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Generate impression based on findings. | Reason: eval for pneumothorax History: hypoxia CHEST:LUNGS AND PLEURA: Large bilateral apical bullae.Extensive bronchial wall thickening with centrilobular nodules and tree in bud opacities with scattered focal peripheral areas of consolidation most pronounced at the right lung base compatible with diffuse endobronchia... | 1.Severe apical emphysema with large bullae.2.Extensive bronchial wall thickening, centrilobular nodules, and tree in bud opacities compatible with diffuse endobronchial infection and/or aspiration bronchiolitis. |
Generate impression based on findings. | Female 55 years old. Reason: abnormality History: heel and foot pain Three views of the left foot are provided. There is no fracture or dislocation. There is no significant soft tissue swelling or ulceration. There are mild degenerative changes at the first metatarsophalangeal joint. | No fracture or dislocation. |
Generate impression based on findings. | There are no fractures. The marrow signal is benign. The conus is normal in signal and morphology and terminates at an appropriate level. The visualized intra-abdominal and paraspinal contents are unremarkable.T12/L1: UnremarkableL1/2: UnremarkableL2/3: Mild disc bulge and mild bilateral facet hypertrophy without sten... | 1.L4/5: Grade 1 anterolisthesis L4 on L5, severe bilateral facet hypertrophy, and bilateral facet effusions (left greater than right). There is mild to moderate bilateral neural foraminal stenosis.2.L5/S1: Mild to moderate bilateral neural foraminal stenosis. |
Generate impression based on findings. | Male, 18 years old, with altered mental status. History of septic emboli, starting Lovenox for DVT with VSD and PE. Assess for hemorrhage. A band of hypoattenuation involving the posterior aspect of the left insula is seen corresponding to an area of restricted diffusion on recent prior MRI. Branching curvilinear hyper... | 1.Evolving ischemic lesions, the most conspicuous of which involves the posterior aspect of the left insula. Branching hyperattenuation immediately adjacent to this lesion is favored to represent a thrombosed vessel rather than blood product.2.No evidence of significant intracranial hemorrhage or any large abnormal ext... |
Generate impression based on findings. | 12-year-old male patient with ankle pain after inversion injury.VIEWS: Right ankle AP, oblique, lateral (3 views) 4/12/2015 Soft tissue swelling is noted about the ankle. No acute fracture is evident. No ankle joint effusion is seen. | Soft tissue swelling without fracture. |
Generate impression based on findings. | Male 50 years old. Reason: r/o acute abnormalities History: back pain Four views of the lumbar spine are provided. The lumbar spine is normal appearance with preservation of disk space and vertebral body height. There is no fracture or malalignment. Three views of the sacroiliac joints are provided. The sacroiliac join... | Normal examination of the lumbar spine and sacroiliac joints. |
Generate impression based on findings. | Reason: hx of buccal mucosa ca and crt, compare to previous, measurements pls. History: none CHEST:LUNGS AND PLEURA: Scattered calcified micronodules and small nodules, compatible with prior granulomatous disease, stable. No new suspicious nodules. Stable cysts in the right lower lobe, near the major fissure. MEDIASTIN... | 1. No specific evidence of metastatic disease.2. Stable indeterminate right renal hypodense lesion, most likely an atypical cyst given continued stability. |
Generate impression based on findings. | 26-year-old female. Patient jumped off 4 foot retaining wall yesterday evening. Pain in midfoot and navicular areas. Pain at proximal second and third metatarsals. Small transverse lucency through the cortex of the lateral 5th proximal metatarsal diaphysis consistent with a nondisplaced extra-articular fracture. | Nondisplaced fracture of the fifth metatarsal. |
Generate impression based on findings. | Confusion, recent fall. There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and scalp sof... | No evidence of 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. | NG placementVIEW: Chest AP and abdomen AP ET tube tip at the level of the thoracic inlet. NG tube tip in the stomach. The umbilical venous catheter tip in the right atrium. Cardiothymic silhouette normal. Large lucencies in the upper thoracic and lower thoracic region and likely to represent pneumomediastinum. There is... | Extensive pneumomediastinum as described above. |
Generate impression based on findings. | 77-year-old female. Melanoma compare to last CT. Measure 1) lesion anterior to patellar tendon 2) anterior to mid tibia 3) medial aspect lower leg 4) 2nd lesion medial aspect lower leg 5) posterior to distal fibula. Post 2 cycles of chemotherapy. Innumerable cutaneous, subcutaneous, and intramuscular lesions throughout... | Extensive metastatic melanoma in the left lower extremity with mild increased size of some lesions. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Three standard digital views of both breasts and tomosynthesis in CC and MLO projections were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcification... | 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. | 60-year-old male. Chronic heel pain impacting ambulation. Evaluate for osteomyelitis or fracture. No fracture or dislocation. No destructive osseous changes to suggest osteomyelitis. | No significant abnormality. |
