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Generate impression based on findings. | Removal of chest tubeVIEW: Chest AP The left chest tube has been removed in the interval. There are surgical staples at the left apex. The small left apical pneumothorax is not significantly changed in size. Minimal atelectasis left lower lobe. Cardiothymic silhouette normal. The right lung is clear. | Removal of left chest tube with a small apical pneumothorax not significantly changed. |
Generate impression based on findings. | Wheeze hypoxiaVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Peribronchial wall thickening with subsegmental atelectasis in the right lower lobe and left lower lobe. No pleural effusion or pneumothorax. Markedly dilated bowel loops at the left upper quadrant. | Bronchiolitis or reactive airway disease. Markedly dilated bowel loops at the left upper quadrant and if there is clinical concern abdominal radiograph should be performed. |
Generate impression based on findings. | WheezeVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Cardiac apex, aortic arch and stomach left-sided. Peribronchial wall thickening with subsegmental atelectasis in the right lower lobe and left lower lobe. The left lower lobe opacity is felt to represent atelectasis. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | Evaluate pneumothoraxVIEW: Chest AP ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Umbilical lines and two chest tubes on the right not significantly changed. The moderate size right subpulmonic pneumothorax has decreased in size. Patchy atelectasis in the lingula and left lower lobe... | Moderate size right subpulmonic pneumothorax decreased in size. |
Generate impression based on findings. | Male 58 years old Reason: evaluate for aortic dissection History: abdominal pain, unequal pulses CHEST:LUNGS AND PLEURA: 6.6 mm ground glass left upper lobe series 8 image 50. Recommend 3 month follow-up per Fleischner guidelines.Paraseptal bullae. No other nodules. No effusions.MEDIASTINUM AND HILA: Mild scattered ath... | Findings consistent with acute pancreatitis with extensive peripancreatic and retroperitoneal fluid and minimal ascites.Cholelithiasis with mild biliary dilatation. Concern for cholecystitis or biliary stone. See follow-up ultrasound and MR.Groundglass opacity left lung (lingula) 6.6 mm, 3 month follow-up per Fleischne... |
Generate impression based on findings. | DesaturationVIEW: Chest AP ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. The two right chest tubes and umbilical lines not significantly changed. The moderate right subpulmonic pneumothorax has increased in the interval. Cardiothymic silhouette normal. Patchy atelectasis in the ling... | Moderate size right subpulmonic pneumothorax increased from prior study. |
Generate impression based on findings. | PainVIEWS: Left ankle AP, oblique and lateral No acute fracture or dislocation. The ankle mortise joint is normal. There is soft tissue swelling about the ankle joint. No evidence of ankle joint effusion. | No acute fracture or dislocation. |
Generate impression based on findings. | Line placementVIEW: Chest AP and abdomen AP ET tube tip below thoracic inlet and above the carina. There is umbilical venous catheter tip in the right atrium. There is a large lucency projected over the upper thoracic region in the right of midline. Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. D... | Large lucency projected over the upper thoracic region may represent air in the esophagus or pneumomediastinum and follow-up recommended. This was communicated to the clinical referring service by the radiology resident on call. |
Generate impression based on findings. | NG placementVIEW: Chest AP NG tube tip in the stomach. Cardiothymic silhouette normal. Minimal patchy atelectasis in the right upper lobe and left upper lobe in a background of chronic lung disease. No pleural effusion or pneumothorax. | Minimal patchy atelectasis bilaterally. |
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. If there is continued clinical concern for acute ischemia, MRI would be recommended. |
Generate impression based on findings. | Liver cyst drainageVIEW: Chest AP and abdomen AP ET tube tip at the level of the thoracic inlet. NG tube tip at the GE junction. There is a urinary catheter in place. Placement of a drain at the right upper quadrant. Cardiothymic silhouette normal. No focal lung opacity. No pleural effusion or pneumothorax. The liver s... | Placement of a pigtail catheter at the right upper quadrant within the liver as described above. |
Generate impression based on findings. | The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mas... | Negative unenhanced brain CT. If there is continued clinical concern for acute ischemia, MRI would be recommended. |
Generate impression based on findings. | Female 55 years old; Reason: eval for SBO History: abd pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: N... | 1.Two ventral abdominal wall hernias as described above. There is no evidence of high-grade obstruction however trace of fluid adjacent to dilated bowel loops in both hernias and within the mesentery. This can be seen in the setting of ischemia and correlation with lactic levels is recommended. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. There is persistent partial opacification of the left sphenoid sinus. The remainder of the visualized po... | Negative noncontrast head CT. |
