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Generate impression based on findings. | Male 22 years old. Reason: Focal rib pain on L side with protrusion on L axillary line, s/p vigorous cough with URI, evaluating for rib fx History: Focal rib pain on L ribs Three views of the ribs are provided. There is no fracture or dislocation. The lungs are clear. | No evidence of fracture. |
Generate impression based on findings. | 62 year-old female with crampy abdominal pain, similar to prior small bowel obstruction. Evaluate for obstruction. ABDOMEN:LUNG BASES: The previously seen 1.2 cm right lobe mixed solid and ground glass nodule appears to have resolved. There are several clustered punctate ground glass opacities within the right costophr... | Findings of ileus versus early partial small bowel obstruction. |
Generate impression based on findings. | 76 years, Male. Reason: eval bowel gas pattern History: ileus Interval removal of NG tube. Multiple dilated loops of small and large bowel, may reflect adynamic ileus. Surgical staples project over the midline, unchanged. Surgical clips project over the left hemiabdomen. | Multiple dilated loops of bowel, suggestive of an adynamic ileus, given the recent postoperative status. |
Generate impression based on findings. | 8-month-old female patient status post chest tube removal. Evaluate for reaccumulation of pneumothorax.VIEW: Chest AP (one view) 4/8/2015, 1928 Interval removal of the left-sided chest tube. Left upper extremity PICC tip is at the superior atriocaval junction. Enteric tube tip is in the stomach.The cardiothymic silhoue... | Interval removal of left-sided chest tube without pneumothorax. |
Generate impression based on findings. | Male; 39 years old. Reason: c/f diverticulitis, r/o abscess History: abdominal pain, fevers ABDOMEN:LUNG BASES: Minimal bibasilar dependent subsegmental atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No ... | Acute diverticulitis affecting the proximal sigmoid colon with findings suspicious for small intramural abscess. No definite drainable abscess is evident. |
Generate impression based on findings. | PICC placement.VIEW: Chest AP (one view) 4/8/2015 at 1658 hrs Interval retraction of the left upper extremity PICC tip which is now either in the left brachiocephalic vein or proximal azygos vein.The cardiothymic silhouette is normal. No focal lung opacity, pleural effusion, or pneumothorax is identified. | Left upper extremity PICC tip is either in the left brachiocephalic vein or proximal azygos vein; a lateral radiograph may be obtained to confirm. |
Generate impression based on findings. | 43-year-old male with history of epigastric pain. Evaluate for pancreatitis. ABDOMEN:LUNG BASES: Mild bibasilar atelectasis.LIVER, BILIARY TRACT: Diffuse hepatic steatosis. No suspicious lesions. The gallbladder is unremarkable.SPLEEN: No significant abnormality notedPANCREAS: There is a large multilobulated infrapancr... | Findings suggestive of subacute pancreatitis with large infrapancreatic pseudocyst as above. |
Generate impression based on findings. | Nine day old female patient on ECMO status post left DH repair. Evaluate bowel gas pattern and lung fields.VIEW: Chest and Abdomen AP (two views) 4/8/2015 at 1719 hrs Interval placement of a left sided chest tube with tip directed towards the apex. A new right-sided chest tube tip is at the right apex. Enteric tube tip... | Bilateral pneumothoraces. |
Generate impression based on findings. | Male, 66 years old. Reason: mildly elevated LFTs, assess for fatty liver LIVER: The liver measures 14.2 cm, with diffusely increased echogenicity, compatible with fatty infiltration of the liver, with focal sparing adjacent to the gallbladder. Two small round hypoechoic hepatic lesions identified, the largest measuring... | Fatty infiltration of the liver. |
Generate impression based on findings. | Female 84 years old Reason: evaluate for fx History: fall to r shoulder Limited study with two portable views of the right shoulder. There is no fracture or dislocation. | No fracture or dislocation. |
Generate impression based on findings. | 61-year-old male with history of abdominal pain. Evaluate for SBO, colitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Status post splenectomy.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS... | 1. Extensive colonic diverticulosis with mild sigmoid wall thickening and surrounding inflammatory changes which may represent mild diverticulitis or colitis. No evidence of perforation or abscess.2. Mildly dilated loops of jejunum and proximal ileum without discrete transition point may represent transient dilation fr... |
Generate impression based on findings. | 39 year-old female with right lower quadrant tenderness. Evaluate for appendicitis. ABDOMEN:LUNG BASES: Right pleural based micronodules. No pleural effusions. No pericardial effusion.LIVER, BILIARY TRACT: No suspicious focal hepatic lesion, biliary ductal dilatation or vascular abnormalities. Normally distended gallbl... | No acute intra-abdominal process. |
Generate impression based on findings. | 59-year-old female with history of metastatic esophageal cancer. Evaluate for etiology of persistent nausea and vomiting. CHEST:LUNGS AND PLEURA: Apical predominant centrilobular emphysema. Left lower lobe bronchiectasis/scarring suggesting aspiration and atelectasis. No suspicious pulmonary nodules or masses.MEDIASTIN... | 1. The distal aspect of the esophageal stent appears nearly completely occluded by soft tissue, with moderate luminal narrowing at the proximal aspect of the stent. This would be better evaluated with an esophagram or direct visual inspection2. No evidence of bowel obstruction.3. Stable distal esophageal wall thickenin... |
