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Generate impression based on findings. | 38-year-old male. Possible old fracture-dislocation at PIP. Need dedicated ring finger radiograph. No acute fracture or dislocation. Mild chronic deformity of the proximal phalanx base, may be from remote trauma, unchanged. | No evidence of an acute fracture. Mild chronic deformity of proximal phalanx base, may be from remote trauma. |
Generate impression based on findings. | Male, 60 years old. AKI. Evaluate for hydronephrosis. RIGHT KIDNEY: The right kidney measures 11.4 cm, with increased cortical echogenicity. An upper pole simple cyst measures 1.5 x 1.3 x 1.7 cm. A mid pole minimally complex cyst measures 2.0 x 1.9 x 2.3 cm. No hydronephrosis or shadowing calculi.LEFT KIDNEY: The left ... | 1.Bilateral cystic renal foci. No hydronephrosis.2.Renal cortical echogenicity compatible with medical renal disease. |
Generate impression based on findings. | B cell lymphoma Two views of the. right humerus reveal a curettage of a proximal humerus lesion L. fixed with a 3 sideplate. There is however a fracture line extending distally from the hardware into the mid diaphysis. This fracture was not seen on the previous images of September 2013. And | Nondisplaced diaphyseal fracture of the humerus. |
Generate impression based on findings. | Hx of duodenal hematoma. Acutely distended abdomen. Tachypnea, tachycardia, distensionVIEW: Chest AP (one view) 4/13/15 16:37 and Abdomen AP (on view) 4/13/15 16:39 Chest: Right central line and left PICC tips in the right atrium. NG tube in the stomach. Cardiothymic silhouette is upper limits of normal. Linear opaciti... | Lung base atelectasis and small right pleural effusion. Paucity of bowel gas. |
Generate impression based on findings. | 42-year-old female. One month of pain in left knee with weight bearing/crepitus on exam. Trauma denied. No fracture or dislocation. | No significant abnormality. |
Generate impression based on findings. | 68-year-old male with history of hypertension, diabetes and recurrent acute pancreatitis. Additionally, underwent laparoscopic necrosectomy in 2013. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Numerous hepatic hypoattenuating foci, nonspecific. Postoperative findings of cholecystectomy.SPL... | 1. Findings suggestive of 1 cm pseudocyst at the junction of the pancreatic body/tail versus WON or less likely IPMN. Additionally, at this level at junction of body/tail, pancreatic parenchyma somewhat hypoenhancing, small underlying necrosis not excluded. 2. Splenic vein chronic occlusion with associated varices.3. F... |
Generate impression based on findings. | Three views of the right ankle reveal a side plate in the distal fibula. The fracture line is not well seen, consistent with healing. No change from previous position. | Healing distal fibular fracture now with internal fixation |
Generate impression based on findings. | Female, 86 years old. CKD, evaluate kidney sizes/echogenicity RIGHT KIDNEY: The right kidney measures 7.2 cm, with normal cortical echotexture. No hydronephrosis or shadowing calculi.LEFT KIDNEY: The left kidney measures 8.7 cm, with normal cortical echotexture. No hydronephrosis or shadowing calculi.URINARY BLADDER: T... | Bilateral atrophic kidneys, with normal cortical echogenicity. No hydronephrosis. |
Generate impression based on findings. | 64 year old female. Left knee pain. Severe osteoarthritis of the left knee with near bone-on-bone apposition of the medial tibiofemoral compartment and tricompartmental osteophytes. Mild osteoarthritis affects the right knee as seen on the frontal view. | Severe osteoarthritis. |
Generate impression based on findings. | 37-year-old male. Right foot and first toe injury. Evaluate for fracture. Right first toe: No fracture or dislocation. Mild soft tissue swelling.Right foot: Extensive ankylosis of the tarsal joints, subtalar joint, and tarsometatarsal joints. No fracture or dislocation. | No fracture. Extensive ankylosis of the midfoot and hindfoot, raising the possibility of juvenile idiopathic arthritis. |
Generate impression based on findings. | Medial ankle pain, sprain -- 3/28. Evaluate for fracture. I see no fracture. I see no joint effusion. | No fracture evident. |
Generate impression based on findings. | Male 23 years old Reason: healed triquetral fracture History: pain medial wrist CT of the right wrist performed without contrast enhancement. There is a linear lucency partially extending through the surface of the ulnar aspect of the triquetrum to the triquetral-hamate articulation, likely representing residua of a he... | Healing/healed fracture of triquetrum with osteoarthritis of the pisotriquetral articulation. |
Generate impression based on findings. | RFO trigger: BMI greater than 40. Surgical counts correct. Two ureteral stents are present. Surgical skin staples project over the midline. No unexpected retained radiopaque foreign object. | No unexpected retained radiopaque foreign object.Findings discussed with Dr. Hurst at 1700 on 4/13/15. |
