instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | 59 years, Male, Reason: recurrent prostate cancer with rising PSA. rule out History: recurrent prostate cancer. Increased activity at the L5-S1 facets bilaterally is likely degenerative. Increased uptake at the knees, ankles, wrists and right no is also likely degenerative.No suspicious foci to suggest osseous metastas... | No evidence of osseous metastases. |
Generate impression based on findings. | 56 year old female with small cell lung cancer compare to previous and measure 1) RUL mass, 2) Right pulmonary nodule and 3) right paratracheal mass CHEST:LUNGS AND PLEURA: Previously noted right paratracheal mass is increased in size measuring 4.2 cm x 4.0 cm (series 3, image 21) which encases the proximal right upper... | Interval progression of disease in the right lung with increase in size of right upper lobe mass as well as right hilar lymphadenopathy. |
Generate impression based on findings. | 49 years, Male, Reason: s/p bilateral lung txp with complicated course now with persistent nausea/vomiting, GJ-tube in place, can take PO History: as above. Visually there was retention of radiotracer in the stomach fundus.Using anterior and posterior geometric means, residual gastric activity at the following postpran... | Delayed gastric emptying. |
Generate impression based on findings. | Male, 76 years old, with nasal congestion and headaches. The paranasal sinuses are clear and the major sinus ostia are patent. The nasal septum is intact. The nasal cavity is clear and the turbinates are morphologically unremarkable. The olfactory grooves are symmetric. Mastoid air cells and middle ear cavities are als... | No evidence sinus inflammatory disease. |
Generate impression based on findings. | Male 61 years old. Reason: S/p L TKA. History: S/p L TKA. Two views of the left knee are provided. Components of a total knee arthroplasty are in near-anatomic alignment without radiographic evidence of complication. Skin staples, drain, and foci of gas in the anterior soft tissues reflect recent surgery. | Postoperative changes of a total knee arthroplasty. |
Generate impression based on findings. | All of the paranasal sinuses are clear as are the bilateral mastoid air cells and middle ear cavities. The bilateral maxillary sinus ostia are patent as are the bilateral frontoethmoidal and sphenoethmoidal recesses. There is no significant mucosal thickening of the turbinates. Mild leftward septal deviation is presen... | 1. All of the paranasal sinuses as well as the mastoid air cells are clear. No evidence of significant active sinus disease.2. Skull has a mottled appearance particularly within the sphenoid wing, which may be related to multiple myeloma. |
Generate impression based on findings. | Male 51 years old. Reason: eval for evidence of patellar tendon rupture s/p fall onto knees. History: b knee pain s/p fall. inability to extend knees. Four views of the left knee demonstrate bone demineralization, perhaps reflecting hyperparathyroidism/renal osteodystrophy. The left patella is high-riding with soft tis... | Bilateral patellar tendon rupture. |
Generate impression based on findings. | Female, 54 years old, with history of melanoma and new left neck swelling. Assess for metastatic disease. Hyperattenuating, presumably enhancing soft tissue has progressed with the left maxillary sinus. The sinus is now completely filled by this abnormal soft tissue. Also noted is progressive erosion of this soft tissu... | 1. Progressive disease with interval growth of tumor in the left maxillary sinus associated with progressive tumor erosion through the anterior sinus wall and through the inferolateral sinus wall.2. Progressive left neck adenopathy, at least at levels 2 and 3. |
Generate impression based on findings. | 60 years old Female. Reason: light chain myeloma with possible focal lesions or extra-medullary disease History: relapsed myeloma, r/o extramedullary disease or focal lesions. RADIOPHARMACEUTICAL: 13.2 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 94 mg/dL. Today's CT portion grossly demonstrates multiple ... | 1.Interval progression of osseous tumor with new lesions in the thoracic and lumbar spine, ribs, sternum, right femur and pelvis.2.Mildly interval increased activity in the left thyroid lobe nodule. |
Generate impression based on findings. | Female 90 years old; Reason: Any splenomegaly or other organomegaly History: known thymoma, and possible enlarged spleen ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic lesions. Hepatic and portal veins are patent.SPLEEN: No significant abn... | 1.No evidence of metastatic disease in abdomen or pelvis. |
Generate impression based on findings. | Female, 29 years old.Surgical Case Information | Procedure(s): Procedure(s): | KIDNEY TRANSPLANT | Operating Room: CDOR 17 CENTRAL | Surgeon(s) and Role: | * Piotr Witkowski, M.D. - Primary No unexpected radiopaque foreign object. A nonobstructive bowel gas pattern is identified. Surgical drain projects in the right he... | No unexpected radiopaque foreign object.These findings were discussed by telephone with Dr. Witkowski, the attending surgeon, on 4/7/15 at 15:13. |
Generate impression based on findings. | Status post fractureVIEWS: Right forearm AP and lateral 4/7/15 (two views) Cast material obscures fine bone detail. Healing fractures of the right radius and within weighted periosteal reaction and callus formation are in anatomic alignment. | Healing fracture, in anatomic alignment. |
