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Generate impression based on findings. | 58-year-old male status post Dobbhoff tube placement. The pelvis is not included in the field of view. Dobbhoff tube tip projects at the level of the body of the stomach. Nonobstructive bowel gas pattern. The lung bases appear clear. | Dobbhoff tube tip projects at the level of the body of the stomach. |
Generate impression based on findings. | Tumor resection follow up. There are postoperative findings related to recent right frontal craniotomy for resection of a right frontal lobe metastasis. There is a persistent hyperattenuating epidural collection with susceptibility effect in the right frontal convexity anterior to the craniotomy margin that exerts mass... | 1. Recent postoperative findings related to right frontal lobe tumor resection with a persistent right frontal convexity epidural hematoma with mass effect upon the right frontal lobe.2. Extensive vasogenic edema and remaining intracranial metastases persist and contribute to 8 mm of midline shift to the left, subfalci... |
Generate impression based on findings. | 76 years, Male. Reason: eval bowel gas pattern History: ileus Again seen are multiple dilated loops of bowel, most consistent with adynamic ileus, appearing similar to the prior study. Surgical staples in place, unchanged. NG tube tip projects at the level of the body of the stomach. The lung bases appear clear. Residu... | Persistent findings suggestive of adynamic ileus. |
Generate impression based on findings. | 64 years, Female. Reason: evaluate bowel gas pattern History: distension Gaseous distention of the colon, appearing similar to slightly increased when compared to the prior study. An above average amount of stool is noted throughout the rectosigmoid colon. Surgical staples, drain and nephroureteral stents in place, unc... | Gaseous distention of the colon, suggestive of an adynamic ileus, although this may be related to the above average amount of stool noted throughout the rectosigmoid colon, and clinical correlation is indicated. Follow-up examination is recommended. |
Generate impression based on findings. | 58 years, Female. Reason: sbo concern History: nausea belching, no gas or BM Residual contrast is visualized throughout the colon. Bilateral nephroureteral tubes and multiple surgical clips in the abdomen and pelvis are noted. Relative paucity of small bowel gas may relate to fluid filled loops of bowel. Basilar atelec... | Relative paucity of small bowel gas may relate to fluid filled loops. However, no specific radiographic evidence of small bowel obstruction. |
Generate impression based on findings. | Male 57 years old; Reason: 57M with new diagnosis of lung cancer History: staging scan ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Nodular hepatic contour. No focal liver lesion delineated. SPLEEN: Splenomegaly, spleen measures 14.2 cm in craniocaudal dimension. Minimal perisplenic stran... | 1. Nodular hepatic contour and splenomegaly, appearance consistent with hepatic cirrhosis and stigmata of portal hypertension. 2. Enlarged gastrohepatic, periportal and retroperitoneal lymphadenopathy, may be reactive in setting of cirrhosis but continued followup recommended to exclude neoplastic disease. 3. Minimal m... |
Generate impression based on findings. | There is no evidence of intracranial mass or abnormal enhancement. 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 is expected opacification of the dural venous sinuses. The imaged portions of the paranasal ... | No evidence of intracranial mass lesions. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Hip dislocationVIEWS: Pelvis AP There is lateral and collaring of the left femoral head of approximately 40%. The left femoral epiphysis is minimally smaller in comparison to the right. The right femoral head is seated within the acetabulum. Dysplasia involving the left hip. No acute fracture. | Dysplastic left hip as described above. |
Generate impression based on findings. | Male 54 years old Reason: healed nonunion History: none Postsurgical changes from plate and screw fixation of the radius and ulnar fractures. There is revision of the radial plate and screw. There is some bony bridging and callus formation across the fracture site.There is scattered heterotopic bone formation.Osteoarth... | Postsurgical changes with revision of the radial plate with some bony bridging across the fracture site |
Generate impression based on findings. | 46 years old, Male, s/p assault four days ago, persistent nausea/vomiting Head: There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. There is no midline shift or herniation. There appears to be scar along the high parietal convexity scalp. The calvarium an... | 1. No evidence of intracranial hemorrhage, mass, or cerebral edema. There is mild global volume loss slightly more than expected for patient's age.2. Fracture of the floor of the right orbit containing only fat is favored to be chronic in etiology. This fracture does not involve the infraorbital canal although appears ... |