Generate impression based on findings. | 58 year-old female with history of abnormal right upper quadrant ultrasound. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is a large infiltrative hypoattenuating mass in the right hepatic lobe centered near the biliary confluence measuring approximately 10.6 x 7.8 cm in maximal axial ... | Large infiltrative hepatic mass centered at the biliary confluence with CT imaging characteristics suggestive of a primary hepatic tumor such as cholangiocarcinoma. Further evaluation of the biliary system can be evaluated with MRCP as clinically warranted.Findings discussed with Dr. Damian on 4/14/15 at 0830. |
Generate impression based on findings. | Reason: full term female with perinatal asphyxia, please check line placement History: line placementVIEW: Chest AP (one view) 4/13/15 16:58 Left PICC tip coils back into a branch of the axillary and is directed laterally. ET tube tip at the level of thoracic inlet. NG tube side port above the GE junction. Esophageal t... | Malpositioned left PICC. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. There is minimal scattered mucosal thickening in the paranasal sinuses. The mastoids/middle ears are gro... | No acute intracranial abnormality. If there remains concern for nonacute blood products, MRI could be considered. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids/middle ears are grossly clear. | No acute intracranial abnormality. |
Generate impression based on findings. | PHARYNX/LARYNX: The nasopharynx, oropharynx, hypopharynx, and larynx are unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass or pathological enhancement.GLANDS: The postcontrast appearance of the salivary glands is unremarkable. There is a punctate focus of hypoenhance... | 1. No evidence of cervical lymphadenopathy.2. Cervical spondylotic changes with underlying developmentally slender canal, most prominent at C3-4. MRI cervical spine can be obtained as clinically indicated for a more complete evaluation. |
Generate impression based on findings. | Reason: ich History: s/p fall + head trauma + loc 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 parana... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Reason: acute pathology History: ams altered mental status 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 t... | 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. | Reason: 67 y/o with syncope concern for vascular insufficiency, also previous CT angio with left carotid irregularity MRA brain:Antegrade flow is present in the distal internal carotid arteries, the distal vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries.There is ... | 1.Evaluation of the great vessels and cervical and carotid vertebral arteries is better on the CTA from 2/16/15 compared to today's exam which is significantly degraded due to breathing artifact. The right carotid artery is not adequately evaluated. There is no obvious stenosis along the left internal carotid artery. T... |
Generate impression based on findings. | Reason: evaluate for intracranial or neck pathology History: fall CT head:The CSF spaces are appropriate for the patient's stated age with no midline shift. The patient is status post left craniotomy. There is a small focus of encephalomalacia along the left middle frontal gyrus.Periventricular and subcortical white ma... | 1.No evidence for cervical spine fracture2.No evidence for acute intracranial hemorrhage mass effect or edema.3.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. 4.The patient is status post lower cervical spine surgery. There are m... |
Generate impression based on findings. | Reason: evaluate SAH History: SAH The CSF spaces are appropriate for the patient's stated age with no midline shift. Subarachnoid blood in the sylvian fissures as well as ambient and quadrigeminal plate cisterns is stable.Previously noted small subdural hematomas are not readily visualized and have likely evolved.Small... | 1.Subarachnoid blood in the sylvian fissures as well as ambient and quadrigeminal plate cisterns is stable.2.Small right frontal hematoma is stable.3.Previously noted small subdural hematomas are not readily visualized.4. Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age... |
Generate impression based on findings. | Reason: r/o hemorrhage. History: Fall, head trauma, blurred vision The CSF spaces are appropriate for the patient's stated age with no midline shift. Atherosclerotic calcifications are present along the distal internal carotid arteries. Atherosclerotic calcifications are present along the distal vertebral arteries. Ath... | 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. | Reason: eval for acute abnormality History: altered mental status There is redemonstration of encephalomalacia along the left frontal lobe and to a lesser degree left parietal lobe. This is stable.Periventricular and subcortical white matter hypodensities of a mild to moderate degree are present. This is stable.The vis... | 1.No evidence for acute intracranial hemorrhage mass effect or edema. There is no significant change compared to the 3/25/15 exam2.encephalomalacia along the left frontal lobe and to a lesser degree left parietal lobe are most likely vascular related.3.Periventricular and subcortical white matter changes of a mild to m... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in a sister and two maternal aunts. 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... | 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. | CVA. Other malaise and fatigue 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 are cle... | 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. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in two paternal aunts. Two standard digital views of both breasts and tomosynthesis and repeat left MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandul... | 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. | ventriculomegaly, possible normal pressure hydrocephalus, worsening of neurologic symptoms No evidence of acute ischemic or hemorrhagic lesion.Unproportional ventriculomegaly considering sulci, no change since prior exam.Scattered bihemispheric periventricular white matter low attenuations, no change since prior exam.T... | No evidence of acute ischemic or hemorrhagic lesion.No change of ventriculomegaly and non specific small vessel disease since prior exam. |
