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Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. Benign arterial calcifications.No suspicious masses, microcalcifications or a... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this r... |
Generate impression based on findings. | 62-year-old male with metastatic prostate cancer. Evaluation disease after 5 cycles of investigational therapy. CHEST:LUNGS AND PLEURA: 1.2 x 1.2 cm ground-glass nodule in the left upper lobe (image 37 series 5) is not significantly changed from the prior exam. Scattered granulomata.Bibasilar atelectasis.MEDIASTINUM AN... | Interval progression of disease with new retroperitoneal lymphadenopathy and paraspinal soft tissue metastasis extensive. Extensive osseous metastatic disease. Stable left upper lobe ground glass nodule. |
Generate impression based on findings. | Female 15 days old Reason: is there improvement in RUL aeration? History: RUL atelectasis, status post diaphragmatic hernia repair.VIEW: Chest AP (one view) 4/15/15 at 509 hours. Umbilical line has been removed or retracted. NG tube terminates in the stomach. ET tube tip is below the thoracic inlet. Left upper extremit... | Persistent left-sided pneumothorax and increasing in right side pleural effusion. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in distribution. No suspicious masses, microcalcifications or areas of archi... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. There are multiple benign appearing circumscribed oval masses in the... | Multiple benign appearing circumscribed oval masses in the left breast. 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. | Knee pain. Soccer player.VIEWS: Right knee AP/lateral/oblique (3 views) 04/15/15 A joint effusion is not present. The bones are normal in appearance. No fracture is identified. | Normal examination. |
Generate impression based on findings. | Four-month old former 29 to 30 week gestational age patient with short gut and atelectasis.VIEW: Chest AP (one view) 04/15/15, 0506 Endotracheal tube tip is just above carina. Feeding tube tip is distal to proximal body of the stomach and not included on image. Sidehole is at GE junction. Left-sided central line tip is... | Multifocal atelectasis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy. Keloids and scar tissue overlying both breasts. 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,... | Stable bilateral keloids and focal asymmetries. 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. | 47-year-old man with kidney transplant and microscopic hematuria. Assess native kidneys and graft for source. The following observations are made given the limitations of an unenhanced study.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant ... | Punctate, nonobstructive upper pole renal transplant calculus. |
Generate impression based on findings. | 55 year old female with abdominal pain and chills. ABDOMEN:LUNG BASES: Small right greater than left pleural effusions with septal thickening. Basilar consolidation/atelectasis suspicious for aspiration. Mild pericardial effusion. LIVER, BILIARY TRACT: No focal hepatic lesion, biliary ductal dilatation or vascular abno... | Findings of pulmonary edema with small effusions. Basilar consolidation/atelectasis also raises the possibility of aspiration/infection. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Patient reports previous right breast cyst aspiration in 2000 and benign stereotactic biopsy of the left breast in the 1990s. Two standard digital views of both breasts and additional left MLO were performed and reviewed with the aid of R2 CAD 9.3. The bre... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Reason: s/p VP shunt insertion 4/14/15VIEWS: Shunt series: Skull AP/lateral (two views), chest AP/lateral (two views), abdomen AP/lateral (two views) date Interval removal of the ventriculoatrial shunt and placement of ventriculoperitoneal shunt. Right parietal approach ventriculoperitoneal catheter insertion with tip ... | Interval removal of the ventriculoatrial shunt and placement of the right parietal ventriculoperitoneal shunt. |
Generate impression based on findings. | Male 43 years old. Reason: 43yr old male with history of MM; pre-auto sct evaluation. History: evaluate SKULL: No discrete myelomatous lesion. Note is made of an impacted left mandibular molar.CERVICAL SPINE: The C7 vertebral body and the cervicothoracic junction are not well seen on the lateral view secondary to overl... | Findings compatible with multiple myeloma as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of mole on the right breast. 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. No suspicious masses, microcalcification... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this r... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Scattered benign-appearing ca... | 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. | Female 15 days old Reason: Check PCVC line RUE History: Central line placed. Status post left diaphragmatic hernia repair.VIEW: Chest AP (one view) 4/14/15 at 2134 hrs. NG tube, umbilical line and ET tube unchanged. Interval placement of right upper extremity PCVC, tip is at the confluence of both innominate veins. Int... | Interval Central line placement and worsening in right-sided pleural effusion. |
