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Generate impression based on findings. | Male 53 years old; Reason: 53yr old male with history of amyloidosis; pre-sct evaluation History: evaluate CHEST:LUNGS AND PLEURA: Right basilar calcified granuloma. No suspicious lesions.MEDIASTINUM AND HILA: Heart size is normal. Coronary calcificationsCHEST WALL: No significant abnormality notedOTHER: ABDOMEN:LIVER,... | 1.Hepatomegaly.2.Lack of intravenous contrast limits evaluation of the hollow and solid abdominal visceral for masses. |
Generate impression based on findings. | 55-year-old male. Pain. Evaluate for osteoarthritis. Left foot: Mild hallux valgus deformity. Very mild osteoarthritis of the first tarsometatarsal and MTP joints. No fracture. Right foot: Mild hallux valgus deformity. Very mild osteoarthritis of the first MTP joint. No fracture. | Mild hallux valgus deformity. Mild osteoarthritis. |
Generate impression based on findings. | Age: 70 years. Sex : Male. Reason for study: Reason: aspiration? History: dysphagia. Fluoroscopic guidance was provided for an oropharyngeal motility study performed by the Speech Pathology section of the ENT service. The examination was recorded on videotape. No static or hard copy films were obtained. The exam was ne... | The exam was negative for penetration and negative for aspiration. |
Generate impression based on findings. | 70 years, Female. Reason: 70 y/o with MDS undergoing tx w/ irregular BMs, eval for stool burden, obstruction, ileus History: abd pain/tenderness, bloating, irregular BMs Nonobstructive bowel gas pattern. Moderate stool burden. Severe degenerative changes affect the lower lumbar spine. Moderate osteophytes affects the b... | Moderate stool burden without definitive evidence of obstruction or ileus. |
Generate impression based on findings. | 75 year old female with history of cholangiocarcinoma. CHEST:LUNGS AND PLEURA: Numerous bilateral pulmonary nodules consistent with metastatic disease demonstrate mild interval increase in size. The reference right lower lobe nodule measures 1.3 x 1.0 cm (series 4 image 68), compared to 1.0 x 0.8 cm previously. The mor... | 1. Findings of tumor progression including slight interval increase in pulmonary metastatic nodules and new sites of hepatic disease.2. New partial main portal vein thrombosis.3. Large volume ascites with peritoneal nodularity suspicious for carcinomatosis. |
Generate impression based on findings. | Images are slightly limited by patient motion. There is continued stability of an expansile cervical spinal cord mass spanning mid C2 to upper C4 levels that measures up to 13 mm AP. There has been no significant interval increased size even compared to baseline. There is minimal if any superimposed patchy enhancement... | Continued stable appearance of upper cervical cord astrocytoma without significant interval change even compared to baseline. |
Generate impression based on findings. | 81-year-old female. Status post left TKA. Left total knee arthroplasty device in anatomic alignment without radiographic evidence of hardware complication. Interval removal of skin staples and surgical drain. Loose body in popliteal fossa, unchanged. Dense vascular calcifications. Severe osteoarthritis affects the righ... | Left total knee arthroplasty device. |
Generate impression based on findings. | 17 year old male patient with left shoulder pain status post injury. Question of dislocation.VIEWS: Left shoulder AP internal and external rotation (2 views) 4/15/2015 No acute fracture or malalignment is evident. | No dislocation is evident. |
Generate impression based on findings. | Mucosal thickening or secretions are present along the floor of the left maxillary sinus. Trace mucosal thickening of the right maxillary sinus. The paranasal sinuses are otherwise clear. There is opacification of bilateral mastoid air cells, which appear underpneumatized for age. Again seen is S-shaped nasal septal d... | 1. Mucosal thickening or secretions along the floor of the left maxillary sinus and mild mucosal thickening of the right maxillary sinus.2. Opacification of the bilateral mastoid air cells which appear underpneumatized, not significantly canged from prior.3. Asymmetry of the lateral ventricles and apparent left periven... |
Generate impression based on findings. | Reason: mets lung cancer. s/p RT to chest wall. S/p 14 cycles of MPDL3280A. Pls c/w previous study and evaluate tx response. History: lung ca LUNGS AND PLEURA: Stable post radiation and postsurgical changes in left apex and left paramediastinal region.Stable calcified and noncalcified micronodules.No new suspicious pul... | Stable exam with no interval change in the left breast and left lateral chest wall subcutaneous nodules. No new sites of disease identified. |
Generate impression based on findings. | 42-year-old female. Follow-up ankle fracture. Distal fibula oblique fracture in anatomic alignment. Fracture line is indistinct indicating attempt at healing. | Healing distal fibula fracture. |
Generate impression based on findings. | Reason: evaluate ET tube placement History: reintubationVIEW: Chest AP (one view) 4/15/15 11:28 ET tube tip just entering the right main bronchi. Right PICC in the SVC. NG tube tip in the stomach and the side ports at GE junction. Normal cardiothymic silhouette. Persistent left hydropneumothorax and right pleural effus... | ET tube tip just entering the right main bronchi. Findings discussed with Dr. Christine Elsen on 4/15/15 2:37 PM. |
Generate impression based on findings. | Female, 73 years old. Reason: evaluate for hydronephrosis History: AKI, decreased urine output RIGHT KIDNEY: The right kidney measures 9.7 cm, with increased cortical echogenicity. No focal lesion or shadowing calculus. Minimal hydronephrosis.LEFT KIDNEY: The left kidney is not clearly visualized.URINARY BLADDER: The b... | 1. Minimal right hydronephrosis without obstructing lesion or stone identified. The left kidney is not clearly visualized.2. Increased renal cortical echogenicity suggests medical renal disease or parenchymal dysfunction. |
