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Generate impression based on findings. | FractureVIEWS: Left wrist AP, oblique and lateral There is minimal sclerosis at the metaphysis of the distal radius likely representing healing fracture. The overlying cast has been removed in the interval. The alignment is anatomic. | Healing fracture distal radius as described above. |
Generate impression based on findings. | 20 year-old female patient with adenocarcinoma found in left axillary lymph node. Evaluate for 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 heterogeneously dense, which may obscure small masses, unchanged in pattern and di... | Recommend patient returns after the age of 40 for annual screening mammograms.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 7 day old male patient with abnormal abdominal exam. Question of NEC.VIEW: Abdomen AP (one view) 4/10/2015 Enteric tube tip is in the stomach. UVC tip is in the ductus venosus/left hepatic vein. UAC has been removed.Interval gaseous distension of the bowel. No evidence of pneumatosis, portal venous gas, or free intrape... | Increased gaseous distension of the bowel. |
Generate impression based on findings. | ApneaVIEW: Chest AP 4/10/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Right upper extremity PICC with tip in the SVC. Cardiothymic silhouette normal. Diffuse atelectasis bilaterally not significantly changed. No pleural effusion or pneumothorax. | Diffuse atelectasis bilaterally not significantly changed. |
Generate impression based on findings. | FractureVIEWS: Right hand AP, oblique and lateral Healing fifth metacarpal fracture in near anatomic alignment. There is periosteal reaction reflecting interval healing. The overlying cast obscures fine bony detail. | Healing fifth metacarpal fracture as described above. |
Generate impression based on findings. | The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mas... | Negative unenhanced brain CT. |
Generate impression based on findings. | 54 year old male with history of HNC and CRT, compare to previous with measurements. LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. Bronchial wall thickening unchanged. No pleural effusion or pneumothorax. MEDIASTINUM AND HILA: Normal sized heart with no pericardial effusion. No mediastinal or hilar adeno... | 1. No conclusive evidence of metastatic disease. 2. Moderate atherosclerotic disease and wall thickening of the vasculature as described above with narrowing of the left subclavian artery concerning for left subclavian artery stenosis. CT angiogram can be obtained for further evaluation if clinically warranted. |
Generate impression based on findings. | Female, 69 years old. Reason: r/o adenopathy, recurrence History: h/o thyroid cancer. S/p surgery (no RAI) RIGHT LOBE: Status post thyroidectomy. No significant abnormality noted in the right thyroid bed.LEFT LOBE: Status post thyroidectomy. A small hypoechoic focus within the left thyroid bed measures 0.7 x 0.3 x 0.5 ... | A small hypoechoic focus in the left thyroid bed appears similar to prior and likely represents a lymph node. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts obtained on 8 images were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcifications or area... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 44-year-old female presents to the diagnostic clinic to evaluate self palpated mass left breast for one week. Family history of breast cancer in mother at the age of 61. History of benign biopsy left breast in 2013. Mammogram: Three standard views of both breasts and spot compression views of left breast were performed... | Palpable abnormality in the left breast corresponds to a benign sebaceous cyst. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram with tomosynthesis is recommended annually. Results and recommendation were discussed with the patient. BIRA... |
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 morphology masses, microcalcifica... | 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 mastectomy in 2012 for breast cancer. Patient received chemotherapy and hormonal therapy. History of benign right breast biopsy. Right breast implant placed in 2012. No new breast complaints. History of breast cancer in mother. Three full field views and 3 implant displaced views of the right breast wer... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Female 55 years old; Reason: 55 yo female with hx of squamous cell of abdominal wall; please do CT scan with IV contrast only to evaluate for abnormalities and or recurrence History: squamous cell ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver morphology is normal. Scattered hypodense... | 1.Interval removal of soft tissue nodule in the umbilicus with likely residual postsurgical change. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history in her maternal grandmother. 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. Left retroareolar asymme... | Left breast mass and asymmetry for which further evaluation with spot compression and possible ultrasound are recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Squamous cell esophageal cancer status post chemotherapy, last 9 days ago. Restaging.RADIOPHARMACEUTICAL: 12.7 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 138 mg/dL. Today's CT portion of the neck and pelvis demonstrates vasectomy clips and extensive atherosclerotic calcifications. Please see diagnostic ... | 1.Significant interval decrease in mediastinal tumor metabolic activity. Mild residual activity may reflect inflammation or mild residual tumor metabolism. No new or additional suspicious FDG avid lesion elsewhere.Diagnostic CTs of the chest and upper abdomen also performed at today's visit will be reported separately. |
