instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of colon and cervical cancer. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. ... | No 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. | Male 56 years old Reason: hip pain History: hip pain Single AP view of the pelvis shows mild superior joint space narrowing in the right hip. No acute fracture or malalignment.Two views of the right hip shows abnormal onset of the right femoral head neck junction compatible with a CAM Type deformity.There is mild joint... | Findings the right hip CAM Type deformity. |
Generate impression based on findings. | 65-year-old female presents for 6 month follow-up of left breast cyst. History of bilateral breast cysts. History of benign left breast biopsy 15 years ago. No current breast complaints. Family history of breast carcinoma in her sister at age 62. MAMMOGRAM: Three standard views of both breasts were performed digitally ... | Stable clustered cysts at the 3 o'clock position of the left breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMEN... |
Generate impression based on findings. | Reason: 82 y.o with PH of breast cancer Left (s/p Lumpectomy 1998), has hard calcified mass Left breast difficult to image on mammo CT to evaluate for soft tissue mass History: PH of breast cancer, Left breast mass LUNGS AND PLEURA: Right upper and middle lobe traction bronchiectasis and scarring, likely posttreatment ... | 1.Postsurgical changes of the right breast. Large amount of right chest wall calcification without definite soft tissue component may be due to dystrophic calcification.2.Posttherapy changes in the right lungs without suspicious pulmonary nodule or mass.3.No lymphadenopathy.4.Severe atherosclerotic plaque of the left c... |
Generate impression based on findings. | 20-year-old male. Pain and swelling over anterior calf after soccer collision. Mild anterior leg soft tissue swelling. No fracture. | Mild soft tissue swelling. No fracture. |
Generate impression based on findings. | 62-year-old female. Injury right ankle two months ago. Persistent pain, aggravated while walking a lot of dictation. Evaluate for ankle pathology. No fracture or dislocation. | No significant abnormality. |
Generate impression based on findings. | Female 28 years old Reason: evaluate for fracture at great toe History: pain, decreased ROM There is soft tissue swelling about the left great toe with a linear lucency at the distal tuft likely representing a nondisplaced fracture. | Soft tissue swelling and a nondisplaced fracture at the distal tuft of the left great toe. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass effect, or cerebral edema. There are patchy periventricular white matter low attenuation foci which are nonspecific. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There are scattered calcifications ... | 1.No acute intracranial hemorrhage or mass-effect. Please note CT is insensitive for detection of early nonhemorrhagic stroke, and if there is continued high suspicion for acute ischemia, MRI can be performed.2.Nonspecific patchy periventricular white matter hypoattenuation which is grossly stable from 2009. They are f... |
Generate impression based on findings. | Female 30 years old Reason: follow up A plate and screw device affixes a comminuted distal tibia fracture in near anatomic alignment. Defects within the bone consistent with prior external fixation. A plate and screw device affixes a comminuted distal fibular fracture in near anatomic alignment. There is no radiographi... | Orthopedic fixation of healing tibia and fibula fractures in near anatomic alignment. |
Generate impression based on findings. | Female, 53 years old. Reason: Cirrhosis, unknown etiology. Complete ultrasound to also evaluate the spleen. History: Cirrhosis LIVER: The liver measures 20.9 cm, with mildly heterogeneous echotexture, a minimally nodular capsule, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow.GALLBLADD... | Slightly nodular liver contour with splenomegaly, suggestive of cirrhosis with portal hypertension. A porta hepatis/pancreatic area lymph node likely relates to cirrhosis. If there is continued clinical concern, MRI may be performed for further evaluation. |
Generate impression based on findings. | Reason: evaluate stability of spinal fusion History: kyphoscoliosisVIEW: Thoracolumbar spine lateral (1 view) 4/9/2015 11:05 Exam is performed in a brace. Kyphosis at the thoracolumbar junction measures approximately 103 degrees, previously 110. Upper lumbar vertebral bodies are extremely hypoplastic. The rib strut in ... | Unchanged marked thoracolumbar kyphosis with hypertrophy of the rib strut. |
Generate impression based on findings. | Female 28 years old Reason: Right hip pain History: hip pain Three weight-bearing views of the right hip and a single weight-bearing AP view of the pelvis are provided. The bilateral hips and pelvis appear unremarkable. There is no fracture or dislocation. | Normal right hip and pelvis. |