Generate impression based on findings. | 31-year-old female. Worsening cellulitis right hand. ID concerned for osteomyelitis. Marked soft tissue swelling particularly on the dorsum of the hand with new foci of soft tissue gas. No destructive changes of the underlying bone to indicate osteomyelitis. | Marked soft tissue swelling with new foci of gas. No radiographic evidence for osteomyelitis. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is a cavum septum pellucidum and vergae. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracran... | No acute intracranial hemorrhage or mass-effect. CT is insensitive for detection of early nonhemorrhagic stroke. |
Generate impression based on findings. | Right ankle pain and sweatingVIEWS: Right ankle AP, lateral and oblique 4/15/15 (3 views) Soft tissue swelling and joint effusion with no fracture or malalignment. | Soft tissue swelling and joint effusion with no fracture. |
Generate impression based on findings. | Abdominal painVIEW: Abdomen AP (one view) 4/15/15 at 1342 hrs NG tube has been removed and a left lower extremity central line has been placed, tip is at the retrohepatic IVC. Abdominal surgical sutures noted. Slightly disorganized, nonspecific abdominal gas pattern. No evidence of obstruction or free air. Mild amount ... | Interval removal of NG tube and placement of central line as described.Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | 24 year old male with cp, tachy. Evaluate for pulmonary embolism. PULMONARY ARTERIES: Limited opacification of the pulmonary arteries likely due to SVC occlusion with collateral venous circulation similar to prior study. Within these limitations there is no evidence of pulmonary embolism through the lobar pulmonary art... | 1. Unable to perform a PE protocol study despite multiple attempts due to SVC occlusion with extensive collateral circulation; thus a standard contrast enhanced chest CT study was performed. Within these limitations, no evidence of pulmonary embolism is noted through the level of the lobar pulmonary arterial branches. ... |
Generate impression based on findings. | 88 year old female with gastric cancer status post recent laparotomy, history of PE in November of 2014 seen on CT A/P, evaluate for resolution of PE. PULMONARY ARTERIES: Multiple filling defects in a segmental branch of the right lower lobe pulmonary artery (series 6, image 185) and segmental branch of right middle lo... | Findings compatible with pulmonary emboli in the segmental branches of the right middle and right lower lobe pulmonary arterial branches which are of unclear chronicity and may represent recurrent or chronic pulmonary embolism. Strand like filling defect in the left main pulmonary artery compatible with the residual of... |
Generate impression based on findings. | 51-year-old female. Sprain of toe, fifth, right Oblique extra-articular fracture of the mid fifth proximal phalanx in gross anatomic alignment. | Proximal phalanx fracture of the fifth toe. |
Generate impression based on findings. | 66-year-old male. Clavicle injury. Metastatic prostate cancer. Diffuse sclerotic lesions throughout the visualized skeleton consistent with metastatic prostate cancer. No pathologic fracture of the clavicle is evident. | Extensive sclerotic metastases. No pathologic clavicle fracture is evident. |
Generate impression based on findings. | 1 year old female patient with breathing difficulty. Question of adenoid hypertrophy.VIEWS: Soft tissue neck lateral (1 view) 4/15/2015 Moderate adenoid hypertrophy is seen with narrowing of the nasopharyngeal airway. No prevertebral soft tissue swelling. The epiglottis is not swollen. Partial fusion of the posterior e... | Moderate adenoid hypertrophy. |
Generate impression based on findings. | Female; 64 years old. Reason: abdominal abscess, drain placed, not improving. needs reassessment with IV and PO contrast. History: abdominal abscess, rising WBC despite drain and ABX. ABDOMEN:LUNG BASES: Mild bibasilar subsegmental atelectasis. Trace left pleural effusion.LIVER, BILIARY TRACT: Liver demonstrates cirrho... | 1. Significant interval decrease in left lower quadrant/pelvic loculated air-fluid collection status post percutaneous drainage catheter placement. Residual loculated fluid to the right of the catheter tip is seen as detailed above.2. Segments of nonspecific small bowel and colon wall thickening, similar to prior study... |
Generate impression based on findings. | 77 year-old female 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: Stabl... | Worsening small bowel obstruction with transition point at the right lower quadrant urostomy site, likely secondary to adhesive disease. No specific findings of bowel ischemia. |
Generate impression based on findings. | Female 66 years old. Reason: Eval scoliosis and sagittal balance. History: back and right leg pain. Four views of the spine are provided. There is approximately 17 degrees of dextroscoliosis of the thoracolumbar spine as measured from the superior endplate of T11 to the inferior endplate of L3. This increases to approx... | Scoliosis and other findings as described above. |
Generate impression based on findings. | 69 years old, Male, Reason: h/o chronic ataxia, alcohol use, concern for korsakoff syndrome There is no significant cerebellar atrophy. However, mild generalized parenchymal volume loss is seen with symmetric mild prominence of the sulci. Diffuse patchy periventricular white matter hypoattenuation may be related to age... | No acute intracranial abnormality. Mild generalized parenchymal volume loss. |
