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Generate impression based on findings. | Chest tube placementVIEWS: Chest AP and lateral 4/8/15 ET tube tip immediately above the carina. NG tube tip in the stomach. Umbilical lines not significantly changed. There are two chest tubes on the right. The pneumothorax on the right has decreased in size. Patchy atelectasis bilaterally not significantly changed. | Moderate right pneumothorax has decreased in size in the interval. |
Generate impression based on findings. | 68-year-old male with history of renal cell carcinoma CHEST:LUNGS AND PLEURA: Again noted bilateral metastatic disease. Index left upper lobe nodule measures 9 mm in diameter (image 34; series 5) not significantly changed from previous study. Other numerous metastatic lesions are also grossly unchanged.MEDIASTINUM AND ... | Left renal mass slightly larger, otherwise unchanged study with reference measurements given above. |
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. Both tubes were freely opacified with free spillage on both sides into the pelvis, indic... | Normal uterine cavity and patent fallopian tubes. |
Generate impression based on findings. | Reason: rule out ACS History: VOC and hypoxemiaVIEW: Chest AP (one view) 15:26:08 No pleural effusions or pneumothorax. No abnormal focal pulmonary opacity. Cardiothymic silhouette is upper limits of normal in size. Bone changes of sickle cell disease. Small right thoracic curve is seen. Cholecystectomy clips are prese... | No evidence of acute chest. |
Generate impression based on findings. | Right hip pain Hips: Severe to marked right over left hip osteoarthritic changes are again observed and similar to the plain film imaging. The right hip demonstrates bone-on-bone narrowing with relative preservation of the femoral head shape. Extensive sclerosis, osteophytes and subchondral cysts are observed both with... | Moderate knee and more pronounced to severe hip osteoarthritis. See detail provided |
Generate impression based on findings. | lytic bone lesion over the left temporal area, scalp pain. No evidence of acute ischemic or hemorrhagic lesion.There is no evidence of cortical disruption or destructive skull lesion on this scan.However, permeative or early skull lesion could be identified on brain MRI scan, thus if clinically indicated, brain MRI wit... | No evidence of acute ischemic or hemorrhagic lesion.No evidence of bony skull lesion on this scan, brain MRI with and without contrast enhancement can be considered for further evaluation if clinically necessary. |
Generate impression based on findings. | 41-year-old female with history of abdominal pain, nausea and emesis. Evaluate for obstruction, diverticulitis, appendicitis, or Crohn's disease. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: Small splenule.PANCREAS: No significant abnormality notedADRENAL... | 1. Findings of appendiceal dilatation with a hyperattenuating lumen. This is favored to represent a normal variant appendix filled with ingested high density material as opposed to pathologic enhancement especially given the lack of appendiceal wall thickening, periappendiceal inflammation or edema, although early acut... |
Generate impression based on findings. | 63 years old, Female, Reason: r/o bleed History: right sided numbness x 3 days There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. Please note that CT is insensitive for the detection of nonhemorrhagic stroke. If there is continued clinical concern for ac... | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Female, 21 years old. Reason: evaluate for lymphadenitis History: bilateral lymphadenitis, pain, evaluate for fluid collection The thyroid gland appears normal in size and echotexture. Multiple mildly enlarged lymph nodes bilaterally. The largest, a level 5 right cervical lymph node measures 2.6 x 0.9 x 1.6 cm. No disc... | Enlarged cervical lymph nodes without fluid collection. |
Generate impression based on findings. | 71-year-old male. Pain. Right foot: Mild degenerative arthritic changes of the midfoot and first metatarsophalangeal joint. Extensive vascular calcifications. No fracture or dislocation.Left foot: Mild degenerative arthritic changes of the midfoot and first metatarsophalangeal joint. Extensive vascular calcifications. ... | Mild osteoarthritis, as above. Extensive vascular calcifications. |
Generate impression based on findings. | 61-year-old female. Hemarthrosis. Evaluate for fracture. Left ankle: No fracture or dislocation. Ankle mortise is intact. Left foot: Hallux valgus deformity with mild osteoarthritis of the first MTP joint. Small plantar heel spur. No fracture. Mild degenerative arthritic changes of the midfoot. | No fracture. Mild osteoarthritis. Hallux valgus deformity. |
Generate impression based on findings. | Cough and fever. Question of obstruction.VIEWS: Abdomen AP and left lateral decubitus (two views) 4/8/2015 Disorganized, nonobstructive bowel gas pattern. No evidence of free intraperitoneal air, pneumatosis, portal venous gas. No visible stool. | Non-obstructive bowel gas pattern. |
Generate impression based on findings. | Male 43 years old Reason: s/p ORIF of tibia fracture History: tibia pain Two views of the left tibia/fibula and three views of the left ankle are provided. Again seen is a plate and screw affixing a severely comminuted fracture of the distal tibia in near anatomic alignment. We see no hardware complication. The fractur... | Orthopedic fixation of the tibular and fibular fractures as described above. |
Generate impression based on findings. | 36-year-old female. Pain. Right foot: No fracture, dislocation, or other significant abnormality.Right ankle: No fracture, dislocation, or other significant abnormality. | No fracture or other significant abnormality. |