Generate impression based on findings. | Reason: 77F s/p NGT placement History: as above Enteric tube tip terminates in the prepyloric antrum. Surgical clips are noted in the pelvis. Residual contrast is present in the distal small bowel. Right lower quadrant ostomy. No specific radiographic evidence of bowel obstruction; although small bowel obstruction seen... | Enteric tube tip terminates in the prepyloric antrum. |
Generate impression based on findings. | Sagittal images are limited by artifact, technical in nature. The thoracic spine is in normal alignment, with a normal thoracic kyphosis. The vertebral body and disk heights are well maintained. No worrisome focal marrow signal abnormality is appreciated. The spinal cord is of normal caliber and signal. The thoracic c... | 1. No evidence of abnormal signal or enhancement within the thoracic cord to suggest demyelinating disease.2. Somewhat ventral positioning of the thoracic cord which may represent normal variation. No cord deformity or evidence of focal mass effect, therefore intradural cystic lesion such as an arachnoid cyst is felt t... |
Generate impression based on findings. | Reason: Check Dobbhoff placement History: Check Dobbhoff placement Dobbhoff tube tip terminates in the gastric body. Mild gastric distention. Nonobstructive bowel gas pattern. The pelvis is excluded from the field-of-view. There is relative hyperattenuation of the right kidney, which can be seen in the setting of contr... | 1.Dobbhoff tube tip in the distribution of the gastric body. 2.Mild gastric distention.3.There is relative hyperattenuation of the right kidney, which can be seen in the setting of contrast nephropathy. Please correlate with clinical laboratory results. |
Generate impression based on findings. | Female, 34 years old. Reason: Please evaluate size and echogenicity of the kidneys History: Pre-transplant evaluation RIGHT KIDNEY: The right kidney measures 8.4 cm, with markedly increased echogenicity and loss of the corticomedullary differentiation. No shadowing calculi or hydronephrosis.LEFT KIDNEY: The left kidney... | Small kidneys with increased echogenicity of renal parenchyma seen, compatible with medical renal disease. No hydronephrosis. |
Generate impression based on findings. | Altered mental status, low platelets. There is no evidence of acute intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. How... | No evidence of acute intracranial hemorrhage. |
Generate impression based on findings. | CT: The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There is a hypoattenuating focus in the anterior limb of the left internal capsule. There are scattered punctate and confluent areas of abnormal low attenuation in the periventricular a... | 1. Unchanged 6 mm bilobed aneurysm involving the right middle cerebral artery bifurcation. 2. Unchanged 3 mm aneurysm at the left middle cerebral artery bifurcation. 3. Unchanged 3 mm aneurysm involving the M3 segment of the right middle cerebral artery.4. Mild fusiform dilatation is again noted at the confluence of th... |
Generate impression based on findings. | Female 71 years old. Reason: eval osteoarthritis History: L knee pain Four nonweightbearing views of the left knee are provided. There is severe osteoarthritis affecting the left knee. There is an ossification along the medial epicondyle consistent with prior MCL injury. | Severe osteoarthritis as described above. |
Generate impression based on findings. | 79 years, Female, Reason: 79y/o female with breast cancer; left breast palpable lumpectomy and Left SNBx 4/16/15 History: left breast cancer.RADIOPHARMACEUTICAL: The left breast was prepared in a sterile manner. A total of 0.5 mCi Tc-99m filtered sulfur colloid was injected in four periareolar injections. Four periareo... | Successful injection of radiotracer for intraoperative identification of sentinel node. |
Generate impression based on findings. | Female 19 years old. Reason: eval for fracture. History: left leg pain, mvc Two views of the left tibia/fibular are provided. There is no fracture or dislocation. | Normal examination of the left lower leg. |
Generate impression based on findings. | Ms. Szwajnos is a 57 year old female with a personal history of left breast lumpectomy in 2013 for IDC/DCIS followed by radiation and hormonal therapy. She has no current breast related complaints. Three standard views of both breasts along with two spot compression views of the left breast were performed digitally and... | Stable postsurgical changes of the left breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnos... |
Generate impression based on findings. | Female 57 years old. Reason: healed fx History: none Three views of the right hand are provided. There is bone demineralization indicating osteopenia. Again seen is a plate and screw fixation of the fifth proximal phalanx in anatomic alignment without evidence of hardware complication. There is mild callus formation su... | 1. Healing fifth finger proximal phalanx fracture without evidence of hardware complication. 2. Linear foreign body within the soft tissues adjacent to the distal phalanx of the ring finger. |
