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Generate impression based on findings. | 18 years old Male. Reason: evaluating for metastatic disease. History: 18 y/o with new diagnosis testicular tumor. RADIOPHARMACEUTICAL: 8.6 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 112 mg/dL. Today's CT portion grossly demonstrates numerous lung nodules/masses in both lungs. Extensive lymphadenopathy ... | 1.Extensive metastatic disease in the lungs, and in the lymph nodes in the retroperitoneal cavity and left side of the pelvis.2.Probable bony metastasis in the S1 vertebra.3.Probable post surgical change in the right inguinal region. |
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. | 77 year old female who presents for annual diagnostic mammogram. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. An asymmetry in the superior left breast... | No mammographic 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: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Female 47 years old Reason: eval for OA History: knee pain Four views of the right knee demonstrate moderate tricompartmental osteoarthritis affecting the right knee. There is probably a joint effusion.Four views of the left knee demonstrate moderate tricompartmental osteoarthritis affecting the left knee. There is pro... | Osteoarthritis. |
Generate impression based on findings. | 24 years, Female. Reason: assess for obstipation, ileus History: 24 y.o. with a history of celiac disease and abd pain, altered bowel habits despite a GFD. Sister with Crohn's Disease A nonobstructive bowel gas pattern is identified. Average stool burden. No finding to explain the patient's symptoms. | No evidence of obstipation or ileus, as clinically queried. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts on a total of 8 images 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, mi... | 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. | Reason: h/o of lung cancer (2001) with frequent exacerbation of COPD History: cough/blood tinged sputum LUNGS AND PLEURA: Status post right upper lobectomy with stable postsurgical and post radiation changes.No evidence of recurrent or metastatic disease.No pleural effusions.MEDIASTINUM AND HILA: Mediastinal shift from... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Female, 61 years old. H/o thyroid cancer. prior US had some indeterminate lesions. 6 month follow up US. Status post thyroidectomy, with minimal residual thyroid tissue.RIGHT LOBE: A hypoechoic region in the right thyroid that measures 0.7 x 0.3 x 0.9 cm, decreased in prominence and not significantly changed in size fr... | 1.A hypoechoic nodule in the right thyroid bed is decreased in prominence and not significantly changed in size from prior, favoring benignity.2.Small cervical lymph nodes are not increased from prior exam. |
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 composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microca... | 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. | Reason: s/p pleurectomy, decortication for metastatic epithelioid mesothelioma History: follow up CHEST:LUNGS AND PLEURA: Compared to outside exam, interval postsurgical changes of a right pleurectomy and decortication. Mild nonspecific focal pleural thickening which is most likely postoperative, however residual tumor... | 1.Postsurgical changes of right pleurectomy and decortication. Nonspecific mild right pleural thickening. 2.Ipsilateral mediastinal, hilar, chest wall and retroperitoneal lymphadenopathy compatible with nodal disease, new compared to prior outside exams.3.Calcified right thyroid nodule.4.Nonspecific bilateral adrenal g... |
Generate impression based on findings. | 42-year-old female. Heel pain coursing proximally up the Achilles' tendon. Right foot: No fracture or dislocation. Small plantar heel spur and small enthesophyte formation along the distal Achilles insertion. No significant osteoarthritis.Left foot: No fracture or dislocation. Small plantar heel spur and small enthesop... | No fracture. Small plantar heel spurs. |
Generate impression based on findings. | Male, 68 years old, with maxillary sinus mucosal melanoma. A large heterogeneously enhancing and destructive mass is present centered within the right maxillary sinus and ethmoid air cells. In the axial plane, this lesion measures up to 67 x 56 mm (image 44 series 4). In the coronal plane, this lesion measures up to 65... | A large tumor is present centered on the right maxillary sinus and right ethmoid air cells. Tumor erodes extensively through the bony sinus walls with invasion of the extraconal right orbit, the right nasal cavity, the right bony and mucosal hard palate, the premaxillary soft tissues, the maxillary gingival and possibl... |
Generate impression based on findings. | Decortication, follow-up and check for recurrent disease CHEST:LUNGS AND PLEURA: Interval development of a moderate to large right pneumothorax which may be partially fixed given air-fluid levels observed. Persistent nodularity is observed along the posterior margin similar to prior exam. Basilar to moderate subsegment... | Interval decreased right pleural effusion with interval new development of a right pneumothorax, again likely loculated. Underlying atelectasis. No definite distinct evidence to support disease recurrence, however exam remains limited |
