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Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microca... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | fall on coumadin No evidence of acute ischemic or hemorrhagic lesion.Mild non specific small vessel disease.Minimal to mild brain atrophy is age appropriate.Nodular sclerotic bony lesion on the right frontal bone especially involving outer table, most likely representing osteoma (benign lesion). Differential diagnosis ... | No evidence of acute ischemic or hemorrhagic lesion.Non specific small vessel disease.Right frontal osteoma, most likely.If clinically indicated, brain MRI can be considered for further evaluation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts performed on a total of 8 images were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 81 year old male. Reason: CKD, diverticulosis, with active GI bleeding. History: GIB Lack of oral contrast limits sensitivity for bowel pathology.CT ANGIOGRAM:Moderate atherosclerotic plaque of the abdominal aorta and its branch vessels. The celiac artery, SMA, bilateral renal arteries, and IMA are patent. On arterial ... | Mild active rectal bleeding. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in her sister at age 45. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and dist... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 53 years, Female. Reason: evaluate stool burden, r/o obstruction History: abdominal distention, constipation Gaseous distention of the colon and stomach. Interval removal of Dobbhoff tube. Nonobstructive bowel gas pattern. Surgical clips project over pelvis. Radiopaque density projects over the right hemipelvis of unce... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | s/p assault No evidence of acute ischemic or hemorrhagic lesion on this scan.There is bony defect on the medial aspect of the right orbit with intra-orbital fat as well as medial rectus muscle (although minimal amount) herniation. This finding is suggesting orbital blow out fracture. However, due to lack of associated ... | No evidence of acute ischemic or hemorrhagic lesion on this scan.Right orbital medial wall bony defect suggesting orbital blow out fracture with uncertain chronicity. |
Generate impression based on findings. | 36 year old female. Pain, trauma. Evaluate for fracture. Thoracic spine: Vertebral body heights and intervertebral disk spaces are preserved. No evidence of compression fracture. Alignment is anatomic.Lumbar spine: Vertebral body heights and intervertebral disc spaces are preserved. No evidence of a compression fractur... | No fracture. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history breast cancer in a maternal cousin. Three standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribu... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 62 years old Reason: fall/ History: pain and swelling No fracture or malalignment. No joint effusion. No significant soft tissue swelling. | No fracture or malalignment. |
Generate impression based on findings. | 49-year-old female with altered mental status The cerebellar sulci are somewhat prominent relative to the cerebral sulci indicating some differential cerebellar atrophy. There is underpneumatization of the left mastoid air cells, and diffuse hyperostosis and sclerosis of the calvarium. These findings may be seen in the... | Cerebellar volume loss greater than expected for patient's stated age, without acute intracranial pathology. |
Generate impression based on findings. | Female 31 years old. Reason: h/o RA, assess for destructive disease. History: joint pain Three views of the left hand demonstrate erosions along the radial aspect of the second and third proximal interphalangeal joints. There is no fracture or malalignment.Three views of the right hand are provided. The right hand is n... | Erosions of the second and third PIP joints of the left hand and degenerative changes of the midfoot bilaterally. |
Generate impression based on findings. | Reason: prostate CA, eval for metastatic dz, prior scans on PACS as well History: back pain, dyspnea CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are unchanged and compatible with previous infection. Peripheral chronic reticular opacity, unchanged. Mild upper lobe predominant emphysema, unchanged. Bilateral... | 1.No evidence of pulmonary metastases.2.Osseous metastases, unchanged. |
Generate impression based on findings. | 63 year old female with history of ovarian neoplasm and metastases. CHEST:LUNGS AND PLEURA: Reference right upper lobe nodule (4/20) measures 3 x 7 mm, unchanged. Scattered pulmonary micronodules are again seen, unchanged.MEDIASTINUM AND HILA: Reference pretracheal lymph node (3/29) measures 1.7 x 1.1 cm, previously 1.... | 1.No significant change in reference mediastinal and mesenteric lymph nodes.2.Subtle interval increase in size of non-reference pretracheal lymph node.3.No new findings of metastatic disease. |
Generate impression based on findings. | 78 years, Female. Reason: eval abd free air History: abd tenderness High-density material is noted in the stomach and small bowel, please correlate with recent oral contrast administration. A nonobstructive bowel gas pattern is identified. No evidence of free intraperitoneal air. No acute cardiopulmonary process. Degen... | A nonobstructive bowel gas pattern is identified. No evidence of free air. |