Generate impression based on findings. | Status post fall, head pain No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. No extra-axial collections. Ventricles are within normal limits without evidence of hydrocephalus.The visualized portions... | No evidence of acute intracranial hemorrhage or skull fracture. |
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. Family history of breast cancer in two paternal aunts. 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, microcalc... | 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. | 48-year-old female with bilateral breast pain. History of right breast cyst. 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, which may obscure small masses, unchanged in pattern and distribution. No dominant mass, sus... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram with tomosynthesis is recommended annually. Results and recommendation were discussed with the patient. Patient complain of bilateral breast pain should be managed clinically.BIRADS: 1 - N... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History breast cancer in her mother at age 73. 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 masses, microcal... | 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. | History of subdural hematoma, surveillance There is been resolution of previously seen subdural hematoma along the left cerebral convexity. No new intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. No ex... | 1. Resolution of previously seen left convexity subdural collection. No new hemorrhage.2. Moderate global parenchymal volume loss. Again seen is prominence of the ventricular system for the degree volume loss; correlate for signs of communicating hydrocephalus/NPH. |
Generate impression based on findings. | Male 75 years old; Reason: metastatic prostate cancer and renal cancer, evaluation of disease after 18 month of investigational therapy History: metastid prostate cancer CHEST:LUNGS AND PLEURA: Stable left upper lobe calcification with parenchymal scarring. Evaluation of lung parenchyma limited by motion. Moderate emph... | 1.Postsurgical changes of the right kidney and prostatectomy, without definite residual disease. |
Generate impression based on findings. | Swelling. Fracture? There is swelling of the soft tissues of the distal end of the finger, but I see no underlying fracture. Bone alignment is within normal limits. | Soft tissue swelling without fracture evident. |
Generate impression based on findings. | CNS tumor. Convulsions. LUNGS AND PLEURA: Linear scarring or atelectasis at the left lung base. No suspicious pulmonary nodules or masses and no signs of aspiration.MEDIASTINUM AND HILA: No significant abnormality noted.CORONARY ARTERY CALCIFICATION: None visible.CHEST WALL: No significant abnormality noted.UPPER ABDOM... | No signs of pulmonary metastases or aspiration. 18 x 13 mm splenic lesion the incompletely evaluated. Differential considerations include hemangioma, lymphangioma or metastasis. Further evaluation may be made with PET scan if required. Hepatic lesions too small to accurately characterize. |
Generate impression based on findings. | Follow-up exam. Evaluate for fracture healing. Evaluation of fine detail is limited by overlying cast. Again seen is a comminuted interarticular fracture of the distal radius, with slight dorsal displacement of the distal fracture fragment. Overall the findings are similar to those seen on the prior study accounting fo... | Distal radius fracture as described above. |
Generate impression based on findings. | Left upper lobe resectionVIEW: Chest AP Left chest tube in place. There are surgical staples at the left apex. There is a small left apical pneumothorax. Cardiothymic silhouette normal. Minimal atelectasis left lower lobe. | Left apical pneumothorax as described above. |
Generate impression based on findings. | The cervical spine is in normal alignment, with a normal cervical lordosis. The vertebral body and disk heights are well-maintained. No worrisome focal marrow signal abnormality is appreciated. The spinal cord is of normal caliber and signal. There is no pathological enhancement.Small disk osteophyte complexes are not... | 1. No focal suspicious lesions are seen in the cervical, thoracic, or lumbar spine. Bone marrow signal is diffusely heterogeneous which is nonspecific. No pathologic fractures or epidural tumor.2. Multilevel degenerative changes including mild to moderate spinal canal stenosis at C5-6 and C6-7 related to disc-osteophyt... |
Generate impression based on findings. | Forearm pain Again seen is a comminuted fracture of the distal ulnar diaphysis. There is approximately one cortical width volar and medial displacement of the distal fracture fragment relative to the proximal fracture fragment. Callus adjacent to the fracture indicates an attempt at healing. | Distal ulnar fracture as above. |
Generate impression based on findings. | Rule out acute bleed The following observations are made given the limitations of an unenhanced study.ABDOMEN:LUNG BASES: Bilateral small effusions (right greater than left) with bronchiectasis and emphysematous changes at both lung basesLIVER, BILIARY TRACT: No significant abnormality noted. Possible gallbladder sludg... | No evidence of abdominal or pelvic hematoma. End-stage kidneys. Gallstones or sludge. |
