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Generate impression based on findings. | Evaluate for thyroid enlargement: occasional dysphagia and palpitations, as well as headache and history of allergic rhinitis. Neck: There is a heterogeneous and enlarged thyroid gland, particularly the isthmus which extends inferiorly to the level of the manubrium. There is minimal associated narrowing of the trachea.... | 1. Heterogeneous and enlarged thyroid gland that extends inferiorly to the level of the manubrium with minimal associated narrowing of the trachea. The findings are compatible with multinodular goiter, although underlying neoplasm cannot be excluded and ultrasound may be useful for further evaluation.2. No evidence of ... |
Generate impression based on findings. | Male 51 years old; Reason: RCC History: RCC CHEST:LUNGS AND PLEURA: Scattered right lung granulomata. No new lung lesions. The pleural spaces are clear.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedOTHER: ABDOMEN:LIVER, BILIARY TRACT: The reference lesion in segment 4... | 1.Increase in the size of the reference lesions. |
Generate impression based on findings. | Male 27 years old; Reason: scrotal pain x 5 days History: tender mobile mass adjacent to right testicle. RIGHT TESTIS: The right testis measures 4.6 x 1.9 x 2.7 cm, with homogeneous echotexture and no focal lesion.LEFT TESTIS: The left testis measures 4.0 by 3.1 x 2 .0 cm, with homogeneous echotexture and no focal lesi... | No mass lesion or other acute abnormalities. Mildly prominent spermatic vessels bilaterally. |
Generate impression based on findings. | Right-sided weakness for a few weeks. There is diffuse cerebral white matter hypoattenuation. There is no evidence of acute intracranial hemorrhage or mass. There are scattered cerebrovascular calcifications. The ventricles and sulci are mildly prominent diffusely due to cerebral volume loss. There is no midline shift ... | Nonspecific diffuse cerebral white matter hypoattenuation may represent small vessel ischemic disease of indeterminate age, but no evidence of acute intracranial hemorrhage. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct. |
Generate impression based on findings. | New onset tremor, gait disorder, bradykinesia and hypophonia. Concern for Parkinson's. Markedly diminished activity is seen in lateral putamen and to a lesser extent bilateral caudate, suggestive of a significant bilateral nigrostriatal dopaminergic dysfunction. | Abnormal examination with markedly decreased basal gangliar activity bilaterally suggestive of significant nigrostriatal dopaminergic dysfunction such as with Parkinson's. |
Generate impression based on findings. | 52-year-old female with history of hip ulcer and pain. Evaluate for osteomyelitis. The radionuclide angiogram demonstrates hyperemic focus in the soft tissues lateral to the left thigh. Sequential blood pool images additionally demonstrate increased activity in the soft tissues of lateral left thigh. On delayed images,... | Osteomyelitis of the left hip, centered in the region of the greater trochanter. |
Generate impression based on findings. | 42 year old female with history of ovarian cancer, TAH, BSO and debulking. Postoperative course complicated by incisions opening and wound infection. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholecystectomy clips are noted.SPLEEN: No significant abnormality notedPANCREAS: No significant... | 1.Anterior abdominal wall low density collection in the area of the wound with a focus of gas which raises the suspicion of wound infection.2.Left pelvis low-density collection which may represent a lymphocele, although this is nonspecific and may be followed if clinically warranted. |
Generate impression based on findings. | 68-year-old male with recurrent hyperparathyroidism who presents for intraoperative localization of parathyroid adenoma. Injection of 20.5 mCi Tc-99m sestamibi for intraoperative localization. No images were acquired for interpretation. | Successful Tc-99m sestamibi injection for intraoperative localization. No images were acquired for interpretation. |
Generate impression based on findings. | Bilateral hydronephrosis. The posterior abdominal radionuclide angiogram demonstrates prompt, symmetrical perfusion of the kidneys. Sequential renal images show the kidneys to be of normal size and morphology. Crescentic activity appearing the left upper quadrant most likely represents prominent gastric uptake of free ... | 1.Symmetric renal parenchymal function.2.Mildly dilated right and mild to moderately dilated left pelvic calyceal systems but with rapid washout and no evidence of current obstruction.3.The bladder appears somewhat abnormally located in the right hemipelvis with somewhat tortuous associated ureters. Correlation with fl... |
Generate impression based on findings. | Bilateral foot pain. Hammertoes and bunion. Three views of the left foot are provided. There is a moderate to severe hallux valgus deformity with mild osteoarthritic changes affecting the first metatarsophalangeal joint. Mild deformity of the third metatarsal diaphysis is likely due to old trauma. Moderate osteoarthrit... | Hallux valgus deformities and other findings as described above. |
Generate impression based on findings. | Nausea and vomiting. Visually there was significant and progressive gastric emptying. Using anterior and posterior geometric means, residual gastric activity at the following postprandial intervals was calculated as follows:30 mins: 88 % of peak activity (normal >70 %)1 hour: 82 % of peak activity (normal 30-90 %) 2 ho... | Gastric emptying within normal limits. |
