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Generate impression based on findings. | 5 years old, Female, Reason: trauma r/o ICH There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The... | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | 50-year-old male. Pain with weight-bearing. Evaluate for fracture. No fracture. Mild osteoarthritis of the left knee. Chronic mild deformity of the medial distal tibia, likely from remote trauma. Incompletely imaged bony prominence at the inferior posterior calcaneus is likely a plantar heel spur though a chronic defor... | No fracture. Mild osteoarthritis. |
Generate impression based on findings. | 12 month old male patient with signs of abuse on physical exam. Evaluate for fracture, signs of trauma.EXAMINATION: Skull AP/lateral, cervical spine AP/lateral, thoracolumbar spine AP/lateral, right humerus AP, left humerus AP, right forearm AP, left forearm AP, right hand PA, left hand PA, chest AP, ribs right oblique... | No acute fracture is evident. |
Generate impression based on findings. | 66-year-old female. Assess for fracture. Mild osteoarthritis of the midfoot and first MTP joint. No fracture or dislocation is identified. Vascular calcifications. | Mild osteoarthritis. No fracture. |
Generate impression based on findings. | 42 years old, Female, Reason: Concern for intracranial abnormality History: headache There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. There is trace maxillary... | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | 67-year-old male. Cervical radiculopathy (?C6). Evaluate for osteophytes, rule out compression fracture. Severe degenerative disk disease at C5-6 and moderate degenerative disk disease at other lower cervical spine levels. Anterior osteophytes are present from C4 to C7. Mild neural foraminal narrowing at the right C7-T... | Moderate to severe degenerative disk disease. No compression fracture is identified. |
Generate impression based on findings. | Reason: Ct per living kidney donor protocol History: kidney donor ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality noted. No evidence of biliary ductal dilatation or gallbladder wall thickening.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormali... | Conventional renal artery and venous anatomy. No renal stones or masses. |
Generate impression based on findings. | Male 58 years old; Reason: assess ngt position History: ngt Distended loops of small bowel compatible with an ongoing obstruction. There are postsurgical changes in the right lower abdomen with a surgical resection margin.Enteric tube terminates in the region of the distal gastric body. | Enteric tube terminates in the region of the distal gastric body. |
Generate impression based on findings. | 33 years old, Female, Reason: r/o ich History: seizure activity There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air ... | No evidence of intracranial hemorrhage, mass, or cerebral edema. Please note that CT is insensitive for the detection of a acute nonhemorrhagic stroke. |
Generate impression based on findings. | Male 76 years old; Reason: 76 M please evaluate for passage of contrast History: abd distension Distended loops of small bowel compatible with ileus or mechanical bowel obstruction. Postsurgical changes with a midline staple line and a bowel resection margin in the right lower abdomen.Degenerative changes affect the lu... | 1.Enteric tube terminates in antropyloric region.2.Distended loops of small bowel compatible with ileus or obstruction. |
Generate impression based on findings. | Female 47 years old; Reason: r/o diverticulitis History: LLQ ABDOMEN:LUNG BASES: Bibasilar atelectasis.LIVER, BILIARY TRACT: The gallbladder is distended and there are no pericholecystic inflammatory changes.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significa... | 1.No evidence of diverticulitis. No specific cause for patient's left abdomen pain is identified.2.Minimally complex right renal cyst. |
Generate impression based on findings. | Male 76 years old; Reason: 76M s/p NGT placement History: NGT placement Enteric tube terminates in the region of the gastric body. Small bowel loops are dilated compatible with an ongoing obstruction or possibly ileus related to recent postoperative state.Surgical staple along the skin in the anterior lower abdomen.Pos... | 1.Bowel obstruction or ileus. |
Generate impression based on findings. | There is diffuse red marrow replacement throughout all visualized marrow spaces. Comparison with lumber spine x-ray obtained yesterday demonstrates a lack of associated sclerotic bony abnormality. This diffuse and homogeneous marrow appearance is most likely due to a response to anemia of any cause or a marrow infiltr... | There is diffuse red marrow replacement throughout all visualized marrow spaces. Comparison with lumber spine x-ray obtained yesterday demonstrates a lack of associated sclerotic bony abnormality. This diffuse and homogeneous marrow appearance is most likely due to a response to anemia of any cause or a marrow infiltra... |
Generate impression based on findings. | Male 33 years old; Reason: NGT placement History: NGT placement Nonspecific bowel gas pattern. Enteric tube terminates in the left upper abdomen the region of the gastric body. Postsurgical clips in the right upper abdomen, surgical resection margin in the right lower abdomen and skin suture staples in the pelvis.Scler... | 1.Enteric tube tip is in the region of the gastric body. |