Generate impression based on findings. | Evaluate tracheal compression from goiter. Had lobectomy in 2008 (for mild tracheal compression and substernal component). There are postoperative findings related to right thyroidectomy without evidence of residual tracheal narrowing or substernal component. There is mild enlargement of the left lobe of the thyroid gl... | 1. Postoperative findings related to right thyroidectomy without evidence of residual tracheal narrowing or substernal component.2. Presumed mild compensatory hypertrophy of the left lobe of the thyroid gland with associated nodularity that is more conspicuous on the prior ultrasound. |
Generate impression based on findings. | Status post TKA knee pain Three views of the left knee are provided. Components of a total knee arthroplasty device are situated in near anatomic alignment. There is a large joint effusion.Mild osteoarthritis affects the right knee as seen on the frontal view. | Left total knee arthroplasty with large joint effusion. |
Generate impression based on findings. | Male, 53 years old, history of T4aN2c squamous cell carcinoma of the right lateral tongue. Findings related to prior treatment, including deformity of the right lateral tongue and infiltration of fascial planes, are unchanged. No evidence of any mass lesion or suspicious enhancement is seen.No pathologic adenopathy is ... | No evidence of recurrent primary tumor or pathologic adenopathy. |
Generate impression based on findings. | Follow-up exam. Pain. Again seen are two pins and tension wires affixing the olecranon in anatomic alignment. The fracture line is indistinct compatible with healing. I see no joint effusion. | Orthopedic fixation of healing/healed olecranon. |
Generate impression based on findings. | Male 77 years old; Reason: 77 y/o male gastric ca, break from chemo, s/p fall with L hip Fx. - compare to prior History: see above CHEST:LUNGS AND PLEURA: Stable 8-mm groundglass nodule left upper lobe. Stable calcified micronodules. Unchanged fibrotic changes in the lung bases.MEDIASTINUM AND HILA: Moderate coronary a... | 1.Stable hepatic lesion. No new hepatic lesions.2.Subacute left hip fracture as described above. |
Generate impression based on findings. | Right side numbness. Left PCA territorial ischemic infarction. NONCONTRAST CT HEADPunctate and somewhat patchy low attenuation lesions on the left PCA territory including left thalamus corresponding to prior MR findings consistent with acute ischemic stroke.The ventricles, sulci, and cisterns are symmetric and unremark... | 1. Corresponding CT evidence of left PCA territorial ischemic infarction.2. Occlusion of the left PCA at the level of P2-P3 junction.3. Multifocal intracranial arterial luminal narrowings including distal basilar artery, left ACA indicating atherosclerotic changes.4. Extracranial atherosclerosis findings including bila... |
Generate impression based on findings. | Right shoulder pain status post fall. Evaluate for fracture, dislocation. There is anterior and inferior subluxation of the humeral head relative to the glenoid, best seen on the axial view. An approximately 1.5-cm crescentic focus of ossification along the anterior/inferior glenoid, best seen on the transscapular and ... | Bankhart fracture and humeral head subluxation as above. |
Generate impression based on findings. | Right hip pain. Hip pathology? The bones appear slightly demineralized. There is perhaps mild osteoarthritis of the right hip joint, but the joint appears essentially normal considering the patient's age. Mild degenerative arthritis affects the right sacroiliac joint. Degenerative arthritic changes also affect the visu... | Degenerative arthritic changes as described above. |
Generate impression based on findings. | 72-year-old male with esophageal carcinoma and chemotherapy. Evaluate. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules, some of which are calcified, most likely secondary to prior granulomatous disease. No suspicious pulmonary nodules or masses. No pleural effusions or pneumothorax.MEDIASTINUM AND HILA: Subcen... | Slight regression in mediastinal adenopathy. Other findings are stable. Reference measurements are given above. |
Generate impression based on findings. | Male, 74 years old, with T4 N0 HPV negative squamous cell carcinoma of the right base of tongue. Please note that the presence of streak artifact complicates assessment of the right tongue base. Given this caveat, a 30 x 27 mm masslike process is evident at the right tongue base with central hypoattenuation possibly re... | 1. A masslike process is identified at the right tongue base with possible central necrosis. The lesion extends from the midline of the tongue to the palatine tonsil on the right.2. Assessment of the left oropharyngeal wall is somewhat complicated by the presence of streak artifact. Although no additional mucosal tumor... |
Generate impression based on findings. | Follow-up exam. Fracture. Again seen is a comminuted fracture of the medial aspect of the body of the talus. Multiple densities seen on the lateral view overlying the anterior aspect of the ankle joint likely represent a combination of the fracture fragments and early posttraumatic heterotopic mineralization in the adj... | Talus fracture as above. This can be further evaluated with CT if clinically warranted. |
