instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | Female 20 years old. Reason: left knee pain History: left knee pain Four weight-bearing views of the left knee are provided. Again seen are findings consistent with a prior ACL reconstruction, which appear similar to prior study. The left knee otherwise appears normal without findings to account for the patient's pain.... | Postoperative changes of an ACL reconstruction without findings to account for the patient's pain. |
Generate impression based on findings. | 5-year-old female patient with leg pain and calf pain for one day. Evaluate for bony abnormality.VIEWS: Left tibia/fibula AP and lateral (2 views), Right tibia/fibula AP and lateral (2 views) 4/9/2015 No acute fracture or malalignment is noted bilaterally. No soft tissue swelling is seen. Punctate radiodensities along ... | Normal examination. |
Generate impression based on findings. | 39-year-old female post drainage of peripancreatic fluid collection with persistent nausea and infrequent bowel movement. CHEST:LUNGS AND PLEURA: Small moderate left pleural effusion without significant change. Associated atelectasis at the left base.MEDIASTINUM AND HILA: No significant abnormality noted. Right-sided v... | No significant interval change. Left pleural effusion.Continued decrease in peripancreatic fluid collection. |
Generate impression based on findings. | 56-year-old female with recalled from screening mammogram on 11/25/14 for a small mass in the left posterior lower inner quadrant. However, patient returns after 5 months for a left unilateral diagnostic mammogram. Mammogram: Three standard views of the left breast and spot compression views were performed digitally an... | High probability benign morphology mass in the right lower, inner quadrant on mammogram with a possible correlate on ultrasound is noted. Six month follow up bilateral diagnostic mammogram is recommended. Patient is also requested to submit prior mammograms, if available for comparison from Mount Sinai Hospital.BIRADS:... |
Generate impression based on findings. | Reason: 67 yo man with rheumatoid arthritis, s/p left pneumonectomy for gunshot wound (1985) History: dyspnea LUNGS AND PLEURA: Status post left pneumonectomy with complete obliteration of the left pleural space and shift of the mediastinum into the left hemithorax.Elevation of the left hemidiaphragm and extensive defo... | Extensive postsurgical and posttraumatic abnormalities in the left hemithorax.Mild basilar scarring on the right and no acute abnormalities. |
Generate impression based on findings. | 67 years old, Male, Reason: Evaluate for neurological abnormality History: Generalized weakness Head: There is no evidence of intracranial hemorrhage or mass. The focus of encephalomalacia in the right occipital lobe is unchanged in appearance. The grey-white matter differentiation appears to be intact. Ventricular sys... | 1. Fracture involving the T9 vertebral body with subtle extension of the fracture to involve the posterior cortex. There is also a probable subtle fracture involving the T8 vertebral body. These fracture are of indeterminant age and maybe subacute. No associated osseous retropulsion or involvement of the posterior elem... |
Generate impression based on findings. | As per the prior MR on 1/31/15, there is transitional spinal anatomy with a suspected T13 vertebral body with hypoplastic ribs. For the purposes of this exam and consistency, the last fully formed vertebrae is designated L5 and the last thoracic vertebral body is designated T13. There is anomalous articulation of the ... | Unchanged attenuation and right-predominant distortion of the spinal cord at the T13 level, likely reflecting the patient's prior trauma. Otherwise, no abnormal spinal cord signal is identified. |
Generate impression based on findings. | Altered mental status. There is global parenchymal volume loss, greater than expected for age. There is no evidence of acute intracranial hemorrhage or mass effect. There is no hydrocephalus. There is mild mineralization of the left basal ganglia. The basal cisterns are normal in size and configuration. There is no mid... | 1. No evidence of intracranial hemorrhage or mass effect. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct.2. Nonspecific mild global parenchymal volume loss that is greater than expected for age. I personally reviewed the Images and/or procedure with the Resident/Fellow and ag... |
Generate impression based on findings. | 55 year-old female left flank pain and hematuria. ABDOMEN:LUNG BASES: Mild septal thickeningLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: There may be a small low attenuation mass in the pancreas on image 41/169 measuring 1.1 x 1.2 cm. Recommend follow up with d... | Significant left hydronephrosis with bladder calculus. Hydronephrosis could be due to a recently passed ureteral stone.Fibroid uterusCYSTIC PANCREATIC MASS SUSPECTED: FOLLOW UP MRCP RECOMMENDED. Report to x 45657 |
Generate impression based on findings. | Female 25 years old Reason: eval for scoliosis History: eval for scoliosis Spine survey radiographs demonstrate 4 non-rib bearing lumbar vertebrae. There is approximately 38 degrees of dextroscoliosis of the thoracic spine as measured from the superior endplate of T5 to the inferior endplate of T11.There is approximate... | Scoliosis as described above. |