Generate impression based on findings. | Male 38 years old; Reason: please confirm placement of NJ tube History: s/p endoscopic NJ tube placement Bowel gas pattern is nonobstructive. Enteric tube likely at the level of the ligament of Treitz in the left upper abdomen. Radiodense material in the left upper abdomen likely represents ingested barium | 1.Enteric tube tip in the region of the ligament of Treitz |
Generate impression based on findings. | Reason: eval for PE History: pleuritic chest pain PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus.LUNGS AND PLEURA: Large right lower lobe heterogeneously enhancing mass measures approximately 12.3 x 10.5 cm (series 5 image 170), previously 11.5 x 10.4 cm. Left lower lobe nodule measures 17 x 13 mm... | 1.No acute pulmonary embolus.2.Left lower lobe pulmonary metastasis increased in size compared to prior.3.Two new 1.5 cm hypoattenuating lesions in the right lobe of the liver, suspicious for new metastases.4.Index lesions not significantly changed in size. PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Mu... |
Generate impression based on findings. | Female 75 years old; Reason: Dobbhoff placement History: Dobbhoff Enteric tube coiled on itself its tip in the region of the mid gastric body.Multiple lines tubes and support tubing project over the chest and upper abdomen. Postsurgical changes in the heart with a median sternotomy, sternal closure system and skin clos... | 1.Enteric tube in the region of the mid gastric body |
Generate impression based on findings. | Female 91 years old; Reason: s/p Dobbhoff removal and replacement, eval current placement History: Dobbhoff replaced Enteric tube terminates in the region of the gastric body. The bowel gas pattern is nonobstructive. | 1.Enteric tube in the region of the gastric body. |
Generate impression based on findings. | 8-year-old male patient status post inversion injury on 4/8, swelling antalgic gait, point tender at left navicular, distal to lateral malleolus.VIEWS: Left ankle AP, oblique, lateral (3 views) 4/11/2015 No acute fracture or malalignment is identified. No ankle joint effusion is seen. | No acute fracture is evident. |
Generate impression based on findings. | Female 91 years old; Reason: Dobbhoff placed, eval placement History: s/p Dobbhoff Bowel gas pattern is nonobstructive. Enteric tube in the right lower lobe airway and has to be repositioned. | 1.Enteric tube in the right lower lobe airway. |
Generate impression based on findings. | Male 59 years old; Reason: HCC screening History: HCV cirrhosis ABDOMEN:LUNG BASES: Small basal pulmonary cyst is noted.LIVER, BILIARY TRACT: The liver demonstrates cirrhotic morphology as evidenced by marked nodularity of the hepatic contour, caudate lobe hypertrophy and prominence of the hepatic fissures. These is a ... | Liver cirrhosis with a 1.1-cm arterially enhancing lesion in the hepatic dome which demonstrates washout and is suspicious for a focus of hepatocellular carcinoma. |
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. Right maxillary mucous retention cyst. The visualized po... | No intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | History of ASD and pulmonary stenosis failure to thriveVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Minimal prominence to the pulmonary vascularity. Minimal patchy atelectasis left lower lobe. No pleural effusion or pneumothorax. | Minimal prominence to the pulmonary vascularity. |
Generate impression based on findings. | 5-year-old female patient with injury of face and neck status post trauma.VIEWS: Cervical spine AP and lateral (two views), chest AP (one view), pelvis AP (one view) 4/10/2015 No acute cervical fracture is identified. There is straightening of the normal cervical lordosis which may be due to the c-collar or muscle spas... | 1. No acute fracture is evident.2. Amorphous density anterior to the C2/C3 level; this may be external to the patient, however, repeat radiograph is recommended. Finding communicated via telephone to P. Zakrzewski at 1040 hrs on 4/11/2015. |
Generate impression based on findings. | Line placementVIEW: Chest AP and abdomen AP 4/10/15 NG tube tip in the stomach. The umbilical venous catheter tip at the PFO level. The umbilical arterial catheter tip at T3. Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. No focal lung opacity. No pleural effusion or pneumothorax. Disorganized non... | Malpositioned umbilical lines as described above. |
Generate impression based on findings. | HypoxiaVIEW: Chest AP 4/11/15 Tracheostomy tube has been removed in the interval. G-tube in place. Cardiothymic silhouette normal. Patchy atelectasis in the right lower lobe and left lower lobe. No pleural effusion or pneumothorax. Multiple distended bowel loops in the right upper quadrant. | Patchy atelectasis in the right lower lobe and left lower lobe. |
Generate impression based on findings. | 44 years old, Female, Reason: eval for acute intracranial process History: fall, +LOC There is increased attenuation of the left frontal cortex with adjacent vasogenic edema within the subcortical white matter. This is suspicious for an underlying lesion, possibly metastasis. There is no significant adjacent mass effec... | Left frontal vasogenic edema is suspicious for underlying lesion including possible metastasis. Recommend MRI with contrast for further evaluation.These findings were discussed with Dr. Dimaggio at 0946 on 4/11/15 |