Generate impression based on findings. | Clinical question: Chronic sinusitis. Signs and symptoms: Chronic sinusitis. Maxillofacial CT:Frontal sinuses demonstrate partial opacification of left frontal sinus with frothy sinus content.Ethmoid sinuses demonstrate partial opacification of left anterior air cells.Sphenoid sinus is hypoplastic and without evidence ... | 1.Bilateral maxillary sinusitis (left greater than right) and with air fluid level on the right and occluded bilateral ostiomeatal units.2.Left anterior ethmoid and left frontal sinus disease.3.Well pneumatized mastoid air cells and middle ear cavities bilaterally.4.Unremarkable orbits. |
Generate impression based on findings. | Female 15 years old Reason: bilateral knee pain History: bilateral knee pain Right knee: Subjectively the femoral trochlea seems shallow but we otherwise see no findings to account for patient's knee pain.Left knee: Subjectively the femoral trochlea seems shallow but we otherwise see no findings to account for patient'... | Subjectively the femoral trochlea seems shallow but we otherwise see no findings to account for patient's knee pain. |
Generate impression based on findings. | 33 year old female who has a complaint of right breast pain within the lateral aspect. History of recent right rotator cuff tear. No family history of breast cancer. MAMMOGRAM: Three standard views of both breasts, 2 spot compression views of the right breast, were performed digitally and reviewed with the aid of R2 CA... | High probability benign circumscribed, hypoechoic masses at the 10 o'clock position of the right breast, corresponding to mammographic findings. As long as the patient's physical examination remains normal, right unilateral ultrasound is recommended in 6 months to assess stability. The patient was instructed to return ... |
Generate impression based on findings. | Male 72 years old with low back pain and bilateral hip pain. Lumbar spine: Postsurgical changes of prior laminectomy. Severe degenerative disk disease at the L4-L5 and L5-S1 levels. Mild/moderate facet joint osteoarthritis affects the lower lumbar spine.Right hip: Mild osteoarthritis.Left hip: Mild osteoarthritis.Note ... | 1. Postoperative changes in the lumbar spine.2. Mild osteoarthritis as above. |
Generate impression based on findings. | Male 67 years old Reason: ap, lateral view, flexion, and extension views. Please do standing view. History: lumbar stenosis Severe multilevel degenerative disk disease throughout the lumbar spine. Mild grade 1 (approximately 4 mm) anterolisthesis of L4 relative to L5 which remains stable between flexion, neutral and ex... | Degenerative disk disease and facet joint osteoarthritis with grade 1 anterolisthesis of L4 without frank instability. |
Generate impression based on findings. | 58 year-old female with multiple sclerosis. Follow up progression. At least 10 small FLAIR signal hyperintensity foci in the pericallosal regions and scattered through the cerebral white matter and cerebellum bilaterally are not significantly changed in size, intensity, or number. Morphology and distribution are consis... | Stable multiple FLAIR hyperintense white matter foci compatible with known demyelinating disease. No new lesions are appreciated to suggest progression. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in paternal aunt at age of 40. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small mass... | 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. | 54-year-old with prior abnormal mammograms and lesion in right breast thought to be benign. 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 mas... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding. RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. Benign intramammary lymph nodes noted bilaterally.No suspicious masses, microcalcifications or areas of archi... | 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. If patient submits prior mammograms for comparison, an addendum or separate report can be made.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 7-year-old male patient with right testicular pain. Evaluate for torsion. RIGHT TESTIS: The right testis is normal in size and echogenicity. LEFT TESTIS: The left testis is normal in size and echogenicity. RIGHT EPIDIDYMIS: No significant abnormalities noted.LEFT EPIDIDYMIS: No significant abnormalities noted.OTHER: A ... | 1. No evidence of torsion.2. Fat containing right inguinal hernia. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses... | 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. | 6 year old male patient with a left calf mass. Evaluate size and characteristics of the left calf mass. Redemonstration of a mass along the medial aspect of the left calf in the subcutaneous tissues with an elliptical formation measuring approximately 3.9 x 7 cm, similar in size and appearance to the prior study. DOPPL... | Left calf venous malformation. Unchanged exam. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in mother at 68 and maternal grandmother at 88. Two standard digital views of both breasts and additional right MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibrogl... | Recommend dedicated spot compression views of 14 mm focal asymmetry in the right retroareolar region.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluation. RECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Head: There are postoperative findings related to left scalp tumor resection. Compared to 9/24/2014, interval increase in size of lytic lesion involving the left frontal calvarium is noted, measuring approximately 9 mm in the coronal plane, previously 4 mm. There is also irregularity involving the left frontal calvari... | 1. Compared to 9/24/2014, there is increase in size of lytic lesion involving the left frontal calvarium suspicious for local tumor progression. There is also irregularity involving the left frontal calvarium slightly more posteriorly which is stable to minimally worse which may be due to radiation related change versu... |