Generate impression based on findings. | 52 year old female status post right lumpectomy in 2010 for invasive lobular carcinoma, presents today for routine follow up. No current breast complaints. Family history of breast carcinoma in her sister at age 55. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. T... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 44 years, Male. Reason: eval Dobhoff History: eval Dobhoff The lower abdomen and pelvis are not included in the field of view. Respiratory motion artifact limits examination. Interval repositioning of the enteric tube with the tip projecting at the level of the body of the stomach. Nonobstructive bowel gas pattern. AIC... | Interval repositioning of the enteric tube with the tip projecting at the level of the body of the stomach. |
Generate impression based on findings. | 20 year-old female. OA. History of SLE? Right knee: No fracture, dislocation, or significant arthritic changes.Left knee: No fracture, dislocation, or significant arthritic changes.Right hip: Flattening of the femoral head with patchy subchondral sclerosis suggestive of avascular necrosis. Mild osteoarthritis. Left hip... | Findings suggestive of early avascular necrosis in the right femoral head. |
Generate impression based on findings. | Reason: H/O NLPHL now s/p 6 cycles of R CHOP chemotherapy in need of end of treatment scans. Please compare to prior. History: NLPHL CHEST:LUNGS AND PLEURA: Improved left lobe opacities, likely resolving infection or aspirate.MEDIASTINUM AND HILA: Stable intrathoracic nodes.Reference high left paratracheal lymph node i... | Stable lymphadenopathy and splenic lesion. No new sites of disease.Pulmonary opacities have improved and likely represent resolving infection or aspirate. |
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. Cardiothymic silhouette normal. Minimal patchy atelectasis left lower lobe. No pleural effusion or pneumothorax. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneu... | The umbilical venous catheter tip within the right atrium. |
Generate impression based on findings. | 55-year-old male with a history of prostate cancer, status post prostatectomy with anastomotic leak at the level of the prostatic urethra. Evaluate for leak. Foley catheter in place, unchanged in position. The patient was instructed to occlude the meatus of the penis with gloved hand. Hand injection of 10 cc's of Omnip... | Bilateral leak/contrast extravasation at the level of the prostatic urethra. |
Generate impression based on findings. | GastroschisisVIEW: Chest AP and abdomen AP ET tube tip immediately above the carina. NG tube tip in the stomach. Right lower extremity PICC with tip at the level of the right acetabulum. Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Minimal patchy atelectasis in the left lower lobe. No pleural ef... | Large gastroschisis as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. No suspicious masses, microcalcifications or areas of archi... | 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. | Male; 62 years old. Reason: assess for causes of abdominal pain and worsening acidosis History: altered, complaining of abdominal pain, rising lactate of unknown etiology, multiple hernias Lack of intravenous and oral contrast limits sensitivity for solid organ and bowel pathology, respectively.ABDOMEN:LUNG BASES: New ... | 1. New moderate pleural effusions with increased lung opacities, suspicious for multifocal infection. 2. Stable nonspecific hepatic hypodensities lesions, for which infection cannot be excluded. |
Generate impression based on findings. | Nasal congestion, sinus pain, and rhinorrhea. There are postoperative findings related to endoscopic sinus surgery, including bilateral uncinectomy, right turbinectomy, and partial ethmoidectomy. The left middle turbinate is lateralized into the left neo-ostium. There is mild mucosal thickening of the bilateral maxilla... | Postoperative findings related to endoscopic sinus surgery with lateralization of the left middle turbinate into the left neo-ostium and minimal to mild scattered paranasal sinus opacification. |
Generate impression based on findings. | 63-year-old female with slurred/incoherent speech. Evaluate acute intracranial process. Interval resolution of small subdural hematoma previously seen along right tentorium. There is no evidence of acute intracranial hemorrhage, mass effect or cerebral edema. Stable patchy periventricular white matter hypoattenuation, ... | 1.No intracranial hemorrhage or cerebral edema.2.Please note that CT is insensitive in detection of early ischemia. If there is clinical concern for acute ischemia, MRI would be recommended for further evaluation. |