Generate impression based on findings. | Male 65 years old. Reason: s/p left TKA. History: 6 week post op Three weight-bearing views of the left knee are provided. Hardware components of a left total knee arthroplasty are situated in near-anatomic alignment. On the lateral view, an approximately 18 mm wedge-shaped bone fragment is seen along the posterior asp... | Total knee arthroplasty as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. The patient has a family history of breast cancer in her maternal cousin. 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 pattern and distributi... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 14-year-old female patient with fever, hypoxia, history of possible aspiration.VIEWS: Chest AP (one view) 4/14/2015 Right chest port catheter tip is in the right atrium. Right upper quadrant surgical clips are present.Low lung volumes. The cardiac silhouette size is normal. Left basilar atelectasis is present. No pneum... | Atelectasis without specific evidence of pneumonia. |
Generate impression based on findings. | Right-sided pneumothorax. Respiratory failure.VIEW: Chest AP (one view) 4/15/15 at 532 hours. ET tube terminates below thoracic inlet. NG tube tip is in the stomach. UVC terminates at the right atrium. UAC tip is at T7. Both right-sided chest tube are again noted. Mild soft tissue edema persist.Cardiac silhouette size ... | Interval improvement in right-sided pneumothorax and right apical atelectasis with worsening of left lung PIE and lingular atelectasis. |
Generate impression based on findings. | Female, 18 years old. 4 week history of RUQ pain LIVER: The liver measures 15.5 cm, with homogeneous echotexture, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic or extrahepatic biliary ductal dilatation. The common bile duct measures 0.3 cm. ... | The gallbladder is collapsed. No cholelithiasis or evidence of acute inflammation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in a sister at 53. 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 distributi... | 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: h/o HNC and CRT, compare to previous measurement History: none CHEST:LUNGS AND PLEURA: Bibasilar scarring and atelectasis. In the left base there is a more rounded component that likely represents round atelectasis, although underlying metastasis cannot be excluded. Scattered calcified and noncalcified micronod... | 1.No definite evidence of pulmonary or pleural metastases.2.Interval increase in bilateral lower lobe atelectasis and scarring, possibly related to recurrent aspiration. In the left lower lobe there is a rounded component that likely represents round atelectasis, although underlying metastasis cannot be excluded. 3.Ext... |
Generate impression based on findings. | The lumbar spine is in normal alignment, with a normal lumbar lordosis. There is mild disk narrowing and desiccation at L5-S1. The vertebral body and disk heights are otherwise well-maintained. No worrisome focal marrow signal abnormality is appreciated. There is no pathological enhancement. The distal spinal cord and... | 1. No evidence of lumbar metastatic disease or cord compression.2. Very minimal disk degenerative changes L5-S1, without significant central spinal canal stenosis or foraminal narrowing at any level.3. Redemonstration of a partially visualized right posterior hepatic lesion which is of fat signal intensity, consistent ... |
Generate impression based on findings. | Female, 34 years old. Reason: LUQ abdominal pain x 2 months - evaluate for enlarged spleen other pathology LIVER: The liver measures 13.2 cm, with homogeneous echotexture, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic or extrahepatic biliary... | No splenomegaly or other acute abnormality to account for the patient's symptoms. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. The previously documented round shaped... | 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. | 39-year-old female. Pain. Tiny tricompartmental osteophytes consistent with minimal osteoarthritis. No fracture or dislocation. | Minimal osteoarthritis. |
Generate impression based on findings. | 70 year-old female. Possible left rib fracture. Pain. No evidence of a rib fracture. | No evidence of a rib fracture. |
Generate impression based on findings. | 63 years, Female. Reason: s/p OGT adjustment History: s/p OGT adjustment The pelvis is not included in the field of view. NG tube tip projects at the level of the body of the stomach. Nonobstructive bowel gas pattern. Left pleural effusion with underlying atelectasis/consolidation. Bibasilar interstitial and air space ... | NG tube tip projects at the level of the body of the stomach. |
Generate impression based on findings. | Male 45 years old. Reason: low back pain and neck pain status post fusion. History: low back pain Two views of the cervical spine are provided. The C7 vertebral body and cervicothoracic junction are not well seen on the lateral view secondary to overlying anatomy. There is an anterior plate with screws entering the C5,... | Postoperative changes of ACDF and degenerative arthritic changes as described above. |
