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Generate impression based on findings. | Female 36 years old Reason: CT arthrogram of R shoulder for R shoulder Bankart, shoulder instability History: as above ROTATOR CUFF: Contrast extends from the glenohumeral joint through the undersurface fibers of the supraspinatus tendon (series 80396, image 83) but no contrast enters the subacromial subdeltoid bursa. ... | 1. Bony Bankart with suspicion for loose body within the joint.2. Partial tear of the supraspinatus tendon without retraction. |
Generate impression based on findings. | 14 year old male patient with neuroblastoma. Assess for progression of disease. CHEST:LUNGS AND PLEURA: Scattered pulmonary calcified and non-calcified micronodules are unchanged. A right upper lobe pleural based nodule measures 3 mm (image 28, series 4), unchanged. No new pulmonary nodules are seen. No pleural effusio... | No significant change in pulmonary micronodules or numerous osseous lesions. |
Generate impression based on findings. | Intermittent abdominal pain. Evaluate for obstruction. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: 1.8-cm water density nodule in the dome of left lobe (image 17; series 10320) which probably represents a simple cyst. No enhancing lesions or intrahepatic biliary ductal dilatation. Status p... | 1. Long segment collapse of the distal colon with mild inflammatory change and bowel wall thickening suggesting a colitis. 2. Tiny hypodense pancreatic nodule, likely benign3. Hypodense liver nodule probably representing a cystFindings were discussed with Dr. Apfelbaum at the time of dictation. |
Generate impression based on findings. | Female, 52 years old. Reason: r/o cholecystitis. Fever. LIVER: The liver measures 17.4 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 dilatation. The common bile duc... | 1.Mild diffuse gallbladder wall thickening is again seen, without evidence of acute inflammation.2.Mild coarse hepatic echogenicity suggestive of fatty infiltration or parenchymal dysfunction. |
Generate impression based on findings. | 68-year-old male. Metastatic urothelial cancer. Evaluate cause of hip/leg pain. Pelvis: Lytic lesion in the right inferior pubic ramus consistent with a bone metastasis, also seen on prior CT. Moderate osteoarthritis of the bilateral hips. Mild degenerative arthritic changes of the lumbar spine. Surgical clips project ... | Right inferior pubic ramus lytic lesion consistent with a metastasis. Osteoarthritis. |
Generate impression based on findings. | 49-year-old female with history of right breast cancer who presents for lymphoscintigraphy for right breast sentinel lymph node biopsy.RADIOPHARMACEUTICAL: The right breast was prepared in a sterile manner. A total of 0.5 mCi Tc-99m filtered sulfur colloid was injected in four periareolar injections. A focus of increas... | Sentinel node identified in the right axilla. |
Generate impression based on findings. | 61-year-old male with metastatic prostate cancer who presents for evaluation of disease after 9 cycles of investigational therapy. Please complete PCWG2 form Redemonstration of multiple foci of increased radiotracer activity in the axial and proximal appendicular skeleton including the posterior right fifth and eighth ... | Interval progression of osseous metastatic disease. |
Generate impression based on findings. | Male 43 years old. Reason: adhesive capsulitis? History: acute pain in right shoulder with limitation in ROM in all three planes. Three views of the right shoulder are provided. There is globular calcification along the posterolateral aspect of the humeral head suspicious for calcific tendinosis of the infraspinatus or... | Findings suggesting calcific tendinosis or bursitis as described above. |
Generate impression based on findings. | 54 year old female. Elbow pain. Right elbow: No fracture, dislocation, or other significant abnormality.Left elbow: No fracture, dislocation, or other significant abnormality. | No significant abnormality. |
Generate impression based on findings. | Female 85 years old. Reason: low back pain. History: low back pain Two views of lumbar spine are provided. There is approximately 35 degrees of dextrorotoscoliosis of the lumbar spine which appears to have progressed since the prior study. There is approximately 1 cm of rightward translation of L3 to L4 which has also ... | Progression of degenerative arthritic changes and scoliosis. |
Generate impression based on findings. | Reason: RML nodule, surveillance imaging History: FU CT 1 year LUNGS AND PLEURA: Reference right middle lobe sub-solid nodule measures 8 mm, unchanged in size, although gradually increasing in solid component comparing to initial CT chest in 2013 (series 5 image 59). Additional right upper lobe subsolid nodule and scat... | Right middle lobe sub-solid nodule has gradually increased in solid component although unchanged in size, suspicious for adenocarcinoma. Recommend continued follow-up in 1 year, unless resected. |
Generate impression based on findings. | Female, 22 years old. Reason: 22yo s/p live donor kidney transplant RENAL TRANSPLANT: LOCATION: Left iliac fossaPERITRANSPLANT TISSUES: No perinephric collection.KIDNEY: Normal cortical echotexture.COLLECTING SYSTEM/URETER: No significant hydronephrosis.VASCULAR DOPPLER DATA: Color and spectral Doppler were performed o... | Normal vascular waveforms without evidence of stenosis or other acute abnormality. |
Generate impression based on findings. | 14-year-old male with history of neuroblastoma. Evaluate for progression of disease. There are widespread multifocal osseous lesions with increased activity in the skull, shoulder, spine, pelvis, bilateral femurs and proximal tibias. There are increased number of lesions in the skull, lumbar spine, pelvis, and the femo... | Interval progression of MIBG avid osseous metastatic disease. |