Generate impression based on findings. | weakness, fatigue, malaise No evidence of acute ischemic or hemorrhagic lesion on this scan.Moderate to advanced non specific small vessel disease, no change since prior exam.Diffuse brain atrophy, no change since prior exam.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, ed... | No evidence of acute ischemic or hemorrhagic lesion on this scan.No change of advanced non specific small vessel disease and brain atrophy since prior exam.Brain MRI can be considered for further imaging evaluation if clinically indicated. |
Generate impression based on findings. | 61-year-old male with tachypnea, shortness of breath. PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary caliber measures 30 mm, upper limits of normal. No evidence of right heart strain.LUNGS AND PLEURA: Nonspecific focal ground glass opacity in the left upper lobe measuring 3 mm (Series 10, image 7... | 1. No evidence of pulmonary embolism. 2. Bilateral small pleural effusions with adjacent atelectasis. PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 59 years, Male. Reason: Patient with GJ tube in place w/ concern for dislocation, please evaluate position History: As above Again seen are multiple esophageal stents in place, unchanged in position. Gastrojejunostomy tube in place with the tip projecting at the level of the proximal jejunum, unchanged in position. Lin... | Gastrojejunostomy tube tip projects at the level of the proximal jejunum, appearing similar to the prior study. |
Generate impression based on findings. | The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mas... | Negative unenhanced brain CT. |
Generate impression based on findings. | 25 years, Female. Reason: evaluate for obstruction History: nausea and vomiting A nonobstructive bowel gas pattern is identified. Slight leftward curvature of the thoracolumbar spine. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 36-year-old female. Recent injury by assault. No fracture or dislocation. | Unremarkable shoulder radiograph. |
Generate impression based on findings. | 87 year-old female. Evaluate for fracture. There is a cortical step-off at the right lateral femoral head and neck junction suspicious for a fracture. Mild osteoarthritis of the bilateral hips. Degenerative disk disease of the lower lumbar spine. | Findings suspicious for a right femoral neck fracture, CT of the pelvis would be useful for further evaluation.Findings communicated over the phone to clinical service, Dr. Bukari, over the phone at time of dictation. |
Generate impression based on findings. | Female 22 years old Reason: eval for fracture History: pain and swelling after altercation No fracture or malalignment. No joint effusion. | No fracture or malalignment. |
Generate impression based on findings. | headache No evidence of acute ischemic or hemorrhagic lesion on this scan.Minimal non specific small vessel ischemic disease.Extensive calcifications on bilateral distal vertebral arteries with slightly ectatic nature indicating atherosclerotic changes. The ventricles, sulci, and cisterns are symmetric and unremarkable... | No evidence of acute ischemic or hemorrhagic lesion on this scan.Atherosclerotic changes as described above.Brain MRI can be considered for further evaluation if clinically indicated. |
Generate impression based on findings. | 31 years, Female. Reason: eval for passage of oral contrast, r/o obstruction History: possible obstruction on CT due to poor progression of oral contrast Persistent mildly dilated loops of small bowel in the left hemiabdomen with air-fluid levels. Air and stool is present in the colon. No discrete transition point on C... | Findings suggestive of focal ileus versus early/incomplete small bowel obstruction. |
Generate impression based on findings. | Reason: r/o inflamed joint History: fever, elbow pain, HbSS, no history of traumaVIEWS: Left elbow AP oblique lateral (3 views) 4/12/15 14:15 Large joint effusion with anterior and posterior fat pad elevation. No definite fracture or dislocation. No bone destruction. | Large joint effusion. Septic arthritis cannot be excluded. Findings discussed with Dr. Susan Slattery on 4/13/2015 9:05AM. |
Generate impression based on findings. | 77-year-old female. Multiple LUE surgeries. Low-grade fever. Left elbow: Hardware components of a total arthroplasty device in near anatomic alignment without radiographic evidence of hardware complication. The radial head has been resected. No destructive osseous changes to suggest osteomyelitis. Suture anchor is agai... | Total elbow arthroplasty device. No radiographic evidence of osteomyelitis. |