Generate impression based on findings. | 52 year-old female with right parotid gland mass. There is an ovoid lesion in the deep aspect of the right parotid gland measuring 10 x 7 x 10 mm (series 4, image 20; coronal image 43), unchanged in size. This lesion demonstrates T2 hyperintensity and slight signal heterogeneity seen on on previous MRI of the cervical ... | 1.10-mm lesion of the right parotid gland is unchanged in size compared to prior cervical spine MRI and may represent a primary parotid neoplasm. T2 hyperintensity seen on recent MRI favors benign pleomorphic adenoma, however given slight heterogeneity, other etiologies should also be considered.2.Findings suggestive o... |
Generate impression based on findings. | Female 51 years old. Reason: Bilateral knee pain Right knee: Mild/moderate medial compartment narrowing and small tricompartment osteophytes consistent with mild/moderate osteoarthritis. No joint effusion. Left knee: Mild/moderate medial compartment narrowing and small tricompartmental osteophytes consistent with mild/... | Osteoarthritis as detailed above. |
Generate impression based on findings. | 76 your old female with history of benign right breast biopsy in 2011, presents for routine annual diagnostic examination. No current breast complaints. No family history of breast cancer. MAMMOGRAM: Three standard views of both breasts, and additional right ML view, and 5 spot compression views of the right breast wer... | Interval development of suspicious masses at the 10 o'clock and 6 o'clock positions of the right breast. Ultrasound guided biopsy is recommended of both of these areas. Results and recommendations were discussed with the patient at the time of her examination, and all of her questions were answered.BIRADS: 4 - Suspicio... |
Generate impression based on findings. | Reason: Any change in the size of thymoma, or left upper lobe nodule? History: fatigue and exertional dyspnea LUNGS AND PLEURA: Biapical scarring and left apical dystrophic calcifications, likely postinfection/inflammatory in etiology. Left upper lobe pulmonary nodule has slightly decreased in size, measuring 5 mm (ser... | 1.Slight interval increase in anterior mediastinal mass, which may represent a thymoma, thymic cyst, or less likely a thymic carcinoma. 2.Slight interval decrease in left upper lobe pulmonary nodule, favoring a benign post-infectious/inflammatory etiology. No suspicious pulmonary nodule or mass.3.Persistent basilar ate... |
Generate impression based on findings. | 69 years, Female, Reason: Left UIQ 2.5 cm cancer, need lymph for surgery on 4-8/15 History: Left breast cancer.RADIOPHARMACEUTICAL: The left breast was prepared in a sterile manner. A total of 1 mCi Tc-99m filtered sulfur colloid was injected in four periareolar injections. Two immediately adjacent foci of increased ac... | Two adjacent sentinel nodes identified in the left axilla. |
Generate impression based on findings. | Reason: history of radiation/chemical pneumonitis, increasing ground glass opacity on CXR, History: increasing ground glass opacities LUNGS AND PLEURA: Diffuse geographic areas of interlobular and intralobular septal thickening and ground glass opacity in the right lung are increased in distribution in the right lower ... | 1.Progressive right gound glass favoring diffuse alveolar damage, likely related to drug toxicity.2.Slightly progressed left lung radiation reaction. 3.Known left lingular mass and hepatic lesions are difficult to assess without contrast and are incompletely imaged. 4.Sclerotic osseous foci, which may represent metasta... |
Generate impression based on findings. | 82-year-old female. Right shoulder pain and limitation of range of motion. Severe osteoarthritis of the right shoulder joint with marked joint space narrowing, subchondral sclerosis, and degenerative cysts, similar to prior exam. The humeral head is high riding, likely due to rotator cuff atrophy or a chronic tear. No ... | Severe osteoarthritis. |
Generate impression based on findings. | Severe constipationVIEW: Abdomen AP (one view) 4/7/15 at 1531 hrs Increasing in fecal accumulation with no evidence of obstruction or free air. No bowel distention. | Slight increase in fecal accumulation as described. |
Generate impression based on findings. | 52 year old female status post left mastectomy in 2002 for breast cancer, presents today for routine follow up. No current breast complaints. No family history of breast cancer. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed o... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 39-year-old male. Popping and pain. Popping lateral elbow. ? spurs versus loose body. No fracture, dislocation, or joint effusion. No significant degenerative arthritic changes of the elbow. No loose bodies are identified. | Limited study with only 2 views. No significant abnormality. |
Generate impression based on findings. | Leg length discrepancyVIEWS: Pelvis AP and frog leg 4/7/15 (2 views) Both, round, smooth and well formed femoral head are well directed to a normally developed acetabulum. No evidence of AVM or SCFE. No fracture or dislocation | Normal examination. |
Generate impression based on findings. | Female, 38 years old, chronic nasal congestion and frontal sinus pressure. Nasal polyps were seen on endoscopy. No significant mucosal thickening or secretion is seen within the frontal sinuses, at the level of the frontoethmoidal recesses, or in the ethmoid air cells. A small mucus retention cyst is present in the rig... | 1. No evidence of significant sinus mucosal inflammatory disease.2. No imaging evidence of the reported nasal polyps is detected. |
