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Generate impression based on findings. | Male, 43 years old, with cervical spondylosis and history of some type of cervical spine surgery at C5-6, assess cervical stenosis. L Anterior instrumented fusion of the cervical spine is seen with a plate and screw device bridging C5 and C6. The screws are well seated. No instrument complication is suspected. A wedge ... | 1. Evidence of instrumented anterior spinal fusion at C5-6. No instrument complications are suspected2. Multilevel cervical spondylosis, most severely affecting C4-5 where there is a mild generalized spinal canal stenosis, and C5-6 where there is a moderate generalized canal stenosis as well as impingement of the right... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal aunt. Personal history of leukemia diagnosed at the age of two and benign left breast biopsy in 2007. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast ... | Focal asymmetry in the right upper outer breast. Additional imaging, including spot compression views and possible ultrasound, is recommended for further evaluation.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Postoperative changes are again seen involving the left floor of mouth and submandibular region related to prior left neck dissection. There is no discrete enhancing mass to suggest locoregional tumor recurrence. PHARYNX/LARYNX: The nasopharynx, oropharynx, hypopharynx, and larynx are unremarkable. The upper trachea a... | 1. No CT evidence of local regional tumor recurrence.2. No cervical lymphadenopathy. Interval decreased size of previously noted benign-appearing right submandibular region lymph nodes, likely reactive.3. Stable nonspecific punctate hypodensity in the right thyroid lobe. |
Generate impression based on findings. | Ms. Young is a 71 year old female with known left breast cancer. Dr. Chhablani palpated an enlarged left axillary lymph node which underwent in-office FNA (which was nondiagnostic.). She presents today for formal ultrasound guided biopsy of enlarged left axillary lymph node. Left axillary ultrasound identified the targ... | Successful ultrasound-guided core biopsy with clip placement of an abnormal left axillary lymph node. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | 52-year-old male with history of knee pain. Tiny osteophytes indicate mild osteoarthritis. There is a small joint effusion. Mild osteoarthritis affects the left knee as seen on the frontal view. Scattered vascular calcifications are present. | Mild osteoarthritis as described above. |
Generate impression based on findings. | 66 year old female who was recalled from screening mammogram for left breast calcifications. History of benign bilateral breast biopsies. A ML view and two spot magnification 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 fibrogl... | High probability benign calcifications in the left lower inner quadrant, likely vascular in origin. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended in 6 months. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benign findin... |
Generate impression based on findings. | CT HEAD:.The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. Chronic right basal ganglia lacunar infarct is unchanged. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids/middle ears are gro... | Posttreatment changes in the neck. No discrete mass in the right tonsillar fossa is appreciated. No significant residual lymphadenopathy seen. |
Generate impression based on findings. | Neck pain, occipital pain, pain on range of motion. Evaluate for cervical pannus. There is osseous assimilation involving the bilateral occipital condyles and lateral masses of C1. There is also osseous fusion involving the left anterior aspect of the C1 arch with the basiocciput. Anterior arch of C1 is thick. Left pos... | 1. Atlanto-occipital assimilation (incomplete) as detailed above, greater on the left than the right.2. Evidence of basilar invagination. Partial effacement the ventral subarachnoid space at the cervicomedullary junction better seen on prior MRI studies. |
Generate impression based on findings. | 58-year-old female with history of osteoarthritis and fracture. Shoulder: Small osteophytes at the AC joint indicate mild osteoarthritis. There is no evidence of fracture.Right wrist: There is mild narrowing of the radioscaphoid articulation but otherwise the wrist appears normal. There is no evidence of fracture. | Minimal osteoarthritis as above. |
Generate impression based on findings. | Two year-old male who fell 3 weeks ago, not using arm well for a couple weeksVIEWS: Right forearm AP/lateral (two views) 01/13/15 Periosteal reaction is seen along the radial and posterior aspects of the distal radius. There is a torus fracture of the distal radial metaphysis. A band of sclerosis in the ulna is present... | Healing torus fracture of the distal radial and ulnar metaphysis. |
Generate impression based on findings. | 77-year-old female with history of right total hip arthroplasty. Right hip: Hardware components of a right total hip arthroplasty are situated in anatomic alignment without radiographic evidence of hardware failure. Scattered foci of gas density within the soft tissues and a surgical drain indicate recent surgery.Pelvi... | Right total hip arthroplasty and degenerative changes as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of bilateral breast reduction. 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.... | Bilateral benign dystrophic calcifications. 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. | 60-year-old male with history of fifth finger dislocation. Evaluate for healing. The fifth PIP joint is held in slight flexion. There is a 3-mm ossific density noted along the ulnar aspect of the fifth PIP joint which likely represents a small fracture fragment from the base of the middle phalanx. | Fracture fragment adjacent to the fifth PIP joint as described above |