Generate impression based on findings. | IntubatedVIEW: Chest AP ET tube tip below thoracic inlet and above the carina. NG tube tip at the GE junction. Cardiothymic silhouette at the upper limits of normal. Diffuse lung haziness bilaterally. The umbilical lines have been removed. No pleural effusion or pneumothorax. | ET tube tip below thoracic inlet and above the carina. Malpositioned NG tube with dilated stomach. |
Generate impression based on findings. | Line placementVIEW: Chest AP and abdomen AP NG tube tip in the stomach. The umbilical venous catheter tip in the right atrium. The umbilical arterial catheter tip at T7. Cardiothymic silhouette at the upper limits of normal. Diffuse lung haziness with patchy atelectasis in the left lower lobe. No pleural effusion or pn... | Repositioning of the umbilical lines as described above. |
Generate impression based on findings. | Due to patient claustrophobia, the protocol was modified to utilized fast scanning sequences, which somewhat decreases signal to noise and gray/white distinction on some sequences. Given this caveat:There are multiple foci of T2 hyperintensity in the white matter, primarily in periventricular white matter locations, w... | There are multiple foci of T2 hyperintensity in the white matter, primarily in periventricular white matter locations, without mass effect, restricted diffusion, or susceptibility abnormality. There are no apparent posterior fossa lesions, although images are somewhat suboptimal given fast scan techniques and smaller l... |
Generate impression based on findings. | PICC placementVIEW: Chest AP NG tube tip at the GE junction. Right upper extremity PICC with tip in the right internal jugular vein. Cardiothymic silhouette at the upper limits of normal. No focal lung opacity. No pleural effusion or pneumothorax. | Malpositioned right PICC and NG tube. |
Generate impression based on findings. | Line placementVIEW: Chest AP and abdomen AP NG tube tip in the stomach. The umbilical venous catheter tip within the main portal vein. Cardiothymic silhouette at the upper limits of normal. Diffuse lung haziness bilaterally. Cardiac apex and stomach left-sided. No pleural effusion or pneumothorax. Disorganized nonobstr... | Malpositioned umbilical venous catheter. |
Generate impression based on findings. | Reason: ? tib-fib fracture History: pain over tibia Four nonweightbearing views of the right knee demonstrate a comminuted fracture of the tibial intercondylar eminence, which can be seen in the setting of ligamentous injuries. A joint effusion is present. Metallic densities are present within the soft tissues of the t... | Comminuted fracture of the tibial intercondylar eminence, as above. |
Generate impression based on findings. | There are a few scattered foci of hypodensity 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 fluid collections o... | Small vessel disease of indeterminate ages. No acute intracranial hemorrhage, mass, or mass-effect. |
Generate impression based on findings. | Hypoxia feverVIEW: Chest AP Cardiothymic silhouette normal. Peribronchial wall thickening with subsegmental atelectasis in the right upper lobe, right lower lobe and left lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | Reason: ? fracture History: left knee pain Four views of the left knee demonstrate moderate osteoarthritis with tricompartmental osteophytosis and medial compartment joint space narrowing. A small joint effusion is present. There is no evidence of acute fracture or malalignment. | Osteoarthritis and small joint effusion without evidence of acute fracture. |
Generate impression based on findings. | 71-year-old female with intracranial hemorrhage A dilated supratentorial ventricular system is unchanged, and a right frontal approach ventricular catheter with the tip likely within the third ventricle are stable. Hematoma centered within the left basal ganglia as well as intraventricular hemorrhage is stable. Associa... | 1.Unchanged intraventricular and left basal ganglia hemorrhages.2.Unchanged dilated supratentorial ventricular system. |
Generate impression based on findings. | Female 55 years old Reason: kidney stone? History: abd pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Previously... | Bilateral nephrolithiasis left greater than right. Possible punctate stone in the distal right ureter. No evidence of hydronephrosis or hydroureter. |
Generate impression based on findings. | Increased emesisVIEW: Chest AP and abdomen AP NG tube tip in the stomach. Right lower extremity central line with tip in the intrahepatic IVC. Cardiothymic silhouette normal. Patchy atelectasis in the left lower lobe. No pleural effusion or pneumothorax. Disorganized nonobstructive bowel gas pattern. No pneumatosis or ... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Reason: r/o osteomyelitis History: pressure ulcer Three views of the right ankle demonstrate diffuse soft tissue swelling and a soft tissue ulceration of the lateral malleolus, without evidence of underlying cortical destruction to suggest osteomyelitis. No acute fracture or malalignment.Four views of the right foot de... | Soft tissue ulceration about the lateral malleolus without evidence of underlying osteomyelitis. However, if there is continued clinical concern, may be further evaluated with MRI. |
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. Mucosal thickening is present in bilateral maxil... | 1.No CT evidence of acute intracranial traumatic abnormality.2.Mucosal thickening is present in bilateral maxillary sinuses as well as scattered bilateral ethmoid air cells. Additionally, an air-fluid level is noted within the right maxillary sinus. 3.Negative noncontrast cervical spine CT. |
