instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | Male 59 years old Reason: low back pain History: low back pain Severe degenerative disk disease at L4-5 and moderate degenerative disk disease at L3-4 and L5-S1. There is also mild chronic anterior wedging of the anterior aspect of L3. Moderate facet joint arthritis affects the lower lumbar spine with minimal (2-3 mm) ... | Degenerative arthritis of the lumbar spine and other findings as described above. |
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 almost entirely fatty, unchanged in distribution. Scattered benign calcifications seen in both breasts.No suspicious masses, microca... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Male 70 years old Reason: eval sagittal balance, hx of Lumbar lami, History: Bilateral LE weakness, Neuropathy The patient has undergone multilevel lumbar laminectomy and fusion. Degenerative arthritic changes of the lumbar spine appear similar to 07/17/14. Multilevel degenerative disease affects the thoracic spine wit... | Postoperative and degenerative changes with mild positive sagittal balance described above. |
Generate impression based on findings. | Evaluation is somewhat limited by lack of intravenous contrast. The internal auditory canals are symmetrical and normal in size and signal intensity. The inner ears are normal with normal T2 signal. No abnormal mass is seen within the cerebellopontine angle, cisterns bilaterally or within the internal auditory canals.... | 1.A millimeter sized focus of restricted diffusion in the right precentral gyrus subcortical white matter is suggestive of a recent punctate infarction. 2.Extensive chronic small vessel ischemic changes in the deep gray nuclei, brainstem and cerebellar hemispheres, which are not significantly changed compared to 1/9/20... |
Generate impression based on findings. | 59-year-old female with history of stem cell transplant presenting with concern for infection. LUNGS AND PLEURA: Minimal apical scarring. There is subsegmental atelectasis of the lower and middle lobes. Scattered micronodules. No suspicious nodule or mass. No focal consolidation or pleural effusions. MEDIASTINUM AND HI... | Ascites, resulting in elevation of the right hemidiaphragm and basilar subsegmental atelectasis. No specific evidence of infection. Marked splenomegaly and increased number of small retroperitoneal and mesenteric lymph nodes. |
Generate impression based on findings. | Male 78 years old; reason: Small bowel carcinoid tumor with partial resection and known retroperitoneal disease. Evaluate for interval progression of disease history: Carcinoid tumor and prostate cancer CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Heart size is normal. Coronary calcific... | 1.No change in the left axillary lymph node.2.Right humerus fracture for which plain film radiographs are suggested as clinically indicated. |
Generate impression based on findings. | Reason: h/o L BOT cancer, assess for recurrence History: same LUNGS AND PLEURA: Small foci of scarring and pulmonary micronodules, but no evidence of metastases.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy although there is evidence of healed granulomatous disease.The heart and pericardium appear norma... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | 63-year-old male with metastatic lung cancer, baseline prior to new therapy. CHEST:LUNGS AND PLEURA: Right hilar mass measures 23 mm x 16 mm (series 5, image 114) previously 22 mm x 14 mm when measured similarly. Left upper lobe nodule measures 13 mm (series 5, image 145) previously measured 11 mm. Right lower lobe nod... | Slight interval increase in size of pulmonary nodules, mediastinal and hilar adenopathy. |
Generate impression based on findings. | 66 year old female with right middle lobe nodule. Former smoker. LUNGS AND PLEURA: Scattered calcified and noncalcified pulmonary micronodules. Stable right middle lobe nodule, measuring 7 mm (series 4 image 65). Interval resolution of right pleural effusion. No focal consolidation or pneumothorax.MEDIASTINUM AND HILA:... | 1. Stable right middle lobe 7 mm nodule. Follow-up in 6 to 9 months is recommended to assure stability. Stable scattered micronodules. 2. Stable non-specific right hepatic lobe 1.4 cm hypodensity, incompletely evaluated.3. Main pulmonary artery enlargement is suspicious for pulmonary hypertension.4. Severe coronary and... |
Generate impression based on findings. | 72 year-old male. Left hip pain. Status post fall. Two views of the left hip show that the bones are demineralized. No fracture is evident. Mild to moderate hip osteoarthritis.One view of the pelvis shows that the bones are demineralized. No fracture is evident. Mild osteoarthritis of the right hip. Orthopedic fixation... | Osteoarthritis without evidence of a fracture. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: No evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: There is no mediastinal or hilar lymphadenopathy.Aortic calcifications are present.A left jugular catheter terminates in the SVC.CORONARY ARTERY CALCIFICAT... | No sign of metastases, or other significant abnormality. |
Generate impression based on findings. | 81 year old female with history of increasing right lower quadrant pain, history of abdominal aortic aneurysm. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No suspicious hepatic lesions. Cholelithiasis without evidence of acute cholecystitis.SPLEEN: No significant abnormality notedPANCREAS:... | 1. Infrarenal saccular abdominal aortic aneurysm measuring 2.8 x 2.4 cm with a large penetrating atherosclerotic ulcer.2. Left upper pole wedge shaped defect may represent old infection or subacute infarction. Multiple smaller cortical defects are present likely the sequela of ischemia.3. Significant right atrial dilat... |