Generate impression based on findings. | 45-year-old female. Prosthetic assess. Postop. Again seen is an intramedullary rod and screw/nail device affixing an intercalary allograft between the native proximal and distal femoral diaphysis. The proximal osteotomy margin is indistinct indicating some osseous bridging. The distal osteotomy margin is still visible.... | Orthopedic fixation of allograft with some osseous bridging of the proximal osteotomy margin. |
Generate impression based on findings. | Female 73 years old. Reason: Prosthetic assess. History: post-op Three weight-bearing views of the right knee are provided. Hardware components of a right total knee arthroplasty are situated in near-anatomic alignment without evidence of hardware complication. Moderate to severe osteoarthritis affects the left knee as... | Total knee arthroplasty as described above. |
Generate impression based on findings. | Female; 68 years old. Reason: 68F w recent cecal perforation, peritonitis, repeat study for follow-up of fluid collection History: cecal perforation, peritonitis ABDOMEN:LUNG BASES: Trace left pleural effusion. Mild bibasilar dependent subsegmental atelectasis. Mild cluster of nodular opacities in the left lateral lowe... | 1. Interval decreased size of nonspecific air-fluid collection in the right lateral abdominal wall.2. Posterior spinal fusion surgical changes with new nonspecific fluid seen coursing posteriorly along the spinous processes, and underlying infection cannot be excluded.3. Mild small bowel dilation without abrupt transit... |
Generate impression based on findings. | Frontal sinus: The frontal sinus and frontoethmoidal recesses are clear.Anterior ethmoids: The anterior ethmoid air cells are clear.Maxillary sinuses: The maxillary sinuses are clear. The ostiomeatal units are clear.Posterior ethmoids: There is opacification of few right posterior ethmoid air cells. There is mild muco... | Findings suggesting chronic bilateral sphenoid sinusitis with superimposed acute sinusitis, however clinical correlation is warranted. |
Generate impression based on findings. | 65 years old, Male, history of altered mental status 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. There are frothy secretions in the left sphenoid sinus. ... | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional left MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in distribution. Benign ductal calcifications noted in both breasts. A... | 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. | Female 15 years old. Reason: pain. History: pain Two views of the right tibia/fibula are provided. There is an approximately 3.5 cm elongated lucent lesion with a thin sclerotic margin within the medial aspect of the proximal tibial metaphysis consistent with a nonossifying fibroma. Distal to this in the proximal tibia... | 1.Nonossifying fibroma.2.Sclerosis of the proximal tibial diaphysis with cortical thickening is nonspecific but may represent prior infection. |
Generate impression based on findings. | Male, 63 years old. Reason: Rule out transplant renal artery stenosis History: Hypertensive urgency RENAL TRANSPLANT: LOCATION: Right iliac fossaPERITRANSPLANT TISSUES: No perinephric collectionKIDNEY: Normal cortical echotexture.COLLECTING SYSTEM/URETER: No significant hydronephrosis.URINARY BLADDER: The bladder is di... | No evidence of inflow complication but significant diastolic dampening due to increased vascular resistance is a nonspecific finding. |
Generate impression based on findings. | Female 59 years old Reason: suspect lumbar oa prominent at L5/S1 History: bilateral S1 radiculopathy Lumbar spine: Severe degenerative disk disease at L5-S1. Moderate degenerative disk disease at L3-L4. Mild degenerative disease affects the remaining lumbar levels. Mild to moderate multilevel facet joint disease affect... | Degenerative arthritic changes as described above. |
Generate impression based on findings. | 12 year old female patient with bilious NG output. Evaluate NG placement.VIEW: Abdomen AP (one view) 4/15/2015 Enteric tube is coiled in the stomach with tip near to GE junction in the gastric cardia. A right femoral central venous catheter tip overlies the level of S1. Prominent loops of small bowel are noted in the l... | Enteric tube is coiled in the stomach with tip near the GE junction. |
Generate impression based on findings. | Female; 72 years old. Reason: Patient with hx of urothelial CA with recurrence of pelvic mass and ileal conduit, now with acute renal failure; please evaluate for hydrnephrosis or disruption of the collecting system History: As above Lack of intravenous and oral contrast limits sensitivity for solid organ and bowel pat... | 1. Interval removal of bilateral ureteral stents with new moderate left hydroureteronephrosis with transition point at the left pelvic mass. 2. Interval improvement of small bowel dilation. No evidence of bowel obstruction.3. Stable pelvic masses. |
Generate impression based on findings. | Female 53 years old Reason: pain History: pain Three views of the right knee show components of a right total knee arthroplasty device situated in near-anatomic alignment without evidence of acute hardware complication. Severe osteoarthritis affects the left knee with bone on bone apposition as seen on the frontal view... | Total knee arthroplasty. |
Generate impression based on findings. | 4.85-cm abdominal aortic aneurysm on screening ultrasound. CHEST:LUNGS AND PLEURA: Mild emphysematous changes. No effusions or masses.MEDIASTINUM AND HILA: The ascending aorta measures 4.5 cm in diameter (image 47; series 10) and the descending thoracic aorta measures 3.1 cm in diameter. No significant mediastinal aden... | 5.6-cm infrarenal abdominal aortic aneurysm. Tortuosity of the iliac arteries. |
Generate impression based on findings. | 8 month old male patient with omphalocele. Evaluate NG placement.VIEW: Abdomen AP (one view) 4/15/2015 Enteric tube tip projects over the giant omphalocele, likely within the stomach. A right IJ central venous catheter tip is in the SVC. Tracheostomy tube tip is at the thoracic inlet. The giant omphalocele obscures the... | Enteric tube projects over the omphalocele. |