Generate impression based on findings. | 42 years, Female. Reason: vomiting, high residual. obstruction? History: vomiting, high residual Gastrostomy tube in place. Nonobstructive bowel gas pattern. No pneumatosis intestinalis or portal venous gas. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There are triangular foci of bilateral basal ganglia hypoattenuation which are probably related to patient's underlying Wilson's disease, unchanged in appearance. The lateral third ventricles are slightly increased in size, yet there are no anci... | 1.The lateral third ventricles are slightly increased in size, yet there are no ancillary findings of hydrocephalus. 2.There are triangular foci of bilateral basal ganglia hypoattenuation which are probably related to patient's underlying Wilson's disease, unchanged in appearance.3.There is no acute intracranial hemorr... |
Generate impression based on findings. | Male 21 years old Reason: fracture/abnormality History: lateral malleolus pain and swelling Mild soft tissue swelling over the lateral malleolus. No fracture or malalignment. No joint effusion. | No fracture or malalignment. |
Generate impression based on findings. | 59 years, Female. Reason: eval for free air, signs of obstruction, and stool burden History: Gastric cancer with peritoneal mets, abdominal pain Nonobstructive bowel gas pattern. Greater than average stool burden. No free intraperitoneal air. Degenerative changes affect the lumbar spine and bilateral hips. No acute car... | Moderate stool burden. Nonobstructive bowel gas pattern. No free air. |
Generate impression based on findings. | headache, dizziness No evidence of acute ischemic or hemorrhagic lesion on this scan.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses ... | No evidence of acute ischemic or hemorrhagic lesion on this scan. |
Generate impression based on findings. | 72 years, Male. Reason: r/o ileus History: r/o ileus Note is made of gaseous distention of multiple loops of small bowel and colon, consistent with adynamic ileus. No evidence of pneumatosis intestinalis or portal venous gas. Posterior spinal fixation device in place, unchanged. Surgical drain in place projecting over ... | Findings consistent with adynamic ileus. |
Generate impression based on findings. | Female 76 years old Reason: eval for fracture History: ground-level fall, right hip pain No fracture or malalignment. Degenerative changes of the lower lumbar spine. | No fracture or malalignment. |
Generate impression based on findings. | No evidence of acute ischemic or hemorrhagic lesion on this scan.No change of encephalomalacia on the right basal ganglia and external capsule since prior exam.Scattered low attenuated lesions on bilateral periventricular white matter do not show any interval change since prior exam.The ventricles, sulci, and cisterns... | No evidence of acute ischemic or hemorrhagic lesion on this scan.No change of encephalomalacia and scattered chronic ischemic lesions since prior exam.Brain MRI can be considered if clinically indicated for further imaging evaluation. |
Generate impression based on findings. | Reason: lung cancer s/p tarceva ck response History: none CHEST:LUNGS AND PLEURA: Right upper lobe mass with associated atelectasis is difficult to accurately and reproducibly measure, although on axial and coronal images has not significantly changed in size. It measures approximately 21 x 37 mm (series 6 image 43), p... | Stable disease. |
Generate impression based on findings. | Female 76 years old. Reason: eval for fracture. History: fall, lumbar spine tenderness Four views of the lumbar spine are provided. There is no evidence of fracture. There is disk space narrowing and anterior osteophyte formation at L5/S1. There is a Grade 1 anterolisthesis of L3 on L4 and L4 on L5. Facet joint degener... | Degenerative changes of the lumbar spine as described above. There is no evidence of fracture. |
Generate impression based on findings. | Female; 31 years old. Reason: eval for appendicitis History: RLQ abd pain, vomiting ABDOMEN:LUNG BASES: Probable fatty liver. Status post cholecystectomy.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant... | 1. No acute abdominopelvic abnormality is evident.2. Please note the patient had an allergic reaction to intravenous iodinated contrast material and should receive premedication for such in the future. |
Generate impression based on findings. | Reason: r/o obstruction, perforation or other complication s/p appendectomy 2 years ago History: focal RLQ TTP w/NBNB emesis; no diarrhea (normal BM this AM) ABDOMEN:LUNG BASES: Lung bases are clear.LIVER, BILIARY TRACT: Liver enhancement is normal. No biliary ductal dilatation or gallbladder wall thickening.SPLEEN: No... | Thickening of terminal ileum, which may represent infectious ileitis or inflammatory bowel disease. No evidence of bowel obstruction. Findings discussed with Dr. Tothy on 4/13/2015 at 9:03AM. |
Generate impression based on findings. | 87 years, Female. Reason: eval for acute abnormality History: abdominal pain Multiple air filled loops of small and large bowel, without discrete evidence of obstruction. Degenerative changes affect the lumbar spine. | Air-filled loops of small and large bowel in a nonobstructive pattern. |
