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Generate impression based on findings. | Trauma.VIEWS: Chest AP (one view), cervical spine AP and lateral (two views), pelvis AP (one view), date, time Cardiothymic silhouette is normal. The aortic arch, cardiac apex and stomach are left-sided. Small lung volumes. No focal lung opacity, pleural effusion or pneumothorax is seen. Stomach is distended. Vertebral... | Normal chest. No cervical spine or pelvis acute fracture or subluxation. |
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 obtained on a total of 8 images were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. No suspicious masses, m... | 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 new suspicious masses, mic... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Age: 74 years. Sex : Male. Reason for study: Reason: h/o BOT ca, s/p CRT,eval swallow History: none. Fluoroscopic guidance was provided for an oropharyngeal motility study performed by the Speech Pathology section of the ENT service. The examination was recorded on videotape. No static or hard copy films were obtained.... | The exam was positive for penetration and positive for trace aspiration. |
Generate impression based on findings. | 76 year old female with colon cancer. Evaluate disease status. Restaging. CHEST:LUNGS AND PLEURA: No change in index right upper lobe lesion which currently measures 1.0 x 0.8 cm (image 31; series 5). Note that there is a typographical error on the prior report and this lesion measured 1.0 x 0.8 cm on that exam also (i... | Stable exam with reference measurements given above. |
Generate impression based on findings. | 32-year-old male with history of colon cancer. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: The heart size is normal without pericardial effusion.CORONARY ARTERY CALCIFICATION: None.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No suspicious hepatic... | 1. No evidence of metastatic disease.2. Infrarenal IVC filter with chronic-appearing thrombus in the inferior IVC and bilateral external iliac and common femoral veins. |
Generate impression based on findings. | Reason: Dobbhoff placement History: as above. The pelvis is excluded from the field-of-view. Dobbhoff tube tip in the region of the gastric body. Interval progression of left pleural effusion. Stable appearance of catheter device projecting near midline via left abdominal approach. Grossly stable appearance of upper ab... | Dobbhoff tube tip in the region of the gastric body. |
Generate impression based on findings. | Reason: status post fall, please assess for fracture, dislocation History: elbow pain s/p fallVIEWS: Right elbow AP lateral (3 views) 4/10/15 14:31 Joint effusion, which may represent occult fracture. No malalignment. | Joint effusion, which may represent presence of occult fracture. Recommend follow up radiograph. |
Generate impression based on findings. | Male, 82 years old. History of thyroid cancer, evaluate for recurrence. RIGHT LOBE: Status post thyroidectomy. No focal lesion in thyroid bed.LEFT LOBE: Status post thyroidectomy. No focal lesion in thyroid bed.ISTHMUS: Status post thyroidectomy. No focal lesion in thyroid bed.PARATHYROID GLANDS: No significant abnorma... | No evidence of recurrent disease. |
Generate impression based on findings. | 13 year old male patient status post lumbar fusion with scoliosis.VIEWS: Thoracic spine AP (1 view), Lumbar spine AP (1 view) 4/10/2015 at 1408 hrs There are multiple segmentation anomalies of the thoracic and lumbar spine.There is lower thoracic and upper lumbar bilateral posterior spinal fixation hardware with screws... | Upper lumbar posterior spinal fixation. |
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. | Fall on coumadin. Head: There is no evidence of acute intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles and sulci are mildly prominent diffusely due to cerebral volume loss. There is a partially empty sella. There is bilateral basal ganglia malformation. There i... | 1. No evidence of intracranial hemorrhage or skull fracture.2. Multilevel degenerative spondylosis, but no fracture or subluxation of the cervical spine. 3. Deformity of the left nasal skeleton may be due to prior fracture. 4. Nonspecific thyroid nodules. Thyroid ultrasound may be considered for further evaluation if c... |
Generate impression based on findings. | Dizziness. Evaluate for CVA. There is no evidence of acute intracranial hemorrhage or mass effect. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are un... | No evidence of acute intracranial hemorrhage or mass effect. Please note that CT is insensitive for the detection of acute nonhemorrhagic ischemic event. If there is continued clinical concern and no contraindications, MRI of the brain is recommended. |
Generate impression based on findings. | 36-year-old male with history of Hodgkin's lymphoma. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Anterior mediastinal soft tissue density measures 14 x 13 mm, previously 14 x 13 mm (image 46 of series 3).CORONARY ARTERY CALCIFICATION: None.CHEST WALL: No significant abnormali... | Stable exam without significant interval change. |
