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Generate impression based on findings. | Check following surgical intervention, esophageal cancer CHEST:LUNGS AND PLEURA: Mild to moderate scattered emphysematous changes are similar with associated minimal basilar scarring and/or atelectasis. The left lower lobe pulmonary nodule remains unchanged with additional scattered micronodules also unchanged. No new ... | No thoracic or abdominal evidence of disease recurrence |
Generate impression based on findings. | Post intervention changes from a distal right ICA aneurysm coil embolization resulting in streak artifact. Since the 2014 CT study there has been interval resolution of the left frontal parenchymal hematoma with mild residual encephalomalacia. No intracranial hemorrhage or evidence of acute cerebral or cerebellar cort... | No CT evident acute intracranial abnormality. |
Generate impression based on findings. | 53-year-old female with history of incidental renal mass seen on 11/2014 scan. ABDOMEN:LUNG BASES: No suspicious pulmonary nodules or masses. No pleural effusions.LIVER, BILIARY TRACT: Multiple right hepatic lobe lesions demonstrating peripheral nodular discontinuous enhancement with progressive fill in on delayed imag... | 1. Decreased size of left kidney hypoattenuating peripheral lesions with slight capsular retraction suggesting small chronic infarcts.2. Stable hepatic hemangiomas3. Dilated gonadal veins with tortuous pelvic veins suggesting pelvic congestion syndrome. |
Generate impression based on findings. | Male 65 years old Reason: history prostate cancer s/p surgery and salvage radiotherapy, rising PSA, assess for radiologic evident disease History: none Increased activity is noted in the maxillary ridge, shoulders, sternoclavicular joints, left knee, and right ankle compatible with periodontal disease and degenerative ... | Focus of activity in the right supraorbital frontal bone is suspicious for an osseous metastasis. |
Generate impression based on findings. | 24 year old male. Point tenderness distal second metatarsal. Evaluate for fracture. No fracture or dislocation. | No fracture. |
Generate impression based on findings. | Limb swelling, lung cancer, compared to prior CHEST:LUNGS AND PLEURA: The primary lung malignancy which is cavitary and spiculated in the left lower lobe appears smaller compared to the prior study. Currently the main lesion with satellite changes currently measures 2.4 x 2.2 cm (image 53 series 6) from a prior measure... | Interval decreasing size of the primary malignancy in the left lower lobe correlating with the described adenocarcinoma when compared to prior outside imaging. No new evidence to suggest progression. See reference measurements provided |
Generate impression based on findings. | 37-year-old female. Left wrist pain with dorsal mass. Painful wrist. No fracture or dislocation. No bony abnormality. | No bony abnormality. |
Generate impression based on findings. | 55-year-old male. History of HNC, left knee pain. No fracture or dislocation. No significant degenerative arthritic changes. | No significant abnormality to explain the patient's symptoms. |
Generate impression based on findings. | Reason: workup for myasthenia gravis, has bulbar weakness. look for thymoma History: see above LUNGS AND PLEURA: A few scattered nonspecific pulmonary micronodules. No suspicious pulmonary nodules or masses. Bibasilar dependent atelectasis and/or scarring. Biapical pleural parenchymal scarring. Mild to moderate upper l... | 1.No anterior superior mediastinal mass to suggest thymoma.2.Enlarged and heterogeneous right thyroid gland. 3.Mild emphysema. No suspicious pulmonary nodules or masses. 4.Additional findings as above. |
Generate impression based on findings. | Lung cancer, follow-up CHEST:LUNGS AND PLEURA: Bilateral upper lobectomies with scarring and fibrotic changes unchanged. No suspicious new nodules or masses, however scattered micronodules again observed. The reference right lower lobe 6-mm nodule is unchanged (image 36 series 5). Additionally the 7-mm groundglass nodu... | No acute or recurrent abnormalities. See reference nodules and measurements above |
Generate impression based on findings. | Male 25 years old. Reason: fracture? History: pain Three views of the right foot demonstrate perhaps mild soft tissue swelling but we see no fracture or dislocation. | Soft tissue swelling without fracture or dislocation. |
Generate impression based on findings. | Reason: abnormal port position on CXR History: pt on chemotherapy, febrile neutropenia LUNGS AND PLEURA: No pleural effusion or pneumothorax. No pulmonary nodules or masses. No significant nodularity of the pleura.MEDIASTINUM AND HILA: Right Port-A-Cath tip in the coronary sinus. Limited evaluation of the previously se... | Right Port-A-Cath tip in the coronary sinus. |
Generate impression based on findings. | Reason: new infection? History: stem cell transplant with refractory influenza a, now with new hypoxemia LUNGS AND PLEURA: Diffuse bronchial wall thickening and bronchiolitis with tree in bud and ground glass opacities, similar to prior. Bilateral over lobe bronchiectasis appear similar to prior. Scattered granulomas.N... | 1.Diffuse bronchiolitis, similar to prior, again likely most likely infectious in etiology due to patient's immunocompromised status, although aspiration cannot be excluded.2.New small right pleural effusion with overlying atelectasis/consolidation.3.New small pericardial effusion.4.New mild perihepatic ascites. |