Generate impression based on findings. | 42 year-old female with thyroid cancer status post thyroidectomy and RAI. Evaluate RIGHT LOBE MEASUREMENTS: Status post thyroidectomy.LEFT LOBE MEASUREMENTS: Status post thyroidectomy.ISTHMUS MEASUREMENTS: Status post thyroidectomy.RIGHT BED: No significant abnormality noted.LEFT BED: Previously seen ovoid soft tissue ... | No specific evidence of recurrent or residual disease. |
Generate impression based on findings. | 67 year old female with history of kidney neoplasm, with metastases, evaluate for progression of disease. CHEST:LUNGS AND PLEURA: Moderate right pleural effusion and associated atelectasis, similar to prior.Multiple bilateral foci of peripheral air space consolidation, some of which have a wedgelike configuration, most... | 1.Post operative findings of right nephrectomy without local disease recurrence.2.Left kidney hypoattenuating focus is unchanged in size and may be followed on subsequent exams.3.Stable pulmonary infarcts and moderate right pleural effusion, with improving right pulmonary artery embolus.4.Hypoattenuating hepatic focus ... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural distortion are pre... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | The bilateral external auditory canals, middle ear cavities and mastoid air cells are clear. There is no evidence for congenital atresia of the external auditory canals or middle ear cavities. The scuta and ossicles are intact bilaterally. No erosive changes are identified. There are no soft tissue masses identified w... | 1.Normal examination of the temporal bones bilaterally.2.Partially visualized prominent basal cisterns for the patient's age, which may suggest global volume loss. Dedicated brain imaging may provide further information if clinically warranted. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Strong family history of breast cancer in maternal grandmother, paternal grandmother, four maternal aunts, and two maternal cousins. Two standard digital views of both breasts (total of 8 images) were performed and reviewed with the aid of R2 CAD 9.3. The ... | Right focal asymmetries. An attempt to obtain patient's prior mammograms will be made first. If not possible, then additional imaging including spot compression views and possible ultrasound, is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: O - Old Study For Comparison. |
Generate impression based on findings. | Male; 84 years old. Reason: h/o R ear mucoep ca, s/p crt, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Centrilobular emphysema. Minimal bibasilar or dependent subsegmental atelectasis. Stable scattered, punctate calcified and noncalcified micronodules measuring up to 3 mm (right lower lob... | 1. Interval resolution of small left hydropneumothorax.2. No evidence of metastatic disease in the chest and abdomen. |
Generate impression based on findings. | No abnormal diffusion signal. There is a focus of sulcal T1 shortening along the posterior limb of the right sylvian fissure and right inferior parietal lobule seen on axial and sagittal T1-weighted images and may represents laminar necrosis. No associated susceptibility effect, gliosis or enhancement is associated wi... | 1.No acute infarct, mass, or mass effect. No gross MR evidence of intracranial infection; suggest lumbar puncture if there is continued suspicion for intracranial infection. 2.Focus of T1 shortening in the right inferior parietal lobule along the posterior limb of the right sylvian fissure may represent laminar necrosi... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in mother and maternal grandmother. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 44-year-old female with pain and nausea. Evaluate for diverticulitis. ABDOMEN: Lack of intravenous contrast limits evaluation of the solid organs.LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffuse hepatic fatty infiltration without focal hepatic lesions. Status post cholecystectomy. No intra-or e... | 1.Asymmetric right perinephric fat stranding again noted. Early infectious/inflammatory process cannot be excluded. 2.No specific findings to suggest diverticulitis or colitis.3.Diffuse fatty liver. |
Generate impression based on findings. | 86 years, Female. Reason: r/o obstruction History: abdominal pain No evidence of free air. Non-obstructive bowel gas pattern. Right hip arthroplasty. | No evidence of free air. Non-obstructive bowel gas pattern. |
Generate impression based on findings. | 78 year old male with unexplained iron deficiency anemia. Scout radiograph demonstrates a nonobstructive bowel gas pattern. Postoperative changes are noted in the chest and a small vascular stent projects over the left upper quadrant near the spinal border. Transit time to the colon was approximately 2 hours. Fluorosco... | 1.Several terminal ileal diverticula, extending to the level of the ileocecal valve, which may represent a source of bleeding. 2.No filling defects, polyps, or large masses seen. |
Generate impression based on findings. | Colon carcinoma CHEST:LUNGS AND PLEURA: Emphysema again noted. Stable peripheral lingular micronodule. Interval decrease in size of right lower lobe peripheral mass best seen on image 57 of series 5 now measuring 4.5 x 6.4 cm; this is in comparison to 5.5 x 8.1 cm on 7/30/2014MEDIASTINUM AND HILA: Interval decrease in ... | Interval decrease in size of peripheral right lower lobe lung mass associated with interval decrease in size of right hilar adenopathy. No new metastatic focus. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts (with an 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 suspiciou... | 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. | 2-year-old male with left paraspinous asymmetry.VIEWS: Pelvis AP and frog leg (two views) 1/13/2015 Lateral uncovering of the femoral heads by approximately 50 to 60% is seen on the AP view. The femoral heads are seated within the acetabula on the frog leg view. There is bilateral acetabular dysplasia. No acute fractur... | Dysplastic acetabula with lateral uncovering of both femoral heads. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts (total of 8 images) 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 architectura... | 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 are submitted, then an addendum to this repor... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign left breast biopsy. Family history of breast cancer in mother. Two standard digital views of both breasts with tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, ... | 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. | 31 year old woman with palpable periareolar abnormality for past 4-6 months. History of NF1. Three standard views of both breasts were performed digitally with 2 additional left spot compression views and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. A trian... | No mammographic or sonographic abnormality to correspond with the palpable area of concern which should be managed clinically. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral annual screening mammogram is recommended once the patient is 40 years of age. Re... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in mother. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribut... | 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. | Female; 85 years old. Reason: h/o right tongue cancer History: r/o lung mets LUNGS AND PLEURA: No significant interval change in widespread nodules, many of which are calcified, as well as right middle lobe and lingular atelectasis and bronchiectasis. These findings are compatible with atypical mycobacterial infection ... | No significant interval change or evidence of pulmonary metastases. |
Generate impression based on findings. | Opacification of the uterine cavity revealed a retroverted uterine cavity without mucosal irregularity or filling defects in the uterine cavity. Left tube was freely opacified with free spillage, indicating tubal patency. Right fallopian tube is not dilated and is indeterminant. This might be due to preferential flow ... | Normal retroverted uterine cavity. Patent left fallopian tube. Right fallopian tube is non-dilated but without free spill and is thus indeterminant. |
Generate impression based on findings. | 66-year-old male with history of urothelial cancer status post radical cystectomy and chemotherapy. Patient now with blood in urine. Evaluate upper urinary tract. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: ... | No evidence of recurrent or metastatic disease. Postoperative changes of cystoprostatectomy with ileal conduit formation. |
Generate impression based on findings. | Fall No acute intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. Again seen is prominence of the extra-axial spaces along the bilateral convexities which is likely related to volume loss and stable to less prominent compared to 12/7/2014. There are scattered areas of hypoattenuation... | 1. No evidence of acute intracranial hemorrhage or mass effect. 2. Bilateral extra-axial low density collections without associated mass effect are stable to slightly less prominent than prior. These are likely related to volume loss or possibly represent chronic subdural hematomas. MRI can be obtained for differentiat... |
Generate impression based on findings. | Reason: h/o HNC, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Interval decrease in size of the multiple pulmonary nodules.Reference right lower lobe nodule (image 46 series 4) now measures 13 mm x 13 mm previously measuring 17 mm x 16 mm.Additional nodules demonstrate interval decrease in size... | Interval decrease in size of multiple pulmonary nodules. |
Generate impression based on findings. | Female 57 years old; Reason: Lung Transplant Evaluation History: SOB The comparison chest radiograph performed on 1/13/2015 and demonstrates prominence of the main pulmonary artery. There is matched decreased ventilation and perfusion activity in the left lower lobe. Otherwise the ventilation images show a uniform dist... | 1. No suspicious findings to suggest pulmonary embolism. 2. Matched decreased ventilation and perfusion activity in the right lower lobe which may be related to elevation of the right hemidiaphragm noted on same day chest x-ray. |
Generate impression based on findings. | Female 85 years old; Reason: 85 y/o new dx colon ca. compare to prior CT History: colon ca CHEST:LUNGS AND PLEURA: Scattered micronodules. For example, 4 x 3 mm right upper lobe lung nodule, image 37 series 6, stable from December 15, 2014 CT chest study. No pleural effusion. Emphysematous disease.MEDIASTINUM AND HILA:... | 1. Status post right hemicolectomy. 2. Metastatic mesenteric, retroperitoneal and portacaval lymphadenopathy.3. Right sided deep venous thrombosis. 4. Please refer to concomitant PET exam from same day for additional findings. |
Generate impression based on findings. | Recurrent papillary thyroid carcinoma Questionable hypoechoic focus with echogenic foci within the inferior right central neck. The skin overlying this lesion was marked.Abnormal appearing right level 2 and level 3 lymph nodes were localized under ultrasound and methylene blue injected within the lymph nodes for locali... | Intraoperative ultrasound guided cervical lymph node and right central compartment lesion localization as described. |
Generate impression based on findings. | 55 year old female with bruise on left arm, history of fall Shoulder: Glenohumeral alignment is within normal limits. No fracture is identified.Humerus: No fracture or malalignment. Forearm: No fracture or malalignment. | No fracture or dislocation. |
Generate impression based on findings. | 16-month-old male with pain of unclear etiology, evaluate for toddler's fracture or otherVIEWS: Right femur and tibia-fibula AP/lateral (two views each) 01/13/15 Femur: No acute fracture or malalignment.Tibia-fibula: No acute fracture or malalignment. | No acute fracture or malalignment is evident. |
Generate impression based on findings. | Headache No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. No extra-axial collections. Ventricles are within normal limits without evidence of hydrocephalus.The visualized portions of the paranasal s... | No evidence of acute intracranial hemorrhage or mass effect. |
