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Generate impression based on findings. | Female 64 years old Reason: S/p Left TKA History: S/p Left TKA Components of left total knee arthroplasty in near-anatomic alignment without complication. Skin staples, drain and gas within the soft tissues reflect recent surgery. | Postoperative changes of total knee arthroplasty. |
Generate impression based on findings. | IntubationVIEW: Chest AP 4/8/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Right central line and left PICC with tips at the cavoatrial junction. The pericardial drain is not significantly changed in position. Cardiothymic silhouette is enlarged unchanged. Bilateral lung opacitie... | Bilateral lung opacities and pleural effusions not significantly changed. |
Generate impression based on findings. | CAD, ESRD, DM with headache and tremor. Assess for burden of cardiovascular disease. No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits for age without ev... | Minimal chronic small vessel ischemic changes. |
Generate impression based on findings. | Reason: evaluate for infiltrate History: hypoxiaVIEWS: Chest AP/lateral (two views) 1:18:30 Cardiothymic silhouette is normal. Perihilar peribronchial thickening. Retrocardiac atelectasis. No pneumothorax or pleural effusion. | Findings consistent with bronchiolitis or reactive airway disease. |
Generate impression based on findings. | 50-year-old male. Pain. Increasing left wrist pain after s-l fixation ? broken screw. A screw affixes the scaphoid and lunate in near-anatomic alignment. No fracture of the screw is evident though there is lucency around it raising concern for loosening. | Surgical fixation of the scaphoid to the lunate with findings concerning for screw loosening. |
Generate impression based on findings. | 87-year-old female with lower abdominal pain. Assess for intra-abdominal process, diverticulitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abn... | 1. No significant abnormality seen in the abdomen or pelvis and no findings seen to account for patient's symptomatology. 2. Approximate 3-cm fluid collection seen in right inguinal region of uncertain significance. |
Generate impression based on findings. | 51-year-old male with history of ALL, neutropenia and diarrhea. Evaluate for typhlitis and colitis. ABDOMEN:LUNG BASES: Minimal left lung base pleural thickening. The previously seen pleural effusions have resolved almost completely.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormalit... | 1.Moderate amount of abdominal/pelvic ascites, with findings suggestive of mild ileus.2.Questionable wall edema of the distal ileum, which could be due to inadequate distention versus inflammation. |
Generate impression based on findings. | Cystic fibrosis, dyspnea, shortness of breath. Assess for pulmonary embolus. PULMONARY ARTERIES: Diagnostic quality infusion. No evidence of pulmonary embolus or acute complication at the pulmonary arterial anastomoses.LUNGS AND PLEURA: Postsurgical changes of bilateral lung transplant. Trace pleural fluid bilaterally.... | 1. No evidence of pulmonary embolus. 2. Right chest port tip within the coronary sinus which is collapsed around the catheter, the left atrium is diminutive and has decreased in size compared to the prior examination. Consider repositioning of port catheter. Michael Wilkinson (3583) notified at the time of final dictat... |
Generate impression based on findings. | IntubatedVIEW: Chest AP 4/8/15 ET tube tip at the level of the thoracic inlet. Cardiothymic silhouette normal. Increasing atelectasis at the left lower lobe. No pleural effusion or pneumothorax. | Left lower lobe atelectasis increased in the interval. |
Generate impression based on findings. | 79-year-old female. History of fusion. Evaluate hardware and fusion. Surveillance. Bone graft cages at L2 to L5 without evidence of extension into the spinal canal. Compression deformities of L1 and T12, similar to prior. There is also a severe compression deformity of T10, as seen on prior CT. Levoscoliosis of the tho... | Stable vertebral body compression deformities and post-operative changes. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. There is a focal asymmetry in the left... | 1.Focal asymmetry in the left breast at the 3:00 position. Recommend dedicated spot compression diagnostic mammogram with possible ultrasound.2.Bilateral axillary and left intramammary lymph nodes containing calcifications are nonspecific and may relate to prior granulomatous disease though other systemic etiologies ar... |
Generate impression based on findings. | Female; 55 years old. Reason: mets lung cancer. bone mets. s/p 4 cycles of chemo. pls c/w previous study and evaluate tx response. History: lung ca ABDOMEN:LUNG BASES: See report from dedicated CT chest performed concomitantly.LIVER, BILIARY TRACT: Stable too small to characterize right hepatic hypodensity (series 7/28... | 1.Stable nonspecific hypoattenuating hepatic lesions. Again, dedicated liver imaging can be obtained if clinically indicated.2.Stable nonspecific sclerotic lesions in the left femur and right acetabulum. |
Generate impression based on findings. | Severe temporal headaches status post recent fall and struck head. Evaluate for subdural bleed. There is global parenchymal volume loss. There is no evidence of intracranial hemorrhage or mass effect. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The... | No evidence of acute intracranial hemorrhage or mass effect. |