Generate impression based on findings. | 2-year-old male patient with femur fracture.VIEWS: Right femur AP and lateral (two views) 4/12/2015 Splint material obscures fine bone detail. There is an oblique fracture of the femur with approximately one half shaft width displacement of the distal fracture fragment anteriorly. | Mildly displaced femur fracture. |
Generate impression based on findings. | 12-year-old male patient with pain and swelling. Question of fracture.VIEWS: Left hand PA, oblique, lateral (3 views), Left wrist PA, oblique, lateral (3 views) 4/12/2015 No acute fracture or malalignment is evident. The bones of the hand and wrist appear normal. | No acute fracture is evident. |
Generate impression based on findings. | 54 years, Male. Reason: eval for free air History: AMS Evaluation for free intraperitoneal air is somewhat limited given the lack of upright/decubitus films. No free air is identified. Nonobstructive bowel gas pattern. Catheter tubing is coiled in the right upper quadrant. Likely heterotopic bone is present lateral to ... | No significant amount of free intra-peritoneal air is identified. If there is continued clinical concern, recommend upright/decubitus imaging. |
Generate impression based on findings. | Female 20 years old. Reason: eval for fracture. History: pain Three views of the right ankle are provided. There is mild soft tissue swelling, lateral greater than medial. There is no joint effusion, malalignment, or fracture. | Mild soft tissue swelling without evidence of fracture. |
Generate impression based on findings. | 42-year-old female with history of abdominal pain and increased lactic acid level. Evaluate for intra-abdominal infection. ABDOMEN:LUNG BASES: Mild bibasilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS... | Findings compatible with chronic inflammatory disease of the ascending colon without evidence of active infection. |
Generate impression based on findings. | Female 76 years old Reason: effusion/arthropathy History: pain and swelling Four nonweightbearing views of the right knee are provided. There is a small joint effusion. Chondrocalcinosis is noted in the medial and lateral compartments. There is tricompartmental osteophyte formation with narrowing of the medial, lateral... | Severe osteoarthritis as described above. |
Generate impression based on findings. | Reason: Patient with a h/o tongue cancer s/p CRT and orn mandible. Please evaluate interval change. History: Patient with a h/o tongue cancer s/p CRT and orn mandible. Please evaluate interval change. LUNGS AND PLEURA: Interval improvement in centrilobular nodular and tree in bud opacity, consistent with resolving bron... | Interval improvement in centrilobular nodular and tree in bud opacity, consistent with resolving bronchiolitis. No evidence of metastatic disease. |
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 heterogeneously dense, which may obscure small masses. No suspicious masses, microcalcifications or areas of architectural distortio... | 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. | 90 year-old female frontal blurriness. Rule out intracranial hemorrhage. There is no evidence of intracranial hemorrhage, mass effect or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. Periventricular and subcortical white matter hypoattenuation is stable, suggestive of chronic s... | 1.No intracranial hemorrhage or cerebral edema.2.Please note that CT is insensitive in detection of early ischemia. If there is clinical concern for acute ischemia, MRI would be recommended for further evaluation. |
Generate impression based on findings. | Male 83 years old. Reason: eval for fx, dislocation. History: fall w/ shoulder pain Three views of the left shoulder are provided. There is no fracture or dislocation. Degenerative cysts affect the superolateral aspect of the humeral head. | Degenerative changes without acute fracture or dislocation. |
Generate impression based on findings. | Alignment is anatomic. There are no fractures or subluxations. The conus is normal in signal and morphology and terminates at an appropriate level. The visualized intra-abdominal and paraspinal contents are unremarkable.Marrow signal is diffusely heterogeneous, however demonstrates no concerning foci of T2 hyperintens... | 1.Marrow signal is diffusely heterogeneous, however demonstrates no concerning foci of T2 hyperintensity with STIR imaging. This imaging appearance is felt to be benign, and the differential diagnosis would most likely include anemia of any cause and/or chronic smoking.2.L4/5: There is a small central disc protrusion w... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of 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 pat... | 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. | [ Male 50 years old. Reason: assess for degree of worsening left thigh hematoma post biopsy History: unspecified malignancy in thigh for which pathology is pending ] [The known soft tissue mass within the left medial thigh measures approximately 3.8 x 12.0 cm (series 80352, image 47) and does not appear significant cha... | [Soft tissue mass within the left medial thigh is not significant changed in size compared to prior study from 3/10/2015. A low attenuation, nonenhancing component of the mass may represent necrosis or hematoma.] |