Generate impression based on findings. | Female 64 years old; Reason: evaluate for appendicitis/diverticulitis History: fever, abdominal pain ABDOMEN:LUNG BASES: Moderate bibasal atelectasis. Apparent lingular atelectasis is incompletely imaged.LIVER, BILIARY TRACT: The liver demonstrates cirrhotic morphology as evidenced by nodularity of the contour, promine... | 1.Apparent bowel wall thickening in the region of the splenic flexure suggestive of colitis. Consider infectious or inflammatory etiology, less likely ischemic. Similar appearance of the descending colon is equivocal for colitis due to under distention.2.Apparent free air within the ventral abdominal wall hernia is con... |
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 tip within the right portal vein. The umbilical arterial catheter tip is looped within the descending abdominal aorta at approximately T11-T12 level. Cardiothymic silhouette at the upp... | Malpositioned umbilical lines as described above. |
Generate impression based on findings. | Reason: traumatic changes s/p mvc History: midline spinal tenderness s/p MVC, h/o degenerative changes spine Four views of the lumbar spine demonstrate mild, age indeterminant anterior wedging of T11 and T12 vertebral bodies. Alignment is anatomic. Mild disk space narrowing and anterior vertebral body osteophytosis aff... | Age indeterminate anterior wedging of the T11 and T12 vertebral bodies. Degenerative changes as above. |
Generate impression based on findings. | Umbilical line adjustmentVIEW: Chest AP and abdomen AP The esophageal temperature probe tip in the distal esophagus. The umbilical venous catheter tip in the main portal vein. The umbilical arterial catheter tip is looped within the descending abdominal aorta at L1-L2 level. Cardiothymic silhouette at the upper limits ... | Malpositioned umbilical lines as described above. |
Generate impression based on findings. | A small superficial soft tissue hematoma is noted in the left frontal extracalvarial soft tissues without underlying calvarial or intracranial associated abnormality. 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 acut... | A small superficial soft tissue hematoma is noted in the left frontal extracalvarial soft tissues without underlying calvarial or intracranial associated abnormality. |
Generate impression based on findings. | Umbilical line replacementVIEW: Chest AP and abdomen AP The esophageal temperature probe tip in the distal esophagus. The umbilical venous catheter tip in the main portal vein. The umbilical arterial catheter tip is looped within the descending abdominal aorta at the lumbar spine. Cardiothymic silhouette at the upper l... | Malpositioned umbilical lines as described above. |
Generate impression based on findings. | Abdominal painVIEWS: Abdomen AP and upright Disorganized nonobstructive bowel gas pattern. Mild amount of fecal burden. No abnormal bowel dilation or abnormal air-fluid levels. No pneumatosis or pneumoperitoneum. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Reason: FB History: pain and swelling Three views of the right hand demonstrate diffuse soft tissue swelling. There are scattered degenerative changes in the hand and wrist, most significant in the third DIP joint. No evidence of acute fracture or radiopaque foreign object. | Soft tissue swelling without evidence of acute fracture or radiopaque foreign object. |
Generate impression based on findings. | kicked left side of chest during soccer gameVIEWS: Bilateral ribs AP, right oblique and left oblique No displaced rib fractures, focal lung opacity or pneumothorax. Cardiothymic silhouette normal. No evidence of pleural effusion. | No evidence of displaced rib fracture. |
Generate impression based on findings. | Reason: fx History: s/p assault, swelling L radial aspect of hand, 5 mo pregnant Three views of the left hand demonstrate mild soft tissue swelling along the lateral aspect, without evidence of acute fracture. Lucency within the fourth metacarpal diaphysis may represent an enchondroma. | No evidence of acute fracture. Other findings as above. |
Generate impression based on findings. | Female 42 years old; Reason: intraabdominal process History: abdominal pain ABDOMEN:LUNG BASES: Bibasal atelectasis is somewhat more than would be expected however given that it is limited to the lungs posteriorly, favor dependent atelectasis.LIVER, BILIARY TRACT: Periportal edema may relate to patient's hypoalbuminemi... | 1.Bilateral renal scarring, likely secondary to provided diagnosis of vesicoureteral reflux.2. Reflux of contrast into the hepatic veins and prominence of the IVC. As per discussion with the referring service patient was recently status post significant fluid resuscitation which may account for this appearance.3. Marke... |
Generate impression based on findings. | Reason: eval for fracture History: internal rotation deformity Two views of the left hip demonstrate mild to moderate osteoarthritis including joint space narrowing, osteophytosis, and subchondral sclerosis. Sclerosis of the femoral head may relate to avascular necrosis in the appropriate clinical setting. There is no ... | Degenerative changes, as above, without evidence of acute fracture. |
Generate impression based on findings. | T-cell lymphoma, PTLD, graft-versus-host disease, increased respiratory rateVIEW: Chest AP Cardiothymic silhouette normal. Patchy atelectasis left lower lobe. No pleural effusion or pneumothorax. The left upper extremity PICC has been removed. | Minimal patchy atelectasis left lower lobe. |
