instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of esophageal cancer treated with radiation and chemotherapy. Two standard digital views of both breasts, additional left MLO view, and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed... | 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. Family history of breast cancer in her niece. Two standard digital views of both breasts, additional right MLO view, and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular den... | 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. | 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. There is a benign mass, probably an intramammary lymph node in the right upper outer q... | 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 r... |
Generate impression based on findings. | Female, 72 years old. Reason: primary biliary cirrhosis. Interval screening exam. LIVER: The liver measures 13.8 cm, with coarse echotexture. No focal lesion.The main portal vein is patent, with normal hepatopetal flow. Flow rate = 0.2 m/s.GALLBLADDER, BILIARY TRACT: No intrahepatic or extrahepatic biliary ductal dilat... | Early cirrhotic liver morphology without focal lesion. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of right breast cyst aspiration. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and di... | 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. | 81 year old male with weight loss, abnormal EGD with extrinsic compression of esophagus. Evaluate cause of weight loss. LUNGS AND PLEURA: Scattered punctate micronodules, some of which are calcified consistent with prior granulomatous disease. No suspicious pulmonary nodules or masses. Mild dependent atelectasis. No pl... | 1. Pulmonary arterial hypertension. 2. Ectatic ascending aorta. 3. No definite esophageal or paraesophageal mass is identified. 4. Cirrhotic contour of the liver with moderate upper abdominal ascites. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, additional right CC view, additional left MLO, 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 distrib... | 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. | Male 41 years old. Reason: is there a fracture. History: foot pain Three views of the left foot are provided. There is a slight hallux valgus deformity. There are degenerative changes involving the first MTP joint, and the mid and hindfoot. There is no acute fracture or dislocation. | Hallux valgus deformity and degenerative changes without acute fracture. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, additional right and left CC views, additional right and left MLO views, and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular den... | 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 32 years old; Reason: evaluate to etiology of abdominal pain, known VP shunt s/p recent revision History: abdominal pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic lesions. Hepatic and portal veins are patent. Status post cholec... | 1.No bowel obstruction or intra-abdominal fluid collections.2.Small pocket of fluid in the subcutaneous tissues adjacent to the entry site of the catheter. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional right MLO view 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 suspi... | 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. | Asymptomatic female presents for routine screening mammography. Personal history of recent weight loss. 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. Bilateral benign calcificati... | 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. A round marker was placed on ... | 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional left MLO view 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 mass... | 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. | 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 distribution. A few scattered benign-appearing calcifications are again p... | 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. | Clinical question:Follow up ICH. Signs and symptoms: Metastatic carcinoma. Unenhanced head CT:Examination redemonstrates an acute right anterior frontal extra-axial collection without convincing evidence interval change in size or extent. It measures approximately 20.3 mm compared to prior study measurement of 20.7 on ... | 1.Stable postoperative changes of right frontal craniotomy for removal of tumor.2.Stable right anterior frontal acute extra-axial hemorrhage in size and extent.3.Stable multiple foci of peritumoral vasogenic edema from patient's known metastatic lesions.4.Stable nondilated ventricular system and approximately 8 mm left... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left breast benign biopsy in the past. Family history of breast cancer in mother at the age of 65. 