Generate impression based on findings. | 84 years old, Female, Reason: Evaluate for acute intracranial process History: fall, AMS Right subdural hematoma measuring up to 2 cm in greatest width extending along the entire right hemisphere. The subdural hematoma displaced predominantly high density indicating that it is acute. It is causing approximately 7 mm of... | 1. Right acute subdural hematoma measuring up to 2 cm causing approximately 7 mm of leftward midline shift.2. Left parafalcine acute subdural hematoma.3. Left chronic-appearing subdural hematoma along the high convexities of the left hemisphere measuring up to 9 mm causing subtle mass effect.These findings were discuss... |
Generate impression based on findings. | Male 34 years old Reason: r/o fx History: swelling to dorsum hand, pain at base of thumb Three views of the right hand are provided. There is no fracture or dislocation. The a soft tissue prominence along the dorsum of the hand a seen on the previous study has resolved. | No evidence of fracture or dislocation. |
Generate impression based on findings. | Altered mental status, subarachnoid hemorrhage, evaluate for changes in subarachnoid hemorrhage. Fall. Head: Again seen is minimal linear hyperdensity involving the right frontal operculum, along the insular cortex, and sylvian fissure. Minimal linear hyperdensity is also noted along the bilateral anterior frontal cort... | 1. Linear areas of hyperdensity centered along the right frontal operculum and sylvian fissure and bilateral anterior frontal regions may represent minimal subarachnoid hemorrhage. No new hemorrhage or new mass-effect.2. Extensive left frontoparietal encephalomalacia as well as likely chronic ischemic injury involving ... |
Generate impression based on findings. | Female 68 years old. Reason: Pain left middle and ring finger. Pain with swelling. Also low back pain. History: above Three views of the left hand demonstrate soft tissue swelling and degenerative changes about the PIP joint of the left third digit. Degenerative changes are noted at the interphalangeal joint and base o... | Degenerative changes of the left hand and lumbar spine as described above. |
Generate impression based on findings. | 9 day old female patient on ECMO, chest tube in place, decreased output.VIEW: Chest AP (one view) 4/9/2015 at 0454 hrs Right and left-sided chest tubes are in place. Enteric tube tip is in the stomach with multiple side ports in the distal esophagus. ECMO cannulae remain. Endotracheal tube tip is above the carina. UVC ... | Large left pneumothorax. |
Generate impression based on findings. | 84 years old, Female, Reason: fall, r/o fracture History: Head trauma and subdural hematoma Redemonstration of subdural hematoma measuring up to 2.3 cm in greatest dimension now causing approximately 9 mm in leftward midline shift, increased from prior. The left lateral ventricle is unchanged. Redemonstration of acute ... | 1. Increased acute right subdural hematoma with increased mass effect.2. Left acute parafalcine hematoma is slightly decreased in size.3. Unchanged chronic left subdural hematoma.4. Extensive bilateral cervical lymphadenopathy may be reactive or indicate underlying malignancy such as lymphoma.5. No fracture or subluxat... |
Generate impression based on findings. | 43 year old with personal history of right breast IDC, status post right modified radical mastectomy in 2005 for IDC followed by chemotherapy and radiation therapy. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, w... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 9 day old female patient status post left diaphragmatic hernia repair on ECMO. Question of chest tube position.VIEW: Chest crosstable lateral (one view) 4/9/2015 at 0832 hours Bilateral chest tubes are directed posteriorly towards the lung apices. Additional tubes and lines are better seen on the AP view.Air within the... | Chest tube tips directed posteriorly and apically. |
Generate impression based on findings. | ConstipationVIEW: Abdomen AP 4/9/15 Moderate amount of fecal burden but improved from prior study. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. | Moderate amount of fecal burden improved from prior study. |
Generate impression based on findings. | Nine day old female with history of pneumothoraces with chest tubes. HFOV.VIEW: Chest AP (one view) 4/9/2015 at 0514 hrs Two right-sided chest tubes are directed towards the right midlung. Endotracheal tube tip is above the carina. Enteric tube tip is outside the field of view but likely in the stomach. UVC tip is in t... | Increase in size of a large right pneumothorax. |
Generate impression based on findings. | 90 year old female status post left mastectomy for ILC in 2001 and right breast reduction in 2003, presents today for routine follow up. No current breast complaints. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | PainVIEWS: Left ankle AP, oblique and lateral No acute fracture or dislocation. The ankle mortise joint is normal. There is a small ankle joint effusion. Probable small bony island at the talus. | Ankle joint effusion without acute fracture. |