Generate impression based on findings. | Injury of left thumb by ball. Swelling and pain.VIEWS: Left hand PA/lateral/oblique (3 views) 04/07/15 The bones are normal in appearance. No fracture is seen. No significant soft tissue swelling is present. | Normal examination. |
Generate impression based on findings. | There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections or subdural hematomas. The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. Right sphenoid sinus is completely opacified with thicke... | 1. No intracranial hemorrhage. No acute intracranial abnormality.2. Evidence of prior endoscopic sinus surgery and findings related to chronic sinusitis within the sphenoids. |
Generate impression based on findings. | Male 24 years old Reason: follow up fracture History: pain Three views of the left shoulder showing a minimally displaced fracture of the greater tuberosity appearing similar to that seen on prior accounting for differences in patient positioning. | Minimally displaced greater tuberosity fracture appearing similar to prior. |
Generate impression based on findings. | Male 12 years old tendonitis with possible calcification.VIEWS: Right and left uncal AP, lateral and oblique 4/7/15 (6 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. No abnormal calcifications noted. | Normal examination. |
Generate impression based on findings. | Chronic left ulnar wrist pain since fall in February 2015. Please evaluate for left distal ulnar fracture. Shoulder pain, supraspinatus and "interossei" weakness. Three views of the left wrist are provided. I see no fracture. There is chondrocalcinosis of the triangular fibrocartilage. Moderate osteoarthritis affects t... | No fracture evident. Arthritic changes and other findings as described above. |
Generate impression based on findings. | 59-year-old male with history of jaundice. Evaluate patency of TIPS. Limited exam due to patient limited mobility.PORTAL VENOUS: Flow in the main portal vein is 0.6 m/sec. Quantification of flow in the left and right portal veins is not possible given this limited exam, however the expected reversal of flow in the left... | Limited exam, however the TIPS shunt is patent with measurements as above. |
Generate impression based on findings. | Female 58 years old Reason: 58yo s/p lap band, patrial hysterectomy, recent partial colectomy (for colon CA) andpartial panreatectomy c/bperitonitis and abd abscesses s/p 2 drain placements at OSH. Had ERCPw/ PD stent for leak yesterday per IGI. Request pancreatic protocol History: abd pain, ABDOMEN:LUNG BASES: Large l... | Loculated collection in the pancreatectomy bed. Small splenic infarcts.Large left-sided pleural effusion a small right sided pleural effusion with dependent atelectasis.Small amount of ascites.Multiple hypodense lesions in the liver which are likely cysts. MRI of the liver may be helpful if further evaluation of these ... |
Generate impression based on findings. | 63-year-old male with history of bilateral inguinal hernia repair (left in 2013) now with left groin pain radiating to the scrotum. ABDOMEN:LUNG BASES: Scattered pulmonary micronodules, nonspecific. No focal air space opacities or pleural effusions.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Microcalc... | Nonspecific high density fluid within the proximal left inguinal canal with minimal surrounding inflammatory changes. |
Generate impression based on findings. | Male 57 years old; Reason: renal cell cancer History: follow up compare with last CHEST:LUNGS AND PLEURA: Left upper lobe pulmonary granuloma. Few scattered pulmonary nodules which may also represent small non-calcified granulomata.MEDIASTINUM AND HILA: Heart size is normal. Reference mediastinal lymph node measures 1.... | 1.No evidence of metastatic disease.2.Findings of chronic liver disease with gastric varices. |
Generate impression based on findings. | Reason: UVC UAC placed, 36 week gestational age patient with respiratory distress.VIEW: Abdomen and chest AP (one view) 16:14:12 Enteric tube tip in the stomach. Endotracheal tube below the thoracic inlet and above the carina. Umbilical artery catheter tip at the T5 level. Umbilical vein catheter tip in the right atriu... | Umbilical artery catheter tip at the T5 level. Umbilical vein catheter tip in the right atrium. |
Generate impression based on findings. | Evaluate for constipation. History of congenital megacolon.VIEW: Abdomen AP (one view) 4/7/15 Normal abdominal gas pattern with minimal fecal accumulation. No evidence of obstruction or free air. | Normal examination. |
Generate impression based on findings. | 5 year old male patient with VOD. Assess for hepatofugal flow, portal vein clot. LIVER: The liver is enlarged and measures 15.4 cm in length. The liver echogenicity is increased, unchanged. No focal hepatic lesions are seen.GALLBLADDER, BILIARY TRACT: The gallbladder is filled with sludge. The common bile duct is not v... | Right portal vein thrombus and persistent hepatofugal flow throughout the remaining portal venous system. Ascites is mildly improved since 4/4/2015. |
Generate impression based on findings. | Male, 64 years old, with Parkinson's disease. Imaging is acquired portably, in the operating room, before and after the placement of bilateral deep brain stimulator leads. Preprocedure images again show left periatrial encephalomalacia related to chronic ischemia. Postprocedure images demonstrate bilateral stimulator l... | Portable imaging for surgical navigation purposes demonstrates the placement of bilateral deep brain stimulator leads without obvious complication. |