Generate impression based on findings. | History of left mastectomy in 2009 for DCIS. History of 3 benign percutaneous biopsies of the right breast. History of breast carcinoma in paternal great aunt. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which... | 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. | Male 27 years old Reason: pain at base of 5th metatarsal x 2 months. eval for stress rxn History: pain at base of 5th metatarsal x 2 months following kicking a book case. Three views of the right foot show no fracture and no stress fracture. We see no abnormalities of alignment. | No fracture or other findings to account for patient's pain. |
Generate impression based on findings. | Male 65 years old; Reason: GIST s/p resection and adjuvant imatinib, on observation, eval EOD, compare to previous History: none ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Unchanged hypodense splenic lesion.PANCREAS: No significant abnormality not... | 1.Stable examination. |
Generate impression based on findings. | 48 years, Female. Reason: LUQ abd pain eval for SBO History: constipation, abd pain Nonobstructive bowel gas pattern. Multiple surgical clips are noted throughout the abdomen. Overall paucity of stool. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | There is a stable right parietal approach ventricular shunt catheter with tip in left frontal horn. Ventricular size and configuration remain unchanged, with the right lateral ventricle nearly completely collapsed and the left frontal horn collapsed. The imaged radiopaque portions of the shunt catheter appear to be in... | Continued stable appearance of right parietal approach ventricular shunt catheter with stable ventricular caliber and configuration. |
Generate impression based on findings. | 64 year old female status post left mastectomy in 2011 for invasive lobular carcinoma, presents today for routine follow up. Patient is currently on Aromasin. History of right reduction mammoplasty. No current breast complaints. Family history of breast carcinoma in her sister at age 54, maternal aunt in her 40s, and m... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 67 year-old male with history of prostate cancer. Evaluate for metastases. CHEST:LUNGS AND PLEURA: Mild biapical scarring, with a 6-mm right apex nodule. There is no available prior for comparison, so follow-up chest CT is recommended. Left lung base opacity is again seen, unchanged and consistent with scar. Ground gla... | 1. Small left para-aortic lymph node is slightly enlarged, new from prior. This is nonspecific and could be further evaluated with PET scan if indicated.2. Right lung apex nodule, nonspecific and may be followed with low-dose noncontrast enhanced CT of the chest in 6 months (see Fleischer Society recommendations). |
Generate impression based on findings. | 80 year-old female with history of worsening shortness of breath. LUNGS AND PLEURA: Increased lung volumes with cylindrical bronchiectasis of the mid and lower lungs, unchanged. There is diffuse bronchial wall thickening and foci of airway impaction and peribronchial nodularity. The reference right upper lobe nodular p... | Mild bronchiectasis with diffuse bronchiolitis and peribronchial nodularity not significantly changed in appearance. No focal consolidation. |
Generate impression based on findings. | 82 year old female with shortness of breath, productive cough. Evaluate left lower lobe consolidation. LUNGS AND PLEURA: Scattered micronodules some of which are calcified consistent with prior granulomatous disease. Previously noted possible left lower lobe opacity likely corresponds to pericardial fat on current CT. ... | 1. No specific evidence of pneumonia. Mild bronchial wall thickening which could be related to chronic aspiration or bronchitis. Previously noted left lower lobe opacity on chest radiograph likely corresponds to pericardial fat on current CT. 2. Ectatic ascending aorta. Common origin of the left common carotid and left... |
Generate impression based on findings. | 80-year-old with history of breast cancer status post right mastectomy in 1973. History of benign left breast biopsy in 2009 Mammogram: Three standard views and two spot compression 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 ... | Clustered cyst in the left breast with possible correlate on mammogram. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended in 6 months to confirm stability. Results and recommendation were discussed with the patient.B... |
Generate impression based on findings. | There is an expected evolution of the previously seen large left occipital parenchymal hematoma, with residual ill-defined hyperdensity lateral to the left occipital horn, overall decreased in density since the previous exam. The area of residual hyperdensity measures 2.5 x 2.0 cm in greatest axial dimensions, with sl... | 1. Interval expected evolution of left occipital parenchymal hematoma with decreased surrounding vasogenic edema and localized mass effect.2. Previously seen trace left subdural and scattered right frontal subarachnoid blood product and no longer appreciated. No new acute intracranial hemorrhage.3. Subtle remaining abn... |
Generate impression based on findings. | 60 year-old female with history of endometrial serous carcinoma. Debulking on 12/16/14. CHEST:LUNGS AND PLEURA: Left lower lobe scarlike opacity measures 9 x 5 mm, previously 14 x 8 mm (image 73 of series 20280).MEDIASTINUM AND HILA: Right chest port with tip in SVC. The heart size is normal without pericardial effusio... | Interval hysterectomy with no suspicious lesions in the surgical bed. Adnexal soft tissue masses are no longer visualized. Small fluid collections in the left adnexa likely represent post-operative seromas or lymphoceles. |
Generate impression based on findings. | Reason: IV contrast only to eval for met melanoma - please compare to outside CT scan from 2/18/15 History: melanoma LUNGS AND PLEURA: Bilateral apical pleural parenchymal scarring. Almost complete clearing of the anterior left upper lobe airspace opacity identified on the prior outside exam with mild residual scarring... | Significant interval improvement in the bilateral upper lobe air space and groundglass opacities which most likely were inflammatory in origin. No evidence of metastatic disease. |