Generate impression based on findings. | TTP anterior chest wallVIEWS: Chest AP and lateral 4/12/15 Cardiothymic silhouette normal. Cardiac apex, aortic arch and stomach left-sided. No focal lung opacity. No pleural effusion or pneumothorax. No displaced rib fracture. There is soft tissue prominence to the lower sternum in the lateral projection. | Prominence of the soft tissue adjacent to the lower sternum may represent soft tissue contusion/hematoma as described above. |
Generate impression based on findings. | Male 35 years old; Reason: pancreatitis History: epigastric pain Residual contrast opacifies the large bowel from prior outside hospital study.ABDOMEN:LUNG BASES: Focal cystic changes in the left lower lobe are incompletely evaluated on this study.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No signif... | 1. No evidence of pancreatitis.2. Short segment intussusception in the left mid abdomen, without evidence of lead mass.3. Apparent mild gastric wall thickening may relate to debris within the stomach or less likely mild gastritis. 4. Focal cystic changes in the left lower lobe are incompletely evaluated on this study. |
Generate impression based on findings. | Male 41 years old; Reason: eval pseudocyst/abscess History: h/o chronic pancreatitis s/p recent MRCP to drain pseudocyst ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: The previously described benign appearing lesion in segment 5 is not identified on today's study. There is mild biliary dila... | 1.Persistent inflammatory changes about the pancreatic head, neck and body are stable/mildly improved compared to prior study with persistent mild pancreatic duct dilatation.2.Cystogastrostomy tube remains in situ without evidence of new peripancreatic collection.3.The portal vein is again noted to be attenuated but pa... |
Generate impression based on findings. | Female 73 years old; Reason: Exclude abdominal or pelvic mets History: Worsening low back pain, pelvic pain, urinary incontinence CHEST:LUNGS AND PLEURA: Nonspecific apical scarring. Subpleural curvilinear reticular opacities are nonspecific. Previously described right middle lobe nodule is not clearly identified on to... | 1.No evidence of metastatic disease in the abdomen or pelvis within the limitations of the study.2.Multinodular thyroid gland with retrosternal extension is better evaluated on prior thyroid ultrasound. |
Generate impression based on findings. | TraumaEXAMINATION: 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/left oblique, pelvis AP, right femur AP, left femur AP, right tibia fibula AP, left tibia fibula... | Within the limitation described above no acute fracture or dislocation. |
Generate impression based on findings. | Female 49 years old; Reason: 49 yr old patient with hx of cervical cancer s/p 3 cycles of Taxol/Topotecan/Avastin eval disease process compare to Jan 2015 scan and CXR History: pulmonary nodularity CHEST:LUNGS AND PLEURA: Diffuse nodular intralobular septal thickening appears improved compared to prior study and is mos... | 1.Pulmonary nodules and intralobular septal thickening concerning for lymphangitic spread of tumor appear improved compared to prior study. Mediastinal lymphadenopathy also appears improved.2.Moderate stable right-sided hydronephrosis and soft tissue thickening and stranding about the right ureteropelvic junction.3.Sta... |
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. Partial opacification within left maxillary sinus has im... | Partial opacification within left maxillary sinus has improved. Otherwise negative unenhanced brain CT. |
Generate impression based on findings. | T-cell lymphoma, PTLD, graft versus host disease, increased respiratory rate. PULMONARY ARTERIES: There is a filling defect involving the subsegmental pulmonary artery of the left lower lobe representing acute PE. The remainder of the subsegmental pulmonary arteries including the main pulmonary artery are normal.LUNGS ... | Acute PE involving the subsegmental pulmonary artery of the left lower lobe. |
Generate impression based on findings. | There is an approximate 1.2 x 5 cm left frontoparietal, extracranial, soft tissue hematoma without underlying calvarial fracture. Underlying this region is a thin, 2 mm, layer hyperattenuation immediately deep to the frontal bone and subjacent area of injury. However, there are also similar appearing foci on the contr... | There is an approximate 1.2 x 5 cm left frontoparietal, extracranial, soft tissue hematoma without underlying calvarial fracture. Underlying this region is a thin, 2 mm, layer hyperattenuation immediately deep to the frontal bone and subjacent area of injury. However, there are also similar appearing foci on the contra... |
Generate impression based on findings. | Reason: pulmonary embolus History: acute DVT and increased from baseline shortness of breath. Evaluation of pulmonary embolism is somewhat limited secondary to body habitus and motion.PULMONARY ARTERIES: No acute pulmonary emboli is identified to the level of the lobar pulmonary arteries. Linear areas of low-attenuatio... | 1. No evidence of acute pulmonary embolism, to the level of the lobar arteries, given technical limitations. 2. Apical predominant paraseptal emphysema, pleural thickening/calcifications and basilar atelectasis, without significant pulmonary consolidation.PULMONARY EMBOLISM: PE: negativeChronicity: Not applicable.Multi... |
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. CTA HEAD: The intracranial in... | 1.No evidence of intracranial hemorrhage.2.No evidence of intracranial aneurysm, or significant steno-occlusive lesion within the head or neck. |