Generate impression based on findings. | HCC. For Therasphere mapping. There a large focus of increased uptake representing a known lesion in the right liver. No abnormal extrahepatic abdominal activity is noted. Mild diffuse activity is seen to have shunted to the lungs with a shunt fraction of 6.6%. | Successful mapping for anticipated Theraspheres with mild lung shunting as quantified above. |
Generate impression based on findings. | Right arm pain status post motor vehicle accident. There is a minimally displaced fracture of the greater tuberosity, with the tuberosity fracture fragment measuring approximately 3 cm in craniocaudal dimension. Glenohumeral joint alignment is within normal limits. Mild osteoarthritis affects the acromioclavicular join... | Greater tuberosity fracture. I paged the ordering physician, Dr. Hobbs, at 3876 to relay the findings, but the page went unanswered. I called the patient's work phone, but the answering system indicated that the voicemail was checked approximately once every week, so I did not leave a message. I then called the patient... |
Generate impression based on findings. | post craniotomy left follow up, new onset apnea There is about 8mm midline shift toward right side at the level of 3rd ventricle without evidence of trans tentorial herniation.There is left fronto-temporo-parietal craniotomy with subdural fluid collections indicating postoperative changes.Curvilinear high attenuation o... | About 8mm midline shift toward right side at the level of 3rd ventricle.Otherwise postoperative changes including subdural fluid collections on craniotomy site, no unusual finding.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Status post right total knee arthroplasty Components of a right total knee arthroplasty device are situated in near-anatomic alignment without radiographic evidence of hardware complication. Skin staples, a drain, and foci of gas density in the anterior soft tissues reflect recent surgery. | Postoperative changes of total knee arthroplasty as above. |
Generate impression based on findings. | Chest pain. Assess for rib fracture. A marker was placed along the lateral aspect of the lower left rib cage, presumably denoting the site of pain. I see no rib fracture. Mild sclerosis and deformity of the left clavicle likely reflects an old healed fracture. There is an inferior vena cava filter projecting anterior t... | No fracture or other findings account for the patient's pain. |
Generate impression based on findings. | Large sacral decubitus. Osteo? Review of the patient's records reveals a pertinent history of chordoma. There is destruction of the sacrum likely representing a combination of osteomyelitis and changes resulting from the patient's chordoma. Please note that the sacrum and coccyx are not included in their entirety on al... | Destruction of the sacrum likely represents a combination of osteomyelitis and changes resulting from the patient's known chordoma. If further imaging evaluation is clinically warranted, CT or MRI may be considered. |
Generate impression based on findings. | Male; 59 years old. Reason: 59M s/p staged hepatectomy with increased t.bili, wbc, and AMS. Please evaluate fluid collections History: Please evaluate fluid collections. Increased WBC, AMS, t.bili ABDOMEN:LUNG BASES: Large bilateral pleural effusions and moderate adjacent bibasilar nonspecific atelectasis/consolidation... | 1. Increased pleural effusions and ascites.2. Decreased posterior perihepatic fluid collection.3. Stable abdominal drains.4. Mild diffuse small bowel dilation has increased since prior study without abrupt transition point. This may be due to ileus, though clinical correlation for possibility of obstruction is recommen... |
Generate impression based on findings. | Female; 42 years old. Reason: evaluate for structural causes or abscess causing recurrent infections History: UTI ABDOMEN:LUNG BASES: Low density of the cardiac blood pool suggestive of anemia.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormal... | 1. Native atrophic kidneys and right iliac fossa transplant kidney without evidence of hydronephrosis.2. Possible short segment jejunal intussusception and, if so, likely transient. However, clinical correlation is recommended. Small bowel follow-through exam can be obtained for further characterization, as clinically ... |
Generate impression based on findings. | headache No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkabl... | No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | normal pressure hydrocephalus, hallucination. No evidence of acute ischemic or hemorrhagic lesion.Slightly enlarged ventricle size does not show any significant interval change since prior exam.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or e... | No evidence of acute ischemic or hemorrhagic lesion.No change of slightly enlarged ventricle size since prior exam. |
Generate impression based on findings. | altered mental status No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid... | No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | 75-year-old male with tooth extraction now with expanding swelling, previous CT with gas, possible mediastinal extension LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. Punctate micronodule at the right lung base unchanged presumably benign. Scattered cystic areas within the lungs. Mild bronchial wall thic... | 1. Small bilateral pleural effusions with adjacent compressive atelectasis. Mild bronchia wall thickening at the bases may be due to aspiration. 2. No evidence of pneumomediastinum or extension of inflammatory changes to the chest. Please refer to same day CT neck soft tissue for additional findings. |
