age. The grey-white matter differentiation is normal. Hypoattenuation in the periventricular areas likely related to moderate chronic small ve... | No evidence of acute intracranial hemorrhage. No evidence of subdural hematoma as clinically questioned. |
Generate impression based on findings. | Asthma exacerbationVIEW: Chest AP (one view) 4/7/15 1235 hrs Cardiac silhouette size is normal. Peribronchial thickening a large lung volumes. Streaky opacities of both lung bases may represent subsegmental atelectasis. | Peribronchial thickening, with bibasilar streaky subsegmental opacities. Reactive airway disease versus viral infection are considerations. |
Generate impression based on findings. | 72 year old female status post left lumpectomy in 2009 for invasive lobular carcinoma with LCIS, presents today for routine follow up. Patient received radiation therapy and is on Arimidex. No current breast complaints. No family history of breast cancer. Three standard views of both breasts, and a laterally exaggerate... | 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. | 65 years, Male, Reason: prostate cancer and bone mets History: as above; please compare with orevious bone scan. Foci of increased activity in the right ilium, upper thoracic spine, and right anterior eighth rib are stable. Foci of increased activity within T12 and L5 are increased. No new foci of increased activity. | Progression of osseous metastatic disease. |
Generate impression based on findings. | Reason: HCC post TACE/RFA increasing AFP rule out mets History: HCV cirrhosis LUNGS AND PLEURA: A few scattered pulmonary micronodules are unchanged, and likely benign postinflammatory or postinfectious micronodules. No new or suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: Small none... | 1.No evidence of intrathoracic metastatic disease.2.See separately dictated abdominal MRI. |
Generate impression based on findings. | Male, 72 years old, with history of nasopharyngeal cancer status post CRT. Mild asymmetry of the nasopharyngeal mucosa is seen without evidence of any mass lesion. Also redemonstrated is a region of ill-defined soft tissue thickening centered in the right parapharyngeal space with extension laterally to the carotid spa... | 1.No evidence of disease progression in the neck.2.Stable nonspecific soft tissue thickening in the right parapharyngeal space. |
Generate impression based on findings. | Male 75 years old; Reason: metastatic prostate cancer, evaluation of disease. Please provide bi-dimensional measurements per RECIST 1.1. History: metastatic prostate cancer CHEST:LUNGS AND PLEURA: Left upper lobe pulmonary nodule measures 8 mm on image 37 series 5 and is unchanged.MEDIASTINUM AND HILA: No significant a... | 1.Diffuse osseous metastatic disease. No significant change in the size of the left upper lobe pulmonary nodule. |
Generate impression based on findings. | 67 year-old female, unresponsive. Evaluate for stroke. There is no evidence of intracranial hemorrhage, mass effect or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. The calvaria and skull base are unremarkable. The imaged portions of the paranasal sinuses and mastoid air cells ... | No evidence of intracranial hemorrhage or cerebral edema. Please note that CT is insensitive in detection of early ischemia. If there is clinical concern for acute ischemia, MRI would be recommended for further evaluation. |
Generate impression based on findings. | Male 59 years old; Reason: recurrent prostate cancer with rising PSA History: recurrent prostate ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant ... | 1.Stable exam; no new sites of disease.2.Please correlate with same day bone scan for evaluation of the osseous structures. |
Generate impression based on findings. | Reason: Pleural mesothelioma please compare to prior exam per RECIST criteria History: Pleural mesothelioma CHEST:LUNGS AND PLEURA: Postsurgical changes of left pleurectomy/decortication. Reference pleural thickening at the left apex 11 o'clock position of uncertain clinical significance, measures 4 mm (series 3 image ... | 1.Interval increase in left axillary and retroperitoneal lymphadenopathy.2.Left posterior enhancing focal pleural thickening has slightly increased compared to prior.3.Unchanged reference focal left apical pleural thickening. 4.Unchanged pulmonary nodules. |
Generate impression based on findings. | 76-year-old with history of left lumpectomy and sentinel lymph node biopsy for breast cancer, performed in 2009. 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 distribu... | 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. | 47 year old female with pain after endoscopic dilation earlier today 4/7/2015. Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Administered oral Omnipaque 350 flows freely through the imaged cervical and thoracic esophagus without evidence of stenosis, ob... | No evidence to suggest esophageal perforation, as clinically questioned. |