Generate impression based on findings. | Female 45 years old Reason: eval for OA History: persistent knee pain Left knee: Mild osteoarthritis affects the left knee particularly the patellofemoral joint. Mild osteoarthritis affects the right knee as seen on the frontal view. | Mild osteoarthritis. |
Generate impression based on findings. | Reason: globus sensation, h/o GERD, hiatal hernia, Schatzki ring History: sore throat, reflux, feeling of pills getting stuck Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Double contrast evaluation of the esophagus and gastric cardia/fundus revealed no... | Mild spontaneous gastroesophageal reflux, which immediately cleared. Otherwise, unremarkable esophagram. |
Generate impression based on findings. | Female, 44 years old. Reason: hx of radical cystectomy with ileal conduit urinary diversion in January, evaluate for hydronephrosis History: see above RIGHT KIDNEY: The right kidney measures 10.3 cm, with normal echotexture. A minimally complex lower pole cyst measures 1.3 x 1.0 x 1 .8 cm, with a thin septation. No hyd... | 1. Mild left hydronephrosis.2. A 1 to 2 cm minimally complex left lower pole renal cyst is noted. |
Generate impression based on findings. | Female 64 years old; Reason: remote history of carcinoid of colon; now lower extremity edema and liver masses on Us exam-? recurrent carcinoid History: increasing edema of lower extremities ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal in morphology. There are multiple hypod... | 1.Multiple hepatic lesions most suspicious for metastatic disease, given the upper abdominal mesenteric mass the imaging findings are most compatible with carcinoid.2.Retroperitoneal lymphadenopathy.3.Surgical changes in the ileum possibly the site of prior carcinoid tumor.4.Nonspecific narrowing of the IVC in the uppe... |
Generate impression based on findings. | Male, 61 years old, with history of T1 N0 squamous cell carcinoma of the larynx. Also with history lung cancer. Asymmetry of the vocal folds is again seen, compounded by some motion artifact. No large discrete masslike lesions are suspected. The pre-epiglottic tissues and aryepiglottic folds remain mildly thickened, pr... | Findings are redemonstrated likely related to prior therapy with no evidence of local tumor recurrence or pathologic adenopathy. |
Generate impression based on findings. | Male 78 years old Reason: hx colon ca s/p resection History: RLQ abd pain, right flank pain, no BM for 4 days ABDOMEN:LUNG BASES: Emphysema. Lung nodule described previously are increasing in size. The reference subpleural lesion at the right lower lobe laterally currently measures 2.1 x 1.8 cm (image 9; series 5). Thi... | Right ureteropelvic junction calculus with new right hydronephrosis. Enlarging right basilar pulmonary nodules. |
Generate impression based on findings. | Female 70 years old Reason: S/p Left TKA History: S/p Left TKA Two portable views of the left knee reveal a left total knee arthroplasty in near-anatomic alignment without radiographic evidence of hardware complication. A drain, skin staples and foci of gas density within the subcutaneous tissues reflect recent surgery... | Total knee arthroplasty. |
Generate impression based on findings. | Clinical question: Evaluate for structural lesion or pathology over time; prior history of right aneurysm status post clipping. Signs and symptoms: Right-sided headache. Unenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic s... | 1.No acute intracranial process.2.Interval improvement of postoperative changes including complete resolution of previously noted extra-axial right frontal hemorrhage and interval removal of right ventricular catheter.3.Focus of right frontal encephalomalacia likely as a result postoperative change and previously seen ... |
Generate impression based on findings. | Malignant neoplasm of lung status post surgical resection now with indolent non-small cell lung cancer of right lung and pleura. No evidence of clinically significant growth for years. CHEST:LUNGS AND PLEURA: No significant change in nodular pleural thickening on the right. Interval placement of a right-sided Pleurx ca... | Stable mediastinal and right pleural disease; mesenteric and peritoneal metastases are unchanged but were present given the benefit of retrospect on the most recent previous study. Interval development of groundglass opacities and subtle interstitial nodularity in the right lung suspicious for early lymphangitic tumor. |
Generate impression based on findings. | Female 27 years old Reason: Soft tissue mass on MRI in right gluteus medius, evaluate for myositis ossificans/HO History: above Right hip: There is an approximately 4.8 x 5.1 cm ossified mass overlying the gluteal musculature situated anterolateral to the greater trochanter, consistent with suspected diagnosis of myosi... | Findings consistent with myositis ossificans and other findings as described above. |
Generate impression based on findings. | Male, 85 years old. Reason: intermittent abd pain. Abnormality in the right lower quadrant on recent CT. In the right lower quadrant, there is a complex cystic structure measuring approximately 2.1 x 1.3 centimeters, containing debris and a shadowing echogenic structure which measures 1.2 x 1.1 x 1.4 cm. | A complex cystic structure in the right lower quadrant may represent an obstructed appendix with an appendicolith and mucocele, however neoplasm is not excluded. |