Generate impression based on findings. | hit to head, right eyebrow area, headache No evidence of acute ischemic or hemorrhagic lesion.Right occipital and right frontal soft tissue swelling without evidence of underlying skull fracture.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is... | No evidence of acute ischemic or hemorrhagic lesion.Soft tissue swelling on the right occipital and frontal area without underlying skull fracture. |
Generate impression based on findings. | cerebrovascular accident No evidence of acute ischemic or hemorrhagic lesion.Diffuse brain atrophy which is age appropriate with mild to moderate non specific small vessel disease.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial flu... | No evidence of acute ischemic or hemorrhagic lesion.Age appropriate brain atrophy, mild. |
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. | 56-year-old male with pleuritic chest pain, elevated D-dimer. Evaluate for pulmonary embolism. PULMONARY ARTERIES: No evidence of pulmonary embolus. Main pulmonary artery caliber measures 31 mm, upper limits of normal. No evidence of fracture.LUNGS AND PLEURA: No suspicious nodules or masses. Mild dependent atelectasis... | No evidence of pulmonary embolism. No additional findings to account for the patient's symptoms. PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Head trauma with loss of consciousness.VIEWS: Cervical spine AP/lateral (two views) 04/13/15, 1700, 1702 A left cervical curve is present. Adenoids are moderately enlarged and nasopharyngeal airway is narrowed. No prevertebral soft tissue swelling is seen. Vertebral body heights and disk spaces are maintained. No fract... | Left cervical curve most likely due to positioning or muscle spasm. |
Generate impression based on findings. | PICC placement. 10 day old former 31 to 32 weeks gestation with drain placement for liver cyst.VIEWS: Chest and abdomen AP (two views) 04/13/15, 1759 Endotracheal tube tip is between thoracic inlet and carina. Feeding tube tip is at GE junction with side port in lower esophagus. Right upper quadrant drain remains in pl... | Right upper lobe atelectasis. Disorganized bowel gas pattern. |
Generate impression based on findings. | Clinical question: Rule out acute hemorrhage, mass, CVA or hydrocephalus. Signs and symptoms : Recurrent confusion. Nonenhanced head CT:There is no detectable acute intracranial hemorrhage, edema, mass effect, midline shift or hydrocephalus. CT is insensitive for early detection of acute nonhemorrhagic ischemic strokes... | Unremarkable exam. |
Generate impression based on findings. | Male 26 years old Reason: crush injury History: pain/swelling No fracture, malalignment or soft tissue swelling. | No fracture, malalignment or soft tissue swelling. |
Generate impression based on findings. | 65 years, Male. Reason: evaluate Dobbhoff History: Dobbhoff repositioned Interval repositioning of the Dobbhoff tube with the tip projecting at the level of the body of the stomach. Gaseous distention of multiple loops of small bowel and colon without evidence of obstruction. Sternotomy wires and plates in place, uncha... | Interval repositioning of the Dobbhoff tube with the tip projecting at the level of the body of the stomach. |
Generate impression based on findings. | Clinical question: Evaluate acute process. Signs and symptoms: AMS. Unenhanced head CT onethere is no detectable acute intracranial process. CT is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Extensive findings of age indeterminate small vessel ischemic strokes are noted both in supra-and in... | 1.No acute intracranial process.2.Extensive age indeterminate small vessel ischemic strokes with interval progression since prior exam from 2013. |
Generate impression based on findings. | 72-year-old male with + McConnel sign on ECHO, volume dependent. 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: No suspicious pulmonary nodules or masses. Likely scarring or... | No evidence of pulmonary embolism. Basilar atelectasis.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Female 18 years old Reason: r/o fracture History: pain, swelling No fracture or malalignment. Note is made of a type I accessory navicular bone situated approximately 7 mm proximal to the navicular tuberosity, with what appears to be adjacent soft tissue swelling. | 1. No fracture evident.2. Type I accessory navicular bone situated approximately 7 mm proximal to the navicular tuberosity with what appears to be adjacent soft tissue swelling. If there is clinical concern for a posterior tibial tendon tear, MRI may be considered for further evaluation. |