Generate impression based on findings. | Female 23 years old Reason: rib fracture History: Assault. We see no fracture or other findings to account for patient's pain. | We see no fracture or other findings to account for patient's pain. |
Generate impression based on findings. | Alignment is anatomic. There are no acute fractures or subluxations. Moderate mucosal thickening of the partially imaged maxillary sinuses is noted. Bilateral thyroid lobe nodules are present, with the largest measuring 1.4 cm on the right. Mild atherosclerotic vascular calcifications of the left carotid arteries. Mil... | 1. Moderate to severe multi-level neuroforaminal narrowing as described above. 2. Status-post C3-6 laminectomy. The dorsal thecal sac remains diminished/effaced which may be related to scarring. The spinal cord itself appears small, likely related to myelomalacia.3. Bilateral thyroid nodules, the largest of which measu... |
Generate impression based on findings. | 49-year-old female with history of adenoid cystic carcinoma status post CRT. Head: There is no abnormal enhancement to suggest metastatic disease to the head. No midline shift or mass-effect. There is no evidence of acute intracranial hemorrhage. The gray-white differentiation is preserved. Mild left maxillary sinus mu... | 1. Enhancing left tongue lesion is not significantly changed.2. No cervical lymphadenopathy.3. No evidence of intracranial metastatic disease.4. Multiple subcentimeter lung nodules are again seen. Please refer to separate report for findings in the chest. |
Generate impression based on findings. | 34-year-old female with history of right lower quadrant pain. Evaluate for appendicitis or ovarian pathology. ABDOMEN:LUNG BASES: No suspicious pulmonary nodules or masses.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLAN... | No evidence of appendicitis. Findings compatible with a right adnexal dermoid cyst. Although there is no significant adnexal inflammatory changes, ovarian torsion cannot be excluded on the basis of CT. If patient care warrants further imaging, a dedicated pelvic ultrasound may be obtained. |
Generate impression based on findings. | 65 year old female with history of acute onset of epigastric pain. ABDOMEN:LUNG BASES: Small hiatal hernia.LIVER, BILIARY TRACT: Particulate cholelithiasis, without findings of cholecystitis. No biliary dilatation.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signi... | 1.Small fat-containing ventral hernias as above.2.Particulate cholelithiasis, without findings of cholecystitis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with repeat bilateral MLO views and a left CC repeat view 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 dis... | 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. | Eight month old female patient status post PICC placement. VIEW: Chest AP (one view) 4/7/2015 at 1825 hrs Interval placement of left upper extremity PICC with tip in a hepatic vein. Endotracheal tube tip is below the thoracic inlet. Enteric tube tip is in the stomach. Right PICC tip is in the IVC. A left-sided chest tu... | Left upper extremity PICC tip is in a hepatic vein. |
Generate impression based on findings. | Female 26 years old Reason: point pain on distal anterior tib for several weeks, assess for lytic/met process History: point pain on distal anterior tib Two views of the left tibia/fibula demonstrate a chronic periosteal reaction along the distal lateral tibial diaphysis which may represent ossification along the synde... | 1.No fracture or malalignment.2.Chronic periosteal reaction along the distal lateral tibial diaphysis which may represent ossification along the syndesmosis and is likely of no clinical significance. |
Generate impression based on findings. | 59-year-old female patient with bilateral breast tenderness presents for routine screening mammography. Family history of ovarian cancer in sister. Two standard digital views of both breasts, additional left MLO, and tomosynthesis were performed 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, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 21-year-old male tachycardia, shortness of breath. Evaluate for PE. Motion artifact degrades image quality.PULMONARY ARTERIES: Technically adequate study. No evidence of pulmonary embolus. Main pulmonary artery caliber measures 3.5-cm in caliber suggestive of pulmonary arterial hypertension. LUNGS AND PLEURA: Diffuse b... | No evidence of pulmonary embolus. Cardiomegaly with severe acute pulmonary edema; hemorrhage or atypical infection may have a similar radiographic appearance and can be considered only in the appropriate clinical context. Main pulmonary artery caliber measures 3.5-cm in caliber suggestive of pulmonary arterial hyperten... |
Generate impression based on findings. | Six week old female patient with new desaturations and increased work of breathing.VIEWS: Chest and abdomen AP (two views) 4/7/2015 The cardiothymic silhouette is normal. Diffuse lung haziness is unchanged. No pneumothorax or pleural effusion is seen.The bowel is less distended. Minimally disorganized, nonobstructive b... | Unchanged diffuse lung haziness. |