Generate impression based on findings. | Motion artifact limits evaluation.PHARYNX/LARYNX: The left piriform sinus is not as well aerated as the right toe with slight nonspecific soft tissue prominence at the left aryepiglottic fold posteriorly and adjacent posterolateral pharyngeal wall. The nasopharynx, oropharynx, hypopharynx, and larynx are otherwise unr... | Motion limited exam. No acute abnormality identified, with patent airway. Slightly diminutive left piriform sinus with soft tissue prominence along the posterior aspect of the left aryepiglottic fold and the left posterior lateral pharyngeal wall at this level. Finding is nonspecific, and may relate to secretions in su... |
Generate impression based on findings. | Female 69 years old; Reason: s/p cystectomy with indiana pouch, eval for mets ABDOMEN:LUNGS BASES: Stable from August 2012 CT study is 1.7 cm focus of right lower lobe probable scarring.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality n... | 1. Interval development of ileal conduit calculi. No evidence of recurrent or metastatic disease.2. Large sliding type hiatal hernia. |
Generate impression based on findings. | 77 year old female with a history of iron deficiency anemia and a large ventral hernia. Previous incomplete colonoscopy in November of 2014. Evaluate for masses. The scout film showed a nonspecific bowel gas pattern without any evidence of obstruction or ileus. Barium flowed freely from the rectum to the cecum. Limited... | No large constricting or obstructing mass lesions are identified in the imaged portions of the colon, however, due to suboptimal bowel preparation, even large polyps cannot be excluded by this examination. A dedicated CT colonography (virtual colonoscopy) examination would be favored for further evaluation over a repea... |
Generate impression based on findings. | Female 82 years old. Reason: s/p lumbar fusion. History: s/p lumbar fusion Two views of the lumbar spine are provided. Again seen are posterior rods and screws affixing the L2-L5 vertebral bodies which appear similar to prior study given the slight positional differences. Intravertebral cement and intervertebral spacer... | Postoperative and degenerative changes which are similar to prior study. |
Generate impression based on findings. | History of right lumpectomy in 2012 for DCIS. Patient received radiation therapy. No new breast complaints. History of breast cancer in maternal aunts and cousins. Three standard views of both breasts and spot magnification views of right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The brea... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Reason: history of nasopharyngeal ca sp CRT with cranial nerve xii palsy, an d no recent imaging, concern for recurrence, eval for mets History: history of nasopharyngeal ca sp CRT with cranial nerve xii palsy, and no recent imaging, concern for recurrence, eval for mets LUNGS AND PLEURA: Stable right middle lobe micro... | No sign of recurrent or metastatic disease. |
Generate impression based on findings. | Male 87 years old. Reason: Rule out joint space effusion. History: redness, swelling, erythema Three views of the left foot are provided. There is moderate osteoarthritis affecting the first metatarsophalangeal joint. Minimal osteoarthritic changes affect the interphalangeal joints. There is a small spur at the Achille... | 1.Degenerative arthritic changes and other findings as described above.2.No specific radiographic findings of infection. If further imaging is clinically warranted, consider MRI.Findings were conveyed via text page to pager 1356 at 1:05 p.m.. on 4/14/2015. |
Generate impression based on findings. | 37-year-old male with a history of dyspnea. Evaluate for diaphragmatic dysfunction. A scout radiograph demonstrates no focal pulmonary opacity, pleural effusion, or pneumothorax. Note is made of bilateral, symmetric diaphragmatic descent with maximum inspiration (please see see images 1 and 2). No findings to suggest d... | Normal diaphragmatic descent with maximum inspiration. No findings to suggest diaphragmatic paralysis or dysfunction, as clinically questioned. |
Generate impression based on findings. | Images are somewhat limited by patient motion. There is evidence of a now chronic right occipital lobe infarct, with focal volume loss and encephalomalacia. Previous acute changes have all resolved. There are scattered punctate foci and confluent areas of abnormal T2/FLAIR hyperintensity within the periventricular and... | 1. Expected evolution of mild chronic right occipital lobe infarct, with increased FLAIR hyperintensity in the deep right parietal and right occipital white matter likely consistent with chronic small vessel ischemic changes which have developed since the prior exam. No evidence of acute infarct.2. Interval fluctuating... |
Generate impression based on findings. | Reason: Evaluate for pneumonia, hypervolemia History: hypoxia LUNGS AND PLEURA: Small right and moderate left pleural effusion with adjacent compressive atelectasis.Small clustered nodular opacities in the left upper lobe anteriorly, markedly decreased from previous, compatible with infection.Pulmonary edema has resolv... | Almost complete resolution of pulmonary edema and left upper lobe opacity compatible with infection.Small to moderate pleural effusions. |
Generate impression based on findings. | Female 52 years old. Reason: hx ACDF- f/u post 6 months. eval stability, hardware and fusion. History: none- surveillance imaging. Again seen is an anterior plate with screws affixing C4 and C5. We see no hardware complications. There is intervertebral bone graft at C4/C5 with what appears to be progression of bony fus... | Postsurgical and degenerative changes of the cervical spine as described above without evidence of hardware complication or instability. |