Generate impression based on findings. | 77 year old female with history of cholangiocarcinoma. Compare with prior imaging. Mid-chemotherapy scans and transaminitis. ABDOMEN:LUNG BASES: New small left greater than right pleural effusion with associated atelectasis. Cardiomegaly, with partially visualized cardiac assist device.LIVER, BILIARY TRACT: Multiple fo... | 1.New abdominal/pelvic ascites, and left greater than right pleural effusion with associated atelectasis.2.Multiple enhancing liver lesions are again seen and although there is no difference in size from prior imaging, the segment 8 lesions are nonspecific and should be followed.3.Marked increased abdominal, pelvic and... |
Generate impression based on findings. | Evaluation is limited due to lack of intravenous contrast, due to iodinated contrast allergy. Extensive dental amalgam streak artifact again obscures most of the oral cavity contents, thus limiting the evaluation of the area of reported right tongue tumor. There are interval right-sided surgical clips along the right ... | Interval expected postoperative changes following right partial glossectomy and right neck dissection. Limited evaluation due to lack of contrast and dental amalgam streak artifact within the oral cavity, without definite evidence of mass lesion or lymphadenopathy. |
Generate impression based on findings. | 8 year-old male with history of distal radius and ulnar fracture. Overlying cast material limits fine osseous detail. There is a transverse band of sclerosis along the distal ulna compatible with a healing/healed fracture. Again seen is a Salter-Harris II fracture of the distal radius with fracture fragments in near an... | Healing distal radius and ulnar fractures as above. |
Generate impression based on findings. | Renal cell carcinoma CHEST:LUNGS AND PLEURA: 0.7 x 0.7 lingular lung nodule best seen on image 83.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: 2.7 x 1.7 cm right chest wall subcutaneous nodule best seen on image 52.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant... | Peripheral left lingular lung nodule best considered indeterminant; would pay special attention to this nodule on future exams. Right chest wall subcutaneous soft tissue nodule, again best considered indeterminate. |
Generate impression based on findings. | Depressed skull fracture, postop follow-up. Again seen are postsurgical changes of right parietal craniotomy and plate and screw fixation. Calvarium is well aligned without depressed bony fragments.Interval evolution of postoperative changes seen with resolution of previously seen mild parenchymal edema in the right pa... | 1. Status post right parietal craniotomy for repair of previously seen comminuted depressed fracture. Calvarium is well aligned without depressed bony fragments.2. Previously seen right parietal edema and hemorrhage have resolved. No new hemorrhage or mass effect. |
Generate impression based on findings. | 34-year-old male status post total abdominal colectomy for ulcerative colitis complicated by Clostridium difficile toxic megacolon. Patient now with leukocytosis and distention. Evaluate for abscess. ABDOMEN:LUNG BASES: Bilateral small to moderate-sized pleural effusions with mild overlying atelectasis.LIVER, BILIARY T... | 1.Findings consistent with partial small bowel obstruction as above.2.Postoperative changes of total colectomy, small to moderate pneumoperitoneum and ascites. No specific findings to suggest abscess.3.Bilateral small to moderate-sized pleural effusions. |
Generate impression based on findings. | 37 year old female who has a complaint of painful left breast mass x 5 months. No family history of breast cancer. Bilateral Diagnostic Mammogram: Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density.... | 1.Large, ill-defined, hypoechoic mass measuring approximately 9 cm by mammogram, at the one o'clock position of the left breast, 10 cm from the nipple, corresponding to the patient's palpable abnormality. This finding is highly suspicious for malignancy, and core needle biopsy of this mass is recommended.2. Ill-defined... |
Generate impression based on findings. | Frontal sinus: The frontal sinus and frontoethmoidal recesses are clear.Anterior ethmoids: There is trace mucosal thickening in several right anterior ethmoid air cells.Maxillary sinuses: There is mild mucosal thickening in both maxillary sinuses. The ostiomeatal units are clear. There is redemonstration of a rounded ... | No significant interval change in size or appearance of a fluid density oval structure projecting just posterior to the left ostiomeatal unit with osseous remodeling. This could represent a chronic mucous retention cyst relating to the ethmoids or possibly a mucocele relating to a left-sided Haller cell. Correlation wi... |
Generate impression based on findings. | Reason: saccular thoracic aneurysm - no contrast ct History: aneurysm LUNGS AND PLEURA: Mild upper lobe predominant paraseptal and centrilobular emphysema.Bronchial wall thickening with interval improvement in the previously noted bronchial plugging involving the right lower lobeno suspicious nodules or masses.No pleur... | Stable exam with severe atherosclerotic changes of the aorta and extensive calcification of its wall. Focal aortic dilatation at the level of the aortic arch is unchanged. |
Generate impression based on findings. | 2-year-old male with right testicular tenderness and mild swelling RIGHT TESTIS: Inguinal canal location. There is normal echotexture. The right testicle measures 1.6 x 0.7 cm. Normal demonstrable spectral and color Doppler flow is present.LEFT TESTIS: Inguinal canal location. There is normal echotexture. The left test... | The left testicle is normal in appearance with mildly high resistance waveform. Testicular torsion may be considered if the physical exam correlates. |
Generate impression based on findings. | 48 year old female who has a complaint of left axillary discomfort x 3 months. History of benign right breast excisional biopsy. History of known multiple fibroadenomata. No family history of breast cancer. Bilateral Diagnostic Mammogram: Three standard views of both breasts were performed digitally and reviewed with t... | Benign morphology left axillary lymph nodes at the site of the patient's focal pain. Stable bilateral benign breast masses. 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 discus... |