Generate impression based on findings. | Female 90 years old. Reason: s/p SHS. History: same. Portable radiographs of the right hip and pelvis demonstrate interval placement of a dynamic hip screw and side plate affixing the intertrochanteric fracture in near anatomic alignment. There is no evidence of hardware complication. Skin staples and foci of gas withi... | Fixation of the intertrochanteric fracture as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of fallopian tube cancer. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Bilateral benign appearin... | 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. | 42-year-old male. Right hand nodule at the base of the right ring finger. No fracture, dislocation, or erosions of the bones. | No significant osseous abnormality. |
Generate impression based on findings. | Female, 37 years old. RUQ discomfort, epigastric burning LIVER: The liver measures 14.9 cm, with homogeneous echotexture, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic or extrahepatic biliary ductal dilatation. The common bile duct measures ... | No acute abnormality to account for the patient's symptoms. |
Generate impression based on findings. | Call back from screening mammogram for a focal asymmetry in the left breast. An ML view and two spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. A low density focal asymmetry is present with spot compression view at upper outer quadrant in the left breast. Foc... | No mammographic or sonographic evidence of malignancy. Benign cysts in the left breast As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screeni... |
Generate impression based on findings. | No significant prevertebral soft tissue swelling. No significant soft tissue swelling posterior to the spinous processes. The visualized lung apices are clear. Alignment is anatomic. There are no fractures or subluxations. The visualized intracranial and paraspinal contents are unremarkable.C2/3: No spinal canal steno... | No fracture or subluxation. Normal cervical spine examination. |
Generate impression based on findings. | 24-year-old male with shortness of breath, hemoptysis. Evaluate for pulmonary embolus. Atrial myxoma excision 12/2014. PULMONARY ARTERIES: Technically adequate study. No evidence of pulmonary embolism. Main pulmonary artery measures 24 mm in caliber, within normal limits. No evidence of right heart strain.LUNGS AND PLE... | 1. No pulmonary embolism. 2. Abnormal contour of the left inferior pulmonary vein; mycotic aneurysm cannot be excluded. Correlate for history of previous venous thrombus given known history of atrial myxoma. More accurate assessment with a pulmonary vein protocol cardiac gated CT if clinically warranted. 3. Right upper... |
Generate impression based on findings. | 59-year-old with known left breast cancer presents for wire localization. On review of the prior studies, a marker clip is present at left lower inner quadrant. The procedure, risks including bleeding, mistargeting and infection, and benefits of needle-wire localization were discussed with the patient. Questions were a... | Successful needle localization of the left breast clip.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Reason: sinus tachy wo clear etiology, O2 requirement, metastatic CA History: above PULMONARY ARTERIES: Examination is limited due to less than optimal opacification the pulmonary arterial tree. Within this limitation, there is no evidence ofcentral pulmonary embolus to the level of the lobe arteries. The pulmonary art... | 1.No evidence of a pulmonary embolus. 2.Interval development of small left-sided pleural effusion and bilateral basilar atelectasis.3.Marked hepatomegaly with large confluent areas of hypoattenuation as described on the recent CT of the abdomen dated 4/3/15.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Mu... |
Generate impression based on findings. | There is persistent near-complete opacification of the right maxillary sinus with central foci of hyperattenuation. There is decreased left maxillary sinus mucosal thickening. There is increased right sphenoid sinus mucosal thickening and mildly decreased left sphenoid sinus opacification. There is persistent scattere... | 1.Pansinus mucosal thickening with areas of interval worsening and improvement as described above. Again seen are foci of hyperattenuation which may be related to inspissated secretions and/or chronic fungal colonization. No findings to suggest an aggressive sinonasal infection.2.Bilateral otomastoid opacification simi... |
Generate impression based on findings. | 28 years old, Male, History: Evaluate for progression of ICH Stable position of two frontal ventriculostomy catheters. The more anterior ventriculostomy catheter tip terminates in the anterior horn of right lateral ventricle. The tip of the most posterior ventriculostomy catheter terminates within the cystic components... | 1. Ventriculostomy catheter tips in unchanged position with stable ventriculomegaly.2. Stable parenchymal hemorrhage within the right frontal lobe along the course of the posterior ventriculostomy catheter. Continued evolution of the layering hemorrhage within the posterior fossa cystic mass. |