Generate impression based on findings. | 67-year-old female with history of left breast biopsy in 2010 demonstrating ADH. Family history of breast carcinoma in her sister and maternal cousin. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular dens... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Reason: metastatic breast CA to lung and liver. On chemo. Followup scan. History: pain left chest wall CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary nodules compatible with metastases have increased in size and number. A few lesions have a new cystic component.Reference left upper lobe nodule with associated ate... | Interval increase in size and number of pulmonary and hepatic metastases. |
Generate impression based on findings. | Male 41 years old; Reason: h/o colon ca with liver met, s/p colon resection and liver resection with NED 6 yrs out. This will be 7 yr surveillance scan, please eval for evdience of disease. History: CRC CHEST:LUNGS AND PLEURA: Stable micronodule in the right middle lobe. MEDIASTINUM AND HILA: No significant abnormality... | 1.Stable examination without evidence of recurrence. |
Generate impression based on findings. | Reason: hx of lung CA, pls compare to previous and measure History: none CHEST:LUNGS AND PLEURA: Left lower lobe nodule decreased to 14 mm x 9 mm on image 68/108. Additional adjacent subpleural nodule (image 57/108) and other scattered micronodules are unchanged.Emphysema.MEDIASTINUM AND HILA: Reference right hilar lym... | 1. Though the left lower lobe nodule has decreased, left sided hilar and bronchial nodes have slightly increased in size. 2. Nonspecific hypodense right adrenal nodule is stable.3. Right renal mass is stable and likely an angiomyolipoma. |
Generate impression based on findings. | 12-year-old female patient with fever, tachypnea, and desaturation. Question of pneumonia.VIEW: Chest AP (one view) 4/12/2015 The right internal jugular central venous catheter tip is at the superior atriocaval junction. The cardiac silhouette is normal in size. There is left lower lobe atelectasis. No pleural effusion... | Mild left lower lobe atelectasis. |
Generate impression based on findings. | 14-year-old male patient with wrist pain.VIEWS: Left wrist PA, oblique, lateral (3 views) 4/12/2015 No acute fracture is evident. Alignment is anatomic. | No acute fracture is evident. |
Generate impression based on findings. | Eight month old male patient with an omphalocele, post G-tube placement. VIEW: Chest and abdomen AP (two views) 4/12/2015 Tracheostomy tube is below the thoracic inlet. Enteric tube has been removed. Right internal jugular central venous catheter tip is in the SVC. A gastrostomy tube projects over the omphalocele. A ri... | G-tube projects over the omphalocele. |
Generate impression based on findings. | Reason: History of breast cancer on treatment. Compare with prior imaging, evaluate for response and extent of disease. History: History of breast cancer on treatment. Compare with prior imaging, evaluate for response and extent of disease. CHEST:LUNGS AND PLEURA: Slight interval decrease in right upper lobe consolidat... | Stable metastatic breast cancer. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 4 year old female patient with left-sided hydronephrosis. Follow up scan. BLADDER Wall Thickness: Normal Contents: Distended and normal. Distal Ureter -- SFU Grade** Right: 0 Left: 0 Ureteral Jets Right: Not observed Left: Not observedKIDNEYS Cortical Echogenicity: Normal Medullary Echogenicity: Normal Pelv... | Improved hydronephrosis bilaterally, now with grade 2 left-sided hydronephrosis.*SFU grading system: Grade 0: No hydronephrosis. Grade 1: The renal pelvis is visualized. Grade 2: A few but not all of the calices are identified in addition to the renal pelvis. Grade 3: Virtually all the calices are seen. Grade 4: Grade ... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in her mother. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distr... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Reason: status infarct, on heparin gtt History: stroke The CSF spaces are appropriate for the patient's stated age with no midline shift. There is redemonstration of periventricular and subcortical white matter lesions which are unchanged since prior exam. Additional small hypodense lesions are also present in the brai... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Redemonstration and no change in periventricular, subcortical and posterior fossa lesions which are most likely vascular related. |
Generate impression based on findings. | Female, 79 years old, with right facial droop and right arm weakness. Follow-up left frontal/supraorbital lesion. A region of hyperattenuating material is redemonstrated subjacent to the inferior left frontal lobe along the orbital roof. Since the immediate prior CT, no significant interval change is seen. This materia... | 1. No significant interval change in the size or appearance of hyperattenuating material subjacent to the left inferior frontal lobe.2. Other intracranial findings are also unchanged. |