Generate impression based on findings. | 61 year old woman with mitral valve regurgitation referred for evaluation of cardiovascular anatomy prior to possible robotic mitral valve surgery. CPT: 75572 Aortic and Aortic Root. There is a left sided aortic arch with normal brachiocephalic branching pattern. No thoracic aortic calcification, dissection or aneurysm... | 1. Normal thoracic aortic anatomy with mild tortuosity. 2. Posterior mitral valve leaflet prolapse. 3. Normal LV size. 4. Mild RV dilation. 5. Moderate biatrial dilation. 6. No coronary calcification noted. This portion of the report pertains to the heart and great vessels only. The remaining soft tissues of the thora... |
Generate impression based on findings. | There are multiple heterogeneously enhancing soft tissue nodules throughout the right neck, consistent with lymphadenopathy. These appear in almost near confluent nodal conglomerates. These are located in 1 through 4 nodal stations, with additional abnormal appearing right posterior cervical nodes. There also supracla... | 1. Extensive right cervical lymphadenopathy consistent with metastatic disease from suspected primary breast cancer, as well as partially visualized axillary and subpectoral lymphadenopathy.2. Tiny nonspecific low densities in the thyroid gland. Correlation with thyroid function tests is recommended and thyroid ultraso... |
Generate impression based on findings. | 64-year-old female, preoperative planning There is marked degenerative disk disease, particularly affecting C4/5 and C5/6 with anterior osteophytes and loss of the normal cervical lordosis.Median sternotomy wires are partially visualized. | Degenerative arthritic changes as described above. |
Generate impression based on findings. | 4-year-old male with pain after fall.VIEWS: Left wrist PA lateral and oblique (3 views) 1/13/2015 No acute fracture or malalignment evident. Mild soft tissue swelling is seen about the wrist. | Mild tissue swelling about the wrist without underlying fracture or malalignment. |
Generate impression based on findings. | 75-year-old male with metastatic prostate cancer status post 4 cycles of treatment. Abnormal increased activity is again seen in the ribs, spine, and right acetabulum. These findings are not significantly changed from the prior study and are consistent with osseous metastatic disease. No new lesions or evidence of dise... | Diffuse osseous metastases without evidence of disease progression. |
Generate impression based on findings. | 71 years old female presents with lung nodule in the right upper lobe. This study was performed for the diagnosis of the nodule. RADIOPHARMACEUTICAL: 11.4 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 160 mg/dL. Today's CT portion grossly demonstrates demonstrates a nodule in the right upper lobe, no signi... | 1.No abnormal FDG uptake in the lung nodule in the right upper lobe, which has no significant change in size as compared with prior CT scan from 2003. This finding is most likely benign. Suggest follow-up if clinically indicated.2.Calcified thyroid nodule with increased FDG uptake, which can be due to adenoma or carcin... |
Generate impression based on findings. | 10-year-old female with right neck swelling, pain, fever A lymph node in the right neck measures 2.9 x 1.9 x 3.9 cm and demonstrates increased color doppler flow. There are additional enlarged lymph nodes in the right side of the neck. There also prominent lymph nodes in the left side of the neck measuring 2.3 x 0.7 x ... | Lymphadenitis without evidence of abscess. |
Generate impression based on findings. | Evaluate pneumothoraxVIEW: Chest AP and abdomen AP ET tube tip at the level of the thoracic inlet. Umbilical lines unchanged. There are three chest tubes on the right. The moderate right pneumothorax has decreased in size. Cardiothymic silhouette normal. Patchy atelectasis left lower lobe. Absent bowel gas without pneu... | Interval improvement in the moderate size right pneumothorax. |
Generate impression based on findings. | 7-month-old male for ET tube placementVIEW: Chest AP (one view) 01/13/15 Right internal jugular central venous catheter tip is at the confluence of the brachiocephalic veins. ET tube tip is at the thoracic inlet. Enteric tube tip is in the second portion of the duodenum. Epicardial pacing leads are noted. Two mediastin... | ET tube tip is at the thoracic inlet. |
Generate impression based on findings. | Evaluate ET tubeVIEW: Chest AP and abdomen AP ET tube tip below thoracic inlet and above the carina. Umbilical lines unchanged. There are three chest tubes on the right. The moderate size right pneumothorax has improved in the interval. Cardiothymic silhouette normal. Diffuse lung haziness bilaterally without pleural e... | ET tube tip below thoracic inlet and above the carina. |
Generate impression based on findings. | Male 83 years old; Reason: please eval for PE History: RV failure of unclear etiology The comparison chest radiograph performed on 1/13/2015 demonstrates mild cardiomegaly with low lung volumes. Please refer to final chest x-ray report for additional findings. There is matched decreased ventilation perfusion activity i... | 1. No evidence of pulmonary embolism.2. Matched decreased ventilation-perfusion activity in the posterior segment of the right upper lobe likely due to artifact.Findings were discussed with Dr. Maureen Willcox in person in nuclear medicine reading room on 1/13/2015 at 4:05 PM. |
Generate impression based on findings. | 50 year-old female with shoulder pain, evaluate rotator cuff Intra-articular contrast is noted extending across a full-thickness defect through the distal supraspinatus tendon at its insertion on the greater tuberosity consistent with a full-thickness distal rotator cuff tear. Several additional contrast-filled linear ... | Full thickness distal supraspinatus tear as described above |