Generate impression based on findings. | Male, 44 years old. Suspected dilation of the main portal vein raising the question of portal venous hypertension. Has a mild elevation of the liver enzymes. LIVER: The liver measures 19.1 cm, with homogeneous echotexture. A 0.8 x 0.5 x 0.7 cm subcapsular cyst is noted near the dome.The main portal vein is patent and n... | Mild hepatosplenomegaly. The portal vein is patent, with normal flow. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional left MLO were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, m... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Refractory fever and lower extremity swelling, concern for pulmonary embolism. History of sickle cell disease. PULMONARY ARTERIES: Non-diagnostic quality infusion. Opacification of the central pulmonary vasculature is an adequate to rule out the presence of PE. The main pulmonary artery is enlarged measuring 3.5-cm in ... | Non-diagnostic quality examination for pulmonary embolism; PE cannot be ruled out by this examination, though no large saddle embolus is identified Signs of pulmonary arterial hypertension and cardiomegaly.PULMONARY EMBOLISM: PE: Indeterminate.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not a... |
Generate impression based on findings. | 68 year-old male with leukocytosis, evaluate for abscess. ABDOMEN:LUNG BASES: Small bilateral pleural effusions and associated atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality no... | 1.Gastrocutaneous fistula as above, without intra-abdominal fluid collections or abscess.2.Small pleural effusions and associated atelectasis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 23 years old Reason: hand injury History: swelling and pain Three views of the right hand are provided. There is no evidence of fracture or malalignment. | No fracture or malalignment. |
Generate impression based on findings. | Eight-day old female patient with PPHN on ECMO, chest tube in place. VIEW: Chest AP (one view) 4/8/2015 Endotracheal tube tip is below the thoracic inlet and above the carina. Enteric tube tip is in the stomach with side ports in the lower esophagus. ECMO cannulas remain in place. UAC tip is at the level of T10. UVC ti... | Decreased aeration of the right lung. |
Generate impression based on findings. | Female 20 years old Reason: h/o 10d ankle pain, OSH x2 eval with diagnosis ankle sprain but post-molded for ?ligamentous injury History: ankle pain x 10d, s/p post mold at outside hosp, post mold removed for clear films given no fracture on OSH reads Three views of the left ankle are provided. There is no soft tissue s... | No fracture or malalignment. |
Generate impression based on findings. | 41 year old female with clear left breast nipple discharge since 1/2015 presents for routine screening mammography. Family history of breast cancer in mother, aunt and great aunt. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma i... | Grouped calcifications in the right lower inner breast. Recommend dedicated spot magnification views for further evaluation.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: ED - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Female 66 years old Reason: fracture? History: pain Three views of the left hand are provided. There is no evidence of fracture or malalignment. | No fracture or malalignment. |
Generate impression based on findings. | 52 year old female with history of transformed follicular lymphoma in presumed remission with biopsy proven right iliac disease. Surveillance CT. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: The heart size is normal without pericardial effusion.Anterior mediastinal soft tissue... | 1. Interval decrease in size in anterior mediastinal soft tissue mass with no new sites of metastatic disease.2. Stable right iliac, acetabular and femoral lesions. |
Generate impression based on findings. | 30 year-old female. AML, CHF status post LVAD. Now with right great toe cellulitis. Evaluate for osteomyelitis. Fevers, right great toe erythema. Soft tissue swelling of the great toe without underlying destructive osseous changes to suggest osteomyelitis. | Soft tissue swelling of the great toe without radiographic evidence for osteomyelitis. |
Generate impression based on findings. | 85-year-old female. Hip pain, fall. Right hip: No fracture or dislocation. Moderate osteoarthritis. Injection granulomas in the buttock.Left hip: No fracture or dislocation. Moderate osteoarthritis. Injection granulomas in the buttock. | Moderate osteoarthritis. |
Generate impression based on findings. | 25 year old female with a history of Crohn's s/p proctocolectomy with ileoanal anastomosis 12 years ago followed by 2 additional resections. Presents with pain, nausea and obstipation. Scout radiograph demonstrates a dilated loop of small bowel in the midabdomen. Transit time to the ileoanal anastomosis was approximate... | 1. Postsurgical changes of proctocolectomy with ileoanal anastomosis. There is no evidence of significant stenosis or obstruction at the level of the anastomosis, as clinically questioned. The previously described multiple dilated loops of small bowel proximal to the anastomosis are likely related to expected diminishe... |