Generate impression based on findings. | 10-year-old female patient with right metacarpal tenderness laterally. Evaluate for fracture or dislocation.VIEWS: Right hand PA, oblique, lateral (3 views) 4/10/2015 No acute fracture or malalignment is identified. The bones of the hand appear normal. | No acute fracture is evident. |
Generate impression based on findings. | HypoxiaVIEW: Chest AP Tracheostomy tube in place. There is a gastrostomy tube in place. Cardiothymic silhouette normal. Minimal patchy atelectasis right lower lobe. No pleural effusion or pneumothorax. Retained barium in the stomach and large bowel in the upper abdomen. | Patchy atelectasis in the right lower lobe. |
Generate impression based on findings. | 3-year-old female patient with coin ingestion.VIEW: Abdomen AP (one view) 4/10/2015 A coin projects over the left upper quadrant, likely in the stomach, measuring approximately 22 mm in diameter. Amorphous stool is noted throughout the ascending, descending, and rectosigmoid colon. Nonobstructive bowel gas pattern. No ... | Coin ingestion. |
Generate impression based on findings. | Reason: pleuritic chest pain History: pleuritic chest pain PULMONARY ARTERIES: Technically adequate. Acute pulmonary embolus in right lower segmental pulmonary artery (series 7 image 160). No evidence of right heart strain.LUNGS AND PLEURA: Clustered areas of cystic lung disease not significantly changed. Subpleural we... | 1.Acute pulmonary embolus in right lower segmental pulmonary artery with evidence of right lower lobe pulmonary infarction.2.Cystic lung disease, which may represent pulmonary histiocytosis or lymphocystic interstitial pneumonitis, not significantly changed.PULMONARY EMBOLISM: PE: Positive.Chronicity: Acute.Multiplicit... |
Generate impression based on findings. | 12-year-old female patient with right arm pain.VIEWS: Right humerus AP and lateral (two views) 4/11/2015 No acute fracture or malalignment is evident. | Normal examination. |
Generate impression based on findings. | CT HEAD:There is no evidence of intracranial hemorrhage. There is unchanged encephalomalacia within the left anterior temporal pole. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is mucosal thickening and possibly secretions in the sphenoid sinus... | 1.No evidence of intracranial hemorrhage.2.No evidence of intracranial aneurysm or significant steno-occlusive lesion within the head or neck.3.Sphenoid sinusitis. 4.Severe cervical spine degenerative changes that could be further assessed with an MRI. |
Generate impression based on findings. | 15 month old female patient with right toe/lateral foot pain. Question of fracture or dislocation.VIEWS: Right foot AP, oblique, lateral (3 views) 4/11/2015 No acute fracture or malalignment is evident. | Normal examination. |
Generate impression based on findings. | Eight year-old male patient with abdominal pain, constipation, air and fluid leakage from previously healed G-tube site. Evaluate bowel gas pattern.VIEW: Abdomen AP (one view) 4/11/2015 The stomach is distended with air. Otherwise there is a disorganized, nonobstructive bowel gas pattern. No specific evidence of free i... | Gaseous distention of the stomach. |
Generate impression based on findings. | Respiratory distressVIEW: Chest AP Cardiothymic silhouette at the upper limits of normal. Patchy atelectasis in the right upper lobe and left upper lobe. No pleural effusion or pneumothorax. | Mild cardiomegaly with patchy atelectasis in the right upper lobe and left upper lobe. |
Generate impression based on findings. | Wrist injuryVIEWS: Left wrist AP, oblique and lateral No acute fracture or dislocation. | Normal examination. |
Generate impression based on findings. | AsthmaVIEW: Chest AP Cardiothymic silhouette normal. Peribronchial wall thickening with subsegmental atelectasis in the right lower lobe and left lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | Right hip pain Two views of the right hip show marked chronic deformities amd flattening of the femoral head, with a single unaltered screw. Appearance most likely a variant of SCFE without superimposed acute fracture, dislocation or new finding. Mild osteoarthritis. | Chronic femoral head deformity without an acute fracture. |
Generate impression based on findings. | 63 old male with intracranial hemorrhage, more somnolent Redemonstrated is a left anterior temporal lobe hematoma with extension into the insula and basal ganglia with surrounding vasogenic edema. There is mild mass effect on the left lateral ventricle. There is no significant residual midline shift. Also redemonstrate... | Stable hematoma centered in the left temporal lobe with extension of hemorrhage into the ventricular system. No new intracranial hemorrhage. |
Generate impression based on findings. | Reason: 27 year old male with a history of mononucleosis and enlarged mediastinal and supraclavicular LN. Biopsy negative for lymphoma. Now with new axillary LN on exam. Evaluate for progression of LAD History: Fatigue, weight loss CHEST:LUNGS AND PLEURA: Trace left pleural effusion and atelectasis.MEDIASTINUM AND HILA... | 1.Interval enlargement of cardiophrenic, internal mammary, subpectoral, and axillary lymph nodes, left greater than right.2.Overall stable appearing bulky anterior mediastinal lymphadenopathy.3.No enlarged lymph nodes below the diaphragm by CT size criteria. |