Generate impression based on findings. | Clinical question: Evaluate for acute changes. Signs and symptoms: Fatigue right-sided weakness worsening over the last 4 months. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, co... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | sudden onset confusion and word finding difficulty with shuffling gait 2 hours ago. NONCONTRAST CT HEADNo evidence of acute ischemic or hemorrhagic lesion on this scan.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, mid... | 1. No evidence of acute ischemic or hemorrhagic lesion.2. Normal head and neck CTA. |
Generate impression based on findings. | Fall from monkey bars this afternoon. Left elbow point tenderness.VIEWS: Left elbow AP/lateral/oblique (3 views) 04/14/15 A large joint effusion is present. A medial supracondylar fracture is identified. The anterior humeral line passes anterior to the middle third of the capitellum. | Medial supracondylar fracture with posterior angulation. |
Generate impression based on findings. | Clinical question: AMS. Unresponsive. Signs and symptoms: Unresponsive. Nonenhanced head CT: There is a subtle resolve no attenuation involving the cortex and subcortical white matter of right frontal lobe with suggestion of subtle associated regional mass effect . Finding is highly suspected of an acute to early subac... | 1.Large subtle focus of cortical and subcortical low attenuation in the right frontal lobe highly suspected on a late acute to early subacute ischemic stroke.2.Unremarkable nonenhanced head CT otherwise. |
Generate impression based on findings. | Female 76 years old Reason: eval for frx History: FOOSH, deformity Left wrist: Three views of the left hand reveal a comminuted intra-articular fracture of the distal radius in near anatomic alignment. Ulnar styloid fracture is also noted in near-anatomic alignment. Moderate osteoarthritis affects the basilar joint and... | Distal radius and ulnar fractures. |
Generate impression based on findings. | Status post burn.EXAMINATION: Skull AP/lateral, cervical spine AP/lateral, thoracolumbar spine AP/lateral, right humerus AP, left humerus AP, right forearm AP, left forearm AP, right hand PA, left hand PA, chest AP, pelvis AP, right femur AP, left femur AP, right tibia fibula AP, left tibia fibula AP, right foot AP, le... | Question of left distal tibia buckle handle fracture as described. Dedicated ankle radiographs are recommended.Findings were communicated to and acknowledged by Dr. LEMELMAN, BENJAMIN on 4/15/15 at 839 hours |
Generate impression based on findings. | Clinical question: Evaluate for progression of intracranial hematoma and probable subarachnoid hemorrhage. Signs and symptoms: Status post fall. Nonenhanced head CT: Examination redemonstrates a focus of acute hemorrhage in right anterior frontal without appreciable interval change since prior exam. It measures approxi... | 1.Stable small focus of hemorrhage in the right frontal as detailed.2.Age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Male 35 years old Reason: eval paronychia s/p recent trauma History: paronychia, trauma Three views of the right hand reveal swelling about the distal interphalangeal joint of the middle finger. There is narrowing of the distal interphalangeal joint with juxtaarticular demineralization and possibly early erosion in the... | Findings concerning for septic arthritis of the distal interphalangeal joint of the middle finger.Findings discussed by myself Dr. Ward with Dr. Helland #7891 04/15/14 at 9:12 a.m. |
Generate impression based on findings. | Female 76 years old Reason: dist radius/ulna History: same Fine detail of the bone is obscured by overlying cast. The distal radius and ulnar fractures are barely visualized. Alignment is near anatomic. | Distal radius and ulnar fractures. |
Generate impression based on findings. | Reason: check NJ tube placement History: NJ tube placement Enteric tube tip projects just proximal to the ligament of Treitz. Nonobstructive bowel gas pattern. The pelvis is excluded from the field-of-view. | Enteric tube tip projects proximal to the ligament of Treitz. |
Generate impression based on findings. | Female 31 years old. Reason: evaluate subglottic stenosis. History: shortness of breath without stridor Three views of the soft tissues of the neck are provided. The pre-vertebral soft tissues appear normal. The airway is patent. There is no evidence of foreign body. | Patent airway. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and cleavage view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Stable dermal calcifications.... | 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. | 40 years, Female. Reason: sbo History: abd pain, no bm Focal minimally dilated loop of small bowel left upper quadrant, otherwise no evidence of obstruction. Average stool burden. Gas and stool is visualized distally in the rectum. | Average stool burden. Focal, minimally dilated loop of small bowel in left upper quadrant. Follow-up may be obtained, as clinically indicated. |
Generate impression based on findings. | 71 year old female with nausea, vomiting and inability to tolerate p.o. for 6 days. History of metastatic bladder cancer. ABDOMEN:LUNG BASES: Mild basilar and right middle lobe subsegmental focal consolidation/atelectasis, unchanged. Normal cardiac size without pericardial effusion.LIVER, BILIARY TRACT: Hypoattenuating... | Interval development of moderate proximal small bowel dilatation. Contrast is seen in within the distal bowel. The findings suggest an early/partial small bowel obstruction likely related to the metastatic mesenteric lymphadenopathy/tumor. |