Generate impression based on findings. | Ms. O'Neal submitted outside mammograms dated 5/12/2014 and 12/11/2012, from Cerner Imaging. Submitted outside studies were compared to the current mammogram dated 03/24/2015. The breast parenchyma is composed of scattered fibroglandular density. Left chest ICD partially obscures the left axilla. There is re-identifica... | Stable benign calcifications 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, due next in March 2016.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Clinical question: Evaluate for change status post TPA and thrombolysis. Signs and symptoms: Right weakness and aphagia. Nonenhanced head CT:New since prior exam there is an acute hemorrhage on the left anteriorly which is live to be primarily within the left sylvian fissure however a small associated parenchymal hemor... | 1.Large late acute to early subacute ischemic stroke involving the left temporal and extensively of the left occipital lobe since prior exam.2.New acute hemorrhage in the left anterior sylvian fissure. 3.Patchy subarachnoid space high density in the left mid to posterior temporal region likely contrast extravasation fr... |
Generate impression based on findings. | Male, 62 years old, with history of relapsed CLL. Assess disease status. No pathologically enlarged, growing or aggressive appearing lymph nodes are seen in the neck. A clustering of small nodes at level 5 on the left, some with calcifications, are not significantly changed.The aerodigestive mucosa is unremarkable. The... | No evidence to suggest active neoplastic disease in the neck. |
Generate impression based on findings. | Male 62 years old; Reason: Pt with h/o relapsed CLL History: Evaluation of disease status CHEST:LUNGS AND PLEURA: Reference right upper lobe scar like nodule measures 1.0 x 0.9 cm (image 66/series 4) previously, 1.1 x 1.0 cm.No new lung lesions have developed.The pleural spaces are clear.MEDIASTINUM AND HILA: Paraesoph... | 1.No significant change in the size of the reference lymph nodes. The retroperitoneal and pelvic lymph nodes have calcification indicating treated or partially treated disease.2.Right 10-mm distal ureter stone. Consider follow up with urology. |
Generate impression based on findings. | Ms. O'Connor submitted outside mammograms dated 05/17/2014 and 09/12/2012, from Advocate Christ Medical Center. Submitted outside studies were compared to the current mammogram dated 03/31/2015. The breast parenchyma is composed of scattered fibroglandular elements. No suspicious masses, microcalcifications or areas of... | 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. | Status post fall onto knee 3 days ago. Tender to palpation along joint line, pain with ambulation/range of motion. I see no fracture or malalignment. I see no joint effusion. A small metallic density within the posterior soft tissues of the distal thigh may represent a subcutaneous foreign body. | Small metallic foreign body in the posterior subcutaneous tissues of the distal thigh; I see no fracture or malalignment. |
Generate impression based on findings. | Male 75 years old; Reason: patient with NHL and pulmonary masses. pt also with h/o prostate cancer and thyroid cancer History: lymphoma, prostate cancer, thyroid cancer CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules. Left pleural-based soft tissue mass measures 3.2 x 2.1 cm (image 9/series 3) previously, 3.1 ... | 1.Near stable size measurements of the reference lesions. |
Generate impression based on findings. | Female 56 years old; Reason: eval for cancer and IBD History: LLQ pain, constipation ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal morphology. Nonspecific subcentimeter hypodense lesion in segment 8 of the liver at the dome. It likely represents a small cyst. Hepatic and por... | 1.Findings of enlarged uterus that displaces the rectum to the right.2.No localizing inflammatory change in the abdomen or pelvis. |
Generate impression based on findings. | Nine day old former 36 week twin gestation with history of respiratory failure. Now on CPAP with persistent hypoxemiaVIEW: Chest AP (one view) 04/15/15, 1133 Endotracheal tube has been removed. Feeding tube tip is in stomach. Umbilical venous line tip is at junction of IVC and right atrium. Umbilical arterial line has ... | Minimal hazy lung opacity. |
Generate impression based on findings. | History of prostate cancer 60 pack year tobacco with cough for greater than two months evaluate for malignancy or other pathology. LUNGS AND PLEURA: Moderate paraseptal and centrilobular emphysema. No suspicious pulmonary nodules or masses. Although motion artifact degrades image quality, the following additional obser... | 1. Basal groundglass opacity may represent cellular NSIP superimposed upon small foci of emphysema versus desquamative interstitial pneumonia containing microcysts.2. Very fine pattern of distal bronchial wall thickening and and subtle nodularity suspicious for RB ILD.3. Paraseptal and centrilobular emphysema, mild to ... |
Generate impression based on findings. | Male 75 years old; Reason: metastatic prostate cancer evaluation of disease during therapy with investigation treatment. Please complete PCWG2 form History: metastatic prostate cancer CHEST:LUNGS AND PLEURA: Subcentimeter right upper lobe pulmonary nodule measures 3 mm on image 34 series 5 and is unchanged. No new nodu... | 1.Osseous metastatic disease. |
Generate impression based on findings. | Stabilization. Again seen are components of a distal radioulnar joint arthroplasty situated in near anatomic alignment and appearing similar to those seen on the prior study. There is a new orthopedic screw affixing the scaphoid and lunate. The scapholunate interval measures approximately 5 mm in width, and there is lu... | Postoperative changes of distal radioulnar joint arthroplasty and scapholunate fixation as described above. |
Generate impression based on findings. | Ms. O'Connor submitted outside mammograms dated 05/17/2014 and 09/12/2012, from Advocate Christ Medical Center. Submitted outside studies were compared to the current mammogram dated 03/31/2015. The breast parenchyma is composed of scattered fibroglandular elements. No suspicious masses, microcalcifications or areas of... | 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. | Bunion, pain Again seen is a severe hallux valgus deformity with the second toe lying on top of the first toe. Moderate osteoarthritis affects the first metatarsophalangeal joint. Mild osteoarthritic changes affect the interphalangeal joints. There is a pes planovalgus deformity. There is a bipartite accessory navicula... | Hallux valgus deformity and other findings as above. |