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 ... | 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 composed of scattered fibroglandular density, unchanged in pattern and distribution. Benign coarse clusters of calcifications in bot... | 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. Benign intramammary lymph nodes noted.... | 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. | 79 years old, Female, R facial weakness Region of hyperattenuating material is redemonstrated subjacent to the inferior left frontal lobe along the orbital roof, just anterior to the clipped aneurysm. Detail of this structure is somewhat limited by streak artifact. It is not significantly changed in size or configurati... | 1.No significant interval change in size or configuration of hyperattenuating structure along the floor of the left anterior cranial fossa. This may represent foreign body reaction or possibly an extra-axial neoplasm such as a meningioma.2.Status post craniotomy of left sided aneurysm clipping.3.Other intracranial find... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional right MLO were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in distribution. There is a new focal asymmetry in ... | Focal asymmetry in the left outer breast. Recommend spot compression views with possible ultrasound.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left breast cysts. 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 distribution. Interval in... | 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional bilateral MLO and CC views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. There are scattered bilateral benign calcifi... | 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 r... |
Generate impression based on findings. | Female 40 years old. Reason: is there any evidence bony abnormality. History: wrist/hand pain Three views of the right hand are provided. The right hand is normal in appearance without evidence of fracture or dislocation. | Normal examination of the right hand. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, additional MLO and CC views of both breasts, and cleavage view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. There is a benign appe... | 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 r... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in grandmother and 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. There is a focal a... | Focal asymmetry in the left central breast. Recommend spot compression views and possible ultrasound.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of skin cancer. History of ovarian cancer in mother diagnosed at the age of 69. 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 fibroglandula... | 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, additional left CC, left MLO, and right MLO views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Focal asymmetries in the right uppe... | Focal asymmetries in the right breast for which spot compression with possible ultrasound are recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional bilateral MLO views 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. Stable clust... | 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 and additional right MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is extremely dense, which lowers the sensitivity of mammography, unchanged in pattern and distribution. N... | 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: NSD - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional bilateral MLO views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas ... | 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional bilateral MLO and left CC views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Scattered benign calcifications are not... | 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 r... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of multiple myeloma diagnosed at 49 years old, in remission. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspi... | 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 r... |
Generate impression based on findings. | 21-year-old female. Three months status post IMN. Assess fracture healing. Again seen is an intramedullary rod and screws affixing a comminuted proximal to mid femoral diaphyseal fracture in near anatomic alignment. There is callus formation indicating attempt at healing. No radiographic evidence of hardware complicati... | Intramedullary rod fixation of a comminuted proximal to mid femoral diaphyseal fracture. |
Generate impression based on findings. | Female, 55 years old. Reason: 55 yo with cirrhosis s/p TIPS please eval for TIPS patency LIVER: The liver measures 12.9 cm, with heterogeneous echotexture, and nodular contour. No focal lesion.PORTAL VEIN: The main portal vein is patent, with normal hepatopetal flow. Flow rate = 0.2 m/s. The left portal vein has expect... | 1.Patent TIPS. Expected portal venous flow status post TIPS. Mildly increased hepatic arterial velocities with normal resistive indices.2.Cirrhotic liver morphology with increasing ascites. |