Generate impression based on findings. | Female 82 years old Reason: RA history with hand, hip, knee pain, eval for arthritis History: RA history with hand, hip, knee pain, eval for arthritis. Right hand: Three views of the right hand show findings consistent with long standing severe rheumatoid arthritis with joint narrowing and bony ankylosis affecting the ... | Arthritic changes compatible with severe long-standing chronic rheumatoid arthritis and superimposed osteoarthritis as described above. |
Generate impression based on findings. | Male 57 years old. Reason: evaluate for osteo. History: increase pain and discharge from nonhealing ulcer Two views of the right tibia/fibula are provided. There is a soft tissue irregularity at the posterior aspect of the ankle. There is soft tissue swelling and scattered foci of gas density within the posterior soft ... | No definite evidence of osteomyelitis. |
Generate impression based on findings. | Reason: eval prox 2nd and 3rd metacarpals for fx History: pain and swelling prox to wnd and 3rd knuckles after fight, + skinned knuckles during fightVIEWS: Right hand PA oblique lateral (3 views) 4/14/15 17:16 There is minimally displaced fracture of the second metacarpal at mid diaphysis with mild palmar angulation. | Minimally displaced fracture of the second metacarpal as above. |
Generate impression based on findings. | 22 month old male patient with leukemia.VIEW: Chest AP (one view) 4/14/2015 at 1854 hrs. Interval placement of left upper PICC with the tip likely at the confluence of the right and left brachiocephalic veins.The cardiothymic silhouette is upper limits normal. There is streaky left retrocardiac atelectasis. No pneumoth... | Left upper extremity PICC at the confluence of the brachiocephalic veins. |
Generate impression based on findings. | 67 years, Female. Reason: Eval placement of biliary stent at OSH History: Stent placed A catheter projects over the right upper quadrant, presumably the patient's biliary stent. Nasogastric tube tip terminates in the distal gastric body. Surgical clips are present in the right upper quadrant. Right basilar chest tube. ... | Biliary stent catheter in the right upper quadrant. NG tube projects over the distal gastric body. |
Generate impression based on findings. | Reason: c/o pain and ltd ROM, unable to raise shoulder, injured playing football History: eval for fx / dislocationVIEWS: Right shoulder AP internal and external rotation (3 views) 4/14/15 17:22 No fracture or dislocation. Alignment is anatomical. | No fracture or dislocation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of prior benign bilateral breast biopsies. Two standard digital views of both breasts and additional right MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, uncha... | 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. | Reason: post reduction film History: post reduction filmVIEWS: Right forearm AP and lateral (2 views) 4/14/15 22:42 Overlying cast limits evaluation of fine bone detail. Reduction of radial and ulnar fracture, now in near-anatomic alignment. | Reduction of radial and ulnar fracture. |
Generate impression based on findings. | 22 month old male patient with repositioned PICC. Check placement.VIEW: Chest AP (one view) 4/14/2015 at 1916 hrs Left upper extremity PICC tip is at the superior atriocaval junction.The lateral margin of the left lung is outside the field of view. The heart size is upper limits of normal. There is streaky left retroca... | PICC tip at the superior atriocaval junction. |
Generate impression based on findings. | Female 23 years old. Reason: evaluate for fb or fracture of left index finger only. History: knife laceration to left index finger Two views of the left hand are provided. The exam is suboptimal secondary to a limited number of views and patient positioning. Within these limitations, there is a soft tissue defect along... | Limited exam without acute fracture or retained foreign body. |
Generate impression based on findings. | Reason: + deformity to forearm, fell off bicycle History: eval for fxVIEWS: Right forearm AP and lateral (2 views) 4/14/15 17:59 Greenstick fracture of radius and ulna at mid diaphysis with mild dorsal angulation. | Fracture of radius and ulna at mid diaphysis with mild dorsal angulation. |
Generate impression based on findings. | Clinical question: Evaluate for change in stroke. Signs and symptoms: AMS, left-sided weakness. Nonenhanced head CT:Stable size of a large right frontal MCA territory subacute ischemic stroke, associated regional mass effect and effacement of cortical sulci and without evidence of midline shift since prior exam. This s... | 1.No evidence of hemorrhagic conversion or increased size of subacute right frontal ischemic stroke.2.No additional acute or new finding since prior study.3.Arachnoid cyst in the right anterior middle cranial fossa with significant bony remodeling. |
Generate impression based on findings. | Male 49 years old. Reason: r/o forefoot fracture. History: foot pain and swelling s/p MVC Three views of the left foot are provided. There are acute fractures at the second, third, and fourth distal metatarsal metaphyses with mild lateral angulation of the distal fracture fragments. | Acute fractures of the second, third, and fourth metatarsals of the left foot as described above. |