Generate impression based on findings. | Female 61 years old. Reason: fx/dislocation History: limited rom and pain after fall Three views of the right shoulder are provided. There is a lucency with sclerotic margin at the greater tuberosity of the humeral head which may represent a subcortical cyst. There is no acute fracture or dislocation. There are small o... | Degenerative changes without fracture or dislocation. |
Generate impression based on findings. | Clinical portion: Evaluate subdural hematoma. Signs and symptoms: Recent subdural hematoma at Cook County Hospital, lethargic and vomiting. Nonenhanced head CT:Examination demonstrate a small acute right anterior temporal subdural collection measuring maximum of 8.8 mm in thickness. There is associated adjacent right t... | 1.Small maximum 8.8 mm right anterior temporal subdural.2.Small adjacent focus of parenchymal vasogenic edema inseparable from subdural which may represent a focus of contusion and parenchymal hemorrhage.3.Subtle effacement of right hemispheric cortical sulci disproportionate to the above findings and concerning for un... |
Generate impression based on findings. | Male 35 years old Reason: eval fibular fracture History: recent fib fracture, splinted Evaluation of fine bone detail is limited by overlying cast material. There is an oblique fracture of the distal fibula extending to the tibiotalar joint. There is approximately 3 mm of posterolateral displacement of the distal fract... | Distal fibular fracture. |
Generate impression based on findings. | 68 years, Female. Reason: 68f with obstruction s/p SBFT, watching contrast progression History: contrast progression following SBFT The left hemiabdomen is not completely included in the field of view. Note is made dilation of loops of bowel extending into a large right lower quadrant hernia sac, consistent with the pa... | Persistent dilated loops of bowel extending into a large right lower quadrant hernia sac, consistent with the patient's history of large bowel obstruction. Significant residual contrast throughout the colon, although a small amount has progressed to the level of the rectum. Continued follow-up examination is recommende... |
Generate impression based on findings. | Male, 62 years old. Reason: evaluate etiology of upper abdominal pain History: 62-year-old male with mantle cell lymphoma with splenic involvement, now with increasing abdominal pain LIVER: The liver measures 21.5 cm, with homogeneous echotexture.SPLEEN: 22.9 cm in length, without focal lesion. No perisplenic fluid col... | Splenomegaly, similar to prior. No focal splenic abnormality or perisplenic fluid collection. |
Generate impression based on findings. | 74-year-old male. Preop MAKO protocol. Mild osteoarthritis of the left hip. Severe left knee osteoarthritis with near bone on bone apposition of the medial tibiofemoral compartment. Small knee joint effusion. Shallow femoral trochlea indicating trochlear dysplasia.Degenerative arthritic changes of the lumbar spine. Sev... | Severe left knee osteoarthritis and mild left hip osteoarthritis. |
Generate impression based on findings. | Male 83 years old. Reason: R hip pain. History: As above A single view of the right hip demonstrates components of a total hip arthroplasty situated in near-anatomic alignment without evidence of fracture or hardware complication.Again seen is an ill-defined lesion in the mid femoral diaphysis which is incompletely ima... | 1.Total hip arthroplasty without evidence of hardware complication or fracture.2.Ill-defined lesion in the mid femoral diaphysis which is incompletely imaged. There is also questionable ill-defined lesion in the right acetabulum. Metastatic disease cannot be excluded. Recommend dedicated radiographs of the femur and pe... |
Generate impression based on findings. | Reason: r/o PE History: dyspnea, left sided chest pain; patient with history of metastatic, progressing desmoplastic small round cell tumor w/ metastases to the bladder and lungs and prior pulmonary embolus in 2/2015 PULMONARY ARTERIES: No acute pulmonary embolus identified. Posterior segment right lower lobe filling d... | 1.No definite acute pulmonary emboli.2.Multiple new lesions and increase in the size of the existing lesions of the left lung3.Remaining pulmonary lesions are without significant change.4.Hepatic lesions and left supraclavicular lymphadenopathy are not adequately evaluated on this dedicated PE study. |
Generate impression based on findings. | PICC placement. 13 day old former 25 to 26 week gestational age patient with pneumothorax.VIEWS: Chest and abdomen AP (two views) 04/13/15, 1842 Endotracheal tube tip is at thoracic inlet. Feeding tube tip is in gastric body. Two right chest tubes remain in place. Umbilical venous line tip is in right atrium. Umbilical... | Right lower extremity PICC tip at junction of IVC and right atrium. Persistent right pneumothorax. Development of left-sided pneumatoceles. No evidence of NEC. |
Generate impression based on findings. | Male 83 years old. Reason: R hip pain 10/10. History: As above A single view of the right hip demonstrates components of a total hip arthroplasty situated in near-anatomic alignment without evidence of fracture or hardware complication.Again seen is a questionable ill-defined lucency in the right acetabulum. The previo... | 1.Total hip arthroplasty without evidence of hardware complication or fracture.2.Questionable ill-defined lesion in the right acetabulum. The previously seen ill-defined lesion in the mid femoral diaphysis is outside the field of view on the current study. These findings are nonspecific but metastatic disease cannot be... |