Generate impression based on findings. | Left distal femur lesion. Evaluate for interval change. There is a poorly defined sclerotic focus within the medial aspect of the distal femoral metaphysis that I suspect measures approximately 3 cm in long axis. It is nonspecific but may represent a healed nonossifying fibroma. I see no associated cortical destruction... | Poorly defined sclerotic focus in the distal femur is nonspecific but may represent a healed nonossifying fibroma. This could be further evaluated with MRI if clinically warranted. |
Generate impression based on findings. | Bilateral conductive hearing loss, chronic ear disease. Eustachian tube dysfunction, History: conductive hearing loss Right: The external auditory canal is patent. The reconstructed tympanic membrane appears to be retracted. There is partial opacification of the middle ear. There is irregularity and deficiency of the m... | 1. Nonspecific opacification of the bilateral middle ear cavities and underpneumatized of the bilateral mastoid air cells, which may be related to chronic inflammatory disease, such as adhesive otitis media with effusions. However, underlying cholesteatoma cannot be entirely excluded and a temporal bone MRI may be usef... |
Generate impression based on findings. | 52-year-old woman with right shoulder pain status post remote fall. I see no fracture or malalignment. Mild osteoarthritis affects the acromioclavicular joint with distal clavicular osteophytes. | Mild osteoarthritis without fracture evident. |
Generate impression based on findings. | Male 61 years old; Reason: abscess? ileus? SBO? History: s/p lap chole with gross spillage, now with leukocytosis and ileus. ABDOMEN:LUNG BASES: Small bilateral pleural effusions with basilar atelectasis.LIVER, BILIARY TRACT: Liver is normal in morphology. The hepatic and portal veins are patent. There is a small amoun... | 1.Findings of a severe small bowel obstruction with the transition point in the ileum in the mid abdomen.2.Mildly dilated and enhancing appendix. There is mild peritoneal enhancement in the region. This may be due recent surgery in the vicinity however, acute appendicitis is not entirely excluded. |
Generate impression based on findings. | Unsteady gait. Rule out cervical stenosis. Evaluation of the cervical spine is limited due to inability to optimally position the patient. The lower cervical spine is not well visualized on the lateral view due to overlying anatomy. Small osteophytes project from the anterior aspects of several cervical vertebrae, but ... | Limited study showing degenerative arthritic changes as above. |
Generate impression based on findings. | Follow-up surgery Evaluation of the cervicothoracic junction is limited by overlying anatomy. Again seen are posterior rods with screws entering the C2 through C6 vertebrae as well as the T1 through T3 vertebrae. The hardware appears similar to that seen on the prior study. There is severe degenerative disk disease thr... | Postoperative and degenerative arthritic changes appearing similar to those seen on the prior study. |
Generate impression based on findings. | Status post fall with swelling and tenderness over fibular head. Rule out fracture. Four views of the right knee are provided. I see no fracture or malalignment. The bones appear slightly demineralized, but otherwise the knee appears normal for age. | No fracture evident. |
Generate impression based on findings. | Surveillance imaging for solitary fibrous tumor of left scalp. There are post-treatment findings in the left upper neck region. There is unchanged ill-defined stranding and volume loss of the subcutaneous tissues in this area, but no evidence of measurable mass lesions. There is no significant lymphadenopathy in the ne... | 1. Post-treatment findings in the posterior left upper neck subcutaneous tissues without evidence of gross residual or recurrent tumor. 2. An unchanged sclerotic focus in the T1 vertebral body that may represent an enostosis. 3. Multinodular goiter. The dominant right thyroid nodule appears less hypoattenuating perhaps... |
Generate impression based on findings. | 23 year old male patient with history of relapsed lymphoma status post MUD PBSCT. Evaluate for disease, routine follow-up. CHEST:LUNGS AND PLEURA: Biapical scarring is again noted. No suspicious pulmonary nodules. No pleural effusion or pneumothorax. MEDIASTINUM AND HILA: Scattered small mediastinal lymph nodes are not... | No specific evidence of disease recurrence. |
Generate impression based on findings. | Reason: lung cancer History: s/p LUL for Stage IA NSCLC (adenocarcinoma) LUNGS AND PLEURA: Interval postsurgical changes of a left upper lobe wedge resection with removal of previously seen left apical nodule. No new or suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: Hypoattenuating n... | Interval postsurgical changes of a left upper lobe wedge resection without definite evidence of recurrence or metastases. |
Generate impression based on findings. | Male 3 years old Reason: status post rectal irrigation and anal dilation VIEW: Abdomen AP (one view) 4/15/15 at 1255 hrs Gastrostomy and cecostomy tube, surgical suture and sacrum abnormality are again noted. Minimal decrease in bowel distention with no evidence of obstruction | Minimal decrease in bowel distention. |
Generate impression based on findings. | Female 50 years old Reason: s/p ORIF right distal femur fx, evaluate for healing History: above Right femur: Two views of the right femur demonstrate a plate and screw device affixing the distal femoral fracture in near-anatomic alignment. There is no radiographic evidence of hardware complication. The fracture line is... | Orthopedic fixation of a healing distal femoral fracture and other findings as described above. |