Generate impression based on findings. | Female 59 years old; Diagnosis: Other diseases of lung, not elsewhere classified. Hemorrhage of gastrointestinal tract, unspecified; Signs and Symptoms: Hx Pulmonary nodule; was being followed @ Mercy Hospital. patient has Abdominal pain. CHEST:LUNGS AND PLEURA: Mild upper lobe predominant emphysematous changes and sub... | 1.Emphysema with subcentimeter pulmonary nodules.2.No bowel obstruction or focal inflammation. |
Generate impression based on findings. | 15-year-old female. Pain after dance injury. No fracture or dislocation. Ankle mortise is intact. A well-corticated ossicle inferior to the fibula is likely an accessory ossicle. | No evidence of fracture. |
Generate impression based on findings. | 35 years, Female. Reason: history of Crohn's disease with multiple surgeries. question of obstruction 2/2 strictures or adhesions History: nausea, vomiting, constipation Nonobstructive bowel gas pattern. Postsurgical changes noted in the right hemiabdomen. No acute cardiopulmonary process. No evidence of free intraperi... | A nonobstructive bowel gas pattern is identified. |
Generate impression based on findings. | History of left mastectomy in 2009 for DCIS. No new breast complaints. Three standard views of the left breast were performed digitally 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 dominant mass, suspicious micr... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 61 year old female with history of left lower quadrant pain and fever ABDOMEN:LUNG BASES: Minimal bilateral pleural effusions and associated atelectasis, similar to prior. Moderate sized hila hernia.LIVER, BILIARY TRACT: Postoperative findings of cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No sign... | 1.No CT evidence of diverticulitis, however perirectal fat stranding is suggestive of proctitis.2.End-stage native kidneys, with right iliac fossa renal transplant showing mild hydronephrosis.3.Right pelvis fluid collection is again noted, similar to prior.4.Mild hydronephrosis of the transplant kidney is new over the ... |
Generate impression based on findings. | Cerebral palsy. Varus derotational osteotomy.VIEW: Pelvis AP (one view) 04/14/15, 0838 Plate and screws device in left proximal femur appears intact in this single plane.The left femoral head is well directed into the acetabulum. The medial bridging callus has matured and increased in amount. Osteotomy is again seen.Ri... | Continued healing of left femoral varus derotational osteotomy. |
Generate impression based on findings. | Male, 50 years old, with left base of tongue cancer. No evidence of any tumor is seen along the aerodigestive mucosa. No pathologic adenopathy is detected by size criteria. A reference left level 2 lymph node measures 4 mm short axis (image 30 series 6), previous 4 mm.The salivary glands are unremarkable. Again seen is... | No evidence of local tumor recurrence or pathologic adenopathy. |
Generate impression based on findings. | There is trace grade 1 anterolisthesis of L4 on L5, degenerative in etiology. The scout lateral view and the sagittal reformatted images otherwise demonstrate the lumbar spine to be in normal alignment, with a normal lumbar lordosis. The vertebral body heights are well-maintained, although there are scattered Schmorl'... | 1. Moderate multilevel spondylotic changes within the lumbar spine superimposed upon developmentally slender distal spinal canal. Up to severe central spinal canal stenosis at L4-L5 and moderate-severe central spinal canal stenosis at L3-L4. Moderate to severe foraminal narrowing bilaterally at L4-L5, on the right at L... |
Generate impression based on findings. | Male; 49 years old. Reason: 49M hx HTN p/w Type B aortic dissection History: as above CT ANGIOGRAM:Normal caliber of the ascending aorta. Aortic arch branch vessels are widely patent. Type B aortic dissection without rupture involving the descending thoracic aorta with intimal flap beginning just distal to the origin o... | Type B aortic dissection without rupture as detailed above. |
Generate impression based on findings. | 72-year-old male with history of abdominal pain, nausea, and emesis. Evaluate for small bowel obstruction. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signif... | Findings suggestive of small bowel obstruction of the jejunum with transition point in the left upper quadrant. |