Generate impression based on findings. | 65-year-old female status post right TKA Hardware components of a right total knee arthroplasty are situated in near-anatomic alignment without evidence of hardware complication. Foci of gas, drain and surgical clips in the soft tissues reflect recent surgery. | Status post TKA in near anatomic alignment. |
Generate impression based on findings. | 71 year-old female with history of left ring finger DIP mass. There is focal soft tissue prominence dorsal to the DIP joint which is nonspecific. There is no evidence of underlying osseous erosion. Mild osteoarthritis affects the DIP joint. There is a deformity of the proximal fifth metacarpal likely from an old healed... | Focal soft tissue prominence about the DIP joint is nonspecific. |
Generate impression based on findings. | 52 year woman with left breast calcifications seen on screening mammogram. Three views of the left breast, including spot compression views, were performed digitally 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 distribu... | Segmentally distributed calcifications and vague hypoechoic soft tissue in the left breast upper outer quadrant, without distinct mass identified. Stereotactic biopsy is recommended for further evaluation. Finding and recommendation were discussed with the patient. BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H -... |
Generate impression based on findings. | 85 year-old female with large left breast cancer status post chemotherapy. Sentinel lymph node biopsy scheduled for 1/14/2014.RADIOPHARMACEUTICAL: The left breast was prepared in a sterile manner. A total of 1.05 mCi Tc-99m filtered sulfur colloid was injected in four periareolar injections. Three foci increased activi... | Left intramammary sentinal lymph node and sentinal nodes in the left outer breast/axilla, and left clavicular region were identified. |
Generate impression based on findings. | Female 65 years old; Reason: 65 y.o. with HPT. Please assess for parathyroid adenomas There is physiologic distribution of the radiopharmaceutical. There is absence of right submandibular gland activity compatible with patient's known history of submandibular gland resection. There is uptake in the region of the sella ... | 1. Foci of increased activity in the lower poles of the bilateral thyroid lobes seen on delayed images. Findings may represent parathyroid adenoma or hyperplasia.2. Uptake in the region of the sella turcica may represent a pituitary adenoma. Correlate with brain MRI if clinically indicated.3. Nonspecific uptake in the ... |
Generate impression based on findings. | 59-year-old male with history of esophageal carcinoma. Receiving therapy on clinical trial.RADIOPHARMACEUTICAL: 13.37 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 117 mg/dL. Today's CT portion of the neck demonstrates ethmoid air cells and left maxillary sinus mucosal thickening as well as small bilateral... | 1.Stable increased FDG avidity of the distal esophagus, compatible with known primary esophageal malignancy.2.No evidence of disease progression/metastases.Diagnostic CTs of the chest, abdomen, and pelvis also performed at today's visit will be reported separately. |
Generate impression based on findings. | Seven day old full-term male with multiple congenital anomalies including imperforate anus and hydronephrosis, status post ileostomy/mucous fistula placement. Clinical concern for teratoma. A 2.6 x 2.2 cm pedunculated nonenhancing predominantly fat containing mass is seen extending from the expected location of the anu... | 1.Pedunculated non-enhancing predominantly fat mass arising from the expected location of the anus.2.Imperforate anus.3.Left lower quadrant diverting ileostomy. |
Generate impression based on findings. | Female; 34 years old. Reason: Metastatic breast cancer receiving chemotherapy. Evaluate for treatment response and extent of disease. History: Clinically responding in primary breast mass. CHEST:LUNGS AND PLEURA: Significant interval decrease in number and size of numerous bilateral pulmonary nodules and micronodules. ... | 1. Significant interval decreased in number and size of numerous pulmonary metastases.2. Interval decreased size of prominent left axillary lymph nodes. Single enlarged right axillary lymph node as described above.3. Single bony metastasis in the T8 vertebral body.4. Left breast findings as above, which should be corre... |
Generate impression based on findings. | 60 female with newly diagnosed Hodgkin's Lymphoma. Reason: Initial staging of Hodgkin's Lymphoma.RADIOPHARMACEUTICAL: 15.0 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 99 mg/dL. Today's CT portion grossly demonstrates small bilateral pleural effusion/thickening. There are several small lymph nodes in the ... | 1.Extensive osseous and the splenic lymphoma.2.Nodal involvement of the tumor in the neck, chest, abdomen and pelvis. |
Generate impression based on findings. | 64-year-old female with pancreatic mass. Evaluate. CHEST:LUNGS AND PLEURA: Stable scattered micronodules, some of which are calcified and likely secondary to prior granulomatous disease. No new suspicious nodule. No pleural effusion or pneumothorax.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart is... | 1.Multiple cystic lesions in the pancreatic head with mild interval increase in the largest as above. Differential considerations includes intraductal papillary mucinous neoplasms.2.Incompletely characterized right renal hypoattenuating lesion. |
Generate impression based on findings. | 40-year-old female with history of kidney stones. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS, BLADDER: Bilater... | 1.Right greater than left hydronephroureter (greater than on prior exam on the right with obstructing stone formation seen near UPJ level, without significant change on the left) and bilateral staghorn nephrolithiasis and nephrocalcinosis, right greater than left. Underlying xanthogranulomatous pyelonephritis difficult... |