Generate impression based on findings. | 39 years, Female. Reason: evaluate for free air - acute worsening of chronic abdominal pain known peripancreatic fluid collection w cystogastrostomy tube History: acute worsening of LLQ abdominal pain, no rebound or guarding No evidence of pneumoperitoneum. Air-fluid level is present in the stomach, but no specific evi... | No evidence of pneumoperitoneum. |
Generate impression based on findings. | Male, 59 years old, with stroke. A hyperattenuating parenchymal hemorrhage is evident involving the right thalamus and basal ganglia measuring 26 x 20 mm. There is mild surrounding parenchymal edema and mild generalized mass effect with some degree of sulcal effacement. No evidence of herniation is seen. No intraventri... | Acute right basal ganglia/thalamus hemorrhage. |
Generate impression based on findings. | 37 year-old female, tachycardia, chest pain, low-grade fever. Evaluate for pulmonary embolus. PULMONARY ARTERIES: No evidence of pulmonary embolus. Main pulmonary artery caliber is within normal limits. No evidence of right heart strain.LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural effusion or... | No evidence of pulmonary embolism. No additional findings to account for the patient's symptoms. PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left breast benign biopsy. Personal history of cancer of the small intestine, diagnosed at age 42. Family history of breast cancer in her maternal aunt. Two standard digital views of both breasts and tomosynthesis were performed and reviewed wit... | 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. | There is a focal small area of abnormal increased density within the subcutaneous tissues of the left submental area. The skin is thickened and enhancing with underlying fat stranding. There is an underlying lower density area without enhancing wall just deep to the thickened skin, which may represent an early phlegmo... | 1. Cellulitis and possible early phlegmon within the soft tissues of the left submental area.2. Significantly enlarged left level Ia lymph node as detailed above, likely reactive in etiology. |
Generate impression based on findings. | 10-year-old male patient with no stool, abdominal distention. Question of severe constipation versus obstruction.VIEWS: Abdomen AP and left lateral decubitus (two views) 4/14/2015 Amorphous stool is noted throughout the colon. Nonobstructive bowel gas pattern. No evidence of free intraperitoneal air, pneumatosis, or po... | Stool throughout the colon. |
Generate impression based on findings. | Clinical question: Evaluate for intracranial hemorrhage. Signs and symptoms: Fell and hit head. Unenhanced head CT:There is no evidence of an acute posttraumatic intracranial or calvarial findings.Unremarkable cerebral cortex, cortical sulci and ventricular system as well as the CSF spaces/cisterns for patient's stated... | 1.No evidence of an acute posttraumatic finding.2.Age indeterminate small vessel ischemic strokes grossly similar to prior exam. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left breast benign biopsy showing fibroadenoma in 2001. Two standard digital views of both breasts and additional right MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in... | Slight interval decrease in left breast mass. 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: NSA - Screening Mammogram. |
Generate impression based on findings. | Male, 59 years old, with right-sided intracerebral hemorrhage. Non-angiographic findings:A hyperattenuating parenchymal hemorrhage involving the right thalamus and basal ganglia is not significantly changed in size or morphology. As before, there remains a mild degree of surrounding edema and mild associated mass effec... | 1. No significant vascular abnormalities are detected which would account for the patient's hemorrhage.2. No significant interval change in the size or morphology of the hemorrhage. |
Generate impression based on findings. | Coarctation of the aorta. Status post cardiac surgery.VIEW: Chest AP (one view) 4/14/15 at 1730 hrs. ET tube tip is at the carina. Right IJ venous access terminates at the RA/SVC junction. Mediastinal clips unchanged. Bilateral chest tubes, mediastinal drain and epicardial pacer leads are noted. NG tube terminates at t... | Multiple postsurgical changes as as described.Small right apical pneumothorax. |
Generate impression based on findings. | 58 years, Female. Reason: 58F s/p open chole and oophorectomy now with elevated WBC and t. bili History: Elevated wbc and t. bili Catheter tubing projects over the right upper quadrant. Multiple surgical clips are noted in the abdomen and pelvis. Midline skin staples are noted. No acute cardiopulmonary process is ident... | Nonobstructive bowel gas pattern. Catheter tubing projects in the right upper quadrant. |
Generate impression based on findings. | Reason: flipped, landed on rt knee History: pain, swellingVIEWS: Right knee AP oblique lateral (3 views), pelvis AP and frog leg (1 view) 4/14/15 18:49 Knee: No fracture or dislocation. Pelvis: No fracture or dislocation. Nonobstructive bowel gas pattern. | No fracture or dislocation. |
Generate impression based on findings. | 73 year old female with shortness of breath, tachypnea. Evaluate for pulmonary embolism. PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery caliber is within normal limits. No evidence of right heart strain.LUNGS AND PLEURA: Few nodular opacities in the right lower lobe adjacent to the major f... | No evidence of pulmonary embolism. PULMONARY EMBOLISM: PE: NegativeChronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 16 year old male patient with constipation.VIEW: Abdomen AP (one view) 4/15/2015 Non-obstructive bowel gas pattern. Amorphous stool is noted in the colon. No evidence of free intraperitoneal air, pneumatosis, or portal venous gas. | Non-obstructive bowel gas pattern. |