Generate impression based on findings. | 78 year old female with shortness of breath, history of pulmonary embolism. Assess for pulmonary embolism. PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery caliber measures 36 mm compatible with pulmonary arterial hypertension. No evidence of right heart strain. LUNGS AND PLEURA: No suspicio... | 1. No evidence of pulmonary embolism. 2. Cardiomegaly with bilateral pleural effusions, small on the right and trace on the left. PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | left arm numbness, left side vision change 3D time of flight MOTSA MRA brain images with maximum intensity projections of the anterior/posterior intracranial circulation demonstrate ectatic bilateral distal ICAs and vertebrobasilar system as well as tortuous course indicate atherosclerotic changes. However, there is no... | 1. Atherosclerotic change of intracranial arterial system as described above without showing any evidence of intracranial arterial aneurysm or significant luminal stenosis.2. Narrowing of the right CCA bifurcation and proximal extracranial ICA is suggested but the degree of the stenosis cannot be determined on this MRA... |
Generate impression based on findings. | Female 19 years old. Reason: pain History: pain /unable to make a fist Three views of the left hand are provided. There is mild soft tissue swelling. There is no evidence of fracture. There is questionable mild ulnar subluxation at the first metacarpophalangeal joint. | No evidence of fracture. There is a questionable subluxation at the MCP joint of the first digit. Clinical correlation for point tenderness at this location is recommended. |
Generate impression based on findings. | Male 29 years old Reason: eval for bullet History: GSW to foot Dressing material projects over the mid foot. No fracture or malalignment. No radiopaque foreign object. Foci of air between the heads of the second and third metatarsals suggest soft tissue injury. | No fracture or malalignment. No radiopaque foreign object. |
Generate impression based on findings. | Female 76 years old Reason: r/o fx History: obvious deformity right wrist s/p fall pta Right wrist: Comminuted, intra-articular fracture of the distal radius with dorsal displacement of the dorsal fracture fragment. There is a degree of impaction, best appreciated on the hand views. There is overlying soft tissue swell... | Comminuted, intra-articular fracture of the distal radius with dorsal displacement of the dorsal fracture fragment. |
Generate impression based on findings. | 63 years, Female. Reason: rule out obstruction History: abd pain Nonobstructive bowel gas pattern. Multilevel kyphoplasty again noted. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 35-year-old male status post blunt trauma. Rule out ICH. Patient also has history of AML. Head CT:There is no evidence of intracranial hemorrhage, mass effect or cerebral edema. Stable areas of encephalomalacia are again seen in the bilateral occipital lobes, right greater than left, with ex vacuo dilatation of the occ... | 1.No intracranial hemorrhage or cerebral edema.2.No facial fracture identified. |
Generate impression based on findings. | 10 day old male patient with respiratory distress and intubation. Question of tube placement.VIEW: Chest and abdomen AP (two views) 4/12/2015, 1235 ET tube tip is above the carina. Enteric tube tip is in the stomach with sideport at the GE junction. Right upper abdominal pigtail catheter is noted.The cardiothymic silho... | No focal lung opacity. |
Generate impression based on findings. | 70 year-old female with history of abdominal pain and diarrhea. ABDOMEN:LUNG BASES: Mild bibasilar atelectasis.LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No signific... | Moderate pericolonic wall thickening and pericolonic inflammation of the descending colon compatible with colitis. Differential includes inflammatory, ischemic or infectious etiologies. Direct visual inspection is recommended after resolution of inflammation to exclude underlying malignancy |
Generate impression based on findings. | Respiratory distressVIEW: Chest AP Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Minimal diffuse atelectasis bilaterally. No pleural effusion or pneumothorax. | Minimal diffuse atelectasis bilaterally without pneumonia. |
Generate impression based on findings. | The patient was claustrophobic, had medications administered by nurse, however remained moving throughout image acquisition. Given this caveat: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... | Negative unenhanced brain CT. If there is continued clinical concern for acute ischemia, MRI would be recommended. |
Generate impression based on findings. | DesaturationVIEW: Chest AP Endotracheal tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Gastrostomy tube in place. Right upper extremity PICC with tip in the right atrium. Cardiothymic silhouette normal. Patchy atelectasis in the left lower lobe. No pleural effusion or pneumothorax. | Patchy atelectasis left lower lobe. |
Generate impression based on findings. | Female 76 years old Reason: post-reduction History: post-reduction Two views of the right wrist taken in plaster demonstrate comminuted intra-articular fracture of the distal radius in near anatomic alignment. Bone detail is obscured by overlying plaster. | Comminuted intra-articular fracture of the distal radius in near anatomic alignment. |
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 right atrium. The umbilical arterial catheter tip at T6. Cardiothymic silhouette normal. Diffuse lung haziness bilaterally not significantly changed. No pleural effusion or pneumothorax. Disorganized non... | Diffuse lung haziness bilaterally not significantly changed. |