Generate impression based on findings. | 5-year-old male patient with a distended abdomen.VIEWS: Abdomen AP and left lateral decubitus (two views) 4/13/2015 Nonobstructive bowel gas pattern. Gaseous distention of the colon. Stool is noted within the descending and rectosigmoid colon. Subcentimeter round densities projecting over the colon within the left uppe... | 1. Nonobstructive gas pattern.2. Round densities project over the left upper quadrant; this may represent stool, however, cannot exclude calcifications. A repeat radiograph of the abdomen can be obtained in 1-2 days for confirmation. |
Generate impression based on findings. | Clinical question: Evaluate intracranial pathology. Signs and symptoms: Evaluate size of hemorrhage. Nonenhanced head CT:Examination demonstrates subtle interval increased size of right anterior temporal subdural hematoma. There is also subtle interval increased adjacent parenchymal vasogenic edema and suspected parenc... | 1.Minimal interval increased right anterior temporal subdural and adjacent parenchymal edema as detailed.2.Subtle right hemispheric effacement of cortical sulci since prior exam.3.Stable normal size of the ventricular system and maintained midline. |
Generate impression based on findings. | 67-year-old female with shortness of breath, chest pain, left upper extremity swelling, history of cancer. 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: Likely scarring or... | No evidence of pulmonary embolism. PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | One day old 31 to 32 week gestational age patient with repositioning of line.VIEW: Chest AP (one view) 04/13/15, 2005 Umbilical venous line tip is at junction of inferior vena cava and right atrium.Cardiothymic silhouette is normal. Minimal hazy opacity is seen, right greater than left. | Umbilical venous line tip is at junction of inferior vena cava and right atrium. |
Generate impression based on findings. | Questionable swelling in the periorbital soft tissues. No post-septal involvement. No abscess. Mucus retention cysts are present in the right maxillary sinus. There is trace mucosal thickening of the left maxillary sinus. The partially imaged paranasal sinuses are otherwise clear. The osteomeatal complexes are normal ... | No post-septal orbital cellulitis or abscess. |
Generate impression based on findings. | 68 years, Female. Reason: r/o perf History: hypotension Residual contrast is noted throughout the colon. Nonobstructive bowel gas pattern however multiple gaseous loops of small and large bowel may represent ileus. Bilateral lower lobe atelectasis and pleural effusions which are better evaluated on concomitant chest ra... | Findings suggestive of ileus, but no definite evidence of mechanical obstruction. Please note supine films are insensitive for detection of free intraperitoneal air/perforation. |
Generate impression based on findings. | 2-year-old male patient with nursemaid's elbow but with right shoulder pain. Evaluate for occult nondisplaced fracture.VIEWS: Right shoulder internal and external rotation (two views), right elbow AP and lateral (two views), 4/13/2015 No acute fracture of the shoulder is evident. The humeral head appears slightly super... | No acute fracture is evident. |
Generate impression based on findings. | New PICC. 3-day-old former 33 -- 34 week gestational age patient.VIEW: Chest AP (one view) 04/13/15, 2122 Left upper extremity PICC is coiled over the left axilla and has its tip directed superiorly at the level of the mid clavicle.Feeding tube tip is in gastric body.Cardiothymic silhouette is normal. No focal lung opa... | Left upper extremity PICC tip is probably in internal jugular vein. |
Generate impression based on findings. | Clinical question: Follow up ICH. Signs and symptoms: Metastatic carcinoma. Nonenhanced head CT:The examination demonstrates a large acute subdural collection in the right anterior frontal extra-axial space immediately medial to the right frontal craniotomy flap. It measures maximum of 20.6-mm in thickness and 44-mm in... | 1.Status post right frontal craniotomy for removal of tumor.2.Acute extra-axial hematoma in right anterior frontal immediately medial to the right frontal craniotomy flap measuring maximum of 20.6-mm in thickness.3.Small right frontal surgical cavity containing air density without hemorrhage.4.Stable multiple foci of p... |
Generate impression based on findings. | 57-year-old female with pleuritic chest pain and shortness of breath. Evaluate for pulmonary embolism. PULMONARY ARTERIES: Technically adequate study with no evidence of pulmonary embolism. The main pulmonary artery measures 2.3 cm in diameter, within normal limits.LUNGS AND PLEURA: No significant pulmonary parenchymal... | No pulmonary embolism or other acute pulmonary abnormality.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 68 years, Female. Reason: 68F with hx uterine ca s/p RT (20 yrs ago) with recurrent obstructive episodes and known sigmoid stricture. admitted post SBFT with concern for complete large bowel obstruction History: chronic n/v/diarrhea. now s/p SBFT with concern for obstruction Note is made dilation of loops of bowel exte... | Persistent dilated loops of bowel extending into a large right lower quadrant hernia sac, consistent with the patient's history of large bowel obstruction. Large amount of residual enteric contrast. Continued follow-up examination is recommended to evaluate for passage of the enteric contrast given the risk of inspissa... |