Generate impression based on findings. | 9 year old male patient with short gut syndrome. Working on feeding. Evaluate for aspiration.EXAMINATION: Oropharyngeal motility study 4/8/2015 Beth Harrison, speech and language therapist, supervised the examination.64 seconds of fluoroscopy was used.Thin and nectar-thick liquids were ingested using open cup and straw... | No penetration or aspiration. Please see the speech and language therapist's report for feeding recommendations. |
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 composed of scattered fibroglandular density, unchanged in pattern and distribution. Obscured mass is seen in the ... | Obscured left breast mass 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 84 years old Reason: evaluate for metastatic lesions History: breast ca Redemonstration of innumerable osseous metastases in the bilateral ribs, spine, and pelvis. No new lesions are identified. However, compared to the prior exams particularly the more remote exam dated 5/19/14, multiple spinal and bilateral ri... | Increased radiotracer activity in multiple existing osseous metastases without definite new lesions. |
Generate impression based on findings. | 54 year old male. Pain in forefoot. No fracture, dislocation, or significant osteoarthritis. | No significant abnormality. |
Generate impression based on findings. | Hip pain.VIEWS: Pelvis AP/frog leg (two views) 04/08/15 A round, smooth femoral heads are well directed into normally formed acetabula. The physes are almost completely fused. | Normal examination. |
Generate impression based on findings. | 73 year old male. Status post IM rod. Again seen is an intramedullary rod and screw device affixing an oblique fracture of the proximal femoral diaphysis in near anatomic alignment. No evidence of hardware complication. Adjacent callus formation is consistent with interval healing. There is new heterotopic ossification... | Orthopedic fixation of a healing proximal femur fracture. |
Generate impression based on findings. | Reason: eval for fx History: hip pain sportsVIEWS: Pelvis AP and frog leg (2 views) 13:52:33 Round, smooth femoral heads are directed towards the well-formed acetabula. No fracture is present. Physes in the pelvis have fused. | Normal examination. |
Generate impression based on findings. | 66-year-old male with history of metastatic prostate cancer. CHEST:LUNGS AND PLEURA: Mild bibasilar dependent atelectasis. Left upper lobe ground glass opacity, unchanged (image 48 of series 5). No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: The heart size is normal without pericardial effusion. Scatte... | 1. Stable exam with no new sites of disease. Extensive osseous metastatic disease is better evaluated with nuclear medicine bone scan.2. Stable indeterminant left upper lobe pulmonary ground glass nodule. |
Generate impression based on findings. | Reason: 11 years s/p left upper lobectomy for lung cancer History: surveillance imaging LUNGS AND PLEURA: Status post left upper lobectomy.No evidence of focal recurrence.No suspicious pulmonary nodules or masses.Stable peripheral semicircular groundglass opacity in the left lingula (image 64 series 5) measuring 9 mm x... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 70 year-old female. Deep infection of right TKA on chronic suppression. Evaluate for progression of infection. Hardware components of a longstem total knee arthroplasty device in near anatomic alignment. Lucency along the cement bone interface of the tibial component of the prosthesis is similar to prior study, which m... | Total knee arthroplasty with findings similar to prior study. |
Generate impression based on findings. | Alignment is anatomic. There are no fractures or subluxations. The marrow signal is benign. The conus is normal in signal and morphology and terminates at an appropriate level. The visualized intra-abdominal and paraspinal contents are unremarkable. Multilevel disk desiccation is present.T12/L1: No significant spinal ... | Degenerates changes of the spine as detailed above most severe at L5-S1 and L2-3. |
Generate impression based on findings. | Female, 54 years old. Reason: right upper quadrant ultrasound to assess for cholecystitis vs cholelithiasis History: abdominal pain, change in stools LIVER: The liver measures 15.1 cm, with homogeneous echotexture, and no focal lesion. Diffusely increased hepatic echogenicity compatible with fatty liver.The main portal... | Diffuse fatty infiltration of the liver without evidence of cholelithiasis or cholecystitis. |
Generate impression based on findings. | Stage IV intermediate risk neuroblastoma. Assess for progression of disease. ABDOMEN:LUNG BASES: The lung bases are without focal consolidation.LIVER, BILIARY TRACT: There are scattered hypoattenuating subcentimeter lesions within the right hepatic lobe which are too small to characterize, but likely benign. No evidenc... | No evidence of recurrence or metastatic disease. |