Generate impression based on findings. | 36 year old female patient with history of surgery in the bilateral axillae for dermal abnormalities presents with discomfort and swelling in the bilateral axillae. MAMMOGRAM: Three standard views of both breasts including one spot compression view of the left axilla and two spot compression views of the left breast we... | Postsurgical changes in the left axilla from excision for history of hydradenitis suppurativa with nonspecific prominent left axillary lymph node. Recommend continued follow up with breast surgery and continued screening mammography.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 2 year old male patient with developmental delay. Evaluate hips. VIEWS: Pelvis AP (1 view) 4/15/2015 The femoral heads are round and directed towards the acetabula. No fracture is evident. Surgical clips and bowel suture line is noted in the abdomen and pelvis. | Normal hips. |
Generate impression based on findings. | Female; 42 years old. Reason: 42F s/p colonoscopy for polyp removal with microperforation s/p clip placement History: eval colon perforation Lack of intravenous and oral contrast limits sensitivity for solid organ and bowel pathology, respectively.ABDOMEN:LUNG BASES: Mild bibasilar subsegmental atelectasis and/or scarr... | No evidence of colonic perforation. |
Generate impression based on findings. | Male 59 years old Reason: hematoma History: left elbow swelling; Diffuse soft tissue swelling about the elbow joint, predominantly on the medial aspect, which is nonspecific. There is no malalignment. There may be a joint effusion but this is equivocal. Olecranon enthesophyte noted. | Soft tissue swelling and other findings as described above. If further imaging is clinically indicated MRI could be considered. |
Generate impression based on findings. | 59 year old woman with history of breast cancer s/p chemotherapy who presents with atypical chest pain. Coronary CTA done to evaluate for coronary disease.CPT Code: 75574 Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of Valsalva and bifurcates into the left anterior descending... | 1.There are no significant coronary artery stenoses present. 2.Tortuous coronary artery anatomy. 3.Small calcified atherosclerotic plaque in the descending thoracic aorta.This portion of the report pertains to the heart and great vessels only. The remaining soft tissues of the thorax and upper abdomen will be interpret... |
Generate impression based on findings. | Malignant lung cancer. ABDOMEN:LUNG BASES: Scarring noted at both lung bases. Please refer to chest CT report of today. Large hiatal hernia.LIVER, BILIARY TRACT: There is a 1.5 x 1.9 cm subtle subcapsular enhancing lesion in the dome of the right lobe (image 28; series 7) which I believe likely represents a small metas... | Relatively subtle, solitary lesion in the right lobe as described, suspicious for metastasis. I would suggest correlation with a dedicated liver MRI exam for further evaluation. |
Generate impression based on findings. | Female 56 years old Reason: shoulder pain History: as above Mild osteoarthritis of the glenohumeral joint. Small densities within the humeral diaphysis are nonspecific and may an enchondroma, small foci of trabecular condensation or infarction, or perhaps fibrous dysplasia. | Mild glenohumeral joint osteoarthritis and other findings as described above. |
Generate impression based on findings. | Female 65 years old. Reason: recent hip fracture s/p surgical repair, evaluate hardware. History: chronic hip pain Two views of the right hip are provided. Again seen is an intramedullary rod and proximal fixation screw affixing the intertrochanteric fracture in anatomic alignment. There is no evidence of hardware comp... | Postoperative changes without evidence of hardware complication. |
Generate impression based on findings. | 67 years old female. Reason: patient has a growing LLL nodule and a history smoking, findings consistent with primary lung cancer. This study was performed for the diagnosis of the lung nodule.RADIOPHARMACEUTICAL: 13.0 m Ci F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 85 mg/dL. Today's CT portion grossly demo... | 1.Mild hypermetabolic nodule in the left lower lobe, suspicious for lung cancer.2.Hypermetabolic lymph node in the left lung hilum, suspicious for nodal metastasis.3.No evidence of distant metastasis.4.Inflammatory changes in the left lingular lobe. |
Generate impression based on findings. | Male 75 years old. Reason: eval for acute process. History: atraumatic wrist pain/swelling/redness Three views of the left wrist are provided. The wrist is normal in appearance. There is no evidence of fracture or dislocation. | Negative examination of the wrist. |
Generate impression based on findings. | 88-year-old female with shortness of breath and hypoxia. Evaluate for chronic pulmonary embolus The comparison CT chest performed on 4/14/2015 demonstrates no focal pulmonary opacities or pleural fluid. The ventilation images show decreased left lower lung activity on single-breath and wash-in images. There is heteroge... | 1.Low probability for pulmonary embolus.2.Findings compatible with obstructive pulmonary disease. |
Generate impression based on findings. | Reason: pulmonary nodule History: pulmonary nodule LUNGS AND PLEURA: Well-circumscribed right lower lobe nodule measures 18 x 16 mm (series 4 image 69, previously 16 x 14 mm. This contains punctate foci of lipid attenuation on source images. Additional calcified and noncalcified pulmonary micronodules are unchanged and... | 1.Well circumscribed right lower lobe nodule has minimally increased in size, however rate of growth favors a benign lesion such as a hamartoma. 2.Small bilateral pleural effusions and pericardial effusion again seen. |
Generate impression based on findings. | 61 years, Female. Reason: Eval stool burden History: Hx of constipation, abdominal pain Nonobstructive bowel gas pattern. Average stool burden. Metallic densities project throughout the abdomen, which may be related to recent dental procedure. Mild degenerative disease affects the lower lumbar spine and bilateral hips. | Average stool burden without evidence of obstruction. |