Generate impression based on findings. | 64 year old male with infarction now on therapeutic heparin, evaluate for petechial hemorrhage or hemorrhagic conversion Redemonstrated are foci of hypoattenuation within the cerebral white matter, right basal ganglia and brainstem compatible with age indeterminate small vessel ischemia. Similar hypoattenuation is also... | Persistent extensive scattered age indeterminate microvascular ischemic disease with at least one region of chronic cortical infarction in the right cerebellum. No interval acute hemorrhage. |
Generate impression based on findings. | CT HEAD:There is no evidence of intracranial hemorrhage. 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 unremarkable. There is a partially empty se... | 1.No evidence of intracranial hemorrhage.2.No evidence of intracranial aneurysm or significant steno-occlusive lesion within the head or neck.3.Partially empty sella which is a nonspecific finding but can be seen in pseudotumor cerebri. |
Generate impression based on findings. | 64-year-old female with intracranial hemorrhage experiencing altered mental status Findings are redemonstrated compatible with a wide left frontal craniectomy for hematoma evacuation and decompression.The pattern of parenchymal hemorrhage centered predominantly in the left parietal lobe with extension to the left front... | Expected evolution of intracranial hemorrhage as described in detail above. Midline shift has decreased to 6 mm (previously 8 mm). |
Generate impression based on findings. | There is scattered foci of hypodensity within the white matter without associated mass effect. 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 fl... | Small vessel ischemic disease of indeterminate ages. If there is continued clinical concern for acute ischemia, MRI would be recommended. |
Generate impression based on findings. | 84 year-old female with subdural hematoma experiencing confusion Redemonstration of subdural hematoma measuring up to 2.3 cm in greatest dimension (unchanged), although there has been decrease more anteriorly. Previous 9 mm leftward midline shift now measures 7 mm. The left lateral ventricle is unchanged with less effa... | Slightly decreased right subdural hematoma associated with less than hemispheric mass effect as described in detail above. |
Generate impression based on findings. | Redemonstrated are patchy nonspecific regions of low-attenuation within the periventricular, subcortical, and deep white matter, most likely related to age indeterminate small vessel ischemic disease. Hypodensity is also noted involving the right paramedian pons at the site of a previously demonstrated stroke in 2011.... | 1.No acute intracranial hemorrhage.2.Hypodensity is noted involving the right paramedian pons at the site of a previously demonstrated stroke in 2011. 3.Patchy white matter changes, mostly like related to age-indeterminate small vessel ischemic disease.4.If there is continued clinical concern for acute ischemia, MRI wo... |
Generate impression based on findings. | 63 year old female with ovarian cancer and altered mental status. There is a large heterogeneous hyperattenuating mass within the right frontal lobe that measures up to approximately 4 centimeters. There is marked surrounding vasogenic edema with resultant 9-mm leftward subfalcine herniation and compression of the righ... | At least two likely hemorrhagic intracranial metastases with a larger right lesion resulting in marked mass effect and leftward subfalcine herniation. Further evaluation with contrast-enhanced MRI is recommended. |
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. Note is made of a partially empty sella. The visualized ... | Negative unenhanced brain CT. |
Generate impression based on findings. | There are scattered foci of hypodensity within the white matter without associated mass effect. 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 f... | 1.No acute intracranial hemorrhage.2.Small vessel disease of indeterminate ages. |
Generate impression based on findings. | Female, 41 years old.Surgical Case Information | Procedure(s): Procedure(s): | C-SECTION ANESTHESIA | Operating Room: C-SECTION | Surgeon(s) and Role: | * Maryam Minhaj Siddiqui, M.D. - Primary | * Kara Tweadey Bos, M.D. - Resident - Assisting | * Xiaojie Zhou, M.D. - Resident - Assisting | Bowel gas pattern is nonobst... | No unexpected radiopaque foreign bodyThese findings were discussed by telephone with Dr. Siddiqui, the attending surgeon, on 4/11/2015 at 9.18am. |
Generate impression based on findings. | 89 years old, Female, History: History of CVA with new neurological symptoms Hypoattenuation and encephalomalacia in the left parietal lobe representing chronic infarct is unchanged compared to prior exam. There is encephalomalacia in the right frontal lobe representing chronic infarct which is new compared to the prio... | 1. No evidence of an acute intracranial abnormality.2. Chronic infarct in the left parietal lobe and right frontal lobe. Please note that noncontrast CT is insensitive for the detection of acute nonhemorrhagic infarct. If there is continued clinical concern for acute infarct MRI is recommended. |
Generate impression based on findings. | Female 63 years old; Reason: 63 F s/p ex lap, small bowel resection, check NGT placement History: nausea Bowel gas pattern is nonobstructive. Enteric tube terminates in the left upper abdomen in the region of the gastric body.Postsurgical clips in the pelvis. | 1.Enteric tube terminates in the region of the gastric body. |