Generate impression based on findings. | There is a partially of the sella, somewhat atypical for a patient of stated age 43 years. There is also suspected optic nerve sheath ectasia. These findings can be seen in the setting idiopathic intracranial hypertension (a.k.a. pseudotumor), although other ancillary imaging findings such as optic nerve sheath dilata... | 1.There is a partially of the sella, somewhat atypical for a patient of stated age 43 years. There is also suspected optic nerve sheath ectasia. These findings can be seen in the setting idiopathic intracranial hypertension (a.k.a. pseudotumor), although other ancillary imaging findings such as optic nerve sheath dilat... |
Generate impression based on findings. | Male 35 years old Reason: eval RUQ, pt with CT suspicious for intrahepatic bilary dilatation History: RUQ pain LIVER: Enlarged 20 cm in length. No focal lesions.Flow in the portal veins hepatopedal flow .2 m/sec.GALLBLADDER, BILIARY TRACT: Status post cholecystectomy.Mild hepatic biliary prominence. Common bile duct 7 ... | Hepatomegaly. Post cholecystectomy with no significant biliary dilatation and blunting and mild biliary prominence. Small echogenic kidneys, consistent with medical renal disease. |
Generate impression based on findings. | Male 58 years old Reason: evaluate for gallstone pancreatitis, cholecystitis, cholelithiasis History: pancreatitis. LIVER: 15.6 cm in length. No focal lesions. Hepatopedal, peak velocity .2 m/secGALLBLADDER, BILIARY TRACT: Cholelithiasis. Stone seen in gallbladder neck but the gallbladder is not hydropic. There is tend... | Cholelithiasis. Mild intra-next biliary dilatation. Generalized tenderness likely related to pancreatitis rather than sonographic Murphy sign. |
Generate impression based on findings. | 58 year old male with motor vehicle accident, head injury and neck pain. 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. There is mild sof... | 1.No evidence of intracranial hemorrhage.2.No evidence of cervical spine fracture, dislocation, or subluxation.3.Dental disease. |
Generate impression based on findings. | 38-year-old female status post trauma experiencing facial pain Minimal soft tissue swelling is noted involving the left cheek. There are no underlying fractures.The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. The maxilla, mandible, sphenoid boned, nasal b... | 1.Minimal soft tissue swelling is noted involving the left cheek. There are no underlying fractures.2.Mucosal thickening is evident within bilateral maxillary, bilateral ethmoid, and right frontal sinuses. There is obstruction of the right ostiomeatal unit and the right frontoethmoidal recess. Note is made of bilateral... |
Generate impression based on findings. | Reason: rule out PE History: tachycardia, shortness of breath PULMONARY ARTERIES: No evidence of pulmonary embolism to the segmental level. The main pulmonary artery is mildly prominent, which can be seen in the setting of pulmonary arterial hypertension.LUNGS AND PLEURA: No pulmonary consolidation, pleural effusion, o... | No evidence of acute pulmonary embolism to the segmental level. No significant pulmonary consolidation or other findings to account for patient's symptoms.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Female 30 years old Reason: post open cholecystectomy History: hgb drop, assess There is a large amount of complex fluid in the abdomen particularly in the right lower quadrant. Concern for hemoperitoneum given the complexity of the fluid. | Complex intraperitoneal fluid. Concern for hemoperitoneum. This finding is new compared to the CT scan of 4/3/15.Findings discussed by technologist at the time of the examination with ICU team, as documented in the resident on call stat consult. |
Generate impression based on findings. | Female 78 years old Reason: source of sepsis? History: sepsis CHEST:LUNGS AND PLEURA: Extensive bibasilar consolidation with air bronchograms. Rule out aspiration or infection.Nonspecific left apical pleural nodularity or consolidation is not present in the 2008 exam.MEDIASTINUM AND HILA: Marked cardiomegaly. Heavy ath... | Extensive bilateral basilar consolidation, aspiration infection.Nonspecific left apical pleural nodularity or consolidation.Heavy atherosclerotic disease large and vessels. Cardiomegaly.Stable left thyroid lesion.Stable left adrenal mass.Higher than fluid density lesion lower pole right kidney which appeared to be a co... |
Generate impression based on findings. | Reason: eval PE vs dissection History: CP Exam is slightly limited secondary to patient body habitus and motion.PULMONARY ARTERIES: Given the above limitations, no large central pulmonary embolus is identified. The main pulmonary artery is enlarged, suggestive of pulmonary arterial hypertension.LUNGS AND PLEURA: 5-mm r... | 1.Limited exam without evidence of large central pulmonary embolus. 2.No obvious aortic dissection, as clinically queried. 3.Scattered bilateral opacities, which may represent aspiration.4. 5-mm right upper lobe nodule. Guidelines by the Fleischner society (Radiology 2005: 237:395-400) suggest that patients with a low ... |
Generate impression based on findings. | Adjustment of UVCVIEW: Chest AP and abdomen AP NG tube tip in the stomach. The umbilical venous catheter tip in the right atrium. Cardiothymic silhouette normal. Minimal patchy atelectasis left lower lobe. Eventration of the right hemidiaphragm again noted. No pleural effusion or pneumothorax. Disorganized nonobstructi... | The umbilical venous catheter tip in the right atrium. |