Generate impression based on findings. | 57 year old female with a family history of breast cancer in 3 sisters and paternal grandmother. History of melanoma diagnosed 13 years ago. Patient is on tamoxifen. No current breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram with tomo synthesis is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Facial fracture, assault with fists and metal lock. There is extensive bilateral facial subcutaneous tissue swelling and emphysema. There is a slightly displaced and angulated fracture of the left frontal process of the maxilla. There is mild scattered paranasal sinus opacification. Teeth # 7 and 30 are carious. The or... | 1. Slightly displaced and angulated fracture of the left frontal process of the maxilla and extensive facial contusions. 2. Dental caries.Discussed with Dr. Chinwuba at 9:50 AM on 4/9/15. |
Generate impression based on findings. | 48-year-old female with history of recent total abdominal hysterectomy with right abdominal swelling and back pain. Evaluate for hematoma or abscess. ABDOMEN:LUNG BASES: No suspicious pulmonary nodules or masses. No focal opacities or pleural effusions.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No si... | Large right lower abdominal wall fluid collection may represent a resolving hematoma, abscess, or postsurgical seroma. |
Generate impression based on findings. | The prior L4/5 interspinous fusion device has been removed. There is remaining bone graft between the L4 and L5 spinous processes, without bony bridging. There has been interval posterior fusion of L4-S1 with rods and pedicle screws, partial right laminectomies at L4 and L5 with right L4-5 and L5-S1 facetectomies for ... | 1. Post-surgical changes of a L4-S1 TLIF including right L4-5 and L5-S1 foraminotomies. Hardware is intact and well-positioned. There is 13 mm osseous density in the right ventral epidural space dorsal to the L4 vertebral body which may represent bone graft material/bone fragments, without significant central spinal ca... |
Generate impression based on findings. | 57-year-old male with history of bladder cancer. CHEST:LUNGS AND PLEURA: There is hazy opacity within the lower portions of the right upper lobe (series 5 image 41) likely reflecting partial atelectasis related to bronchial compression from the right hilar mass. No suspicious pulmonary nodule or mass is identified. No ... | 1. No significant interval change in size of the right hilar adenopathy and hepatic metastatic lesion. Mild right lung partial atelectasis likely related to compression from the right hilar adenopathy.2. Interval mild decrease in the multilocular lesion at the penile base.3. Periureteral fat stranding and ureteric mura... |
Generate impression based on findings. | Reason: esophageal cancer History: esophageal cancer CHEST:LUNGS AND PLEURA: Bilateral bronchial wall thickening and scarring. Scattered peripheral scarring from prior infarcts again noted. Moderate upper lobe predominant centrilobular and paraseptal emphysema, unchanged. No new or suspicious pulmonary nodules or masse... | 1.Postsurgical changes with no evidence of recurrent disease.2.Previously identified ill defined left renal hypoattenuating focus is not identified on the current exam and may have been artifactual or now resolved. |
Generate impression based on findings. | Reason: lung cancer History: 1.5 years after RUL for Stage IB NSCLC LUNGS AND PLEURA: Postsurgical changes of the right upper lobectomy. Multiple new and growing right pulmonary nodules, suspicious for metastases. For reference, the largest in the right middle lobe, subpleural, measures 9 x 12 mm (series 5 image 27). S... | 1.Postsurgical changes of a right upper lobectomy with multiple new and/or growing right pulmonary nodules suspicious for recurrent disease. The largest measures 9 x 12 mm.2.Unchanged right sub-solid nodules, although continued follow up is recommended. 3.No lymphadenopathy. |
Generate impression based on findings. | History of left lumpectomy 4/2013 for DCIS. Patient received radiation and is currently taking tamoxifen. History of benign left breast biopsy in 2002. No new breast complaints. History of breast cancer in sister diagnosed at the age of 45 Three standard views of both breasts and two spot magnification views of the lef... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Time average mean velocities: Right middle cerebral artery: 101 cm/sec.Right internal carotid artery: 75 cm/sec.Left middle cerebral artery: 110 cm/sec.Left internal carotid artery: 87 cm/sec. | Normal time average mean velocities of intracranial blood vessels as described above (<180 cm/sec). |
Generate impression based on findings. | Female; 84 years old. Reason: eval for retroperitoneal hematoma History: multiple falls, low hgb, acute SDH Lack of IV and oral contrast limits sensitivity for solid organ and bowel pathology.ABDOMEN:LUNG BASES: Low density of the cardiac blood pool due to anemia.LIVER, BILIARY TRACT: Cholelithiasis.SPLEEN: No signific... | 1. No retroperitoneal hematoma or other acute abnormality is evident.2. Prominent, rounded retroperitoneal inguinal lymph nodes, as well as prominent inguinal lymph nodes, which may be due to lymphoma or other neoplastic process.Findings discussed with Dr. Kak at 9:45 a.m. on 4/9/15. |
Generate impression based on findings. | Female 90 years old. Reason: right hip hemiarthroplasty. History: right hip hemiarthroplasty Two views of the right femur demonstrate a long femoral stem bipolar hemiarthroplasty in anatomic alignment with diaphyseal cerclage wires and a cable and claw device about the greater trochanter. There is no evidence of hardwa... | Right long femoral stem bipolar hemiarthroplasty as above. |