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. Questionable new asymmetry in the lateral aspe... | Question new asymmetry in the left breast as described above. The patient should return for additional views, including spot compression views and possible ultrasound.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Reason: rule out PE History: tachy, chest pressure PULMONARY ARTERIES: No evidence of pulmonary embolus. The pulmonary artery is normal caliber.LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CORONARY ARTERY CALCIFICATION: None.CHEST WALL: No significant abnorma... | No evidence of a pulmonary embolus. No acute cardiopulmonary abnormalities identified.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Clinical question: Assess for recurrent CRS/nasal polyp. Signs and symptoms: Left-sided frontal pain/pressure; history of CRS and nasal polyps. Status post ESS. Medtronic sinus CT:Frontal sinuses demonstrate complete opacification of right and partial opacification of the left with improvement since prior exam.Ethmoid ... | 1.Residual sinusitis extensively in the right frontal sinus, minimally in the left, mild bilateral ethmoid and left chamber of the sphenoid sinus as detailed.2.Postoperative changes of ESS with partial bilateral ethmoidectomy and widely patent sinonasal windows. There is compromise of surgically enlarged left sphenoeth... |
Generate impression based on findings. | History of T2N3 left base of tongue squamous cell carcinoma, completion of radiation therapy on 9/7/13. Compare to previous measurement. There are post-treatment changes without evidence of a measurable left tongue base or tonsillar fossa mass. There are small scattered lymph nodes without evidence of significant cervi... | Post-treatment changes without measurable residual left tongue base and tonsillar fossa tumor. Small scattered lymph nodes without significant cervical lymphadenopathy. |
Generate impression based on findings. | Female 63 years old Reason: r/o fracture History: pain after fall into bathtub directly onto knee There is severe osteoarthritis with joint space narrowing of the medial and lateral compartment. There are tricompartmental osteophytes. There is a joint effusion. There is no fracture or malalignment. | Severe osteoarthritis and joint effusion without evidence of underlying fracture or malalignment. |
Generate impression based on findings. | 25-year-old with palpable lump in the right breast, and her physician palpated fullness in the left breast The patient states that she feels a lump in the right upper inner quadrant. With physical exam, no discrete mass is palpated at upper inner quadrant of the right breast. Focused ultrasound does not detect any abno... | No sonographic evidence for malignancy. We recommend that the patient return to her physician who initially palpated abnormality. BIRADS: 1 - Negative.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: assess lung mets History: hemoptysis here, mild hypoxia LUNGS AND PLEURA: Multiple bilateral pulmonary nodules have slightly progressed in size and number compared to the prior exam. Reference lesion (image 36 series 4) now measuring 12 mm x 10 mm previously measuring 10 mm x 8 mm.Increasing bilateral basilar a... | 1.Multiple pulmonary nodules demonstrating slight interval increase in size and number from the prior exam.2.Hilar or mediastinal lymphadenopathy demonstrating interval increase in size since prior exam.3.Redemonstration of left sixth rib and sternal metastases that are stable.4.No new sites of disease identified. |
Generate impression based on findings. | Reason: Better characterization of right lung hematoma vs effusion seen on CXR History: CXR findings as in report LUNGS AND PLEURA: Moderate right pleural effusion, loculated along the major fissure, with overlying compressive atelectasis, slightly decreased compared to prior. Interval decrease in septal thickening and... | 1.Moderate right loculated pleural effusion, slightly decreased compared to prior.2.Resolution or near resolution of previously seen right basilar edema.3.Near resolution of probable left renal postbiopsy changes. |
Generate impression based on findings. | Male 29 years old Reason: r/o fx History: fall during basketball Three views of the right ankle demonstrate lateral soft tissue swelling. There is no evidence of fracture or malalignment. | Soft tissue swelling without fracture or malalignment. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign right breast biopsy in 2000. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distr... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: R/O progression of pulmonary nodules History: neutropenic fever LUNGS AND PLEURA: New peripheral scarlike opacity in the right lower lobe. Stable bilateral scattered pulmonary microbubbles. No new or suspicious pulmonary nodules or masses. No focal consolidation. No pleural effusions.MEDIASTINUM AND HILA: Right... | 1.New scarlike opacity in the right lower lobe may be postinfectious/inflammatory in etiology. 2.Unchanged nonspecific scattered pulmonary micronodules. No new or suspicious pulmonary nodules or masses.3.No focal consolidation or evidence of infection. |
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, appears unchanged.No suspicious masses, microcalcifications... | 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. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. There is focal skin thickening with foci of calcification in the right... | No acute intracranial hemorrhage or mass-effect. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion. |