Generate impression based on findings. | Reason: Pt s/p Lap IPAA 1/22/15. please evaluate to see if J-pouch is healed. History: UC There is prompt opacification J-pouch, of normal static morphology.Trial straining showed appropriate descent of the perineal floor; voluntary anal sphincter contraction demonstrated expected perineal elevation.Formal straining an... | Unremarkable examination of the J-pouch, without evidence of sinus tracts, fistulae, or anastomotic leak. Normal peristalsis and evacuation were observed. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in mother diagnosed at 82 years of age. 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 heterogeneously dense, which may obscure s... | 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. | 69 year-old female with history of ADH in the left breast on 5/6/14, currently on AI, please assess calcifications. Due to multiple comorbid conditions, patient is put on hormonal therapy instead of excisional biopsy. Three standard views of both breasts and two spot magnification views of left breast were performed di... | Left breast loosely scattered calcifications anterior to the clip (biopsy at that site was ADH) are stable from prior study. Patient is on hormonal therapy given her comorbid conditions. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mamm... |
Generate impression based on findings. | Pain Severe degenerative disk disease affects C5/6 and C6/7, similar to that seen on the prior study. Relatively mild degenerative disease of the upper cervical spine. There is multilevel facet joint osteoarthritis most severely affecting articulations on the left. There is slight anterior translation of C1 relative to... | Severe degenerative arthritic changes as described above, with findings suggestive of atlantoaxial subluxation. If further imaging evaluation is clinically warranted, MRI may be considered. |
Generate impression based on findings. | Reason: hx of lung CA, pls compare to previous and measure History: none LUNGS AND PLEURA: Significant interval reduction in the right infrahilar mass (image 42 series 3) now measuring 2 cm x 4.4 cm previously measuring 5 cm x 6.4 cm.Right upper lobe mass as well as numerous bilateral pulmonary nodules have all signifi... | Significant interval therapeutic response of this patient's lung cancer, pulmonary metastatic disease, hepatic metastasis, and lymphadenopathy. No new sites of disease identified. |
Generate impression based on findings. | 15-year-old female. Osteochondroma. Left humerus proximal bone exophytic lesion consistent with post-surgical findings of osteochondroma resection, unchanged. Overall length of the lesion again is approximately 8 cm. | Stable post-surgical finding of left proximal humerus osteochondroma resection. |
Generate impression based on findings. | Female 73 years old. Reason: r/o fract 4th and 5th metacarpal heads. History: fell with swelling and pain. Three views of the right hand are provided. There is mild soft tissue swelling dorsal to the metacarpal heads but we see no metacarpal fracture. Plate and screw device affixing the distal radius is incompletely im... | Soft tissue swelling without acute fracture. |
Generate impression based on findings. | Female, 25 years old, status post fall with headache and facial tenderness. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid is seen. There is no evidence of mass effect or parenchymal edema. The ventricular system i... | 1.No acute intracranial abnormality.2.No maxillofacial bone or soft tissue injury. |
Generate impression based on findings. | Again seen are postoperative findings related to right submandibular gland resection and neck dissection. There is increased enhancement and nodularity of the base of the tongue, similar to prior exam likely representing hyperplasia of the lingual tonsils. Again seen are edematous changes involving the oropharynx, rig... | 1. Post treatment changes in the neck without definite discrete mass lesion. No findings to suggest tumor progression. No significant cervical lymphadenopathy.2. Unchanged enlarged foramen ovale secondary to known perineural tumor spread with associated denervation atrophy of the right muscles of mastication. No intrac... |
Generate impression based on findings. | Reason: 59M with mets rectal cancer s/p staged hepatectomy, TIPs procedure, now with worsening cough and elevated WBC History: Worsening cough, elevated WBC LUNGS AND PLEURA: 7-mm right middle lobe nodule is new compared to outside CT and suspicious for a metastasis (series 6 image 49). Micronodule along the right majo... | 1.New right middle lobe pulmonary nodule measuring 7 mm, suspicious for a metastasis. Additional micronodules on the right major fissure likely represents an intrapulmonary lymph node.2.Large right and moderate left pleural effusions with overlying atelectasis/consolidation.3.Please see separately dictated CT abdomen a... |
Generate impression based on findings. | 61-year-old male with lung and head/neck cancer, status post chemo and RT and resection. Compare with previous study and evaluate disease status. CHEST:LUNGS AND PLEURA: Postoperative changes of left upper lobectomy and post radiation changes in the right lung including paramediastinal fibrosis with bronchiectasis and ... | Left lower lobe nodule slightly decreased in size. New left lower lobe opacities nonspecific but statistically most likely represents radiation pneumonitis. Interval resolution of right middle lobe opacities. |
Generate impression based on findings. | 55-year-old female. Postoperative prosthetic assess. Hardware components of an intramedullary rod and screw device affixing a comminuted intertrochanteric fracture in gross anatomic alignment without radiographic evidence of hardware complication. There is callus formation consistent with healing. | Orthopedic fixation of a healing left proximal femoral fracture. |