Generate impression based on findings. | 72-year-old male with history of EVAR 46 cm asymptomatic abdominal aortic aneurysm. One month postop. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant... | 1. Status post endovascular aortobiiliac stent without evidence of endoleak. The aneurysm sac is slightly larger with new periaortic fat stranding, which may represent a mild inflammatory process. Followup is recommended.2. Right upper pole neoplasm likely representing a small renal cell carcinoma.3. Small right midpol... |
Generate impression based on findings. | ET tube terminates below the thoracic inlet and above the carina. Cardiac silhouette size is normal. Left global opacity, likely atelectasis. | ET tube positioning as described.Left lower lobe opacity, likely atelectasis. |
Generate impression based on findings. | Cystic fibrosis.VIEWS: Chest PA/lateral (two views) 04/07/15 Cardiothymic silhouette and pulmonary vascularity are normal. Lung volumes are normal. No focal opacity is present. | Normal examination. |
Generate impression based on findings. | 76 years old Male. Reason: h/o prostate cancer with calvarial lesion (see outside imaging). History: vertigo. RADIOPHARMACEUTICAL: 13.4 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 77 mg/dL. Today's CT portion grossly demonstrates several low attenuation lesions in the left frontal bone and left parietal ... | Mild increased activity in the low-attenuation lesion in the left frontal bone, which are nonspecific. Suggest correlation with clinical history.Nonspecific foci of increased activity in the right upper neck at paraspinal region without definite CT correlation. |
Generate impression based on findings. | 35 year-old male. MVC. Neck pain. Straightening of the cervical spine, which may be positional or due to muscle spasm; alignment is otherwise unremarkable. Vertebral body heights and intervertebral disc spaces are preserved. No evidence of a fracture or post-traumatic subluxation. Dens is intact on the odontoid view. N... | No evidence of a fracture or post-traumatic subluxation. |
Generate impression based on findings. | 47 years, Female, Reason: follow-up; evaluate for progression History: Metastatic Breast Cancer; follow-up.RADIOPHARMACEUTICAL: 14.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 70 mg/dL. Today's CT portion grossly demonstrates multiple sclerotic lesions throughout the axial skeleton which are mostly unch... | 1.Progression of osseous metastases with multiple new metastases.2.Multiple new hepatic lesions suspicious for metastases.3.Foci of increased activity in the soft tissues posterior to the right fifth rib may represent a metastases.4.Increased activity of right breast lesion, recommend correlation with exam and mammogra... |
Generate impression based on findings. | Clinical question: Hemorrhage. Signs and symptoms: Dizziness and headache. Nonenhanced head CT:No detectable acute intracranial process. CT however he is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Periventricular, subcortical, pontine and left cerebellar foci of low-attenuation consistent ... | 1.No acute intracranial process.2.Age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Clinical question : Altered mental status. Assess for metastases. Signs and symptoms: Altered mental status. Nonenhanced head CT:There is no detectable acute intracranial hemorrhage, mass-effect, midline shift or hydrocephalus.Tiny foci of enhancement in the right occipital, left and right frontal lobes consistent with... | 1.No acute intracranial hemorrhage or mass effect.2.Interval decreased size of 3 small metastatic lesions as detailed above.3.Interval resolution of peritumoral edema of right frontal lobe metastatic lesion. |
Generate impression based on findings. | Clinical question: ICH? Signs and symptoms: Syncope and head trauma. Non-enhanced head CT:No detectable acute intracranial process. CT however is been sensitive for early detection of acute nonhemorrhagic ischemic strokes.No detectable calvarial posttraumatic findings.Subgaleal hemorrhage and edema in the left super or... | 1.No acute intracranial or calvarial findings. Mild left super orbital soft tissue/ subgaleal hemorrhage.2.Findings suggestive of mild age in determinate small vessel ischemic strokes. |
Generate impression based on findings. | Clinical question: Rule out CVA. Signs and symptoms: Left arm weakness and alteration of mental status. Nonenhanced head CT:There is no evidence of an acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.There are moderate periventricular and subcortical low... | 1.No acute intracranial process.2.Age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Clinical question: Rule out hemorrhage. Signs and symptoms: Syncopal episode with persistent headache and transient blurring of vision. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, corti... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Structural abnormality. Signs and symptoms: Seizure. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matt... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Clinical question: ICH. Signs and symptoms: ICH. Nonenhanced head CT:Subtle linear increased density within the right sylvian fissure in two adjacent axial images is identified. The streak artifact obscures the detail however possibly to mild subarachnoid hemorrhage cannot be entirely excluded. Recommend follow-up with... | 1.Subtle linear increased density in the right sylvian fissure could represent small subarachnoid hemorrhage and follow-up with repeat CT or LP is recommended.2.There is a small bony lytic lesion of right frontal highly suspected liver metastases lesion.3.Large left hemispheric encephalomalacia containing metallic coil... |