Generate impression based on findings. | There is trace stepwise grade 1 anterolisthesis of T1 on T2 to T3 on T4. This is trace grade 1 retrolisthesis of L1 on L2 noted. The scout lateral view and the sagittal reformatted images demonstrate the thoracic spine to otherwise be in normal alignment, with a normal thoracic kyphosis. The vertebral body heights are... | 1. Destructive lytic lesion with soft tissue component centered on the left T11 pedicle/costovertebral junction with involvement also of the transverse process. Epidural soft tissue identified at the T10-T11 level with complete obliteration of the left foramen, as well as extension into the superior left T11-T12 forame... |
Generate impression based on findings. | Female 65 years old. Reason: eval for frx History: fall, pain Two views of the right hip are provided. There is joint space narrowing and osteophyte formation indicating severe osteoarthritis. There is bone demineralization suggesting osteopenia. There is no fracture or dislocation. | Severe osteoarthritis with osteopenia. No evidence of acute fracture. |
Generate impression based on findings. | Male 38 years old. Reason: eval troch fx History: above There is a comminuted greater trochanter fracture with relative nondisplacement. There is no extension to the lesser trochanter. Soft tissue edema adjacent to this area is noted. | [Comminuted left greater trochanter fracture as above.] |
Generate impression based on findings. | Cough feverVIEW: Chest AP Cardiothymic silhouette normal. Cardiac apex, aortic arch and stomach left-sided. Peribronchial wall thickening with subsegmental atelectasis in the left lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | Male 21 years old. Reason: hx of fracture/ History: same Three views of the left tibia/fibula are provided. There is a nondisplaced fracture of the distal fibula. Additionally there is a small fracture fragment along the posterior distal tibia with minimal displacement. There are no proximal fractures of the tibia or f... | Distal fibular and posterior tibial fractures without evidence of syndesmotic widening. |
Generate impression based on findings. | Male 47 years old Reason: eval arch/dissection History: scapula pain radiating up to neck w exertion CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: There is a left-sided aortic arch with an aberrant right subclavian artery. Caliber of the aorta and great vessels are normal without eviden... | Left-sided aortic arch with aberrant right subclavian artery.Severe atherosclerotic disease coronary arteries.Narrowing distal to the origin of the celiac artery and superior mesenteric artery without calcific plaque raises the question of vasculitis. Consider PET CT for large vessel vasculitis and serologic markers. |
Generate impression based on findings. | Reason: OSH transfer with R. cavitary pneumonia s/p chest tube placement afterwards developed hydropneumothorax and persistent air leak x 4 days. Please eval for tube placement and size of PTX. Also with left opacities History: chest tube LUNGS AND PLEURA: Right middle lobe consolidation with cavitation compatible with... | 1.Right necrotizing pneumonia.2.Moderate right hydropneumothorax with chest tube tip at the right apex, suspicious for a broncopleural fistula. 3.Mild mediastinal lymphadenopathy, likely reactive in etiology. 4.Moderate pericardial effusion. |
Generate impression based on findings. | 46-year-old female with breast cancer, restaging CHEST:LUNGS AND PLEURA: Reticulonodular and patchy consolidation in the left apex appears similar to prior study likely related to radiation fibrosis. No suspicious pulmonary nodules or masses. Mild dependent atelectasis. No pleural effusion or pneumothorax. MEDIASTINUM ... | Enlarging right axillary lymph node which demonstrated increased metabolic activity on prior PET scan consistent with metastatic disease. No new sites of metastatic disease. |
Generate impression based on findings. | Reason: eval for PE and or etiology of hypotension History: hypotension, increased right sided pressure PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus.LUNGS AND PLEURA: Low lung volumes. Small bilateral pleural effusions with overlying atelectasis/consolidation. No suspicious pulmonary nodules or ... | 1.No acute pulmonary embolus.2.Findings compatible with hypervolemia including small pleural effusions, mild ascites, and anasarca.3.Cardiomegaly with biatrial enlargement.4.Pericardial calcification compatible with prior pericarditis or pericardial effusion.5.Indeterminate left renal lesions. Recommend dedicated renal... |
Generate impression based on findings. | Female 56 years old Reason: bilateral THA History: bilateral THA Pelvis and hips: Components of a total right hip arthroplasty device are in near-anatomic alignment without radiographic evidence of hardware complication. No acute fracture or malalignment.There is heterotopic bone formation.Components of a total left hi... | Bilateral total hip arthroplasty. |