Generate impression based on findings. | Hematuria, unspecified. CHEST:LUNGS AND PLEURA: Left lower lobectomy and postsurgical changes with underlying persistent moderate emphysematous changes as noted previously. Scarring in right apex is unchanged. Micronodular right costophrenic angle unchanged. New small left pleural effusion.MEDIASTINUM AND HILA: Persist... | Uremic cystic disease with questionable enhancing 1 cm nodule in the medial left kidney. Given the multiplicity of nodules, it is quite difficult to evaluate them individually and I would advise short-term follow-up to assess stability. Other findings are stable with measurements given above. |
Generate impression based on findings. | 64 year female with history of Crohn's disease status post colovaginal and colo-urethral fistula repairs in 2006. Evaluate for enterocutaneous fistula and abscess. ABDOMEN:LUNG BASES: Small bilateral Bochdalek hernias. No pleural effusions. Normal cardiac size without a pericardial effusion.LIVER, BILIARY TRACT: Status... | 1. No specific findings of acute bowel inflammation, abscess or enterocutaneous fistulae as clinically questioned.2. Mild tethering of the bowel at the level of the ileocecal valve without evidence of acute inflammation, likely chronic fibrosis; although a small enterocolic fistula cannot be excluded. The small bowel i... |
Generate impression based on findings. | Reason: Please compare to previous CT which showed lesions; on therapy for Nocardia x 6 mo History: cough LUNGS AND PLEURA: Bilateral pulmonary micronodules and nodules are unchanged. New small right and trace left pleural effusions with associated atelectasis.MEDIASTINUM AND HILA: Small mediastinal lymph nodes are unc... | Stable pulmonary micronodules and nodules. Small right pleural effusion minimally larger. |
Generate impression based on findings. | Female 31 years old; Reason: 31 F with PNET metastatic to liver, please eval for interval change as she has developed new RUQ pain. History: RUQ pain CHEST:LUNGS AND PLEURA: Small right pulmonary micronodule. Trace pleural effusion at right lung base with associated atelectasis.Right middle lobe atelectasis.MEDIASTINUM... | 1.No significant change in the size of the segment 8 metastatic deposit.2.Changes in the right middle and right lower lobe likely represent post radiation changes.3.Stable right lower lobe micronodule. |
Generate impression based on findings. | Reason: f/u lung cancer History: lung cancer CHEST:LUNGS AND PLEURA: Right apical fluid collection with adjacent consolidation and traction bronchiectasis, unchanged. Paramediastinal focal consolidation atelectasis in the superior segment of right lower lobe, also unchanged.New punctate pulmonary micronodules in the le... | 1.Stable reference measurements. 2.Two new subcentimeter hypoattenuating foci within the spleen, too small to characterize. |
Generate impression based on findings. | 75-year-old male with history of metastatic prostate cancer. Evaluate disease burden. Redemonstration of multiple areas of increased uptake within the ribs, spine, pelvis, and proximal femurs without significant interval change. Normal bilateral renal uptake is seen. | No significant interval change in the osseous metastatic disease. |
Generate impression based on findings. | Lung cancer treated with chemotherapy. There is no evidence of intracranial mass or abnormal enhancement. There is unchanged encephalomalacia in the right frontal lobe and mild cerebral white matter hypoattenuation that likely represents small vessel ischemic disease. The ventricles are normal in size and configuration... | No evidence of intracranial metastases. |
Generate impression based on findings. | 49-year-old male with history of renal cell carcinoma. Status post left nephrectomy 03/02/2015. CHEST:LUNGS AND PLEURA: Scattered nonspecific pulmonary micronodules likely reflect prior granulomatous disease, attention to these on subsequent imaging is recommended. No suspicious pulmonary nodules or masses. No focal co... | 1. Status post nephrectomy with a 3.1 cm centrally low attenuating collection within the nephrectomy bed compatible with post-surgical hematoma given recent surgery (03/02/2015). Inflammation and fascial thickening about the nephrectomy bed is also likely postoperative. No measurable disease otherwise.2. Pulmonary micr... |
Generate impression based on findings. | There are unchanged posttreatment changes related to total thyroidectomy, neck dissection and radiation therapy. In the area of hypermetabolism along the right true vocal cord on the recent PET/CT, there is no evidence of a corresponding focal soft tissue mass. Compared to several recent exams, the appearance of the r... | 1. No definite focal mass to correlate with right true vocal cord hypermetabolism on recent PET/CT, with overall stable appearance of the vocal cords compared to multiple recent prior exams. Compared back to more remote exam of October 2013, there is subtle effacement of the right paraglottic fat which may suggest soft... |
Generate impression based on findings. | A focus of residual thyroid activity is identified in the neck consistent with residual functioning thyroid tissue. There is evidence of increased activity in the left breast. | 1.Focus of increased activity in the left breast. Differential considerations include metastatic disease versus physiologic activity. Further evaluation/correlation with mammography/ultrasound or MRI may be considered if clinically indicated.2.Residual functioning thyroid tissue in the thyroid bed. |
Generate impression based on findings. | Female, 53 years old. Reason: eval cholelithiasis History: R flank pain LIVER: The liver measures 16.9 cm, with 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... | 1. Gallbladder sludge and stones without evidence of acute inflammation.2. Increased hepatic echogenicity suggests fatty infiltration or parenchymal dysfunction. |