Generate impression based on findings. | 57-year-old female. Pain, swelling. Pain, numbness. Evaluate for OA. Right shoulder: Tiny humeral head osteophytes consistent with minimal osteoarthritis of the glenohumeral joint. No fracture or dislocation.Left hand: No fracture or dislocation. No significant osteoarthritis. | Minimal osteoarthritis of the right shoulder. No significant osteoarthritis of the left hand. |
Generate impression based on findings. | Disseminated neoplasm and lung cancer. Chemotherapy, follow-up CHEST:LUNGS AND PLEURA: Persistent loss of volume in the right hemithorax with numerous pleural and subpleural nodules and associated thickening. Overall continued improvement is observed with the reference measurements including the following:1. abutting t... | Overall continued interval improvement with reference measurements provided. |
Generate impression based on findings. | 50 years old, Female, Reason: look for strucutrual cause of headache 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. The imaged paranasal sinuses and mastoid... | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
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. | 56 year old male tachy, low O2, confusion. Evaluate for pulmonary embolism. PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery caliber is normal. No evidence of right heart strain. LUNGS AND PLEURA: Right apical thin walled cavity measures 2.7 cm x 2.3 cm (series 4, image 36).Bilateral pleural... | 1. No evidence of pulmonary embolism. 2. Bilateral small pleural effusions, left greater than right with adjacent atelectasis.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 54 year old female status post Dobbhoff tube placement. The left hemiabdomen and pelvis are incompletely included in the field of view. Interval repositioning of the Dobbhoff tube with the tip projecting at the level of the body of the stomach. Nonobstructive bowel gas pattern. | Interval repositioning of the Dobbhoff tube with the tip projecting at the level of the distal body of the stomach. |
Generate impression based on findings. | 13-year-old male with knee pain for 3 weeks.VIEWS: Right knee AP, oblique, lateral (3 views) 4/8/2015 No acute fracture is evident. Alignment is anatomic. No knee joint effusion is identified. | Normal examination. |
Generate impression based on findings. | 82 year old with history of right lumpectomy in 1996 for breast cancer. Patient received adjuvant radiation. Her physician palpated a lump in the right breast. Three standard views of both breasts with two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The ... | 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: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Thymic cancer, follow-up CHEST:LUNGS AND PLEURA: Unchanged pulmonary appearance including an elevated right hemidiaphragm with adjacent compressive atelectasis in the lung base. Paramediastinal fibrotic changes with associated atelectasis is also identified at the level of the thymic tumor with associated mass effect o... | Stable multilobulated and partially calcified anteromediastinal mass compatible with known thymic carcinoma. See detail provided |
Generate impression based on findings. | 67-year-old male. Postop. Prosthetic assess. Hardware components of a total knee arthroplasty device situated in near anatomic alignment. No radiographic evidence of hardware complication. The silhouette of the patellar tendon is indistinct, unchanged, possibly due to overlying scarring. Minimal lateral tilting of the ... | Total knee arthroplasty device, unchanged. |
Generate impression based on findings. | Male; 65 years old. Reason: history prostate cancer s/p surgery and salvage radiotherapy, rising PSA, assess for radiologic evident disease History: none ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Few scattered subcentimeter hypoattenuating lesions are too small to characterize but likely... | 1. Questionable intraluminal mass in the distal jejunum, for which small bowel follow through examination is recommended.2. Otherwise, no significant abnormality. Please see report from bone scintigraphy performed today, which is a more sensitive and accurate indicator of osseous metastatic disease.Results discussed wi... |
Generate impression based on findings. | 74 year old male. Mid back pain. Evaluate for evidence of metastatic prostate cancer in patient with new mid back pain. Thoracic spine: No focal sclerotic lesion or evidence of a compression fracture. Minimal degenerative arthritic changes.Lumbar spine: 6 mm round sclerotic lesion in the right iliac wing may represent ... | Small sclerotic lesion in the right iliac wing may represent bone metastases, correlation with nuclear bone scan is suggested. No evidence fo a vertebral compression fracture. Minimal degenerative arthritic changes. |
Generate impression based on findings. | 62-year-old male with history of pleural/peritoneal mesothelioma. ABDOMEN:LUNG BASES: Moderate sized right pleural effusion and associated atelectasis. Multiple nodules and lymph nodes are seen in the inferior thorax, however please refer to the chest CT report for additional details.LIVER, BILIARY TRACT: Multiple hepa... | 1.Omental haziness/thickening as above, without interval change.2.Moderate size right pleural effusion and other thoracic abnormalities will be discussed on the CT chest. |