Generate impression based on findings. | Reason: hx resected bladder cancer with neoadjuvant chemotherapy; on surveillance History: hx resected bladder cancer with neoadjuvant chemotherapy; on surveillance LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: Stable right paraesophageal lymph node (image 68 ser... | No interval change. No evidence of metastatic disease. |
Generate impression based on findings. | Reason: 67 yo M with Interstitial lung disease - organizing pneumonia. Please evaluate for disease progression History: Dyspnea LUNGS AND PLEURA: Date interval clearing of diffuse ground glass and reticular pulmonary opacities.Mild residual scarring at the lung bases and staple line in the right middle lobe.No signific... | Resolution of ground glass and reticular opacities with mild focal residual scarring. |
Generate impression based on findings. | Reason: h/o oral tongue ACC and CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules, some of which have increased in size. For example, the reference nodule in the right lower lobe is 16 x 17 mm (5/56), compared to 13 x15 mm using similar measurement technique. Le... | Pulmonary metastases, some of which have increased in size but remain stable in number. |
Generate impression based on findings. | Back pain, midline tenderness of the cervical spine.VIEWS: Cervical spine AP and lateral 4/7/15 (two views) Mild adenoid hypertrophy. Normal, visualized paranasal sinuses pneumatization. Normal alignment of the cervical spine with no prevertebral soft tissue thickening. No fracture or malalignment. No evidence of trach... | Normal examination. |
Generate impression based on findings. | Female 60 years old Reason: L sided neck pain Moderate degenerative disk disease at C4-5 and C5-6. Mild degenerative disk disease at C6-7. Apparent lucency within the left articular pillar at the level of C6 is probably artifactual due to summation of adjacent bony structures and appears similar to that seen on study f... | Degenerative disk disease as detailed above. |
Generate impression based on findings. | Reason: Patient with history of leukemia, pre- allo stem cell transplant evaluation. F/u previous CT History: F/U LUNGS AND PLEURA: New peripheral patchy nodular and tree in bud opacities in the right upper and posterior right lower lobe . Subpleural opacities in the right upper lobe (images 41 and 50 series 4) are som... | 1.Waxing and waning nodular and tree in bud opacities compatible with aspiration bronchiolitis.2.New wedge-shaped subpleural groundglass opacities in the right upper and lower lobes raising the question of pulmonary infarction. CT angiography of the pulmonary arteries is recommended if clinically indicated. |
Generate impression based on findings. | 33-year-old male. Left knee pain. Left hip pain. Evaluate for left hip FAI. Pelvis: Bony prominence along the lateral femoral head/neck junction bilaterally consistent with femoroacetabular impingement. There are associated os acetabula bilaterally. Mild osteoarthritis of the hip joints bilaterally.Left hip: Aforementi... | Bilateral hip abnormalities consistent with femoroacetabular impingement. |
Generate impression based on findings. | 37 year old female patient with history of abnormality seen in the left breast on screening mammography with oval lobulated ultrasound correlate in the 5 o'clock position of the left breast. Targeted left breast ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a hypoechoic oval lobula... | Successful ultrasound-guided core biopsy of the left breast lesion and clip placement. This is most likely a fibroadenoma. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 50 year-old male with history of bladder cancer status post neoadjuvant chemotherapy and cystectomy with neobladder formation. ABDOMEN:LUNG BASES: No suspicious pulmonary nodules or masses. No pleural effusions or focal air space opacities.LIVER, BILIARY TRACT: No suspicious hepatic lesions.SPLEEN: No significant abnor... | No evidence of metastatic disease or recurrence. Retroesophageal lymph node is incompletely imaged and better evaluated on CT chest from the same date. |
Generate impression based on findings. | Male, 67 years old, s/p fall. No evidence of intracranial hemorrhage or any abnormal extra-axial fluid collection is seen. There may be mild patchy white matter hypoattenuation, most conspicuously within the subinsular regions. However, no parenchymal edema, mass effect or loss of gray-white distinction is noted. The v... | No acute intracranial abnormality. |
Generate impression based on findings. | 33-year-old male. Left hip pain. Evaluate for left hip FAI. Bony prominence of the lateral femoral head/neck junction consistent with femoroacetabular impingement. Associated small os acetabula. | Findings consistent with femoroacetabular impingement. |