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. | Hodgkin's lymphoma, needs surveillance imaging. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. Indeed, the right supraclavicular lymph node measures 9 mm in short axis, which is not significantly changed. The thyroid and major salivary glands are unremark... | No significant interval change in the right supraclavicular lymph node. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and a repeat left CC view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. A Port-A-Cath obscure... | 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with repeat bilateral MLO views 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, microcalcificati... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | T4NxM0 squamous cell carcinoma of the ethmoid sinus, nasal cavity, and maxillary sinus status post induction chemotherapy with TPF with progression and 2 cycles of TFHX chemoradiation before being lost to followup and subsequently underwent left orbital exenteration for resection of recurrent tumor. There are extensive... | 1. Post-surgical findings related to left orbital and exenteration and left sinonasal resection without measurable tumor in the nasal ridge region. 2. Nonspecific soft tissue in the left orbital apex and a portion of the left pterygopalatine fossa may be treatment-related, but the treatment bed is incompletely imaged a... |
Generate impression based on findings. | Reason: 86M with CAD and CIN on HD, now on Amiodarone and more SOB with wheezing, CXR with calcified pleural plaques, ?extent of pleural disease, ?amiodarone effect LUNGS AND PLEURA: Low lung volumes. Basilar predominant interlobular septal thickening. Diffuse bronchial wall thickening with bronchiolar impaction, most ... | 1.Findings compatible with hypervolemia including septal thickening, bronchial wall thickening, subpleural edema, and pleural effusions. 2.Bilateral lower lobe calcified plaques compatible with asbestos exposure, greater on the right. Pleura disease obscured by subpleural edema. Recommend follow-up CT when patient's vo... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in a paternal aunt. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and ... | 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: NSC - Screening Mammogram. |
Generate impression based on findings. | Female, 40 years old. Reason: elevated LFTs History: abdominal pain LIVER: The liver measures 19.1 cm, with heterogeneously increased echogenicity, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic or extrahepatic biliary ductal dilatation. The ... | Echogenic liver, suggestive of fatty infiltration. No biliary ductal dilatation or other acute abnormality to account for the patient's symptoms. |
Generate impression based on findings. | 70 year old female with tachypnea, shortness of breath. History of renal cancer PULMONARY ARTERIES: No evidence of pulmonary embolism. Pulmonary artery caliber within normal limits. No evidence of right heart strain. LUNGS AND PLEURA: There is a part solid nodule with cystic component in the right perihilar region whic... | 1. No evidence of pulmonary embolism. 2. Part solid nodule with cystic component in the right perihilar region is moderately suspicious for lung primary adenocarcinoma. Recommend follow up in 6-12 months. 3. Indeterminate soft tissue density with peripheral calcification superior to the left nephrectomy bed which appea... |
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. No suspicious masses, microcalcifications or areas of architectural ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural ... | 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. | 64-year-old male with history of abdominal pain and change in stool up to. Evaluate for partial small obstruction or pancreatitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedA... | Large ventral hernia containing jejunum with significant proximal small bowel dilatation measuring up to 4.8 cm with transition point within the left aspect of the ventral hernia sac compatible with small bowel obstruction. While there is no significant bowel wall thickening, there is a small of amount of edema within ... |
Generate impression based on findings. | 74-year-old female patient with focal asymmetry in the right upper outer breast seen on prior screening mammogram. Family history of breast cancer in daughter at age 50. Three standard views of the right breast and two additional spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. T... | Stable appearing asymmetric breast parenchyma in the right upper outer breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually, due in October 2015. Results and recommendation were discussed with the patient.BIRA... |
Generate impression based on findings. | Reason: lung transplant evaluation History: sob (cystic fibrosis). LUNGS AND PLEURA: Upper lobe predominant bilateral fibrosis, bronchiectasis, mucus impaction, and mosaic attenuation compatible with history of cystic fibrosis. Tree in bud opacities compatible with bronchiolitis. Air trapping is difficult to assess due... | 1.Findings compatible with cystic fibrosis and bronchiolitis.2.Right chest port catheter coiled in the right internal jugular vein. Discussed with Mary Maloney at 4PM.3.Mild diffuse lymphadenopathy in the mediastinum and hila. |
Generate impression based on findings. | Male 73 years old. Reason: eval for left fracture. History: left chest wall pain after fall 2 weeks ago. Rib series radiographs are provided. There is no evidence of fracture or malalignment. There is degenerative disk disease of the visualized thoracolumbar spine with anterior osteophyte formation in the midthoracic s... | No evidence of fracture or malalignment. |