Generate impression based on findings. | 53-year-old female patient with history of right mastectomy 12/2013 for invasive ductal carcinoma and DCIS. Patient received radiation and chemotherapy. No new breast complaints. Personal history of CLL. Family history of breast cancer in paternal half-sister. Three standard views of the left breast were performed digi... | 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. | 85 years old, Female, Reason: stroke/ TIA History: aphasia, Rt side face droop Unchanged encephalomalacia of the left middle frontal gyrus likely represent prior infarct. No new infarct is identified. Please note that CT is insensitive for the detection of acute infarct. There is no evidence of intracranial hemorrhage ... | 1. No evidence of intracranial hemorrhage, mass, or cerebral edema.2. Chronic left frontal infarct. Please note CT is insensitive for detection of acute nonhemorrhagic ischemic event. If there is continued clinical concern for ischemia MRI is recommended.These findings were discussed with Dr. Flemming at 1120 on 4/9/15 |
Generate impression based on findings. | Mantle cell lymphoma treated on maintenance rituximab. There is no recurrent significant lymphadenopathy in the neck or significant enlargement of the Waldeyer ring structures. There is no significant airway narrowing. The major salivary glands are unremarkable. The larynx is unremarkable. There is an unchanged subcent... | No evidence of recurrent lymphoma in the neck. |
Generate impression based on findings. | 66 year-old female with history of mantle zone lymphoma on maintenance rituximab. Presents for restaging. CHEST:LUNGS AND PLEURA: Scattered calcified and noncalcified pulmonary nodules, unchanged. No significant pulmonary parenchymal or pleural abnormality.MEDIASTINUM AND HILA: Stable reference pretracheal lymph node m... | Stable reference lymph nodes with no evidence of new sites of disease. |
Generate impression based on findings. | 65-year-old female patient with history of benign right breast papilloma removed in 2009 and benign left breast papilloma removed 12/18/2014. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and di... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Male 21 years old Reason: 5th PIP avulsion fracture? History: diffuse PIP tenderness with reduced flexion, basketball injury. Three views of the right hand demonstrate mild soft tissue swelling about the proximal interphalangeal joint of the fifth digit. There is cortical irregularity along the radial aspect of the PIP... | Findings suspicious for small, minimally displaced avulsion fracture of the PIP joint of the fifth digit. May consider dedicated fifth finger radiographs if needed. |
Generate impression based on findings. | Female 22 years old Reason: assess fracture, one week interval History: S/P distal fifth metacarpal shaft Three views of the left hand again demonstrate a nondisplaced oblique, spiral fracture of the head of the fifth metacarpal without change in alignment. There has not been a significant change in callus formation. | Fifth metacarpal fracture as described above. |
Generate impression based on findings. | Male 68 years old Reason: baseline exam prior to starting new systemic therapy; please give bi-dimensional measurements History: hx of metastatic renal cell cancer CHEST:LUNGS AND PLEURA: Index right lower lobe nodule is no longer visualized. Other scattered subcentimeter nodules are stable. A new index nodule in the a... | Interval decrease in the size of the retroperitoneal index node and left adrenal nodule. Otherwise no significant change from previous study. |
Generate impression based on findings. | Female 45 years old Reason: patella fx Previously seen patellar fracture is no longer visualized consistent with healing. | Previously seen patellar fracture is no longer visualized consistent with healing. |
Generate impression based on findings. | Male 21 years old Reason: right knee pain. The joint spaces are well preserved. No fracture or malalignment. | Normal study. No specific cause for patient's right knee pain is identified. |
Generate impression based on findings. | Male 50 years old Reason: left knee pain and swelling History: left knee pain and swelling Four nonweightbearing views of the left knee are provided. There is a large joint effusion without evidence of a definite fracture. There is joint space narrowing and osteophyte formation, particularly in the lateral compartment,... | Large joint effusion and osteoarthritis without evidence of fracture. |
Generate impression based on findings. | Clinical question: Evaluate for subdural hemorrhage. Signs and Symptoms: Multiple falls. There is no evidence of intracranial hemorrhage or mass effect. There is global parenchymal volume loss with unchanged encephalomalacia of the left occipital and posterior parietal lobe. There is also a chronic infarct in the right... | 1. No evidence of intracranial hemorrhage or mass effect.2. Extensive small vessel ischemic changes of indeterminate age. Chronic infarcts in the left occipital and posterior parietal lobe and right cerebellar hemisphere. Please note that CT is insensitive for the detection of acute nonhemorrhagic ischemic event. If th... |