Generate impression based on findings. | Male 22 years old; Reason: r/o malignancy History: two testicular masses, exquisitely tender RIGHT TESTIS: Right testis measures 3.8 x 3.1 x 1 .9 cm, with homogeneous echotexture.LEFT TESTIS: The left testis measures 4.0 x 2.8 x 1 .9 cm, with homogeneous echotexture.RIGHT EPIDIDYMIS: The right epididymis measures 2.4 x... | No intratesticular mass identified. Two subcentimeter left epididymal cysts vs spermatocele. |
Generate impression based on findings. | Female 18 years old. Reason: r/o frx. History: pain Three views of the left ankle are provided. There is mild soft tissue swelling. There are small linear densities dorsal to the head of the talus and the navicular likely representing small fracture fragments which were not present on the prior study from 2011. | Small avulsion fractures dorsal to the head of the talus and navicular. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two maternal great aunts with history of breast cancer. 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 distr... | 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. | 12 year old female patient with right 4th toe shorter than the left, started one year ago. No trauma. Question of bone abnormalities of the right fourth toe.VIEWS: Right foot AP and right fourth toe oblique and lateral (3 views) 4/15/2015 The fourth metatarsal is short in length. No acute fracture is evident. Alignment... | Short fourth metatarsal; this is most likely post-traumatic in etiology, however, can be seen with metabolic abnormalities and other disorders. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast biopsy in 2012 showing sclerosing adenosis. History of breast cancer in paternal aunt diagnosed at the age of 45. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast pa... | Stable benign 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: NSC - Screening Mammogram. |
Generate impression based on findings. | There has been interval shunt revision, with a right posterior parietal approach ventriculostomy catheter visualized with tip in the region of the cystic outpouching of the anterior left lateral ventricle. There is significant interval decreased size of the lateral and third ventricles. For example the third ventricle... | Interval shunt revision with significant decreased caliber of the lateral and third ventricles. Favorable increased visualization of the sulci. Fourth ventricle is similar in size, remaining dilated. |
Generate impression based on findings. | Male; 61 years old. Reason: metastatic pancreatic cancer and recent bilateral PE, one week fevers to 102, worsening RUQ pain, productive cough, leukocytosis, cholestatic liver enzymes, evaluate for lung or abdominal (particularly biliary) infection History: as above CHEST:LUNGS AND PLEURA: Right lower lobe peripheral a... | 1. Acute right pulmonary emboli with right lower lobe air space opacity most suspicious for infarct. Service is aware of this finding.2. Increased size and number of hepatic metastases.3. Stable pancreatic mass, most compatible with pancreatic adenocarcinoma.4. Right common femoral DVT. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign bilateral breast biopsies. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is extremely dense, which lowers the sensitivity of mammography. Benign-appearing calcific... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this r... |
Generate impression based on findings. | History of imperforate anus. Colonic distention.VIEW: Abdomen AP (one view) 04/15/15 Gastrostomy tube and a descending colonic enema tube are identified. Fine surgical clips are seen in the left upper quadrant. Segmentation anomaly of the sacrum is again identified.Marked colonic distention is present and has increased... | Increase in colonic distention. |
Generate impression based on findings. | Rule out gallstones. Right upper quadrant pain. LIVER: No focal liver lesions. Liver measures 14.5 cm in length. Portal vein is patent with flow towards the liver on color Doppler imagingGALLBLADDER, BILIARY TRACT: Multiple small gallstones. No evidence wall thickening or pericholecystic fluid. Common duct measures 4 m... | Gallstones. |
Generate impression based on findings. | History of right mastectomy in 2001 for breast cancer. History of left breast reduction. Personal history of leukemia and multiple myeloma. History of breast cancer in maternal aunt diagnosed at the age of 83. Three standard views of the left breast, additional left CC view, and two spot compression views were performe... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Reason: 5 y/o 9 months off therapy from neuroblastoma History: none CHEST:LUNGS AND PLEURA: Apparent decrease in lung volumes from prior study likely due to expiratory images. Nonspecific small pleural irregularities seen in the right apex (series 4 image 17) and RLL (series 4 image 35), which appears new from prior st... | 1.Unchanged soft tissue prominence centered to L1 vertebral body.2.Unchanged pelvic and femoral head osseous lesions.3.Two right pleural irregularities, new from prior study, likely of no clinical significance. |