Generate impression based on findings. | The patient is a 64 -year-old female with history of right mastectomy for breast cancer. History of prior benign left breast biopsy and left breast cyst aspiration on 11/26/2013. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed o... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Relatively poor contrast opacification limits evaluation of the soft tissues.CHEST:LUNGS AND PLEURA: Scattered bilateral calcified and noncalcified micronodules/granulomas.MEDIASTINUM AND HILA: Multiple mildly enlarged lymph nodes are seen throughout the mediastinum, with a reference pretracheal lymph node (3/33) meas... | Postoperative findings of prior partial gastric resection as above. Mildly enlarged lymph nodes in the porta hepatis, mediastinum and retroperitoneum as above, should be followed on subsequent exams. |
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. There are new linear oriented calcifications in... | New linear oriented calcifications in the left outer breast for which further evaluation with spot magnification is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 35-year-old male with history of right flank pain. Evaluate for kidney stone. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEY... | No evidence of nephro or ureterolithiasis as clinically queried. |
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. | Benign neoplasm of the pancreas. Subtotal pancreatectomy with leak treated by stent. To assess for resolution. ABDOMEN:LUNG BASES: Unchanged subpleural nodularity. No pleural effusion.LIVER, BILIARY TRACT: Coarse left hepatic calcification is unchanged. Changes status post cholecystectomy.SPLEEN: No significant abnorma... | Interval resolution of peripancreatic and subcutaneous fluid collections |
Generate impression based on findings. | Reason: Please evaluate for pulmonary AVMs - patient has a diagnosis of HHT History: SOB, pulmonary hypertension Respirate motion artifact significantly limits assessment anatomic detail.LUNGS AND PLEURA: Bilateral questionable arterial-venous bridges, which may represent pulmonary AVM's. Right upper lobe micronodule (... | 1. Motion artifact and absence of IV contrast significantly limits assessment of anatomic detail. Bilateral indeterminate opacities and small vascular structures are identified in which the anatomy cannot be accurately verified. Pulmonary arteriovenous malformations in these areas cannot be excluded. Recommend CT chest... |
Generate impression based on findings. | 40 year old male with history of nasal SCCHN in 2009, assessment for recurrent disease. CHEST:LUNGS AND PLEURA: Right upper lobe nodule measures 7 mm x 6 mm (series 5, image 139), previously 10 mm x 8 mm presumably benign. Previously noted right middle lobe nodule is no longer seen. Additional right middle lobe nodule ... | 1.Decrease in size of right upper lobe nodule when compared to study in 2011 compatible with a benign process. 2.Right middle lobe nodule suggestive of a benign intrapulmonary lymph node. 3.No suspicious pulmonary nodules or masses. |
Generate impression based on findings. | Metastatic papillary thyroid cancer staging. Thyroidectomy June 2014 and I-131 ablation July 2014.RADIOPHARMACEUTICAL: 11.2 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 111 mg/dL. Today's CT portion of the neck and pelvis demonstrate prominent lytic lesions involving the anterior vertebral bodies from C6 ... | 1.Several lytic osseous lesions at the cervicothoracic junction, innumerable pulmonary nodules, and enlarged mediastinal lymph nodes demonstrate only slight FDG avidity but are nevertheless compatible with metastatic disease particularly as papillary thyroid cancers often demonstrate poor FDG avidity. Correlation with ... |
Generate impression based on findings. | 66 years, Male, Reason: diagnosis of primary hyperparathyroidism. Please evaluate for adenomas History: diagnosis of primary hyperparathyroidism. Please evaluate for adenomas. There is physiologic distribution of the radiopharmaceutical. There is a focus of increased uptake near the left lower pole of the thyroid seen ... | Left inferior pole parathyroid adenoma. |
Generate impression based on findings. | 5-year-old male patient with left adrenal neuroblastoma, hepatic VOD, ascites, new compression of left renal artery. Evaluate left renal/adrenal fossa for tumor, fluid collection compressing renal vasculature. ABDOMEN:LUNG BASES: There is bibasilar atelectasis. Central venous catheter tip is in the right atrium.LIVER, ... | 1. Hepatosplenomegaly with patent portal veins and marked ascites. 2. No definite large retroperitoneal mass within the limitations due to marked ascites.3. Proximal left renal artery is poorly visualized, however, this is incompletely evaluated on this examination. |
Generate impression based on findings. | 66 years, Female, Reason: questionable history of pagets- compare to previous studies History: no bone pain. Increased uptake centered in the left pedicle and posterior vertebral body of T10 is stable. Increased uptake occupying the majority of the L5 vertebral body as well subtle increased uptake in the right iliac wi... | Stable bone scan with multiple unchanged lesions which may reflect benign disease (including fibrous dysplasia, large bone islands or an atypical presentation of Paget's) or conceivably stable/healed metastases. |
Generate impression based on findings. | The risks (including, but not limited to, those of bleeding, infection, allergic reaction, temporary nerve block, pain, and inability to access the joint) and benefits of the procedure were explained to the patient, and informed written consent was obtained. A pre-procedural “time-out” form was completed.The patient w... | Successful fluoroscopically-guided steroid and lidocaine injection of the right hip. |