Generate impression based on findings. | 52 year old female status post left mastectomy in 2012 for invasive ductal carcinoma, presents today for routine follow up. Patient received radiation and chemotherapy. No current breast complaints. Family history of breast carcinoma in her paternal aunt in her early 60s. Three standard views of the right breast were p... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 12 year old female patient with finger injury.VIEWS: Left middle finger PA and lateral (two views) 4/13/2015 No acute fracture or malalignment is evident. Mild soft tissue swelling is present. | Soft tissue swelling without fracture. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female, 79 years old, with stroke. Redemonstrated are findings related to left pterional craniotomy and clipping of an aneurysm in the region of the left basal ganglia. The walls of the aneurysm remain densely calcified similar to prior. The parenchyma surrounding the aneurysm, including the left basal ganglia, subinsu... | 1. Redemonstration of findings related to aneurysm coiling in the vicinity of the left basal ganglia.2. Interval development of hyperattenuating, somewhat laminar material is seen adjacent to the inferior left frontal lobe, along the left orbital roof. This material appears to be largely extra-axial in location, and as... |
Generate impression based on findings. | Reason: r/o pna History: 1 week cough yellow sputum, congestion, SOBVIEWS: Chest AP/lateral (two views) 4/13/15 5:24 Cardiothymic silhouette is normal. The aortic arch, cardiac apex and stomach are left-sided. Mild peribronchial thickening. Mild linear lung base opacity compatible with atelectasis. | Bronchiolitis/reactive airway disease pattern. Lung base atelectasis. |
Generate impression based on findings. | Female 82 years old. Reason: eval RT shoulder History: pain Three views of the right shoulder are provided. Again seen is a deformity of the scapula compatible with the previously seen comminuted fracture, which has undergone some interval healing when compared to the prior study. Note is made of multiple right rib fra... | Multiple fractures as described above and severe osteoarthritis of the glenohumeral joint. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of bilateral cyst removal. Left breast keloid. History of colon cancer. 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, unch... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses, microcalcificati... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Two year old female patient with fracture.VIEWS: Right foot AP and lateral (two views) 4/13/2015 There is slight cortical thickening of the lateral aspects of the heads of the second and third metatarsals compatible with healing fractures. Sclerosis is again noted in the cuboid bone. | Healing fractures. |
Generate impression based on findings. | Male, 40 years old. Reason: HCC screening History: history of cirrhosis LIVER: The liver measures 21.3 cm, with nodular, heterogeneous echotexture and no focal lesion. The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic or extrahepatic biliary ductal dilatation. The ... | 1.Hepatosplenomegaly and cirrhotic liver morphology, without focal liver lesion.2.Cholelithiasis is again noted, without evidence of acute cholecystitis. |
Generate impression based on findings. | 9-year-old female patient with fracture.VIEWS: Left fifth finger PA and lateral (two views) 4/13/2015 There is minimal periosteal reaction noted about the base of the fifth digit proximal phalanx suggestive of a healing fracture. | Healing fracture. |
Generate impression based on findings. | 78 years, Female. Reason: 78F with LVEF 9%, CIN on iHD, encephalopathy, not stooling despite regular lactulose, leukocytosis, ?bowel obstruction History: 78F with LVEF 9%, CIN on iHD, encephalopathy, not stooling despite regular lactulose, leukocytosis, ?bowel obstruction Nonobstructive bowel gas pattern. A moderate am... | Nonobstructive bowel gas pattern. Moderate stool burden in the distal rectosigmoid colon. |
Generate impression based on findings. | Reason: pt with breast cancer please eval disease status and compare to previous imaging History: breast cancer CHEST:LUNGS AND PLEURA: Innumerable bilateral pulmonary nodules compatible with metastases have decreased compared to prior.Reference right ovary lobe mass measures 3.2 x 3.3 cm (series 7 image 49) with incre... | 1.New acute pulmonary embolus in the left lower lobar pulmonary artery with extension into the segmental arteries. No evidence of pulmonary infarction. Findings discussed with Dr. Nanda at 10AM 4/13/2015.2.Significant interval decrease in metastases in the chest and spleen compared to 2/21/2015.3.Unchanged reference he... |
Generate impression based on findings. | 15-year-old female patient with right fifth finger pain.VIEWS: Right hand PA, oblique, lateral (3 views) 4/13/2015 No acute fracture or malalignment is noted. No soft tissue swelling seen. | No acute fracture is evident. |
Generate impression based on findings. | The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted abnormaliti... | Negative contrast-enhanced brain MRI. Specifically, there are no MRI findings to explain the patient's symptoms. |