Generate impression based on findings. | Female 25 years old Reason: follow up History: follow up Four views of the left foot again show postoperative changes of Lapidus procedure with flattening of the medial aspect of the first metatarsal head and two screws affixing the first metatarsal joint in near anatomic alignment. There is varus alignment of the grea... | Postoperative changes of Lapidus procedure with varus alignment of the great toe as described above. |
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 scattered opacification in the bilateral ethmoid sinuses. There are secretions or mucus retenti... | No 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. | 40 year-old female with imaging detected indeterminate left breast mass. Left ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a hypoechoic mass measuring 1.0 x 0.9 x 0.5 cm at the 11 o’clock position with minimal peripheral vascularity, 5 cm from the nipple. The lesion was readily vi... | Successful ultrasound-guided core biopsy of the left breast lesion and clip placement. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Clinical question: 71 year old female with alteration of mental status. Evaluate for stroke or hemorrhage. Signs and symptoms: As above. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive in early detection of an acute nonhemorrhagic ischemic strokes.There are extensive per... | 1.No acute intracranial process.2.Age indeterminate small vessel ischemic strokes of moderate degree. |
Generate impression based on findings. | Reason: mediastinal mass History: mediastinal mass LUNGS AND PLEURA: Right hilar and mediastinal mass, described in more detail below.Mild scarring at the left base.No pleural effusions.MEDIASTINUM AND HILA: Large infiltrating mediastinal mass extending from about 2 cm above the aortic arch to the level of the upper le... | Large infiltrating right hilar and mediastinal mass encasing and partially obstructing the SVC, highly suspicious for malignancy, including small cell primary lung carcinoma, other forms of metastatic disease, and lymphoma. |
Generate impression based on findings. | Clinical question: Recurrent sinusitis. Signs and symptoms: Nasal congestion and discharge. Medtronic fusion sinus CT:Frontal sinuses are well pneumatized and unremarkable.Ethmoid air cells are well pneumatized and unremarkable.Sphenoid sinus is well pneumatized and with patent bilateral sphenoethmoidal recesses.Maxill... | 1.Small retention cyst in the dependent right maxillary sinus and unremarkable paranasal sinuses otherwise.2.Moderate leftward nasal septum deviation, leftward projecting bony septal spur which is in contact and deforms the mucosa of the left middle turbinate.3.Well pneumatized bilateral mastoid air cells and middle ea... |
Generate impression based on findings. | Reason: 71yo F s/p cardiac arrest, concern for PE History: as above PULMONARY ARTERIES: Technically adequate examination with no sign of pulmonary embolism.LUNGS AND PLEURA: Extensive patchy airspace opacity in the right upper lobe and right lower lobe, and to a lesser extent in the left lower lobe, compatible with pne... | Extensive airspace opacity, mainly on the right, consistent with pneumonia, likely secondary to aspiration. PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Blount's disease and surgery.VIEWS: Right tibia-fibula AP/lateral (two views) 04/14/15 Ilizarov device remains in place. Osteotomies of the proximal tibia and proximal mid fibula are again visualized. Periosteal reaction is noted at the osteotomy sites. Callus formation is seen posteriorly along the tibia. Alignment is... | No evidence of complication after surgery. |
Generate impression based on findings. | Swelling, hardware. Evaluate. Again seen is a dorsal plate and screw device fusing the capitate, lunate, hamate, and triquetrum in near-anatomic alignment. I see no hardware complications. The majority of the scaphoid bone appears to have been resected, with small residual ossicles again noted proximal to the trapezium... | Postoperative and degenerative arthritic changes as above. I see no acute fracture. |
Generate impression based on findings. | Reason: stroke workup History: R MCA stroke Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is no significant stenosis at ... | 1.Findings are suggestive of a right middle cerebral artery occlusion at the superior division branches.2.Findings are compatible with acute infarction involving superior division of right middle cerebral artery territory.3.There is bilateral airspace disease present in the visualized upper lung fields please refer to ... |
Generate impression based on findings. | Male, 71 years old, history of T2 N0 carcinoma of the right posterior lateral tongue, also with history of left lip basal cell carcinoma. Redemonstrated are postoperative findings related to partial right glossectomy, resection of the right floor of mouth and tonsil, right neck dissection, and flap reconstruction.No ev... | Redemonstration of extensive postoperative and treatment related findings without evidence of local tumor recurrence or pathologic adenopathy. |
Generate impression based on findings. | Fell April 6, 2015. Rule out hardware misalignment. Components of a right total knee arthroplasty device are situated in near anatomic alignment without radiographic evidence of hardware complication. I see no fracture or malalignment. Anterior soft tissue swelling limits evaluation of the extensor mechanism. | Total knee arthroplasty in near anatomic alignment. |
Generate impression based on findings. | 12 months status-post fusion. Fusion status, implants? Again seen are posterior rods with screws entering the L2 through S1 vertebrae with an additional screw entering the right ilium. The hardware appears similar to the prior study, without evidence of acute complication. Severe degenerative disk disease from L2 throu... | Postoperative and degenerative changes of the lumbar spine appearing similar to those seen on the prior study. |