Generate impression based on findings. | Female 73 years old Reason: R shoulder rotator cuff tear, eval for OA History: as above Severe osteoarthritis affects the right glenohumeral joint with joint space narrowing, osteophytes and intra-articular loose bodies likely in the subcoracoid bursa.No acute fracture or malalignment. | Severe right shoulder osteoarthritis. |
Generate impression based on findings. | Female 63 years old Reason: S/p R Anterior THA History: S/p R Anterior THA Single AP view of the right hip shows components of a total right hip arthroplasty device in near-anatomic alignment without radiographic evidence of hardware complication. A joint drain is in place.Single AP view of the pelvis shows aforementio... | Total right hip arthroplasty device without radiographic evidence of hardware complication. |
Generate impression based on findings. | Left leg pain.VIEWS: Left tibia-fibula AP/lateral (two views) 04/09/15 Thickening of the medial cortex of the proximal diaphysis is again seen. No bone destruction is identified. No soft tissue swelling is seen. | Continued abnormality of the medial cortex of the proximal tibia. MR may be helpful if further evaluation is warranted. |
Generate impression based on findings. | Restaging Ewing sarcoma status post chemoradiation, last 2008. Now with pain in the chest wall along lower ribs.RADIOPHARMACEUTICAL: 11.7 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 80 mg/dL. Today's CT portion of the neck, abdomen,, pelvis, and extremities grossly demonstrates surgical material in the r... | 1.Several new hypermetabolic lesions, highly suspicious for metastatic progression. The most convincing lesions are seen at T3 and T12.2.Likely new bilateral proximal tibial bone infarctions.Diagnostic CTs of the chest also performed at today's visit will be reported separately. |
Generate impression based on findings. | History of left lumpectomy in 2012 for invasive ductal carcinoma grade 3 in the axillary soft tissues. Patient received neoadjuvant endocrine therapy and radiation therapy. Currently on an aromatase inhibitor. Recently had an inflammatory process in the left upper outer quadrant treated with antibiotics. No new 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 - Diagnostic Mammogram. |
Generate impression based on findings. | Female, 46 years old. Possible retained foreign object, increased BMI No evidence of retained foreign object. Multiple clips in the right upper quadrant and in the pelvis. | No evidence of retained foreign object.These findings were discussed with the surgeon Dr. Alverdy on the phone at the time of dictation. |
Generate impression based on findings. | History of T3N2c SCCA of left BOT/vallecula status post chemoradiation completed December 2013. Please evaluate. There are post-treatment findings in the oropharyngeal and hypopharyngeal regions with slight interval decrease in mucosal edema. There is no definite evidence of a measurable tumor in the treatment bed. The... | Post-treatment findings in the oropharyngeal region without evidence of measurable tumor or significant lymphadenopathy in the neck. |
Generate impression based on findings. | Female 48 years old; Reason: bulge to lower abdomen s/p DIEP procedure History: abdominal bulge ABDOMEN:LUNG BASES: Scarring and architectural distortion posterior to the flap in the right lung is partially visualized.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCRE... | 1.No definite finding to account for patient's abdominal swelling as above. Likely postsurgical changes in the lungs, chest and abdomen related to DIEP procedure. |
Generate impression based on findings. | 57 year old with history of left lumpectomy for invasive ductal carcinoma 5/2013. Patient received radiation and chemotherapy. No new breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is heterogeneously dense, unchanged in pa... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. In view of patient's dense breast tissue, breast MRI might be helpful for annual follow up. Results and recommendations were discussed with the patient. BIR... |
Generate impression based on findings. | 59 years, Male. Reason: Abdominal distension History: abdominal distension Residual contrast is seen throughout the colon. Paucity of small bowel gas. Small amount of contrast is seen in the stomach and gastric suture line is expected in the left upper quadrant. No evidence of obstruction. Percutaneous jejunostomy cath... | No evidence of obstruction. |
Generate impression based on findings. | Female 81 years old Reason: chronic knee pain, evaluating extent of arthritis History: chronic knee pain Right knee: Bone mineralization is normal. There is a mild genu valgus. Severe osteoarthritis affects the right knee with tricompartmental osteophytes, joint space narrowing and intra-articular loose bodies. No acut... | Severe bilateral knee osteoarthritis, right worse than left |