Generate impression based on findings. | 36 years, Female. Reason: is there a kink or disconnect in the baclofen pump tubing History: flaccid Nonobstructive bowel gas pattern. Greater than average stool burden. Pump catheter is not visualized in its entirety, however visualized portions appear intact, without evidence of kinking. Posterior stabilization devic... | Pump catheter is not visualized in its entirety, however visualized portions appear intact, without evidence of kinking. |
Generate impression based on findings. | 18 day old with encephalocele and situs inversus.VIEW: Chest AP (one view) 04/14/15, 0017 Endotracheal tube tip is above carina. Feeding tube tip is in gastric body. Umbilical venous line has its tip at level of junction of inferior vena cava and right atrium.Aortic arch cardiac apex and stomach are left-sided. Increas... | No focal lung opacity. |
Generate impression based on findings. | 54 year old female. Fell; history of myeloma. Again seen is a destructive lytic lesion in the right sacral wing that spans from S1 to S5 and crosses into the body at S2, consistent with a myelomatous lesion. There is a comminuted mildly displaced pathologic fracture through this lesion (series 80216, images 67 and 68),... | Comminuted mildly displaced pathologic fracture through a large right sacral myelomatous lesion. |
Generate impression based on findings. | 55-year-old male with history of HCC and radiofrequency ablation. ABDOMEN:LUNG BASES: Small bilateral pleural effusions, right greater than left, and associated atelectasis.LIVER, BILIARY TRACT: Cirrhotic liver morphology. The patient's previously seen arterial phase enhancing lesion is somewhat distorted by necrotic t... | 1.Findings of intrahepatic/subhepatic abscess as above. New right upper quadrant surgical drain courses anterior to the liver and abuts the intrahepatic collection.2.Heterogeneous attenuation of the kidneys may be due to pyelonephritis, correlate with labs. |
Generate impression based on findings. | 2-year-old male patient with right shoulder pain. Evaluate for dislocation.VIEWS: Right shoulder AP, Y, axillary (3 views) 4/14/2015 No acute fracture is evident. The glenohumeral joint appears to be within normal alignment. | Normal examination. |
Generate impression based on findings. | 58 year-old female with history of abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Left adrenal nodule, likely an adenoma, unchanged.KIDNEYS, URETERS: B... | Findings suggestive of small bowel obstruction with possible transition point in the pelvis. |
Generate impression based on findings. | High probability benign calcifications in the left breast, patient presents for bilateral diagnostic mammogram. She has a family history of breast cancer in her paternal aunt, diagnosed in her 60's. Three standard views of both breasts and two spot magnification views were performed digitally and reviewed with the aid ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 2-year-old male patient with tenderness to palpation over clavicle. Evaluate for fracture.VIEWS: Right clavicle AP and axial (two views) 4/14/2015 There is a predominantly transverse fracture of the mid clavicle with slight inferior angulation of the distal fracture fragment. | Clavicle fracture. |
Generate impression based on findings. | 36 years, Female. Reason: baclofen pump integrity History: pump has been flipping around Nonobstructive bowel gas pattern. Greater than average stool burden. Posterior stabilization device, pedicle screws, and bone graft material noted in L3, L4. Pump catheter is not visualized in its entirety, however visualized porti... | Pump catheter is not visualized in its entirety, however visualized portions appear intact without evidence of kinking. |
Generate impression based on findings. | Line adjustment. Respiratory distress. Perinatal asphyxia.VIEW: Chest AP (one view) 04/14/15, 0246 Endotracheal tube tip is between thoracic inlet and carina. Feeding tube tip is in gastric body. Esophageal temperature probe has its tip at T6 level. Left upper extremity PICC remains coiled over the shoulder with tip di... | No focal lung opacity. |
Generate impression based on findings. | 56 year-old female with tachycardia and chest pain. Evaluate for pulmonary embolism. PULMONARY ARTERIES: Adequate study with no evidence of pulmonary embolism. The main pulmonary artery measures 28 cm in diameter, within normal limits.LUNGS AND PLEURA: The reference right upper lobe perihilar soft tissue mass measures ... | No pulmonary embolism. Mild tumor progression with reference measurements as above.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Reason: new acute leukemia diagnosis, evaluate for infection History: acute leukemia The ostiomeatal complex units are patent bilaterally. Within the nasal cavity no obstructive lesions are appreciated.The frontal sinuses are clear.Maxillary sinuses demonstrate some mild mucosal thickening Ethmoid air cells are clear .... | 1.There is no evidence for acute sinusitis. Some minor opacities in the maxillary sinuses are likely chronic in nature. |