Generate impression based on findings. | Female; 82 years old. Reason: prior history of GIST tumor and renal mass, eval for interval change History: weight loss Lack of intravenous contrast limits sensitivity for solid organ pathology.ABDOMEN:LUNG BASES: Mild bibasilar dependent subsegmental atelectasis. Small amount of contrast seen in the distal esophagus, ... | 1. Increased size of exophytic right renal lesion since prior CT on 11/20/12, which is suspicious for neoplasm such as renal cell carcinoma. Contrast-enhanced dedicated renal CT or MRI can be obtained for further characterization as clinically indicated.2. Stable subcentimeter soft tissue nodule in the left upper quadr... |
Generate impression based on findings. | 44 year old female. All over pain status post fall. Evaluate for fracture. Right ankle: Small lucent defect in the medial talar dome with adjacent sclerosis, consistent with an osteochondral lesion, of indeterminate age. Right foot: Hallux valgus deformity. Moderate osteoarthritis of the first metatarsophalangeal joint... | Osteochondral lesion of indeterminate age in the medial talar dome. Degenerative arthritic changes, as described above. |
Generate impression based on findings. | Female 45 years old. Reason: R/o cervical radiculopathy. History: Pain radiation down R arm. The cervicothoracic junction is partially obscured by overlying anatomy. Six views of the cervical spine demonstrate straightening of the cervical spine, otherwise alignment is within normal limits. The intervertebral disk spac... | Slight straightening of the cervical spine, but no specific finding to account for the patient's right radiculopathy.These findings were relayed via text page to pager 1016 at 11:30 a.m. on 4/8/2015. |
Generate impression based on findings. | 46 year old female. Status post meniscus surgery. Pain. No fracture or dislocation. | No significant abnormality. |
Generate impression based on findings. | 45 year old female patient with screen detected lesion in the right breast in the 10 o'clock position 7 cm from the nipple with ultrasound correlate. Targeted right breast ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a hypoechoic ill-defined mass measuring 16 x 12 x 9 mm at the 10... | Successful ultrasound-guided core biopsy of the right breast lesion seen on mammography and ultrasound on 3/31/2015 and clip placement. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Male 39 years old; Reason: 39M s/p cystectomy/indiana pouch now with concern for small bowel obstruction History: obstipation, nausea/emesis, high NGT outputs ABDOMEN:LUNG BASES: Trace bilateral pleural effusions with adjacent compressive atelectasis.LIVER, BILIARY TRACT: Scattered, subcentimeter hypodensities are too ... | 1.High-grade small bowel obstruction without clear transition point.2.Approximately 6-cm abscess immediately posterior to the pubic symphysis. |
Generate impression based on findings. | Infrarenal abdominal aortic aneurysm status post endograft repair. ABDOMEN:LUNG BASES: Minimal atelectasis at both lung bases. Severe coronary artery calcifications.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No ... | Status post endovascular repair with probable Type III endoleak. SMA stenosis. Right groin hematoma. |
Generate impression based on findings. | 86 year old with history of left lumpectomy 1/2014 for IDC and DCIS. Patient has received neoadjuvant and adjuvant hormonal therapy. No new breast complaints Three standard views of both breasts and two spot magnification views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The br... | 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. | Two day old male patient with hydrops, prenatal abnormal findings. Question of renal, liver, kidney abnormality. LIVER: The liver measures 4.6 cm in length. No focal hepatic lesion is identified. There is no intra-or extrahepatic biliary ductal dilatation. Main portal vein flow is hepatopetal and measures proximally 0.... | Ascites and mild hydronephrosis bilaterally. |
Generate impression based on findings. | Status post C5 -- T1 PSF for C5 -- C7 nonunion after non-instrumented ACDF. The cervicothoracic junction is not well-visualized on the lateral view due to overlying anatomy. There are posterior stabilization rods with screws entering the C5, C6, and T1 vertebrae. I see no hardware complications. Intervertebral bone gra... | Postoperative changes of cervicothoracic fusion as described above. |
Generate impression based on findings. | The patient is status post remote posterior spinal fusion at L4-S1, with bilateral pedicle screws and paraspinous rods. A large fixation screw device traverses the L4, L5 and S1 vertebrae. The inferior aspect of the screw mildly contacts the right sacral neural foramen at the right S1/2 level. There is solid osseous f... | 1. CT myelogram demonstrating no significant spinal canal stenosis at any level in the lumbar spine.2. Status post remote posterior spinal fusion at L4-S1. There is slight inferomedial position of the right pedicle screw at the L5 level and possible contact of the right exiting L5 nerve root without impingement. The ri... |
Generate impression based on findings. | Cough fever evaluate source of infectionVIEWS: Chest AP and lateral Left chest port in place with tip in the cavoatrial junction. Cardiothymic silhouette normal. Minimal atelectasis right lower lobe. No pleural effusion or pneumothorax. | Minimal atelectasis right lower lobe. No evidence of pneumonia. |
Generate impression based on findings. | Male 55 years old Reason: recurrent osteo. History: increasing CRP Three views of the right foot are provided. Again seen are findings consistent with an osteotomy of the third distal metatarsal. New bone formation at the osteotomy site appears well corticated without evidence of osteomyelitis. There is also deformity ... | Deformity of the third metatarsal and third proximal phalanx is compatible with healed surgery/old infection, but without radiographic evidence of acute osteomyelitis. |