Generate impression based on findings. | Evolution of left MCA stroke, would like to start anticoagulation. There is unchanged hypoattenuation in the left parietal, left insular, right occipital, and bilateral frontal lobes. There is no evidence of acute intracranial hemorrhage. The grey-white matter differentiation appears to be intact. The ventricles are un... | Cerebral infarcts of varying ages involving multiple territories without evidence of acute intracranial hemorrhage. |
Generate impression based on findings. | Reason: hydrocephalus worsening History: as above There is a redemonstration of intraparenchymal hemorrhage centered in knee left thalamus and associated extension into the surrounding internal capsule and third ventricle. It measures approximately 8 41 x 40 mm in axial dimensions and has not significantly changed in o... | 1.There is a redemonstration of intraparenchymal and intraventricular hemorrhages associated with ventriculomegaly and signs suggestive of hydrocephalus. The patient is status post ventriculostomy tube placement. Examination is stable compared to the exam from 4/11/15. |
Generate impression based on findings. | 29 year old female with history of abdominal pain. Evaluate for small bowel obstruction, worsening tumor burden. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Previously described multiple hepatic metastases are less well-visualized on today's noncontrast exam. Superior vena cava stent is ag... | Regarding the clinical query, no small bowel obstruction. Redemonstration of multiple metastases, incompletely evaluated without intravenous contrast. |
Generate impression based on findings. | Female, 86 years old, with syncope. Numerous focal hypoattenuating lesions are evident in the cerebellar hemispheres. A focal hypoattenuating lesion is also seen in the right thalamus. These lesions are unchanged.No evidence of parenchymal edema and mass effect is seen. No loss of gray-white distinction is detected. Mi... | 1.Redemonstration of chronic ischemic lesions involving the cerebellum and right thalamus, as well as age indeterminate microvascular ischemic disease.2.No definite new or acute intracranial abnormalities. |
Generate impression based on findings. | 67-year-old female. Woman with NF1. Is there any evidence of arthritis? Pelvis and bilateral hips: Severe osteoarthritis of the right hip with marked joint space narrowing, subchondral sclerosis and cysts. Mild osteoarthritis of the left hip. Degenerative arthritic changes of the lower lumbar spine. Surgical sutures ar... | Osteoarthritis. Numerous cutaneous lesions consistent with neurofibromas. |
Generate impression based on findings. | Head CT: There is no evidence of acute 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 a partially empty sella. There is a subcentimeter retention cyst in the left frontal... | 1. Nonspecific partially empty sella, which can be associated with idiopathic intracranial hypertension, however other ancillary findings to support this diagnosis are not evident.2. No significant arterial stenosis, occlusion, or aneurysm. |
Generate impression based on findings. | 14-year-old male patient with ankle pain.VIEWS: Left ankle AP, oblique, lateral (3 views) 4/12/2015 Diffuse swelling is noted about the ankle. No acute fracture is evident. The medial tibiotalar and the lateral fibulotalar spaces appear widened. A small ankle joint effusion is seen. | Widening of the medial and lateral ankle joint spaces; ligamentous injury cannot be excluded. |
Generate impression based on findings. | The ventricles and sulci are unremarkable for age. 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 a... | Negative unenhanced brain CT. |
Generate impression based on findings. | Female 26 years old Reason: dropped heavy object on foot. History: pain Nondisplaced transverse fractures of the second and third metatarsal necks. Mildly impacted transverse fracture of the fourth metatarsal neck. | Fractures of the second, third and fourth metatarsal bones as described above. |
Generate impression based on findings. | Reason: PE? History: s/p ex lap now with SOB, tachy, increasing 02 requirement PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus.LUNGS AND PLEURA: Severe upper lobe predominant paraseptal emphysema with large right apical bulla. Bilateral bronchial thickening and bronchiectasis, not significantly cha... | 1.No acute pulmonary embolus.2.Debris in the trachea and left mainstem bronchus and interval increase in bilateral lower lobe predominant tree in bud opacities and consolidation compatible with infection related to aspiration. Unchanged left apical cavitary lesion compatible with aspergillus infection.PULMONARY EMBOLIS... |
Generate impression based on findings. | Female, 71 years old. Reason: elevated creatinine History: worsening renal function RIGHT KIDNEY: 10.8 cm in length. Heterogeneous echotexture, without hydronephrosis, perinephric fluid, or shadowing stone.LEFT KIDNEY: 11.6 cm in length. Heterogeneous echotexture, without hydronephrosis, perinephric fluid, or shadowing... | Mildly heterogeneous renal echotexture. No hydronephrosis. |