Generate impression based on findings. | There is a small focus of restricted diffusion with matching ADC hypointensity involving the precentral gyrus, specifically in the region associated with hand motor activity.Redemonstrated are T2 hyperintense foci throughout the white matter, pons, without associated restricted diffusion, mass effect, or susceptibilit... | 1.There is a small focus of restricted diffusion with matching ADC hypointensity involving the precentral gyrus, specifically in the region associated with hand motor activity consistent with ischemia.2.Chronic small vessel ischemic disease.3.Redemonstrated are findings of a calcified meningioma overlying the left fron... |
Generate impression based on findings. | 39 years old, Male, Reason: eval for ICH History: etoh intox, forehead hematoma, found down There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. The imaged parana... | 1. Small frontal scalp hematoma without underlying fracture. 2. No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Abdominal distentionVIEWS: Abdomen AP and crosstable lateral NG tube tip in the stomach. The umbilical venous catheter is displaced to the left side. The liver is enlarged and there is mass effect to the bowel loops being displaced to the left lower quadrant. | Displacement of the bowel loops to the left secondary to the enlarging liver size as described above. |
Generate impression based on findings. | Female 45 years old; Reason: check position of DHT History: check position of DHT Dobbhoff tube and enteric tubes terminate at the antropyloric region.There is a stent projects over the right upper abdomen. Surgical clips and coils in the lower abdomen. The bowel gas pattern is nonspecific. | 1.Enteric tube and Dobbhoff tube tips project at the antropyloric region. |
Generate impression based on findings. | Male 43 years old; Reason: eval for NG placement History: ams Enteric tube coiled in the stomach with its tip pointed at the fundus.The bowel gas pattern is nonobstructive. | 1.Enteric tube coiled in the stomach with its tip pointed at the fundus. |
Generate impression based on findings. | Female 64 years old; Reason: assess NGT position History: NGT replaced Enteric tube with its sidehole in the region of the distal esophagus and its tip at the level of the gastric body.The bowel gas pattern is obstructive with gas-filled dilated small bowel loops.Stent-type device projects over the left lower abdomen. | 1.Enteric tube tip is in the region of the proximal gastric body. |
Generate impression based on findings. | Worsening respiratory acidosisVIEW: Chest AP ET tube tip at the level of the thoracic inlet. NG tube tip in the stomach. Umbilical lines and right chest tubes again noted. The right subpulmonic pneumothorax has decreased in size. Cardiothymic silhouette normal. Patchy atelectasis in the left lower lobe. | Right subpulmonic pneumothorax has decreased when compared to the prior study. |
Generate impression based on findings. | Reason: evaluate for PE in setting of hematemesis with tachycardia History: hemoptysis, cough PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus.LUNGS AND PLEURA: Right lower lobe paramediastinal ground glass opacity adjacent to prominent vertebral body osteophytes likely compressive atelectasis. Scat... | 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. | Reason: rule out PE History: SOB, desaturation to 85% PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus. Apparent low density in a left lower subsegmental pulmonary artery is suspected to be volume averaging. No evidence of pulmonary infarction or right heart strain. LUNGS AND PLEURA: No significant ... | 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. | Reason: ? PE History: pleuritic cp PULMONARY ARTERIES: Slightly limited examination due to suboptimal opacification of the pulmonary arteries. No acute pulmonary embolus to the segmental level.LUNGS AND PLEURA: Right apical 6 mm subsolid nodule (series 10 image 27). Bibasilar ground glass opacity and atelectasis, nonsp... | 1.No acute pulmonary embolus.2.Nonobstructing punctate left renal calculus.3.Sub-solid right apical nodule, possibly post inflammatory, and bilateral lower lobe ground glass opacities and atelectasis, possibly related to motion, for which 1 year CT follow-up is recommended to confirm stability and resolution, respectiv... |
Generate impression based on findings. | 55-year-old female with chronic sinusitis. Redemonstrated is a small retention cyst within the left posterior ethmoid air cells. Previously demonstrated mild mucosal thickening within the left sphenoethmoid recess has decreased. The paranasal sinuses are otherwise clear and the sinus walls are not thickening or sclerot... | Redemonstrated is a small retention cyst within the left posterior ethmoid air cells. Previously demonstrated mild mucosal thickening within the left sphenoethmoid recess has decreased. |
Generate impression based on findings. | Male 51 years old; Reason: stage IV melanoma s/p resection History: monitor for recurrent metastatic cancer CHEST:LUNGS AND PLEURA: Postsurgical changes in the right upper lobe. Reference right upper lobe pulmonary nodule measures 1.0 x 0.6 cm (image 36/series 4) previously, 0.9 x 0.6 cm.The pleural spaces are clear. P... | 1.Stable exam with near stable size measurements of the lung lesions.2.No significant change in the right hepatic lobe subcentimeter lesion. |