Generate impression based on findings. | 49-year-old with right hip pain. Rule out pathology. Mild to moderate osteoarthritis affects the right hip. The bones are slightly demineralized. | Osteoarthritis. |
Generate impression based on findings. | Fall. Rule out fracture. Two views of the left hip are provided. The bones appear slightly demineralized. I see no fracture or malalignment. Minimal osteoarthritis affects the hip joint.Two views of the right hip are provided. The bones appear slightly demineralized. I see no fracture. Mild osteoarthritis affects the h... | Degenerative arthritic changes; I see no fracture. If there is strong clinical concern for fracture, CT or MRI may be considered. |
Generate impression based on findings. | Bilateral knee pain. Four views of the right knee are provided. Minimal osteoarthritis affects the knee, particularly the patellofemoral joint. I see no joint effusion. A tiny ossicle within the soft tissues medial to the distal femoral epiphysis seen on the skiers view may represent old injury to the medial capsular s... | Minimal osteoarthritis and other findings as above. |
Generate impression based on findings. | Pain after fall. Evaluate for fracture. Evaluate for osteoarthritis. Three views of the right shoulder are provided. I see no fracture or malalignment. Tiny glenohumeral joint osteophytes suggest mild osteoarthritis.Four views of the left knee are provided. I see no fracture. There is near bone-on-bone apposition of th... | Osteoarthritis as above. I see no fracture. |
Generate impression based on findings. | Assess etiology of hematuria ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Several subcentimeter hypodense nodules in the liver are nonspecificSPLEEN: 3.5 x 2.7 cm nonspecific splenic nodule (image 27; series 7), possibly a hemangioma.PANCREAS: No significant abnormality notedADRENAL GLANDS:... | Large bladder calculus. Nonspecific enhancing splenic lesion, possibly a hemangioma. |
Generate impression based on findings. | Reason: 8 years s/p left upper lobe bronchial sleeve resection for management of a T1aN0M0 Stage IA typical carcinoid tumor History: follow up LUNGS AND PLEURA: Postsurgical changes of the left upper lobe. Scarring along the left major fissure, unchanged. Right basilar subsegmental atelectasis and scarring. Bilateral s... | Postsurgical changes with no evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Female 61 years old Reason: assess right foot lis franc injury History: right foot pain Images taken in cast again demonstrate comminuted, impacted intra-articular fractures of the bases of the second, third and fourth metatarsals. There is moderate lateral displacement of the first through fourth metatarsals however d... | Multiple right metatarsal fractures as described above with involvement of the Lisfranc joint and lateral displacement of the first through fourth metatarsals. |
Generate impression based on findings. | Metastatic thyroid cancer. CHEST:LUNGS AND PLEURA: Pulmonary nodules with reference right upper lobe lesion measuring 7 mm, previously 6-mm (7/29).Second reference lesion on the right anteriorly measures 4 mm, previously 3-mm (7/31). No new lesions.MEDIASTINUM AND HILA: Thyroidectomy. Hiatal hernia.CORONARY ARTERY CALC... | No new sites of disease. One of the right upper lobe index lesions measures minimally larger. |
Generate impression based on findings. | 13 year old male patient with scoliosis status post lumbar fusion.VIEWS: Lumbar spine PA (1 view) 4/10/2015 at 1022 hrs 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... | Posterior stabilization of the upper lumbar spine. |
Generate impression based on findings. | 74-year-old female with metastatic thyroid cancer CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules are again seen, some of which are calcified compatible with prior granulomatous disease. Previously referenced right lung nodule adjacent to the major fissure measures 17 mm x 16 mm (series 5, image 70) previously 17 mm... | 1. Interval increase in size of the bilateral pulmonary nodules as measured above. There is increasing mass effect on the left lower lobe airway with occlusion of the superior segment bronchus. 2. Erosive arthritis of the bilateral glenohumeral joints with multifocal areas of lucency in the left proximal humerus concer... |
Generate impression based on findings. | Reason: eval for reflux History: speech and swallow recommendation Scout radiograph of the chest showed bibasilar opacities, right greater than left.Limited, single contrast evaluation was performed secondary to patient's immobility. A subcentimeter epiphrenic diverticulum is noted immediately proximal to the gastroeso... | Significant esophageal motor abnormality and spontaneous gastroesophageal reflux, as above. |
Generate impression based on findings. | 13 year old male patient with scoliosis status post lumbar fusion.VIEWS: Lumbar spine PA (1 view) 4/10/2015 at 1031 hrs 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... | Upper lumbar posterior spinal fixation. |
Generate impression based on findings. | 21-year-old male with history of epigastric pain. Evaluate for small bowel obstruction or pancreatitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: The pancreas appears unremarkable.ADRENAL GLANDS: No signifi... | No evidence of pancreatitis or small bowel obstruction as clinically queried. Otherwise, unremarkable exam. |