Generate impression based on findings. | Female, 54 years old, with severe headaches. 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 is normal in size and morphology... | Unremarkable evaluation with no specific findings to account for the patient's headaches. |
Generate impression based on findings. | Reason: Shortness of breath, biphasic stridor. Eval for tracheal stenosis History: same LUNGS AND PLEURA: Focal soft tissue density along the posterior tracheal membrane at the level of the thoracic inlet.Bronchial and bronchiolar wall thickening. Nodule along the left major fissure likely represents intrapulmonary lym... | 1.Mild bronchial/bronchiolar wall thickening, which could be due to bronchitis or asthma.2.Focal dependent soft tissue opacity along the posterior tracheal membrane most likely represents retained secretions, although the density measures higher than typically seen. Recommend direct visualization to exclude tracheal pl... |
Generate impression based on findings. | Female 75 years old Reason: 75 yo F with gout, and hyperparathyroidism, assess for erosions or CPPD arthropathy. History: repeated attacks of acute arthritis Pelvis: The bones are demineralized. There is mild osteoarthritis of the bilateral hip joints. There is no chondrocalcinosis or subchondral bone resorption. Degen... | Arthritic changes which are predominantly degenerative in nature. No erosions or evidence of CPPD arthropathy. |
Generate impression based on findings. | Male, 46 years old. Reason: Palpable Mass Right Upper Thigh History: Palpable Mass Right Upper Thigh Within the subcutaneous tissue of the medial right thigh, there is a heterogeneous solid mass measuring 3.9 x 2.5 x 3.7 cm, noncalcified, with significant internal vascularity. No associated discrete fluid collection. | A solid mass with vascularity in the subcutaneous medial right thigh does not fulfill criteria for a benign process, and neoplastic etiology must be considered. This lesion is amenable to ultrasound guided biopsy for further evaluation. |
Generate impression based on findings. | Reason: 73F with metastatic NSCLC History: surveillance scans LUNGS AND PLEURA: Right upper lobe subpleural part solid nodule measures 7 x 21 mm (series 6 image 29), previously 10 x 22 mm (series 3 image 40) on the outside examination when measured similarly. Biapical pleural parenchymal scarring. Peripheral and basila... | 1.Unchanged right upper lobe subpleural part solid nodule compared to prior outside exam. No new nodules or masses.2.Reference subcarinal lymph node is unchanged.3.Several newly visible hepatic lesions compatible with metastases.4.Splenic artery aneurysm.5.Combined pulmonary fibrosis with emphysema, unchanged. |
Generate impression based on findings. | History of IPF with cough and dyspnea. Research study evaluate IPF from baseline. IRB 13-0825. LUNGS AND PLEURA: Severe centrilobular emphysema. Peripheral and basal bronchiectasis and bronchiolectasis with groundglass opacity in the costophrenic angles. Small subpleural cysts. Wedge biopsy suture line on the right. No... | Stable combined pulmonary fibrosis and emphysema. Signs of pulmonary hypertension. |
Generate impression based on findings. | Right frontal hemorrhage s/p fall. There is no significant interval change in the small right frontal parenchymal hematoma with associated minimal vasogenic edema and extra-axial extension of the hemorrhage into the overlying subarachnoid space. There is unchanged mild patchy cerebral white matter hypoattenuation, whic... | No significant interval change in the small right anterior frontal lobe hemorrhagic contusion and left occipital scalp subgaleal hematoma. |
Generate impression based on findings. | 60 year-old female with concern for small bowel bleeding. ABDOMEN:LUNG BASES: Minimal subsegmental atelectasis. No pleural effusions. Normal cardiac size without pericardial effusion.LIVER, BILIARY TRACT: No focal hepatic lesion, biliary ductal dilatation or vascular abnormality. Status post cholecystectomy.SPLEEN: No ... | No CT findings of active GI hemorrhage. There is however a tiny enhancing focus within the distal jejunum/proximal ileum in the left lower quadrant, which may represent a small vascular ectasia and source of occult GI bleeding. |
Generate impression based on findings. | Female 64 years old Reason: breast cancer with lung mets and mets to T and L spine. Also with uterine leiomyoma. Please measure disease using recist criteria and immune response criteria History: pre chemo LUNGS AND PLEURA: Reference lesions are as follows: *Left upper lobe nodule measures 1.8 x 2.1 cm (series 5; image... | No substantial interval change in reference lesions with measurements given above. Enlarging right pleural effusion with overlying atelectasis and consolidation. Decreasing left pleural effusion with decreasing atelectasis and consolidation. |
Generate impression based on findings. | Angioneurotic edema and esophageal cancer treated at OSH, now with recurrence. Neck: There is extensive stranding and swelling of the subcutaneous tissues of the face and neck and marked swelling of the tongue and pharyngeal mucosal surfaces with associated narrowing of the upper aerodigestive passage. There is also a ... | 1. Findings are compatible with angioedema involving the upper aerodigestive track with associated upper airway narrowing, but no airway compromise inferior to the tracheostomy tube. Diffuse subcutaneous stranding and third spacing of fluid and prominent conjunctival enhancement is also likely related to the angioedema... |