Generate impression based on findings. | Male 65 years old Reason: eval for fracture History: pain, swelling s/p trauma Three views of the right foot demonstrate soft tissue swelling particularly along the dorsum of the foot. We see no fracture or malalignment. Note is made of small osteophytes and juxta-articular spurs likely degenerative in etiology.Three v... | Soft tissue swelling and degenerative arthritic changes as described above without fracture evident. Findings were relayed by text page to pager 1511 at 4:30 p.m.. on 4/8/2015. |
Generate impression based on findings. | 61-year-old male. Follow-up. Post surgical findings of orthopedic dynamic screw affixing the intertrochanteric fracture in near anatomic alignment. The fracture line is indistinct indicating interval healing. Skin staples are noted. Severe osteoarthritis of the right hip. | Orthopedic fixation of a healing intertrochanteric fracture. |
Generate impression based on findings. | Tachypnea.VIEW: Chest AP (one view) 4/8/2015 Tracheostomy tube tip is below the thoracic inlet and above the carina. A gastrostomy tube is noted.The cardiothymic silhouette is normal. The cardiac apex is on the left. There is streaky perihilar atelectasis. No pleural effusion or pneumothorax. | Perihilar atelectasis without specific evidence of infection. |
Generate impression based on findings. | History of pulmonary embolism presenting with shortness of breath. The comparison chest radiograph performed on 04/08/2015 demonstrates interstitial opacities in the lungs.The ventilation images show minimally decreased ventilation in the lung bases on single-breath and wash-in images. Please note that ventilation imag... | Low probability for pulmonary embolism.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 32 year-old female. Lumbago. Alignment is anatomic. Vertebral body heights and intervertebral disk spaces are preserved. No fracture is evident. | No significant abnormality. |
Generate impression based on findings. | 98 years old, Female, Reason: Presence of intracranial bleeding History: Confusion s/p fall with head trauma There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles and sulci are mildly prominent, normal for age. Patchy periventricular hypoatte... | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | 41-year-old male. Heel pain for two weeks. Worse with activity. No acute fracture or dislocation is evident. Well-corticated ossific density lateral to the calcaneus, best seen on the oblique view, most likely an accessory ossicle. | No evidence of an acute fracture or significant abnormality. |
Generate impression based on findings. | Pedestrian versus automobile. Right shoulder pain. Mild irregularity of the tuberosity which in light of the history warrants follow up. MR performed 3/18/15. No malalignment or clear effusion. No soft tissue abnormalities. There is questionable cortical disruption along the superior margin yet without definite trabecu... | No definite radiographic abnormalities to account for the patient's symptoms, however serial imaging will be helpful if suspicion remains high given relayed history. |
Generate impression based on findings. | 19-year-old male. Right fibular fracture. Assess healing. Transverse fracture of the proximal fibular diaphysis in near anatomic alignment with interval callus formation and indistinctness of the fracture line consistent with healing. | Healing right fibular fracture. |
Generate impression based on findings. | Female, 37 years old. History: h/o thyroid cancer. Now with rising thyroglobulin level. First US at U of C RIGHT LOBE MEASUREMENTS: Status post thyroidectomy.LEFT LOBE MEASUREMENTS: Status post thyroidectomy.ISTHMUS MEASUREMENTS: Status post thyroidectomy.RIGHT LOBE: A hypoechoic, well marginated nodule in the right th... | A complex mass in left thyroid bed is suspicious for recurrence and amenable to biopsy.Findings discussed via telephone with Dr Ronald Cohen at 4:20 PM. |
Generate impression based on findings. | Female 66 years old; ABDOMEN:LUNG BASES: Please see separate report for CT chest.LIVER, BILIARY TRACT: Stable, subcentimeter low-attenuation focus within segment 3. 2.0 x 1.9 cm hypodensity in the periphery of the right hepatic lobe (10:44), grossly stable, suspicious for metastatic disease. Status post cholecystectomy... | 1.Slight interval increase in lymph nodes as described above. New hepatic and T12 vertebral body lesions suspicious for metastatic disease. |
Generate impression based on findings. | 74 year old female. Pain in the left knee after fall last year. Evaluate for DJD. No fracture or dislocation. Minimal osteoarthritis of the left knee with sharpening of the tibial spines. Vascular calcifications in the soft tissues posterior to the knee. | Minimal osteoarthritis. |
Generate impression based on findings. | Neck: There are post-surgical findings related to thyroidectomy and neck dissection. There are subcentimeter nodules in the right paratracheal region, inferior to the thyroidectomy bed including right upper tracheal lymph node measuring 6 x 8 mm and unchanged. Otherwise, there is no discernible mass lesion in the trea... | 1. Postoperative findings related to thyroidectomy and neck dissection with no new or enlarging nodules in the surgical bed. No enlarged cervical lymph nodes.2. No evidence of intracranial metastases.3. Multiple bilateral lung nodules; please refer to separate chest CT report. |
Generate impression based on findings. | Reason: evaluate for fracture History: tenderness, swellingVIEWS: Right tibia/fibula PA lateral (2 views) 15:45:32, right ankle PA oblique lateral (3 views) 15:42:25 Tibia/fibula: No acute fracture or malalignment.Ankle: Small anterior joint effusion. Mild soft tissue swelling laterally. No acute fracture or malalignme... | Small anterior joint effusion of ankle. Mild soft tissue swelling laterally. No acute fracture or malalignment. |