Generate impression based on findings. | There are postoperative findings related to recent posterior spinal fusion at L4-L5 with placement of transpedicular screws and rods. There are also findings related to prior L4 and L5 laminectomies as well as resection of the inferior aspect of the L3 spinous process. The hardware is intact, however, there is non-dis... | 1.Postoperative findings related to recent posterior spinal fusion at L4-L5.2.Fracture of the superior L5 endplate associated with the right screw.3.Unchanged severe sclerotic and erosive change centered at the L4-L5 disc space level with unchanged marked loss of vertebral body height. These findings are nonspecific bu... |
Generate impression based on findings. | Female 51 years old Reason: infectious source History: fevers, abdominal pain Exam is not sensitive for detecting lesions in the solid organs of vasculature due to the lack of intravenous contrast. Given those limitations, the following observations are made:ABDOMEN:LUNG BASES: Basilar pulmonary opacities. Rule out inf... | Right basilar opacities concerning for pneumonia increase in size hepatic lesions consistent with progression of metastatic disease. |
Generate impression based on findings. | Fever tachypneaVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. 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. | Female 58 years old Reason: pt with melanoma History: melanoma CHEST:LUNGS AND PLEURA: Numerous bilateral varying sized nodules consistent with diffuse pulmonary metastases. These have increased in size and number compared to 2/13/15.For baseline purposes a nodule in the right middle lobe as measured on series 4 image ... | Progression of disease in the lungs there is an increase in size and number of lesions as compared to the outside PET/CT of 2/13/15. |
Generate impression based on findings. | Gas is present within the superficial and deep tissues of the left neck extending from the skull base inferiorly to the level of the thyroid cartilage. Associated with this is blurring of the fascial planes, both superficially and deep. There are no discrete foci of enhancement or drainable fluid collections. There is... | 1.Gas is present within the superficial and deep tissues of the left neck extending from the skull base inferiorly to the level of the thyroid cartilage. Associated with this is blurring of the fascial planes, both superficially and deep suggestive of cellulitis. There are no discrete foci of enhancement or drainable f... |
Generate impression based on findings. | CT HEAD:There is no evidence of intracranial hemorrhage. There are unchanged patchy foci of low attenuation within the supratentorial white matter that are compatible with small vessel ischemic disease. A known right pontine chronic infarction is not well seen on today's exam secondary to streak artifact. The ventricl... | 1.No evidence of intracranial hemorrhage.2.Unchanged small vessel ischemic disease.3.No evidence of intracranial aneurysm or significant steno-occlusive lesion within the head or neck.4.Large ulcerated plaque involving the aortic arch. |
Generate impression based on findings. | Reason: eval for malignancy/abnormalities for transplant eval History: 68M w' CHF end stage, Hx smoking LUNGS AND PLEURA: Moderate right pleural effusion with underlying atelectasis. Innumerable pulmonary calcifications likely reflect previous granulomatous disease. No suspicious pulmonary mass lesion.MEDIASTINUM AND H... | 1.Moderate right pleural effusion with associated atelectasis.2.Evidence of previous granulomatous disease.3.No suspicious pulmonary mass lesion. |
Generate impression based on findings. | Female 77 years old Reason: Melanoma compare to last CT \T\ measure 1) RLL nodule, 2) LLL nodule, 3) left para aortic node Nd 4) left lower abdominal wall cluster of nodules History: post 2 cycles of chemo CHEST:LUNGS AND PLEURA: Rght lower lobe nodule, series 5 image 79, 1.4 x .9 cm. Previously 1.4 x 0.9 cm.Referenced... | The left abdominal wall soft tissue nodules and a nodule dorsal to the spleen are slightly more prominent. No new sites of disease. |
Generate impression based on findings. | Reason: r/o pna History: rising WBC, pulmonary opacities, RV failure, h/o sepsis LUNGS AND PLEURA: Trace bilateral pleural effusions and associated atelectasis. Bilateral reticular and groundglass air space opacities suggests pulmonary edema, worse at the bases. Fluid tracks along the pulmonary fissures. There are stre... | 1.Cardiomegaly, hepatic vein enlargement, and pulmonary edema suggest congestive heart failure. However, atypical streaky linear opacities in an atypical distribution throughout both lung fields may represent a superimposed infection, such as viral. 2.Dense globular pericardial and epicardial calcifications appear simi... |
Generate impression based on findings. | Female 61 years old Reason: 61 y/o female with Pancreatic Ca on chemotherapy. Pls compare to prior. History: see above CHEST:LUNGS AND PLEURA: No nodules or effusions.MEDIASTINUM AND HILA: No pathologic size nodes. Mild coronary artery calcification.CHEST WALL: Right chest wall.ABDOMEN:LIVER, BILIARY TRACT: Cholecystec... | Postoperative fluid collections remain but decreasing in size. Soft tissue focus dorsal to the residual pancreas and encasing superior mesenteric artery minimally more prominent. |
Generate impression based on findings. | Male 52 years old; Reason: hematoma f/u History: hematoma f/u Exam is not sensitive detecting lesions in the solid organs of vasculature due to lack of intravenous contrast.ABDOMEN:LUNGS BASES: Large right pleural effusion slightly decreased compared to the prior exam. Underlying atelectasis or consolidation.LIVER, BIL... | 1.Decrease in size of retrohepatic collection with catheters in place. 2.Persistent but slightly decreased large right pleural effusion and associated atelectasis or consolidation. 3.Small amount of ascites nodularity in the omentum and mesentery. 4.Persistent splenomegaly. 5.Other findings as above. |