Generate impression based on findings. | 55-year-old male. Chronic left shoulder pain, possibly radicular. Cervical spine: Please note the cervical spine is visualized down to only the C5 level on the lateral view. Vertebral body heights are maintained. Mild degenerative disk disease with posterior element hypertrophy causing mild multilevel neural foraminal ... | Osteoarthritis and degenerative disk disease, as described above. |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 57 years old; Reason: 56 yr old female with metastatic stage IV ovarian cancer, '12 posterior exenteration and chemotherapy. Currently s/p cycle 8 Doxil therapy. Please assess current disease status and compare with 7/2014 baseline scan. History: abdominal masses CHEST:LUNGS AND PLEURA: Unchanged nodular pleural... | 1.No significant change from prior scan. Continued attention to hypoattenuating reticulation along the periphery of the liver on subsequent follow-up surveillance imaging is suggested. |
Generate impression based on findings. | Hip pain with sports.VIEWS: Pelvis AP/frog leg (two views) 04/08/15 Round, smooth femoral heads are well directed into normally formed acetabula. No fracture is identified. The bones are normal in appearance. | Normal examination. |
Generate impression based on findings. | 34 year old with a long-standing palpable lump in the right breast. Three standard views of both breasts with two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is heterogeneously dense. A triangular marker is placed at 12 o'clock posi... | High probability benign multiple cysts at 12 o'clock position in the right breast. Short-term follow-up with ultrasound study of the right breast in 6 months is recommended. Results and recommendations were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1... |
Generate impression based on findings. | 1.1-cm or renal mass. Please evaluate. Assess for change. ABDOMEN:LUNG BASES: Small pericardial effusion is unchanged.LIVER, BILIARY TRACT: No significant abnormality noted. Subcentimeter, hypodense nodules are stable and probably represent cysts. SPLEEN: No significant abnormality notedPANCREAS: No significant abnorma... | No change compared to prior. Stable left renal mass. Stable pericardial effusion. Possible pelvic venous congestion syndrome; correlate clinically. |
Generate impression based on findings. | Liver transplantVIEW: Abdomen AP 4/8/15 The proximal left biliary tip is horizontally placed in comparison to the prior study. The distal left biliary tip appears to be within the distal common bile duct. The proximal right biliary drain has migrated distally with the proximal tip likely within the common hepatic duct.... | Migration of both biliary drains and this was communicated to Dr. Azzam at the time of dictation. |
Generate impression based on findings. | Colorectal cancer, check for malignancy LUNGS AND PLEURA: Mild to moderate centrilobular emphysematous changes with scattered micronodules. No suspicious discrete nodule or masses. No effusions. Mild basilar atelectasis greater on the left.MEDIASTINUM AND HILA: Multinodular thyroid, probable goiter please correlate wit... | 1. No findings to support supera-diaphragmatic malignancy2. Probable goiter |
Generate impression based on findings. | History of esophageal CA with PE on CT 3/1/2015. PULMONARY ARTERIES: Technically adequate perfusion quality. Previously seen acute pulmonary emboli have cleared. There is a thin a residual web in a proximal right descending pulmonary artery branch (7/133), and the previously seen adherent thrombus has resolved. No acut... | No evidence of acute pulmonary embolus. Interval clearing of previously seen pulmonary emboli with in residual intravascular web in a branch of the right descending pulmonary artery. Occlusion of distal stent due to prolapse of gastric wall with intraesophageal fluid extending up to the thoracic inlet level suggesting ... |
Generate impression based on findings. | Non-small cell lung cancer CHEST:LUNGS AND PLEURA: Mild interval improvement and decreased size of the right upper lobe nodule with associated spiculation. Currently the lesion measures 1.6 x 0.8 cm (image 33 series 4), previously 1.6 x 1.2 cm when measured similarly. Please note measurements previously were re-drawn t... | Continued interval decreasing size of the known right upper lobe nodule and primary malignancy. No new suspicious additional lesions or lymphadenopathy |
Generate impression based on findings. | Female 63 years old; Reason: eval for appendicitis or diverticulitis History: abdominal pain, guarding on exam, w ttp in the rlq, periumbilical area ABDOMEN:LUNG BASES: Basilar reticular opacities, likely atelectasis.LIVER, BILIARY TRACT: Status post cholecystectomy. Fatty liver.SPLEEN: No significant abnormality noted... | 1.Small bowel obstruction secondary to incarceration within an umbilical hernia as described above. Free fluid raises the suspicion of an ischemic component. |
Generate impression based on findings. | Baseball player with elbow pain.VIEWS: Right elbow AP/lateral/oblique (3 views) 04/08/15 A joint effusion is not present. The bones are normal in appearance. Alignment is anatomic. No fracture is seen. | Normal examination. |
Generate impression based on findings. | 42-year-old with breast pain. Three standard views of both breasts with two spot compression 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. There is a lobulated, circumscribed mass at posterior upper inn... | High probability benign mass in the left upper inner breast. Short term follow up with left unilateral diagnostic mammogram is recommended in 6 months. Results and recommendations were discussed with the patient. BIRADS:3 - Probably benign finding. RECOMMENDATION:3B - Followup at Short Interval (1-11 Months). |