Generate impression based on findings. | Age: 74 years. Sex : Female. Reason for study: Reason: Aid in evaluation with swallow study. Difficulty with swallowing. abnormal esophogram. Pt with hx of low BMI and Parkinson's disease History: low BMI with poor appetite, difficulty swallowing. Fluoroscopic guidance was provided for an oropharyngeal motility study p... | The exam was positive for penetration and negative for aspiration. |
Generate impression based on findings. | 80 years, Male, Reason: metastatic prostate cancer, evaluation of disease during treatment with investigational therapy. pleas complete PCWG2 form History: metastatic prostate cancer. Numerous osseous metastases involving the spine, ribs and pelvis. Lesions in L3 and L5 are slightly progressed. Remaining lesions are st... | Progression of metastatic disease. |
Generate impression based on findings. | 64-year-old male with history of right kidney mass. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Arising from t... | Right renal lesion most compatible with an angiomyolipoma. |
Generate impression based on findings. | Status post left femur fractureVIEWS: Left femur AP and lateral 4/of the a 15 (tube views) A compression plate and 5 screws have been applied on an oblique healing fracture of the left femur. Alignment is anatomic. | Status post open reduction and internal fixation of left femur fracture as described. |
Generate impression based on findings. | Left elbow fracture.VIEWS: Left elbow AP and lateral 4/7/15 (two views) Three K wires are affixing a healing supracondylar fracture to anatomic alignment. Minimal periosteal reaction is noted over the olecranon. Cast has been removed. | Healing fracture in anatomic alignment with no evidence of hardware complication after cast removal. |
Generate impression based on findings. | right forearm fractureVIEWS: Right forearm AP and lateral (2 views) 14:20:31 Cast material obscures fine bone detail. Healing fracture of radius and ulna. Persistent mild lateral displacement of the distal fracture fragments. | Healing fracture of radius and ulna, unchanged in alignment. |
Generate impression based on findings. | 75 years, Male, Reason: metastatic prostate cancer, evaluation of disease after 9 cycles of investigational therapy. Please complete PCGW2 form History: prostate cancer. Increased uptake in the spine, ribs and right acetabulum are stable. Subtle increased uptake in the left acetabulum is also unchanged. No new lesions ... | Stable osseous metastatic disease. |
Generate impression based on findings. | 72-year-old male with history of HNC and CRT, compare to previous measurements. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules, many of which are calcified. Right lower lobe nodule measures 6 mm x 4 mm (series 4, image 65), unchanged. Left lower lobe subpleural nodule measures 8 mm x 6 mm (series 4, image 84)... | No specific evidence of metastatic disease. |
Generate impression based on findings. | 54 year old female with history of melanoma, presents for follow-up scan after chemotherapy. Evaluate right lower lobe nodule and fissural nodule. CHEST:LUNGS AND PLEURA: Right lower lobe reference nodule (5/49) measures 1.2 x 1 .2 cm, previously 1.2 x 1.1 cm.The adjacent right lower lobe perifissural reference nodule ... | 1.Decreased size of peripancreatic mass as above.2.Although the perihilar lesions are unchanged in size by measurement, subjectively they are slightly more bulky in appearance.3.No new masses are seen. |
Generate impression based on findings. | Male, 20 years old, with history of relapsed Hodgkin's lymphoma, 18 months status post stem cell transplant. No adenopathy is detected in the neck. Mucosal tissues are free of mass lesions. The salivary glands and thyroid are unremarkable. The cervical vessels enhance normally. No concerning osseous lesions are detecte... | No evidence of active disease in the neck. |
Generate impression based on findings. | 40 year-old female. Left ankle pain. Sometimes medial and sometimes lateral. Left foot pain. Evaluate for possible stress fracture. Left ankle: Two 3 mm ossific densities anterior to the tibiotalar joint may represent loose bodies. No fracture or dislocation is evident.Left foot: No fracture or dislocation. | No fracture. Small ossific densities anterior to the tibiotalar articulation, may be loose bodies. |
Generate impression based on findings. | Female, 5 years old, history of cleft palate and mandibular hypoplasia status-post repair with jaw clicking. The skull is intact and shows normal morphology. The major cranial sutures are identified and are normal. The facial structures appear intact and unremarkable. Mild notching is evident at the posterior aspect of... | 1.No abnormalities of the mandible or temporomandibular joints. 2.No additional specific findings to account for the patient's symptoms. |