Generate impression based on findings. | 58 years, Female, Reason: Lung Transplant Evaluation History: sob. The comparison chest radiograph performed on 4/10/2015 demonstrates bilateral bronchiectasis and scattered opacities which likely represent mucous plugging.The ventilation images show patchy areas of decreased ventilation bilaterally, most prominent in ... | Severe patchy bilateral decreased ventilation and perfusion laterally, left worse than right. |
Generate impression based on findings. | Asymptomatic female with history of breast cancer for whole breast ultrasound for evaluation for mammographically occult malignancy. 3-D whole breast ultrasound was performed for both breasts and images were reviewed on an independent workstation. There is no solid or cystic mass identified. Scarring in the right outer... | No sonographic evidence for malignancy.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram. |
Generate impression based on findings. | Female 83 years old. Reason: Eval left leg. History: Left leg pain. Three weight-bearing views of the left ankle demonstrate an oblique fracture of the medial malleolus in anatomic alignment. There appears to be slight progression of the callus formation suggesting some interval healing. Deformity of the anterior calca... | Healing medial malleolus fracture as described above. |
Generate impression based on findings. | 49 year old female with asthma, sob, doe, fatigue. LUNGS AND PLEURA: No suspicious nodules or masses. Interval improvement in mild bronchial wall thickening and bronchiectasis. Previously noted nonspecific subpleural reticular opacities also improved. Mild dependent atelectasis. No pleural effusion or pneumothorax.MEDI... | Interval improvement of mild bronchial wall thickening, bronchiectasis and subpleural reticular opacities. Mild dependent atelectasis. |
Generate impression based on findings. | 10 years, Male, Reason: gastroparesis History: nausea, early satiety, vomiting. Visually there was significant and progressive gastric emptying. Using anterior and posterior geometric means, residual gastric activity at the following postprandial intervals was calculated as follows:30 mins: 51.9 % of peak activity (nor... | Gastric emptying within normal limits. |
Generate impression based on findings. | Female 68 years old. Reason: evaluate for fracture. History: lateral ankle pain. Right and left foot pain. Assess right TKA. Four weight-bearing views of the left knee were provided. Moderate to severe osteoarthritis affects the left knee with tricompartmental osteophytes and severe joint space narrowing. A right total... | Osteoarthritis as described above. |
Generate impression based on findings. | Malignant neoplasm of the pancreas. Assess lesion. CHEST:LUNGS AND PLEURA: Calcified granuloma in the right lung.MEDIASTINUM AND HILA: No significant abnormality noted.CORONARY ARTERY CALCIFICATION: None.CHEST WALL: Right chest port.ABDOMEN:LIVER, BILIARY TRACT: Pneumobilia secondary to indwelling common bile duct sten... | Locally advanced pancreatic carcinoma obstructing the superior mesenteric vein. No CT evidence of remote metastases. Patent indwelling common bile duct metal stent. |
Generate impression based on findings. | 16-year-old female. Pain. Evaluate for knee injury. No fracture, dislocation, or osteoarthritis. | No fracture. |
Generate impression based on findings. | Reason: Evaluate stool burden s/p repeated enemas History: hx imperforate anus and severe constipationVIEW: Abdomen AP (one view) 16:04 Disorganized bowel gas pattern without evidence of bowel obstruction. Interval increase in the rectosigmoid gas. No evidence of intraperitoneal air, pneumatosis, or portal venous gas. ... | Interval decrease in stool burden and increased gas in the rectosigmoid colon. |
Generate impression based on findings. | 31-year-old male with history of peripheral neuropathy and myelopathy. Evaluate for evidence of sarcoid or malignancy. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: The heart size is normal without pericardial effusion. There is a calcified right suprahilar lymph node. No media... | Nonspecific enlarged left axillary lymph nodes. |
Generate impression based on findings. | CHEST:LUNGS AND PLEURA: The previously seen left upper lobe nodule (5/30) measures 1.2 x 1 .2 cm, and is unchanged in size when using the same measurement convention.Right middle lobe reference nodule (5/69) measures 1.8 x 1 .4 cm, previously 1.8 x 1.6 cm. Additional non-reference scattered micronodules are unchanged ... | 1.Postoperative findings from prior Whipple as above, without significant interval change.2.Pulmonary nodules are stable in size. |
Generate impression based on findings. | Male 46 years old; Reason: ulcerative colits; CRC History: 10 mm polypoid lesion at colonoscopy ABDOMEN:LUNG BASES: 5-mm nodule in the periphery of the right upper lobe (4:6) represent a small area of scarring versus intrapulmonary lymph node.LIVER, BILIARY TRACT: Fatty liver.SPLEEN: No significant abnormality noted.PA... | 1.Chronic inflammatory changes of the rectum and large bowel, as described above, compatible to history of ulcerative colitis. |
Generate impression based on findings. | 59-year-old female create pain. Fracture follow-up. Hardware components of an intramedullary rod and screw device affixing a comminuted oblique fracture of the distal femoral metadiaphysis in near anatomic alignment. No radiographic evidence of hardware complication. The fracture line is less distinct than on prior exa... | Orthopedic fixation of a healing distal femoral fracture. |