Generate impression based on findings. | Female 52 years old. Reason: low back pain, assess for bony abnormality. History: low back pain Five views of the lumbar spine demonstrate mild degenerative disk disease at L1/L2 and L5/S1. The vertebral body heights are preserved. Mild to moderate facet joint osteoarthritis affects the lower lumbar spine. Mild degener... | Degenerative arthritic changes as described above. |
Generate impression based on findings. | L4 -- L5. Assess for spondy/arthritis/fracture/degeneration. There is moderate to severe multilevel degenerative disk disease, particularly at L2/3 and L5/S1. Moderate facet joint osteoarthritis affects the lower lumbar spine. There is also hypertrophy of the spinous processes with associated mild degenerative arthriti... | Degenerative arthritic changes as described above. |
Generate impression based on findings. | Reason: mets lung cancer, malignanat pleural effusion. T790M mutation, s/p 2 cycles of CO-1686. Pls c/w previous study and evaluate tx response. History: lung ca CHEST:LUNGS AND PLEURA: Postsurgical changes of a partial right middle lobectomy. Slight interval decrease in large right loculated pleural effusion with over... | 1.Slight interval decrease right loculated pleural effusion and pleural thickening.2.Interval decrease in size of previously hypermetabolic right paratracheal lymph node.3.No new sites of disease. |
Generate impression based on findings. | 41-year-old with history of left lumpectomy for breast cancer in 2009, presents for short-term follow-up of right breast calcifications. Three standard views with two spot magnification views of the right breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, right unilateral diagnostic mammogram is recommended in 6 months. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 22 years, Female. Reason: 22yo F w/ enterocolitis, concern for perf/ileus History: as above NG tube tip in the distribution of the gastric body. Nonobstructive bowel gas pattern. However, there is evidence of diffuse small bowel wall thickening, better evaluated on recent CT abdomen. Within the limitations of this supi... | NG tube tip in the distribution of the gastric body. Evidence of small bowel wall thickening. |
Generate impression based on findings. | Male 35 years old Reason: eval fracture. History: pain. Three views of the left shoulder demonstrate a fracture of the greater tuberosity of the left humerus. The majority of the fracture appears nondisplaced with exception of a small, minimally displaced 8-mm fragment situated along the superolateral aspect of the hum... | Proximal humerus and ankle fractures as described above. |
Generate impression based on findings. | 78 year old with history of left mastectomy in 2008 for invasive ductal carcinoma and DCIS. Personal history of thyroid cancer. No new breast complaints. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandu... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, right unilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Call back from screening mammogram for a focal asymmetry at left lower inner quadrant. An ML view and two spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. A focal asymmetry in the left inner breast disperses with spot compression. Focused ultrasound did not de... | No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 62 years, Female. Reason: eval ngt position History: ngt NG tube has been advanced, with the tip in the distribution of the gastric body. A nonobstructive bowel gas pattern is identified. Residual contrast is again noted in the colon. Surgical suture material projects over the pelvis, unchanged. Gallstones project in t... | Interval advancement of the NG tube, now with the side-port distal to the GE junction, and the tip in the gastric body. |
Generate impression based on findings. | Head CT: There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage. The grey-white matter differentiation is preserved. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mastoid air cells are clear. Patchy per... | 1.No evidence for intracranial hemorrhage, mass, or edema.2.Evidence of minimal to mild atherosclerotic change of intracranial and extracranial arterial system. No evidence of intracranial and extracranial arterial stenoses, occlusions or aneurysms identified. |
Generate impression based on findings. | IntubatedVIEW: Chest AP 4/8/15 ET tube tip at the level of the thoracic inlet. NG tube tip at the GE junction. Umbilical lines unchanged. Cardiothymic silhouette normal. Minimal atelectasis right lower lobe. No pleural effusion or pneumothorax. | Minimal atelectasis right lower lobe. |
Generate impression based on findings. | Male 22 years old. Reason: eval for cause of low back pain. History: s/p fall onto back w low midline lumbar pain. Five views of the lumbar spine are provided. We see no fracture or malalignment. Perhaps there is mild narrowing of the L5/S1 intervertebral disk space. | No fracture or other acute findings evident. |
Generate impression based on findings. | Pain, swelling. Rule out fracture of index finger. Three views of the right hand are provided. There are tiny foci of mineralization dorsal to the head and neck of the middle phalanx of the index finger which could conceivably reflect prior injury to the extensor tendon, but I see no acute fracture on this study. Mild ... | No acute fracture evident; other findings as described above. |