Generate impression based on findings. | Reason: evaluate for CVA History: slurred speech, facial droop and unilateral weakness Within the left sylvian fissure there is a hyperdense focus present within the left middle cerebral artery M2 segment. This extends proximally to be M1 segment.There is redemonstration of foci of encephalomalacia in the left and righ... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Findings are suspicious for a hyperdense left middle cerebral artery sign involving left M1 and M2 segments.3.Foci of encephalomalacia are present in the cerebellar hemispheres which were also present 2000 minded most likely vascular related.4.Findi... |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Stable scattered calcified and noncalcified micronodules.No new suspicious pulmonary nodules or masses.No pleural effusion.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy.Stable calcified mediastinal and hilar ... | Stable exam without evidence of metastatic disease. |
Generate impression based on findings. | Back pain. Assess for DJD. Small osteophytes project from the anterior aspects of the lumbar vertebrae, but vertebral body heights and intervertebral disk spaces are within normal limits. The facet joints also appear normal for age. Alignment is within normal limits. | Tiny anterior vertebral body osteophytes but otherwise normal-appearing lumbar spine considering the patient's age. |
Generate impression based on findings. | Clinical question:? Subdural hematoma. Signs and symptoms: AMS. Unenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Large focus of encephalomalacia of the right anterior and mid temporal, right occipital, left media... | 1.No evidence of an acute or new finding since prior study.2.Revisualization of multiple regions of encephalomalacia as a result of prior strokes and surgery and detailed. |
Generate impression based on findings. | Pain. Rule out fracture. There is soft tissue swelling along the lateral aspect of the ankle, as well a tibiotalar joint effusion. A tiny shaped ossicle distal to the fibular tip appears well corticated, and likely represents old trauma, but is not the typical appearance of an acute fracture fragment. A couple of small... | Soft tissue swelling and ankle joint effusion without acute fracture evident. Other findings as above. |
Generate impression based on findings. | Female 37 years old; Reason: evaluate for recurrent disease. History: desmoplastic small round cell tumor CHEST:LUNGS AND PLEURA: Visualized central airways patent. Mild apical pleural nodularity/scarring. Unchanged right upper lobe pleural-based 2-mm lung nodule, image 63 series 5.MEDIASTINUM AND HILA: Small unchanged... | 1. 7 x 6 mm soft tissue nodular focus in subcutaneous tissues of upper right chest wall, nonspecific, this level not included on most recent prior study but when compared to August 19, 2014 CT study there was a right chest wall port at this level, likely postprocedural sequela but continued follow-up recommended.2. Oth... |
Generate impression based on findings. | Clinical question: Evaluate sinusitis; assess for interval change since 10 -- 2013. Signs and symptoms: Recurrent sinusitis requiring chronic nasal congestion and facial pain/pressure. Medtronic fusion sinus CT:Frontal sinuses are well pneumatized and without evidence of disease.Ethmoid sinuses are well pneumatized and... | 1.Minute mucosal thickening of right ethmoids and unremarkable paranasal sinuses otherwise.2.Mild leftward nasal septum deviation without bony septal spur.3.Well pneumatized mastoid air cells and middle ear cavities and unremarkable images through the orbits. |
Generate impression based on findings. | Clubfoot.VIEWS: Right foot AP/lateral (two views), left foot AP/lateral (two views) 04/14/15 These are not weight-bearing views however the talus and calcaneus are parallel bilaterally. Metatarsus adductus is seen bilaterally. | Changes from clubfoot surgeries. |
Generate impression based on findings. | PainVIEWS: Left shoulder internal and external rotation There is a fracture involving the left mid clavicle with apex superior angulation. The glenohumeral joint is normal. | Acute fracture of the left clavicle. |
Generate impression based on findings. | PainVIEWS: Left clavicle AP and axial There is an acute fracture involving the left mid clavicle with apex superior angulation. | Acute fracture of the left mid clavicle. |
Generate impression based on findings. | Neck pain status post blunt trauma. There is no evidence of acute fracture. There is mild dextro convex curve of the cervical spine, which is likely positional. The vertebral column alignment is otherwise within normal limits. The vertebral body and disc space heights are preserved. There is no significant spinal canal... | No acute fracture or subluxation of the cervical spine. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are screening mammogram (3/20/2015) performed at Ingalls Family Care Center, as well as diagnostic right mammogram and ultrasound (3/30/2015), and images from ultrasound guided biopsy and post procedural mammogram (3/31/2015) performed at St. Margaret M... | Biopsy proven invasive ductal carcinoma of the right breast with axillary nodal involvement. BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | Left humerus fracture.VIEWS: Left humerus AP/lateral (two views) 04/14/15 Oblique fracture of the humeral diaphysis is again seen. Periosteal reaction/early callus formation encircles the humeral diaphysis. The fracture is in near anatomic alignment. | Healing humeral fracture. |