Generate impression based on findings. | 59-year-old male with history of ileal carcinoid. CHEST:LUNGS AND PLEURA: Mild apical scarring and paraseptal emphysema. No suspicious pulmonary mass or nodule. Calcified right upper lobe nodule, likely reflecting prior granulomatous disease. No focal consolidation or pleural effusions.MEDIASTINUM AND HILA: No mediasti... | 1. Persistent distal small bowel dilatation and wall thickening. Non-specific colonic wall thickening is again demonstrated. Oral contrast reaches the rectum, speaking against a high-grade obstruction.2. Hepatic and mesenteric lesions are not significantly changed in size. |
Generate impression based on findings. | 42 year-old female with history of breast cancer who presents for evaluation of osseous metastatic burden. There is a focus of decreased activity in the sternum corresponding to the lytic lesion as seen on the CT examination. No additional osseous metastatic foci are identified. Additionally, there is increased activit... | 1.Findings consistent with a metastatic focus in the sternum as above.2.Extensive hepatic metastatic disease. |
Generate impression based on findings. | Reason: surveillance imaging for solitary fibrous tumor of left scalp History: solitary fibrous tumor left scalp s/p RT and resection LUNGS AND PLEURA: Scattered pulmonary micronodules unchanged, likely benign. No new or suspicious pulmonary nodule or mass.No pleural effusion.MEDIASTINUM AND HILA: Enlargement of the ri... | No evidence of metastases. |
Generate impression based on findings. | History of relapsed lymphoma, 1 year status post MUD PBSCT. There are postoperative findings related to selective left suprahyoid lymph node dissection. There is no significant cervical lymphadenopathy based on size criteria, including a right paratracheal lymph node that measures up to 7 mm. There is mild diffuse prom... | 1. Postoperative findings related to selective left suprahyoid lymph node dissection without evidence of lymphoma recurrence. 2. Persistent nonspecific mild diffuse prominence of the bilateral palatine tonsils. |
Generate impression based on findings. | 62-year-old male with history of lung cancer and left adrenal and pancreatic mass who presents for evaluation.RADIOPHARMACEUTICAL: 9.4 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 99 mg/dL. Today's CT portion grossly demonstrates postoperative changes in the right upper lobe. There is a nodule in the left... | Extensive progression of metastatic disease in the chest, abdomen, and pelvis. |
Generate impression based on findings. | Reason: lung cancer History: 4 years after RML and RLL wedge resection for typical carcinoid tumor LUNGS AND PLEURA: Postsurgical changes of right middle and right lower lobe wedge resections.Diffuse interstitial lung disease with subpleural reticulation and lower lobe bronchiectasis, similar to prior.Numerous chronic ... | 1.Postsurgical changes of right wedge resections. Previously described increased opacity along the right lower lobe suture line appears improved. 2.Unchanged parenchymal and endobronchial nodules, some of which were new on prior exam.3.New punctate right upper lobe endobronchial micronodule, for which special attention... |
Generate impression based on findings. | There is persistent minimal mucosal thickening of the left maxillary sinus. Mucosal thickening has resolved in the sphenoid sinuses. The remaining paranasal sinuses are clear. The mastoid air cells are clear. The nasal cavity is clear with essentially midline nasal septum. The ethmoid roofs are intact. There is a foca... | Resolved sphenoid sinus mucosal thickening with persistent minimal left maxillary sinus mucosal thickening. |
Generate impression based on findings. | 35-year-old male with primary hyperparathyroidism. Evaluate for parathyroid adenomas. There is physiologic distribution of the radiopharmaceutical. There is a focus of persistent activity on the right consistent with an enlarged parathyroid gland is seen. | Findings as above consistent parathyroid adenoma. |
Generate impression based on findings. | 46-year-old female. PH right breast cancer status post mastectomy with reconstruction. Right fourth rib pain. Evaluate for metastatic fracture. Post surgical findings of bilateral mastectomies with implant placement. No rib fracture or focal suspicious lesion is identified. | No radiographic evidence of rib metastases or fracture. |
Generate impression based on findings. | Female 71 years old Reason: rib fx History: pain, s/p fall A marker has been placed along the right upper ribs indicating site of pain. We seen no evidence of fracture. There is multilevel degenerative disk disease affecting the spine as well as multilevel facet joint osteoarthritis affecting the lower lumbar spine | 1. No rib fracture evident. 2. Degenerative disease of the spine. |
Generate impression based on findings. | Reason: concern for granulomatous and interstitial disease History: SOB LUNGS AND PLEURA: Basilar predominant interlobular septal thickening and ground glass opacity. Innumerable bilateral scattered calcified micronodules and nodules compatible with healed granulomatous disease. No suspicious pulmonary nodules or masse... | 1.Findings compatible with mild CHF/hypervolemia including basilar predominant interlobular septal thickening, ground glass opacity, and pleural effusions. If there is clinical concern for interstitial lung disease, recommend repeat examination after patient's volume loss/acute pathology is stabilized. 2.Moderately enl... |
Generate impression based on findings. | 40 year-old female. Pain. Lumber spine: Alignment is anatomic. Vertebral body heights and intervertebral disk spaces are preserved. Surgical clips project over the right pelvis. Cholecystectomy clips.Cervical spine: Straightening of the cervical spine, which may be positional or due to muscle spasm; alignment is otherw... | No significant abnormality to explain the patient's pain. |