Generate impression based on findings. | 61-year-old female with history of breast cancer. CHEST:LUNGS AND PLEURA: A left upper lobe pulmonary nodule measures 7 x 6 mm (image 57 of series 3). Scattered pulmonary micronodules. No focal air space opacities or pleural effusions. Mild left lingular and basilar bronchial wall thickening.MEDIASTINUM AND HILA: The h... | 1. Asymmetric diffusely enhancing left breast tissue likely representing patient's known history of breast cancer with enhancing left axillary, mediastinal, and hilar lymph nodes highly concerning for metastatic disease.2. Left upper lobe pulmonary nodule and scattered bilateral pulmonary micronodules. These lesions ar... |
Generate impression based on findings. | Age: 54 years. Sex : Female. Reason for study: Reason: assess for oropharyngeal dysfunction History: Reflux of food contents thru nose when eating x1 month. Fluoroscopic guidance was provided for an oropharyngeal motility study performed by the Speech Pathology section of the ENT service. The examination was recorded o... | The exam was negative for penetration and negative for aspiration. |
Generate impression based on findings. | Reason: mets lung cancer, bone mets, s/p 4 cycles of chemo. pls c/w previous study and evaluate tx response. History: lung ca LUNGS AND PLEURA: Right upper lobe spiculated subpleural nodule is significantly changed, measuring 2.2 x 2.0 cm (series 5 image 40), previously 2.3 x 2.0 cm, with associated scarring. No new pu... | Unchanged right upper lobe spiculated nodule. No new sites of disease. |
Generate impression based on findings. | Female 41 years old; Reason: Metastaic ovarian cancer needs re-evaluation and compare to prior scans. Per RECIST 1:1 bi-dimensional measurements where applicable. History: Metastaic ovarian cancer needs re-evaluation and compare to prior scans. Per RECIST 1:1 bi-dimensional measurements where applicable. CHEST:LUNGS AN... | 1.Single enlarged left para-aortic lymph node. No prior outside CT comparisons are available in the system. |
Generate impression based on findings. | Left-sided breast cancerRADIOPHARMACEUTICAL: The left breast was prepared in a sterile manner. A total of 0.5 mCi Tc-99m filtered sulfur colloid was injected in four periareolar injections. A focus of increased activity is noted in the left axilla, representing the sentinel node(s). This region was marked with an indel... | Sentinel node identified in the left axilla. |
Generate impression based on findings. | Reason: eval lung fields History: term H/O mat chorio with O2 requirementVIEW: Chest AP (one view) 9:52:32 The aortic arch, cardiac apex, and stomach are left sided. Cardiothymic silhouette is normal. Small amount of fluid in the minor fissure but no large pleural effusions. Mild pulmonary opacity bilaterally. Atelecta... | Findings likely represent transient tachypnea of the newborn. |
Generate impression based on findings. | Male 74 years old. Reason: R THA History: R THA Two views of the right hip demonstrate components of a right total hip arthroplasty situated in near-anatomic alignment without radiographic evidence of hardware complication. Early heterotopic ossification is noted in the adjacent soft tissue.Three views of the pelvis sh... | Total hip arthroplasty as above. |
Generate impression based on findings. | Male, 42 years old. right upper abdominal quadrant pain LIVER: The liver measures 20.3 cm, with heterogeneous echotexture, compatible with known hepatic metastases.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic or extrahepatic biliary ductal dilatation. The comm... | 1. Heterogeneous liver, compatible with known liver metastases. No biliary ductal dilatation.2. Moderate left hydronephrosis, similar to prior. |
Generate impression based on findings. | Female 47 years old. Reason: eval for DJD. History: neck pain with point tenderness. Three views of the cervical spine demonstrate mild degenerative disk disease, most prominent at the intervertebral disk space of C6/C7. There are small osteophytes projecting from the anterior aspect of several cervical vertebrae. Note... | Mild degenerative arthritic changes as described above, which appear similar to prior study. |
Generate impression based on findings. | 18 year old with lumps palpated by her physician Whole breast ultrasound for both breasts did not detect any abnormalities, including solid or cystic masses, in either breast. | No sonographic evidence of malignancy. We recommend that the patient return to her physician who initially palpated abnormality. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Clinical question: History of subdural hematoma status post iliac lesion. Signs and symptoms: Surveillance scan. Nonenhanced head CT:No detectable acute intracranial hemorrhage. Trace residual subdural thickening without acute blood density in the right parietal region remains similar to prior exam and could represent ... | 1.No detectable acute or new findings since prior exam.2.Trace residual low-density subdural without evidence of interval change since prior exam. |