Generate impression based on findings. | 47 years old Female. History: New lung cancer with likely brain metastasis. RADIOPHARMACEUTICAL: 10.7 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 106 mg/dL. Today's CT portion grossly demonstrates low attenuation lesion in the right frontal lobe of brain and a cavitary mass in the left lung apex.Today's ... | 1.Hypermetabolic cavitary mass in the left lung apex, consistent with patient's diagnosis of non-small cell lung cancer.2.Hypermetabolic mass in the brain, consistent with metastasis.3.Hypermetabolic lymph nodes in the left upper hilar region, suspicious for nodal metastasis.4.Foci and one left uptake in the right brea... |
Generate impression based on findings. | Lung cancer, follow-up CHEST:LUNGS AND PLEURA: Interval decreasing size of the right lower lobe mass currently measuring 2.8 x 2.5 cm (image 58 series 5) from a prior measurement of 3.4 x 2.6 cm. Spiculation with extension to the peripheral surface and a small new effusion is observed . Surrounding patchy ground glass ... | Persistent interval decrease in the right lower lobe mass with associated surrounding changes suggesting post radiation pneumonitis. No new disease or additional interval lymphadenopathy |
Generate impression based on findings. | 71-year-old female. Fell on Sunday. Evaluate for proximal humerus fracture. Left shoulder: Complete comminuted, predominantly transverse fracture of the humeral head and surgical neck with impaction of fracture fragments. The humeral head is inferiorly subluxed, likely due to a hemarthrosis. Demineralized bones. Mild o... | Comminuted, predominately transverse fracture of the humeral head/neck with pseudosubluxation likely due to hemarthrosis. |
Generate impression based on findings. | 50 year-old presents for short-term follow-up of left breast calcifications. Three standard views with two spot magnification views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. Loosely cluster... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended in 6 months. Results and recommendations were discussed with the patient. BIRADS: 3 - Probably benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in paternal grandmother. Two standard digital views of both breasts with tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in patt... | 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. | Female, 36 years old. Reason: 36 yo F with post-prandial abdominal pain. LIVER: The liver measures 16.5 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 bil... | No acute abnormality to account for the patient's post prandial pain. |
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 composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this re... |
Generate impression based on findings. | 54-year-old male with history of HNC and CRT, compare to previous measurements. CHEST:LUNGS AND PLEURA: Calcified nodule in the right upper lobe and additional punctate micronodules unchanged. No suspicious pulmonary nodules or masses. Minimal dependent atelectasis. No pleural effusion or pneumothorax.MEDIASTINUM AND H... | No evidence of metastatic disease. |
Generate impression based on findings. | Consul cancer CHEST:LUNGS AND PLEURA: Right upper lobe linear opacity again possibly a suture line or scarring is unchanged again measuring 2.0 x 0.5 cm (image 33 series 5). No distinct new nodules or masses. Small focal groundglass nodularity in the right lung base is not clearly identified on the current study. No ef... | No interval change or suspicious new findings to support metastatic or recurrent disease. Probable old scarring |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in maternal aunt diagnosed at age 50. 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, uncha... | 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: Hypoxia \T\ dyspnea, compare to CT from 4/3 History: Hypoxia \T\ dyspnea LUNGS AND PLEURA: A significant interval improvement in the primarily lower lobe air space and nodular groundglass opacities.Small bilateral pleural effusions mildly increased on the right and decreased on the left.Mild basilar atelectasis... | 1.Significant interval improvement in the lower lobe predominant air space and nodular groundglass opacities.2.Small bilateral pleural effusions with minimal interval increase on the right and mild decrease on the left.3.Moderate-sized pericardial effusion slightly increased from the prior exam.4.Increasing anasarca an... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with a total of 8 images were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 50 year-old female with a focal asymmetry at lower inner quadrant in the right breast on recent screening mammogram. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. A focal ... | Hyper were reviewed benign mass in the right breast at 4 o'clock position, for which short term follow-up ultrasound study is recommended. As the patient's next annual mammogram is due in September, diagnostic mammogram is recommended in September 2015, and at the same time a short-term follow-up ultrasound will be per... |
Generate impression based on findings. | Tongue cancer, please follow-up CHEST:LUNGS AND PLEURA: Scattered benign-appearing micronodules without additional findings to support metastatic disease. Two small stable ground glass nodules in the right upper lung (image 42 and image 30 series 5); both unchanged. Continued imaging is recommended to ensure stability ... | No findings to suggest metastatic disease. Small stable appearing subcentimeter groundglass nodules, see above |