Generate impression based on findings. | 45 year old underwent right mastectomy. Radiograph of right mastectomy specimen is performed. Ribbon and Hydromark clips are present in the central aspect of the specimen. There is a suggestion of a mass between the clips. Multiple calcifications are present. | Digital specimen radiograph revealed the clips to be within the specimen. BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Female 79 years old; Reason: eval for progression History: metastatic RCC on pazopanib CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Coronary artery calcifications. Although not protocoled for pulmonary embolus, previously seen emboli in the right lobe are and segmental branches are not... | 1.Stable to slight interval decrease in size of right renal mass consistent with clinically known renal cell carcinoma. |
Generate impression based on findings. | 87 year old female with a history of sigmoid colon stricture and diverticulitis, with enlarging inguinal hernia. Within the limits of a non-IV contrast enhanced examination which limits ability to evaluate solid parenchymal organs and vascular structures the following observations can be made:ABDOMEN:LUNG BASES: No sig... | 1. Sigmoid colon stent unchanged in position and appearance with mild circumferential thickening surrounding stent, unchanged. 2. Bilateral inguinal hernias, right greater than left, unchanged in size and containing only mesenteric fat in the supine unstressed position. |
Generate impression based on findings. | Mesothelioma, follow-up LUNGS AND PLEURA: Lungs remain clear of suspicious pulmonary nodules or masses. The moderate right pleural effusion is unchanged with minimal overlying atelectasis. The mild nodularity along the anterior right hemidiaphragm is again observedMEDIASTINUM AND HILA: The reference right cardiophrenic... | Interval increasing lymphadenopathy, reference measurements provided above. Appearance otherwise is essentially stable. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is mild patchy periventricular and subcortical white matter hypoattenuation which is nonspecific, likely representing age indeterminate small vessel ischemic changes. The ventricles and basal cisterns are normal in size and configuration. ... | Mild age-indeterminate small vessel ischemic changes with no acute intracranial hemorrhage or mass-effect. CT is insensitive for detection of early nonhemorrhagic stroke, and if there is continued clinical suspicion for acute ischemia, MRI is recommended. |
Generate impression based on findings. | Thymoma status post chemotherapy and radiation therapy. CHEST:LUNGS AND PLEURA: Overall slight improvement in size of visceral and parietal pleural lesions, more numerous in the left lung than the right, and similar in number.When measured in a similar fashion, the left posterior costophrenic angle mass measures 3.9-cm... | Subjective improvement in pleural lesions and significant improvement in left upper quadrant region. Infiltrative soft tissue lesion surrounding the left common carotid artery, unchanged since the last exam, though it has slowly increased in size when comparing back to earlier studies. |
Generate impression based on findings. | 65-year-old female with ovarian cancer -- reevaluation. CHEST:LUNGS AND PLEURA: Peripheral left basilar subpleural atelectasis again seen, slightly more diffusely than previously but without a configuration simulating metastatic disease. The remainder of the lung parenchyma shows no nodules, masses or evidence of airsp... | 1. Progression of thoracic adenopathy with lesser change in abdominal or pelvic lymphadenopathy. 2. New marked mass ascites with diffuse peritoneal thickening indicative of probable diffuse mesenteric metastatic disease. 3. New capsular and subcapsular liver lesions consistent with metastatic disease. 4. Increasing siz... |
Generate impression based on findings. | Male 59 years old; Reason: GE junction carcinoma please compare to most recent imaging and provide index lesions for RECIST as required per study History: as above CHEST:LUNGS AND PLEURA: Interval decrease in size of now small bilateral pleural effusions. 1.2 x 1.0 cm nodular area of scarring in the right upper lobe in... | 1.Stable soft tissue thickening around distal esophageal stent.2.Stable to slight interval decrease in mediastinal lymphadenopathy.3.Interval decrease in bilateral pleural effusions and masslike consolidation in the right upper lobe.4.Interval resolution of abdominal ascites. |
Generate impression based on findings. | Evaluate for fracture. Status post fall. Three views of the right foot are provided. There are fractures of the bases of the second, third, and fourth metatarsals, likely intra-articular. There is mild lateral displacement of the second metatarsal diaphyseal fragment. There is also approximately 4 mm of lateral displac... | 1.Distal left fibular fracture.2.Multiple right metatarsal fractures as described above with involvement of the Lisfranc joint, as well as lateral subluxation of the first metatarsal relative to the first cuneiform. |