Generate impression based on findings. | 20 year-old male with history of leukemia, pre allogenic stem cell transplant evaluation. There has been significant interval improvement in paranasal sinus mucosal thickening and secretions. Few ethmoid air cells remain opacified. A mucous retention cyst is again noted in the right maxillary sinus. No air fluid levels... | Near resolution of paranasal sinus opacification. Persistent right maxillary sinus mucous retention cyst. |
Generate impression based on findings. | Reason: asses infection History: new fever, previously reported history of myeloma per pathology report LUNGS AND PLEURA: Patchy consolidation and ground glass within the central left upper lobe. Posterior pleural based consolidation within the left lower lobe with a component of subsegmental atelectasis. In the clinic... | Left upper and lower lobe patchy consolidation suspicious for infection.Osseous lesions reflecting multiple myeloma. |
Generate impression based on findings. | Age: 53 years. Sex : Male. Reason for study: Reason: evaluate for aspiration/penetration History: tonsil mass, globus sensation. 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 ha... | The exam was negative for penetration and negative for aspiration. |
Generate impression based on findings. | The maxillary sinuses, frontal sinuses, sphenoid sinus, and left ethmoid air cells are clear as are the bilateral mastoid air cells and middle ear cavities and there are no air-fluid levels. There is a very small amount of debris within the right mid ethmoid air cells. The bilateral maxillary sinus ostia are patent as... | No significant sinus disease. |
Generate impression based on findings. | Fracture.VIEWS: Left forearm PA/lateral (two views) 04/07/15 A cast obscures bone detail. K wires remain in place. The fractures of the mid radius and ulna are in near anatomic alignment. Periosteal reaction encircles both bones. | Healing both bones fracture of the mid forearm. |
Generate impression based on findings. | 7-year-old female with history of imperforate anus and constipation. Evaluate degree of stool burden.VIEW: Abdomen AP (one view) 4/7/2015 Nonobstructive bowel gas pattern. Stool is noted within the rectum. There is partial sacral agenesis. | Stool within the rectum. |
Generate impression based on findings. | 40 year-old female with history of metastatic melanoma. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: No significant abnormality noted.CORONARY ARTERY CALCIFICATION: None.CHEST WALL: No axillary lymphadenopathy.ABDOMEN:LIVER, BILIARY TRACT: No significant ... | Mild thickening of the proximal ascending colon may represent a subclinical inflammatory process. Adjacent minimally enlarged mesenteric lymph nodes may be reactive, although careful attention on subsequent examinations is recommended. |
Generate impression based on findings. | 66 years, Male, Reason: new onset gait disorder, cocnern for early Parkinson's disease History: gait disorder. Abnormal uptake of right basal ganglia suggests a dopaminergic deficit. Left basal ganglia exhibits normal uptake. | Abnormal uptake of right basal ganglia suggests a dopaminergic deficit. |
Generate impression based on findings. | 61 year old female status post right mastectomy in 2003 for high-grade DCIS, presents today for routine follow up. No current breast complaints. No family history of breast cancer. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Femur fracture.VIEWS: Right femur AP/lateral (two views) 04/07/15 The screws have been removed. Alignment is anatomic. Periosteal reaction and surrounds the distal femur. | Healing distal femoral fracture. |
Generate impression based on findings. | 4/8/13 LUNGS AND PLEURA: Basilar predominant patchy groundglass opacities with scattered hyperlucent lobules.There is mild sub-pleural reticulation without evidence of honeycombing or significant traction bronchiectasis.Surgical sutures are noted in the right lower lobe.No suspicious pulmonary nodules or masses.No pleu... | 1.Interval increase in the basilar predominant groundglass opacities with mild subpleural reticulations compatible with NSIP, drug toxicity, or hypersensitivity pneumonitis.2.Stable 9-mm right breast nodule. |
Generate impression based on findings. | FractureVIEWS: Left wrist PA and lateral (2 views) 14:42:42 Overlying cast obscures bone detail. Redemonstration of distal radial and ulnar with persistent mild lateral and dorsal angulation. There are periosteal reaction and callus formation at the fracture sites. | Healing distal radial and ulnar fracture. |
Generate impression based on findings. | 59 years, Female, Reason: 59 y.o with Left breast cancer at 6:00 position, non palpable, need lymph on 4-7-15 History: Left breast cancer.RADIOPHARMACEUTICAL: The left breast was prepared in a sterile manner. A total of 1.0 mCi Tc-99m filtered sulfur colloid was injected in four periareolar injections. A focus of incre... | Sentinel node identified in the left axilla. |
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