Generate impression based on findings. | 78-year-old female with history of left-sided abdominal pain. Evaluate for diverticulitis or kidney stones. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There are multiple hypoattenuating hepatic lesions appearing similar to prior, likely representing benign cysts.SPLEEN: No significant abn... | 5-mm calculus in the proximal left ureter resulting in mild hydroureter and hydronephrosis. No evidence of diverticulitis. |
Generate impression based on findings. | Feeding tube placementVIEW: Abdomen AP NG tube tip in the stomach. The central line in with tip in the right atrium is partially visualized. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. Patchy atelectasis right lower lobe with a small right-sided pleural effusion. | NG tube tip in the stomach. |
Generate impression based on findings. | Reason: assess shunt for disconnect History: fever, lethargyVIEWS: Shunt series: Skull AP/lateral (two views), chest AP/lateral (two views), abdomen AP/lateral (two views) 4/12/15 22:50 Right parietal approach ventriculostomy has its intracranial tip terminating at midline in the middle cranial fossa. The distal shunt ... | No extracranial shunt malfunction. |
Generate impression based on findings. | Female 21 years old Reason: fracture History: pain to posterior and anterior shoulder post trauma No fracture or dislocation. Mild overlying soft tissue swelling. | No fracture or dislocation. |
Generate impression based on findings. | Increased oxygen requirementVIEW: Chest AP Cardiothymic silhouette normal. Patchy atelectasis in the right upper lobe and left lower lobe. No pleural effusion or pneumothorax. | Minimal patchy atelectasis in the right upper lobe and left lower lobe. |
Generate impression based on findings. | 70 year old female who was recalled from screening mammogram for right breast asymmetry. Family history of breast carcinoma in her maternal niece in her 30s . MAMMOGRAM: An ML view and two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma ... | High probability benign clustered cyst at the 6 o'clock position of the right breast, corresponding to the mammographic findings. As long as the patient's physical examination remains normal, right unilateral ultrasound is recommended in 6 months to assess stability. Results and recommendation were discussed with the p... |
Generate impression based on findings. | Prolonged declined neurologic status. There is a right parieto-occipital subgaleal collection that measures up to 8 mm in thickness. The skull appears to be intact. There is no evidence of acute intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in siz... | 1. A right parieto-occipital subgaleal collection may represent a contusion, but no evidence of acute intracranial hemorrhage or skull fracture.2. fluid within the bilateral mastoid air cells may represent mastoiditis or may be related to intubation. |
Generate impression based on findings. | Reason: r/o progression of ?ADEM History: as above There is hypodensity involving the subcortical and periventricular white matter are of the right hemisphere. These are stable since the prior exam from 4/3/15, however, they are more prominent than on the 3/5/15 exam Atherosclerotic calcifications are present along the... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Compared to the previous exam there is no significant change in the subcortical and periventricular white matter lesion in the right hemisphere. This was significantly less prominent at the beginning of March.3.Small lesions in the brain stem, cereb... |
Generate impression based on findings. | Female 31 years old; Reason: r/o abdominal pathology History: umbilical and epigastric 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 abnor... | 1.Focal dilation of loops of small bowel in the left upper quadrant (likely ileus) could be secondary to a nonspecific enteritis, further described above. No discrete transition point. |
Generate impression based on findings. | 23-year-old male with history of left flank pain, fever and history of MDRO with nephrolithiasis. ABDOMEN:LUNG BASES: Bibasilar scarring is again noted.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant a... | 1.Left nephrolithiasis without hydronephrosis, and the double-J stent in the expected location.2.Low attenuating areas in the left kidney parenchyma may represent focal pyelonephritis.3.Sacral decubitus ulcer as above. |
Generate impression based on findings. | Female; 73 years old. Reason: eval History: altered, morbidly obese, paraplegic, bladder ca, hematuria, only able to say stomach hurts ABDOMEN:LUNG BASES: Small bilateral pleural effusions with mild bibasilar subsegmental atelectasis. Tip of central venous catheter in right atrium. Small hiatal hernia.LIVER, BILIARY TR... | 1. Enlarged, necrotic-appearing right external iliac chain lymph nodes, most suspicious for metastatic disease. Irregular bladder wall contour may be related to underlying tumor, and CT urography for further characterization can be obtained if clinically indicated.2. Mild bilateral hydroureteronephrosis, likely chronic... |