Generate impression based on findings. | 56-year-old female. Status post fall. Complaining of pain in the right shoulder and in the biceps area. Limited extension and flexion of the shoulder due to pain. Hand pain following fall. Evaluate for fracture. Right knee: Tricompartment osteophytes. Severe patellofemoral joint space narrowing disproportionate to tibi... | No fracture. Findings suggestive of CPPD arthropathy in the knee. |
Generate impression based on findings. | The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mas... | Negative unenhanced brain CT. |
Generate impression based on findings. | Reason: metastatic cancer to lung History: history hepatocellular carcinoma s/p RUL lung wedge for metastasis CHEST:LUNGS AND PLEURA: Postsurgical changes of a right upper lobe wedge resection with associated scarring. New right lower lobe enhancing pleural nodule between the right fourth and fifth lateral ribs measure... | 1.Postsurgical changes of a right upper lobe wedge resection. Right lower lobe 14 x 10 mm pleural nodule appears new compared to outside exam and is highly suspicious for a metastasis. Consider PET for further evaluation.2.Postsurgical changes of the right lobe of the liver. No evidence of recurrent or metastatic disea... |
Generate impression based on findings. | 43-year-old male status post NG tube placement. The lower abdomen and pelvis are not included in the field of view. The NG tube is coiled within the stomach with the tip projecting at the level of the fundus. Gaseous distention of the imaged portions of the colon. The lung bases appear clear. ET tube tip terminates app... | The NG tube is coiled within the stomach with the tip projecting at the level of the fundus. |
Generate impression based on findings. | 70 year-old male with history of metastatic pancreas cancer. Evaluate and compare to prior CHEST:LUNGS AND PLEURA: Scattered bilateral pulmonary micronodules, similar to prior. No consolidation or significant pleural effusion.MEDIASTINUM AND HILA: No significant abnormality notedCORONARY ARTERY CALCIFICATION: Mild.CHES... | 1.Pancreatic mass and associated occlusion of the superior mesenteric vein/portal confluence as above.2.Nonspecific sclerotic foci within the visualized spine, may be followed on subsequent imaging as these are suspicious for metastases.3.There is the suggestion of gastric wall invasion of tumor. |
Generate impression based on findings. | The lowest level containing ribs is presumed to be T12. With this numbering nomenclature, there are 6 lumbar type segments with lumbarization of S1. This includes a well formed S1/2 disc. This correlates with x-ray.Alignment is anatomic. There are no fractures or subluxations. The marrow signal is benign. The conus is... | Negative contrast enhanced lumbar spine MRI. Specifically, there are no MRI findings to explain the patient's symptoms. |
Generate impression based on findings. | Esophageal cancer status post neoadjuvant chemotherapy and radiation. CHEST:LUNGS AND PLEURA: Paraseptal emphysema. Paramediastinal fibrosis. Debris in the mainstem bronchi and airways of the left lower lobe consistent with retained or aspirated secretions. No suspicious nodules.MEDIASTINUM AND HILA: Right chest port t... | Unchanged amorphous thickening of the mid thoracic esophagus with improvement in ipsilateral small adjacent paraesophageal and inferior pulmonary ligament lymph nodes. Stable mild right hilar lymph node enlargement. Please refer to PET scan report for significance of these findings. Indeterminate atypical cyst or nodul... |
Generate impression based on findings. | 15-year-old female with right wrist pain. Evaluate for deformity.VIEWS: Right wrist PA, oblique, lateral (3 views) 4/10/2015, 0942 No acute fracture is evident. The bones of the wrist appear normal. No soft tissue swelling seen. | Normal examination. |
Generate impression based on findings. | 75-year-old male. Follow-up exam. Compare to previous. Comminuted humeral neck fracture extending into the greater tuberosity in near anatomic alignment. There is callus formation and the fracture line is indistinct indicating interval healing. | Healing humeral neck fracture. |
Generate impression based on findings. | Reason: DHT placement History: none Dobbhoff tube tip overlies the gastric body. Nonobstructive bowel gas pattern. Surgical drains, cardiac support devices, and skin staples appear similar to recent chest radiograph. For further thoracic findings, please refer to concomitant CXR. | Dobbhoff tube tip in the distribution of the gastric body. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 45-year-old male with history of pancreatic cancer. Evaluate for gastric outlet obstruction. CHEST:LUNGS AND PLEURA: Unchanged calcified and noncalcified pulmonary micronodules.MEDIASTINUM AND HILA: The heart size is normal without pericardial effusion. No significant mediastinal or hilar lymphadenopathy.CORONARY ARTER... | 1. Portal vein thrombosis with resultant poor/heterogeneous attenuation of the liver.2. Hypoenhancing spleen likely due to splenetic artery thrombosis.3. Stable appearing infiltrative and diffuse pancreatic head/neck mass.4. Distal jejunal and ileal dilatation with mild bowel thickening with no discrete transition poin... |
Generate impression based on findings. | 15-year-old female with ulnar wrist pain with dorsiflexion. Evaluate full radius given ulnar positive variance.VIEWS: Left forearm AP and lateral (two views) 4/10/2015 There is positive ulnar variance. No acute fracture is evident. The radial head and olecranon appear to articulate normally with the humerus. | Positive ulnar variance. |