Generate impression based on findings. | 69 year old with history of neoadjuvant chemotherapy and left lumpectomy in 2010 for triple negative invasive ductal carcinoma, followed by radiation therapy. No new breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is compos... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Female 55 years old Reason: knee pain History: knee pain Three views of the right knee are provided. Again seen are components of a total knee arthroplasty device situated in near-anatomic alignment with minimal lateral tilting of the patella and no evidence of hardware complication. There is an ossicle again seen in t... | Right total knee arthroplasty and degenerative arthritic changes as described above. |
Generate impression based on findings. | Age: 64 years. Sex : Male. Reason for study: Reason: Evaluate dysphagia History: dysphagia, resection of pituitary mass. Fluoroscopic guidance was provided for an oropharyngeal motility study performed by the Speech Pathology section of the ENT service. The examination was recorded on videotape. No static or hard copy ... | The exam was positive for penetration and positive for aspiration. |
Generate impression based on findings. | 71 years, Female. Reason: nausea vomiting History: nausea vomiting Slight interval retraction of the Dobbhoff tube, now in the distribution of the gastric body. Nonobstructive bowel gas pattern. Unchanged appearance of spinal fusion and bone graft hardware, IVC filter, and surgical clips in the right upper quadrant. Mo... | Dobbhoff tube tip in the distribution of the gastric body. |
Generate impression based on findings. | Clinical question: Evaluate sinuses. Signs and symptoms: History of ESS x 2; worsening nasal congestion and mucous drainage. Medtronic fusion sinus CT:Frontal sinuses are well pneumatized and unremarkable.Ethmoid sinuses demonstrate opacification of the anterior ethmoid air cells bilaterally.Sphenoid sinus demonstrates... | 1.Mild chronic pansinusitis; slightly more prominent in the maxillary and anterior ethmoid sinuses.2.Post op changes of bilateral ESS with patent bilateral sinonasal windows.3.Occluded bilateral sphenoethmoidal recesses secondary to mild mucosal thickening of the sphenoid sinus |
Generate impression based on findings. | 70 years, Female. Reason: epigastric pain History: epigastric pain A nonobstructive bowel gas pattern is identified. Degenerative changes affect the visualized spine, sacroiliac joints, and bilateral hips. A rounded calcific density in the pelvis is consistent with a uterine fibroid. For detailed thoracic findings, ple... | A nonobstructive bowel gas pattern is identified. |
Generate impression based on findings. | 89-year-old with history of right breast cancer status post mastectomy in 2001. Right chest wall pain. 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 of scattered fibroglandular elements, unchanged in pattern and distribution.... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, left unilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Adenocarcinoma. Follow-up CHEST:LUNGS AND PLEURA: Unchanged postsurgical appearance with overall similarity including right paramediastinal consolidation in midline shift. Right pleural thickening is also similar.The upper lobe predominant centrilobular nodular opacities are similar to prior studies given differences i... | Scattered pulmonary changes again suspicious for known underlying sarcoidosis without additional new pulmonary abnormality. See reference lesions measured above |
Generate impression based on findings. | Reason: Lung mets? New dx of lung cancer, staging CT History: SOB LUNGS AND PLEURA: Right perihilar heterogeneously enhancing mass measures approximately 8.5 x 6.6 cm (series 10242 image 46), increased in size compared to prior PET, when it measured approximately 7.1 x 5.8 cm (series 4 image 92). This mass encases and ... | 1.Right perihilar mass with postobstructive atelectasis/consolidation.2.Left lingular mass with post obstructive atelectasis/consolidation and adjacent pulmonary nodules.3.Extensive lymphadenopathy in the chest and upper abdomen.4.See separately dictated CT abdomen and pelvis. |
Generate impression based on findings. | 26 year-old with biopsy proven papilloma at the 3 o'clock position of the right breast and high probability benign fibroadenoma at the 9 o'clock position of the right breast. A targeted right breast ultrasound was performed for the previously demonstrated masses. At the 3 o'clock position of the right breast, 1 cm from... | No sonographic evidence for malignancy. Stable benign fibroadenoma at 9 o'clock position in the right breast. Possible remaining papilloma at 3 o'clock position in the right breast. BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Right ankle pain Three views of the right ankle reveal no evidence of any fractures or dislocations. The soft tissues are unremarkable. | Negative examination of the right ankle |
Generate impression based on findings. | 44 year old male. Status post left wrist ulnar styloid fracture. Evaluate for healing. There is new sclerosis at the perviously described step off seen along the cortex of the medial ulna at the base of the ulnar styloid, consistent with healing of a nondisplaced fracture. | New sclerosis at the medial distal ulna consistent with a healing fracture. |
Generate impression based on findings. | 58 year old with history of right reexcision lumpectomy and sentinel lymph node biopsy in 2001 for triple negative IDC. Patient received radiation and chemotherapy. No new breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
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