Generate impression based on findings. | 79-year-old female. History of fall and pain. Pain and immobility. Evaluate for fracture. Right hip: Moderate osteoarthritis. No fracture or dislocation. Vascular calcifications.Right knee: Severe osteoarthritis with near bone-on-bone apposition of the medial tibiofemoral compartment and tricompartmental osteophytes. S... | Osteoarthritis. No fracture. |
Generate impression based on findings. | Male, 63 years old. Reason: please evaluate for malignancy, worsening portal HTN History: 63 yo M with alcoholic cirrhosis, now abstinent LIVER: The liver measures 14.9 cm, small, nodular, with coarse echotexture, and no focal lesion.The main portal vein is patent, with hepatopetal flow and decreased flow velocities su... | Cirrhotic liver morphology, without focal lesion. Decreased portal venous flow velocities suggest portal hypertension. |
Generate impression based on findings. | 40 year-old female. Shoulder and neck pain. Right shoulder: No fracture or dislocation.Cervical spine: Mild degenerative disk disease at C4-5 and C5-6 with anterior osteophytes. Moderate right C6-7 neural foraminal narrowing with a large posterior osteophyte; mild left C5-6 neural foraminal narrowing. Vertebral body he... | Unremarkable shoulder radiograph. Mild degenerative disk disease of the cervical spine with moderate right C6-7 neural foraminal narrowing. |
Generate impression based on findings. | 14-year-old male patient with history of NAT two weeks ago, hit with broom, still with pain. Question of fracture.VIEWS: Right hand PA, right index finger oblique and lateral (3 views) 4/10/2015 No acute fracture is evident. No soft tissue swelling is seen. | No acute fracture is evident. |
Generate impression based on findings. | 14 year old male patient with concern for NAT 1 week ago. Left forearm pain and possible deformity on exam.VIEWS: Left forearm AP and lateral (2 views) 4/10/2015 No acute fracture is evident. Alignment is anatomic. | Normal examination. |
Generate impression based on findings. | 9 year old female patient with abdominal pain, nausea, vomiting. Evaluate for obstruction, G-tube placement.VIEWS: Abdomen erect and AP (two views) 4/10/2015 Non-obstructive bowel gas pattern. No evidence of free intraperitoneal air, pneumatosis, or portal venous gas. Gastrostomy tube is present. | Non-obstructive bowel gas pattern. |
Generate impression based on findings. | 43 year old male. Knee pain. Evaluate for tibial plateau fracture. Intraarticular fracture of the lateral tibial plateau that is mostly transverse except for medially where it takes a vertical course. No significant articular surface depression. | Lateral tibial plateau fracture. |
Generate impression based on findings. | 59 years, Female, Reason: history of left lung nodule, right lung nodule increased in size noted on recent CT History: growing RUL nodule.RADIOPHARMACEUTICAL: 12.4 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 129 mg/dL. Today's CT portion grossly demonstrates a right upper lobe nodule measuring approximat... | 1.Hypermetabolic right upper lobe nodule is highly suspicious for primary lung neoplasm.2.Newly enlarged hypermetabolic right hilar, right paratracheal and precarinal lymph nodes are compatible with regional lymph node metastases.3.Hypermetabolic left hilar node is present but slightly decreased in size and metabolic a... |
Generate impression based on findings. | 78 year-old female. Status post ALIF + PSF. Evaluate implant position. Post-surgical findings of L3-L4 laminectomies with a posterior spinal fusion plate device and an interbody cage. No radiographic evidence of hardware complication. Interval resolution of L3-L4 grade 1 retrolisthesis. Mild to moderate degenerative ar... | Post-surgical findings of posterior spinal fusion at L3-L4 with interbody cage. |
Generate impression based on findings. | Poor bilateral extremity perfusion, arterial O2 in lower extremity (post-ductal sats) low. Evaluate flow above and below gastroschisis, IVC flow. Color and spectral Doppler were performed.The IVC is patent and does not appear to be compressed. Flow within the intrahepatic portion of the IVC measures approximately 16 cm... | No evidence of IVC compression. |
Generate impression based on findings. | Reason: 77 yo with PMHx of HTN, GERD, h/o esophageal microperforation who presented with a 2 month history of progressive dysphagia, evaluate for free air in mediastinum, History: Dysphagia LUNGS AND PLEURA: Left apical and bilateral lower lobe scattered focal bronchiectasis, scarring and ground glass opacity may be po... | 1.No evidence of pneumomediastinum.2.Scattered bilateral focal bronchiectasis, scarring and ground glass opacity may represent postinflammatory changes, although 1 year CT follow-up is recommended to confirm stability. |
Generate impression based on findings. | Initial staging of newly diagnosed B-cell non-Hodgkin lymphoma. Also history of sickle cell anemia.RADIOPHARMACEUTICAL: 10.4 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 110 mg/dL. Today's CT portion grossly demonstrates shotty symmetric cervical lymph nodes bilaterally. Borderline enlarged bilateral axil... | 1.Markedly hypermetabolic large left abdominal mesenteric mass, compatible the patient's diagnosis of lymphoma. Smaller but significantly hypermetabolic mesenteric focus slightly more superiorly likely represents additional abdominal lymph node tumor involvement.2.Additional widespread enlarged but only fairly mildly F... |