Generate impression based on findings. | Reason: abdominal pain - unsure about constipation History: Abdominal painVIEW: Abdomen AP (one view) 4/9/2015 9:28 Nonobstructive bowel gas pattern. Small stool burden. No evidence of free air. Rightward lumbar curve. | Nonobstructive bowel gas pattern. Small stool burden. |
Generate impression based on findings. | Male 63 years old; Reason: history of metastatic renal cancer, on sunitinib, assess for disease progression History: coug CHEST: LUNGS AND PLEURA: Innumerable bilateral pulmonary nodules are redemonstrated and suspicious for metastatic disease. The reference left upper lobe metastatic lesion measures 7 x 7 mm previousl... | 1.Stable pulmonary metastatic disease. Questionable decrease in prominence/stable appearance of cardiomestinal lymph nodes.2.Stable to slightly decreased fluid collection posterior to surgical spinal hardware like a seroma, but correlate with history to exclude infectious signs. |
Generate impression based on findings. | Evaluate healing of pars defect after surgery History: spondylolisthesis/ pars defectVIEW: Lumbar spine lateral (1 view) 4/9/2015 9:00 Posterior spinal fusion device at the L5 - S1 levels. Rods and screws appear intact in this single plane. No evidence of hardware complication. Unchanged grade 1 anterolisthesis of L5 o... | Stable postoperative changes. No evidence of complication. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional right MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Scattered benign ... | 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, 59 years old. Reason: hepatic congestion vs cirrhosis? presence of ascites? History: massive hematemesis, acute GI hemorrhage, hypotension, hemorrhagic shock, history of heroin use LIVER: The liver measures 17.1 cm, with homogeneous echotexture, and no focal lesion. Mild prominence of the hepatic veins. The mai... | Mild hepatomegaly with prominence of the portal veins and mild to moderate ascites, compatible with a known history of CHF. |
Generate impression based on findings. | Female 68 years old Reason: sp duodenal perf repair, with continued leak History: none Limited study due to lack of intravenous contrast.ABDOMEN:LUNG BASES: Bilateral large pleural effusions and atelectasis, unchanged.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS... | Unchanged to minimally decreased collections in the abdomen as described above. Limited study due to lack of intravenous contrast. |
Generate impression based on findings. | Evaluate for changes in subarachnoid hemorrhage Again seen is minimal linear hyperdensity involving the right frontal operculum, along the insular cortex, and sylvian fissure. Minimal linear hyperdensity is also noted along the bilateral anterior frontal cortical surface similar to prior. Findings are compatible with s... | 1. No significant change in linear areas of hyperdensity centered along the right frontal operculum and sylvian fissure and bilateral anterior frontal regions which may represent minimal subarachnoid hemorrhage. No new hemorrhage or new mass-effect. 2. Extensive left frontoparietal encephalomalacia as well as likely ch... |
Generate impression based on findings. | Female 57 years old Reason: Eval for OA History: Pain w/ activity Right ankle: Bone mineralization is normal. Alignment is anatomic. Joint spaces are normal. No acute fracture or malalignment. Tiny osteophyte noted in the posterior aspect of the talus.Right foot: Bone mineralization is normal. Alignment is anatomic. Sm... | Minimal osteoarthritic changes as detailed above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and bilateral ML views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. Again seen is a cluster of calcifications in the left upper outer breast that demonstr... | 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: NSA - Screening Mammogram. |
Generate impression based on findings. | Male; 70 years old. Reason: Evaluate for aortic graft infection History: sepsis ABDOMEN:LUNG BASES: Pleural nodularity and calcifications again seen, likely related to prior asbestos exposure.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormali... | Interval postsurgical changes from duodenal-aortobifemoral bypass graft fistula repair with new aortobifemoral bypass graft. Perigraft stranding and soft tissue density is nonspecific and may be due to postsurgical change though infection cannot be excluded. No perigraft gas or loculated fluid collections. |
Generate impression based on findings. | Reason: evaluate healing of fracture out of cast History: left elbow fractureVIEWS: Left elbow AP oblique lateral (3 views) 4/9/2015 9:17 Periosteal reaction is seen around distal humerus, compatible with healing occult fracture. Alignment is anatomic. | Healing occult fracture of the distal humerus. |
Generate impression based on findings. | Male 61 years old Reason: esophageal adenocarcinoma stage IV please assess and make direct comparison to imaging on 3/6/15 and provide index lesion measurements for both scans for comparison History: As above CHEST:LUNGS AND PLEURA: Mild emphysema, unchanged. Scattered micronodules are unchanged.MEDIASTINUM AND HILA: S... | Interval increase in the size of the index lesions consistent with progression of disease as described above. |