Generate impression based on findings. | ABDOMEN:LUNG BASES: Interval increased right lower lung atelectasis/consolidation and moderate sized effusion. Additional focus of consolidation in the lingula is partially visualized. Please see chest CT report for additional details.LIVER, BILIARY TRACT: Hypoattenuating foci within liver parenchyma, likely benign cy... | Multiple enlarged retroperitoneal lymph nodes as above, this would be atypical for a primary lung malignancy (given relative paucity of other metastatic involvement throughout the abdomen/pelvis). Second neoplasm such as lymphoma is on the differential. If patient treatment would differ based on these possible diagnose... |
Generate impression based on findings. | 72 years, Female. Reason: assess stool burden, signs of obstruction History: constipation Moderate stool burden. A nonobstructive bowel gas pattern is identified. Sternotomy wires and surgical clips are noted in the thorax. Moderate degenerative disease affects the hips, lower lumbar spine as well as the pubic symphysi... | Moderate stool burden without evidence of bowel obstruction. |
Generate impression based on findings. | 65 years, Male. Reason: per ep request prior to pacemaker History: na Nonobstructive bowel gas pattern. Gaseous distention of the stomach and colon. No evidence of pneumatosis intestinalis or portal venous gas.Epicardial pacer wires, right upper quadrant surgical clips and incompletely imaged bilateral surgical drains,... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Increased work of breathing. He phagocytic lymphohistiocytosis and stem cell transplant.VIEWS: Chest and abdomen AP (two views) 04/07/15, 1808 Feeding tube tip is at junction of duodenum and jejunum. Right lower extremity PICC tip is in the intrahepatic IVC.Cardiothymic silhouette is normal. Streaky opacities are prese... | Focal opacity in left lower lobe may be atelectasis or pneumonia. Subsegmental atelectasis in both bases. No obstruction. |
Generate impression based on findings. | 70 years, Female. Reason: abd pain, eval for free air, pathology; known pelvic mass History: abd pain Multiple gas-filled loops of small and large bowel which appear slightly distended, suggestive of an ileus pattern. No specific evidence of bowel obstruction. Stool is present throughout the colon. No evidence of free ... | Bowel gas pattern suggestive of ileus, without specific evidence of bowel obstruction. |
Generate impression based on findings. | Female 92 years old Reason: r/o fx History: L side pain s/p fall Two views of the bilateral hips and an AP view of the pelvis are provided. There are mild osteophytes indicating mild osteoarthritis. There is no pelvic fracture. There is no hip fracture or dislocation. Incidentally noted is severe degenerative disk dise... | 1. Mild osteoarthritis without fracture or dislocation.2. Severe degenerative disk disease of the lower lumbar spine. |
Generate impression based on findings. | 64 years, Female. Reason: patient with nausea and vomiting, uncontrolled DM, ?gastroparesis, reason for Nausea/vomiting? History: nausea/vomit Nonobstructive bowel gas pattern. Gaseous distention of the stomach. No evidence of pneumatosis intestinalis or portal venous gas. Probable calcified uterine fibroid. Bilateral ... | 1. Nonobstructive bowel gas pattern. 2. Bilateral pleural effusions and left basilar consolidation. 3. Radiopaque density projecting over the right hemiabdomen is of uncertain etiology and may be external to the patient, however, clinical correlation is indicated. |
Generate impression based on findings. | 82 year-old female with right upper abdominal pain. Liver cancer, HCC. CHEST:LUNGS AND PLEURA: Bilateral pulmonary parenchymal nodules are seen in a pattern most consistent with metastatic disease. Two reference nodules are provided as follows:Left lower lobe (series 11, image 50): 1.3 x 1.0 cm.Left lower lobe paravert... | 1. Liver morphology consistent with chronic liver disease. 2. Segment 4 mass lesion most consistent with hypovascular HCC with malignant portal vein tumor thrombus. 3. Multiple pulmonary parenchymal nodules most consistent with metastatic disease. 4. Cholelithiasis without other biliary tract complication. 5. Anterior ... |
Generate impression based on findings. | Reason: New NGT placement. Eval for in stomach History: as above The pelvis is excluded from the field-of-view. NG tube projects over the gastric body, with the side port in the gastric fundus. Redemonstration of multiple distended loops of gas-filled bowel, which appear grossly similar to prior exam, suggestive of an ... | NG tube tip in the proximal gastric body, consider advancing. Bowel gas pattern suggestive of ileus, which appears similar to prior; however, an early/developing small bowel obstruction cannot be excluded. |
Generate impression based on findings. | Clinical question: Evaluate for change in hemorrhage. Reduced EVD drainage today. Signs and symptoms: AMS. Nonenhanced head CT:Ventricle is within normal size and with evidence of decreased intraventricular hemorrhage since prior exam.Examination demonstrate interval decreased size of supratentorial ventricular system.... | 1.Interval decreased size supratentorial ventricular system with stable position of right frontal approach ventricular catheter.2.Stable acute dissecting hematoma in the left basal ganglia and thalamus.3.Stable vasogenic edema surrounding the hematoma and overall associated mass effect. |