Generate impression based on findings. | 64-year-old male with history of salivary cancer, status post CRT, compared to previous. CHEST:LUNGS AND PLEURA: Bilateral upper lung zone nodules appear stable to slightly decreased in size. Reference right upper lobe nodule measures 7 mm x 6 mm (series 5, image 71) previously 8 mm x 8 mm. reference nodule in the supe... | Stable to slight in decrease in size of bilateral pulmonary nodules. New left upper lobe subpleural opacities likely postinflammatory possibly related to radiation or infection. No definite evidence of metastatic disease. |
Generate impression based on findings. | Right upper lobe and left upper lobe mass, navigation protocol. Dyspnea. LUNGS AND PLEURA: Moderate left pleural fluid collection. Mild pleural thickening or atelectasis along the left lower lobe mediastinal pleural surface measuring up to 7-mm in thickness (3/83). Nodularity of the left major fissure also noted.A curv... | 1. Bilateral upper lobe irregular nodular lesions containing calcifications; the appearance is most suggestive of chronic granulomatous infection such as MAI or MTB. If the patient is immunosuppressed, the appearance on the left is suspicious for an active infection (reactivation) involving both the lung parenchyma and... |
Generate impression based on findings. | Clinical question: Progressive breast cancer with fatigue and dizziness, assess for brain metastases. Signs and symptoms: As above. Enhanced head CT:Examination demonstrates no detectable abnormal parenchymal or leptomeningeal enhancement to suggest metastatic disease. Unremarkable cerebral cortex, cortical sulci, vent... | Negative enhanced head CT. |
Generate impression based on findings. | Pain There is an anterior plate with screws entering the C4 through C7 vertebrae. I see no hardware complications. There are intervertebral spacer devices at C4/5, C5/6, and C6/7, with possible partial bony bridging at these levels. Moderate degenerative disk disease affects C3/4. Mild degenerative disk disease at C7/T... | Postoperative and arthritic changes as described above. |
Generate impression based on findings. | Male 32 years old. Reason: eval for acute process. History: R midaxillary pain Three views of the bilateral ribs are provided. We see no fracture or other radiographic finding to account for the patient's pain. | No fracture or other finding to account for the patient's pain. |
Generate impression based on findings. | Female 56 years old Reason: pain, swelling History: pain, swelling No fracture or malalignment. No specific findings to account for the patient's pain. | No fracture or malalignment. No specific findings to account for the patient's pain. |
Generate impression based on findings. | NONCONTRAST: There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is scattered ethmoid opacification and a probable retention cyst in the left maxillary sinus. The skull and extra... | 1.No acute intracranial hemorrhage, mass, flow limiting stenosis or aneurysm.2.No flow limiting stenosis or evidence of dissection in the neck.3.No evidence of dural venous sinus thrombosis. |
Generate impression based on findings. | Reason: esophageal cancer; lymphedema History: As above LUNGS AND PLEURA: No definite suspicious pulmonary nodules or masses. Low lung volumes. Moderate bilateral pleural effusions with overlying compressive atelectasis.MEDIASTINUM AND HILA: Tracheostomy tube in place. No mediastinal hilar lymphadenopathy. Heart size i... | 1.Moderate pleural effusions, abdominal ascites, and anasarca.2.No definite evidence of metastases. |
Generate impression based on findings. | Male 45 years old. Reason: s/p orif of foot. History: left foot s/p surgery Three weight-bearing views of the left foot are provided. Again seen is orthopedic fixation of the first, second, and third tarsometatarsal joints in near anatomic alignment. There is an additional screw affixing the second metatarsal base to t... | Orthopedic fixation of the Lisfranc joint as described above. |
Generate impression based on findings. | Follow-up orthopedic hardware Three views of the right ankle reveal a sideplate and multiple screws in the distal fibula. There is an additional syndesmotic screw. The fracture line is indistinct consistent with healing. When compared to previous exam there's been no change in position | Healing distal fibular fracture with internal fixation |
Generate impression based on findings. | 46-year-old female. Neck pain status post fusion of C4-C5. A plate and screw device enters the anterior aspect of C4-C5 with an interbody bone graft. No radiographic evidence of hardware complication. Straightening of the cervical spine; otherwise alignment is unremarkable. Moderate degenerative disk disease at C5-6 wi... | Post-surgical findings of anterior fusion of C4-5. |
Generate impression based on findings. | Male 73 years old Reason: spondylolisthesis History: leg and back pain Severe degenerative disk disease affects L4-L5 and L5-S1 with vacuum disks noted. Facet joint osteoarthritis also affects the lower lumber spine. There is grade 1 anterolisthesis (approximately 7 mm) of L4 on L5. Osteophytes are noted at the L5-S1 l... | Degenerative disk disease, facet joint osteoarthritis and anterolisthesis as described above. |
Generate impression based on findings. | 18 years old, Male, Reason: Concern for abscess History: Diffuse left facial swelling Fat stranding along the left face consistent without evidence of focal fluid collection or abscess. The fatty infiltration extends superiorly with minimal soft tissue swelling of the left eyelid. Bilateral multilevel cervical lymphade... | Fat stranding along the left face consistent with cellulitis without evidence of focal fluid collection to suggest abscess. There is associated likely reactive cervical lymphadenopathy. |