Generate impression based on findings. | Reason: s/p 11/12/14 pleurX removal, bronch, pleurectomy decortication, and right chest mass resection for malignant mesothelioma History: none. LUNGS AND PLEURA: Trace right pleural effusion and mild right basilar atelectasis/consolidation. Stable discontinuous partially calcified pleural plaques in the left hemithora... | 1.New changes along the right hepatic lobe peripherally, likely post radiation change given new history provided.2.Stable to slight interval decrease in pleural thickening of the right hemithorax.3.Decreased right pleural effusion. |
Generate impression based on findings. | Female 53 years old with rheumatoid arthritis. Reason: loose TEA? History: loosening motion Right elbow: Components of a right total elbow arthroplasty without radiographic evidence of loosening or hardware failure. There has been resection of the radial head.Right knee: Components of a right total knee arthroplasty si... | Postoperative changes of right total elbow arthroplasty, right total knee arthroplasty, and left total hip arthroplasty without evidence of loosening or hardware failure. |
Generate impression based on findings. | History of morbid obesity with chest pain, dyspnea and shortness of breath. PULMONARY ARTERIES: Technically nondiagnostic quality examination due to inadequate opacification of the pulmonary arteries as well as severe image noise related to patient's bodily habitus.LUNGS AND PLEURA: 17-mm nonspecific opacity containing... | Technically nondiagnostic examination; although no abnormalities are identified, PE cannot be excluded by this examination. 17-mm lipid containing subpleural lesion in the right posterior costophrenic angle too small to adequately characterize but of unclear etiology but more likely to be benign than malignant. This ma... |
Generate impression based on findings. | Enchondroma. Progression evaluation. Intramedullary calcifications within the neck and proximal diaphysis of the humerus are compatible with the suspected diagnosis of enchondroma and appear similar to those seen on the prior study. There is mild endosteal scalloping but I see no overt features of malignancy. | Findings compatible with proximal humeral enchondroma. |
Generate impression based on findings. | Female, 58 years old, posterior spinal fusion at L4-S1 with bilateral lower extremity numbness and tingling and radiating pain, more on the right. There is posterior spinal fusion at L4-S1 with large fixation screw traversing L4-S1. There is anatomic alignment of the lumbar spine. The vertebral body and disc space heig... | Successful fluoroscopically-guided lumbar myelogram without immediate complications. |
Generate impression based on findings. | Joint pain and swelling. Evaluate for rheumatoid arthritis. Three views of the left hand are provided. Moderate osteoarthritis affects the interphalangeal joints. Minimal degenerative arthritic changes affect the first, second and third metacarpophalangeal joints as well as the basilar joint of the thumb. I see no eros... | Arthritic changes as described above appear predominantly degenerative in etiology; the possibility of a neuropathic right midfoot arthritis is considered. There is flattening and sclerosis of the right navicular bone with a chronic appearing fracture; this may be secondary to the underlying arthritic process, although... |
Generate impression based on findings. | Ankle pain.EXAMINATION: Left ankle AP/lateral/oblique (3 views) 04/08/15 The bones are normal in appearance. A fracture is not identified. A joint effusion is present. No soft tissue swelling seen. | Normal examination. |
Generate impression based on findings. | Ankle pain.EXAMINATION: Right ankle AP/lateral/oblique (3 views) 04/08/15 The bones are normal in appearance. No fracture is present. No soft tissue swelling is seen. A joint effusion is not identified. | Normal examination. |
Generate impression based on findings. | Reason: Hx lung CA, please compare to previous and measure History: none CHEST:LUNGS AND PLEURA: Postsurgical changes of the right lower lobe. Bilateral pulmonary nodules with spiculated margins suspicious for metastases are again noted. Reference right upper lobe nodule is unchanged, measuring 9 x 7 mm (series 5 image... | Slight increase in size and/or density of left pulmonary nodules. No new sites of disease. Severe atherosclerotic disease as detailed in the body of the report, with possible signs of cystic medial necrosis of the celiac axis. |
Generate impression based on findings. | 54-year-old male with NSCLC with left adrenal metastasis, compare with prior imaging to assess effect first two cycles of carboplatin/paclitaxel therapy CHEST:LUNGS AND PLEURA: Left upper lobe spiculated mass with central cavitation and extending the pleural surface measures 5.3 cm x 5.0 cm (series 5, image 132) previo... | Interval progression of disease with reference measurements as above. |
Generate impression based on findings. | Elevated parathyroid hormone. Possible parathyroid adenoma. There is physiologic distribution of the radiopharmaceutical. Posterior to the inferior left thyroid lobe there is a small focus of increased radiotracer activity. This has a slightly linear morphology raising the possibility that this represents salivary acti... | Questionable parathyroid adenoma posterior to the inferior left lobe of the thyroid as described. |
Generate impression based on findings. | 61 years old Male. Reason: Follicular thyroid cancer with bone lesions. History: Follicular thyroid cancer, with bone lesions. RADIOPHARMACEUTICAL: 13.3 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 118 mg/dL. Today's CT portion grossly demonstrates multiple lung nodules/masses scattered in both lungs. Sev... | 1.Extensive metastatic disease in the chest, liver and multiple bones. |