Generate impression based on findings. | 63 year-old female with known right breast invasive ductal carcinoma and DCIS with area of suspicious non-mass enhancement in the left breast on staging MRI. On subtraction images, there is redemonstration of a suspicious area of clumped, linear non-mass enhancement 3 o'clock position of the left breast. This was chose... | Successful MR guided core needle biopsy of the left breast 3 o'clock enhancing lesion. Successful clip placement. Pathology is pending.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | PainVIEWS: Left hand AP, oblique and lateral There is a Salter II fracture involving the middle phalanx of the middle finger with associated soft tissue swelling. The remainder of the examination is normal. | Salter II fracture involving the middle phalanx of the middle finger. |
Generate impression based on findings. | 53-year-old male with new acute leukemia. Evaluate for infection. LUNGS AND PLEURA: Minimal apical scarring. Mild dependent subsegmental atelectasis. Streaky right middle lobe opacity favoring atelectasis. No suspicious pulmonary mass or nodule. No pleural effusions. No focal consolidation or pneumothorax.MEDIASTINUM A... | 1. No specific of evidence of infection.2. Mediastinal, axillary and upper abdominal lymphadenopathy consistent with known leukemia. |
Generate impression based on findings. | PainVIEWS: Right hand AP, oblique and lateral There is an acute Salter II fracture involving the base of the proximal phalanx of the thumb with associated soft tissue swelling. The remainder the examination is normal. | Acute Salter II fracture proximal phalanx of the thumb. |
Generate impression based on findings. | PainVIEWS: Right foot AP, oblique and lateral No acute fracture or dislocation. There is minimal soft tissue swelling about the great toe. | No acute fracture or dislocation. |
Generate impression based on findings. | Female 56 years old. Reason: Eval for fracture s/p Right knee manipulation under anesthesia. History: S/p Right knee manipulation under anesthesia Two portable views of the right knee demonstrate components of a total knee arthroplasty situated in near-anatomic alignment without evidence of fracture or hardware complic... | Right total knee arthroplasty with joint effusion. A small amount of gas within the joint is likely postprocedural in etiology, however, we cannot exclude infection on this single examination. |
Generate impression based on findings. | PainVIEWS: Left hand AP, oblique and lateral No acute fracture or dislocation. Minimal soft tissue swelling at the PIP joint of the middle finger. | No acute fracture or dislocation. |
Generate impression based on findings. | Male 62 years old; Reason: rectal cancer on chemo, restaging please compare to previous History: rectal cancer CHEST:LUNGS AND PLEURA: Previously seen reference right upper lobe nodule measured 3.5 x 2.8 cm is not measurable secondary to new atelectasis of the right upper lobe described later. Additional innumerable pu... | 1.New almost near complete right upper lobe collapse as described above, presumably secondary to previously seen soft tissue nodularity surrounding the bronchi in the right upper lobe. 2.Slight interval increase in size of pulmonary nodules, as above. |
Generate impression based on findings. | Male 54 years old Reason: 54yr old male with history of MM; post-auto sct evaluation History: evaluate SKULL: Two views of the skull demonstrate a few small lucencies which may represent myelomatous deposits versus venous lakes and these are unchanged compared to prior study. A soft tissue mass along the left parietal ... | Multiple myeloma and other findings as described above appearing similar to prior study. |
Generate impression based on findings. | Male, 60 years old, with history of base of tongue cancer. Again seen is mild asymmetry of the base of tongue mucosa. Mild ill-defined thickening also extends from the left tongue base into the floor of mouth, similar to the prior exam. The base of tongue and supraglottic larynx remain thickened and hypoattenuating sim... | Redemonstration of treatment related findings with no evidence to suggest local disease recurrence or pathologic adenopathy. |
Generate impression based on findings. | 51 year old female status post left mastectomy in August of 2014 for invasive ductal carcinoma, presents today for routine follow up. Patient received radiation, chemotherapy, and is currently on tamoxifen. No current breast complaints. No family history of breast cancer. MAMMOGRAM: Three standard views of the right br... | No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Additionally, given the patient's history of malignancy and dense breasts, annual screening MRI should be considered. Results and recommenda... |
Generate impression based on findings. | lower back painVIEWS: lumbar spine AP lateral left and right obliques (4 views) 21:21 Lumbar spine is obscured by overlying large amount of fecal burden. Within this limitation there is no fracture or dislocation. | Within the limitation as above, no fracture or dislocation is identified. If continued clinical concern, CT may be obtained. |