Generate impression based on findings. | 65-year-old male with newly diagnosed anterior mediastinal mass and elevated left diaphragm. Follow up after abnormal PFT test. The comparison CT chest performed on 2/16/2015 demonstrates no focal pulmonary opacities or pleural fluid. The left hemidiaphragm is elevated.There is absent ventilation and perfusion activity... | Ventilation and perfusion images as quantified above. |
Generate impression based on findings. | Postoperative changes are seen from previous partial ethmoidectomies and bilateral antrostomies.Frontal sinus: There is focal mucosal thickening in the right frontal sinus extending into the frontoethmoidal recess. The left frontal sinus and frontoethmoidal recesses are clear.Anterior ethmoids: There is minimal opacif... | 1. Postoperative changes as detailed above, with widely patent ostomies. Minimal opacification of the right frontal sinus, frontoethmoidal recess, and right anterior ethmoid air cells.2. Nasal septal defect. |
Generate impression based on findings. | Male 10 years old Reason: Evaluate for SCFE History: 2 DAYS OF RIGHT GROIN PAIN AND LIMP.VIEWS: Pelvis AP and frog leg 4/15/15 (two views) Mild amount of feces are visualized in the rectum. Both, round, smooth and well formed femoral head are well directed to the acetabulum. No evidence of AVM or SCFE. No fracture or m... | Normal examination. |
Generate impression based on findings. | Female, 5 years old, with history of neuroblastoma, 9 months off therapy. Scattered mildly prominent lymph nodes are redemonstrated on both sides of the neck. These are stable or perhaps slightly smaller when compared to the prior examination. For example, a right level IIb node measures 13 x 8 mm (image 52 series 6), ... | Scattered mildly prominent cervical lymph nodes are stable to mildly reduced in size.No new lesions are identified in the neck. |
Generate impression based on findings. | Head and neck poorly differentiated adenocarcinoma likely salivary gland origin treated with surgery and chemoradiation. There are post-treatment findings in the left submandibular space region. There is no evidence of measurable tumor within the treatment bed. There is no evidence of significant cervical lymphadenopat... | 1. Post-treatment findings in the left submandibular space region without evidence of measurable tumor within the treatment bed and no evidence of significant cervical lymphadenopathy. 2. Several nodules are present within the partially imaged lungs, some of which appear new in the left apex and may be inflammatory in ... |
Generate impression based on findings. | 24 year old male patient with progressive desmoplastic small round cell disease. ABDOMEN:LUNG BASES: Redemonstration of innumerable bilateral pulmonary nodules. Please refer to CT PE study on 4/13/2015 for comparison reference measurements. No pleural effusion. LIVER, BILIARY TRACT: Multiple hepatic lesions are again i... | Interval decrease in size of two soft tissue pelvic peritoneal lesions with stable liver and abdominal peritoneal metastatic lesions. |
Generate impression based on findings. | Female 58 years old Reason: r/o fracture History: pain with weight bearing Ankle: Diffuse soft tissue swelling but no fracture is evident.Foot: Diffuse soft tissue swelling particularly along the dorsum of the foot. Moderate osteoarthritis affects the first metatarsophalangeal joint. Lucencies in the lateral aspect of ... | Soft tissue swelling and arthritic changes as described above appear predominantly degenerative in etiology. We see no fracture. |
Generate impression based on findings. | Ms. Taylor is a 60 year old female with a personal history of left breast mastectomy in Aug 2014 and right breast lumpectomy for LCIS in 2007. She is currently on Letrozole and radiation therapy. She has a family history of breast cancer in her mother, diagnosed at the age of 89. Three standard views of the right breas... | Stable postsurgical changes of the right breast. 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: 2 - Benign finding.RECOMMENDATION: ND -... |
Generate impression based on findings. | 19 year-old female. Bike accident, pain over vertebral processes. Evaluate for lumbar spine malalignment. Lumbar spine: Lumbar alignment is anatomic. Vertebral body heights and intervertebral disk spaces are preserved. No evidence of a compression fracture.Thoracic spine: Vertebral body heights and intervertebral disc ... | No evidence of a fracture or post-traumatic subluxation. |
Generate impression based on findings. | Scoliosis and hip dislocationVIEWS: Thoracic and lumbar spine AP. Pelvis AP T 4/15/15 (2 view/s) There is a 78 degrees thoracolumbar levoscoliosis.Both femoral heads are directed into the acetabulum with no evidence of hip dislocation or subluxation. Coxa valga of the left hip and postsurgical changes, with no complica... | Worsening in thoracolumbar levoscoliosis.Stable appearance of the pelvis. |
Generate impression based on findings. | Male 15 years old Reason: pain and swelling right LF- s/p rugby injury 4/14/15 History: injury- pain and swelling right LF Soft tissue swelling but we see no fracture or malalignment. | Soft tissue swelling without fracture. |
Generate impression based on findings. | Male 3 years old Reason: 3 year old with abd pain and vomiting, concern for intussusception History: abdominal pain x 2 days and vomiting todayVIEWS: Abdomen abdomen AP supine and upright (two views) 4/15/15 Normal abdomen gas pattern. No evidence of free air or obstruction. No ascites. | Normal examination. |
Generate impression based on findings. | 78 years, Male. Reason: eval stool burden History: intermittent diarrhea Gaseous distention of the colon. Moderate amount of stool noted throughout the colon. Above average stool burden in the rectum. No evidence of free intraperitoneal air, pneumatosis intestinalis or portal venous gas. The lung bases appear clear. AI... | Above average stool burden in the rectum. |