Generate impression based on findings. | 45-year-old female with history of colorectal cancer. Evaluate for extent of disease. CHEST:LUNGS AND PLEURA: Nonspecific micronodule in the left lower lobe measures 6 x 4 mm (series 3, image 87), previously measuring 4 x 4 mm. No pleural effusion or pneumothorax.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadeno... | 1.Postoperative changes as above without specific findings to suggest residual tumor.2.Soft tissue attenuation in the anterior abdominal wall on the right may be postoperative in etiology. Correlation with physical examination recommended. |
Generate impression based on findings. | Male; 73 years old. Reason: SCCHN restaging scans please compare to previous scans with measurments. History: as above CHEST:LUNGS AND PLEURA: Emphysema. Calcified nodules unchanged. No suspicious pulmonary nodules or masses. Scant amount of tracheal debris near the carina.MEDIASTINUM AND HILA: Reference right paratrac... | Mediastinal lymphadenopathy is overall not significantly changed, aside from a single pretracheal lymph node that has increased in size as detailed above. Continued follow-up is recommended. |
Generate impression based on findings. | Metastatic breast carcinoma CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Right thoracic inlet metastatic adenopathy. A representative node best seen on image two series 3 measures 2.2 x 1.4 cm.CHEST WALL: Bulky right axillary metastatic adenopathy. A representative right axillary lymph... | Right breast masses associated with right breast skin thickening consistent with known right breast carcinoma. Associated with bulky metastatic right axillary adenopathy as well as right thoracic inlet metastatic adenopathy and probable right internal mammary lymph node involvement. |
Generate impression based on findings. | Male 73 years old Reason: 73yo with long-standing HTN, parkinsons, CKD now with ESRD on HD. h/o abd aneurysm s/p repair in 2007 and told "it was leaking". Now with mid-abd pain worse after eating. Eval for leaking aneursym and mesenteric ischemia History: abd pain ABDOMEN:LUNG BASES: Dependent atelectasis the lung base... | Infrarenal abdominal aortic aneurysm with diffuse atherosclerotic changes and bilateral ectasia of the bilateral common femoral arteries. Diffuse wall thickening of the distal abdominal aorta and bilateral common iliac arteries may be secondary to a combination of atherosclerosis and postsurgical repair changes.Borderl... |
Generate impression based on findings. | 55 year-old female with breast cancer. Right breast soft tissue activity may correlate with known right breast tumor/skin thickening. No abnormal osseous foci are identified to indicate metastatic disease. | No evidence of bone metastases. |
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, within the limitations of only postcontrast imaging. Minimal patchy subcortical white matter hypoattenuation is consistent with chronic small vessel ischemic changes. There are no areas of ... | 1. Interval development of diffuse facial and neck soft tissue edema without focal collection or abscess. Lack of visualization of contrast opacification of the internal jugular veins bilaterally with progressive decreased opacification of the vessels over the course of multiple exams. The left internal jugular vein wa... |
Generate impression based on findings. | Male 51 years old Reason: follow up for testes cancer History: testicular cancer s/p chemo and surgery CHEST:LUNGS AND PLEURA: Index left upper lobe nodule measures 2-mm in diameter image number 29, series number 5, slightly smaller compared to previous study. The second left lower lobe index nodule measures 5 by 4 mm ... | Interval resection of the left para-aortic mass. Postsurgical changes in the retroperitoneum.Stable to slightly decreased lung nodules. |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with mild to moderate age-related volume loss. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are scattered punctate and confluent areas of abnormal low density in the periventricular and subcortical white matter, consistent with ... | No acute intracranial abnormality. Stable mild chronic small vessel ischemic changes. |
Generate impression based on findings. | Female 61 years old; Reason: preop MV repair History: fatigue, palpitations Suboptimal evaluation of solid organs secondary to arterial timing of IV contrast bolus.ABDOMEN:LUNGS BASES: Please refer to concomitant CT chest imaging from same day for additional findings, small pericardial fluid.LIVER, BILIARY TRACT: No si... | 1. Vascular measurements as above.2. Thoracolumbar compression deformities. 3. Please refer to concomitant CT chest imaging from same day for additional findings. |
Generate impression based on findings. | Female 48 years old Reason: metastatic proximal tibial lesion, eval for primary source History: see above CHEST:LUNGS AND PLEURA: There are nodular air space opacities in the right upper lobe posteriorly near the fissure associated with airway wall thickening. These are more likely to be infectious, however, neoplasm c... | Pelvic exam is recommended to exclude a cervical carcinoma.Right middle lobe and left lower lobe lesions. Although infection is favored over neoplasm, lung cancer cannot be excluded. Further evaluation with bronchoscopy may be helpful.Lytic bone lesions in the lower thoracic and lumber vertebral bodies consistent with ... |
Generate impression based on findings. | 78 year old female with history of metastatic colon cancer. CHEST:LUNGS AND PLEURA: Right lung base posteriorly located pleural-based nodule (5/76) is unchanged in size, at 9 x 7 mm.MEDIASTINUM AND HILA: Heterogeneous/nodular thyroid, unchanged. Severe coronary artery calcifications. No significant pericardial effusion... | 1.Segment 8 hepatic hypoattenuating lesion has slightly increased in size over the interval. Other reference lesions are unchanged.2.No new foci suspicious for metastases. |
Generate impression based on findings. | Female 75 years old Reason: RLQ pain- r/o appendicitis History: RLQ pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Benign liver cysts.SPLEEN: No significant abnormality notedPANCREAS: Subcentimeter cyst in the body of the pancreas, best seen image number 41, series number 3.ADRENAL GLAND... | No CT findings to explain patient's complaint of right lower quadrant pain. |