Generate impression based on findings. | Clinical question:? Stroke. Signs and symptoms: Aphasia. Unenhanced head CT:There is no detectable acute intracranial process, CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes. There is a slight prominence of cerebral cortical sulci and cerebellar -- vermian folia for patient's sta... | 1.No acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.2.Small new focus of parenchymal attenuation in the periventricular white matter of left hemisphere which could represent an age indeterminate small vessel ischemic stroke.3.Slight prominence of corti... |
Generate impression based on findings. | 83-year-old male with history of abdominal aortic aneurysm VESSELS:CT ANGIOGRAM: There is moderate to severe vascular tortuosity. There is mild diffuse concentric mural thrombus of the suprarenal abdominal aorta and moderate to severe atherosclerotic calcifications of the abdominal aorta and its branches. There is sacc... | 1.Infrarenal saccular abdominal aortic aneurysm measuring 4.7 x 4.1 cm.2.Minimal vascular luminal dimensions as 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 9.3. The breast parenchyma is composed of scattered fibroglandular density though slightly more dense than on prior studies, suggesting some interval weight loss.... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign right breast biopsy in 1994. 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, unc... | 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and repeat left MLO 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 distribution. No suspicious masses, ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 76 years old. Reason: pain History: pain Four views of the right foot and three views of the right ankle demonstrate bones which are demineralized suggesting osteopenia/osteoporosis. There is a severe pes planovalgus deformity with mild to moderate osteoarthritis affecting the midfoot. There is a severe hallux v... | Pes planovalgus deformity, hallux valgus deformity, and osteoarthritis as described above. |
Generate impression based on findings. | 66 year old male with history of abdominal pain, nausea, constipation, suprapubic pain, elevated lactic acid. ABDOMEN:LUNG BASES: Minimal bibasilar dependent atelectasis.LIVER, BILIARY TRACT: Diffuse hepatic steatosis appears similar to prior. No significant abnormality otherwise.SPLEEN: No significant abnormality note... | Mild proximal colonic wall thickening, nonspecific but may represent edema from inflammatory/infectious causes. No free air or significant free fluid. |
Generate impression based on findings. | Reason: Evaluate if pouch is healed and dynamic properties She is s/p proctocolectomy with IPAA and diverting ileostomy History: has a diverting stoma There is prompt opacification of the neorectum, with retrograde filling of the anastomosed small bowel, to the level of the ostomy. No evidence of sinus tracts, fistulae... | Normal evaluation of the neorectum, without evidence of anastomotic leak. Normal dynamic properties as above. |
Generate impression based on findings. | There is antegrade flow in the bilateral vertebral arteries, within the bilateral common, internal and external carotid arteries. There is no significant stenosis of the bilateral carotid bifurcations or the bilateral cervical internal carotid arteries. There are no stenoses of the bilateral vertebral arteries. The le... | The innominate artery is patent as clinically questioned. Normal CTA of the neck. |
Generate impression based on findings. | 34-year-old female with infertility. Scout AP film of the pelvis was normal. Opacification of the uterine cavity revealed a normally oriented uterine cavity without definite mucosal irregularity or filling defects in the uterine cavity. The right tube was freely opacified with free spillage into the pelvis, indicating ... | Normal uterine cavity and presumably patent fallopian tubes bilaterally. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts obtained on 10 total images 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. New bilateral breas... | New bilateral breast masses 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. | Male 46 years old Reason: follow up History: follow up Four views of the right foot are provided. Again seen are fractures through the bases of the third and fourth metatarsals with adjacent periosteal new bone formation. These appear similar to prior accounting for slight positional differences.There may also be a hea... | Healing fractures as described above. |
Generate impression based on findings. | Reason: Ng History: same NG tube tip in the proximal gastric fundus, with the side-port proximal to the GE junction. A nonobstructive bowel gas pattern is identified. No acute cardiopulmonary process is identified. | NG tube side-port lies proximal to the GE junction, recommend advancing at least 8 cm.Findings were conveyed to the ordering provider, Meredith Orseth, via text page on 4/8/15 at 15:02. |
Generate impression based on findings. | Reason: follow up GGO on outside CT chest, on immunotherapy, s/p infection 2/2015, pneumonitis vs infection vs fluid. inspiratory/expiratory views History: cough LUNGS AND PLEURA: Right perihilar and focal area of a mass like consolidation (image 50 series 5) measuring approximately 2.7 cm x 2.6 cm similar in size and ... | Focal area of masslike consolidation in the right perihilar region within the superior segment right lower lobe. This may be a site of prior primary or metastatic lesion diffuse patient's history of metastatic melanoma. No other suspicious nodules or masses are identified. |