Generate impression based on findings. | Female 51 years old Reason: Patient with large left renal AML s/p IR embolization. Evaluate s/p embolization and for potential resection. History: As above ABDOMEN:LUNG BASES: Multiple cysts in the lungs. This compatible with lymphangioleiomyomatosis.LIVER, BILIARY TRACT: Multiple subcentimeter hypodense lesions in the... | Large exophytic left angiomyolipoma extending superiorly and displacing the pancreatic tail. Collection next the angiomyolipoma likely represents a resolving hematoma.Right adrenal adenoma is unchanged.Post-embolization changes involving the left kidney. Small amount of left pararenal hematoma.Heterogeneous uterus with... |
Generate impression based on findings. | Female 38 years old Reason: evaluate for esophogeal foreign body/stricture History: foreign body sensation, ? fish bone No radiopaque foreign bodies are seen on the lateral soft tissue neck view.AP and lateral views of the neck were obtained using 30 pulses/sec with fluoroscopy capture and reviewed with slow motion pla... | Minor motor abnormality esophagus otherwise normal exam. Findings discussed with Louann Shea and with the patient. |
Generate impression based on findings. | Male 47 years old Reason: Any abdominal hernia? any organomegaly? History: Pt with POEMS complains of increasing abdominal distention (worse after meals) ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No signifi... | Bilateral, symmetrically enlarged perirenal fat tissue displacing the distal organs and bowel anteriorly. Although this most likely represents hyperplasia/lipomatosis, a neoplasm of fatty origin cannot be excluded.Small caliber of IVC with lack of enhancement in the intrahepatic portion and calcification and extensive ... |
Generate impression based on findings. | Female 48 years old Reason: CT arthrogram of right shoulder; evaluate for right shoulder rotator cuff tear ROTATOR CUFF: No significant abnormality noted.SUPRASPINATUS OUTLET: No significant abnormality noted.GLENOHUMERAL JOINT AND GLENOID LABRUM: There was no contrast extravasation into the labrum to suggest a tear.BI... | No evidence of rotator cuff tear or abnormality of the glenoid labrum. |
Generate impression based on findings. | Female 33 years old; Reason: RLQ pain History: RLQ pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Subcentimeter hepatic hypodensities in the right lobe are too small to accurate characterize.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLAN... | 1.No definite acute findings to explain patient's right lower quadrant pain. Gas within the vagina and cervix with surrounding mild thickening of the vagina and cervix is nonspecific, but could be related to tampon placement. Correlate clinically or with direct visualization. |
Generate impression based on findings. | Female 63 years old; Reason: Stage III endometrial cancer with left upper quadrant soft and cystic mass. Need to characterize if mass is arising from bowel/spleen or has any other connections History: early satiety, malaise, fatigue ABDOMEN:LUNG BASES: Small left and trace right pleural effusions with adjacent compress... | 1.Large, predominantly left upper quadrant mass as described above is of unclear etiology with mass effect on adjacent organs as described above. Given the multifocality of these throughout the omentum and peritoneum, metastatic disease or psuedomyoma peritonei is a possibility, although the known primary is endometria... |
Generate impression based on findings. | Elbow fractureVIEWS: Left elbow AP, oblique and lateral There are 3 K wires stabilizing the supracondylar fracture in near anatomic alignment. The overlying splint obscures fine bony detail. | Post operative changes without complication. |
Generate impression based on findings. | Male 63 years old. Reason: History hardware for spine fusion and laminectomy for metastatic renal cancer. History: none Three views of the lumbar spine demonstrate posterior fixation of T12 through L4 with pedicle screws within the vertebral bodies of T12, L1, L3, and L4. There is no evidence of hardware complication. ... | Stable appearance of the thoracolumbar spine status post lumbar spine fixation. |
Generate impression based on findings. | Clinical question: Risk for intracranial abnormality. Signs and symptoms: New onset of seizure. Unenhanced head CT:Examination demonstrates a well-demarcated focus of low attenuation in the subcortical white matter left frontal which likely is extra-axial in location. There is subtle mass effect (axial imaging 19 and s... | 1.Well-demarcated low attenuation left frontal extra-axial mass measuring at 16 x 23-mm. Follow-up with pre-and post enhanced brain MRI is recommended.2.Unremarkable nonenhanced head CT otherwise. |
Generate impression based on findings. | Respiratory failure. Atelectasis.EXAMINATION: Chest AP (one view) 04/09/15 Tracheostomy tube is in place. A left thoracic curve is seen. The ribs are gracile.Cardiothymic silhouette is normal. Subsegmental atelectasis is seen in the left lower lobe. No focal air space disease is present. | Subsegmental atelectasis. |