Generate impression based on findings. | 24 years, Male. Reason: r/o obstruction History: N/V Nonobstructive bowel gas pattern. Amorphous stool is visualized in the ascending colon. Cholecystectomy clips are noted. | A nonobstructive bowel gas pattern is identified. |
Generate impression based on findings. | 10-year-old male patient with fall to face with chin laceration, pain over bilateral TMJs. Evaluate for fracture or dislocation.VIEWS: Panorex radiograph of the mandible (one views) 4/13/2015 No acute fracture is evident. No evidence of dislocation. Multiple erupting maxillary and mandibular teeth are noted. | No acute fracture is evident. |
Generate impression based on findings. | 76 years, Male. Reason: ileus vs SBO History: distension Gaseous distention of multiple loops of small bowel, consistent with small bowel obstruction versus adynamic ileus. NG tube tip projects at the level of the body of the stomach. Surgical clips project over the midline of the upper abdomen. Surgical staples in pla... | Persistent dilated loops of bowel, most consistent with adynamic ileus. |
Generate impression based on findings. | History of right lumpectomy 3/2010 for invasive ductal carcinoma. Patient received radiation therapy. History of benign left breast biopsy. History of breast cancer in daughter, two maternal aunts and a maternal cousin. Three standard views of both breasts and two spot compression views left breast were performed digit... | Scattered, benign calcifications are progressing in a benign fashion. 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.RECOMM... |
Generate impression based on findings. | 69-year-old male with history of smoking, transplant workup. Evaluate for cancer. LUNGS AND PLEURA: Scattered nonspecific pulmonary micronodules. No suspicious pulmonary nodules or masses. No pleural effusion or pneumothorax. Left basilar atelectasis.MEDIASTINUM AND HILA: Cardiomegaly with no pericardial effusion. No m... | No suspicious pulmonary nodules or masses. |
Generate impression based on findings. | 21 years, Female. Reason: assess for stool burden, concern for overflow diarrhea History: diarrhea A nonobstructive bowel gas pattern is identified. Partially imaged central venous catheter terminates at the cavoatrial junction. No evidence of free intraperitoneal air. Less than average stool burden. | Nonobstructive bowel gas pattern. Negligible stool burden. |
Generate impression based on findings. | Evaluate pleural effusionVIEW: Chest AP NG tube tip in the second portion of the duodenum. Left PICC and left central line again noted. Right internal jugular central line again noted. There is a surgical drain in the right upper quadrant. Multiple skin staples in the abdominal region. Cardiomegaly unchanged. Left lowe... | Left lower lobe opacity with small left pleural effusion unchanged. |
Generate impression based on findings. | Male 19 years old. Reason: is there a fracture. History: knee swelling, no specific trauma Four nonweightbearing views of the right knee are provided. There is a small joint effusion without evidence of acute fracture or dislocation. | Small joint effusion without acute fracture or dislocation. |
Generate impression based on findings. | Increased CO2VIEW: Chest AP ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Cardiothymic silhouette normal. Right upper lobe atelectasis unchanged. Minimal improvement in the left upper lobe atelectasis. No pleural effusion or pneumothorax. | Minimal improvement in the atelectasis in the left upper lobe. |
Generate impression based on findings. | 18 day old female with history of encephalocele status-post skin closure two weeks ago, also sinus inversus, Tetralogy of Fallot. Brain:A large occipital encephalocele measures approximately 6.1 x 6.3 x 8.0 cm (AP x ML x CC), and approximately 3.5 cm at its neck. The calvarium is distorted and relatively small in size;... | 1.Large encephalocele containing brainstem, cerebellum, occipital lobes and significant proportions of the temporal and parietal lobes.2.Severe retraction of the brainstem into the encephalocele.3.Subependymal hemorrhages, as described above.4.Lipomyelomeningocele with tethered cord.5.Sacral dysgenesis.6.Airspace opaci... |
Generate impression based on findings. | History of sickle cell with acute fever and altered mental status. Evaluate for cerebrovascular accident. The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collection.... | No evidence of acute intracranial hemorrhage or mass effect. Please note that CT is insensitive for the detection of acute nonhemorrhagic ischemic event. If there is continued clinical concern and no contraindications, MRI of the brain is recommended. |
Generate impression based on findings. | ARDSVIEW: Chest AP ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Right upper extremity PICC with tip in the right atrium. Cardiothymic silhouette normal. Right upper lobe atelectasis new from prior study. Patchy atelectasis in the left lower lobe. There is bilateral small pleural ef... | Right upper lobe atelectasis new from prior study. |