Generate impression based on findings. | Reason: chest pain, elevated ddimer History: chest pain, sob PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus.LUNGS AND PLEURA: Right bronchial wall thickening with ill defined ground glass opacity in the right upper lobe. No suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM A... | 1.No acute pulmonary embolus.2.Bronchial wall thickening and ill defined small focus of ground glass opacity in the right upper lobe that could represent aspiration or early infection. Recommend short term radiographic follow up to exclude worsening air space opacity. PULMONARY EMBOLISM: PE: Negative.Chronicity: Not ap... |
Generate impression based on findings. | Reason: sob, RLE swelling, sent in for PE eval History: sob, RLE swelling, sent in for PE eval by clinic PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus.LUNGS AND PLEURA: Bibasilar atelectasis. Right middle lobe subsegmental atelectasis. Mosaic attenuation likely due to variation in inspiration. ME... | No acute pulmonary embolus.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Check for osteomyelitis. Skin wounds. Severe osteoarthritic changes of the knee incompletely visualized, although tricompartmental most pronounced in the medial compartment. Otherwise mild soft tissue stranding is observed throughout the lower leg without distinct definite soft tissue loss to suggest a focal discrete u... | Osteoarthritic changes without evidence of osteomyelitis. |
Generate impression based on findings. | Male 67 years old; Reason: assess for intraabdominal infection, pancreatitis History: distention, fever ABDOMEN:LUNG BASES: Bibasal atelectasis/scarring. Calcified right hilar lymph nodes consistent with prior granulomatous process.LIVER, BILIARY TRACT: Scattered hypoattenuating liver lesions are too small to character... | 1.Cholelithiasis with choledocholithiasis and common duct dilatation to 1.0 cm. Reaccumulation of 4.0-cm pancreatic tail collection with peripancreatic and perigastric stranding suggestive of acute pancreatitis. Given the aforementioned stone within the common duct the possibility of gallstone pancreatitis should be co... |
Generate impression based on findings. | Male 44 years old; Reason: 44M incidental left adrenal nodule on MRI lumbar also with left-sided lateral abd pain of unclear etiology History: left adrenal nodule, left sided abdominal pain ABDOMEN:LUNG BASES: Bibasilar atelectasis/scarring.LIVER, BILIARY TRACT: Multiple enhancing liver lesions. The largest measures 3.... | 1.Subcentimeter bilateral adrenal nodules with imaging features suggestive of adrenal adenomas.2.Multiple nonspecific enhancing liver lesions. Differential considerations include FNH, adenomas or hemangiomas.3.Subcentimeter hypoattenuating lesion in the left hepatic lobe is indeterminate. |
Generate impression based on findings. | Female 56 years old; Reason: abdominal pain History: abdominal pain r/o diverticulitis ABDOMEN:LUNG BASES: Asymmetry of the breast tissues is likely due to patient positioning.LIVER, BILIARY TRACT: Multiple subcapsular wedge-shaped hypoattenuating liver lesions are nonspecific but favor benign etiology. Cholecystectomy... | 1.Uncomplicated acute diverticulitis.2. Subcapsular hypoattenuating liver lesions are nonspecific but favor benign etiology. MRI would be helpful if further characterization is clinically warranted.3. Bilateral adrenal nodules likely represent adenomas however these could be further characterized with MRI. |
Generate impression based on findings. | Exam is very limited by patient motion. There are no large areas of restricted diffusion to suggest acute territorial infarction. Questionable area of diffusion restriction in the right pons is likely artifactual. The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no ... | Exam is significantly limited by motion with no gross abnormality. Questionable area of diffusion restriction in the right pons is favored to be artifactual, however correlation with clinical symptoms is recommended. |
Generate impression based on findings. | Reason: assess for abdominal pathology History: RUQ Pain Lack of contrast limits evaluation of solid parenchymal organs and vascular structures. Within the limitation, following observations can be made:ABDOMEN:LUNG BASES: Lung base scarring and dependent atelectasis. Scattered pulmonary micronodules. Mild to moderate ... | 1.Severe multilevel degenerative joint disease of the lumbar spine, worse at the lower lumbar levels. 2.Redundant loops of ascending and transverse colon with above average stool burden. No bowel obstruction. |
Generate impression based on findings. | Head CT: 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 sinuse... | 1.No evidence of acute intracranial hemorrhage.2.No evidence of intracranial arterial stenosis, occlusion, or aneurysm.3.No evidence of vertebral dissection as clinically questioned. No significant stenosis, occlusion, or aneurysm within the arteries of the neck.4.Multilevel degenerative changes of the cervical spine a... |
Generate impression based on findings. | Female 65 years old; Reason: rule out malignancy. History: limbic encephalitis CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules, favor benign etiology. For example series 5, image 25. Mild basal atelectasis/scarring.MEDIASTINUM AND HILA: Calcified left hilar lymph nodes suggestive of prior granulomatous process... | 1.No evidence of malignancy in the chest, abdomen or pelvis. 2.Multiple liver masses which are most compatible with hemangiomas. 3.Age indeterminate compression fracture of the T9 vertebral body. |