Generate impression based on findings. | Male 44 years old; Reason: febrile overnight. s/p ex lap, Whipple, liver bx for ampullary Ca History: same ABDOMEN:LUNGS BASES: Small bilateral pleural effusions right greater than left with atelectasis or consolidation, right greater than left.LIVER, BILIARY TRACT: A single defined hypodensity in the liver series 10 i... | 1.Expected postsurgical changes post Whipple procedure as described above.2.Soft tissue density right retroperitoneal - precaval, likely postoperative hematoma.3.NG tube side hole distal esophagus should be advanced. |
Generate impression based on findings. | 76 year old female with head trauma. There is no evidence of intracranial hemorrhage. There is atherosclerotic calcification of the distal internal carotid arteries and unchanged patchy foci of low attenuation within the supratentorial white matter that are compatible with small vessel ischemic disease. The ventricles ... | 1.No evidence of hemorrhage or skull fracture.2.Unchanged mild small vessel ischemic disease. |
Generate impression based on findings. | 75 years, Male. Reason: assess ngt position History: ngt Persistent dilated loops of jejunum consistent with small bowel obstruction probably unchanged. No intramural or free air given limitation of supine view.Pelvic clips.Enteric tube tip just proximal to he junction should be advanced. This is reported to the clinic... | Persistent small bowel obstruction. NG tube should be advanced. |
Generate impression based on findings. | Arm painVIEWS: Left humerus AP and lateral No acute fracture or dislocation. No evidence of osteomyelitis or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | 61 year old female with head trauma. There is no evidence of intracranial hemorrhage. There is atherosclerotic calcification of the distal internal carotid arteries and unchanged patchy foci of low attenuation within the supratentorial white matter that are compatible with small vessel ischemic disease. There is an unc... | 1.No evidence of intracranial hemorrhage or skull fracture.2.Unchanged mild small vessel ischemic disease and a chronic left occipital infarct. |
Generate impression based on findings. | 27 years, Female. Reason: r/o sob History: pain Markedly dilated loops of bowel presumably small bowel in the upper abdomen with differential air-fluid levels consistent with small bowel obstruction. No intramural air or free air. Lung bases clear. In the visualized lower chest, a central line is seen with its tip in t... | Persistent small bowel obstruction pattern. |
Generate impression based on findings. | Line placementVIEW: Chest AP and abdomen AP NG tube tip in the stomach. The umbilical venous catheter tip at the cavoatrial junction. Cardiothymic silhouette normal. Mild eventration of the right hemidiaphragm. Patchy atelectasis left lower lobe. No pleural effusion or pneumothorax. Disorganized nonobstructive bowel ga... | The umbilical venous catheter tip at the cavoatrial junction. |
Generate impression based on findings. | Line placementVIEW: Chest AP and abdomen AP ET tube tip below thoracic inlet and above the carina. The umbilical venous catheter tip in the right atrium. Diffuse lung atelectasis increased from prior study. No pleural effusion or pneumothorax. Large lucency noted in the upper thoracic region and lower thoracic region. ... | Diffuse lung atelectasis increased from prior study. There are two large lucencies projected over the upper and lower thoracic region in the midline and may represent air within the upper and lower esophagus and further confirmation with a cross table lateral radiograph could be performed. |
Generate impression based on findings. | 49 years, Male. Reason: constipation? obstructive pattern? History: decreased stool output? abdominal pain Nonobstructive bowel gas pattern. Less than average stool burden.Surgical clip mid abdomen, unchanged. Cardiomegaly. | Nonobstructive bowel gas pattern. Little if any visible stool in the colon. |
Generate impression based on findings. | 42 years, Female. Reason: intra-abdominal process History: abdominal pain Nonobstructive bowel gas pattern. Cholecystectomy clips. IUD. Lung bases clear. | No evidence of acute process. |
Generate impression based on findings. | 66 years, Male. Reason: Eval for pneumoperitoneum History: distention, OSH films with pneumoperitoneum Large pneumoperitoneum.Nonobstructive bowel gas pattern with residual contrast seen in colon, small bowel and presumably stomach.Atherosclerotic calcifications aorta and iliac distribution.Previously seen left femoral... | Large volume pneumoperitoneum of uncertain etiology. Per radiology resident call stat consult discussed with Dr. Miller. Stat consult refers to an outside CT for comparison which is as yet not available to me for comparison. |
Generate impression based on findings. | Placement of catheter in the liverVIEW: Chest AP and abdomen AP NG tube tip at the antral pyloric region of the stomach. There is a pigtail catheter in the right upper quadrant. Cardiothymic silhouette normal. No focal lung opacity. No pleural effusion or pneumothorax. Disorganized nonobstructive bowel gas pattern. No ... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 60 years, Male. Reason: S/p OHT. Rising lactate. Evat IABP positioning History: s/p oht Intra-aortic balloon pump. Please see chest x-ray report.Nonobstructive bowel gas pattern. Surgical clips overlie left hip. | IABP best seen on chest film. |