Generate impression based on findings. | Reason: pt with a history of small cell lung cancer and laryngeal cancer, please assess for disease progression History: lung cancer, laryngeal cancer CHEST:LUNGS AND PLEURA: Postsurgical changes of a right upper lobe wedge resection, unchanged. Dense right paramediastinal consolidation, which partially obscures the ri... | 1.Improved postsurgical and posttreatment changes on the right, which obscures the right lower lobe mass. No new sites of disease. 2.Interval improvement in aspiration changes in the bilateral lower lobes.3.Patulous esophagus with debris appears increased compared to prior exams, increasing risk of aspiration. |
Generate impression based on findings. | Ms. Perona is a 52 year old female recalled from screening mammogram for a left breast abnormality. She has a family history of breast cancer in her maternal grandmother. Personal history of bilateral needle aspirations. An ML view and three spot compression views of the left breast were performed digitally and reviewe... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually, due next April 2016. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Postoperative changes from previous left pterional craniotomy and clipping of an aneurysm in the region of the left basal ganglia are again noted. The walls of the aneurysm remain densely calcified, with surrounding encephalomalacia and associated left frontal horn ex vacuo dilatation. There is again prominent ill-def... | 1. No acute intracranial hemorrhage.2. Stable postoperative changes.3. Stable appearance of likely extra-axial hyperattenuation along the inferior left frontal lobe, with differential as previously described. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in maternal aunt diagnosed at age 72. 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 heterogeneously dense, which may obscure small mass... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Status post IR drainage for abscess. Evaluate. ABDOMEN:LUNG BASES: Minimal atelectasis. Incompletely imaged subcentimeter subcutaneous nodule in the left anterolateral chest wall (image one; series 3)LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality noted. Small focus of accessory... | 1. Obstructing calculi distal left ureter with regressing hydronephrosis. Nonobstructing calcified bilaterally.2. Decreasing presacral fluid collection after CT guided aspiration3. Unchanged complex renal masses as described previously. |
Generate impression based on findings. | Down syndrome, CP and new refusing to bear weightVIEW: Pelvis AP (one view) 4/14/15 17:20 No evidence of malalignment or fracture. Femoral heads are appropriately directed towards well-developed acetabula. There is lateral uncovering of 30% of left femoral head and 20% of right femoral head. | No evidence of malalignment or fracture. |
Generate impression based on findings. | 36 year old male with history of frontal and ethmoid tumors. Now with headache recurrence. Evaluate for recurrent tumors. Additional history per EMR: Frontal sinus osteoma s/p resection 2012. Sinuses:The exam is limited by lack of intravenous contrast. Again seen are postoperative changes involving the left frontal sin... | 1. Interval formation of curvilinear signal along the lateral left frontal sinus with T1/T2 signal similar to bone; may represent osteoma given the given clinical history. This could be better evaluated by CT, with comparison to preoperative imaging.2. Overall, slight decreased scattered presumed mucosal thickening, ve... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, additional bilateral MLO views, and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in distribution. Stable scattered benign right b... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | There remains subtle asymmetric abnormal increased FLAIR signal within the left frontal lobe convexity sulci including the left precentral sulcus, and to a lesser degree along the left temporal lobe. There is overall decreased extent of previously identified leptomeningeal enhancement in these areas, best appreciated ... | Interval decreased degree of left frontal and temporal lobe leptomeningeal enhancement, although with persistent sulcal FLAIR abnormality in these locations. Interval increased conspicuity of several punctate foci of enhancement along the gray-white junction in these area, with several new lesions also identified, alth... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Right breast skin mole. Two standard digital views of both breasts, with a total of 13 images, were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Circular markers w... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 74-year-old male with PMH of MAI, Waldenstroms, repeat CT for surveillance. CHEST:LUNGS AND PLEURA: Scattered pulmonary nodules unchanged. No suspicious pulmonary nodules or masses. Scattered areas of peripheral subsegmental atelectasis or scarring. No pleural effusion or pneumothorax.MEDIASTINUM AND HILA: Normal sized... | 1. No interval change from prior study with no signs of active disease. 2. Unchanged aneurysm of the celiac artery suspicious for underlying cystic medial necrosis. |