Generate impression based on findings. | Female 85 years old Reason: aortic arch outpouching concerning for plaque History: recent TIA CHEST:LUNGS AND PLEURA: Moderate/large bilateral pleural effusions with compressive atelectasis.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Patulous esophagus with air fluid levels. Contrast within the e... | 1. Significant atherosclerotic disease of the thoracic and proximal abdominal aorta.2. There is outpouching of the superior wall of the aorta immediately proximal to the origin of the brachiocephalic artery suggestive of pseudoaneurysm.3. There is approximately 70% stenosis at the origin of the brachiocephalic artery.4... |
Generate impression based on findings. | Reason: evaluate for PE setting of h/o PE, pleuritic chest pain History: chest pain, h/o PE PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus.LUNGS AND PLEURA: Bibasilar atelectasis. Right upper lobe paramediastinal atelectasis and scarring. Bibasilar scarring. No pleural effusions.MEDIASTINUM AND HI... | No acute pulmonary embolus.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 25-year-old female. Lateral mid tib fib pain post fall. Left tibia/fibula: Splint overlies the distal two thirds of the lower leg limiting evaluation for fine bone detail. No definite fracture line is identified.Left foot: Overlying splint markedly limits evaluation of fine bone detail. Postsurgical findings of a Lapid... | Limited exam due to overlying splint. No definite bone fracture. Postsurgical findings of a Lapidus procedure. |
Generate impression based on findings. | No evidence of intracranial hemorrhage. There is diffuse cerebral white matter hypoattenuation which is nonspecific but may be related to age indeterminate small vessel ischemic disease. Third and lateral ventricles as well as the sylvian fissures are disproportionately enlarged out of proportion to the sulci, unchang... | 1. Cerebral white matter small vessel ischemic disease without evidence of acute intracranial hemorrhage. Please note noncontrast CT is insensitive for the detection of nonhemorrhagic acute infarct.2. Disproportionate enlargement of the third and lateral ventricles as well as the sylvian fissures which can be seen in t... |
Generate impression based on findings. | Male 73 years old; Reason: eval for acute abnormality History: L sided pain, abdominal surgery, 3 wk diarrhea ?aortic occlusion history ABDOMEN:LUNG BASES: Right basal atelectasis/scarring.LIVER, BILIARY TRACT: Cholelithiasis. No focal liver lesion. Multiple hypoattenuating renal lesions, many of which are too small to... | 1. Chronic thrombus in the proximal superior mesenteric artery with reconstitution distally. 2. Occlusion of the infrarenal abdominal aorta with reconstitution of the common femoral arteries bilaterally.3. Cholelithiasis.4. No specific cause for patient's left-sided abdominal pain is identified. |
Generate impression based on findings. | Alignment is anatomic. There are no fractures or subluxations. The marrow signal is benign. The conus is normal in signal and morphology and terminates at an appropriate level. The visualized intra-abdominal and paraspinal contents are unremarkable.Disc desiccation and mild disc height loss are present at L2/3, L4/5, ... | 1.T11/12: There is a small midline disc extrusion that extends below the disc level partially effacing the anterior CSF, however without significant resulting stenosis.2.L3/4: Mild to moderate bilateral neural foraminal stenosis.3.L4/5: Mild bilateral lateral recess and mild bilateral neural foraminal stenosis.4.L5/S1:... |
Generate impression based on findings. | 73-year-old female. Shoulder pain. No fracture or dislocation. Mild osteoarthritis of the glenohumeral joint and acromioclavicular joint. Ossific density in the expected region of the infraspinatus tendinous insertion at the posterior humeral head likely represents calcific tendinopathy though a loose body cannot be ex... | Mild osteoarthritis. |
Generate impression based on findings. | Abdominal pain ABDOMEN:LUNG BASES: Scarring of the lung bases, right greater than left. LIVER, BILIARY TRACT: No significant abnormality noted. No biliary ductal dilatation or gallbladder wall thickening.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant a... | Focal distal descending colonic wall thickening and enhancement with intramural fluid collection and moderate surrounding inflammatory changes. No gross intraperitoneal air or drainable abscess. The differential diagnoses include perforated colonic cancer or diverticulitis. Recommend colonoscopy after acute process. Pe... |
Generate impression based on findings. | 5-year-old female patient with elbow pain. Evaluate for fracture.VIEWS: Right elbow lateral (one view) 4/10/2015 at 1716 hrs There is a lucency traversing the olecranon along with a cortical defect which likely represents a nondisplaced fracture. An elbow joint effusion is present. | Nondisplaced fracture of the olecranon. |
Generate impression based on findings. | 5-year-old female patient with pain status post fall. Evaluate for fracture.VIEWS: Right forearm AP and lateral (two views) 4/10/2015 A cortical defect and lucency are seen traversing the olecranon. Alignment is anatomic. | Nondisplaced fracture of the olecranon. |
Generate impression based on findings. | Left parietal approach ventriculostomy catheter is unchanged in position. The ventricles and sulci are unchanged in size with the temporal horn of the left lateral ventricle measuring approximately 12 mm in greatest dimension. Extensive encephalomalacia of the right hemisphere is unchanged compared to the prior exam. ... | 1. Overall no acute change compared to the prior exam. Unchanged ventriculomegaly with ventriculostomy catheter in unchanged position.2. Epidural fluid collection is unchanged in size with slightly decreased amount of gas foci. |