Generate impression based on findings. | Female 58 years old Reason: L4-5 spondy on MRI, evaluate for instability History: see above Four views of the lumbar spine demonstrate moderate to severe degenerative disk disease at L4/L5 and L5/S1 with relatively mild degenerative disk disease affecting the remaining lumbar levels.There is moderate osteoarthritis aff... | Degenerative arthritic changes and L4 anterolisthesis as described above. |
Generate impression based on findings. | 16 year old male patient with scoliosis associated with other issues. Evaluate scoliosis in brace.VIEWS: Thoracolumbar spine AP (1 view) 4/8/2015 Left curve from T10 to L4 measures 82 degrees. No segmentation anomalies are present. A ventriculoperitoneal shunt is identified and appears to be discontinuous in the region... | 1. Incidental note of VP shunt fracture in the neck.2. Increased left thoracolumbar curve. Findings communicated via telephone by Dr Feinstein to Dr Sullivan at 1511 hrs on 4/8/2015. |
Generate impression based on findings. | Female 55 years old Reason: assess tuberosities History: pain Markedly abnormal appearance of the right shoulder joint. Components of a right hemiarthroplasty are noted. There is anterior and inferior dislocation of the prosthesis relative to the glenoid. Multiple poorly corticated bone fragments are identified lateral... | 1. Right shoulder hemiarthroplasty that is anteriorly and inferiorly dislocated with multiple new bone fragments lateral to the prosthesis, new compared to prior study.2. Markedly enlarged mediastinal, axillary and subpectoral lymph nodes which are incompletely evaluated on this study. |
Generate impression based on findings. | Female 61 years old. Reason: ankle stress view, medial clear space widening. History: same A single AP "stress" view of left ankle is provided. Again seen is an oblique fracture of the distal fibula with minimal lateral displacement of the distal fracture fragment. There is slight widening of the medial clear space by ... | Distal fibular fracture and slight widening of the medial clear space. |
Generate impression based on findings. | Lung cancer, follow-up following paly to the RT CHEST:LUNGS AND PLEURA: Repeat heterogeneous soft tissue density mass containing punctate calcifications posterior to the right main bronchus (right upper lobe. The epicenter abuts the right hilum with bronchial narrowing. Measurement appears fuller and more lobulated, cu... | Interval marked progression with interval development of osseous lytic lesions, enlargement of the hepatic mass and pulmonary mass; see reference measurements provided |
Generate impression based on findings. | 79 years, Female. Reason: abdominal pain History: abdominal pain Nonobstructive bowel gas pattern. Surgical material projects in the right hemiabdomen. There are extensive vascular calcifications. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Female 67 years old Reason: evaluate for DDD History: pain with radiation down rt leg Two views of the right hip are provided. There is minimal osteoarthritis affecting the right hip, essentially within normal limits for age. There is mild endosteal scalloping of the proximal femoral diaphysis.Five views of the lumbar ... | 1.Mild degenerative arthritic changes as described above.2.Endosteal scalloping affecting the proximal femoral diaphysis. This may be benign in etiology, however, if the patient has a known primary malignancy, MRI can be obtained to evaluate for space-occupying lesions in the proximal femur. |
Generate impression based on findings. | Reason: s/p bronch, cultures negative, follow consolidation and nodule History: none LUNGS AND PLEURA: Interval resolution of near complete right lower lobe atelectasis. No underlying obstructing mass is identified. Right middle lobe nodule measures 13 x 8 mm (series 4 image 65), previously 15 x 10 mm. No new pulmonary... | 1.Right middle lobe nodule with spiculated margins has decreased in size, favoring a benign etiology.2.Complete resolution of near complete right lower lobe atelectasis. No underlying mass identified. |
Generate impression based on findings. | 39 years, Female. Reason: vomiting evaluate for obstruction History: vomiting evaluate for obstruction No specific evidence of bowel obstruction. Surgical clips project in the right upper and lower quadrants. A gastrocystenteric catheter projects in the left upper quadrant. An air-fluid level is present in the stomach. | No specific evidence of bowel obstruction. |
Generate impression based on findings. | Oral malignancy CHEST:LUNGS AND PLEURA: Right middle lobe nodule (image 60 series 6) remains 10 x 6 mm unchanged. Small ground glass nodule in the right upper lobe is also similar (image 35 series 6). No additional new suspicious nodules or masses. No effusions. Mild emphysematous changesMEDIASTINUM AND HILA: No lympha... | No acute abnormality or findings to suggest metastatic disease |