Generate impression based on findings. | altered mental status, recent fall. No evidence of acute ischemic or hemorrhagic lesion.Mild non specific small vessel ischemic disease, no change since prior exam.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/ac... | No evidence of acute ischemic or hemorrhagic lesion.No change of small vessel ischemic disease since prior exam. |
Generate impression based on findings. | Female 79 years old Reason: s/p reduction History: same Components of a left total hip arthroplasty device appears in near-anatomic alignment status post reduction of a posterior dislocation of the femoral component. There is no periprosthetic fracture or dislocation.The right total hip arthroplasty device appears in a... | Left total hip arthroplasty status post reduction without fracture or dislocation. |
Generate impression based on findings. | 62 years, Female. Reason: assess bowel gas pattern History: ngt The pelvis is incompletely included in the field of view. NG tube tip projects at the level of the fundus of the stomach with the side port terminating above the level of the GE junction. Nonobstructive bowel gas pattern. Residual contrast is noted through... | NG tube side port terminates above the level of the GE junction and needs to be advanced. |
Generate impression based on findings. | Motor vehicle accident and right arm pain.VIEWS: Right humerus AP/lateral (two views) 04/07/15, 1737 and 1738 The humerus is normal in appearance. No fracture is seen. | Normal examination. |
Generate impression based on findings. | Reason: DHT placement History: see above Dobbhoff tube tip is coiled in the distribution of the gastric fundus. A nonobstructive bowel gas pattern is identified. The lower pelvis and portions of the right hemiabdomen are excluded from the field-of-view. Please refer to concomitant chest radiograph for detailed thoracic... | Dobbhoff tube tip projects in the gastric fundus. |
Generate impression based on findings. | 57 years, Female. Reason: ruq mass History: as above NG tube projects in the distribution of the gastric fundus. There is a nonobstructive bowel gas pattern, however, there is relative paucity of bowel gas in the upper abdomen, presumably related to known large hepatic masses. Multiple surgical clips project over the s... | NG tube tip overlying the gastric fundus. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Evaluate ventricles, surveillance imaging, strata @ 0.5 Again seen is a right frontal approach ventricular shunt catheter with the tip in the right frontal horn near the foramen of Monro. There is stable to minimal interval decrease in size of the lateral and third ventricles. Again seen are extensive areas of abnormal... | Stable to minimal interval decrease in size of the ventricular system compared to 3/12/2015. No intracranial hemorrhage or new mass effect. |
Generate impression based on findings. | 10 years old, Female, Reason: HA w/ VP shunt History: Headache Right frontal approach ventriculostomy catheter is in unchanged position with tip near midline appearing to terminate near the third ventricle. There is no kinking or discontinuity of the visualized shunt reservoir system. Ventricular system is stable in si... | Right frontal approach ventriculostomy catheter in unchanged position with stable size and configuration the ventricular system. |
Generate impression based on findings. | 57-year-old male with shortness of breath PULMONARY ARTERIES: Technically adequate study. Vascular encasement by tumor again noted. No evidence of pulmonary embolism. LUNGS AND PLEURA: Again seen is a large bulky heterogeneous right upper lobe mass which occludes the right upper lobe bronchus with concurrent tumor/lymp... | 1. No pulmonary embolus.2. Large right upper mass occluding the right upper lobe bronchus with concurrent tumor/lymphadenopathy surrounding the right middle and lower lobe airways, slightly increased in the right lower lobe. 3. Impaired right sided pulmonary venous drainage due to adjacent tumor as described above. 4. ... |
Generate impression based on findings. | 45 years, Female. Reason: assess placement of NG tube History: emesis after TF The pelvis is excluded from the field-of-view. NG tube tip projects at the level of the antropyloric region of the stomach, unchanged in position. Gastrostomy tube in place, unchanged. Multiple surgical clips are again seen in the pelvis. A ... | NG tube tip projects at the level of the antropyloric region of the stomach. |
Generate impression based on findings. | Reason: r/o PNA History: neutropenic feverVIEWS: Chest PA/lateral (two views) 20:30:28 A right-sided port is present. On PA view the port tip appears to cross the tricuspid valve into the right ventricle, but on lateral view the port tip projects posteriorly. No pleural effusion or pneumothorax. No abnormal focal airsp... | 1.Unknown location of the port tip. 2.No evidence of pneumonia as clinical questioned.Findings discussed with Dr. Onel on 4/8/2015 8:50AM, in person in the Comer pediatric radiology reading room. |
Generate impression based on findings. | Male 60 years old Reason: Please eval for source of Lower GI bleeding History: AFib on Eliquis, admitted with rectal bleeding, severe anemia. C-scope shows blood throughout colon and Terminal ileum The angiographic phase images are unremarkable. At the 6 minute mark, a tubular focus of increased activity is noted in th... | Positive examination for gastrointestinal hemorrhage likely within the distal ileum or ascending colon. |
Generate impression based on findings. | Male 80 years old Reason: fx History: ankle pain difficulty bearing weight Three views of the right ankle demonstrate moderate lateral soft tissue swelling about the ankle. There is no fracture or malalignment. There is a small plantar calcaneal spur. | Soft tissue swelling without evidence of fracture. |