Generate impression based on findings. | Reason: concern for cva History: dilated, nonreactive L pupil. Thrombocytopenia, unspecified Anisocoria 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 ... | 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. | 57-year-old female with history of multinodular goiter status post partial right thyroidectomy, dysphagia. Evaluate for muscular lesion in left neck. Postsurgical findings related to partial right thyroidectomy are present with small amount of residual right thyroid lobe tissue. There is no evidence of large thyroid no... | 1.No goiter or other findings to account for dysphagia.2.Dedicated esophogram may be considered if clinically indicated. |
Generate impression based on findings. | 62 year old female status post right lumpectomy in 2010 for invasive ductal carcinoma, presents today for routine follow up. Patient received radiation and chemotherapy, including Herceptin. No current breast complaints. Family history of breast carcinoma in her mother, maternal grandmother, and two maternal great aunt... | 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. | 41-year-old female with history of abdominal pain and hepatosplenomegaly. Evaluate for duodenitis/colitis. Lack of intravenous contrast enhancement limits the evaluation of solid organ parenchyma and vascular structures. Given these limitations, the following observations can be made:ABDOMEN:LUNG BASES: Small left grea... | 1. The colon is collapsed, but thickened which may represent a neutropenic colitis.2. Large volume ascites, pleural effusions, and mesenteric edema. |
Generate impression based on findings. | 91-year-old female. Infection of second toe. Evaluate extent of infection of second toe. Interval post surgical amputation of the distal half of the first metatarsal. Osteotomy line is sharp without presence of erosion. 10 mm well-corticated ossific density adjacent to the residual 1st metatarsal in the plantar soft ti... | Post-surgical findings of 1st transmetatarsal amputation with no specific radiographic evidence of osteomyelitis. |
Generate impression based on findings. | 68-year-old male status post OG line placement. The lower abdomen and pelvis are not included in the field of view. NG tube tip projects at the level of the pylorus of the stomach. Nonobstructive bowel gas pattern. | NG tube tip projects at the level of the pylorus of the stomach. |
Generate impression based on findings. | Female 70 years old. Reason: Rt hip, both anteriorly in the groin and posteriorly, goes down the thigh, front and back. History: breast cancer A single AP view of the pelvis is provided. The hips appear normal for age with minimal, if any, changes to suggest osteoarthritis. There is no focal lesion to suggest metastati... | Normal appearance of the hips with no specific finding to account for the patient's pain. |
Generate impression based on findings. | Male, 66 years old. Reason: Chronic HCV with elevated liver enzymes, evaluate liver parenchyma History: Chronic HCV with elevated liver enzymes, evaluate liver parenchyma LIVER: The liver measures 15.1 cm, with homogeneous echotexture, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow. Fl... | No focal liver lesions or biliary ductal dilatation. The gallbladder is normal. |
Generate impression based on findings. | 69 years, Male. Reason: constipation and nausea History: constipationa nd nausea Gastrostomy tube in place. Note is made of gaseous distention of the colon without evidence of obstruction. Surgical clips project over the left inguinal region. Again seen are left sided pleural plaques/calcifications. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | FractureVIEWS: Left elbow AP and lateral (2 views) 4/14/15 9:13 Callus formation and periosteal reaction around the distal humeral fracture is again seen. Alignment is near-anatomic. | Healing supracondylar fracture. |
Generate impression based on findings. | Male, 41 years old. Reason: acute renal failure unknown etiology History: Cr 7.2 BUN 55 RIGHT KIDNEY: The right kidney measures 8.9 cm, with diffusely increased cortical echogenicity and loss of corticomedullary differentiation. An exophytic hypoechoic mid pole lesion measures 0.7 x 0.6 x 0.6 cm, nonspecific. No hydron... | Increased renal cortical echogenicity compatible with medical renal disease. |
Generate impression based on findings. | 51 year-old female with alternating constipation and diarrhea. Assess for rectocele. There is prompt opacification of the rectum, sigmoid, and descending colon which is of normal static morphology.Trial straining showed appropriate descent of the perineal floor; voluntary anal sphincter contraction demonstrated expecte... | Broad-based anterior rectocele and small posterior rectocele, with reference measurements provided above. |