Generate impression based on findings. | 50 year-old female. Left arm arm status. History of rotator cuff injury. Left elbow: No fracture, dislocation, or joint effusion. Extensive vascular calcification.Left shoulder: No fracture or dislocation. Mild osteoarthritis of the glenohumeral joint with subchondral cysts. Cardiac ICD, incompletely imaged. Vascular c... | No fracture. Osteoarthritis and extensive vascular calcifications. |
Generate impression based on findings. | 15 year old female patient with wrist pain. Left ulnar variance on radiograph.VIEWS: Left wrist PA, oblique, lateral (3 views) 4/10/2015, 0942 There is positive ulnar variance. No acute fracture is evident. The bones of the wrist otherwise appear normal. | Positive ulnar variance. |
Generate impression based on findings. | Reason: RUL nodule, s/p RT, evaluate response History: RUL nodule, s/p RT, evaluate response (history of NSCLC s/p LLL resection). LUNGS AND PLEURA: Postsurgical changes of a left lower lobectomy. Previously described right apical nodule has significantly decreased in size and no longer is accurately measurable. Previo... | 1.Significant interval decrease in size of right apical nodule.2.Unchanged right upper lobe suspicious nodule and left upper nodule.3.New T12 superior endplate compression deformity with possible underlying lytic lesion. |
Generate impression based on findings. | Female, 50 years old. Pt reports soft tissue mass on left leg. Images through the subcutaneous soft tissue of the posterior left thigh in the region of the patient's reported pain demonstrate no abnormal mass lesion, fluid collection, or area of increased vascular flow. | No mass lesion or other acute sonographic abnormality to account for the patient's symptoms. |
Generate impression based on findings. | Seven day old male patient with gastroschisis and intubated. Evaluate ETT position.VIEW: Chest AP (one view) 4/10/2015 at 1319 hrs Endotracheal tube tip is below the thoracic inlet and above the carina. Right PICC tip is in the SVC. Left internal jugular central venous catheter tip is at the superior atriocaval junctio... | Endotracheal tube tip is above the carina. |
Generate impression based on findings. | 92 years, Male, Reason: non History: h/o HNC, likely progressive disease on recent CTs, eval extent of disease..RADIOPHARMACEUTICAL: 11.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 90 mg/dL. Today's CT portion grossly demonstrates multiple nodules within the lungs including a cavitary right upper lobe n... | 1.Three hypermetabolic pulmonary nodules are highly suspicious for metastases.2.Hypermetabolic left retrocrural lymph node is highly suspicious for additional metastases, either from patient's known head and neck cancer or possibly a distal esophageal primary neoplasm as described above. Correlation with upper endoscop... |
Generate impression based on findings. | 50 year-old female with history of left breast biopsy proven papilloma with leakage from the nipple, negative biopsy in 2009 and 2011, presents for bilateral diagnostic mammogram. Patient denies any spontaneous nipple discharge. Greenish discharge is noted on squeezing, sometimes of the left nipple. Three standard view... | 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. Surgical consultation is recommended given prior history of benign papilloma and nipple discharge off-... |
Generate impression based on findings. | Female, 67 years old. Reason: r/o adenopathy. Please compare with recent US and CT. If abnormal nodes, are any amenable to US-guided FNA? RIGHT LOBE: Status post thyroidectomy without focal lesion in the thyroid bed.LEFT LOBE: Status post thyroidectomy without focal lesion in the thyroid bed.ISTHMUS: Status post thyroi... | Morphologically indeterminant and morphologically normal cervical lymph nodes bilaterally are similar in size to the prior exam. |
Generate impression based on findings. | S.O.B., lung transplant evaluation. LUNGS AND PLEURA: Moderate to severe emphysema, lower lobe predominant, correlate for alpha-1 antitrypsin deficiency.No suspicious pulmonary nodules or masses. Nonspecific micronodules right upper lobe which appears dense and has linear borders, raising possibility that this could re... | Moderate to severe emphysema with lower lobe predominance, correlate for alpha-1 antitrypsin deficiency. Approximate measurements provided in the body of the report. |
Generate impression based on findings. | 38 year old female with pulmonary nodules with neutropenic fever on last CT, AML, s/p recent chemo, intermittent explosive disorder; no coverage for preferred antifungal; assessing response on fluconazole. pulmonary nodules with neutropenic fever on last CT LUNGS AND PLEURA: Interval improved aeration of the lungs with... | 1. Interval resolution of ground glass opacities and decrease in size of nodules compatible with improving infection. 2. Focal area of hepatic hypodensity adjacent to the falciform ligament incompletely assessed . Ultrasound can be obtained for further evaluation if clinically warranted as the liver is incompletely inc... |
Generate impression based on findings. | 65 years, Female, Reason: delayed gastric emptying History: nausea/vomiting/abdominal pain - h/o dm. Please note that patient could not tolerate the standard egg preparation and as a result, the diagnostic accuracy of exam is somewhat diminished.Visually there was significant and progressive gastric emptying. Using ant... | Slightly limited exam, however gastric emptying appears within normal limits. |