Generate impression based on findings. | Female, 62 years old, with history of AML, assess for infection. The paranasal sinuses are free of significant mucosal thickening or collected secretions. Only minimal scattered mucosal thickening is detected. The major sinus ostia are unobstructed. The nasal septum is intact. The turbinates are unremarkable and the na... | No evidence of active sinus inflammation or infection. |
Generate impression based on findings. | 31-year-old with palpable lump in the right breast. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is extremely dense, limiting the sensitivity of mammogram A triangular marker is placed at 12 o'clock position of right breast, indicating the... | Palpable lobulated mass at 12 o'clock position in the right breast, for which ultrasound-guided biopsy is recommended. Results and recommendations were discussed with the patient.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, new mass, or cerebral edema. There is mild periventricular and subcortical white matter hypoattenuation which is nonspecific and stable from prior exam, likely representing chronic small vessel ischemic changes. There are small chronic bilateral cerebellar hemispheric i... | 1.No acute intracranial hemorrhage. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion.2.Unchanged left frontal calcified mass with mild local mass effect compatible with a meningioma.3.Chronic microvascular ischemic c... |
Generate impression based on findings. | Female 55 years old Reason: Evaluate for fracture. History: Dorsal foot pain/swelling/ecchymosis s/p fall The bones are demineralized. There are subacute fractures of the necks of the third and fourth metatarsal bones with adjacent callus formation indicating some healing. There may also be a nondisplaced fracture of t... | Metatarsal fractures and other findings as above. |
Generate impression based on findings. | 83 year old man with history of aortic stenosis who presents for cardiac CT prior to possible TAVR CPT: 75572 Aortic and Aortic Root. There is a left sided aortic arch with normal brachiocephalic branching pattern. No thoracic aortic dissection, aneurysm, or coarctation is noted. The thoracic aorta has no significant t... | 1. Severe aortic valve calcification 2. Thoracic aortic and brachiocephalic anatomy as above. 3. Small penetrating aortic ulcer and moderate protruding atheroma noted in descending thoracic aorta. 4. Significant sigmoid septum. 5. Saphenous vein graft within 4cm of aortic valve plane. 6. Severe multivessel coronary ca... |
Generate impression based on findings. | Female; 35 years old. Reason: Peritoneal mesothelioma please provide bi-dimensional measurements per RECIST 1.1 criteria please compare to prior exam. History: Peritoneal mesothelioma CHEST:LUNGS AND PLEURA: New mild biapical air space opacities, which are nonspecific and may be related to infection. New small left ple... | 1. Increased peritoneal thickening, particularly in the left upper quadrant as detailed above.2. New mild biapical air space opacities are nonspecific and may be related to infection. Clinical correlation is recommended. |
Generate impression based on findings. | Male, 2 months old, status post lower jaw distraction osteogenesis from mandibular hypoplasia. The overall morphology of the skull is unremarkable. The major cranial sutures are visualized and patent. The anterior fontanelle remains patent. The posterior fontanelle is closed. The mastoid fontanelles are patent.Bilatera... | 1.Interval mandibulotomy and placement of distraction instruments. Improvement in the degree of mandibular underbite is noted when compared to the prior examination.2.Persistent defect of the posterior hard palate. |
Generate impression based on findings. | Right sacroiliac joint pain. Evaluate for sacroiliitis. Evaluation of the sacroiliac joints is slightly limited by overlying bowel contents. Given this limitation, the SI joints appear normal, without radiographic evidence of sacroiliitis. The bones appear demineralized. Severe degenerative disk disease affects the vis... | Degenerative disk disease without evidence of sacroiliitis. |
Generate impression based on findings. | Pain. Hammer toes. Rule out loose hardware. Four views of the left foot are provided. Two orthopedic screws affix the first tarsometatarsal joint in near-anatomic alignment. The joint appears fused. The tip of one of the screws enters the distal aspect of the navicular with mild lucency surrounding the tip of the screw... | Postoperative and arthritic changes as described above. |
Generate impression based on findings. | Right upper lobe nodule, severe COPD, super D protocol, dyspnea. LUNGS AND PLEURA: Severe centrilobular emphysema. Solid triangular 10 x 14 mm nodule in the right upper lobe with somewhat linear margins and probable pseudo-spiculation related to adjacent emphysema. On the source images, the nodule contains punctate int... | 1. 10 x 14 mm solid nodule containing internal lipid attenuation within the right upper lobe indeterminant however does have some features which may indicate a benign process. This may be an enlarged intrapulmonary lymph node. If the referring clinical service can obtain and submit remote outside prior examinations to ... |
Generate impression based on findings. | Male, 77 years old, with headache. Assess for metastases. No evidence of pathologic enhancement, edema, or mass-effect is seen to suggest the presence of intracranial metastases. No loss of gray-white distinction is noted. Patchy periventricular hypoattenuation has progressed from the prior examination, a nonspecific f... | 1.No evidence of intracranial metastases within the limitations of CT. A more sensitive evaluation is desired, MRI should be considered.2.No acute intracranial abnormality.3.Interval progression of age indeterminate microvascular ischemic disease. |