Generate impression based on findings. | Female, 67 years old, with neck swelling. Assess for adenopathy. History of metastatic breast cancer. Again seen is diffuse skin thickening and reticulation of the subcutaneous and deep fat of the left lower neck and upper chest including the left axilla.Since the prior examination, numerous lymph nodes within the left... | 1.Redemonstration of diffuse skin thickening and reticulation/scarring through the superficial and deep soft tissues of the lower left neck and upper chest. These findings are not significantly changed and may reflect the sequela of prior treatment.2.Since the prior examination, numerous lymph nodes have increased in s... |
Generate impression based on findings. | Abdominal distention.VIEW: Abdomen and chest AP (two views) 4/15/15 at 536 hours. ET tube terminates at the thoracic inlet. NG tube tip is at the stomach. UVC terminates at the IVC.Cardiac silhouette size is normal. Stable pneumomediastinum, bi-basilar opacities are again noted on a background of diffuse lung haziness.... | Persistent pneumomediastinum and focal opacities as described.Disorganized, slightly distended nonspecific abdominal gas pattern. |
Generate impression based on findings. | Male; 53 years old. Reason: new acute leukemia, please evaluate for disease burden Lack of intravenous contrast limits sensitivity for solid organ pathology.ABDOMEN:LUNG BASES: Mild bibasilar subsegmental atelectasis. Low density of the cardiac blood pool, suggestive of anemia.LIVER, BILIARY TRACT: Subtle high density ... | 1. Abdominal, retroperitoneal, pelvic, and inguinal lymphadenopathy, most compatible with provided history of acute leukemia.2. Mildly enlarged appendix, which is nonspecific and may be related to acute leukemia, though acute obstructive appendicitis cannot be excluded. Clinical correlation is recommended.Findings disc... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Previous left breast benign biopsy in the 1950s. 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 pattern and distribution. A linear marker overl... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Reason: follow up lung cancer History: cough CHEST:LUNGS AND PLEURA: Postsurgical changes of the right lower lobe, unchanged. Postsurgical and posttreatment changes of the left lower lobe, unchanged. Probable intrapulmonary lymph nodes along the right major and minor fissures, unchanged. No new or suspicious pulmonary ... | No evidence of recurrence or metastases. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal aunt. 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 patte... | 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. | Male 73 years old. Reason: post op. History: R THA Two views of the right hip are provided. There is a right total hip arthroplasty situated in near-anatomic alignment without evidence of hardware complication. The single AP view of the pelvis demonstrates the aforementioned right total hip arthroplasty with mild osteo... | Total hip arthroplasty and other findings as described above. |
Generate impression based on findings. | History metastatic prostate cancer, evaluate for progression. Status post 9 cycles additional therapy CHEST:LUNGS AND PLEURA: Severe emphysema. Right lower lobe mass (series 4, image 88) measures 2.4 x 2.9 cm, unchanged. Scattered nonspecific micronodules, some of which are calcified, are also unchanged. No new suspici... | Overall no substantial interval change compared to prior examination. Reference measurements are given above.1.Stable right lower lobe pulmonary mass lesion.2.Stable para-aortic and left common iliac adenopathy.3.Scattered sclerotic skeletal foci most likely metastases grossly similar to prior, though bone scan is more... |
Generate impression based on findings. | Male 52 years old. Reason: left hand capitolunate fusion. XR to evaluate the fusion status History: as above Three views of the left hand are provided. There is soft tissue swelling about the wrist. Two screws affix the capitate and lunate in near-anatomic alignment. The capitolunate articulation is slightly indistinct... | Postoperative changes of capitolunate fusion as described above. |
Generate impression based on findings. | Reason: abdominal distension History: bloating signs of bowel disease or small intestinal dysmotility Double contrast visualization of the esophagus showed no morphologic abnormalities of the mucosal surfaces or mural contours. During the exam, no spontaneous or provoked gastroesophageal reflux was observed. Fluoroscop... | 1.Normal examination of the esophagus, stomach, and duodenum.2.Normal examination of the small bowel and proximal colon. |
Generate impression based on findings. | 68 years, Female. Reason: barium moving through? has sigmoid stricture History: same The left hemiabdomen is again not completely included in the field of view. There is persistent dilatation of multiple loops of bowel. There is significant residual contrast throughout the colon, which has not significantly progressed ... | Significant amount of retained contrast throughout the colon, which is not significantly changed when compared to prior. |
Generate impression based on findings. | 53-year-old female with a history of achalasia status post remote esophageal dilation. Presents with recurrent symptoms. Note is made of a dilated tubular structure consistent with the patient's history of achalasia. No stomach bubble is identified. Scout radiograph of the chest otherwise showed no abnormal pulmonary o... | Findings consistent with the patient's known history of achalasia, with reference measurements provided above. |