Generate impression based on findings. | 59 year-old female with history of abuse, new onset right heart failure. Evaluate for ILD. LUNGS AND PLEURA: Scattered punctate micronodules. No suspicious pulmonary nodules or masses. Moderate to severe centrilobular and paraseptal emphysematous changes. There is moderate bronchial wall thickening. No evidence of bron... | 1. Moderate to severe emphysema with bronchial wall thickening compatible with bronchitis, evidence of diffuse interstitial lung disease. 2. Bilateral small pleural effusions with adjacent atelectasis likely due to congestive heart failure. 3. Hypoattenuation of the blood compatible with anemia. 4. Diffuse subcutaneous... |
Generate impression based on findings. | Male 60 years old Reason: renal cell carcinoma History: renal cell carcinoma Stable focus of mildly increased radiotracer activity in the right frontal bone. This is considered more likely benign and malignant. No additional sites of abnormal radiotracer activity.Status post right nephrectomy. | Stable examination without convincing evidence of metastatic disease. |
Generate impression based on findings. | Reason: History of T3N2c SCCA of left BOT/vallecula status post chemoradiation completed December 2013. Please evaluate. History: As above LUNGS AND PLEURA: A few scattered calcified and noncalcified pulmonary micronodules, unchanged. No new or suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AN... | No evidence of metastatic disease. |
Generate impression based on findings. | 12 year old female patient with right-sided hip dysplasia in past.VIEWS: Pelvis AP and frog leg lateral (two views) 4/9/2015 The femoral heads are rounded and directed towards the acetabula. There is approximately 40% lateral uncovering of the right femoral head. A bone island is noted in the left iliac wing. | Lateral uncovering of the right femoral head. |
Generate impression based on findings. | 11 months old, Male, Reason: status post fall History: head bruising There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. The skull is normal without evidence of ... | No evidence of intracranial hemorrhage, mass, or cerebral edema. Small frontal subgaleal hematoma without skull fracture. |
Generate impression based on findings. | FeverVIEWS: Chest AP and lateral Cardiothymic silhouette at the upper limits of normal. Cardiac apex and stomach left-sided. Peribronchial wall thickening with subsegmental atelectasis in the left lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | 77-year-old female with history of abdominal pain. ABDOMEN:LUNG BASES: Right lower lobe ulnare nodule measures 14 mm from previously 14 mm (image 22 of series 5). Groundglass nodule in the anterior aspect of the right upper lobe is incompletely imaged. In the left lower lobe, there is a focal area of fibrosis and bronc... | 1. Interval increase in size of metastatic lesions. New high density loculated fluid adjacent to the right lower quadrant mass abutting the abdominal wall is nonspecific, but may represent a small adherent hematoma.2. New moderate ascites.3. Findings raise the question of right common iliac vein thrombosis, however thi... |
Generate impression based on findings. | 51 year old female. Follow-up. FWB. Again seen is an oblique fracture of the distal fibular diaphysis in near anatomic alignment. The fracture line is indistinct and there is adjacent callus formation consistent with interval healing. Mild soft tissue swelling persists. | Healing distal fibular fracture. |
Generate impression based on findings. | Reason: Ewing's sarcoma; assess for pulmonary metastasis LUNGS AND PLEURA: Scattered pulmonary micronodules. No new or suspicious pulmonary nodules or masses. No pleural effusion.MEDIASTINUM AND HILA: Left chest port with catheter tip at the cavoatrial junction. No mediastinal or hilar lymphadenopathy. Previous referen... | 1.Progression of osseous lesions at T3 and T12 vertebral bodies and possible at right scapular tip.2.No evidence of pulmonary metastases. |
Generate impression based on findings. | Time average mean velocities: Right middle cerebral artery: 143 cm/sec.Right internal carotid artery: 118 cm/sec.Left middle cerebral artery: 141 cm/sec.Left internal carotid artery: 123 cm/sec. | Normal time average mean velocities of intracranial blood vessels as described above (<180 cm/sec). |
Generate impression based on findings. | Pre-op planning. Stealth scan in OR. This is a limited stealth CT head for intra-operative planning. There is an external frame in place. Post-operative axial images demonstrate bifrontal burr holes with bilateral transfrontal deep brain stimulator lead placement, tips in the region of the bilateral subthalamic nuclei.... | Limited stealth intra-operative head CT with expected post-operative changes related to placement of bilateral transfrontal deep brain stimulator leads, with tips in the region of the bilateral subthalamic nuclei. |