Generate impression based on findings. | 50-year-old male. Multiple myeloma patient screening for clinical drug trial. Required per protocol. SKULL: No discrete myelomatous lesion.CERVICAL SPINE: No discrete myelomatous lesions. Mild degenerative arthritic changes.THORACIC SPINE: Severe compression deformity of T8, likely pathologic, increased in height loss ... | Increased size of left chest wall based mass with associated rib destruction, most likely a myelomatous lesion. Increased height loss of the T8 vertebral body pathologic compression fracture. Otherwise, multiple myelomatous lesions in the axial and appendicular skeleton are similar to prior exam. |
Generate impression based on findings. | 50 year-old female. Right hip pain. Preop planning for robotic right THA. MAKO protocol. Severe osteoarthritis of the right hip with large subchondral cysts, sclerosis, and marked joint space narrowing. Left total hip arthroplasty device situated in anatomic alignment without evidence of hardware complication. Mild ost... | Severe osteoarthritis of the right hip. |
Generate impression based on findings. | 50 year-old female status post bilateral mastectomy for bilateral breast-cancer in 2007 presents to evaluate right lower reconstructed breast pain/tenderness to evaluate for new mass A targeted right reconstructed breast ultrasound was performed for the palpable area of concern. With a marking pen and the area is marke... | No sonographic evidence for malignancy corresponding to palpable abnormality. Clinical correlation is recommended. If clinically indicated, consultation with the plastic surgeon is recommended.BIRADS: 1 - Negative.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Liver transplant of whole liver, POD 0 Grey scale findings:Transplant liver measures 10.7-cm and is normal in echotexture. Moderate bilateral pleural effusions. Splenomegaly measuring 15-cm. Visualized portion of the right and left kidneys appear normal with no hydronephrosis or renal calculi. Small ascites.Doppler fin... | Normal expected direction of flow and waveform of the hepatic vasculature. Moderate bilateral pleural effusion. Trace ascites. |
Generate impression based on findings. | 67-year-old female with history of uterine cancer now with abdominal pain. Evaluate for perforation or obstruction. ABDOMEN:LUNG BASES: Small calcified lung nodule at the left base.LIVER, BILIARY TRACT: There is mild intrahepatic biliary ductal dilatation with prominence of the extrahepatic ducts, unchanged. Status pos... | Mild diffuse dilatation of the small bowel in an ileus pattern. Mild colonic wall thickening represents a nonspecific colitis. |
Generate impression based on findings. | Reason: evaluation of pleural effusion, meso History: evaluation of pleural effusion, meso LUNGS AND PLEURA: Right chest tube with catheter tip at the cardiophrenic angle. Small right pleural effusion with overlying compressive atelectasis. Nonspecific posterior focal pleural thickening in the 6 o'clock position at the... | 1.Small right pleural effusion with right chest tube tip in the right cardiophrenic angle. Nonspecific mild focal pleural thickening along the right posterior pleura.2.Necrotic enlarged right upper paratracheal lymph node. Right hilar lymphadenopathy. |
Generate impression based on findings. | Metastatic esophageal cancer. The known esophageal mass is beyond the field of view of this exam. There are post biopsy findings in the right lower neck with interval near resolution of the right paratracheal lesion. There is no significant lymphadenopathy in the neck. The major salivary glands and thyroid are unremark... | 1. The known esophageal mass is beyond the field of view of this exam. Please refer to the separate chest CT report for additional details.2. Interval near resolution of the right paratracheal lesion. |
Generate impression based on findings. | Male, 61 years old. Reason: eval for acute cholecystitis History: RUQ pain, fever, sludge/pericholecystic fluid on bedside US LIVER: The liver measures 16.7 cm, with homogeneous echotexture, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic or e... | Gallbladder distention with sludge and stones, and mild gallbladder wall thickening. In the appropriate clinical setting, these findings are compatible with acute cholecystitis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. A skin marker is noted at the 11 o'clock position along the areola marking a sebaceous cyst. There are bilate... | 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 r... |
Generate impression based on findings. | DDHVIEWS: Pelvis AP Bilateral femoral head epiphyses seated within the acetabula. The left femoral epiphysis is minimally smaller in size in comparison to the right side. No evidence of acute fracture or dislocation. | Left femoral epiphysis is minimally smaller in comparison to the right. No acute fracture or dislocation. |
Generate impression based on findings. | 74-year-old male with shortness of breath. LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.Stable bilateral reticular and ground glass opacities involving predominantly the posterior lung and lower lobes extending to the subpleural space, more extensive on the left with mild traction bronchiectasis. No sign... | Predominantly left sided ground glass and reticular interstitial lung disease most prominent at the posterior lung bases compatible with fibrosing NSIP and less likely atypical UIP. The presence of a dilated esophagus raises the question of connective tissue disease associated interstitial lung disease. |