Generate impression based on findings. | Female, 56 years old. Reason: assess for recurrent lesions following thyroidectomy History: history of thyroid nodules, pathology indeterminate, s/p thyroidectomy RIGHT LOBE: Status post thyroidectomy. No focal lesion identified in the thyroid bed.LEFT LOBE: Status post thyroidectomy. No focal lesion identified in the ... | Interval thyroidectomy with no focal lesion in the thyroid bed. Benign appearing cervical lymph nodes are identified. |
Generate impression based on findings. | Reason: Primary lung pathology History: Syncope, pulmonary hypertension LUNGS AND PLEURA: Patchy upper lobe predominant ground glass opacity and interlobular septal thickening. Diffuse bronchial wall thickening. Bilateral lower lobe scarring and atelectasis. Right lower lobe round atelectasis. Small right pleural effus... | 1.Mild patchy upper lobe predominant ground glass opacity and interlobular septal thickening, which may represent noncardiogenic edema or less likely pulmonary hemorrhage in the absence of clinical signs of infection. 2.Mediastinal lymphadenopathy, stable since 2007.3.Findings compatible with pulmonary arterial hyperte... |
Generate impression based on findings. | Female; 77 years old. Reason: lung cancer s/p chemotherapy please assess response to therapy and compare to previous imaging History: lung cancer ABDOMEN:LUNG BASES: Partially visualized pleural-based right lower lobe nodule. Please see report from dedicated CT chest performed concomitantly.LIVER, BILIARY TRACT: Cholel... | 1.Fluid collection in the region of the left adrenal gland is slightly decreased posteriorly. Enhancing adjacent tissues unchanged.2.Stable right adrenal nodule.3.No new sites of disease. 4.Please see report from dedicated CT chest performed concomitantly. |
Generate impression based on findings. | Female 81 years old Reason: pain History: pain There is narrowing at the first metatarsophalangeal joint and mild hallux valgus. Note is made of an accessory navicular. No fracture is evident. | Osteoarthritis of the first metatarsophalangeal joint with mild hallux valgus. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage, within the limitations of only postcontrast imaging. There are no areas of abnormal attenuation or pathological enhancement. There is no extraaxial fluid collection. There is moderate mucos... | No evidence of intracranial metastatic disease. |
Generate impression based on findings. | Metastatic melanoma CHEST:LUNGS AND PLEURA: Reference right middle lobe nodule stable measuring 0.7 x 0.5 cm best seen on image 50 of series 5.MEDIASTINUM AND HILA: No significant abnormality noted.CORONARY ARTERY CALCIFICATION: None.CHEST WALL: Significant interval increase in size of bulky right axillary adenopathy. ... | Significant interval increase in size of bulky right axillary metastatic adenopathy. Reference lung nodule and bilobar hepatic metastases relatively stable. |
Generate impression based on findings. | Female; 49 years old. Reason: Evaluate for left sided hernia History: left sided hernia Mild motion artifact limits evaluation.ABDOMEN:LUNG BASES: Small hiatal hernia. Surgical clips at the GE junction.LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No significant abn... | Ventral abdominal wall hernia without evidence of complication. |
Generate impression based on findings. | 60 year old with history uterine cancer and pelvic XRT 20 years ago followed by an ileal conduit. Chronic intermittent obstruction. Known sigmoid stricture a large hernia. Please evaluate. ABDOMEN:LUNG BASES: Moderate to severe coronary artery calcifications. Mild scarring at both lung bases. Subcentimeter (7-mm) pleur... | 1. Ventral hernia containing colon does not appear to be obstructive. 2. Presumed strictures in the sigmoid colon to rectum and terminal ileum. 3. Soft tissue in the region of the vagina which could represent residual or recurrent tumor; recommend correlation with direct pelvic exam as clinically indicated.4. Slow grow... |
Generate impression based on findings. | 54 year old female. Right shoulder pain and decreased ROM. No fracture, dislocation, or other significant abnormality to explain the patient's symptoms. Small lucent foci in the proximal humerus and scapula are likely due to bone demineralization. | No significant abnormality to explain the patient's symptoms. |
Generate impression based on findings. | Female 52 years old. Reason: any change in tumors, or other abnormalities. History: nf type 2, abdominal pain, obstruction of her cervix, peri-menopausal. There is a multilobulated mass of near fluid signal intensity within the subcutaneous fat posterior to the left iliac crest measuring between 1.5 and 2 cm in greates... | 1.Limited study showing small suspected neurofibromas without significant interval change. |
Generate impression based on findings. | 40 year old female. History of fracture and surgery. Evaluate for osteoarthritis. Left ankle: No fracture or dislocation. Ankle mortise is intact. Small plantar heel spur.Left knee: No fracture, dislocation or significant osteoarthritis. | No evidence of osteoarthritis. |
Generate impression based on findings. | Left lower quadrant persistent pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Two indeterminate adrenal nodules. The anterior limb nodule best seen on image 4... | Questionable subtle soft tissue infiltration involving the proximal sigmoid colon; an early diverticulitis cannot be completely excluded. Not associated with abscess or bowel obstruction.Two left adrenal nodules best considered indeterminate. Would recommend correlation with dedicated adrenal CT study. |
Generate impression based on findings. | Male 38 years old. Reason: r/o fx. History: s/p fall/sz Two views of the left hip are provided. There is a mildly displaced fracture of the greater trochanter. We see no extension of the fracture to the lesser trochanter. There is mild osteoarthritis of the left hip.Two views of the right hip show no acute fracture. Th... | Left greater trochanter fracture, the full extent of which can be evaluated with MRI if clinically warranted. |