Generate impression based on findings. | Female 32 years old Reason: Bil breast cancer Right-DCIS (not palpable) Left IdC, s/p chemo History: Bil breast cancerRADIOPHARMACEUTICAL: The bilateral breasts were prepared in a sterile manner. A total of 1.0 mCi Tc-99m filtered sulfur colloid was injected in four periareolar injections in the right breast.A total of... | Sentinel nodes identified in the bilateral axillae. |
Generate impression based on findings. | 53 year old female with recurrent fallopian tube cancer and tumor in pelvis and abdomen with 2 days of elevated BP, N/V, and vision changes. Evaluate for brain metastasis. There is no evidence of intracranial metastasis. There is no intracranial hemorrhage or cerebral edema. The ventricles and basal cisterns are normal... | No CT evidence of intracranial metastatic disease. However, if there is continued clinical concern and no contraindications, please note MRI is more sensitive for small lesions. |
Generate impression based on findings. | Male 62 years old Reason: S/P THERASPHERE ADMINISTRATION, HCC History: HCC, S/P THERASPHERE ADMINISTRATION CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCORONARY ARTERY CALCIFICATION: Mild.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY ... | Interval increase in the size of the heterogeneous mass in the liver This may be secondary to tumor progression, however, also can be seen at the early phase after Therasphere administration. Follow-up imaging is recommended for further evaluation.. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of ovarian cancer in aunt diagnosed in her 40s. 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 susp... | 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. | 11 month old male patient with trauma and concern for pneumothorax.VIEW: Chest and abdomen AP (2 views) 4/9/2015 The aortic arch, cardiac apex, and stomach are on the left. No focal lung opacity, pleural effusion, or pneumothorax. No rib fracture is identified.The stomach is distended with an otherwise non-obstructive ... | No pneumothorax. |
Generate impression based on findings. | 57-year-old female with suspicious right breast lesion at the 10 o'clock position presents for ultrasound guided biopsy. Right ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a hypoechoic mass measuring 1.4 x 0.5 x 1.4 cm at the 10 o’clock position with increased vascularity, 5 cm fr... | Successful ultrasound-guided core biopsy of the right breast lesion and clip placement. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 59-year-old male. Left ankle fracture. Medial malleolus and distal fibula fractures with adjacent callus formation in near anatomic alignment, similar to prior. The fracture line remains visible. Demineralized bones, likely from disuse. | Medial and lateral malleolar fractures, similar to prior. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Oval 8 mm asymmetry in the lateral rig... | Oval 8 mm asymmetry in the lateral right breast best seen on CC view. Recommend targeted right breast ultrasound for further characterization.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 67 year old female with history of urothelial cancer presents for restaging. CHEST:LUNGS AND PLEURA: Reference left upper lobe mass has increased in size and currently measures 5.0 x 4.7 cm (series 4 image 34), compared to 4.1 x 3.3 cm previously. Some of the previously described new ground-glass and subpleural solid n... | Interval increase in size of the large left lung metastatic masses. Previously described new ground-glass and subpleural solid nodules demonstrate interval near complete resolution, suggesting that these were infectious/inflammatory in etiology. |
Generate impression based on findings. | 11 month old male patient with trauma. Evaluate for fracture.VIEWS: Cervical spine AP and lateral (2 views) 4/9/2015 The cervical spine is only visualized from C1-C5, C6 and C7 are not evaluated on this examination. There is straightening of the normal cervical lordosis which may be due to the c-collar or muscle spasm.... | Within stated limitations, no fracture is evident. |
Generate impression based on findings. | 56 year old female. Pain, inability to FF above 90 degrees, significant popping. Evaluate for OA, fracture, dislocation. No acute fracture or dislocation. Moderate osteoarthritis of the glenohumeral joint with joint space narrowing, subchondral sclerosis and cyst formation. High riding humeral head, likely due to chron... | Moderate shoulder joint osteoarthritis. High riding humeral head, likely due to chronic rotator cuff tear or atrophy. |
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 pre... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Subcentimeter bilateral circ... | 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. | Prostate cancer. Biopsy-proven osseous metastasis to pubic ramus. Despite patient's attempt to void, there remains significant radiotracer activity within a markedly distended bladder. This mildly limits evaluation of the central pelvis.Focal radiotracer activity within the left superior and inferior pubic ramus corres... | Osseous metastasis to left superior and inferior pubic rami. No additional osseous metastases are identified. |