Generate impression based on findings. | Male 66 years old Reason: eval oa History: hip pain Single AP view of the pelvis shows mild to moderate osteoarthritis affecting the right hip joint with lucencies in the acetabulum most is suggestive of subchondral cystic change. There is abnormal loss of the right femoral head neck junction compatible with a CAM Type... | Osteoarthritis as detailed above. |
Generate impression based on findings. | 36 year-old male with dysphagia/pain on swallowing. Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions. Sternotomy wires in place.Double contrast evaluation of the esophagus and gastric cardia/fundus revealed no morphologic abnormalities of the mucosal surfa... | Low-grade gastroesophageal reflux, otherwise unremarkable examination of the esophagus. |
Generate impression based on findings. | Cervical: The cervical vertebral bodies are appropriate height. There is minimal retrolisthesis of C4 on C5. Alignment of the cervical spine is otherwise maintained. No suspicious bony lesions are identified in the cervical spine.Degenerative changes are again seen with moderate loss of disk height at C4-C5 and disk o... | 1. Degenerative changes in the cervical, thoracic, and lumbar spine as detailed above. There is mild to moderate left greater than right C4-5 neural foraminal stenosis. No high grade spinal canal or neural foraminal stenosis is otherwise appreciated at any level. If patient's stimulator device is compatible, MRI could ... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of two benign right breast biopsies in 1999. Personal history of cervical cancer. Family history of breast cancer in maternal aunt in her 60s. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The br... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Male 55 years old status post fall, left shoulder/humerus pain Bone mineralization is normal. Alignment is anatomic. Minimal osteoarthritic changes affects the left shoulder joint with tiny osteophytes.No acute fracture or malalignment. | Minimal left shoulder osteoarthritis without acute fracture or malalignment. |
Generate impression based on findings. | Female, 29 years old. History: thyroid cancer RIGHT LOBE MEASUREMENTS: Status post thyroidectomy.LEFT LOBE MEASUREMENTS: Status post thyroidectomy.ISTHMUS MEASUREMENTS: Status post thyroidectomy.RIGHT LOBE: No focal lesion in the thyroid bed.LEFT LOBE: No focal lesion in the thyroid bed.ISTHMUS: No focal lesion in the ... | No evidence of recurrent disease. |
Generate impression based on findings. | No intracranial mass or mass effect. No evidence of infarct or hemorrhage. The ventricles and sulci are normal in size and morphology. There are foci of increased T2 and FLAIR signal in the subcortical white matter of the left superior frontal gyrus (coronal FLAIR images 23/41, 32/41) and smaller areas in the right su... | 1. No definitive findings to suggest a seizure focus. There are subcentimeter foci of increased T2/FLAIR signal in the subcortical white matter of the left and right superior frontal gyri, best seen on the coronal FLAIR sequences, which are nonspecific and may be related to prior injury including remote ischemia versus... |
Generate impression based on findings. | Female 77 years old Reason: Please eval for OA History: pain Right hand: Bone mineralization is decreased. Severe osteoarthritis affects the first interphalangeal joint, second and fourth distal interphalangeal joints with osteophytes and joint space narrowing. Moderate osteoarthritis affects the second through fifth p... | Bilateral hand osteoarthritis as detailed above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional right MLO were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is extremely dense, which lowers the sensitivity of mammography. Benign punctate calcifications in the left up... | 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 r... |
Generate impression based on findings. | 41-year-old male with history of stomach cancer. Status post resection and chemo radiation therapy, presents for restaging. CHEST:LUNGS AND PLEURA: No significant pulmonary parenchymal or pleural abnormality.MEDIASTINUM AND HILA: Unchanged right hilar lymph node measuring approximately 1.3 cm (series 3 image 45). No ne... | Unchanged nonspecific prominent right hilar lymph node with no definite metastatic disease. The previously seen right hepatic lobe hypoattenuating lesion is not seen on today's study and may have represented focal fat. |
Generate impression based on findings. | 60 year-old female with history of left lumpectomy for invasive ductal carcinoma in 2014. No current breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and... | 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. | 21-year-old male with history of testicular cancer status post chemotherapy. CHEST:LUNGS AND PLEURA: Right middle lobe subpleural punctate micronodule unchanged since CT study dated 8/14/2014 consistent with a benign intrapulmonary lymph node or scar. No suspicious pulmonary nodules or masses.No pleural effusion or pne... | No evidence of metastatic disease. |
Generate impression based on findings. | Female 81 years old Reason: ? fx History: pain s/p fall A single portable AP view of the pelvis is provided. There is no evidence of fracture or dislocation. | No evidence of fracture or dislocation. |