Generate impression based on findings. | Two year old female patient with tachypnea, hypoxia. Evaluate for pneumonia.VIEWS: Chest PA/lateral (two views) 4/10/2015 The cardiothymic silhouette is normal. Peribronchial thickening is noted. Confluent airspace opacity with air bronchograms is seen in the left lower lobe. Streaky opacity within the right middle lob... | Left lower lobe pneumonia. |
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. 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. | Asymptomatic female presents for routine screening mammography. Personal history of benign right breast biopsy. 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. In the right upper ... | Focal asymmetry in the right upper outer quadrant. Recommend comparison with prior mammogram examinations. If patient cannot submit prior mammograms, spot compression views with ultrasound are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISON |
Generate impression based on findings. | Increased oxygen requirementVIEW: Chest AP 4/10/15 Cardiothymic silhouette normal. Patchy atelectasis bilaterally without evidence of pneumonia. No pleural effusion or pneumothorax. The stomach is distended. ET tube, NG tube and left PICC have been removed. | Patchy atelectasis bilaterally without pneumonia. |
Generate impression based on findings. | Follow pancreatic cystic lesions. ABDOMEN:LUNG BASES: Small bulla at the right lung base.LIVER, BILIARY TRACT: No significant abnormality noted. Tiny hypodense nodule the right lobe is unchanged.SPLEEN: No significant abnormality notedPANCREAS: Two nonspecific subcentimeter cystic lesions in the pancreas. Pancreatic du... | Two stable subcentimeter cystic lesions in the pancreas, likely representing sidebranch IPMNs. Unchanged gastric lipoma and retroperitoneal lipoma. |
Generate impression based on findings. | Female, 49 years old. 1 mo s/p OLT, biopsies and fascial closure yesterday PORTAL VENOUS: The main portal vein is patent with hepatopetal flow, and a flow velocity of 60 cm/sec and spectral broadening. Intrahepatic main portal vein has a flow velocity of 40 cm/sec. The left and right portal veins are patent with normal... | 1. Persistent mildly increased portal vein velocities. No evidence of portal venous thrombosis.2. The remaining hepatic vasculature is patent. |
Generate impression based on findings. | 18 year-old male with supraclavicular adenopathy. Supraclavicular mass. Lymphoma. LUNGS AND PLEURA: Left upper lobe interlobular septal thickening and centrilobular nodules adjacent to left suprahilar mass compatible with pulmonary involvement. Left upper lobe subpleural nodule measures 6 mm (series 4 image 35). Left l... | Anterior mediastinal and left hilar masses with osseous, pericardial, and pulmonary involvement. Although slightly atypical, this is suspicious for lymphoma; however, germ cell tumor cannot be excluded. |
Generate impression based on findings. | 47-year-old female patient with history of benign right breast biopsy. Family history of paternal aunt with breast cancer. 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 density, unchanged in pattern an... | 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. | 66-year-old male with history of metastatic gastric cancer now with abdominal pain, evaluate for bowel obstruction and evaluate stent. ABDOMEN:LUNG BASES: Mild basilar atelectasis.LIVER, BILIARY TRACT: Mild intrahepatic biliary ductal dilatation appearing similar to prior. The common bile duct is again dilated duct unt... | Slight decrease in size of one of the reference lesions, dimensions given above. Gastroduodenal stent is unchanged in position. |
Generate impression based on findings. | 39 year old female with biopsy proven fibroadenoma at the 6 o'clock position of the left breast. Family history of breast carcinoma in mother and maternal aunt. 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 compos... | 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. | 75-year-old male with increased tension of gastrostomy tube. Evaluate inner bumper for possible migration into the duodenum. Single contrast examination of the gastrostomy tube was performed after manual injection of Omnipaque 350 via the patient's existing gastrostomy tube. The inner bumper of the patient's gastrostom... | The gastrostomy tube tip is located within the body of the stomach without evidence of abnormal migration, as clinically questioned. |
Generate impression based on findings. | There are scattered foci of T2 hyperintensity within the white matter and pons without associated mass effect, restricted diffusion, or susceptibility abnormality. There is mild diffuse volume loss without a specific lobar predominant atrophy pattern. There are no findings of ventricular dilatation or hydrocephalus. T... | 1.Mild chronic small vessel ischemic disease.2.Mild diffuse volume loss with a specific lobar predominant atrophy pattern. |