Generate impression based on findings. | Diaphragmatic hernia repairVIEW: Abdomen AP Gastrostomy tube in place. The urinary catheter has been removed. Mild amount of fecal burden without evidence of obstruction. No pneumatosis or pneumoperitoneum. Postsurgical changes at the right hemidiaphragm. | Mild amount of fecal burden without evidence of obstruction. |
Generate impression based on findings. | 4-year-old male patient with neuroblastoma. Evaluate for pleural fluid.VIEW: Chest AP (one view) 4/14/2015 Right chest port tip projects in the right posterior cardiophrenic sulcus. Right upper extremity PICC and left central line tips are in the superior atriocaval junction. Surgical clips are noted within the abdomen... | Small to moderate right pleural effusion. |
Generate impression based on findings. | 17-year-old female with abdominal pain. Evaluate for compression of the celiac artery, consistent with median arcuate ligament syndrome. ABDOMEN:LUNG BASES: No significant abnormality is evident. No focal lung opacity or pleural effusion.LIVER, BILIARY TRACT: Hypoenhancing lesion in segment 7 of the liver measures 0.8 ... | 1.Findings suggestive of mild to moderate celiac artery compression related to median arcuate ligament syndrome as detailed above.2.Nonspecific right liver lobe lesion, too small to accurately characterize but most likely benign given the patient's age and in absence of a known malignancy. |
Generate impression based on findings. | Line placementVIEW: Chest AP and abdomen AP NG tube has been removed in the interval. The umbilical venous catheter tip within the umbilical vein. Cardiothymic silhouette normal. No focal lung opacity. No pleural effusion or pneumothorax. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum... | The umbilical venous catheter tip within the umbilical vein. |
Generate impression based on findings. | Evaluate pneumomediastinumVIEW: Chest AP and abdomen AP ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. The umbilical venous catheter tip within the left hepatic vein. Cardiothymic silhouette normal. The extensive pneumomediastinum has minimally improved. Diffuse bilateral atelectasis... | The extensive pneumomediastinum has minimally improved. |
Generate impression based on findings. | Diaphragmatic herniaVIEW: Chest AP ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Right chest tube with one of the sideholes within the subcutaneous tissue is noted. Umbilical lines in place. Cardiothymic silhouette normal. Bilateral pneumothoraces left greater than right. Bilateral ... | Bilateral pneumothoraces as described above. |
Generate impression based on findings. | 78-year-old male with history of vomiting, diarrhea, left lower quadrant/flank pain and lightheadedness. Evaluate for small bowel obstruction. ABDOMEN:LUNG BASES: Bibasilar scarring/atelectasis, similar to prior.LIVER, BILIARY TRACT: Mild biliary dilatation (common bile duct, pancreatic duct and intrahepatic ducts) and... | 1.Interval resolution of previously seen small bowel obstruction.2.Innumerable sclerotic osseous metastases, with new pathologic fracture of the left superior sacrum.3.Indeterminate left renal exophytic mass, unchanged from prior. |
Generate impression based on findings. | Male 30 years old. Reason: sprain vs. fx? History: swelling, unable to bear weight Three views of the left ankle are provided. There is mild soft tissue swelling about the medial malleolus. There is no acute fracture or dislocation. | No acute fracture or dislocation. |
Generate impression based on findings. | 11 years old, Female, History: Sickle cell disease; headache; right sided numbness 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 sinus... | 1. No evidence of intracranial hemorrhage, mass, or cerebral edema. Please note that CT is insensitive for the early detection of nonhemorrhagic cerebral infarction.2. Opacification of the right middle ear and right mastoid air cells is nonspecific but may be related to otitis media in the correct clinical context. Ple... |
Generate impression based on findings. | 50 year old female. Fall, multiple myeloma. Assess for fracture. Left shoulder: No fracture or dislocation.Left elbow: No fracture, dislocation, or elbow joint effusion. | No fracture. |
Generate impression based on findings. | 28-year-old female. Right foot pain. No fracture or dislocation. | No significant abnormality. |
Generate impression based on findings. | Female 87 years old. Reason: 87yo F w/ right hip pain. History: PA and lateral views of right hip Two views of the right hip are provided. Mild osteoarthritis affects the right hip. There is no acute fracture or dislocation. | No acute fracture or dislocation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional right CC view were performed and reviewed with the aid of R2 CAD 9.3. Note that tomosynthesis was attempted and only a right CC tomosynthesis was obtained due to patient's inability to proceed. The ... | 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. | 64 year old female. Right distal radius fracture. Comminuted impacted intra-articular fracture of the distal radius with dorsal displacement of the distal fracture fragments by approximately 4 to 6 mm. Nondisplaced complete fracture through the dorsal edge of the lunate (series 80433, image 31). No ulnar fracture is id... | Distal radius comminuted intra-articular fracture. Chip fracture of the dorsal lunate. |
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