Generate impression based on findings. | There is diffuse osteopenia. The scout lateral view and the sagittal reformatted images demonstrate normal alignment of the cervical spine, with straightening of the normal cervical lordosis. There is mild disease during a T6-T7 with ventral osteophyte formation. The vertebral body and disk space heights are otherwise... | 1. Minimal irregularity of the left lateral mass of C2 suggestive of the previous reported fracture, with only faint linear lucency remaining along the superior margin, consistent with healing. Left transverse foramen remains intact.2. No acute fracture. Diffuse osteopenia.3. Minimal spondylotic changes as noted above,... |
Generate impression based on findings. | FractureVIEWS: Left wrist AP and lateral (2 views) 4/14/15 9:18 Periosteal reaction of the distal ulnar and radius with callous formation. Alignment is anatomic. | Healing greenstick fracture of radius and buckle fracture of the ulna. |
Generate impression based on findings. | History of left lumpectomy and sentinel lymph node biopsy for IDC in May 2013. Patient received radiation and is currently on tamoxifen. History of benign right breast biopsy. No new breast complaints. History of breast cancer in paternal cousin. Three standard views of both breasts, spot magnification views of left br... | 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: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 61 year old female with history of metastatic colon cancer CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules are again seen. Reference left lower lobe lung nodule measures 1 x 0.8 cm (image 61, series 4), previously measuring 1.1 x 0.7 cm.MEDIASTINUM AND HILA: No significant abnormality noted.CORONARY ARTERY CALCIFICA... | 1.Pulmonary nodules, without significant interval change in size.2.Hepatic metastases with measurements as above.3.Rectosigmoid colon wall thickening without appreciable interval change. |
Generate impression based on findings. | The colon is well distended adequately cleansed. There is a moderate amount of retained fluid which is well tagged with oral contrast. There is a moderate colostomy of the colon particularly more marked in the sigmoid colon.No significant size polyps or masses are seen anywhere in the colon.Note: CT colonography is no... | Normal exam.*OPTIONAL C-RADS CLASSIFICATION:C-1E-1*(see full definitions in: Zalis et al. CT Colonography reporting and data system: a consensus proposal. Radiology 2005;236:3-9)C1: Normal or benign lesions (no polyps > 6mm). Continue routine screening.C2: Intermediate polyp (less than three 6-9mm polyps or can't exclu... |
Generate impression based on findings. | Susceptibility weighted images are somewhat degraded by patient motion. There is redemonstration of a now 7 by 8mm round enhancing mass in the high left anterior parietal lobe, stable to perhaps slightly increased in size since the previous exam. There is a stable 3 mm enhancing right peripheral parietal lesion at the... | 1. Stable to minimally increased size of left parietal metastasis. Stable punctate metastasis in the right peripheral parietal lobe. No new enhancing lesions identified.2. Grossly stable mild chronic small vessel ischemic changes. |
Generate impression based on findings. | 69-year-old male found down with left-sided weakness. Head: Large right MCA territory hypoattenuation, predominantly in the frontal lobe, with loss of gray-white differentiation, edema and mild mass effect on the right lateral ventricle consistent with an acute infarct. There is a hyperdense tubular structure coursing ... | 1. Large right MCA territory infarct, predominantly frontal lobe, without evidence of intracranial hemorrhage. There is cytotoxic edema and associated mild mass effect on the right lateral ventricle without midline shift or herniation.2. There is a hyperdense MCA in the right sylvian fissure consistent with acute throm... |
Generate impression based on findings. | 15-year-old female. Tenderness to palpation at cuboid and base of fifth metatarsal. No radiographic evidence of a fracture or dislocation. | Unremarkable right foot radiograph. |
Generate impression based on findings. | 18-day-old female with encephalocele. The calvarium is distorted and diminutive in size. A large occipital encephalocele is better described on concurrent MRI. It contains the majority of the brain parenchyma including cerebellum, occipital lobes, parietal lobes, and a portion of the posterior frontal lobes. The enceph... | 1.Calvarial distortion and large encephalocele containing majority of brain parenchyma as well as retracted brainstem.2.Small subependymal hemorrhages.3.Incompletely evaluated opacities in the lungs; infection cannot be excluded. |