Generate impression based on findings. | 39-year-old male with history of soft tissue abscess. Evaluate for colitis. ABDOMEN:LUNG BASES: Patient respiration limits evaluation.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKI... | 1. Large decubitus ulcer posterior to the PSIS with significant soft tissue infection and osteomyelitis involving the right hip, right proximal femur, and right pubic bone with infection extending along the right pelvic sidewall in the extraperitoneal space.2. No evidence of colitis as clinically queried. Small amount ... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts on 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, mi... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male, 60 years old. Reason: to rule out hcc History: none LIVER: The liver measures 17.3 cm, with diffusely increased echogenicity, and no focal lesion. The previously described potential hypoechoic structure in the anterior left hepatic lobe is not visualized on this exam.The main portal vein is patent, with normal he... | 1. The previously described potential hypoechoic structure in the left hepatic lobe is not seen on this exam. No other focal hepatic lesions.2. Diffuse hepatic echogenicity compatible with fatty infiltration of the liver. |
Generate impression based on findings. | 64 year old male with altered mental status and lethargy, history of infarction Redemonstrated are foci of hypoattenuation within the cerebral white matter, right basal ganglia and brainstem compatible with age indeterminate small vessel ischemia. Similar hypoattenuation is also seen within the right middle cerebellar ... | Persistent extensive scattered age indeterminate microvascular ischemic disease with at least one region of chronic cortical infarction in the right cerebellum. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional bilateral MLO views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. A pace maker power pack obscures the super... | 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. | 47-year-old female with history of gastric bypass, hysterectomy and small bowel obstruction. Evaluate for current small bowel obstruction. ABDOMEN:LUNG BASES: Minimal scarring at lung bases.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality... | No small bowel obstruction or free air. Right adnexal physiologic cyst as above. |
Generate impression based on findings. | Reason: lung CA f/u History: lung CA f/u (metastatic small cell carcinoma with metastases to the brain). CHEST:LUNGS AND PLEURA: Large left pleural effusion with interval resolution of air and similar degree of fluid. Left bronchiectasis, unchanged. Interval decrease in aeration of the left lung. Right paramediastinal ... | 1.Large left pleural effusion. Previously seen foci of air have resolved or nearly resolved. 2.Severe left bronchiectasis. Aeration of the left lung has decreased compared to prior.3.No new pulmonary nodules or lymphadenopathy. 4.New small free floating thrombus from chest port catheter tip. 5.Additional findings as ab... |
Generate impression based on findings. | There is extensive near-confluent cerebral and pontine white matter signal abnormality, compatible with severe small vessel ischemic changes. A punctate focus of diffusion restriction in the right posterior parietal white matter is non-specific. Bilateral mesial temporal atrophy is noted.Bilateral left greater than ri... | 1. Severe small vessel ischemic disease, without evidence of acute hemorrhage or acute territorial ischemia.2. Bilateral parenchymal calcifications, as seen on the prior CTs, likely reflecting dystrophic calcifications of prior ischemia and/or hemorrhage. 3. Bilateral mesial temporal atrophy. |
Generate impression based on findings. | Submental mass: swelling and pain. There is a well-defined fluid attenuation mass in the midline of the oral cavity centered in the root of the tongue region, which measures approximately 85 AP x 60 RL x 80 SI mm. There is no evidence of associated inflammatory changes. There is minimal narrowing of the oropharyngeal a... | 1. A large midline cystic mass in the oral cavity may represent a dermoid/epidermoid, neurenteric cyst, or a thyroglossal duct cyst. Infection and neoplasm are less likely possibilities.2. Multiple dental caries. |
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, appearing slightly more fatty replaced over the course of follow-up.... | 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. | 71-year-old female with intracranial hemorrhage and altered mental status. Fourth ventricular hemorrhage has cleared, although the remaining intraventricular hemorrhage elsewhere is stable.A dilated supratentorial ventricular system is unchanged, and a right frontal approach ventricular catheter with the tip likely wit... | 1.Unchanged intraventricular hemorrhages.2.Unchanged dilated supratentorial ventricular system. |
Generate impression based on findings. | Status post resection of low grade sarcoma and solitary fibrous tumor left chest. More than 5 drug allergies. LUNGS AND PLEURA: Azygos pseudo-lobe, normal variant anatomy. Left apical wedge resection.Micronodules stable since 2006. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Left cardiophrenic angle... | Continued slow increase in size of left cardiophrenic soft tissue nodule or lymph node; at least mildly suspicious for indolent metastatic disease, further evaluation is recommended. Given the patient's history of low grade sarcoma, PET scan would be unlikely to provide additional information, consider tissue diagnosis... |
Generate impression based on findings. | 65 years, Male. Reason: Eval stool burden History: distention The lower pelvis is excluded from the field-of-view. Relative paucity of abdominal bowel gas, without evidence of obstruction, similar to prior. Dobbhoff tube is coiled within the stomach, with the tip projecting in the gastric fundus. Multiple surgical clip... | Dobbhoff tube is coiled within the stomach, with the tip projecting in the gastric fundus. |