Generate impression based on findings. | 72 years, Male. Reason: retained contrast in gastric pull-up from prior images, follow up to see if there is contrast within the colon History: retained contrast in gastric pull-up from prior images, follow up to see if there is contrast within the colon Note is made of postsurgical changes consistent with the stated h... | 1. There is residual contrast identified throughout the colon, as clinically questioned.2. Findings suggestive of adynamic ileus. |
Generate impression based on findings. | 6 year old male patient with encopresis. Assess stool burden.VIEW: Abdomen AP (one view) 4/15/2015 A moderate amount of stool is noted in the ascending and rectosigmoid colon. Non-obstructive bowel gas pattern. No evidence of free intraperitoneal air, pneumatosis, or portal venous gas. | Moderate amount of stool in the ascending and rectosigmoid colon. |
Generate impression based on findings. | 51-year-old male with abdominal pain, vomiting, and diarrhea. ABDOMEN:LUNG BASES: Mild dependent atelectasis/scarring. Normal cardiac size without pericardial effusion.LIVER, BILIARY TRACT: Too small to characterize subcentimeter hepatic hypodensities, likely benign cysts. No suspicious focal hepatic lesion. No biliary... | No specific findings to account for the patient's abdominal pain. |
Generate impression based on findings. | Ms. Armeker submitted outside mammogram dated 1/25/2011, from Rush Medical Center. Submitted outside study was compared to the current mammogram dated 3/24/2015. Three standard views of both breasts were performed. The breast parenchyma is composed of scattered fibroglandular elements. There is no dominant mass, suspic... | 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. | 12 year old male patient with constipation.VIEWS: Abdomen AP supine and erect (two views) 4/15/2015 A small amount of stool is noted throughout the colon. Non-obstructive bowel gas pattern. No evidence of free intraperitoneal air, pneumatosis, or portal venous gas. | Small amount of stool within the colon. |
Generate impression based on findings. | Reason: eval possible pna seen on xr, ro lesion or ptld requiring bronchoscopy. History: sob, fevers, pna on cxr LUNGS AND PLEURA: Left lower lobe consolidation with air bronchograms, consistent with pneumonia.Mild subsegmental atelectasis left lower lung zone.Scattered benign appearing pulmonary micronodules are prese... | Left lower lobe consolidation with air bronchograms, typical of a simple bacterial pneumonia. |
Generate impression based on findings. | 75 year old no status post tooth extraction now with expanding neck swelling. Interval endotracheal intubation and placement of an oro-enteric tube are noted. Two surgical drains have been placed in the left neck, entering at the level of the hyoid bone and terminating medial to the angle of the left mandible. Previous... | 1.Extensive inflammatory changes of the left neck, as above. Increased edema through the deep and superficial left neck with involvement of the right side superficially. Previously seen extensive gas locules dissecting through multiple neck spaces have been partially filled with fluid, which may be postoperative and/or... |
Generate impression based on findings. | Zero day old male patient with respiratory distress requiring transient intubation, shoulder dystocia with pop. Question of pneumothorax, shoulder dystocia concern for fracture.VIEW: Chest AP (one view) 4/15/2015 The aortic arch, cardiac apex, and stomach are on the left. The cardiothymic silhouette is normal. No acute... | No pneumothorax or fracture is evident. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of left-sided benign breast biopsy. Family history of breast cancer in mother at the age of 30 and in maternal cousin at the age of 30. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid o... | 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. | Feeding intolerance. NG tube placement.VIEW: Abdomen AP (one view) 4/14/15 at 1953 hrs. NG tube terminates in the stomach. Abdominal drain again noted. Giant omphalocele unchanged. Disorganized, nonspecific abdominal gas pattern. No evidence of obstruction, free air, pneumatosis intestinalis or portal venous gas. | NG tube terminates in the stomach. |
Generate impression based on findings. | The scout lateral view and the sagittal reformatted images demonstrate normal alignment of the cervical spine, with straightening of normal cervical lordosis. The vertebral body heights are well-maintained. There is moderate-severe disk space narrowing at C5-C6 with endplate degenerative changes. There is mild develop... | 1. Developmentally slender cervical spinal canal with superimposed mild-moderate spondylotic changes, most prominent at C5-C6 there is moderate right foraminal narrowing.2. Abnormal appearance of the left lateral mass C1-C2 junction with both erosive and hypertrophic bony changes. Suggestion of faint mineralization in ... |