Generate impression based on findings. | Male 64 years old; Reason: eval for cause of abdominal distention/ tenderness History: see above Bowel gas pattern is nonobstructive. Enteric tube terminates within a mildly gas-filled stomach in the region of the distal gastric body. Postsurgical clips in the right upper abdomen. | 1.Gastric distention. |
Generate impression based on findings. | Female 57 years old; Reason: S/p removal of abdominal ICD and relocated to chest History: None Normal average stool in the colon suggesting constipation. The bowel gas pattern is otherwise unremarkable no specific findings of bowel structure.Degenerative changes affects the symphysis pubis and sacroiliac joints. Postsu... | 1.Findings suggestive of constipation |
Generate impression based on findings. | Reason: assess for radiation recall, PNA, assess for progression of disease History: chest pain, dysphagia LUNGS AND PLEURA: Right apical spiculated nodule has slightly decreased in size, measuring approximately 2.3 cm (coronal series image 33). compared to 2.5 cm. Associated posttreatment changes. Large right partiall... | 1.Increasing bilateral adrenal and pancreatic tail/peripancreatic masses compatible with metastases.2.Slight interval decrease in right chest wall masses with rib involvement and right apical mass.3.Extensive lymphadenopathy in the chest has not significantly changed.4.Large right pleural effusion. Slight interval impr... |
Generate impression based on findings. | Male 26 years old; Reason: distended this am, eval for gastric distention History: nausea, distended Small bowel loops are dilated in the central abdomen compatible with a bowel obstruction. The large intraperitoneal free air. | 1.Findings compatible with a bowel obstruction.2.Per the clinical service patient had surgery on April 8 of free air may be related to postsurgical changes. But if patient has worsening clinical status CT can be obtained.3.Findings discussed with Dr. Bass at 10:58 a.m. |
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 evident at L5/S1.T12/L1 to L4/5: UnremarkableL5/S1... | L5/S1: There is a large left paracentral disc extrusion which abuts, compresses, and effaces the right S1 nerve root sheath. |
Generate impression based on findings. | 65 years old, Female, Reason: eval for intracranial bleed History: fall hitting head in right parietal region, has h/o SCC with known brain mets There is no evidence of intracranial hemorrhage. The skull and scalp soft tissues are unremarkable. Previously noted multiple intracranial masses are much less conspicuous on ... | 1. No evidence of intracranial hemorrhage. No soft tissue hematoma or skull fracture is noted.2. Marked interval regression of multiple supratentorial and infratentorial intracranial metastases compared to CT dated 12/27/14. |
Generate impression based on findings. | Reason: confirm placement of ETT History: ETTVIEW: Chest AP (one view) Endotracheal tube tip remains positioned in the ostium of the right mainstem bronchus. This has been repositioned but remains low on subsequent radiographs. Nasogastric tube side hole positioned at the GE junction. Stable position right central cath... | Obstructive bowel gas pattern. Endotracheal tube terminates at the ostium of the right mainstem bronchus. It has been repositioned but remains low on subsequent radiographs. |
Generate impression based on findings. | Reason: r/o PE, History: sob, resp failure (history of metastatic adenocarcinoma). PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus.LUNGS AND PLEURA: Interval progression in diffuse ground glass opacity and bronchiectasis, likely post treatment in etiology.Reference left lower lobe spiculated nodule... | 1.No acute pulmonary embolus.2.Significant progression in bilateral ground glass opacity and bronchiectasis, likely post treatment in etiology.3.Reference pulmonary nodules are unchanged or decreased compared to prior.4.Reference mediastinal lymphadenopathy has decreased compared to prior.PULMONARY EMBOLISM: PE: Negati... |
Generate impression based on findings. | Unchanged 12- mm hypodense nodule in the posterior right thyroid lobe. Conglomerate of enhancing lymph nodes without necrosis is again demonstrated in the left supraclavicular region and upper mediastinum appearing increased in size compared to study dated 3/21/14. Reference superior mediastinal lymph node measures 3.... | 1. Interval enlargement of left supraclavicular and superior mediastinal lymphadenopathy.2. New partially necrotic appearing enlarged left level 3 lymph nodes. 3. Unchanged hypodense right thyroid lobe nodule. |
Generate impression based on findings. | Reason: h/o esoph cancer s/p chemorads and esophagectomy ck response History: none CHEST:LUNGS AND PLEURA: Compressive atelectasis adjacent to gastric interposition, unchanged. No new or suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: Postsurgical changes of a gastric interposition wh... | Postsurgical changes with no evidence of recurrence or metastases. |