Generate impression based on findings. | Female, 63 years old, history of stem cell transplant with recent seizure, thrombocytopenia, unresponsive. Assess for stroke. No evidence of parenchymal edema, mass-effect or loss of gray-white distinction is seen. No intracranial hemorrhage is seen.Redemonstrated are regions of prominent extra-axial space along the ce... | No acute intracranial abnormality. |
Generate impression based on findings. | Male, 28 years old. Reason: eval for cholecystitis/ other liver/gallbladder pathology History: elevated LFTs acutely LIVER: The liver measures 15.7 cm, with homogeneous echotexture. A small hepatic cyst measures 1.5 x 1.1 x 1.4 cm.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: ... | No acute abnormality to account for the patient's symptoms. |
Generate impression based on findings. | Male 67 years old; Reason: 67 y.o. M with recurrent metastatic thyroid carcinoma in the left isthmus bed and a metastatic lymph node in level IV of the right neck. History: PTCTECHNIQUE: Targeted sonography is performed of the right level 4 lymph node chain and left mid line neck tracheal node. The lateral , superior l... | 1.Intraoperative localization of metastatic PTC |
Generate impression based on findings. | Female 56 years old. Reason: evaluate for possible fracture s/p fall 2 weeks ago. History: persistent ankle pain and swelling. Three views of the right ankle demonstrate mild soft tissue swelling without fracture or malalignment. There are small osteophytes indicating mild osteoarthritis. | Mild soft tissue swelling without fracture evident. |
Generate impression based on findings. | Female 70 years old Reason: rule out pending fracture History: rule out pending fracture. Two views of the right hip and two views of the right femur are provided. There is a poorly defined lucency in the superior aspect of the base of the femoral neck which could represent multiple myeloma, but this is equivocal. We s... | Findings compatible with multiple myeloma as described above with endosteal scalloping of the proximal left femur just inferior to the lesser trochanter. A possible lesion is present in the right femoral neck. If the patient has increased hip pain, consultation with orthopedic surgery is recommended. Alternatively cros... |
Generate impression based on findings. | 37 years old Female. Reason: evaluate for PE. History: sob and prior pe. The comparison chest radiograph performed on today demonstrates no focal pulmonary opacities or pleural fluid. The ventilation images are limited by noisy imaging of the single breath phase. The wash-in images demonstrate blunting of the bilateral... | Intermediate probability for pulmonary embolism.ED physician was notified of the results at the time of dictation. |
Generate impression based on findings. | head injury on anticoagulation No evidence of acute ischemic or hemorrhagic lesion/The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous stru... | No evidence of acute ischemic or hemorrhagic lesion/ |
Generate impression based on findings. | altered mental status No evidence of acute ischemic or hemorrhagic lesion.Non specific small vessel ischemic disease, moderate to severe degree.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The ... | No evidence of acute ischemic or hemorrhagic lesion/.Advanced non specific small vessel disease.If clinically indicated, brain MRI can be considered for further evaluation. |
Generate impression based on findings. | fell and hit head No evidence of acute ischemic or hemorrhagic lesion.No change of multifocal parenchymal high attenuations since prior study indicating possibility of lesions would be most likely calcifications.Non specific small vessel disease, no change since prior exam.Scalp swelling with subgaleal hematoma on the ... | 1. Right frontal area scalp swelling with subgaleal hematoma without underlying skull fracture.2. No evidence of acute ischemic or hemorrhagic lesion.3. No change of parenchymal high attenuations and small vessel ischemic disease since prior exam. |
Generate impression based on findings. | facial pain and associated visual disturbances. 3D time of flight MOTSA MRA brain images with maximum intensity projections of the anterior/posterior intracranial circulation demonstrate normal ICAs, MCAs and ACAs. Vertebrobasilar system appears to be normal.3D MRA neck post-gadolinium images with maximum intensity pro... | Normal brain MRI, neck MRA and brain MRV exams. |
Generate impression based on findings. | Clinical question: Evaluate for acute intracranial process. Signs and symptoms: MVC with loss of consciousness. Nonenhanced head CT:There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gr... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Normal pressure hydrocephalus. Signs and symptoms: Frequent falls. Unenhanced head CT:Examination demonstrate no evidence of an acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes. There is extensive periventricular and subcortical low at... | 1.No acute posttraumatic findings.2.Extensive age indeterminate small vessel ischemic strokes with interval progression since prior study. |
Generate impression based on findings. | Clinical question: Evaluate for ventriculomegaly. Signs and symptoms: Status post EVD removal. Nonenhanced head CT:Stable acute hematoma in the pons, surrounding vasogenic edema and regional mass-effect. Mildly prominent supratentorial ventricular system without evidence of interval change is noted. Interval removal of... | 1.Stable size of ventricular system after removal of EVD.2.Stable acute hematoma in the pons and surrounding vasogenic edema.3.Stable minute amount of hemorrhage in the dependent occipital horns. |