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. Focal asymmetry with calcifications adjacent to... | 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. | Male 33 years old Reason: r/o fx History: 4th toe pain s/p trauma No fracture, malalignment or soft tissue swelling. | No findings to account for patient's pain. |
Generate impression based on findings. | 65 years old, Male, Reason: r/o bleed History: MVC with LOC this morning Head: There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. Minimal left maxillary and rig... | 1. No evidence of intracranial hemorrhage or skull fracture.2. No fracture or subluxation of the cervical spine. 3. Degenerative changes of the cervical spine most prominent at the C5-6 and C6-7 levels. There is mild to moderate spinal canal stenosis at C4-5 and C5-6 related to disc herniation and can be further assess... |
Generate impression based on findings. | History: L wrist pain, forearm pain s/p fallVIEWS: Left elbow PA oblique lateral (3 views) 20:42:01, left forearm PA and lateral (two views) 20:41:20, left wrist PA oblique lateral (3 views) 20:37:35 Elbow: Small well-corticated bony protuberance arising from the distal humerus posteriorly. No joint effusion.Forearm: N... | Small well-corticated bony protuberance arising from the distal humerus posteriorly which likely represent normal variation and not fracture. However, if persistent pain, repeat radiograph for further evaluation. |
Generate impression based on findings. | Organ procurement with surgery length greater than 8 hours. Question of RFO.VIEWS: Chest and abdomen AP (two views) 4/8/2015 Interval removal of the patient's heart, lungs, liver, and kidneys. Multiple suture lines and surgical clips remain. No unexpected radiopaque foreign object is identified. There is pneumoperitone... | No unexpected radiopaque foreign body.These findings were discussed by telephone with the OR nurses Mr. Florence and Mr. Rhynes on 4/8/2015 at 0518 hrs by the on call resident, Dr Mehta. The Gift of Hope surgeons were no longer in the OR nor pageable by the online directory system. |
Generate impression based on findings. | 78-year-old female with history of metastatic lung cancer, malignant pleural effusion. UTERUS, ADNEXA: Status post hysterectomy and bilateral salpingo-oophorectomy.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: Diverticulosis without evidence of diverticulitis.BO... | No evidence of metastatic disease. |
Generate impression based on findings. | Reason: R Toe fracture History: non weight bearing on R foot, R big toe tenderness to palpation at interphalangeal jointVIEWS: Right first toe AP and lateral (2 views) 20:57:45 No acute fracture or dislocation. | Normal examination. |
Generate impression based on findings. | Female 79 years old Reason: eval for fracture vs dislocation History: L hip pain Left total hip arthroplasty device with posterior dislocation of the femoral component, which appear similar to that seen on prior radiograph from 12/8/2014. There is no evidence of fracture.Tiny ossific densities projecting superior to th... | Left total hip arthroplasty device with posterior dislocation of the femoral component. |
Generate impression based on findings. | 72-year-old female with history of autoimmune hepatitis and CLL with worsening volume overload. Evaluate for worsening lymphadenopathy. Lack of intravenous contrast enhancement limits the evaluation of solid organ parenchyma and vascular structures. Given these limitations, the following observations can be made:CHEST:... | 1. Increasing lymphadenopathy with measurements as above.2. Liver morphology indicating chronic liver disease with chronic passive hepatic congestion.3. Increasing right pleural effusion with associated compressive atelectasis.4. Cardiomegaly, dilated IVC, and dilated pulmonary artery suggesting right heart failure and... |
Generate impression based on findings. | 6-year-old female patient with hypoxia and unequal breath sounds. Evaluate for pneumonia.VIEW: Chest AP (one view) 4/18/2015 The aortic arch, cardiac apex, and stomach are on the left. The cardiomediastinal silhouette is normal in size. Peribronchial thickening is noted. Streaky left retrocardiac opacity is seen. No pl... | Bronchiolitis/reactive airways disease pattern with subsegmental atelectasis. |
Generate impression based on findings. | Increased work of breathing. Chronic granulomatous disease and stem cell transplant. Fever and neutropenia. Duodenal hematoma.VIEW: Chest AP (one view) 04/07/15, 1820 Feeding tube tip is in gastric body. Left upper extremity PICC is at junction of superior vena cava and right atrium. Right central line tip is in right ... | Increase in size of right pleural effusion in the interval. |
Generate impression based on findings. | 92-year-old female. Trauma left knee, pain right knee. Evaluate. Right knee: Severe osteoarthritis with bone-on-bone apposition of the medial tibiofemoral compartment and tricompartmental osteophytes.Left knee: Ankylosis of the left knee joint. No acute fracture. | Severe osteoarthritis of the right knee. Ankylosis of the left knee joint. |
Generate impression based on findings. | Abdominal distentionVIEW: Abdomen AP 4/8/15 Gastrostomy tube in place. Abnormal dilated loops of bowel not significantly changed from prior study. Minimal retained contrast again noted. No pneumatosis or pneumoperitoneum. Minimal patchy atelectasis in the left lower lobe. | Abnormal dilated loops of bowel not significantly change from prior study. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.