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 almost entirely fatty, unchanged in pattern and distribution.No suspicious masses, microcalcifications or areas of... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | AML, coronavirus and S.O.B. LUNGS AND PLEURA: Mild bronchial wall thickening. Interval improvement in bronchiolitis pattern, most pronounced in the posterior lung fields. Although the larger peribronchial air space opacities have resolved, some are still present in the dependent lung fields.MEDIASTINUM AND HILA: Right ... | Improvement in bronchiolitis pattern without complete resolution. No new sites of infection. |
Generate impression based on findings. | Hip and femur pain.VIEWS: Left femur AP/lateral (two views) 04/08/15 The bones are normal in appearance. No fracture is seen. | Normal examination. |
Generate impression based on findings. | There are posttreatment findings related to resection of the left submandibular gland, a portion of the left floor of the mouth, and cervical lymph node dissection. No significant new fullness or abnormal enhancement in the area of the resection. No significant cervical lymphadenopathy. There is mild posttreatment ede... | Stable posttreatment findings without definite tumor recurrence or lymphadenopathy in the neck. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal aunts in their 40s and 60s. 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, uncha... | 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. | Clinical question: Evaluate for chronic sinusitis. MRI revealed chronic sinusitis. Signs and symptoms: Constant nasal congestion, difficulty breathing through nose and episodes of sinusitis. Medtronic fusion sinus CT:Frontal sinuses are well pneumatized and unremarkable.Ethmoid sinuses demonstrate mild bilateral patchy... | 1.Mild chronic sinus disease as detailed.2.Compromised bilateral ostiomeatal units and sphenoethmoidal recesses of the sphenoid sinus.3.Sharp nasal septum angulation to the left, leftward projecting nasal septal spur which is in contact and deforms the left inferior turbinate mucosa. |
Generate impression based on findings. | Developmental delay. Determine aspiration risk to guide decision on G-tube vs GJ for long term feeding.EXAMINATION: Oropharyngeal motility study 4/8/2015 Beth Harrison, speech and language therapist, supervised the examination.27 seconds of fluoroscopy was used.Thin and nectar thick liquids were ingested using a straw ... | No penetration or aspiration. Please see the speech and language therapist's report for feeding recommendations. |
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 evidenceof loosening or hardware failure. There has been resection of the radial head.Right knee: Components of a right total knee arthroplasty sit... | Postoperative changes of right total elbow arthroplasty, right total kneearthroplasty, and left total hip arthroplasty without evidence of loosening or hardwarefailure. |
Generate impression based on findings. | Female 27 years old Reason: r/o fx, other pathology Slipped and fell on outstretched hand 2.5 months ago History: pain at PIP joint No fracture or malalignment. | No fracture or malalignment. |
Generate impression based on findings. | Female 52 years old Reason: injured left foot 3/31/2015, bag of tools fell near toes c/o pain to 2, 3, 4, 5 area History: foot pain Right foot: No fracture or malalignment. Note is made of a small plantar calcaneal spur.Left foot: Minimal soft tissue swelling but no fracture. Note is made of a bipartite os peroneum, a ... | No fracture evident. |
Generate impression based on findings. | 52 year-old female status-post NG tube placement. The pelvis is incompletely visualized. The NG tube is coiled within the fundus with the tip projecting at the level of the body of the stomach. Surgical clips project over the right upper quadrant. Surgical staples project over the midline of the abdomen. Multiple focal... | 1. NG tube coiled within the fundus of the stomach with the tip projecting at the level of the body of the stomach.2. Focally dilated loops of small bowel may represent adynamic ileus. |
Generate impression based on findings. | Clinical question: Mass? Signs and symptoms: Falls, AMS, HIV. Nonenhanced head CT:There is no detectable acute intracranial hemorrhage, mass, mass effect or midline shift.Enlarged supratentorial ventricular system and prominence of bilateral cerebral cortical sulci for patient's stated age of 65 which is concerning for... | 1.No acute intracranial process.2.Stable significant parenchymal volume loss with resultant ex vacuo dilatation of the supratentorial ventricular system and cortical sulci. |
Generate impression based on findings. | 61 year old female with benign masses in the left breast presents for annual mammogram. No current breast complaint. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and di... | No mammographic 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: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Stable posttreatment findings including mild pharyngeal edema. Mild asymmetric prominence of the soft tissues anterolateral to the left aryepiglottic fold which may represent an ill-defined soft tissue lesion, not significantly changed since the prior exam. No evidence of significant cervical lymphadenopathy. Metallic... | 1. Unchanged mild soft tissue prominence anterolateral to the left aryepiglottic fold. No significant cervical lymphadenopathy.2. Stable degenerative changes of the cervical spine. |