Generate impression based on findings. | Reason: acute tachycardia and hypotension, concern for PE History: acute tachycardia and hypotension, concern for PE PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus.LUNGS AND PLEURA: Debris within the trachea and right bronchus intermedius. New right upper lobe interlobular septal thickening and ce... | 1.No acute pulmonary embolus.2.Debris within the trachea and right airway with right upper lobe centrilobular nodules and right lower lobe atelectasis compatible with aspiration.3.Small right and trace left pleural effusion.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Pr... |
Generate impression based on findings. | 25-year-old male. Pain. Evaluate for fracture. Tibial and femoral tunnels with a surgical button at the lateral distal femur consistent with postsurgical changes of ACL reconstruction. No fracture or dislocation. | Post-surgical changes of ACL reconstruction. No fracture. |
Generate impression based on findings. | Reason: colorectal cancer, assess for disease burden History: metastatic colorectal cancer Lack of contrast limits evaluation of solid parenchymal organs and vascular structures. Within the limitation, following observations can be made:ABDOMEN:LUNG BASES: Large left pleural effusion and small right pleural effusion wi... | 1.Large left and small right pleural effusions with associated atelectasis/consolidation.2.Multiple hypoattenuating lesions seen in the liver, compatible with metastases.3.Left renal vein and IVC thrombosis.4.Large mass seen in the pelvis of unclear origin. No evidence of bowel obstruction or gross intraperitoneal air.... |
Generate impression based on findings. | 9-year-old female patient with pain. Evaluate for fracture.VIEWS: Left knee AP, oblique, lateral (3 views) 4/10/2015 No acute fracture or malalignment is evident. No joint effusion is identified. | No acute fracture is evident. |
Generate impression based on findings. | Alignment is anatomic. There are no fractures or subluxations. The marrow signal is benign. The conus is normal in signal and morphology and terminates at an appropriate level. The visualized intra-abdominal and paraspinal contents are unremarkable.Disc desiccation is present at L2/3, L3/4, and L4/5.T12/L1: Unremarkab... | 1.L2/3: There are left foraminal and right foraminal disc protrusions with moderate bilateral neural foraminal stenosis.2.L3/4: Mild right neural foraminal stenosis.3.L4/5: Mild bilateral neural foraminal stenosis. |
Generate impression based on findings. | 45 year old female. Back pain, lower extremity pain/weakness. Evaluate for compression fracture. Mild degenerative disk disease at L5-S1 and minimal degenerative disk disease at other lumbar levels with tiny anterior osteophytes. Minimal grade 1 retrolisthesis of L5 on S1. Vertebral body heights are preserved. No evide... | No fracture. Degenerative disk disease. |
Generate impression based on findings. | 9-year-old female patient with pain. Evaluate for fracture or dislocation.VIEWS: Pelvis AP and frog leg lateral (two views) 4/10/2015 No acute fracture or malalignment is identified. The femoral heads are directed into well formed acetabula. | No acute fracture is evident. |
Generate impression based on findings. | Reason: Patient with tachycardia, hx of UE DVT, and lung abscess please eval for PE and abscess History: As above PULMONARY ARTERIES: Technically adequate to the segmental level. No acute pulmonary embolus.LUNGS AND PLEURA: Debris within the trachea and right mainstem bronchus is noted. New right lower lobe patchy airs... | 1.No acute pulmonary embolus.2.Large amount of fluid and debris within the esophagus to the level of the aortic arch with debris within the trachea, right mainstem bronchus and bronchus intermedius. New right lower lobe patchy airspace opacity compatible with infection likely related to recurrent aspiration. Previously... |
Generate impression based on findings. | 12 months old, Male, Reason: evaluate for trauma, bleed History: signs of physical abuse on exam There is no evidence of intracranial hemorrhage or mass. No evidence of skull fracture. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline sh... | 1. No evidence of intracranial hemorrhage or skull fracture.2. Opacification of the middle ear bilaterally may represent otitis media in the correct clinical context. |
Generate impression based on findings. | 9-year-old female patient with pain. Evaluate for fracture.VIEWS: Left femur AP and lateral (two views) 4/10/2015 No acute fracture or malalignment is evident. | No acute fracture is evident. |
Generate impression based on findings. | 11 year old female patient with pain, shoulder injury. Evaluate for fracture or dislocation.VIEWS: Right humerus AP and lateral (two views), right shoulder AP and AP with internal rotation (two views) 4/10/2015 The right shoulder and right humerus appear normal. No acute fracture or malalignment is evident. | No acute fracture or dislocation. |
Generate impression based on findings. | 85-year-old female. Foot pain. Pain at MTPS. No fracture is identified within limits of bone mineralization. No dislocation. Mild osteoarthritis in the midfoot and first MTP joint. Diffuse mild soft tissue swelling. Extensive vascular calcifications. Plantar heel spur. | No fracture. Mild osteoarthritis. |
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