Generate impression based on findings. | Reason: pulmonary embolus History: tachycardia PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus.LUNGS AND PLEURA: Evaluation of fine parenchymal detail is limited by motion. Bilateral upper lobe centrilobular nodules. Bilateral lower lobe atelectasis and consolidation. No pleural effusions.MEDIASTIN... | 1.No acute pulmonary embolus.2.Diffusely patulous esophagus with debris and fluid to the level of the cervical esophagus and moderate hiatal hernia. Bilateral upper lobe centrilobular nodules and lower lobe consolidation/atelectasis compatible with aspiration pneumonia.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not a... |
Generate impression based on findings. | 52 years old, Male, Reason: CVA History: CVA There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. Mucus retention cyst in the right maxillary sinus. The imaged pa... | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
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 noted at L5/S1. There i... | L5/S1: There is a right paracentral disc protrusion which abuts and effaces the right S1 nerve root sheath origin. There is also diffuse annular disc bulge causing mild bilateral neural foraminal stenosis. |
Generate impression based on findings. | There are no fractures. 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 throughout all visualized levels. There is a new prominent Schmorl's node involvi... | 1.T9/10: Bilateral facet hypertrophy encroaches bilateral neural foramina.2.T11/12: Mild bilateral neural foraminal stenosis.3.T12/L1: Mild left neural foraminal stenosis.4.L2/3: Mild bilateral neural foraminal stenosis.5.L3/4: Grade 1 anterolisthesis L3 on L4, moderate bilateral facet hypertrophy, and small bilateral ... |
Generate impression based on findings. | There is a partially empty sella. T2 hyperintense focus in the pineal gland with features consistent with a simple pineal cyst measuring 10 x 8 x 8 mm (series 301, image 195) without regional or local mass effect. The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no ... | 1. No mass or intracranial hemorrhage. 2. Simple pineal cyst without local or regional mass effect. |
Generate impression based on findings. | The intracranial internal carotid arteries are normal in course and caliber. The middle and anterior cerebral arteries are unremarkable. The vertebral arteries, basilar artery, and posterior cerebral arteries are normal in course and caliber. There is no evidence of flow-limiting stenosis or aneurysm.There is an uncha... | No evidence of intracranial aneurysm or significant steno-occlusive lesion. |
Generate impression based on findings. | 55 years old, Female, Reason: outside mri suggests L3 spinous process fracture, please evaluate History: low back pain Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. Subtle lucency through the left pedicle of L3 likely represent a nondisplaced fractur... | 1. Nondisplaced fracture of the left pedicle of L3.2. Multilevel degenerative changes of the lumbar spine as detailed above. |
Generate impression based on findings. | There is a lumbar levoscoliosis with mild right lateral listhesis of L2 on L3 and L3 on L4 as well as mild left lateral listhesis of L5 on S1. There is transitional anatomy with lumbarization of S1 and 6 lumbar type vertebral bodies. The vertebral body heights are preserved. The paravertebral soft tissues are unremark... | 1.Transitional anatomy with lumbarization of S1 and 6 lumbar type vertebral bodies.2.Severe lumbar spine degenerative changes superimposed on lumbar levoscoliosis with multilevel spinal canal stenosis that is most severe at L2-L3, L3-L4, and L5-L6. There is also multilevel neural foramen stenosis. An MRI under cardiolo... |
Generate impression based on findings. | Soft tissue neck: Redemonstration of a mixed lytic and sclerotic lesion in the C7 vertebral body with approximately 40% loss of height appearing similar to the prior exam. The remaining vertebral bodies not significant change in appearance compared to the prior exam. Interval placement of spinal fixation device with r... | 1. Redemonstration of a mixed lytic and sclerotic lesion in the C7 vertebral body with interval spinal fixation device placement without evidence of hardware complication.2. No new osseous lesions are identified.3. No evidence of local recurrence within the thyroidectomy bed or cervical lymphadenopathy.4. No evidence o... |
Generate impression based on findings. | 37 year old male with buccal mucosa cancer status post therapy. Extensive streak artifact related to dental amalgam obscures much of the oral cavity. There are postoperative findings related to right buccal carcinoma resection without evidence of discernible oral cavity mass lesion, within the limitations of artifact. ... | Post-treatment findings in the neck without definite evidence of locoregional tumor recurrence or significant lymphadenopathy in the neck, although artifact from dental amalgam limits oral cavity evaluation. |
Generate impression based on findings. | A posterior stabilization rod induces artifact which limits evaluation of levels above L3. Given this caveat:Redemonstrated is levorotoscoliosis centered at approximately L3/4. The conus is normal in signal and morphology and terminates at an appropriate level. The visualized intra-abdominal and paraspinal contents ar... | 1.A posterior stabilization rod induces artifact which limits evaluation of levels above L3. 2.L3/4: Severe central, mild to moderate left and severe right neural foraminal stenosis.3.L4/5: Severe central and severe bilateral neural foraminal stenosis.4.L5/S1: Moderate central stenosis. |