Generate impression based on findings. | Head and neck cancer, CRT. CHEST:LUNGS AND PLEURA: Probable granulomas, but no suspicious lesions.MEDIASTINUM AND HILA: Calcified mediastinal and hilar lymph nodes statistically most likely are the sequela of old, healed granulomatous infection. No lymphadenopathy.CORONARY ARTERY CALCIFICATION: None visible.CHEST WALL:... | No signs of metastatic disease. |
Generate impression based on findings. | 13 years, Female, Reason: biliary dyskinesia History: abdominal pain, nausea, eructation, flatus. Angiographic images are unremarkable. Prompt clearance of radiotracer from the blood pool and uniform accumulation of the tracer by the liver is present. There is normal excretion of tracer into the intrahepatic ducts, com... | 1. Normal hepatobiliary imaging. No evidence of acute or chronic cholecystitis.2. Normal gall bladder contractile response to CCK without scan evidence of biliary dyskinesis. Note the patient's symptoms were reproduced with CCK administration, however. |
Generate impression based on findings. | Reason: h/o BOT ca, s/p CRT, compare to previous, measurements pls History: none (squamous cell carcinoma of right BOT) CHEST:LUNGS AND PLEURA: Postradiation changes of the bilateral apices. Bibasilar tree in bud opacities, increased on the right and new on the left compared to prior , compatible with aspiration bronch... | 1.No evidence of metastatic disease in the chest or upper abdomen.2.Bilateral lower lobe aspiration bronchiolitis, increased compared to prior. |
Generate impression based on findings. | Male 46 years old. Reason: shoulder pain, compare w/ previous. Four views of the left shoulder demonstrate a side plate with multiple screws affixing a comminuted fracture of the proximal humerus in near anatomic alignment. The fracture line is less distinct and there is increased callus formation suggesting interval h... | Orthopedic fixation with continued healing proximal humerus fracture as described above. |
Generate impression based on findings. | Metastatic thyroid cancer evaluate for treatment. CHEST:LUNGS AND PLEURA: Innumerable pulmonary nodules. For reference, the largest lesion in the left costophrenic angle measures 9-mm (6/66), while a lesion in the posterior right upper lobe near the fissure measures 9-mm (6/29). No pleural fluid or pneumothorax.MEDIAST... | Pulmonary and intrathoracic nodal metastases. Sclerotic focus in the left iliac wing indeterminate and could represent a metastasis or a bone island, please correlate with PET scan. Indeterminate right adrenal gland lesion, please correlate to PET scan report. |
Generate impression based on findings. | 66 year old female with history of rectal neoplasm, low anterior resection and coloanal anastomosis. Evaluate pelvic fluid collection. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Previously biopsied hepatic lobe hemangioma (3/24) measures 3.1 x 2 .6 cm, unchanged from prior when using the ... | Interval decreased size of presacral fluid collection as above. |
Generate impression based on findings. | Female 60 years old Reason: left knee pain History: left knee pain Four weight-bearing views of the left knee demonstrate postoperative changes from a medial compartment arthroplasty situated in near-anatomic alignment. There are new linear lucencies both lateral and inferior to the tibial component with possible perio... | New lucencies underlying the tibial component of the left knee medial compartment arthroplasty. Underlying fracture cannot be excluded and follow-up imaging can be obtained if clinically warranted. |
Generate impression based on findings. | 86 year old female with xray of chest done on 4/7/15 shows mild prominence of aortic knob and aneurysmal changes. LUNGS AND PLEURA: Biapical pleuroparenchymal scarring. Right basilar atelectasis and scarring. Minimal upper lobe predominant centrilobular emphysema. No suspicious pulmonary nodules or masses. No pleural e... | No evidence of thoracic aortic aneurysm. Mild cardiomegaly and coronary artery calcifications. |
Generate impression based on findings. | 14 day old male patient with abnormal abdominal exam. Question of NEC.VIEW: Abdomen AP (one view) 4/10/2015 Enteric tube tip is in the stomach.Interval increase in bowel gas distension. Amorphous stool is noted in the rectosigmoid colon. No evidence of pneumatosis, free intraperitoneal air, or portal venous gas. | Increase in bowel gaseous distension. |
Generate impression based on findings. | 96 years, Male, Reason: Prostate cancer; pelvic pain; evaluate for progression History: See Above. No abnormal osseous foci are identified to indicate metastatic disease.Increased uptake sitting dextroscoliosis of the lower thoracolumbar spine is stable and confirmed as degenerative CT. Additional degenerative changes ... | No evidence of bone metastases or bone scan explanation for new pain. |
Generate impression based on findings. | New onset sepsis and cough evaluate for pneumonia history of MDRO pneumonia, aspiration, communicating fistula between esophagus and trachea. Known persistent fistula between the esophagus and aortic graft per clinical service. LUNGS AND PLEURA: Mixed groundglass and part solid opacities in the right upper lobe, superi... | 1. Interval increase in size of fistula occurring between the mid thoracic esophagus (approximately at the level of the carina) to the descending thoracic aorta with air both surrounding and deep to the radiopaque aortic graft material which is radiographically compatible with an infected graft absent additional clinic... |