Generate impression based on findings. | Polydactyly.VIEWS: Left hand PA/lateral (two views) 04/10/15 Post axial polydactyly is present. The extra digit and arises from the soft tissues adjacent to the proximal phalanx of the little finger. A tiny bone is present in the most medial (distal) portion of the soft tissue mass. No bone connecting the extra digit t... | Post axial polydactyly consisting of a small soft tissue mass with a tiny bone distally. |
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. | Polydactyly.VIEWS: Right hand PA/lateral (two views) 04/10/15 Post axial polydactyly is present consisting of a soft tissue mass and a tiny bone. This extra digit arises at the level of the distal portion of the proximal phalanx of the little finger. No bone bridge between the little finger and the extra digit is seen. | Post axial polydactyly consisting of a small soft tissue mass with a tiny bone distally. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis as well as ML views 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 are... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this re... |
Generate impression based on findings. | 18 years, Female. Reason: assess stool burden History: constipation Nonobstructive bowel gas pattern. Greater than average stool burden. | Greater than average stool burden. |
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. | 40 year-old 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 are... | 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: f/u RUL lesion History: no (11R lymph node needle aspiration demonstrates anthrocotic lymphoid tissue, no malignant tumor). LUNGS AND PLEURA: Resolution of right pneumothorax and atelectasis. Right upper lobe irregular nodules and scarlike opacities again noted. Previous reference right upper lobe spiculated no... | 1.Right upper lobe irregular nodules that demonstrated hypermetabolic activity on PET remain are unchanged in size, although have increased in cavitation. Although primary lung malignancy remains in the differential, infection may also have this appearance. Consider bronchoscopy. 2.Scattered bilateral pulmonary nodules... |
Generate impression based on findings. | 70 year old female with history of HCC, please assess and compare to previous imaging and provide the same index lesion measurements for RECIST criteria as required for study. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses, and no significant abnormality noted.MEDIASTINUM AND HILA: Scattered small ly... | 1.Liver masses are similar in size to prior, with measurements as above.2.No new findings of distant metastatic disease.3.Splenic varices and splenic artery aneurysm again noted. |
Generate impression based on findings. | 42 years old, Male, Reason: 1mm stealth cuts--done in OR History: pre-op planning Redemonstration of a cystic lesion in the left cerebellopontine angle measuring approximately 25 mm in greatest dimension (series 5 image 25), presumably an epidermoid cyst based on diffusion restriction on outside MRI. There is associate... | Examination for operative planning. Left cerebellopontine angle cystic lesion (presumably epidermoid cyst based on outside MRI) that measures up to 25 mm with associated mass effect upon the brainstem, left cerebellar hemisphere, and left middle cerebellar peduncle. |
Generate impression based on findings. | Smoking history, continues to smoke, meet screening criteria. Malignant neoplasm of supraglottis, chronic airway obstruction and cough. LUNGS AND PLEURA: Unchanged left upper lobe micronodules. No new or suspicious lesions. No pleural fluid or pneumothorax.MEDIASTINUM AND HILA: No suspicious mediastinal lymph nodes. No... | 1. Small indeterminate cortical lesion in the right kidney slightly; further evaluation with dedicated renal protocol abdominal CT is recommended within the next 6 months for further evaluation to rule out non-benign primary lesion. A text page was sent to Dr. Villaflor regarding this recommendation at time of dictatio... |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are screening mammogram dated 3/5/2015, left diagnostic mammogram and ultrasound 3/16/2015 and ultrasound guided left breast biopsy, post procedure mammogram dated 3/23/2015 performed at St. Anthony. For comparison, mammograms dated 2/19/2014, 2/11/2014... | Biopsy proven left breast cancer. Extensive calcifications on mammogram measuring 4.7 cm in extent. Consider breast MRI for breast cancer staging. Additionally, posterior extent of calcifications can be biopsied under stereotactic guidance to evaluate extent.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate... |
Generate impression based on findings. | 6-year-old male patient with severe constipation, admitted for cleanout. Evaluate degree of stool burden.VIEW: Abdomen AP (one view) 4/10/2015 Amorphous stool is noted within the rectosigmoid and descending colon. Nonobstructive bowel gas pattern. No evidence of intraperitoneal air, pneumatosis, or portal venous gas. | Decreased amorphous stool in the rectosigmoid colon. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in her mother and grandmother. 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. No suspicious ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this re... |