Generate impression based on findings. | Follow-up of metastatic basal cell carcinoma. There are postoperative findings related to left neck dissection and submandibular gland excision. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and remaining salivary glands are unremarkable. The... | No evidence of measurable tumor recurrence in the neck. |
Generate impression based on findings. | 50 year old female 2 days post surgery with new oxygen requirements and tachycardic. PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery caliber measures 29 mm, within normal limits. No evidence of right heart strain.LUNGS AND PLEURA: Left perihilar ground glass opacity measuring 4.7 cm x 3.4 c... | 1. No evidence of pulmonary embolism. 2. Focal area of left perihilar ground glass opacity favoring an acute process given the appearance and likely represents aspiration, infection or focal edema. 3. Small bilateral pleural effusions. PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applic... |
Generate impression based on findings. | 60-year-old female. Shoulder pain, posterior, intermittent chronic. No fracture or dislocation. No significant osteoarthritis of the glenohumeral joint. Rightward curvature of the thoracic spine. Deformity of a right upper thoracic rib, likely due to remote trauma. | No significant abnormality of the shoulder joint. |
Generate impression based on findings. | Right forearm fracture. Evaluated healing of fracture.VIEWS: Right forearm AP and lateral (2 views) 4/9/2015 There are healing fractures involving the distal radius and ulna with periosteal reaction and less distinct fracture lines. The distal radial fracture fragment is slightly displaced dorsally. | Healing forearm fractures. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses, microcalcificati... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Female 71 years old Reason: rule out hip fracture History: hip pain after fall, per patient was diagnosed with hairline hip fracture at OSH. There is cortical disruption consistent with nondisplaced fractures of the left superior and inferior rami. There is also a possible old healed fracture in the left inferior pubic... | Nondisplaced left superior and inferior rami fractures. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Benign right breast biopsy in 2004. Breast cancer diagnosed in sister at 41 years of age. 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 composed of scatt... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: history of left nasal basal cell carcinoma, metastatic to left neck. Now s/p neck dissection. Assess for recurrence History: same LUNGS AND PLEURA: No new or suspicious pulmonary nodules or masses. Right upper lobe scarring, new compared to prior. No pleural effusions.MEDIASTINUM AND HILA: No mediastinal or hil... | No evidence of intrathoracic metastases. |
Generate impression based on findings. | 10-year-old female with history of severe rectal ulceration, wall thickening, and obstruction. Now with recurrent ileostomy retraction. Please evaluate rectum for wall thickening inflammation consistent with Crohn's. Patient being evaluated for re-anastomosis.EXAMINATION: MR pelvis without and with IV contrast 4/9/2015... | No specific evidence of active inflammation. |
Generate impression based on findings. | Female 51 years old Reason: see above History: renal cell cancer pre clinical trialRADIOPHARMACEUTICAL: 13.0 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 101 mg/dL. Today's CT portion grossly demonstrates multiple mildly enlarged cervical lymph nodes including a left submandibular, right level 2, and righ... | Widespread hypermetabolic lesions in the neck, chest, and abdomen consistent with tumor. While this may represent renal cell carcinoma, given the distribution, lymphoma is an additional consideration. |
Generate impression based on findings. | History of left breast cancer in 1996 and 1999 treated with breast conservation. Patient received radiation and chemotherapy. No new breast complaints. History of breast cancer in mother diagnosed at the age of 75. Three standard views of both breasts and additional left MLO view were performed digitally and reviewed w... | Stable postsurgical changes of the left 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: 1 - Negative.RECOMMENDATION: ND - Diagnostic Ma... |
Generate impression based on findings. | 85-year-old female. Pelvic pain. Status post fall. No fracture is identified within limits of bone demineralization. Moderate osteoarthritis of the bilateral hips. Severe degenerative arthritic changes of the lower lumbar spine. Injection granulomas in the buttocks. | Moderate osteoarthritis of the hips. No definite fracture is identified. |