Generate impression based on findings. | Personal history of breast cancer, status post left mastectomy. No current breast related complaints. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular densities, unchanged in pattern and distribution.... | No mammographic evidence for malignancy. As long as the patient's physical examination remains normal, annual right breast mammography recommended. Result and recommendations were discussed with the patient at the completion of the exam.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Female 21 years old. Reason: right knee pain. History: right knee pain Two nonweightbearing of the right knee are provided. There is no joint space narrowing, joint effusion, or acute fracture. | Negative examination of the right knee. |
Generate impression based on findings. | Male 28 years old. Reason: wrist pain History: same Three views of the right wrist are provided. There is no acute fracture or malalignment. | Negative examination of the right wrist. |
Generate impression based on findings. | Female 62 years old. Reason: knee pain, s/p TKA. History: knee pain Three weight-bearing views of the right knee are provided. Components of a left total knee arthroplasty device are situated in anatomic alignment without evidence of hardware complication. There is a moderate joint effusion. There is no evidence of an ... | Moderate joint effusion without evidence of fracture. Further intervention is recommended to exclude infection. |
Generate impression based on findings. | Female 54 years old Reason: evaluate L THA History: s/p L THA 6 weeks ago Left hip: Components of a total left hip arthroplasty device is situated in near-anatomic alignment without radiographic evidence of hardware complication.AP Pelvis shows aforementioned left hip arthroplasty device. Mild osteoarthritis affects th... | Total left hip arthroplasty as detailed above. |
Generate impression based on findings. | Head CT: The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage. There are no extraaxial fluid collections or subdural hematomas. There is no pathological enhancement. There is a right maxillary mucus retention cyst. The visualiz... | 1.Normal noncontrast head CT without evidence of intracranial abnormality.2.There is nonspecific irregularity of the proximal right V4 segment with smooth nonspecific fusiform prominence just distal to the dura margin without evidence of aneurysm or luminal thrombus. No overt evidence of arterial dissection. Follow up ... |
Generate impression based on findings. | 72-year-old female with left scapular pain, abnormality at left scapular tip on x-ray LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. Mild dependent atelectasis. Mild paraseptal emphysema and apical scarring, slightly more prominent on the left. No pleural effusion or pneumothorax.MEDIASTINUM AND HILA: Nor... | 1. Incompletely evaluated exophytic right midpole renal nodule which appears solid. Recommend dedicated renal CT, as a renal cell carcinoma cannot be excluded. 2. No suspicious osseous lesions noted, specifically no abnormality is noted within the left scapula on this CT chest study. Findings were discussed by phone wi... |
Generate impression based on findings. | Female 14 years old. Reason: s/p right TTO History: s/p right TTO Two views of the right knee are provided. There are postsurgical changes from a tibial tuberosity osteotomy. There is no evidence of hardware complication. Bone graft material is noted in the lateral aspect of the tibial tuberosity. | Postsurgical changes of a tibial tuberosity osteotomy without evidence of hardware complication. |
Generate impression based on findings. | [ Female 72 years old. Reason: pt with left scapular pain and tenderness, abnormal left scapular X-ray, CT left scapula recommended. History: left scapular pain ] [No focal mass or fracture of the scapula is present to correspond to the abnormality seen on the prior radiograph. There are no rib fractures evident. There... | [Unremarkable CT scan of the left scapula |
Generate impression based on findings. | Male 74 years old Reason: evalaute for infectious source History: fever, post nephro-ureteral tube placement ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No sign... | Status post cystectomy. Interval placement of left percutaneous nephrostomy and double J stent. No significant change in bilateral hydronephrosis. If there is any clinical concern regarding the location of the distal end of the left nephrostomy tube, a fluoroscopic study with injection may be helpful. |
Generate impression based on findings. | 52-year-old female for short term follow-up of focal asymmetries previously identified in left upper outer quadrant. DIAGNOSTIC MAMMOGRAM: Three standard views of both breasts, 3 spot compression views of the left breast, and left XCC view were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast par... | 1.Stable left breast mass compatible with a benign hamartoma. Recommend 6 month diagnostic left breast mammogram and ultrasound for continued follow up to ensure stability.2.Stable focal asymmetry in the left breast at posterior depth without sonographic correlate.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B ... |