Generate impression based on findings. | There has been prior bilateral infundibulectomy and partial ethmoidectomy. Other than minimal mucosal thickening within the maxillary sinuses and a single left-sided ethmoid air cell, the paranasal sinuses are clear as are the bilateral mastoid air cells and middle ear cavities and there are no air-fluid levels. The b... | 1.There has been prior bilateral infundibulectomy and partial ethmoidectomy.2.Other than minimal mucosal thickening within the maxillary sinuses and a single left-sided ethmoid air cell, the paranasal sinuses are clear as are the bilateral mastoid air cells and middle ear cavities and there are no air-fluid levels. |
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. | 42 years old, Male, Reason: f/up biopsy History: epidermoid cyst Postoperative changes of a left cerebellopontine angle cistern cyst, presumably an epidermoid cyst based on outside MR. Scattered pneumocephalus as well as mild subcutaneous emphysema along the left occipital soft tissues. Left occipital osseous defect is... | Expected postoperative findings of a biopsy of the left cerebellopontine angle cystic lesion presumably epideromoid cyst. No significant intracranial hemorrhage or new mass effect. |
Generate impression based on findings. | 64-year-old male with history of esophageal cancer. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Right chest port with tip in the SVC. The heart size is normal without pericardial effusion. There are significant aortic valvular calcifications. No mediastinal or hilar lymphaden... | Mild distal esophageal wall thickening representing patient's known esophageal cancer. No evidence of metastatic disease. |
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: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | History of left lumpectomy in 2012 for invasive ductal carcinoma. Patient received radiation and chemotherapy. Patient continues to complain of swelling of her left breast since radiation. History of ovarian cancer in mother and breast cancer in paternal aunt. Three standard views of both breasts and additional right M... | Postsurgical changes in the left breast and bilateral calcifications are unchanged. 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 ... |
Generate impression based on findings. | 6 year old female with history of Wilms tumor right kidney s/p resection. 15months off of therapy. Liver: Normal echogenicity. No focal hepatic mass is identified. The liver is 11 cm in length.GALLBLADDER, BILIARY TRACT: No biliary ductal dilatation. No cholelithiasis or gallbladder wall thickening. Gallbladder is dist... | No evidence of disease recurrence after right nephrectomy. |
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. Once the patient's outside mammograms are uploaded, an addendum will be added to this report.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: evaluation for mesothelioma History: Changes on PET \T\ CT CHEST:LUNGS AND PLEURA: Previous reference pleural thickening along the free wall of the left ventricle measures 8 mm in thickness (series 4 image 60), previously 9 mm in 2011. Additional bilateral pleural plaques compatible with asbestos exposure are s... | 1.Slight interval increase in size of bilateral pleural plaques compared to 2011 exam, which demonstrate minimal hypermetabolic activity on recent PET. Continued follow up is recommended in 1 year, though benign lesions are most likely. 2.No suspicious pulmonary nodules or lymphadenopathy. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in her maternal aunt. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious ... | 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. | 6 year old female patient status post ORIF. Evaluate fracture healing.VIEWS: Right elbow AP, oblique, lateral (3 views) 4/10/2015 Cast material obscures fine bone detail. Three K wires are in place affixing a supracondylar humeral fracture in anatomic alignment. | Orthopedic fixation of healing supracondylar fracture. |
Generate impression based on findings. | 82-year-old male. Pain. Three views of the right shoulder show mild to moderate osteoarthritis of the right glenohumeral joint with subchondral cysts and joint space narrowing, similar to prior exam. No fracture or dislocation. | Mild to moderate osteoarthritis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microca... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 21-year-old female. Pain status post fall onto outstretched right hand. Evaluate right hand, specifically fifth CMC for subluxation. We see no fracture or subluxation/dislocation, specifically the fifth carpometacarpal joint appears intact. The soft tissues are unremarkable. | No fracture, subluxation, or other findings to account for the patient's pain. |
Generate impression based on findings. | 13 year old male patient with scoliosis.VIEWS: Lumbar spine PA and cross table lateral prone (2 views) 4/10/2015 Enteric tube tip is in the stomach with side port above the GE junction.There is an upper lumbar tripediculate vertebral body with a screw within the lower left pedicle. Additional screws are noted in the pe... | Pedicle screws in the upper lumbar spine. |
Generate impression based on findings. | Male 54 years old; Reason: h/o HNC and CRT, compare to previous. There are post-treatment findings in the neck, with slightly decreased extensive hypopharyngeal edema and airway narrowing. The left aryepiglottic fold remains asymmetrically thickened but similar to prior exams. As prior, no measurable mass lesions, foci... | Post-treatment findings in the neck with slightly decreased hypopharyngeal edema. As before, no definite measurable mass lesions, foci of discrete enhancement, or significant adenopathy in the neck are identified. |