Generate impression based on findings. | 78-year-old male. Pain. Mild leftward curvature of the lumbar spine due to severe degenerative disk disease at L3-L4 to L5-S1. There is disk space narrowing with vacuum disk phenomenon, end plate sclerosis, and anterior osteophytes at these levels. Mild degenerative disk disease at upper lumbar levels. Grade 1 anteroli... | Severe degenerative disk disease. |
Generate impression based on findings. | 33 years, Male. Reason: assess for post-surgical intrabdominal process History: increased firmness of abdomen on exam this AM A nonobstructive bowel gas pattern is identified. Multiple surgical clips and skin staples are again noted. Sclerotic lesion in the left ilium most compatible with metastatic disease. Please ref... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Bilateral genu valgus and lower extremity pain.VIEWS: Lower extremities standing/mechanical axis 04/14/15 No valgus or varus deformity is seen at the knees. Minimal talotibial slant is present bilaterally with the medial aspect of the talus slightly lower than the lateral. Alignment at the hips is normal. | Minimal talotibial slant bilaterally. |
Generate impression based on findings. | 40 year-old female. Recent fall pain and swelling over first MTP. Recent fall pain and swelling over right fourth and fifth toes. Left first toe: No fracture or dislocation. Moderate soft tissue swelling.Right fourth and fifth toes: No fracture or dislocation. | Soft tissue swelling. No fracture. |
Generate impression based on findings. | Female, 27 years old. Reason: r/o cholelithiasis, cholecystitis History: RUQ pain wrapping to back, hx RYGB LIVER: The liver measures 15.9 cm, with mildly increased echogenicity diffusely, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic or ext... | Mildly increased hepatic echogenicity, suggestive of fatty infiltration. No evidence of cholelithiasis or cholecystitis. |
Generate impression based on findings. | 50-year-old female with a history of left breast radial scar and benign left breast biopsies. Presents today for routine annual diagnostic examination. No current breast related complaints. Family history of breast carcinoma in her mother and family history of ovarian carcinoma in her maternal aunt. Three standard view... | 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. | 54 year old female. Left lateral malleolus fracture. Evaluate fracture/clear space widening. Again seen is an oblique fracture of the distal fibula in near anatomic alignment. The fracture line is indistinct indicating attempt at healing. Chronic enthesophyte changes at the Achilles insertion on the calcaneus. | Healing distal fibular fracture. |
Generate impression based on findings. | 41-year-old male. Follow-up. A sideplate and screw device affixes a distal fibular fracture and a screw and K wire affix a medial malleolar fracture in near-anatomic alignment. No radiographic evidence of hardware complication. The fibular fracture line remains visible. The "posterior malleolus" fracture and medial mal... | Orthopedic fixation of distal tibial and fibular fracture. |
Generate impression based on findings. | There is streak artifact from dental amalgam limiting evaluation of the oral cavity. The angled images do not include the base of tongue within the field of view fully.There has been interval expected evolution of posttreatment changes within the neck with decreased stranding in the subcutaneous fat. However, mucosal ... | 1.Expected evolution of posttreatment changes with overall stable appearance of enhancement along the left great than right base of tongue. Residual hyperenhancing tissue at least in part likely represents prominent lingual tonsils, although the possibility of residual tumor is not entirely excluded.2.Further reduction... |
Generate impression based on findings. | Male 37 years old; Reason: rectal cancer to liver and lung s/p resection and chemotherapy. Follow up scan History: none CHEST:LUNGS AND PLEURA: Postsurgical changes in the left upper lobe. No dominant lung lesions. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No medi... | 1.Stable exam following resection of right hepatic lobe.2.Perirectal soft tissue infiltration. |
Generate impression based on findings. | 38-year-old male with history of relapsed PTLD and Hodgkin Lymphoma s/p 2 cycles of Brentuximab who presents for PET staging scan.RADIOPHARMACEUTICAL: 12.6 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 91 mg/dL. Today's CT portion grossly demonstrates a left maxillary sinus retention cyst. There is an ill-... | Mixed metabolic response to therapy. While there has been improvement or resolution of multiple lesions, there are other lesions that have progressed, most notable in the left neck, right thorax, and upper abdomen, indicating current metabolically active tumor. Overall, metabolically active tumor burden is somewhat dec... |