Generate impression based on findings. | 72-year-old female presents for routine screening mammography. Patient complains of occasional left breast pain. Two standard digital views of both breasts with a total of 12 images were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribut... | 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. | The colon is adequately cleansed and distended. There is a moderately large amount of retained fluid which is well tagged with oral contrast. The exam is of diagnostic quality.No significant size polyps masses are seen anywhere in the colon.Note: CT colonography is not intended for the detection of diminutive colonic ... | No significant size polyps or masses.Extracolonic findings and kidney including fatty liver (correlate with LFTs) and and right adnexal ovarian cystic lesion in a premenopausal woman likely a functional cyst.*OPTIONAL C-RADS CLASSIFICATION:C-1E-2*(see full definitions in: Zalis et al. CT Colonography reporting and data... |
Generate impression based on findings. | 49-year-old male status post sleeve resection and right lower lobe wedge resection for carcinoid tumor LUNGS AND PLEURA: Stable postsurgical changes from prior right lower lobectomy and partial right upper lobectomy. Right lung 5 mm x 5 mm nodule (series 5, image 159) unchanged. Additional right punctate calcified nodu... | Stable small nodules. No new findings. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with additional right CC view 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, microcalcificatio... | 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 r... |
Generate impression based on findings. | 49-year-old female. Pain. Tricompartmental osteophytes consistent with mild osteoarthritis, similar to prior. No fracture or dislocation. | Mild osteoarthritis. |
Generate impression based on findings. | Male 65 years old Reason: met prostate cancer, evaluation of disease after 15 cycles of investigational treatment. Please complete PCWG2 form History: prostate cancer Focus of increased tracer activity in the T1 vertebra corresponding with patient's known fracture is less intense compared to prior suggesting some inter... | Stable examination. No evidence of progression of bone metastases. |
Generate impression based on findings. | Male 65 years old Reason: met prostate cancer, evaluation of disease after 15 cycles of investigational treatment History: prostate cancer CHEST:LUNGS AND PLEURA: 5-mm right middle lobe nodule is unchanged on image number 61, series number 4. No new nodules.MEDIASTINUM AND HILA: Small mediastinal lymph nodes are unchan... | No significant change from previous study. Please refer to the bone scan for evaluation of the bone lesions. |
Generate impression based on findings. | Female 69 years old Reason: 69 y/o f with indeterminate T7 vertebral body sclerotic focus of unclear etiology on CT scan, please eval History: see above No increased radiotracer activity is noted in the thoracic spine. The T7 lesion in question therefore likely represents a benign process such as a bone island. Asymmet... | 1.No increased radiotracer activity in the T7 vertebral body as clinically queried. The sclerotic lesion in question therefore likely represents a benign process such as a bone island.2.Focal increased soft tissue activity in the right breast. This corresponds to an area of subtle nodularity within the glandular tissue... |
Generate impression based on findings. | 79-year-old male. Intermittent left hip pain. History of prostate cancer. Pelvic surgical clips. Severe osteoarthritis of the left hip with marked joint space narrowing, subchondral sclerosis and cyst formation. No fracture or dislocation. Vascular calcifications. | Severe osteoarthritis. |
Generate impression based on findings. | 59-year-old female. Shoulder pain. No fracture or dislocation. Tiny acetabular osteophyte consistent with minimal osteoarthritis, within normal limits for patient age. Enthesopathic changes at the supraspinatus insertion. | Minimal osteoarthritis. Enthesopathic changes of the supraspinatus imprint. |
Generate impression based on findings. | Age: 85 years. Sex : Female. Reason for study: Reason: r/o aspiration History: dysphagia,. 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 ... | The exam was negative for penetration and negative for aspiration. |
Generate impression based on findings. | Age: 67 years. Sex : Male. Reason for study: Reason: H\T\N cancer s/p radiation, history of silent aspiration, needs evaluation for PO feeds History: history of silent aspiration. Fluoroscopic guidance was provided for an oropharyngeal motility study performed by the Speech Pathology section of the ENT service. The exa... | The exam was positive for penetration and positive for aspiration. |
Generate impression based on findings. | Reason: esophageal perforation History: esophageal perforation s/p esophagectomy Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions. An esophageal clip at the junction of the mid to distal third of the esophagus appears unchanged when compared to prior.Doubl... | Grossly normal esophagram, 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.No suspicious masses, microcalcifications or areas of architectural distortion are pres... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 66 years old Reason: Eval for OA History: Hx of Femur+Tib Fx `62 Severe osteoarthritis affects the right knee with bone on bone apposition in the lateral compartment and tricompartmental osteophytes. The bones are demineralized. No acute fracture or malalignment. No significant joint effusion. | Severe right knee osteoarthritis. |