Generate impression based on findings. | 73 year-old female with history of asymptomatic hematuria. RIGHT KIDNEY: No hydronephrosis. No shadowing stone. Right kidney measures 10 cm.LEFT KIDNEY: No hydronephrosis. No shadowing calculus. Left kidney measures 10.7 cm.URINARY BLADDER: No significant abnormalities noted.OTHER: No significant abnormalities noted. I... | No hydronephrosis.Incompletely imaged mildly increased hepatic parenchymal echogenicity, may be related to underlying steatosis/parenchymal dysfunction. |
Generate impression based on findings. | Sinus pain/pressure, history of barotrauma. There is opacification of the anterior right ethmoid sinuses. The other paranasal sinuses are clear. The nasal cavity is clear. The nasal septum is mildly deviated towards the right. The lamina papyracea and ethmoid roofs are intact. The carotid grooves and optic canals are c... | Opacification of the anterior right ethmoid sinuses. The other paranasal sinuses and nasal cavity are clear. |
Generate impression based on findings. | Reason: follow up 6 months LUL nodule History: dyspnea LUNGS AND PLEURA: Severe centrilobular and paraseptal emphysema. Subpleural scarring/nodules again noted. Previously measured left upper lobe subpleural nodule is unchanged measuring 9 x 9 mm (series 4 image 22). Left calcified granulomas. No new or suspicious pulm... | Unchanged subpleural nodules/scarring. Likely benign, although 1 year follow up is recommended. Severe emphysema. |
Generate impression based on findings. | Female 49 years old; Reason: To evaluate aorta and iliac vessels for kidney transplant History: Pre renal transplant evaluation ABDOMEN:LUNGS BASES: Bibasilar atelectasis/scarring. Small focus of probable nodular scarring seen along lateralmost aspect of right major fissure, images 6 and 7 series 3. Mild cardiomegaly. ... | Mild calcified atherosclerotic disease. Incompletely imaged left-sided femoral bypass graft material. |
Generate impression based on findings. | 79 year old with known right breast IDC and left breast ILC (2 sites) presents for wire localization for both breasts. Target ill defined mass with clip is located at lower outer quadrant in the right breast. In the left breast, two clips with small focal asymmetries are present at upper outer quadrant. Single wire loc... | Successful needle localization of the right and left breast.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Female 61 years old Reason: Multiple myeloma, hx T4 compression fracture and skeletal survey showed multiple lytic lesions. Follow up History: Multiple myeloma, hx T4 compression fracture and skeletal survey showed multiple lytic lesions. Follow up SKULL: Multiple lucent lesions compatible with myelomatous deposits app... | Widespread myelomatous deposits appears similar to prior examination. |
Generate impression based on findings. | 82-year-old male with history of rectal cancer. Evaluate for progression of disease. CHEST:LUNGS AND PLEURA: Reference right upper lobe pulmonary nodule (4/15) measures 5 x 4 mm, unchanged. Left upper lobe reference nodule (4/124) measures 5 x 4 mm, unchanged.Additional scattered pulmonary micronodules appear similar t... | No significant interval change in size of reference lesions. |
Generate impression based on findings. | Reason: hx of head and neck ca of unknown primary with recurrence in neck, eval for dz, s/p CRT, 7/3/14 History: as above CHEST:LUNGS AND PLEURA: Biapical radiation fibrosis, unchanged. No suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: Interval post surgical changes of a thyroidectom... | No evidence of metastases. |
Generate impression based on findings. | 60 year-old female with history of endometrial serous carcinoma. Debulking on 12/16/14. CHEST:LUNGS AND PLEURA: Left lower lobe scarlike opacity measures 9 x 5 mm, previously 14 x 8 mm (image 73 of series 20280).MEDIASTINUM AND HILA: Right chest port with tip in SVC. The heart size is normal without pericardial effusio... | Interval hysterectomy with no suspicious lesions in the surgical bed. Adnexal and other reference lesions with measurements as above. |
Generate impression based on findings. | Female 49 years old; Reason: hodgkins History: surveillance CHEST:LUNGS AND PLEURA: Index left upper lobe nodule previously measured 5 x 4 mm, is not well seen on today's exam.MEDIASTINUM AND HILA: Index intermediastinal mass previously measured 5.5 x 3 cm, now stable. An index left superhilar lymph node previously mea... | 1.Grossly stable exam. Previously seen index left upper lobe nodule is not seen on today's exam. |
Generate impression based on findings. | History of relapsed nodular sclerosing Hodgkin's lymphoma status post treatment. There are postoperative findings related to left neck dissection. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unremarkable. The m... | No evidence of recurrent lymphoma in the neck. |
Generate impression based on findings. | 71 years old, Female, Reason: worse L-sided weakness History: h/o CVA w residual weakness, worse this AM There is no evidence of intracranial hemorrhage or mass. There is a hypodense focus in the right centrum semiovale, thalamus, and posterior limb of right internal capsule which correlates to known chronic infarct. P... | 1. No evidence of acute intracranial hemorrhage, mass, or cerebral edema. Please note that CT is insensitive for the early detection of nonhemorrhagic cerebral infarction.2. Hypodensity in the right centrum semiovale and right thalamus correspond to known chronic phase lacunar infarcts. |