Generate impression based on findings. | Right nipple inversion for over 30 years. Follow-up for right breast calcifications. No new breast complaints. Three standard views of both breasts and a repeat right MLO view were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchang... | 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. | Reason: 61 yo male with hx of appendiceal adeno; pt had abnormal CT chest please evaluate for changes History: appendiceal adeno LUNGS AND PLEURA: No suspicious nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart size is normal with no pericardial effusion. Small... | No evidence of metastatic disease. Previously seen right lower lobe nodule may have been atelectasis or postinfectious/inflammatory in etiology and has resolved. |
Generate impression based on findings. | Head and neck cancer baseline prior to treatment. Neck: There is an infiltrative heterogeneous mass centered in the left tonsillar fossa with extension across the glossotonsillar sulcus into the left tongue base and with invasion of the left parapharyngeal and medial masticator spaces. The mass measures up to approxima... | 1. Infiltrative mass centered in the left tonsillar fossa with extension across into the left tongue base and invasion of the left parapharyngeal and medial masticator spaces is compatible with squamous cell carcinoma.2. Extensive bilateral neck lymphadenopathy, left greater than right, with evidence of extracapsular e... |
Generate impression based on findings. | Staging left breast invasive ductal carcinoma.IMAGES: Provided for interpretation are outside Tc 99m-MDP body bone scan images dated 3/24/15. Standard delayed anterior and posterior whole body and spot pelvic images are provided. Numerous abnormal foci of increased osteoblastic activity are seen throughout the calvariu... | Multifocal osseous metastases. |
Generate impression based on findings. | Reason: head and neck cancer baseline prior to tx, please provide measurements. History: as above (left oropharyngeal SCC) CHEST:LUNGS AND PLEURA: Biapical cysts. Upper lobe predominant centrilobular and paraseptal emphysema. No new or suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: L... | 1.No conclusive evidence of metastases in the chest or upper abdomen.2.Left supraclavicular lymphadenopathy. See separately dictated CT head and neck.3.Small nonspecific mediastinal and right hilar lymph nodes, unchanged, and can be monitored on subsequent exams. |
Generate impression based on findings. | Female 46 years old. Reason: Right shoulder pain. Three views of the right shoulder are provided. There are small osteophytes at the glenohumeral joint. There is no fracture or dislocation. | Mild osteoarthritis of the right shoulder. |
Generate impression based on findings. | 57 year old with suspicious left breast mass for which ultrasound guided biopsy is requested. Left ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a hypoechoic mass measuring 20 mm at the 8 o’clock position with increased vascularity, 5 cm from the nipple. The lesion was readily visi... | Successful ultrasound-guided core biopsy of the left breast lesion and clip placement. Pathology is pending at this time.BIRADS: 5 - Highly suggestive of malignancy.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 59 years, Male, Reason: r/o delayed gastric emptying History: chronic nausea. Limited exam as Ensure was used instead of normal egg preparation and radiotracer administered through patient's G-tube instead of orally, rendering quantitative evaluation unreliable.Visually there was prompt and progressive mild to moderate... | Limited exam but without evidence of moderate or severe gastroparesis. Study overall may be within normal limits or at worst, there may be a mild delay in gastric emptying. |
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 heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Patient with history of leukemia who presents for evaluation of persistently palpable right axilla mass which was shown to represent a benign lymph node in January 2014. MAMMOGRAM: Three standard views of both breasts and additional right XCCL view were performed digitally and reviewed with the aid of R2 CAD 9.3. The b... | No mammographic evidence of malignancy. Targeted right axillary ultrasound with benign appearing lymph nodes corresponding to the palpable abnormality. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the ... |
Generate impression based on findings. | 68 years, Male. Reason: abdominal distension History: abdominal distension Nonobstructive bowel gas pattern. Interval removal of NG tube. Avascular necrosis affects the bilateral hip joints, with associated subchondral collapse of the left femoral head. | Nonobstructive bowel gas pattern. Bilateral avascular necrosis of the hips, as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history breast cancer in her mother. 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, of slightly more fat density compared to t... | 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: sp duodenal perf, rule out leak History: none Scout radiograph demonstrates post surgical changes in the right upper lung field, bilateral pleural effusions, left greater than right, extensive vascular calcifications, as well as multiple surgical clips in the mediastinum and upper abdomen.Limited single contras... | No evidence of duodenal leak. |
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