Generate impression based on findings. | Ms. Harvey is a 74 year old female with a personal history of left breast mastectomy in 2010 for breast carcinoma. Family history of breast cancer in her sister, diagnosed at the age of 68. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma i... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | There is no abnormal enhancement to suggest schwannoma. The internal auditory canals are normal and symmetrical bilaterally without abnormal enhancement. No abnormal soft tissue or enhancement in the cerebellopontine angle cistern. The ventricles and sulci are normal in size. There are no masses, mass effect or midlin... | Normal enhanced examination of the brain without evidence of schwannoma. |
Generate impression based on findings. | 84-year-old female with known subdural hematoma, worsening mental status. Evaluate for worsening bleed. A holohemispheric right subdural hematoma is not significantly changed in size. It measures up to 27 mm in greatest dimension, measured coronally (image 52), previously 25 mm. There is stable midline shift of approxi... | No significant interval change of right subdural hematoma and left parafalcine subdural hematoma. |
Generate impression based on findings. | Follow-up The left acetabular fracture is slightly less distinct on the current study than on the prior study, indicating some interval healing. Degenerative arthritic changes appear similar to those seen on the prior study. | Healing left acetabular fracture. |
Generate impression based on findings. | 72-year-old male with history of left lower quadrant abdominal pain. ABDOMEN:LUNG BASES: Mild basilar atelectasis. Moderate coronary calcifications. Normal cardiac size without pericardial effusion.LIVER, BILIARY TRACT: Cholelithiasis within a nondistended gallbladder. No specific evidence of acute gallbladder inflamma... | 1. Moderately dilated rectum with stool without wall thickening or perirectal inflammation.2. Extensive atherosclerotic disease of the abdominal aorta with mild infrarenal aneurysmal dilatation.3. Poor opacification of the partially imaged left lower extremity bypass graft. |
Generate impression based on findings. | Remote postoperative changes from left glossectomy and neck dissection with flap reconstruction are again seen. There has been interval resection of an area of focal nodularity demonstrating hypermetabolism in the midline, and anterior to the trachea just caudal to the thyroid isthmus. There is evidence of a large myo... | 1. Interval postoperative changes with resection of anterior lower neck metastatic mass and left lower neck/upper chest flap reconstruction. Extensive findings consistent with recurrent and metastatic disease as detailed above, including invasion of the thyroid gland bilaterally possible involvement of the cricoid cart... |
Generate impression based on findings. | Ms. Crockett is a 81 year old female with a personal history of left breast lumpectomy in 2002 for breast cancer followed by radiation and Arimidex therapy. She has a family history of breast cancer in two maternal aunts. She has no current breast related complaints. Three standard views of both breasts were performed ... | Stable postsurgical changes of the left breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnos... |
Generate impression based on findings. | Male 84 years old; Reason: s/p radical cystectomy- ileal conduit urinary diversion- see below comments History: s/p radical cystectomy- ileal conduit urinary diversion- see below comments. Additional Epic history : History of muscle-invasive bladder cancer, status post dose-density MVAC, followed by robotic radical cys... | Regression of left-sided hydronephrosis and hydroureter. |
Generate impression based on findings. | 76 year old female with lung nodule LUNGS AND PLEURA: Multiple mixed semisolid ground glass nodular densities appear unchanged. Reference measurements as follows: 1. Right upper lobe (image 26 series 4), unchanged measuring 18 x 10 mm.2. Posterior left upper lobe (image 17 series 4), unchanged measuring 10 mm x 9 mm3. ... | 1. No interval change in pulmonary nodules suspicious for low grade neoplasms such as adenocarcinoma in situ or minimally invasive adenocarcinoma.2. Bilateral irregular cystic areas predominantly in the upper lobes may represent an atypical presentation of emphysema or possibly early pulmonary Langerhans Cell Histiocyt... |
Generate impression based on findings. | Back pain. Osteoarthritis? The bones appear slightly demineralized suggesting osteopenia. Moderate degenerative disk disease affects L1/2, with mild degenerative disk disease affecting L2/3 and L3/4. Vertebral body heights are preserved. Mild facet joint osteoarthritis affects the lower lumbar spine. There is hypertrop... | Degenerative arthritic changes as described above. |
Generate impression based on findings. | 30 year-old male with abdominal pain, nausea and vomiting. 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: No sign... | Findings raising the possibility of cystitis. Otherwise, no acute findings. |
Generate impression based on findings. | Female 68 years old; Reason: Evaluate for evidence of occlusion of mesenteric blood vessels. History: Chronic post-prandial abdominal pain, diarrhea and weight loss. Pain worse in the left lower quadrant. ABDOMEN:LUNG BASES: Coronary artery calcifications.Calcified right lower lobe granuloma. Emphysematous changes.LIVE... | No evidence of mesenteric ischemia. Widely patent visceral arteries. |