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: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 58 years old Reason: r/o fracture History: R knee pain/effusion There is a moderate sized joint effusion. No evidence of fracture or malalignment. | No evidence of fracture or malalignment. Moderate size joint effusion. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in multiple relatives including her in her mother, grandmother and great grandmother. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma... | Focal asymmetry with questioned distortion in the left upper outer breast. Further evaluation with spot compression and possible ultrasound is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Reason: Evaluate growth plates (open vs closed), r/u Fx History: Right ring finger jersey finger, pre-op assessment for physis closureEXAMINATION: Right ring finger PA/oblique/lateral (3 views) 4/8/15 Cortical step-off at the posteromedial aspect of the metaphysis of the proximal phalanx of the ring finger. Periosteal ... | Healing metaphyseal fracture of the proximal phalanx, most likely Salter fracture. |
Generate impression based on findings. | 61-year-old. Rib pain 5th/6th anterior, possible rib fracture. No rib fracture is identified. Pacemaker is noted. | No evidence of a rib fracture. |
Generate impression based on findings. | Female 52 years old. Reason: knee pain s/p trauma History: knee pain Four views of the right knee demonstrate a moderate joint effusion but no fracture or malalignment. There is ossification along the medial femoral condyle likely representing old injury to the medial collateral ligament. Poorly defined sclerosis withi... | Bilateral joint effusions but no fracture or malalignment. |
Generate impression based on findings. | Reason: f/u lung nodule History: none LUNGS AND PLEURA: Left basilar well marginated nodule (image 58 series 5) measuring 15 mm x 15 mm. Prior exam measurement of 11 mm is not as accurate due to significant respiratory motion occurring on the exam. Recommend follow-up examination in 3 months and/or PET scan.Left upper ... | 1.Well marginated 15-mm nodule identified at the left lung base. Accurate comparison to the prior exam cannot be made due to the degradation noted on the prior exam secondary to respiratory motion. Continued follow-up up exam in 3 to 6 months is advised. Alternatively a PET/CT can be performed.2.Interval improvement in... |
Generate impression based on findings. | Female 38 years old Reason: pain and bakers cyst History: pain No evidence of fracture, malalignment, or joint effusion. | Negative study. No radiographic abnormality to explain patient's pain. |
Generate impression based on findings. | Chest pain, evaluate for PE, tumor or progression and infection. New severe pleuritic chest pain. PULMONARY ARTERIES: No evidence of pulmonary embolus however the left lower lobe pulmonary artery remains obliterated by tumor. Main pulmonary artery is normal in caliber.LUNGS AND PLEURA: Large left lung mass slightly inc... | No evidence of pulmonary embolus. Tumor extends through the left hemidiaphragm which may be a source of the patient's chest pain. Worsening tumor burden in the left hemithorax with development of significant left hilar lymphadenopathy. Left lower lobe pulmonary arterial and pulmonary venous vasculature is occluded by t... |
Generate impression based on findings. | 57 years, Female. Reason: NGT adjustment History: as above. The pelvis is not included in the field of view. Interval repositioning of NG tube with the tip projecting at the level of the body of the stomach. Relative paucity of abdominal bowel gas. Surgical staples project over the mid abdomen.Persistent bibasilar opac... | 1. Interval repositioning of NG tube with the tip projecting at the level of the body of the stomach.2. Nonspecific basilar opacities, left greater than right. Infection or aspiration could be considered in the correct clinical setting. |
Generate impression based on findings. | Male 8 years old Reason: History of right VUR, please evaluate for functioning and renal scarring History: Right megaureter Planar images show the kidneys to be of normal size. Seen best on the SPECT images there are wedge shaped areas of decreased radiotracer accumulation in the right renal cortex compatible with scar... | Scarring of the right renal cortex as described with preserved normal split function. |
Generate impression based on findings. | History of possible myeloma. Chronic back pain. The bones appear demineralized; I see no focal lytic lesions, however, and the demineralization may reflect osteoporosis. Vertebral body heights are preserved. There is perhaps minimal degenerative disk disease of the mid and lower lumbar spine, but overall the interverte... | Degenerative arthritic changes and other findings as described above. I see no focal lytic lesions. |
Generate impression based on findings. | 76 years, Male. Reason: NG adjustment History: as above The pelvis is incompletely included in the field of view. Interval repositioning of the NG tube with the tip terminating at the level of the GE junction. The side port projects at the level of the distal esophagus. Nonobstructive bowel gas pattern. Gaseous distent... | 1. The NG tube tip projects at the level of the GE junction and needs to be advanced.2. Persistent nonspecific left basilar opacity.These findings were text paged to Dr. Kak at 2 p.m. on 4/8/2015. |
Generate impression based on findings. | Age: 74 years. Sex : Female. Reason for study: Reason: Pt with hoarseness, SOB with exertion, fatigable bulbar weakness History: Pt with hoarseness, SOB with exertion, fatigable bulbar weakness. Fluoroscopic guidance was provided for an oropharyngeal motility study performed by the Speech Pathology section of the ENT s... | The exam was negative for penetration and negative for aspiration. |