Generate impression based on findings. | Head: 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 scattered mild mucosal thickening of the paranasal sinuses. The visualized portions of th... | 1. No acute intracranial hemorrhage or mass effect.2. Comminuted bilateral nasal bone fractures as well as fracture of the anterior process of the maxilla on the left with overlying soft tissue swelling. Mild deviation of the fracture fragments towards the right. Minimal rightward deviation of the nasal septum. |
Generate impression based on findings. | Male 41 years old; Reason: Small bowel carcinoid on octreotide. Evaluate for disease recurrence history: Carcinoid CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedOTHER: ABDOMEN:LIVER, BILIARY TRACT: The liver is d... | 1.Near stable size of the dominant mesenteric lymph node.2.Severe fatty infiltration of the liver. |
Generate impression based on findings. | 11 day old former 31 to 32 week gestational age patient with right upper lobe infiltrate.VIEW: Chest AP (one view) 04/14/15, 1155 Endotracheal tube tip is between thoracic inlet and carina. Feeding tube tip and side-port are at GE junction. Left lower extremity PICC tip is in the intrahepatic IVC. Right upper quadrant ... | Wandering atelectasis. |
Generate impression based on findings. | Male 61 years old; Reason: 61M with metastatic rectal cancer presenting for surveillance scans CHEST:LUNGS AND PLEURA: Right upper lobe apical postsurgical sequela/scarring, similar in appearance to earlier study. Interval increase in size of index right lower lobe lung nodule, measuring 1.8 x 1.6 cm on image 32 series... | 1. Interval progression of metastatic disease.2. New and enlarging hepatic metastatic lesions and enlarging index right lower lobe lung nodule.3. Interval increase in size of paraaortic lymph node as described, suspicious for metastatic nodal disease. Stable to mild interval decrease in size of additional reference lym... |
Generate impression based on findings. | 68-year-old male history of metastatic renal cell carcinoma. Evaluate for recurrence. CHEST:LUNGS AND PLEURA: Stable appearing right middle and left lower lobe pulmonary nodules.Scattered calcified pulmonary micronodules.MEDIASTINUM AND HILA: The heart size is normal with small pericardial effusion. Scattered small med... | Overall mild improvement in tumor burden with measurements as above. |
Generate impression based on findings. | 52-year-old female with history of base of tongue cancer and CRT, compared to previous. CHEST:LUNGS AND PLEURA: Focal ground glass nodular opacities in the superior segment of the right lower lobe (series 4, image 55) associated with mild bronchial wall thickening. No additional pulmonary nodules or masses. No pleural ... | 1. Right lower lobe superior segment ground glass nodular opacities with mild bronchial wall thickening most compatible with aspiration.2. No evidence of metastatic disease. |
Generate impression based on findings. | 81 year old female with history of uterine cancer and probable right flank mass. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Probable noncalcified gallstones layer within the gallbladder, unchanged from prior. No biliary dilatation.SPLEEN: No significant abnormality notedPANCREAS: No signi... | Regarding the clinical query, right-sided lumbar hernia likely is the source of the patient's palpable mass. Other findings as above. |
Generate impression based on findings. | Male 61 years old; Reason: Pseudo-papillary pancreatic tumor resected April 2012 evaluate for disease recurrence history: Pancreatic tumor CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Calcific arteriosclerotic disease affects the aorta.CHEST WALL: No significant abnormality notedOTHER: ... | 1.Status post distal pancreatomy and splenectomy without evidence of recurrent disease. |
Generate impression based on findings. | 69-year-old male with history of head and neck cancer and chemo radiation therapy. CHEST:LUNGS AND PLEURA: Mild apical scarring. Few scattered calcified and noncalcified pulmonary micronodules are not significantly changed in size or number likely reflect prior granulomatous disease. No new suspicious pulmonary nodule ... | No evidence of metastatic disease or significant interval change. |
Generate impression based on findings. | 15-year-old male patient with pain and swelling, range-of-motion intact. Evaluate for fracture/dislocation, snapped back playing basketball.VIEWS: Left-hand PA and left middle finger oblique and lateral (3 views) 4/14/2015 Soft tissue swelling is noted about the middle finger. There is cortical thickening along the vol... | Cortical irregularity along the base of the middle finger middle phalanx with soft tissue swelling; correlate with tenderness to palpation, this likely represents a fracture. |
Generate impression based on findings. | R/O septic joint, joint effusion, fracture 2 yo with club foot presenting with R ankle swelling, tenderness, warmth, rednessVIEWS: Right ankle (AP, lateral, oblique 3 views), right foot (AP, lateral, oblique 3 views), and left foot (AP, lateral, oblique 3 views), 4/14/15 12:44 Right ankle: Soft tissue swelling. No join... | Right ankle soft tissue swelling without evidence of fracture or dislocation. Bilateral metatarsus adductus on non-weight bearing radiographs. |
Generate impression based on findings. | One day old 37 week gestational age patient with gastroschisis.VIEWS: Chest and abdomen AP (two views) 04/14/15, 1204 Endotracheal tube tip is at thoracic inlet. Feeding tube tip is in stomach which appears to be within the silo that has been placed for the gastroschisis. A urinary bladder catheter is present. There ap... | Right upper lobe atelectasis. Silo placement. |
Generate impression based on findings. | FractureVIEWS: Left wrist PA and lateral (2 views) 4/14/15 12:40 Interval removal of cast. Callus formation and periosteal reaction of the distal radial and ulnar fracture. Alignment is near anatomic. | Healing distal radial and ulnar fractures. |