Generate impression based on findings. | Pain Mild degenerative disk disease affects L4/5. There is also suggestion of mild posterior disk bulging at L3/4 on the spot view of the lower lumbar spine. Osteophytes project from the anterior aspects of L3 and L4. Mild facet joint osteoarthritis affects the lower lumbar spine. Vertebral body heights are preserved. ... | Degenerative arthritic changes as described above. |
Generate impression based on findings. | Left hip and left lateral thigh pain. Evaluate for osteoarthritis. Ganglion cyst. Evaluate for other wrist pathology. Two views of the left hip are provided. Severe osteoarthritis affects the hip. Arterial calcifications are noted in the soft tissues.Five views of the lumbar spine are provided. The bones appear deminer... | 1.Degenerative changes affecting the hip, spine and wrist as described above.2.Left wrist mass is nonspecific but compatible with the suspected diagnosis of ganglion. |
Generate impression based on findings. | 31-year-old female with history of ovarian cancer. ABDOMEN:LUNG BASES: Moderate right and trace left pleural effusions with adjacent compressive atelectasis.LIVER, BILIARY TRACT: Normal hepatic morphology.Several bilobar hepatic hypoattenuating lesions are best visualized on the noncontrast study and are adjacent to th... | 1. Multiple hepatic hypodense masses, best visualized on the non-contrast phase appear serosal based compatible with metastatic lesions from the patient's ovarian carcinoma.2. Moderate ascites with mesenteric soft tissue thickening and nodularity may reflect residual carcinomatosis and/or post-operative changes.3. Post... |
Generate impression based on findings. | NSCLC follow-up scan. CHEST:LUNGS AND PLEURA: Postsurgical and post-therapeutic volume loss on the right. Emphysema. Loculated thin-walled cavity extending to the right apex containing fluid seen in a site of prior bulla. There is surrounding consolidated lung with bronchiectasis suggesting radiation reaction.On the le... | Post-therapeutic changes with persistent loculated fluid collection at the right apex, but clearance of the majority of previously seen in pneumonia. Persistent infection within this collection cannot be ruled out. New left basal air space opacity may reflect radiation pneumonitis or less likely infection; this should ... |
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. | History of lung cancer and laryngeal cancer status post treatment. There are stable postoperative findings related to total laryngectomy, flap reconstruction, tracheostomy, vocal prosthesis placement, and left thyroidectomy. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy by size... | 1. Stable postoperative findings without evidence of gross tumor recurrence or significant cervical lymphadenopathy.2. Multiple dental caries. 3. Moderate right carotid bifurcation plaque. 4. Partially imaged right lung opacity. Please refer to the separate chest CT report for additional details.I personally reviewed t... |
Generate impression based on findings. | 15 day old former 25 to 26 week gestational age patient with pneumothorax and chest tube placement.VIEWS: Chest AP/lateral (two views) 04/15/15, 1022 and 1027 Endotracheal tube tip is below thoracic inlet. Feeding tube tip is distal to proximal body of stomach and not included on image. Side port is in lower esophagus.... | Continued atelectasis. Pulmonary interstitial emphysema with areas of pneumatocele formation. Very small right subpulmonic pneumothorax. |
Generate impression based on findings. | Female 1 day old History: 24 w female dol 1 intubated on conventional ventilator with overinflated lungs on previous examVIEW: Chest AP (one view) 4/15/15 at 1048 hrs. UAC unchanged. Slight retraction of UVC which now terminates high in the right atrium. ET tube terminates below the thoracic.Cardiac silhouette size is ... | Interval repositioning of UVC.Large lung volumes and diffuse lung haziness with no focal opacities. |
Generate impression based on findings. | Female; 58 years old. Reason: metastatic melanoma; progression of disease History: abdominal pain/nausea/vomiting CHEST:LUNGS AND PLEURA: Multiple pulmonary metastases have increased in size and number. For future reference, a left lower lobe metastasis measures 1.5 x 1.7 cm, previously 1.3 x 1.4 cm (series 4/55).MEDIA... | Increased pulmonary and pelvic metastases as detailed above. |
Generate impression based on findings. | 23 year-old male. Left ankle pain. No acute fracture or dislocation. Bullet fragments in the midfoot. Mild soft tissue swelling about the ankle. Diffusely demineralized bones. | No acute fracture. Mild soft tissue swelling and bullet fragments. |
Generate impression based on findings. | Reason: evaluate ILD History: cough sob fibrosis LUNGS AND PLEURA: Bilateral calcified pleural plaques compatible with asbestos exposure. Nonspecific minimal fissural nodularity. No pleural effusions. Mild basilar predominant subpleural curvilinear opacities. No honeycombing. No air trapping. Minimal bibasilar dependen... | Bilateral calcified pleural plaques compatible with asbestos exposure. Findings compatible with mild asbestosis-related ILD. Consider low dose CT screening in 1 year. |
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