Generate impression based on findings. | Postoperative findings are again seen in the left lower neck. There is interval decrease in size of cervical lymphadenopathy compared to study dated 1/29/15 and marked interval decrease since study dated 8/7/14. Reference right level 3 lymph node measures 9 mm x 10 mm (series 8, image 58), previously measuring 11 x 12... | 1. Interval decrease in size of cervical lymphadenopathy.2. Multilevel degenerative changes of the cervical spine unchanged. |
Generate impression based on findings. | 74 years old, Female, Reason: Concern for VBI or posterior circulation stroke History: dizziness 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. Senescent calcif... | 1. No evidence of intracranial hemorrhage, mass, or cerebral edema.2. No intracranial or cervical arterial stenoses, occlusions or aneurysm.3. Small ossified fragment is seen at the C1-C2 junction adjacent to the dens is likely related to remote trauma.4. Multilevel degenerative changes of the cervical spine. |
Generate impression based on findings. | 15 years old, Female, Reason: r/o intracranial lesion History: persistant HA x2 weeks, waking child from sleep, + blurry vision There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline sh... | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | 78-year-old female with altered mental status. There is an apparent new linear focus of hypodensity within the posterior midline pons which may represent interval new ischemia, although this is a region prone to artifact. There is no evidence of acute intracranial hemorrhage or mass. The grey-white matter differentiati... | There is an apparent new linear focus of hypodensity within the posterior midline pons which may represent interval new ischemia, although this is a region prone to artifact. Correlate with clinical symptomatology to confirm or consider MRI. |
Generate impression based on findings. | There are post-treatment findings in the neck related to radiation therapy, neck dissection, and partial glossectomy with flap reconstruction. There is no significant interval change in the ill-defined infiltrative process along the margin of the flap, centered in the left tongue base region. There is stranding of sub... | Posttreatment findings in the neck with no significant interval change in the ill-defined tumor centered in the left tongue base. |
Generate impression based on findings. | Desaturation feverVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Cardiac apex, aortic arch and stomach left-sided. Peribronchial wall thickening with subsegmental atelectasis right lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | FeverVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Peribronchial wall thickening with subsegmental atelectasis right lower lobe and left lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | Desaturation feverVIEW: Chest AP 4/12/15 Cardiothymic silhouette at the upper limits of normal. Lower extremity PICC with tip in the right atrium. Minimal right upper lobe atelectasis new from prior study. No pleural effusion or pneumothorax. | Minimal right upper lobe atelectasis without pneumonia. |
Generate impression based on findings. | ConstipationVIEW: Abdomen AP 4/11/15 NG tube tip in the stomach. There is marked reduction of the fecal burden within the large bowel with minimal amount remaining in the descending colon. Multiple small air-fluid levels are present. No pneumatosis or pneumoperitoneum. | Marked reduction of fecal burden. |
Generate impression based on findings. | Non-bilious emesis and abdominal distentionVIEW: Abdomen AP NG tube tip in the stomach. Mild gaseous distention of bowel loops without evidence of obstruction. There is no pneumatosis or pneumoperitoneum. | No evidence of NEC. |
Generate impression based on findings. | Wheeze feverVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Cardiac apex, aortic arch and stomach left-sided. Peribronchial wall thickening with subsegmental atelectasis left lower lobe. No pleural effusion or pneumothorax. | Reactive airway disease without pneumonia. |
Generate impression based on findings. | Line placementVIEW: Chest AP and abdomen AP The esophageal temperature probe tip in the distal esophagus. The umbilical venous catheter is looped within the left portal vein. The umbilical arterial catheter is looped at approximately T11-T12 level. Cardiomegaly unchanged. Minimal atelectasis left lower lobe. No pleural... | Malpositioned umbilical lines as described above. |
Generate impression based on findings. | Chest tube placementVIEW: Chest AP 4/12/15 Cardiothymic silhouette cannot be evaluated. There is a right chest tube in place. Near complete opacification right lung minimally increased from prior study. Minimal patchy atelectasis left lower lobe. There is mild mediastinal shift from right-to-left. Minimal subcutaneous ... | Near complete opacification right lung minimally increased from prior study. |
Generate impression based on findings. | Chest tube placementVIEW: Chest AP Cardiothymic silhouette cannot be evaluated. There is placement of a right-sided chest tube with improved aeration in the right lung. There is mild mediastinal shift from right-to-left. Minimal atelectasis in the left perihilar region. Minimal subcutaneous emphysema in the right later... | Placement of a right-sided chest tube with improved aeration of the right lung. |
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