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. 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. | Reason: eval knee alignment History: GSWVIEWS: Left knee AP oblique lateral (3 views) 04/10/15 No fracture or malalignment. No radiopaque foreign body. | Normal examination. |
Generate impression based on findings. | 37-year-old female with history of supralevator perirectal abscess status post IR drain placement. Evaluate prior to drain removal. ABDOMEN:LUNG BASES: No suspicious pulmonary nodules or masses.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnorma... | Left ischiorectal abscess is mildly smaller however the IR drainage catheter is displaced posteriorly outside of the collection. This collection is too small to be drained by IR catheter. If the drainage catheter has minimal output, the drain can be pulled. A second soft tissue fluid collection located in left gluteal ... |
Generate impression based on findings. | Desaturation, evaluate for interval changesVIEW: Chest AP (one view) 04/10/15, 10:24 Patient is rotated to the right. ET tube tip is above the thoracic inlet. NG tube extends below the diaphragm out of field of view with side ports in the esophagus. Right PICC with tip in the SVC. Left central line with tip at the cavo... | ET tube tip is above the thoracic inlet. Persistent diffuse atelectasis. |
Generate impression based on findings. | History of left lumpectomy in 2003 for intraductal papillary carcinoma. Patient received tamoxifen only. 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 composed of scattered fibroglandular density, unchanged in pa... | 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. | Reason: evaluation of apical lung nodules/adrenal glands History: evaluation of apical lung nodules/adrenal glands CHEST:LUNGS AND PLEURA: Biapical pleural parenchymal scarring. Right apical calcification. Scattered calcified and noncalcified pulmonary micronodules. No suspicious pulmonary nodule or mass. Moderate cent... | 1.Moderate emphysema. No suspicious pulmonary nodules or masses.2.Left adrenal nodule incompletely evaluated. Recommend dedicated adrenal imaging for further evaluation. |
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.Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this re... |
Generate impression based on findings. | 63-year-old female. Pain. Evaluate right elbow. Fracture follow-up. Right elbow: Post-surgical findings of radial head resection and arthroplasty device placement in near-anatomic alignment. Increased lucency around the arthroplasty device is concerning for loosening. Mild osteoarthritis. Small area of heterotopic bone... | Increased lucency around the right radial head arthroplasty device concerning for loosening. Healing left radial head fracture. |
Generate impression based on findings. | Male 63 years old; Reason: eval EVAR repair and s/p L nephrectomy History: hx of EVAR with SMA, celiac, and R renal stents. Hx of L nephrectomy CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: 1.8 x 1.8 cm right hilar lymph node (image 81; series 10) appears stable compared to prior.CORONAR... | Status post left nephrectomy. Unchanged right renal mass. Status post complex branch vessel endovascular repair of abdominal aortic aneurysm with type IA endoleak. Presumed right clavicle metastasis with pathologic fracture. |
Generate impression based on findings. | Reason: Dobbhoff placement History: above Dobbhoff tube tip in the distribution of the gastric body. Nonspecific bowel gas pattern, without evidence of obstruction. Bilateral air space opacities are better evaluated on concomitant chest radiograph. | Dobbhoff tube tip in the distribution of the gastric body. |
Generate impression based on findings. | 47-year-old female. Left knee pain. Post-surgical findings of OATS procedure of the medial femoral condyle. Mild osteoarthritis with small tricompartment osteophytes, unchanged. No fracture or dislocation. | Post-surgical findings of OATS procedure. Mild osteoarthritis. |
Generate impression based on findings. | 68-year-old female with history of colon cancer on chemotherapy. CHEST:LUNGS AND PLEURA: Left lower lobe reference micronodule measures 2 mm, previously 2 mm (image 89 of series 5). A larger left upper lobe nodule measures 8 x 5 mm, previously 8 x 5 mm (image 45 of series 5).MEDIASTINUM AND HILA: The heart size is norm... | Stable to mildly regressed hepatic metastatic disease, but otherwise stable exam. Reference measurements as above. |
Generate impression based on findings. | Male 83 years old; Reason: hx of bladder cancer s/p radical cystectomy, evaluate for metastatic disease with delayed imaging History: see above ABDOMEN:LUNG BASES: Redemonstrated calcified pleural plaques.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No signif... | 1.No evidence of recurrence. Mild thickening of the ureteral insertion into the small bowel is likely postsurgical, but attention on subsequent follow-up imaging is suggested. |