Generate impression based on findings. | 59-year-old male with shortness of breath, SVT. Evaluate for pulmonary embolism. PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery caliber is within normal limits. No evidence of right heart strain.LUNGS AND PLEURA: Bilateral nodules predominantly in the upper lobes some of which are calcifie... | No evidence of pulmonary embolism. Multiple predominantly upper lobe nodules some with internal calcification and mild bronchial wall thickening/bronchiectasis suggestive of a prior granulomatous infection such as histoplasmosis or tuberculosis.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: N... |
Generate impression based on findings. | 50 year-old female with known right breast triple negative invasive ductal carcinoma undergoing neoadjuvant chemotherapy. Assess treatment response. No family history of breast cancer. MAMMOGRAM: Three standard views and two spot compression views of the right breast were performed digitally and reviewed with the aid o... | Nonvisualization of the previously identified mass within the lower inner right breast, suggesting complete imaging response on both mammogram and ultrasound. The patient has been instructed to follow-up with Dr. Jaskowiak regarding further management. Results and recommendations were discussed with the patient.BIRADS:... |
Generate impression based on findings. | 56 years, Female. Reason: obstruction? History: abdominal pain Nonobstructive bowel gas pattern. No acute cardiopulmonary process. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Female, 21 years old, status post fall with forehead tenderness. The right frontal approach ventricular shunt catheter is in stable position, tip in the vicinity of the foramen of Monro. The radiopaque portions of the shunt apparatus are intact.The ventricular system remains dysmorphic but is largely decompressed simil... | 1.Stable positioning of the shunt apparatus and stable appearance of the decompressed ventricular system.2.Multiple chronic findings including bilateral subdural collections and parenchymal abnormalities are unchanged.3.No evidence of any new or acute intracranial process. |
Generate impression based on findings. | Abdominal distentionVIEW: Abdomen AP NG tube tip at the GE junction. Bowel dilation has improved in the interval. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. | Bowel dilation has improved from prior study. |
Generate impression based on findings. | Acute on chronic headache: debilitating pain in temples and history of metastatic gastric cancer. There is no evidence of acute 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... | No evidence of acute intracranial hemorrhage or mass. However, non-contrast CT is insensitive for the detection of metastatic disease and temporal arterities. If there are no contraindication an brain MRI with contrast may be useful for further evaluation. |
Generate impression based on findings. | 71 years, Female. Reason: eval for free air History: s/p arrest, h/o recent gyn surgery Gaseous distention of multiple loops of bowel, which may represent adynamic ileus. Surgical staples project over the midline. Rightward curvature of the lumbar spine. NG tube tip projects at the level of the fundus of the stomach wi... | 1. Gaseous distention of multiple loops of small bowel, suspicious for adynamic ileus.2. NG tube side port terminates at the level of the GE junction and needs to be advanced. |
Generate impression based on findings. | 68 years, Male. Reason: confirm placement of new NGT History: as above Exam is somewhat limited secondary to motion. The pelvis is excluded from the field-of-view. Enteric tube projects in the prepyloric antrum, which has been advanced in the interim. No evidence of obstruction. For detailed thoracic findings, please r... | Enteric tube projects over the prepyloric antrum. |
Generate impression based on findings. | Abdominal distentionVIEW: Abdomen AP NG tube tip in the stomach. The abnormal bowel dilation has minimally improved without obstruction. No pneumatosis or pneumoperitoneum. | Abnormal bowel dilation has minimally improved from prior study. |
Generate impression based on findings. | 45-year-old female history of ventral fullness and tenderness. Evaluate for hernia. ABDOMEN:LUNG BASES: Diffuse bilateral ground glass opacities are present.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Calcifications likely indicates prior granulomatous disease.PANCREAS: No significant abnormality note... | 1. Two small upper abdominal wall defects as above containing fat with mild adjacent inflammatory changes suggesting incarceration.2. Bilateral pulmonary haziness likely the result of expiration.3. Uncomplicated umbilical hernia.4. 10 mm left adrenal nodule likely represents a benign adenoma, however this is incomplete... |
Generate impression based on findings. | Syncope and fall. There is no evidence of acute intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. There is mild diffuse cerebral volume loss. There is no midline shift or herniation. Therea re scattered cerebrovascular calcifications. The skull and scalp soft tissues are unrem... | No evidence of acute intracranial hemorrhage or skull fracture.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural distortion are pre... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this re... |