Generate impression based on findings. | Male 58 years old Reason: FRACTURE? History: PAIN / SWELLING Spiral fracture of the distal fibula extending to the joint. There is the marked soft tissue swelling over the medial and lateral malleoli. There is a small joint effusion. Air within the soft tissues suggests open fracture/overlying skin laceration. | Spiral fracture of the distal fibula extending to the joint. Marked soft tissue swelling over the medial malleolus raises the possibility of medial ligamentous injury. |
Generate impression based on findings. | Male 58 years old Reason: distal fibula fx, evaluate for stability History: see above Widening of the medial ankle mortise on the stress view suggests underlying ligamentous injury. Again seen is a spiral fracture of the distal fibula with overlying soft tissue swelling. | Widening of the ankle mortise on the stress view suggests underlying ligamentous injury as well as aforementioned distal fibular fracture. |
Generate impression based on findings. | 44-year-old male status post Dobbhoff tube placement. Motion artifact limits examination. The pelvis is incompletely included in the field of view. Dobbhoff tube tip projects at the level of the antropyloric region of the stomach. Sternotomy wires and plates, AICD, surgical drains, in place. Nonobstructive bowel gas pa... | 1. Dobbhoff tube tip projects at the level of the antropyloric region of the stomach.2. Retained contrast in the kidneys presumably from prior CT chest performed on 4/6/2015. These findings can be seen in acute kidney injury and clinical correlation with lab values is recommended. |
Generate impression based on findings. | Male 58 years old Reason: s/p L splint placement History: see above Near anatomic alignment of distal fibula fracture. Bone detail is obscured by plaster. | Near anatomic alignment of distal fibula fracture. Bone detail is obscured by plaster. |
Generate impression based on findings. | 49 years, Female. Reason: concern for ileus History: abd distension Nonobstructive bowel gas pattern. Residual contrast within the colon. Esophageal stent and left sided jejunostomy in the expected locations.Pleural effusions, lung base consolidation and air bronchograms are better evaluated on concomitant chest radiog... | No specific evidence of ileus, as clinically queried. |
Generate impression based on findings. | 55-year-old female status post Dobbhoff tube placement. The pelvis is excluded from the field of view. Dobbhoff tube tip projects at the level of the fourth portion of the duodenum, unchanged in position. Interval removal of NG tube. Nonobstructive bowel gas pattern. Hepatomegaly. Bilateral pleural effusions. | Dobbhoff tube tip projects at the level of the fourth portion of the duodenum. |
Generate impression based on findings. | 63 year old female with stage III endometrial cancer, shortness of breath and newly diagnosed DVT. Rule out pulmonary embolism. PULMONARY ARTERIES: Technically adequate study. No evidence of pulmonary embolism. Main pulmonary caliber measures 32 mm, upper limits of normal. No evidence of right heart strain.LUNGS AND PL... | 1. No pulmonary embolism. 2. Small left pleural effusion with adjacent atelectasis. 3. Large left upper quadrant mass appears stable. PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Male 37 years old. Reason: r/o fracture. History: abrasion on L elbow s/p fall A single AP view of the pelvis and two views of the right hip demonstrate an intramedullary rod with two fixation screws. There is a deformity of the right femoral neck likely secondary to old trauma. There is joint space narrowing and marke... | Acute fracture of the proximal tibia and fibula with other findings as described above. |
Generate impression based on findings. | 41 years, Female. Reason: r.o obstruction History: nausea, vomiting, diarrhea There is apparent wall thickening of the cecum and ascending colon consistent with the patient's history of inflammatory bowel disease. The descending colon appears featureless and has apparent wall thickening which also may reflect inflammat... | 1. Wall thickening of the colon as detailed above which may be related to the patient's history of inflammatory bowel disease. 2. Probable right renal/renal pelvis stones, although this may represent the sequela of prior lithotripsy and clinical correlation is indicated. |
Generate impression based on findings. | Male 33 years old Reason: 33M with h/o stepping on nail, now with right foot and ankle pain, ?retained FB, ?fracture History: 33M with h/o stepping on nail, now with right foot and ankle pain, ?retained FB, ?fracture Right ankle: No fracture, malalignment or soft tissue swelling. No radiopaque foreign body.Right foot: ... | No fracture, malalignment or soft tissue swelling. No radiopaque foreign body. |
Generate impression based on findings. | Reason: Evaluate for pulmonary embolism History: New onset Aflutter PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus. No evidence of right heart strain.LUNGS AND PLEURA: Patchy bilateral upper lobe ground glass opacity. Diffuse bronchial wall thickening. Bilateral lower lobe linear atelectasis and/o... | 1.No acute pulmonary embolus2.Upper lobe predominant patchy ground glass opacity, bronchial wall thickening, and basilar atelectasis/scarring may be due to infection or aspiration.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applic... |
Generate impression based on findings. | Increased oxygen requirement. Gastroschisis. Five day old former 31 to 32 week gestational age patient.VIEW: Chest AP (one view) 04/08/15, 1838 Endotracheal tube tip is below thoracic inlet. Right PICC tip is in superior vena cava. Left PICC has its tip at junction of superior vena cava and right atrium. Feeding tube i... | Persistent hazy opacities. |