Generate impression based on findings. | 85 year-old female with new diagnosis of colon cancer.RADIOPHARMACEUTICAL: 14.9 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 83 mg/dL. Today's CT portion of the neck demonstrates two thyroid nodules in the right lobe and isthmus. No other pertinent neck findings are identified. Please see diagnostic CT re... | 1.Portacaval, retroperitoneal, and mesenteric lymphadenopathy demonstrating FDG avidity is compatible with metastatic nodal disease.2.FDG avid thyroid nodules may represent adenomas, though primary thyroid malignancy is not excluded.Diagnostic CTs of the chest, abdomen, and pelvis also performed at today's visit will b... |
Generate impression based on findings. | Worsening right hip pain. History of prior fracture with repair (screws/plate). Evaluate for OA versus hardware malfunction. A dynamic hip screw device affixes the proximal femur in near-anatomic alignment. There is thin lucency about the dynamic hip screw which is not necessarily of any clinical significance. I see no... | Postoperative changes of fracture fixation and osteoarthritis of the hip as described above. |
Generate impression based on findings. | Asymptomatic. Status post left hip replacement. Rule-out right hip pathology. Two views of the left hip show components of a total hip arthroplasty device situated in near-anatomic alignment. Since the prior study there has been progression and maturation of heterotopic ossification between the trochanters and the acet... | Postoperative changes of left total hip arthroplasty and degenerative arthritic changes as described above. |
Generate impression based on findings. | CT HEAD: There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. CTA HEAD: The intracranial i... | No evidence of intracranial hemorrhage or aneurysm. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Ongoing lower extremity edema, severe pain. Acute process -- gouty changes, osteo-, fracture? There is diffuse soft tissue swelling about the ankle. Mild deformity of the distal fibula may reflect an old healed fracture. A small ossicle distal to the medial malleolus may likewise reflect old trauma. I see no acute frac... | Soft tissue swelling, old posttraumatic changes, and mild osteoarthritis without evidence of acute fracture, osteomyelitis, or gout.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 47-year-old male with hypotension. Evaluate for infection. ABDOMEN: Lack of contrast enhancement limits evaluation of solid organs.LUNG BASES: Interval resolution of bilateral pleural effusions. Mild left basilar atelectasis.LIVER, BILIARY TRACT: Unchanged segment 8 hypoattenuating focus which has previously been chara... | 1.No significant interval change in metastatic disease. 2.Postoperative findings of partial colectomy and diverting loop ileostomy.3.Anterior abdominal wall wound and left lower quadrant anterior abdominal wall tract with air suspicious for infection. Correlate with physical examination. |
Generate impression based on findings. | 60 year-old male with newly diagnosed gastric malignancy. Patient with hyperechoic liver lesions suspicious for metastatic disease. Evaluate. CHEST:LUNGS AND PLEURA: Multiple groundglass and solid nodules in the right lung suspicious for metastatic disease. Reference right upper lobe nodule measures approximately 7 mm ... | 1.Gastric antral wall thickening compatible with stated history of gastric malignancy with tumor invasion of the left hepatic lobe as above.2.Findings consistent with diffuse hepatic metastatic disease. Superimposed infection of segment 2/3 cannot be excluded.3.Thoracic metastatic disease.4.Retroperitoneal lymphadenopa... |
Generate impression based on findings. | 23-year-old female with pain and swelling, evaluate for jaw abscess The left mandibular and maxillary third molars are impacted and there are caries of the left mandibular first molar and left maxillary first molar. There is lucency surrounding the impacted left mandibular third molar, which likely represents a dentige... | Inflammatory changes in the soft tissues surrounding the left mandible without discrete abscess. There is mild adjacent periodontal disease involving the left mandibular molars including a dentigerous cyst, periapical lucencies and caries which may be the source of the infection. |
Generate impression based on findings. | Limited study due to motion.There is a thoracic kyphotic curve. The vertebral body heights and disc spaces are maintained. However, there is diffusely abnormal bone marrow signal involving much of the thoracic spine and includes the vertebral bodies and pedicles at many levels which has progressed when compared to the... | 1.Extensive metastases of the visualized osseous structures, including many of the vertebral levels and pedicles, which are most severe in the thoracic spine.2.Transverse spinal canal narrowing and CSF effacement at the T4-T6 levels secondary to pedicle involvement and epidural spread of disease.3.Mild cord compression... |
Generate impression based on findings. | 87-year-old female with severe pain, no trauma. An AP view the pelvis shows mild-moderate osteoarthritis affecting the left hip and moderate-severe osteoarthritis affecting the right hip without fracture. There are chronic enthesopathic changes along the pelvis. Severe degenerative arthritic changes affect the lower lu... | Osteoarthritis and other findings as described above without fracture. |
Generate impression based on findings. | ABDOMEN:LUNG BASES: Minimal basal atelectasis/scarring.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Scattered calcified granulomata.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Mild nodular thickening of the left adrenal gland, nonspecific and incompletely evaluated on this noncontrast ... | 1.No displaced fracture is evident.2.No nephrolithiasis, hydronephrosis or hydroureter.3.Mild nodular thickening of the left adrenal gland, nonspecific. |
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