Generate impression based on findings. | Reason: dysphagia, h/o treated head \T\ neck C A History: dysphagia Scout radiograph of the chest showed calcified granuloma in the left lower lung fields with ipsilateral hilar calcified lymphadenopathy, suggestive of chronic renal metastases. The pacemaker lead in expected position. No mediastinal widening, abnormal ... | Exam was terminated secondary to extensive barium aspiration. Limited evaluation of the esophagus revealed a mucosal lesion in the mid esophagus, concerning for neoplastic process.Findings were conveyed to the ordering provider, Dr. Anderson, and 4/10/15 at 9:15 a.m. |
Generate impression based on findings. | 66 year old female. Status post fall. Evaluate for fracture. No fracture or dislocation of the shoulder. Questionable AC joint step-off, correlate with physical exam; dedicated radiographs of the AC joint may be obtained if clinically warranted. | No fracture. Questionable AC joint step-off, which can be better evaluated with dedicated acromioclavicular joint radiographs if clinically warranted. |
Generate impression based on findings. | 45-year-old female. Bilateral hip pain. Evaluate for fracture. Two views of the right hip show no fracture or dislocation. Mild osteoarthritis.Two views of the left hip show no fracture or dislocation. Mild osteoarthritis.One view of the pelvis shows no fracture or dislocation. Mild osteoarthritis of the bilateral hip ... | No evidence for a fracture. Mild bilateral hip osteoarthritis. If there is strong clinical concern for fracture, MRI may be considered. |
Generate impression based on findings. | Leg pain. There is no evidence of acute intracranial hemorrhage or mass. There may be a punctate hypoattenuating focus in the left pons. The grey-white matter differentiation otherwise appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. The imaged paranasa... | No evidence of acute intracranial hemorrhage or mass. A possible punctate hypoattenuating focus in the left pons may represent an infarct versus artifact. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct. MI may be useful for further evaluation, if there are no contraindication... |
Generate impression based on findings. | 61 years, Male, Reason: Lung Transplant Evaluation History: sob. The comparison chest radiograph performed on 4/10/2015 demonstrates large lung volumes suggestive of COPD. No focal pulmonary opacities are identified.The ventilation images show patchy areas of decreased activity on the single breath and wash in phases, ... | Significant patchy decreased ventilation and perfusion bilaterally which is nearly symmetric, although the left side is slightly worse than the right. |
Generate impression based on findings. | 51-year-old male. Right hip pain. One view of the pelvis shows no fracture. Moderate osteoarthritis of the hip joints. Deformity of the iliac wings may be from remote trauma. Mild degenerative arthritis of the pubic symphysis.Two views of the right hip show moderate osteoarthritis. No fracture is identified. | No evidence of fracture. Moderate bilateral hip osteoarthritis. |
Generate impression based on findings. | Stage IV thyroid carcinoma status post thyroidectomy in 4/2010 and a recently diagnosed breast cancer (stage I) treated via lumpectomy in 1/2014, currently receiving chemotherapy. Neck: There are postoperative findings related to total thyroidectomy. There is no definite evidence of mass lesions in the thyroidectomy be... | 1. A new right anterior lower neck subcutaneous nodule that measures up to 15 mm may represent metastatic disease. Otherwise, no definite evidence of residual or recurrent tumor within the thyroidectomy bed. 2. Unchanged right parotid tail lesion, which may represent a Warthin tumor, for example. 3. Metastatic lesions ... |
Generate impression based on findings. | Following a discussion of the procedure with the patient and/or family, including its risks, benefits, alternatives and steps to prevent infection, informed written consent was obtained and documented in the patient's chart. The time-out form was completed to confirm patient identity and side/type of procedure. All op... | CT-guided biopsy of the right scapular lytic lesion with associated small soft tissue mass.PLAN: Patient will be observed for a half hour in the holding area after biopsy and discharged home if stable. Follow-up of pathology results. |
Generate impression based on findings. | 81 year old male with a history of dysphagia and weight loss over the past 6 weeks. Note is made of mucosal irregularity in the mid to distal thoracic esophagus, measuring approximately 8 mm (series 17 and 18), approximately 7.5 cm proximal to the GE junction. Double contrast evaluation of the esophagus and gastric car... | 1. Mucosal irregularity in the mid to distal thoracic esophagus for which further evaluation with endoscopy is recommended.2. Minor motor abnormality of the esophagus, as detailed above. |
Generate impression based on findings. | Reason: assess position of DHT History: NPO The pelvis is excluded from the field-of-view. NG and Dobbhoff tube tips are at the level of the prepyloric antrum. Gastrostomy tube in place, unchanged. Multiple surgical clips are again seen. A right-sided vascular stent, compatible with TIPS procedure is unchanged. Streaky... | NG and Dobbhoff tubes present, tips project at the level of the antropyloric region of the stomach. |