Generate impression based on findings. | 33 years, Female. Reason: possible obstruction History: N/V/ab pain Nonobstructive bowel gas pattern. Gaseous distention of the colon. Gastrostomy tube and IUD in place. Right-sided pleural effusion with underlying atelectasis/consolidation, better characterized on recent chest radiograph. Central venous catheter tip p... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 38-year-old male presents with concern for Fournier's gangrene. Evaluate extent of disease. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormali... | Skin defect/irregularity of the glans penis with no specific findings of necrotizing soft tissue infection or drainable fluid collection. Likely reactive inguinal lymphadenopathy.Bladder wall thickening and enhancement, compatible with increased pressure and/or inflammation/infection, likely chronic given the patient's... |
Generate impression based on findings. | 63 years, Male. Reason: check NJ placement History: check nj placement Enteric tube tip projects at the level of the second/third portion of the duodenum. Gaseous distention of the small bowel and colon without evidence of obstruction. Moderate stool burden. The lung bases appear clear. | Enteric tube tip projects at the level of the second/third portion of the duodenum. |
Generate impression based on findings. | Reason: h/o recurrent tonsil ca and CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: No evidence of pulmonary metastases, or other lung abnormality. MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Small hiatal hernia.Heart size normal. Stable ectatic descending aorta.CORONA... | Low neck and upper chest anterior wall nodular skin thickening consistent with local recurrence. No evidence chest or upper abdomen metastases. |
Generate impression based on findings. | 59 years old, Female, History: 10/10 L-sided HA There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear.... | No evidence of acute intracranial abnormality. |
Generate impression based on findings. | Female, 21 years old. Reason: pilonidal cyst. s/p excision of superior cyst in July. Concern from track/fistula History: second area of infected pilonidal cyst in close proximity to recent surgical site for pilonidal cyst A hypoechoic soft tissue structure in the subcutaneous soft tissue near the midline at the superio... | An approximately 1cm soft tissue structure in the subcutaneous soft tissue in the area of the prior pilonidal cyst is nonspecific. No drainable abscess is identified. |
Generate impression based on findings. | 70 years, Female. Reason: check position of NG tube History: bilious output from mouth with repositioning NG tube tip projects at the level of the antrum of the stomach. Nonobstructive bowel gas pattern. Moderate amount of stool noted throughout the colon. Residual contrast is identified within the collecting systems b... | NG tube tip projects at the level of the antrum of the stomach. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Remote history of benign left excisional biopsy. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in distri... | 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. | 11 year old female patient with ankle swelling following twisting of ankle during cheerleading practice.VIEWS: Left ankle AP, oblique, lateral (3 views) 4/15/2015 No fracture or malalignment is evident. No ankle joint effusion is seen. | No acute fracture is evident |
Generate impression based on findings. | 2-year-old male patient with hypoxia. Question of ET tube placement and consolidation.VIEW: Chest AP (one view) 4/15/2015 at 0756 hrs Endotracheal tube tip is below the thoracic inlet and above the carina. Enteric tube tip is coiled in the stomach. Right upper extremity PICC tip is in the right atrium.Again seen is rig... | Unchanged right middle lobe opacity. |
Generate impression based on findings. | 70 year-old female with abdominal pain. Evaluate for aortic dissection. CT ANGIOGRAM:No acute aortic dissection or rupture.Normal caliber of the thoracic aorta. Moderate atherosclerotic calcifications of the thoracic aorta and its branch vessels, including the coronary arteries. Aortic arch branch vessels are widely pa... | 1. Sigmoid perforation as detailed above.2. Findings highly suspicious for rectal cancer with hepatic, pulmonary, and mediastinal metastases.3. No acute aortic dissection or rupture.Findings discussed by the radiology resident on call with the surgery team at 10:30 p.m. on 4/14/15. |
Generate impression based on findings. | 35 year old female with nausea, vomiting, diarrhea, and diffuse abdominal pain. Concern for pancreatitis. ABDOMEN:LUNG BASES: Minimal atelectasis. Minimal pericardial fluid.LIVER, BILIARY TRACT: No suspicious focal hepatic lesion, biliary ductal dilatation or vascular abnormality. Partially distended gallbladder.SPLEEN... | 1. Diffuse mild colonic wall thickening raising the possibility of colitis.2. Large volume ascites and mild anasarca.3. Stable pancreatic IPMNs. Given the patient's age continued surveillance imaging is recommended.4. Stable mild non-specific pelvic and inguinal lymphadenopathy. |
Generate impression based on findings. | 43 years old, Male, History: headache after MVC There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. Small scattered mucus retention cyst in the right maxillary s... | 1. No acute intracranial abnormality. No evidence of fracture although motion limits fine detail of facial bones.2. Focal prominent CSF space along the high convexity of the frontal lobes bilaterally, with some apparent mass effect on the left could represent an arachnoid cyst and less likely focal volume loss.3. Promi... |
Generate impression based on findings. | Ms. Marroquin is a 38 year old female with a personal history of two benign right breast biopsies in October 2014 (fibroadenoma and sclerosing intraductal papilloma.). She has no current breast related complaints. - in the right breast 6 o'clock location, approximately 2 cm from the nipple, the previously biopsied fibr... | Stable size of previously biopsied fibroadenoma and papilloma in the right breast. No sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually, due in Sept 2015. All results and recommendation were discussed with the patient.... |