Generate impression based on findings. | Female 61 years old. Reason: eval for fx or fb. History: dog bite. Three views of the right third digit are provided. There is no fracture, dislocation, or radiopaque foreign body. | No fracture or radiopaque foreign body. |
Generate impression based on findings. | 71 years, Female. Reason: eval Dobbhoff tube placement History: eval Dobbhoff tube position The lower pelvis is excluded from the field-of-view. Dobbhoff tube tip projects over the gastric body. Nonobstructive bowel gas pattern. Unchanged appearance of spinal hardware, IVC filter, and surgical clips in the right upper ... | Dobbhoff tube tip projects over the gastric body. |
Generate impression based on findings. | Female, 63 years old.Surgical Case Information | Procedure(s): Procedure(s) with comments: | EXPLORATORY LAPAROTOMY - Procedure Performed: Exploratory Laparotomy; Lysis of Adhesions; Small Bowel Resection | Operating Room: CDOR 05 WEST | Surgeon(s) and Role: | * Stephan G. Wyers, M.D. - Primary | Previously seen linear... | No unexpected radiopaque foreign object.These findings were discussed by telephone with Dr. Wyers, the attending surgeon, by the resident radiologist on call on 4/9/15 at 18:15. |
Generate impression based on findings. | Female 61 years old Reason: Post-reduction Left ankle: Distal left fibula fracture in near anatomic alignment. Bone detail is obscured by overlying plaster.Right foot: Bone detail is obscured by overlying plaster and it is difficult to clearly visualize the previously described multiple metatarsal fractures. | Distal left fibula fracture in near-anatomic alignment. Bone detail is obscured by overlying plaster and is difficult to clearly visualize the previously described multiple metatarsal fractures. |
Generate impression based on findings. | Eight month old male patient with increased work of breathing. Question of pneumonia.VIEWS: Chest AP/lateral (two views) 4/8/2015 The aortic arch, cardiac apex, and stomach are on the left. The cardiothymic silhouette is normal. Peribronchial thickening is noted. There is streaky left upper lobe and left retrocardiac a... | Bronchiolitis/reactive airways disease pattern with subsegmental atelectasis. |
Generate impression based on findings. | Clinical question: Altered mental status. Signs and symptoms: Obtundent. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute non-hemorrhagic ischemic strokes.Cerebral cortex, cortical sulci, ventricular system and the CSF spaces remain thickening... | 1.No detectable acute or findings since prior exam.2.Unremarkable nonenhanced head CT. |
Generate impression based on findings. | 41-year-old male with history of significant alcohol intake and mildly elevated lipase presenting with severe epigastric pain. Evaluate for pancreatitis. ABDOMEN:LUNG BASES: Mild basilar subsegmental atelectasis. Small left pleural effusion. 3-mm right lung base micronodule. No pericardial effusion.LIVER, BILIARY TRACT... | 1. Findings of acute pancreatitis with 30 to 40% of hypo-enhancing pancreatic parenchyma, suspicious for necrotizing pancreatitis. No vascular complication. Acute peripancreatic fluid collections extending along the greater curvature of the stomach and within the anterior left pararenal space.2. Small left pleural effu... |
Generate impression based on findings. | Female, 63 years old. Surgical Case Information | Procedure(s): Procedure(s) with comments: | EXPLORATORY LAPAROTOMY - Procedure Performed: Exploratory Laparotomy; Lysis of Adhesions; Small Bowel Resection | Operating Room: CDOR 05 WEST | Surgeon(s) and Role: | * Stephan G. Wyers, M.D. - Primary | 3-cm radiopaque linea... | Linear density in the right upper quadrant, for which repeat radiographs were recommended, which confirmed the density was not an unexpected radiopaque foreign object, and was overlying the patient.These findings were discussed by telephone with Dr. Wyers, the attending surgeon, and the resident radiologist on call, on... |
Generate impression based on findings. | Reason: fracture, dislocation History: hx of osteogenesis imperfecta complaining of left hip painVIEWS: Pelvis AP and frog leg (2 views) 4/8/2015 22:29 Mild bilateral coxa valga deformity. Both femoral heads are well directed into normally developed acetabula. No evidence of SCFE or AVN. No fractures. Demineralization. | No fracture or dislocation. |
Generate impression based on findings. | 14-year-old female patient punched a wall and now has swelling of left hand middle finger with decreased range of motion of fingers and hand. Evaluate for fracture.VIEWS: Left hand PA, oblique, lateral (3 views) 4/8/2015 There is a nondisplaced oblique fracture of the base of the third digit proximal phalanx. Soft tiss... | Nondisplaced fracture of the third digit proximal phalanx. |
Generate impression based on findings. | 85 years old, Male, Reason: Patient with altered mental status, please evaluate for hemorrhage/ stroke/ mass effect There is no evidence of intracranial hemorrhage or mass. Patchy hypoattenuation within the subcortical white matter is likely secondary to age indeterminate small vessel ischemic disease. The grey-white m... | 1. No evidence of intracranial hemorrhage, mass, or cerebral edema.2. Evidence of chronic sinus disease. |
Generate impression based on findings. | Clinical question: AMS. Signs and symptoms: As above. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable study cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter different... | No acute intracranial process. Unremarkable exam. |