Generate impression based on findings. | 65 years, Female. Reason: history of Crohn's disease. prior incomplete capsule endoscopy- check to ensure no capsule retention History: diarrhea, Crohn's disease Radiopaque object overlying the sacrum likely represents a retained endoscopy capsule. A nonobstructive bowel gas pattern is identified. Surgical clips projec... | Retained endoscopy capsule overlying the sacrum. |
Generate impression based on findings. | Female 79 years old Reason: pain History: pain Two views of the right hip and a single AP view of the pelvis are provided. Again seen is a sclerotic focus in the right femoral head indicating avascular necrosis, which is similar to prior study. We see no subchondral fracture.On the single AP view of the pelvis, there i... | Avascular necrosis and degenerative changes as described above. |
Generate impression based on findings. | Status post left total hip arthroplasty The AP view of the left hip reveals components of a total hip arthroplasty situated in near anatomic alignment without radiographic evidence of complication. A drain and foci of gas density in the soft tissues reflect recent surgery.The AP view of the pelvis reveals the aforement... | Postoperative changes of left total hip arthroplasty as above. |
Generate impression based on findings. | 47 year old with benign appearing calcifications in the right breast presents for follow up study. Three standard views of both breasts and two spot magnification 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 elemen... | 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: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Prior left breast biopsy 15 or 16 years ago. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern an... | 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. | 72-year-old female with history of progressive weight loss, constipation. Concern for malignancy. ABDOMEN:LUNG BASES: Mild right basilar atelectasis, scarring, bronchiectasis and bronchial wall thickening. Left lower lobe pulmonary micronodule has not significantly changed.LIVER, BILIARY TRACT: Subtle soft tissue densi... | 1. No specific evidence of malignancy as clinically queried.2. Left basilar scarring, atelectasis, bronchiectasis and bronchial wall thickening likely the sequela of prior inflammatory/infectious processes. Stable left lower lobe pulmonary micronodule.3. Severe multilevel degenerative disc disease affects the lumbar sp... |
Generate impression based on findings. | Reason: mesothelioima s/p pleurectomy decortication, on observation, eval EOD, compare to previous History: none CHEST:LUNGS AND PLEURA: Mild nonspecific nodularity of the fissures. Bibasilar scarring, unchanged. No new or suspicious pulmonary nodules or masses.Small loculated fluid collection in the right costophrenic... | No measurable pleural disease. Mediastinal and right hilar lymph nodes not significantly changed. No new sites of disease. |
Generate impression based on findings. | Right MCP pain. Rule-out ligamentous injury in right MCP joint. I see no fracture, malalignment, or other specific findings to account for the patient's MCP pain. | No acute abnormality or other findings to account for the patient's MCP pain are evident. |
Generate impression based on findings. | Lung cancer, follow-up CHEST:LUNGS AND PLEURA: Persistently elevated left hemidiaphragm with overlying atelectasis and/or scarring. Scattered micronodules and a slightly larger solitary peripheral nodule in the left upper lobe all unchanged. No suspicious new pulmonary nodules or masses. No effusions. Scattered mild em... | Unchanged anterior mediastinal mass with cervical when or supraclavicular lymphadenopathy. No new sites of disease |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history breast cancer in her daughter at age 44. 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... | New left breast focal asymmetry for which further evaluation with spot compression and possible ultrasound is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Female 22 years old Reason: Kidney Donor - Obtain Percent Function of Each Kidney History: kidney donor The posterior abdominal radionuclide angiogram demonstrates prompt, symmetrical perfusion of the kidneys. Sequential renal images show the kidneys to be of normal size and morphology. There is prompt uptake and excre... | Normal renal perfusion, function, and morphology. Focus of delayed radiotracer clearance from a nondilated right superior pole calix. No specific evidence of obstruction. |
Generate impression based on findings. | Female 82 years old Reason: spinal stenosis History: pain legs Five views of the lumbar spine are provided. Five lumbar vertebrae are present. The L5/S1 intervertebral disk space appears partially ossified which may represent transitional L5 morphology.There is a focal depression of the superior endplate of L2 which ma... | Facet joint osteoarthritis and other findings as described above. |
Generate impression based on findings. | AML, please exclude infection. LUNGS AND PLEURA: Paraseptal emphysema at the lung apices. Groundglass opacity at the right apex present previously and not significantly changed. Subpleural scarring anteriorly on the right, also present previously. No pleural fluid or pneumothorax. Linear subsegmental scarring or atelec... | No signs of pneumonia. |
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