Generate impression based on findings. | 66 years, Male. Reason: evaluate intraperitoneal free air History: abdominal distention Evaluation of free intraperitoneal air is somewhat limited given lack of upright/decubitus films. Gastrostomy tube projects in the expected position. Nonobstructive bowel gas pattern. Persistent free intraperitoneal air. Degenerativ... | Persistent free intra-peritoneal air, of uncertain etiology. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Line placementVIEW: Chest AP and abdomen AP Cardiothymic silhouette normal. Minimal atelectasis left lower lobe. No pleural effusion or pneumothorax. The umbilical venous catheter tip within the right atrium. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. | The umbilical venous catheter tip within the right atrium. |
Generate impression based on findings. | Reason: eval lung fields History: sob, hypoxia, fever LUNGS AND PLEURA: Debris in the trachea and bilateral mainstem bronchi. Bilateral lower lobe bronchial wall thickening. Diffuse bilateral, right middle and lower lobe predominant, patchy dense air space opacity and consolidation. No pleural effusions.MEDIASTINUM AND... | Diffuse bilateral, right middle and lower lobe predominant, patchy airspace opacities and consolidation. Debris in the trachea and mainstem bronchi. Findings compatible with infection related to aspiration. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history breast cancer in a maternal aunt. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in patter... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Respiratory insufficiencyVIEW: Chest AP ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Gastrostomy tube in place. Right upper extremity PICC with tip in the right atrium. Cardiothymic silhouette normal. Patchy atelectasis in the right lower lobe and left lower lobe. No pleural effusi... | Patchy atelectasis bilaterally not significantly changed. |
Generate impression based on findings. | 43-year-old male with history of severe acute pancreatitis, pancreatic fluid collection, percutaneous drainage, endoscopic drainage, pancreatic duct stent on 4/9/15. ABDOMEN:LUNG BASES: New small left pleural effusion and associated atelectasis.LIVER, BILIARY TRACT: Reference segment 7 hypoattenuating lesion (3/23) mea... | 1.Increased size of pancreatic fluid collection, and increased findings of surrounding inflammation.2.Gastritis as above. |
Generate impression based on findings. | Alignment is anatomic. There are no fractures or subluxations. Physiologic wedging is noted T12 and L1. 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 with mild di... | 1.L4/5: There is a large central disc protrusion causing severe central and bilateral lateral recess stenosis.2.L5/S1: There is a large left paracentral disc protrusion abutting, compressing, and effacing the left S1 nerve sheath origin. |
Generate impression based on findings. | Female 34 years old; Reason: s/p gastric bypass, evaluate for obstruction/actue intraabdominal process History: abdl pain, vomiting ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Layering sludge in the gallbladder.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality ... | 1.No acute abdominal or pelvic pathology.2.Punctate, nonobstructing stone in right kidney. |
Generate impression based on findings. | History of left sided inverting papilloma with PND and cough. There are postoperative findings related to endoscopic sinus surgery, including left middle turbinectomy, left uncinectomy, and upper antrostomy. There is a lobulated soft tissue opacity that measurers up to 25 mm in the lateral left maxillary sinus. There i... | 1. Postoperative findings associated with the left maxillary sinus, where there is a soft tissue opacity that measurers up to 25 mm. Although this may represent a retention cyst, recurrent inverted papilloma cannot be excluded and MRI with contrast may be useful for further evaluation, if there are no contraindications... |
Generate impression based on findings. | Reason: h/o met thyroid ca, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Emphysema. Basilar scarring.MEDIASTINUM AND HILA: Multiple moderately enlarged mediastinal and hilar lymph nodes, not significantly changed. Reference subcarinal node measures 12 mm in short axis on image 46/146, unc... | 1. Osseous metastatic disease. 2. Nonspecific intrathoracic lymphadenopathy, unchanged.3. No new sites of disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this re... |
Generate impression based on findings. | 45-year-old female with history of hypotension and leukocytosis. Evaluate for infectious etiology. Lack of intravenous contrast enhancement limits the evaluation of solid organ parenchyma and vascular structures. Given these limitations, the following observations can be made:CHEST:LUNGS AND PLEURA: Scattered bilateral... | 1. Right basilar air space opacities concerning for pneumonia.2. Numerous large hyperdense mesenteric fluid collections likely representing hematomas have increased in size.3. New large hypoattenuating fluid collection in the left hemiabdomen measuring 7.3 x 4.3 cm in maximal axial dimensions and 12 cm craniocaudally. ... |
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