Generate impression based on findings. | 53 years, Female. Reason: Concern for ileus or obstruction, history of recurrent fallopian tube cancer. s/p ex lap, LOA, loop colostomy History: emesis, abdominal distention Multiple loops of dilated small bowel, with some gas in the distal colon, is suggestive of postoperative ileus. Multiple surgical clips and skin s... | Multiple distended loops of bowel, suggestive of an ileus rather than obstruction, given history of recent surgery. |
Generate impression based on findings. | Female 76 years old Reason: rule out abscess or other process in lower leg Intramedullary rod within the left femur is partially imaged.There is no bony destruction evident.There is a 6.0 x 2.0 x 8.0 cm well-circumscribed, soft tissue lesion within the superficial soft tissues of the proximal lateral calf. This is clos... | Superficial soft tissue mass in the lateral left calf. This is nonspecific and may represent phlegmon/hemangioma or other soft tissue mass. |
Generate impression based on findings. | Reason: evaluate for fracture History: swelling and inability to bear weightVIEWS: Left ankle AP oblique lateral (3 views) 4/8/2015 22:38 Soft tissue swelling. Bones appear normal without fracture or dislocation. | Soft tissue swelling without fracture. |
Generate impression based on findings. | Male; 65 years old. Reason: Intra-abdominal abscess resolution History: As above ABDOMEN:LUNG BASES: Stable appearance of the partially visualized lung bases since prior CT chest on 4/7/15 with mediastinal lymphadenopathy, bilateral pulmonary nodules, bibasilar subsegmental atelectasis, and left sixth rib metastasis al... | 1. Interval removal of one of two right lower quadrant percutaneous drainage catheters with the remaining drainage catheter tip within a very small collection, similar to prior study. No new loculated fluid collections. 2. Additional findings are stable since recent prior studies as detailed above. |
Generate impression based on findings. | 27 day old male patient with vomiting. Evaluate NG tube placement after being dislodged, replaced.VIEW: Abdomen AP (one view) 4/8/2015 Enteric tube tip is within the gastric fundus/proximal body. Left lower extremity PICC tip is in the right atrium.Interval decrease in bowel gas with a disorganized bowel gas pattern. R... | Enteric tube tip in the gastric fundus/proximal gastric body. |
Generate impression based on findings. | 63-year-old male with a clotted. Dobbhoff tube. NG tube placement. The Dobbhoff tube tip projects at the level of the third portion of the duodenum. No NG tube is visualized on this examination. Nonobstructive bowel gas pattern. Small left pleural effusion. | 1. The Dobbhoff tube tip projects at the level of the third portion of the duodenum. No NG tube is visualized on this examination, as clinically questioned. 2. Small left pleural effusion. |
Generate impression based on findings. | 82 years, Female. Reason: eval for signs SBO History: Abd pain, no BM for 4-5 days Nonobstructive bowel gas pattern. Greater than average stool burden. Multiple surgical clips project in the abdomen as well as the mediastinum. Vascular stent projects over L4. Degenerative disease affects the lower lumbar spine and bila... | No evidence of bowel obstruction. Greater than average stool burden. |
Generate impression based on findings. | 10 year old previously healthy male with urosepsis and septic shock on pressors, with pericardial effusion s/p drainage, in acute liver failure, likely with Wilson's disease, s/p adult liver transplant 4/9/2015.VIEW: Abdomen AP (one view) 4/9/2015 2:03 Enteric tube tip in the gastric body. Esophageal temperature probe ... | No radiopaque foreign body. These findings were discussed by telephone with Dr. Millis, the attending surgeon, on 4/9/2015 at 2:12AM. |
Generate impression based on findings. | Osteomyelitis, surgery, cellulitis.VIEWS: Left hip AP/frog leg (two views) 04/09/15 Skin staples are noted along the lateral aspect of the hip. A urinary bladder catheter is present. A moderate amount of feces is seen in the rectum.Heterotopic ossification is identified lateral to the iliac bone and proximal femur. The... | Bone destruction from osteomyelitis. |
Generate impression based on findings. | Eight month old female patient with history of submersion injury, ARDS status post chest tube, pneumothorax. VIEW: Chest AP (one view) 4/8/2015, 1711 Interval retraction/removal of left-sided chest tube which overlies the left lower chest and may be outside or inside the patient. Left upper extremity PICC tip is in the... | Interval retraction/removal of the left chest tube without pneumothorax. |
Generate impression based on findings. | Low platelets, change in pupillary exam, evaluate for intracranial hemorrhage. Septic shock. There is no evidence of intracranial hemorrhage. There is evidence of diffuse sulcal effacement supra-and infratentorially indicative of cerebral edema. There is diffuse effacement of the fourth ventricle with enlargement of th... | 1. Diffuse supratentorial and infratentorial sulcal effacement indicative of diffuse cerebral edema. 2. There is effacement of the 4th ventricle related to swelling of the cerebellum resulting in obstructive hydrocephalus. There also appears to be some ascending herniation of the cerebellum related to cerebellar edema.... |
Generate impression based on findings. | 37-year-old female with shortness of breath, OSA, PE history, asthma, vocal cord syndrome. Evaluate for pulmonary embolism. PULMONARY ARTERIES: There is a filling defect with the lobar pulmonary arterial branch of the right upper lobe (axial series 8, image 88; sagittal series 8073, image 42; coronal series 8070, image... | Findings compatible with a subacute or chronic pulmonary embolism in the right upper lobar pulmonary arterial branch. Findings were discussed with Dr. Maureen Willcox by phone on 4/9/2015 at 9:30 AM. PULMONARY EMBOLISM: PE: Positive.Chronicity: Chronic.Multiplicity: Single.Most Proximal: Lobar.RV Strain: Negative. |