Generate impression based on findings. | 76 years, Male. Reason: abdominal pain, not passing gas, rule out obstruction History: same Nonobstructive bowel gas pattern. No obvious free air or intramural air. Average stool burden.Gastroduodenal stent. Percutaneous biliary drain had been slightly retracted. Correlate for desired position. | No evidence of obstruction. |
Generate impression based on findings. | 35 years, Male. Reason: contrast in small bowel History: Abdominal pain Contrast seen in the urinary bladder, renal collecting system and colon presumably from recent CT scan.Nonobstructive bowel gas pattern. Lung bases clear. | No evidence of obstruction. |
Generate impression based on findings. | 62 years, Male. Reason: Constipation/distension History: As above Nonobstructive bowel gas pattern. Scattered small amount of residual contrast seen in a nondistended colon. Average stool burden. | No evidence of obstruction or constipation. |
Generate impression based on findings. | 75 years, Male. Reason: R/O free air - recent worsening after PEG tube placement History: as above Grated by respiratory motion in the upper abdomen. Course of the percutaneous G-tube is difficult to evaluate. T-tack seen overlying the stomach.Nonobstructive bowel gas pattern. Greater than average stool burden.IVC filt... | PET tube poorly visualized. Supine view insensitive for free air, but none seen. Follow up views if symptoms persist. |
Generate impression based on findings. | 60 years, Female. Reason: eval for sbo History: abd pain, constipation Nonobstructive bowel gas pattern. Moderate stool burden. Cluster calcifications projecting in the right hemipelvis possibly fibroid. | No obstruction. Moderate dural burden. |
Generate impression based on findings. | 44 years, Female. Reason: eval for etiology of abd pain in patient with metastatic breast cancer History: abd pain, r sided - nausea dn vomiting G-tube balloon overlies the left upper quadrant with gastro-jejunostomy tube tip projected distal to the ligament of Treitz. Nonobstructive bowel gas pattern. Loculated right ... | Nonobstructive bowel gas pattern. Gastrojejunostomy tube with tip projected distal to the ligament of Treitz. Loculated right pleural effusion and nodular opacities consistent with metastatic disease. |
Generate impression based on findings. | 59 years, Male. Reason: evaluate nausea and emesis History: nausea and emesis G-tube projects over gastric body.Nonobstructive bowel gas pattern. Surgical corkscrew staples overlie pelvis.Osseous and soft tissue structures otherwise unremarkable. | No evidence for obstruction. |
Generate impression based on findings. | 68 years, Male. Reason: Dobhoff repositioning History: above Pelvis excluded from field of view.Dobbhoff tube has been advanced. The tip is in the pyloric area. Nonobstructive bowel gas pattern.Opacities lung bases unchanged. Please chest x-ray. | Dobbhoff tube tip now in the pyloric area. |
Generate impression based on findings. | Male 58 years old Reason: SBO History: abdominal pain; nausea Dobbhoff tube with tip projected over the gastric antrum. Residual enteric contrast within the colon. Suture material projected over the right hemiabdomen. Nonobstructive bowel gas pattern. Air is now identified within the distal large bowel. Tubal ligation ... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 68 years, Male. Reason: s/p placement of DHT. Please confirm location of DHT. History: s/p DHT placement. Dobbhoff tube with tip projected over the gastric body. Nonobstructive bowel gas pattern. The lower pelvis is incompletely imaged. Curvilinear tubing projected over the lower chest presumably overlies the patient. | Dobbhoff tube with tip projected over the gastric body. |
Generate impression based on findings. | 68 years, Male. Reason: dobhoff History: dobhoff Pelvis excluded from field of view. Respiratory motion.Dobbhoff tube has been retracted somewhat and the tip overlies history epigastric body.Pleural effusions and opacities right lower lobe and right middle lobe. | Dobbhoff tube projects over the mid gastric body. |
Generate impression based on findings. | Female 60 years old Reason: source of RUQ pain? 60F with AML, fevers History: RUQ pain, tenderness on exam, fevers LIVER: Hepatomegaly 21.7-cm in length. No focal lesions.On the portal vein is hepatopedal, peak velocity .2 m/secGALLBLADDER, BILIARY TRACT: Gallbladder wall upper normal in thickness. Sludge in gallbladde... | Pericholecystic fluid and sludge in the gallbladder without hydrops. Favor ascites, hypoproteinemia etiologies rather than cholecystitis |
Generate impression based on findings. | PainVIEWS: Right forearm AP and lateral There is acute fracture involving the distal radius and ulna at the metaphyseal region with minimal dorsal angulation of the distal fracture fragments. There is soft tissue swelling about the wrist joint. | Acute fractures of the distal radius and ulna as described above. |
Generate impression based on findings. | FeverVIEWS: Chest AP and lateral Left central line with tip in the right atrium. G-tube in place. Cardiothymic silhouette normal. Patchy atelectasis left lower lobe. No pleural effusion or pneumothorax. Gastrostomy tube in place. Markedly dilated loops of bowel in the right upper quadrant. | Minimal patchy atelectasis right lower lobe. Markedly dilated bowel loops in the right upper quadrant and abdominal radiograph recommended. |
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