Generate impression based on findings. | Age: 60 years. Sex : Female. Reason for study: Reason: concern for aspiration pna History: pneumonia. 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 films were obtained... | The exam was negative for penetration and negative for aspiration. |
Generate impression based on findings. | Reason: h/o met thyroid ca, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Bilateral pulmonary nodules have increased in size and number compatible with metastases. Reference left apical 6-mm pulmonary nodules unchanged in size (series 6 image 20). Reference right lower lobe nodule measures... | 1.Slight interval increase in size and number of multiple bilateral pulmonary metastases. 2.Unchanged soft tissue density along the IMV of uncertain etiology. |
Generate impression based on findings. | Cancer of the oral cavity, follow-up evaluation Assessment of the oral cavity is limited by streak artifact from dental amalgam. The floor of mouth and tongue base are unremarkable. There is no evidence of measurable mass lesions.No pathologic adenopathy is detected in the neck by size criteria. The salivary glands and... | 1. No evidence of progressive disease in the neck.2. Stable predominantly sclerotic lesion involving the manubrium. |
Generate impression based on findings. | Male 59 years old Reason: As above History: Esophageal Carcinoma please compare to previous imaging currently receiving therapy on clinical trial reassessment warrantedRADIOPHARMACEUTICAL: 14.2 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 138 mg/dL. Today's CT portion of the neck demonstrates no significa... | 1.No significant interval change in distal esophageal primary tumor.2.New hypermetabolic paraesophageal lymph node compatible with a new metastasis.3.Near complete resolution of metastatic lesions in the right upper and left upper lungs.Diagnostic CTs of the chest, abdomen, and pelvis also performed at today's visit wi... |
Generate impression based on findings. | Low back pain, coccyx area without history of trauma. Rule out DJD. Severe degenerative disk disease affects L4/5. Mild degenerative disease affects L3/4 with mild adjacent endplate depressions. There are also mild superior endplate depressions affecting L2 and L3 which are not necessarily of any current clinical signi... | Degenerative disk disease and other findings as described above. |
Generate impression based on findings. | History of tibial plateau fracture. Four views of the left knee are provided. Bandlike sclerosis in the proximal tibia is compatible with a healing fracture which extends through the intercondylar eminence. Mild to moderate osteoarthritis affects the knee. There is a moderate-sized joint effusion. Scattered arterial ca... | Healing tibial plateau fracture and other findings as above. |
Generate impression based on findings. | 59 year old with history of left lumpectomy in 2004 for IDC. Patient received chemotherapy, radiation and hormonal therapy. History of bilateral benign breast biopsies with histology of fibroadenomata. History of breast carcinoma in mother diagnosed at the age of 79 and paternal grandmother diagnosed at the age 70. No ... | 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. | Again seen are multiple very small metal fragments in the anterior frontal lobes which correspond to both fragments. There is associated linear encephalomalacia along the bullet tract. There is a larger bullet fragment sitting on the anterior cranial fossa floor just above the right sphenoid sinus, unchanged. There ar... | 1. No evidence of acute intracranial hemorrhage, edema, or abnormal enhancement.2. Stable evidence of a remote gunshot wound to the anterior frontal region. |
Generate impression based on findings. | Left leg pain An intramedullary rod and screw device affixes a comminuted intertrochanteric fracture in near-anatomic alignment. I see no hardware complications. Portions of the fracture are less distinct on the current study than on the prior study, indicating some interval healing. Moderate osteoarthritis affects the... | Orthopedic fixation of healing femoral fracture. |
Generate impression based on findings. | Male 55 years old Reason: 55M with metastatic lung CA, spinal mets and lower back pain; evaluate for compression/lesions/stenosis History: Back pain Poorly defined lucency in the L4 vertebral body suggestive of metastatic disease. There is approximately 6 mm of depression of the posterior aspect of the inferior endplat... | L4 metastasis and retrolisthesis and degenerative joint disease at L4-L5 as described above, likely resulting in canal narrowing at L4. This can be further evaluated with MR imaging if clinically warranted. |
Generate impression based on findings. | Postop Two views of the left hip reveal components of a total hip arthroplasty device situated in near-anatomic alignment without radiographic evidence of hardware complication.The AP view of the pelvis reveals the aforementioned left total hip arthroplasty. The right hip appears normal for age. Mild degenerative arthr... | Left total hip arthroplasty. |