Generate impression based on findings. | Female 39 years old. Outside esophagram for evaluation. Surgical appliance is seen in the distribution of the disk space at C5-6 and C6-7, unchanged from prior exams.The lateral projection movie loop of the cervical esophagus demonstrates a small diverticulum-like outpouching along the posterior aspect of the cervical ... | Limited in interpretation based on the images and loops provided. Postsurgical changes C-spine. Persistent outpouching along the posterior aspect of the cervical esophagus as described. |
Generate impression based on findings. | 81-year-old female with history of colon cancer on chemotherapy. CHEST:LUNGS AND PLEURA: Pleural-based nodule in the right middle lobe is no longer visualized.MEDIASTINUM AND HILA: The heart size is normal without pericardial effusion. Large hiatal hernia.CORONARY ARTERY CALCIFICATION: Moderate.CHEST WALL: No significa... | Slight decrease in metastatic tumor burden with measurements as above. |
Generate impression based on findings. | History of right lumpectomy for IDC in February 2012 followed by radiation therapy. Currently on Arimidex. As per the technologist, left rotator cuff injury limits the LMLO view. Three standard views of both breasts, two spot magnification views of right breast and right exaggerated CC lateral view were performed digit... | 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. | 63-year-old male with right arm swelling LUNGS AND PLEURA: Scattered nonspecific bilateral pulmonary micronodules, some of which are calcified consistent with prior granulomatous disease. Right apical scarring. No suspicious pulmonary nodules or masses. Small right pleural effusion with adjacent compressive atelectasis... | 1. Central venous obstruction stenosis at the junction of the brachiocephalic veins with the SVC. There is reconstitution of the SVC distally through collateral vessels. This was seen on prior CT angiogram. 2. Diffuse anasarca, more prominent in the proximal left upper extremity which maybe related to the central venou... |
Generate impression based on findings. | 12 year old male patient with history of left renal autotransplant 3/15/2015. RENAL TRANSPLANT: LOCATION: Right iliac fossa.PERITRANSPLANT TISSUES: No fluid collection is identified.KIDNEY: Normal echogenicity. No hydronephrosis. The kidney measures 10.9 cm in length.COLLECTING SYSTEM/URETER: No dilation.URINARY BLADDE... | Increased peak systolic velocity in the region of the transplant renal artery anastomosis. Findings communicated via phone to A. Hasseltine at 1047 hrs on 4/14/2015. |
Generate impression based on findings. | 9-year-old male patient with hyperextension of right toes and pain in right foot.VIEWS: Right foot AP, oblique, lateral (3 views), right ankle, AP and lateral (3 views) 4/13/2015 There is an irregular appearance to the lateral aspect of the second and third metatarsal heads. Soft tissue swelling is noted about the dors... | Irregularity of the lateral second and third metatarsal heads may represent a fracture; follow up radiographs are recommended. |
Generate impression based on findings. | Reason: vomiting and resp distress History: resp distressVIEW: Abdomen AP and Chest AP (two views) 4/14/15 10:19 Chest: Cardiothymic silhouette normal. Patchy retrocardiac atelectasis.Abdomen: Enteric tube tip in the stomach, side-port the GE junction. Right central venous catheter tip in the intrahepatic IVC. Disorgan... | Stable patchy retrocardiac atelectasis. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 73-year-old male with history of mediastinal lymphadenopathy and neutropenic fever. LUNGS AND PLEURA: Scattered calcified and noncalcified pulmonary micronodules likely reflecting prior granulomatous disease. Few small areas of tree in bud opacities in the right middle lobe and left lower lobe are improved. No new susp... | Improved scattered tree in bud opacities which may represent aspiration/bronchiolitis. No focal consolidation. |
Generate impression based on findings. | Male 67 years old; Reason: hx of bladder cancer, evaluate for metastatic disease with delayed imaging History: see above ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL... | 1.Bilateral iliac lymphadenopathy.2.Enhancing soft tissue near the ostomy. This may be due to inflammation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Left chest wall pain off and on for 4 to 5 years Two standard digital views of both breasts and additional right MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchang... | 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. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.