Generate impression based on findings. | Reason: sp RYGB, check GJ and JJ anastomosis History: nausea, vomiting Single contrast visualization of the esophagus showed free passage of contrast from the esophagus into the gastric pouch. The gastric pouch measures approximately 3.1 x 3.3 cm (series 12). The GJ anastomosis measures approximately 5 mm in diameter. ... | Findings compatible with Roux-en-Y gastric bypass, without evidence of anastomotic leak or obstruction. |
Generate impression based on findings. | 67-year-old female. Shoulder pain, AC joint arthritis. Cervical spine DDD. Right shoulder: No fracture or dislocation. Minimal osteoarthritis of the glenohumeral joint with tiny acetabular osteophytes. Suture anchor is noted in the humeral head. Amorphous ossific densities posterior to the humeral head likely represent... | Osteoarthritis and degenerative disk disease, as above. |
Generate impression based on findings. | Chronic sinusitis, FESS. There is mild left and moderate right maxillary sinus mucosal thickening. There is partial opacification of the ethmoid sinuses bilaterally. There is mild left sphenoid sinus mucosal thickening. There appears to be fluid and moderate mucosal thickening in the right sphenoid sinus. The frontal s... | Diffuse paranasal sinus opacification with suggestion of fluid in the right sphenoid sinus, which may represent acute upon chronic sinusitis. |
Generate impression based on findings. | 60 year old female status post right lumpectomy in 2010 for invasive ductal carcinoma and DCIS, presents today for routine follow up. No current breast complaints. No family history of breast cancer. Three standard views of both breasts, and two magnification views of the right lumpectomy bed, were performed digitally ... | Stable postsurgical changes of the right breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagno... |
Generate impression based on findings. | 43 -year-old male with history of hematuria. ABDOMEN:LUNG BASES: Scattered calcified and noncalcified pulmonary micronodules.LIVER, BILIARY TRACT: No suspicious hepatic lesions.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URET... | No suspicious renal lesions or findings to account for the patient's symptoms. |
Generate impression based on findings. | Male 66 years old Reason: Eval for OA History: Hx of Femur+Tib Fx `62 There is a healed fracture involving the mid femur with posterior displacement of the distal fracture fragment and posterior angulation. There is mild lateral angulation of the distal fracture fragment on the AP view. | Healed mid femur fracture as detailed 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 almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural di... | 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. | Male 66 years old Reason: Eval for OA History: Hx of Femur+Tib Fx `62 There are two healed fractures involving the proximal third and distal third of the right tibia. The proximal fracture has lateral displacement of the distal fracture fragment by approximately 1 shaft's width in the AP plane and mild anterior angulat... | Healed tibial fractures as detailed above. |
Generate impression based on findings. | Scoliosis and spinal fusion.VIEWS: Spine standing PA/lateral (two views) 04/09/15 Spinal fusion instrumentation extends from T3 to L2. Rods, hooks, and pedicle screws are intact. Residual left thoracic and right thoracolumbar curves are present. Thoracic kyphosis and lumbar lordosis are normal in appearance. | No evidence of complication after surgery. |
Generate impression based on findings. | Reason: hx of thymic carcinoma, s/p thymus resection, please compare to previous and measure History: none LUNGS AND PLEURA: Interval postsurgical changes mediastinal mass resection. Right upper and middle lobe atelectasis and scarring. Scattered pulmonary micronodules, unchanged. No new or suspicious pulmonary nodules... | 1.Interval postsurgical changes with soft tissue in the anterior mediastinum, which may represent postsurgical changes or residual disease, which could be further evaluated with MRI of the chest with and without contrast.2.Right upper and middle lobe subsegmental atelectasis.3.Small pericardial effusion. |
Generate impression based on findings. | 70-year-old male with history of bilateral renal oncocytoma. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Right hepatic lobe hypodensity too small to accurately characterize, however is stable when compared to prior.SPLEEN: Small splenules.PANCREAS: No significant abnormality notedADRENAL G... | Stable bilateral renal masses consistent with biopsy proven oncocytomas without significant interval change. |
Generate impression based on findings. | Male, 58 years old. Reason: to rule out hcc per protocol History: none LIVER: The liver measures 17.9 cm, with mildly heterogeneous echotexture, with diffusely increased echogenicity, without focal lesion.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic or extrahe... | Fatty infiltration of the liver. A complex cystic lesion in the left kidney can be further evaluated with CT imaging. |
Generate impression based on findings. | 71-year-old female with history of metastatic renal cancer. Assess for progression. CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary metastases demonstrates mild interval increase in size, most apparent when comparing the smaller lesions. The reference right upper lobe lesion measures 2.1 x 1.9 cm compared to 1.5 x... | No new sites of metastatic disease. Multiple bilateral lung metastatic masses/nodules demonstrate interval increase in size, most apparent when comparing the smaller metastatic lesions. |
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