Generate impression based on findings. | 11 year old female patient with right cochlear implantation.VIEWS: Skull AP (one view) 4/14/2015 Interval right cochlear implant placement with cochlear lead in the expected turn of the right cochlea. A left cochlear implant is again noted. The visualized sinuses appear pneumatized. | New right cochlear implant. |
Generate impression based on findings. | Female 48 years old Reason: follow up History: follow up. Again seen is a plate and screw device fixing a fracture of the distal tibial diaphysis. No evidence of hardware complication. The fracture line appears somewhat less distinct suggesting healing. There is also increased callus along the proximal fibular fracture... | Healing tibial and fibular fractures. |
Generate impression based on findings. | Female 85 years old; Reason: evaulate for malignancy History: unintentional wt loss ABDOMEN:LUNG BASES: Reticular opacities at the lung base, likely atelectasis or scarring. More nodular focus seen in the periphery of the left lower lobe is nonspecific, but could represent focal atelectasis or scarring.LIVER, BILIARY T... | 1.No acute abdominal or pelvic pathology.2. Prominent endometrium can be further correlated with ultrasound.3. Unusual soft tissue thickening of the bladder inferiorly - follow up as indicated to exclude neoplasm.3. Pancreatic head hypodensities are likely small sidebranch IPMN's. Attention on follow up imaging could b... |
Generate impression based on findings. | Female 53 years old Reason: follow up History: follow up Again seen are two screws affixing a calcaneal osteotomy in near-anatomic alignment without evidence of hardware complication. The osteotomy appears similar to prior study allowing for positional differences. Additional postoperative changes have been previously ... | Postoperative changes of osteotomy fixation and other findings as described above appearing similar to prior study. |
Generate impression based on findings. | Female 64 years old; Reason: restaging scans s/p 12 cycles of investigational immunotherapy; please compare to previous scans (clinical trial patient) History: hx of metastatic bladder cancer CHEST:LUNGS AND PLEURA: Pulmonary metastatic deposits have increased in size.The solid component of the reference left upper lob... | 1.Increase in the size of the pulmonary deposits, retroperitoneal lymphadenopathy with new retroperitoneal lymph nodes. |
Generate impression based on findings. | 10-year-old male patient with recurrent abdominal pain, bloating, food intolerance. Question of evidence of small bowel Crohn's disease, any other anatomical abnormalities.EXAMINATION: MR enterography without and with IV contrast 4/14/2015 ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic lesion.SPLEEN: No significant abn... | 1. No specific evidence of inflammatory bowel disease. 2. Small amount of free fluid in the pelvis is of uncertain etiology. |
Generate impression based on findings. | Chronic nasal congestion and headaches: bilateral nasal polyps seen on endoscopy. There is a 6 mm wide polypoid opacity along the left middle turbinate lamina. There are smaller opacities scattered about elsewhere within the nasal cavity. There is mild diffuse mucosal thickening within the bilateral maxillary sinuses a... | 1. Findings suggestive of nasal polyposis, as indicated by endoscopy.2. Mild diffuse paranasal sinus mucosal thickening with features suggestive of chronic sinusitis. |
Generate impression based on findings. | Male 51 years old Reason: Rt THA with robotic assistance History: Rt THA with robotic assistance Right hip: Components of a right total hip arthroplasty in near-anatomic alignment. A drain and foci of gas density in the soft tissues reflect recent surgery. Pelvis: Aforementioned postoperative changes in the right hip. ... | Total hip arthroplasty. |
Generate impression based on findings. | Female 52 years old Reason: Fell - left knee pain History: fell - left knee pain There is soft tissue swelling along the anterior aspect of the patella and a small joint effusion. No patellar fracture is evident. Minimal osteoarthritis affects the knee joint. | Soft tissue swelling without patellar fracture. |
Generate impression based on findings. | 55 year old male with metastatic RCC, on treatment, for restaging LUNGS AND PLEURA: Multiple bilateral pulmonary nodules are again noted. Reference left upper lobe nodule measures 13 mm x 11 mm (series 5, image 36) unchanged. Reference right lower lobe nodule measures 6 mm (series 5, image 48) unchanged. No pleural eff... | Metastatic disease involving the lungs, mediastinal lymph nodes, and adrenal glands without interval change. No new sites of disease. |
Generate impression based on findings. | 80 year-old male with history of renal mass. Evaluate for metastatic disease to the chest. LUNGS AND PLEURA: There are several scattered calcified and noncalcified pulmonary nodules. The largest is in the left upper lobe, measuring 7 mm. Mild basilar atelectasis. No focal consolidation or pleural effusions.MEDIASTINUM ... | Several calcified and noncalcified pulmonary nodules are nonspecific, but usually seen in prior granulomatous disease, although superimposed metastatic nodules cannot be entirely excluded. |
Generate impression based on findings. | 77-year-old male with history of abdominal aortic aneurysm treated with endovascular aortic repair. One month postop follow-up. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hypoattenuating liver lesions demonstrate peripheral nodular discontinuous enhancement with progressive fill in on del... | 1. Status post endovascular aortobiiliac stent placement. Small focus of hyperattenuation within the anterior aspect of the aneurysm sac at the origin of the IMA which may be artifactual or represent a small type II endoleak. Careful evaluation of this area on subsequent exams recommended.2. Status post left nephrectom... |
Generate impression based on findings. | 47 year-old male with history of jejunal GIST, here for surveillance. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Reference hepatic lesion in caudate lobe (8/20) with central hypodensity and peripheral enhancement measures 2.2 x 1.7 cm, unchanged. Additional hyperattenuating right hepatic ... | No evidence of locoregional tumor recurrence or metastatic disease. |