Generate impression based on findings. | Previously demonstrated mucosal thickening within the left maxillary sinus has cleared. The remaining imaged paranasal sinuses and mastoid air cells are clear. Right ostiomeatal complex is patent. Left ostiomeatal complex is small due to atelectatic left maxillary sinus but is patent. There is stable rightward deviati... | Negative CT scan of the sinuses. |
Generate impression based on findings. | Male 17 years old Reason: left index finger PIP joint dislocation History: above There is flexion at the proximal interphalangeal joint on all views. There is no fracture or dislocation. | No fracture or dislocation. |
Generate impression based on findings. | 25-year-old male with history of Hodgkin's lymphoma. CHEST:LUNGS AND PLEURA: Interval resolution of right middle lobe nodule. There is a new right lower lobe nodule measuring 8 mm (image 74 of series 6). No pleural effusions or focal air space opacities.MEDIASTINUM AND HILA: Interval decrease in size of right paramedia... | 1. Interval decrease in size of right paramediastinal mass.2. Resolution of right middle lobe pulmonary nodule. New right lower lobe pulmonary nodule is nonspecific and may be infectious or metastatic in etiology. Close follow-up and correlation with PET CT recommended. |
Generate impression based on findings. | Recurrent right neck and parotid squamous cell carcinoma status post induction chemotherapy and right modified radical neck dissection and pectoralis flap. Also status post total thyroidectomy and central neck dissection for papillary thyroid cancer. Neck: There are extensive post-treatment findings in the neck, includ... | 1. No evidence of measurable tumor in the treated right parotid space region.2. Interval thyroidectomy without discernible residual tumor in the surgical bed. However, a persistent nodule in the right paratracheal region may represent a nonspecific lymph node. |
Generate impression based on findings. | Reason: CVA History: CVA The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized portions of the paranasal sinuses demonstrate a... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction. |
Generate impression based on findings. | Female 71 years old; Reason: Pt with h/o NHL, multiple medical conditions, with new LLQ pain History: NHL, LLQ pain CHEST:LUNGS AND PLEURA: Visualized central airways patent. No suspicious lung nodule delineated. MEDIASTINUM AND HILA: Mild supraclavicular and subpectoral lymphadenopathy. Enlarged bilateral axillary and... | 1. Suboptimal study without IV contrast.2. Interval increase in size of axillary/subpectoral, mediastinal and retroperitoneal lymphadenopathy, additional prominent lymph nodes as above.3. Mild interval decrease in size of reference right external iliac lymph node.4. Scattered calcifications seen in both breasts, nonspe... |
Generate impression based on findings. | 56 year old with biopsy proven left breast LCIS diagnosed in 2007. Patient currently on tamoxifen. No new breast complaints Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. Stabl... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 37-year-old status post right mastectomy for right breast cancer in 08/2014, feels a tiny lump in the right axilla . With physical exam in right axilla, no discrete mass was palpated. Focused ultrasound did not detect any abnormalities, such as solid or cystic masses, at the area of palpable concern. | No sonographic evidence for malignancy in the right axilla BIRADS: 1 - Negative.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are breast MRI (3/27/15) performed at Advocate Good Samaritan Hospital. Axial T1 weighted images without contrast was performed. This study was to check clip placement after US guided biopsy of left breast lesion at posterior 12 and 1 o'clock position (... | Post biopsy clip is present at posterior upper outer left breast.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Male 56 years old. Reason: OA vs. Bursitis History: R Shoulder Pain Four views of the right shoulder are provided. There are small lucent foci along the superolateral aspect of the humeral head likely representing cysts and which may be of no clinical significance. The right shoulder otherwise appears normal. | Small humeral head cysts, otherwise normal appearing right shoulder. |
Generate impression based on findings. | Female, 67 years old. S/p total thyroidectomy and RAI for PTC in the 1990s. Palpable neck mass RIGHT LOBE: Status post thyroidectomy. A new 0.6 x 0.3 x 2.2 cm hypoechoic region within the right thyroid bed as mild internal vascularity and central increased echogenicity, and they represent a lymph node.LEFT LOBE: Status... | 1.A new ovoid hypoechogenic focus in the midline just superior to the isthmus bed is nonspecific but suspicious for recurrent or metastatic disease. And additional new hypoechogenic focus in the right thyroid bed is also suspicious.2.Bilateral cervical lymph nodes are decreased from the prior exam. |