Generate impression based on findings. | Biphasic stridor, left neck pain, enlarged left tonsil. There is a subcentimeter polypoid focus along the medial aspect of the left vocal cord. There is mild irregularity or secretions in the upper trachea posteriorly without significant stenosis.The Waldeyer ring structures appear unremarkable. Indeed, no significant ... | 1. A subcentimeter polypoid focus along the medial aspect of the left vocal cord corresponds to the granuloma demonstrated on laryngoscopy. 2. No significant enlargement of the left palatine tonsil or significant lymphadenopathy in the neck.3. Mild irregularity or secretions in the upper trachea airway without signific... |
Generate impression based on findings. | Female, 37 years old.Multiple surgical teams. Rule out foreign body. No unexpected radiopaque foreign bodies are identified. Surgical staples project over the left hemiabdomen and hemipelvis. NG tube tip projects at the level of the body of the stomach with the side-port at the level of the GE junction. Gaseous distent... | No unexpected radiopaque foreign bodies. These findings were discussed with the attending surgeon, Dr. Millis, at 12:57 p.m. by phone on 4/15/15. |
Generate impression based on findings. | Male, 11 years old, with fibrous dysplasia and growing bone lesion, evaluate for surgical correction. Multiple areas of groundglass calvarial thickening are redemonstrated compatible with fibrous dysplasia. A lesion affecting the right parietal bone is minimally if at all larger when compared to the immediate prior exa... | Redemonstration of extensive calvarial and skull base fibrous dysplasia.Although the overall distribution of disease remains similar to that seen on prior examinations, at least the parietal bone lesions show evidence of slow interval growth when compared to an examination dating back to 2012. |
Generate impression based on findings. | 39-year-old male with a history of ulcerative colitis status post proctocolectomy with multiple subsequent intermittent small bowel obstructions. Evaluate for narrowing or adhesions at prior ileostomy site. Scout radiograph showed a nonobstructive bowel gas pattern. Transit time to the ileoanal anastomosis was approxim... | Findings suggestive of mild nonobstructive adhesive disease in the right lower quadrant. |
Generate impression based on findings. | Swelling over tibial tubercle. Evaluate for effusion. Three views of the right knee are provided. Tunnels within the distal femur and proximal tibia, as well as a button along the distal femoral diaphysis, indicate prior ACL reconstruction. Mild osteoarthritis affects the knee. I see no frank joint effusion. There is s... | Postoperative changes of ACL reconstruction without frank joint effusion. Soft tissue swelling anterior to the tibial tubercle is nonspecific but could represent a bursitis or graft ganglion. This can be further evaluated with MRI if clinically warranted. |
Generate impression based on findings. | Reason: h/o metastatic carcinoma of liver; suspected low grade cholangiocarcinoma vs. neuroendocrine tumor on long term surveillance History: none CHEST:LUNGS AND PLEURA: Biapical paraseptal emphysema, unchanged. Ground glass nodular density at the right apex, indeterminate. Scattered calcified and noncalcified microno... | Stable reference measurements, allowing for differences in technique. Recommend future examinations performed as separated chest and dedicated triple phase liver abdomen CT examinations. |
Generate impression based on findings. | 73 year old male with renal cancer, ground glass opacity. Reevaluation LUNGS AND PLEURA: Slight interval improvement in subpleural bandlike reticular opacities in the posterior right middle and lower lobes likely scarring.Right upper lobe ground glass opacity unchanged measuring 12 mm (series 4, image 102). No pleural ... | 1. Unchanged right upper lobe ground glass opacity and right apical nodule. 2. Slight interval improvement in subpleural bandlike reticular opacities in the posterior right middle and lower lobes likely represents scarring/discoid atelectasis unchanged from outside exam 2/12/2015.3. no evidence of metastatic disease. |
Generate impression based on findings. | Pain in the ankle. Evaluate for osteoarthritis. Three views of the right ankle are provided. There is mild soft tissue swelling along the lateral aspect of the ankle. Small ankle joint osteophytes suggest mild osteoarthritis. There is a small posterior calcaneal spur that is not necessarily of any clinical significance... | Mild degenerative changes as above. |
Generate impression based on findings. | 37-year-old female patient with biopsy proven IDC in the left breast with satellite lesion and positive left axillary lymph node presents after 12 cycles of paclitaxel to evaluate for interval change. DIAGNOSTIC MAMMOGRAM: Three standard views of the left breast and additional left CC and MLO views were performed digit... | Mild interval decrease in size of known left breast cancer, satellite lesion, and dominant left axillary lymph node, as best seen on mammography.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | Supratherapeutic INR. Evaluate for hemorrhage. There is unchanged hypoattenuation in the left parietal, left insular, right occipital, and bilateral frontal lobes. There is no evidence of acute intracranial hemorrhage. The grey-white matter differentiation appears to be intact. The ventricles are unchanged in size and ... | Cerebral infarcts of varying ages involving multiple territories without evidence of acute intracranial hemorrhage.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Male, 32 years old. Reason: evidence of cholelithiasis, cholecystitis, hepatic parenchymal disease History: RLQ pain LIVER: The liver measures 16.4 cm, with homogeneous echotexture, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic or extrahepat... | No cholelithiasis or evidence of acute cholecystitis. |
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