Generate impression based on findings. | Bar fight and contusion. Evaluate size of bleed and for tooth fracture. There is slight interval increase in size of the right anterior temporal subdural hematoma and suspected parenchymal hemorrhage inseparable from subdural blood products measuring 11 mm in transverse dimension, previously 10 mm. There is also slight... | 1. Slight interval increase in size of the right anterior temporal subdural hematoma with suspected parenchymal hemorrhage inseparable from subdural, measuring 11 mm in transverse dimension, previously 10 mm. Slight interval increase in adjacent parenchymal vasogenic edema. Evolution or redistribution of a small subdur... |
Generate impression based on findings. | Female 57 years old Reason: GIST tumor History: GIST tumor ABDOMEN:LUNG BASES: No significant abnormality identified. Previous findings have resolved.LIVER, BILIARY TRACT: No biliary ductal dilatation or focal hepatic mass.SPLEEN: Punctate hypodense nodules are stable in appearance and possibly benign.PANCREAS: No sign... | Resolution of lung findings. Esophageal stent unchanged. Stable left adrenal nodule. New infrarenal IVC filter with thrombosis of the lower IVC and small amount of clot extending slightly through the strut along the cone of the filter.Findings relate to messaging service (847 -- 702 -- 2682). |
Generate impression based on findings. | Male 62 years old. Reason: left thumb basilar joint arthritis. History: pain Three views of the left thumb are provided. Small osteophytes indicate mild basilar joint osteoarthritis. There is also mild osteoarthritis of the first metacarpophalangeal joint. A 6-mm ossicle along the radial aspect of the metacarpal head m... | Osteoarthritis and other findings as described above. |
Generate impression based on findings. | 87-year-old male. Pain. Evaluate for ankle fracture. No fracture or dislocation. Enthesopathic changes at the Achilles tendon insertion. | No fracture. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in distribution. Stable benign masses are present in the central left breast and lower inner right ... | 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. | Reason: 4 vessel angiogram/ possible mechanical thrombectomy History: Lt sided weakness and aphasiaFLUOROSCOPY TIME: 62.8 minutesFrontal: 1117.22 mGyLateral: 621.49 mGyOPERATORS: Greg Christoforidis, Judy Wu Left common carotid artery: There is no evidence for carotid stenosis on the basis of NASCET criteria. There is ... | 1.Left middle cerebral artery mid to distal M1 occlusion distal to the .2.Embolectomy with recanalization and significant reperfusion (TICI 2B) of the left middle cerebral artery using the Trevo embolectomy devices. There was partial occlusion of the left PCA at the end of the procedure with delayed flow.3.Sheath was l... |
Generate impression based on findings. | 76 year old male. Ankle pain. Knee pain. Right ankle: No fracture or dislocation. Plantar heel spur. Vascular calcifications.Left knee: No fracture or dislocation. Enthesopathic changes at the patellar tendon insertion. Small knee joint effusion. Vascular calcifications posterior to the knee. Tricompartmental tiny oste... | Osteoarthritis. No fracture. |
Generate impression based on findings. | Female, 51 years old. Reason: 51 yo with HBV please screen for HCC History: none LIVER: The liver measures 14.6 cm, with mildly coarse, echogenic appearance, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic or extrahepatic biliary ductal dilata... | 1. Mildly increased hepatic echogenicity compatible with fatty infiltration or parenchymal disease. No focal hepatic lesion.2. Cholelithiasis without evidence of acute inflammation. |
Generate impression based on findings. | History of right lumpectomy for IDC with negative margins. Most recent imaging demonstrates a percutaneously placed clip posterior to the lumpectomy bed. The clip does not appear to be in the biopsied mass on the immediate post procedure mammogram and was most likely displaced at the time of the biopsy. Three punctate ... | Stable high probability benign calcifications within the right breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended in 6 months. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benign f... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Right breast cyst aspiration in 1987 and right breast abscess drainage in 1968. Family history of breast cancer in maternal great aunt and grandmother Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The br... | 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: NSC - Screening Mammogram. |
Generate impression based on findings. | 68-year-old male presents with right flank tenderness. ABDOMEN:LUNG BASES: Basilar subsegmental atelectasis. Mild cardiomegaly. LIVER, BILIARY TRACT: Multiple hepatic hypodensities measuring simple fluid attenuation are incompletely characterized. No biliary ductal dilatation. Normal hepatic morphology.SPLEEN: Borderli... | Marked right-sided hydroureteronephrosis to the level of the mid/distal ureter without a discrete obstructing stone or lesion evident at this level. Asymmetric perinephric fat stranding and fascial thickening. Distended urinary bladder with enlarged prostate. These constellation of findings are more compatible with acu... |
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