Generate impression based on findings. | Ms. Levy is a 77 year old female presenting with right medial breast pain for the past one month. The pain is brought on with straining and coughing. Patient denies a discrete mass, overlying skin changes, or nipple discharge. She has no family history of breast cancer. Three standard views of both breasts were perform... | Benign intramammary lymph nodes of the right breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Patient's outside mammograms will be uploaded to our PACS for future reference purposes. All results and recom... |
Generate impression based on findings. | Hematoma and jaw pain. There is a right lateral periorbital subcutaneous hematoma that measures up to 15 mm in width. The orbital contents appear unremarkable. There is no evidence of maxillofacial fractures. The temporomandibular joints are intact. The images portions of the middle ears and mastoid air cells are clear... | Right lateral periorbital subcutaneous hematoma, but no evidence of maxillofacial fractures. |
Generate impression based on findings. | Male 53 years old. Reason: new acute leukemia diagnosis. History: evaluate for infection Panorex radiograph of the mandible is provided. There is a lucency within the left third maxillary molar which is suggestive of a cavity. There is no abnormal lucency within the mandible to suggest osteomyelitis. Note is made of mu... | Probable cavity of the left third maxillary molar but no findings to suggest osteomyelitis. |
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 heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Scattered benign cal... | 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. | 52 year old woman with history of cryptogenic cirrhosis who presents for cardiac CTA as part of pre-transplant evaluationCPT Code: 75574 Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of Valsalva and bifurcates into the left anterior descending and left circumflex coronary arte... | 1. There are no significant coronary artery stenoses present; however, the more distal vessels are small and not well seen because nitroglycerin could not be administered due to blood pressure limitations. 2. Minimal coronary calcification is noted. 3. Mild to moderate biatrial dilation 4. Mild RV dilation.This portio... |
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. Benign calcifications are noted in both breasts. There is a... | Questionable focal asymmetry in the lower left breast on MLO view with a possible correlate along the posterior margin of the fibroglandular tissue in the central breast on the CC view. Recommend dedicated diagnostic mammogram with spot compression views and possible ultrasound.BIRADS: 0 - INCOMPLETE; Need additional i... |
Generate impression based on findings. | Reason: lung cancer s/p chemotherapy please assess response to therapy and compare to previous imaging History: lung cancer LUNGS AND PLEURA: Reference left lower lobe mass has decreased in size, measuring 24 x 19 mm (series 5 image 49), previously 31 x 24 mm. No new pulmonary nodules or masses. Coarse interstitial opa... | 1.Interval decrease in size of left lower lobe mass and partially visualized left adrenal mass. Right adrenal nodule. Please see separately dictated abdomen and pelvis CT performed on the same day.2.Chronic right main pulmonary artery thrombus and right lower lobe pulmonary infarct, unchanged. |
Generate impression based on findings. | Male; 58 years old. Reason: restaging CT CRC stage IV on chemotherapy History: none CHEST:LUNGS AND PLEURA: Index cluster of nodules in the left upper lobe, series 5 image 41, measures 1.2 x 0.6 cm, previously 1.2 x 0.6 cm, slightly decreased in its superior and inferior aspects, which is not reflected by the reference... | Overall mildly decreased metastatic disease with no new sites of disease evident. |
Generate impression based on findings. | Reason: 15 yo F with increased O2 requirement, rule out pna vs atelectasis History: increased O2 requirement, secretionsVIEW: Chest AP (one view) 4/15/15 16:44 Skeletal deformities and tracheostomy tube again noted. Cardiac silhouette is normal. Stable left lower lobe opacity, which may represent atelectasis or pneumon... | Stable left lower lobe opacity as above. |
Generate impression based on findings. | Reason: 39 year old man with enlarged, calcified mediastinal nodes, compressing esophagus. Compare to prior scan as appears larger on recent EUS. History: None LUNGS AND PLEURA: Bibasilar scarring and atelectasis. Right upper lobe granuloma. Nodules along the left major fissure are unchanged and likely represent intrap... | 1.Stable calcified subcarinal lymph node. No specific evidence of recurrence.2.Resolution of small pericardial effusion. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast biopsy in 2009. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. S... | 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. | 80 year-old male with history of sinonasal melanoma now with diffuse metastatic disease on PET/CT. Biopsy of enlarged right axillary lymph node is requested. Right axillary ultrasound identified the target lesion for biopsy. The lesion to be targeted is a hypoechoic mass measuring 1.5 x 1.3 x 1.8 cm within the low righ... | Successful ultrasound-guided core biopsy of the right axillary lesion. Pathology is pending at this time.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast mass in 2014 compatible with hyalinized fibroadenoma and usual ductal hyperplasia. Family history of breast cancer in her maternal grandmother, 3 maternal aunts and one uncle. Two standard digital views of both breasts and tom... | 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional left breast CC and MLO views 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. Sta... | 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. |
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