Generate impression based on findings. | 58 year old with history of left lumpectomy with reexcision and sentinel lymph node biopsy in August 2013 for IDC. Patient received chemotherapy and XRT. No new breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is heterogeneo... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Female 87 years old Reason: prosthetic assess History: post-op Right hip: Components of a right total hip arthroplasty device are situated in near anatomic alignment without evidence of hardware complication.Pelvis: The bones are demineralized. Mild osteoarthritis affects the left hip and severe degenerative disk disea... | Total hip arthroplasty. |
Generate impression based on findings. | Male 46 years old. Reason: pain History: pain Two views of the right hip demonstrate mild osteoarthritis. There is no fracture or dislocation.A single AP view of the pelvis is provided. There is slight prominence of the lateral femoral head/neck junction bilaterally. Mild osteoarthritis affects both hips. | Mild bilateral hip osteoarthritis. |
Generate impression based on findings. | 30 year old female with LVAD, neutropenic status post AML chemo. Persistent fevers. LUNGS AND PLEURA: No suspicious pulmonary modules or masses. 4 mm nodule along the right major fissure (series 5, image 103) likely a benign intrapulmonary lymph node. Additional 3 mm nodule unchanged also likely a benign intrapulmonary... | No specific evidence of infection. Cardiomegaly with bilateral small pleural effusions with adjacent atelectasis compatible with CHF. Small pericardial effusion. New mediastinal lymphadenopathy which be related to the patient's AML, or even lymphoma secondary to chemotherapy. |
Generate impression based on findings. | Hodgkin lymphoma status post chemotherapy. There is decreased right supraclavicular lymphadenopathy, now measuring 9 x 22 mm, previously 17 x 44 mm. Likewise, the partially imaged enlarged superior mediastinal lymph nodes appear to have decreased in size. The thyroid and major salivary glands are essentially unremarkab... | Further interval decrease in size of the right supraclavicular lymphadenopathy and partially imaged superior mediastinal lymphadenopathy. Please refer to the separate PET and body CT reports for additional details. |
Generate impression based on findings. | Trauma.VIEWS: Chest AP (one view), cervical spine AP and lateral (two views), pelvis AP (one view), 4/13/15, 10:32 The aortic arch, cardiac apex and stomach are left-sided. Cardiothymic silhouette is normal. No focal lung opacity, pleural effusion or pneumothorax is seen. Vertebral body heights and disk spaces are norm... | Normal chest, cervical spine and pelvis. |
Generate impression based on findings. | Female 31 years old; Reason: colon cancer restaging History: colon cancer CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN: LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant ab... | 1.Stable pelvic lymphadenopathy. |
Generate impression based on findings. | Male 54 years old. Reason: PAIN History: SAME Two views of the right hip demonstrate components of a right total hip arthroplasty device situated in near anatomic alignment. There is a thin lucency along the femoral stem distally which appears similar to prior study and therefore is of doubtful clinical significance. H... | Right hip total arthroplasty as described above. |
Generate impression based on findings. | Female 26 years old Reason: 26 yo female with melanoma of .75mm in depth melanoma of left upper arm. Pt will require a sentinel lymph node biopsy with her wide excision History: arm painRADIOPHARMACEUTICAL: The left upper arm was prepared in a sterile manner. A total of 0.53 mCi Tc-99m filtered sulfur colloid was injec... | Sentinel node identified in the left axilla. |
Generate impression based on findings. | 28-year-old male with history of left lower quadrant pain. Evaluate for left kidney stone. ABDOMEN:LUNG BASES: Right lung base micronodules, nonspecific and likely is post inflammatory in nature.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnorm... | 1.Epiploic appendagitis in the left lower quadrant.2.No hydronephrosis or hydroureter. No radiopaque stones are identified. |
Generate impression based on findings. | Female 64 years old Reason: History of breast cancer on treatment. Compare with prior imaging, evaluate for response and extent of disease. History: History of breast cancer on treatment. Compare with prior imaging, evaluate for response and extent of disease. Redemonstration of abnormal radiotracer activity in the ste... | Stable exam with no new sites of osseous metastatic disease. |
Generate impression based on findings. | Male 73 years old Reason: 73M with history of high risk prostate cancer s/p prostatectomy, now with detectable PSA; please assess for bone metastasis History: as above No abnormal foci of radiotracer activity to indicate osseous metastatic disease.Radiotracer activity in the bilateral shoulders and sternoclavicular joi... | No evidence of osseous metastatic disease. |
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