Generate impression based on findings. | Recurrent Hurthle cell cancer. Neck: There are stable postoperative findings related to total thyroidectomy and neck dissection. No discrete focus of nodular enhancement to suggest residual or recurrent tumor. There is no significant lymphadenopathy in the neck. Limited view of the intracranial structure is unremarkabl... | 1. Stable postoperative findings in the neck without evidence of measurable recurrent locoregional tumor or significant cervical lymphadenopathy. 2. No significant interval change in size of a metastasis in the partially imaged right lung. Please refer to the separate chest CT report for additional details.3. No eviden... |
Generate impression based on findings. | Male; 65 years old. Reason: HCC, s/p Therasphere administration. CHEST:LUNGS AND PLEURA: There is apical predominant centrilobular and paraseptal emphysema. No suspicious pulmonary nodules or masses. Interval resolution of left pleural effusion. MEDIASTINUM AND HILA: Normal heart size without significant pericardial ef... | 1.Post-treatment changes and persistent occlusion of the anterior division of the right portal vein. The recently treated arterially enhancing mass in the right liver is not well visualized on todays scan, but may measure 1.2 x 1.4cm, difficult to compare to prior scan.2.Mild interval decrease in size of dominant right... |
Generate impression based on findings. | 72 year old female with history of benign left breast biopsy in 2005 and cyst aspiration in 2009. Family history of breast cancer in her sister diagnosed at age 48. No new breast complaints. Three standard views of both breasts and two right breast spot compression views were performed digitally and reviewed with the a... | Stable benign calcifications. 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. | Male 85 years old; Reason: H/O follicular lymphoma, stage IVA, grade III presumedly transformed, now s/p 5 cycles of R CHOP with nes abd. pain. Please compare to prior. History: follicular lymphoma, CHEST:LUNGS AND PLEURA: Nodular densities along the left major fissure unchanged. Subcentimeter left lower lobe pulmonary... | Regression of adenopathy and splenic lesions with reference measurements given above. T10 compression fracture. |
Generate impression based on findings. | 72 year old female with non small cell lung cancer s/p radiation to LUL CHEST:LUNGS AND PLEURA: Postradiation changes and scarring in the left upper lobe similar to prior study. Previously referenced left upper lobe opacity with morphology suggestive of scarring measures 3.0 cm x 1.9 cm (series 80232) not significantly... | Left upper lobe scarring surrounding the fiducial marker and bilateral small nodules unchanged. |
Generate impression based on findings. | Lung cancer status post chemo and radiation and surgery check response. CHEST:LUNGS AND PLEURA: Emphysema. Right middle lobe scarring and postsurgical changes.Right lower lobe subpleural nodule 10 x 9 mm, previously 8 x 8 mm (5/45).Second right lower lobe subpleural nodule in the azygoesophageal recess measures 6 mm, p... | 1. Right lung index nodule measurements provided above with minimal increase in measurement of the larger of the two nodules. No new lesions.2. Stable L2 sclerotic lesion.3. Atherosclerotic disease including stenosis of the left common carotid artery which may be better evaluated with dedicated CT angiogram of the neck... |
Generate impression based on findings. | Male 78 years old. Reason: pain, swelling right knee, h/o gout. History: as above Four nonweightbearing views of the right knee are provided. Mild osteoarthritis affects the right knee. There is chondrocalcinosis of the menisci. A moderate-sized joint effusion is present. There is a small focus of poorly defined calcif... | Arthritic changes and joint effusion as described above. |
Generate impression based on findings. | 4 year old female patient status post ORIF. Evaluate fracture healing.VIEWS: Left elbow AP and lateral (2 views) 4/10/2015 Interval removal of cast material and K-wires. The fracture line is less distinct. Alignment is anatomic. No elbow joint effusion. | Interval removal of orthopedic hardware for distal humerus fracture. |
Generate impression based on findings. | Female 73 years old Reason: 73yr old female with history of MM; post-auto sct evaluation History: evaluate SKULL: We see no discrete lytic lesions.CERVICAL SPINE: The bones are diffusely demineralized. The cervicothoracic junction is not well seen on the lateral view due to overlying anatomy. We see no discrete lytic l... | 1. The bones are diffusely demineralized but we see no discrete lytic lesions. 2. A poorly defined sclerotic focus in the medial aspect of the left femoral neck is of uncertain clinical significance but unchanged compared to prior study. It may simply represent benign trabecular condensation. |
Generate impression based on findings. | Female 66 years old Reason: hip pain History: pain Left hip: Minimal osteoarthritis. Essentially within normal limits for age.Pelvis: Minimal osteoarthritis of both hip joints. Essentially within normal limits for age. There are at least minimal degenerative changes of the lower lumbar spine. Surgical clip project over... | Degenerative arthritic changes as described above. |
Generate impression based on findings. | Abdominal distentionVIEW: Abdomen AP G-tube in place. Right lower extremity PICC with tip in the right atrium. Multiple dilated loops of bowel not significantly changed. No pneumatosis or pneumoperitoneum. Patchy atelectasis right lower lobe. | Multiple dilated loops of bowel not significantly changed. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.