Generate impression based on findings. | 77 years, Female. Reason: 77 yo female with history of urostomy and recent partial SBO with complaints of persistent abdominal bloating and vomiting. History: vomiting, abdominal bloating. Nonobstructive bowel gas pattern. Right lower quadrant ostomy in place. Surgical suture and clips project over the pelvis. No evide... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 54 year old female with history of lung cancer and metastases. Evaluate for response. CHEST:LUNGS AND PLEURA: The patient is status post left pneumectomy with associated leftward mediastinal shift and hyperexpansion of the right lung. Stable appearance of the right lung with moderate cystic changes compatible with eith... | No specific evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 72-year-old male with history of abdominal aortic aneurysm status post endovascular repair. Six-month surveillance. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: ... | No significant interval change in repaired abdominal aortic aneurysm. |
Generate impression based on findings. | Male, 25 years old. Reason: eval for cholelithiasis / cholecystitis History: fever, elevated bili LIVER: The liver measures 16.6 cm, with homogeneous echotexture, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic or extrahepatic biliary ductal d... | The gallbladder is contracted, limiting evaluation. |
Generate impression based on findings. | Male, 48 years old, with recurrent base of tongue squamous cell carcinoma. Head:Assessment of the brain parenchyma is severely limited by streak artifact, particularly anteriorly. No large intracranial masses are suspected, but small lesions would likely not be detected. The osseous structures of the skull are intact.N... | 1.Redemonstration of extensive post surgical and treatment related findings. There remain several areas of soft tissue defect and or fistulous communication involving the deep neck spaces.2.Progressive tumor growth is evident just inferior to a soft tissue defect in the right upper neck, as well as in the right parotid... |
Generate impression based on findings. | Age: 53 years. Sex : Female. Reason for study: Reason: dysphagia and aspiration symptoms History: eval swallow. Fluoroscopic guidance was provided for an oropharyngeal motility study performed by the Speech Pathology section of the ENT service. The examination was recorded on videotape. No static or hard copy films wer... | The exam was positive for penetration and negative for aspiration. Other findings as above. |
Generate impression based on findings. | Male, 56 years old. Reason: eval for lesions, assess hepatic vessel patency History: s/p OLT for HCV, HCC cirrhosis 8/2104 PORTAL VENOUS: Patent, with normal hepatopetal flow. Flow velocity ranges from 0.2 to 0.3 m/sec. The right portal vein has normal hepatopetal flow, with a flow velocity of 0.1 m/sec. The left porta... | 1. Normal hepatic vascular flow.2. Stable posterior right hepatic subcapsular fluid collection. |
Generate impression based on findings. | Right hemiparesis. There is a newly apparent subcentimeter hypoattenuating focus in the left cerebellar hemisphere. Thre is redemonstration of left frontoparietal craniectomy for hematoma evacuation and decompression. There is expected evolution of the parenchymal hemorrhage centered predominantly in the left parietal ... | 1. Newly apparent subcentimeter hypoattenuating focus in the left cerebellar hemisphere may represent a recent infarct. Further evaluation via MRI may be useful if clinically warranted.2. Expected evolution of intracranial hemorrhage with unchanged intraventricular extension and swelling, without evidence of new intrac... |
Generate impression based on findings. | 45 year old male with neck swelling, GSW with reported bulbous enlargement of SVC at confluence of brachiocephalic veins LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural effusion or pneumothorax.MEDIASTINUM AND HILA: Normal-size heart no pericardial effusion. Stable aneurysmal dilatation of the S... | 1. Conglomerate of lymph nodes and adipose tissue in the right neck causing mass effect on the right internal jugular vein with proximal dilatation. This can be further evaluated with US or MRI. 2. Stable aneurysmal dilatation of the SVC at the level of the aortic arch. . |
Generate impression based on findings. | 10-year-old male patient with left paraspinous asymmetry and hip subluxationVIEWS: Pelvis AP (1 view) 4/14/2015 Ventriculoperitoneal shunt tip is within the pelvis.Both femoral heads are rounded and directed towards the acetabula. No fracture is evident. | Femoral heads directed towards the acetabula. |
Generate impression based on findings. | 48-year-old male with history of head and neck cancer. CHEST:LUNGS AND PLEURA: Few pulmonary micronodules in the left lung base are not significantly changed in size. Left medial basilar subsegmental atelectasis, unchanged. There are no pleural effusions. No new suspicious pulmonary masses or nodules. No focal consolid... | No evidence of metastatic disease or significant interval change, including bronchial impaction with near complete middle lobe atelectasis. |
Generate impression based on findings. | Male 77 years old; Reason: pancreatic cancer and pulmonary nodule History: please compare to last scan on 2/2015 CHEST:LUNGS AND PLEURA: Right lower lobe pulmonary nodule measures 9 mm (image 44/series 4), unchanged. There is nodularity along the right major fissure.The pleural spaces are clear.MEDIASTINUM AND HILA: He... | 1.Near stable size measurements of the reference lesions.2.Postsurgical changes of the pancreas with progressive atrophy of the residual pancreatic body and tail. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.