Generate impression based on findings. | Clinical question: Evaluate for stenosis/occlusive disease. Signs and symptoms: Right-sided weakness, expressive aphasia, new lesion in left frontal lobe on CT, has known vertebroplasty or stenosis. Nonenhanced head CT:There is no acute intracranial process. There is revisualization of a small nonspecific periventricul... | 1.Head CT demonstrates demonstrated no acute or findings since prior study. Revisualization of a single foci of periventricular low attenuation white matter in the left frontal lobe.2.Intracranial CTA demonstrate patency of bilateral internal carotid arteries, mild to moderate compromise of cavernous carotid arteries s... |
Generate impression based on findings. | 68-year-old male status post Dobbhoff tube placement. Motion artifact limits examination. The left hemiabdomen in is not completely included in the field of view. Dobbhoff tube tip projects at the level of the body of the stomach. Nonobstructive bowel gas pattern. The lung bases are clear. | Dobbhoff tube tip projects at the level of the body of the stomach. |
Generate impression based on findings. | 51 years, Female. Reason: nausea/vomiting History: nausea/vomiting Nonobstructive bowel gas pattern. A moderate amount of stool is noted throughout the colon. Radiopaque densities projecting over the right hemipelvis, presumably represent ingested material, however, clinical correlation is indicated. Lower lumbar poste... | Nonobstructive bowel gas pattern. Moderate stool burden. |
Generate impression based on findings. | Male 78 years old; Reason: Pt is a 78 y/o male with met prostate cancer, evaluate for progression History: met prostate cancer, rising PSA CHEST:LUNGS AND PLEURA: Stable pulmonary micronodules.MEDIASTINUM AND HILA: Coronary artery disease.CHEST WALL: No significant abnormality notedOTHER: ABDOMEN:LIVER, BILIARY TRACT: ... | 1.Similar osseous metastatic disease compared to prior CT. Please refer to same day bone scan for further delineation and extent of metastatic disease. |
Generate impression based on findings. | 62 years, Male. Reason: upright abdomen History: distention The mid and lower lower abdomen and pelvis are not included in the field of view. Enteric tube projects at the level of antropyloric region of the stomach, unchanged in position. Gaseous distention of the stomach. No dilated loops of bowel are identified.Diffu... | 1. Gaseous distention of the stomach. Suboptimal examination for evaluation for small bowel obstruction due to the lack of visualization of the mid and lower abdomen.2. Bilateral pulmonary opacities, pleural effusions, and cardiomegaly may represent pulmonary edema. |
Generate impression based on findings. | 34-year-old female with history of metastatic breast cancer. Evaluate for progression of liver metastases. ABDOMEN:LUNG BASES: Diffuse scattered pulmonary micronodules have increased in number. Reference lesion was not imaged. Small bilateral left greater than right pleural effusions.LIVER, BILIARY TRACT: Redemonstrati... | 1. Interval placement of bilateral biliary drains with increase in ascites.2. Subjective increase in pulmonary metastases. Reference lesion was not imaged. Development of small bilateral left greater than right pleural effusions.3. Subjective mild increase in size and number of hepatic metastases, however reference mea... |
Generate impression based on findings. | 57 years, Female. Reason: check NG placement History: AMS Interval slight retraction of the NG tube, with the tip overlying the prepyloric antrum. Persistent relative paucity of abdominal bowel gas. Unchanged appearance of multiple surgical staples. | NG tube tip overlying the prepyloric antrum. |
Generate impression based on findings. | Male 62 years old. Reason: hx of patella fracture. History: same Four non-weightbearing views of the left knee are provided. There are mild osteophytes in the medial compartment consistent with mild osteoarthritis. Again seen is an ossicle along the superolateral patella consistent with a bipartite patella, which is a ... | Bipartite patella with no evidence of fracture. |
Generate impression based on findings. | 75 years, Male. Reason: NGT F/U History: NGT after advancement The pelvis is excluded from the field-of-view. Dobbhoff tube tip overlies the gastric body. Greater than average stool burden, in a nonobstructive pattern. IVC filter in expected location. Incompletely imaged pacemaker wires in expected location. | Slight interval advancement of Dobbhoff tube, with tip in the distribution of the gastric body. |
Generate impression based on findings. | Female 57 years old Reason: arthritis? History: acute on chronic knee pain Four non-weightbearing views of the left knee are provided. There is no fracture or dislocation. | No evidence of fracture. |
Generate impression based on findings. | 65 years, Male. Reason: distended History: distention, hypotension Gaseous distention of the transverse colon and probable dilated loops of bowel in the left hemiabdomen. Enteric tube tip projects at the level of the antropyloric region of the stomach. Surgical clips project over the right hemiabdomen. Surgical staples... | Mild gaseous distention of the colon and small bowel may reflect an adynamic ileus, although follow-up examination could be considered if symptoms persist to evaluate for the possibility of small bowel obstruction. |
Generate impression based on findings. | Reason: NGT History: NGT The pelvis is excluded from the field-of-view. Dobbhoff tube tip overlies the proximal gastric body. Greater than average stool burden, in a nonobstructive pattern. IVC filter and incompletely imaged pacemaker wires in expected locations. | Dobbhoff tube tip in the distribution of the gastric body. |
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