Generate impression based on findings. | 42 year-old female with infertility. Scout AP film of the pelvis was normal. Opacification of the uterine cavity revealed a normally oriented uterine cavity without mucosal irregularity or filling defects in the uterine cavity. Both tubes were freely opacified with free spillage on both sides into the pelvis, indicatin... | Normal uterine cavity and patent fallopian tubes. |
Generate impression based on findings. | Reason: infertility History: infertility Scout AP film of the pelvis was normal. Opacification of the uterine cavity revealed a normally oriented uterine cavity without mucosal irregularity or filling defects in the uterine cavity. There was preferential filling of the right fallopian tube, with progressive dilatation,... | Slightly delayed filling of the left fallopian tube, with free spillage into the peritoneum. Large right hydrosalpinx, without free spillage into the peritoneum. |
Generate impression based on findings. | Female 69 years old Reason: left shoulder pain History: left shoulder pain The bones are demineralized suggesting osteopenia/osteoporosis. Moderate osteoarthritis affects the glenohumeral joint. Mild osteoarthritis affects the acromioclavicular joint. Narrowing of the acromiohumeral interval to approximately 6 mm could... | Osteoarthritis and other findings as above. |
Generate impression based on findings. | Female 71 years old Reason: lumbar radiculopathy History: lumbar radiculopathy Moderate osteoarthritis affects the facet joints of the lower lumbar spine with relative preservation of the intervertebral disk spaces. Minimal anterolisthesis (approximately 1 mm) of L3 on L4 and L4 on L5. The vertebral body heights are pr... | Facet joint osteoarthritis and other findings as above. |
Generate impression based on findings. | 52-year-old male status post orthotopic liver transplant, abdominal pain, flank pain. Within the limits of a non-IV contrast enhanced examination which markedly limits the ability to evaluate solid Rosenwasser structures, the following observations can be made:ABDOMEN:LUNG BASES: Large right pleural effusion and basila... | 1. Status post orthotopic liver transplantation with no parenchymal abnormality seen in the liver. 2. Large collection medial, posterior and inferior to right lobe of liver with heterogeneous appearance most consistent with increasing hematoma since 2/23/15 and -- air raises question of infected hematoma versus of pote... |
Generate impression based on findings. | 56-year-old male with history of left lower quadrant and mid abdominal pain. Concern for liver pathology. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: The heart size is normal without pericardial effusion. Scattered small mediastinal lymph nodes.CORONARY ARTERY CALCIFICATION: ... | 1. No evidence of hepatic steatosis or suspicious hepatic lesions.2. Extensive atherosclerotic vascular disease as above. |
Generate impression based on findings. | 66 year old female with pleural mesothelioma, provide bi-dimensional measurements per RECIST 1.1 criteria and compare to prior exam. LUNGS AND PLEURA: Right apical scarring with adjacent pneumatocele unchanged. Ground glass opacity in the right middle lobe unchanged.Right pleural nodularity is again seen with reference... | 1. Stable to slight improvement in reference measurements of extensive right pleural mesothelioma with chest wall involvement and hilar/mediastinal lymphadenopathy as described above.2. Bilateral retroperitoneal and retrocrural tumor involvement unchanged which on the right extends to the neural foramina of T12/L1 but ... |
Generate impression based on findings. | Male 62 years old Reason: r/o rheumatoid arthritis. History: joint swelling and pain across MCP's Right hand: Deformity of the tuft of the right fifth finger suggests old trauma. Small defects in the base of the middle phalanx and head of the proximal phalanx may reflect old trauma but we cannot entirely exclude chroni... | Small defects in the right fifth proximal interphalangeal joint are favored to be posttraumatic in etiology rather than erosions. No specific features for rheumatoid arthritis. |
Generate impression based on findings. | Male 66 years old Reason: metastic prostate cancer, evaluation of disease during treatment with investigational therapy, please complete PCWG2 form History: metastic prostate cancer Redemonstration of multiple osseous metastatic lesions in the right mandible, left humerus, bilateral ribs, thoracic spine, bilateral prox... | 1.Increased burden of osseous metastatic disease within the thoracic spine.2.Increased activity in the right femoral subtrochanteric region may represent worsening metastasis or periprosthetic fracture. Correlation with radiographs is recommended. |
Generate impression based on findings. | HypoxiaVIEW: Chest AP 4/8/15 Cardiothymic silhouette normal. Marked levoscoliosis of the thoracic spine again noted. Right upper lobe opacity new from prior study concerning for infection. Patchy atelectasis left lower lobe. No pleural effusion or pneumothorax. | Right upper lobe opacity concerning for infection. |
Generate impression based on findings. | Female, 25 years old. Reason: 25yo G1P0 at 28w6d with elevated LFTs, epigastric pain evaluate for gallstones History: epigastric pain LIVER: The liver measures 14.1 cm, with homogeneous echotexture, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepa... | No evidence of gallstones or other acute abnormality. |
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