Generate impression based on findings. | 52-year-old male. Pain, erythema, warmth right ankle. Evaluate for Charcot changes. Right ankle: Mild soft tissue swelling, decreased from prior. No fracture or dislocation. Vascular calcification. Ankle mortise is intact. Plantar heel spur. Enthesopathic changes at the Achilles tendon insertion.Right foot: Interval sc... | Interval sclerosis of the 1st toe proximal phalanx, suggestive of interval healing of osteomyelitis. No evidence of a neuropathic joint. |
Generate impression based on findings. | 56 year old male with history of atrial fibrillation, mitral valve prolapse, and retroperitoneal lymphoma. Preoperative evaluation for TVR/MVR. Vessels:An addendum to this report will be issued once vessel measurements are available. The distance from the aortic valve to the innominate artery measures approximately 9.7... | 1.Dilated left atrium and left ventricle with thickened mitral valve leaflets. 2.Moderate annular calcification involving the anterior/inferior mitral valve. There is also minimal calcification along the apical interatrial septum, which is of uncertain clinical significance. 3.No evidence of thoracic aortic aneurysm or... |
Generate impression based on findings. | Reason: head and neck cancer/ post induction scans History: see above CHEST:LUNGS AND PLEURA: Bilateral scattered calcified and noncalcified micronodules. No new or suspicious pulmonary nodule or masses.No pleural effusions.MEDIASTINUM AND HILA: Postsurgical changes of the left neck with sacrifice of the left internal ... | 1.No evidence of intrathoracic metastases.2.Possible new ill-defined hypoattenuating focus in the left lobe of the liver, most likely benign such as an hemangioma. However, attention should be paid to this on future examinations to confirm stability. |
Generate impression based on findings. | ConstipationVIEW: Abdomen AP 4/9/15 Large amount of fecal burden within the rectum and sigmoid colon. There is moderate fecal burden in the remainder of the colon. No pneumatosis or pneumoperitoneum. | Large amount of fecal burden as described above. |
Generate impression based on findings. | History of pT3N2b squamous cell carcinoma of the left tonsil treated with CRT in 2013, then developed left neck soft tissue recurrence in 11/2014 treated with surgical resection on 12/26/14 (margins uncertain). There has been interval administration of induction chemotherapy. There are post-treatment findings in the le... | The multifocal recurrent tumor in the left tonsillar neck appears similar in size overall. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in maternal aunt diagnosed at age 35, sister diagnosed at age 70 and paternal aunt diagnosed at age 70. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is com... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses, microcalcificati... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 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. | Asymptomatic female presents for routine screening mammography. History of breast cancer in daughter. Two standard digital views of both breasts with tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and dist... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses, microcalcificati... | 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: NSD - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, a total of 9 images, were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, mic... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microca... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 28 years old Reason: right wrist pain History: right wrist pain Bone mineralization is normal. Alignment is anatomic. No acute fracture or malalignment. The joint spaces are normal. | No acute bony abnormality. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal grandmother diagnosed at age of 58. Two standard digital views of both breasts with tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 72-year-old male with history of metastatic prostate cancer. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: The heart size is normal without pericardial effusion. Scattered small mediastinal lymph nodes. No hilar lymphadenopathy.CORONARY ARTERY CALCIFICATION: Moderate.CHEST WALL... | 1. Diffuse sclerosis of the left inferior and superior pubic rami with periosteal likely representing metastatic disease. Please refer to same day bone scan for further details.2. Infrarenal aortic aneurysm measuring up to 5.3 x 4.8 cm containing a large eccentric mural thrombus. |
Generate impression based on findings. | Male, 43 years old. Reason: r/o stones, kidney pathology History: hematuria RIGHT KIDNEY: The right kidney measures 13.1 cm, with normal echotexture, and no focal lesion. No renal stones.LEFT KIDNEY: The left kidney measures 13.6 cm, with normal echotexture, no focal lesion. No renal stones.URINARY BLADDER: The bladder... | No renal stones or hydronephrosis. Shadowing echogenic structures adjacent to the bladder may represent calcified lymph nodes given extensive lymphadenopathy seen on recent CT exam. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.