Generate impression based on findings. | Reason: f/u on abnormalities noted on previous CT, as recommended History: hx early stage breast cancer (multicentric left DCIS status post bilateral prophylactic mastectomies). CHEST:LUNGS AND PLEURA: Bilateral lower lobe pulmonary masses. The largest in the right lower lobe measures 6 mm (series 4 image 60), previous... | Nonspecific right lower lobe pulmonary nodules appear slightly increased in size, which may be due to differences in slice selection. Recommend short term 6 to 12 month follow up. |
Generate impression based on findings. | 57 year old male with lung nodule noted on chest x-ray LUNGS AND PLEURA: There is aspirated material within the central trachea at the carina. Linear high density material fills bilateral lower lobe bronchi and bronchioles, worst within the left inferior lobar bronchus which causes complete obstruction at this location... | 1. Findings reflect aspiration of high density material in the bilateral lower lobes with obstruction of left lower lobar bronchus and left lower lobe atelectasis. Additional nonobstructive endoluminal filling defects within left superior lobar bronchus with postobstructive pneumonia in the lingula. Recommend bronchosc... |
Generate impression based on findings. | FractureVIEWS: Left wrist AP and lateral The fracture involving the distal radius is in near anatomic alignment. There is minimal periosteal reaction reflecting interval healing. The overlying cast obscures fine bony detail. | Healing distal radial fracture as described above. |
Generate impression based on findings. | Left breast cancer.RADIOPHARMACEUTICAL: The left breast was prepared in a sterile manner. A total of 0.54 mCi Tc-99m filtered sulfur colloid was injected subcutaneously. Following injection, intraoperative probe localization was performed. No images were acquired. | Successful left breast injection for intraoperative identification of sentinel lymph node. |
Generate impression based on findings. | 78-year-old male with a history of constipation and diarrhea. Evaluate for colonic stricture. Lack of intravenous contrast limits evaluation for solid organ and vascular pathology.ABDOMEN:LUNG BASES: Minimal subsegmental basilar atelectasis. Trace left pleural effusion. Cardiomegaly. AICD/pacemaker leads.LIVER, BILIARY... | 1. Large amount of stool in the rectosigmoid suggesting impaction with mild rectal wall thickening and perirectal wall fat stranding raising the possibility of stercoral colitis. 2. Severe atherosclerotic vascular disease. 3. No small bowel obstruction. |
Generate impression based on findings. | Reason: 78F w reports of difficulty swallowing, without remarkable OPM History: difficulty swallowing Scout radiograph of the chest showed stable cardiomegaly, without mediastinal widening, abnormal pulmonary opacities, or pleural effusions. Nonspecific radiopaque densities in the right upper quadrant are noted.Exam is... | 1.Severe esophageal dysmotility, with tertiary waves.2.Small hiatal hernia.3.Retention of contrast just proximal to the gastroesophageal junction could be related to severe esophageal dysmotility. However, the presence of esophageal stricture cannot be excluded. Endoscopy is suggested for further recommendation. |
Generate impression based on findings. | Reason: hx lung CA, pls compare to previous and measure History: none CHEST:LUNGS AND PLEURA: Right upper lobe large necrotic mass abutting and probably invading the pleura has not significantly changed compared to prior, measuring 55 x 64 mm (series 3 image 27), previously 56 x 65 mm.Right upper lobe 5-mm nodule is un... | 1.Stable right upper lobe mass and pulmonary nodules.2.Decreased mediastinal and right hilar lymphadenopathy.3.Decreased hepatic metastasis.4.No new sites of disease. |
Generate impression based on findings. | Male 79 years old; Reason: History prostate cancer, rising PSA, assess for metastatic cancer History: none ABDOMEN:LUNGS BASES: Collapsed right lower lobe with heterogenous enhancement and air bronchograms. This is concerning for collapse due to an endobronchial lesions or lung lesion. Large left pleural effusion.LIVER... | 1.Concern for left lower lobe lung mass or endobronchial lesion causing lobar collapse. This should be evaluated more completely with a full chest CT.2.Right renal or perirenal lesion concerning for neoplasm.3.A second hypodense lesion in the lower pole of the right kidney is not meet criteria for simple cyst. Pre-cont... |
Generate impression based on findings. | Male 67 years old Reason: eval for response History: metastatic RCC CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCORONARY ARTERY CALCIFICATION: Severe.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Diffuse fatty infiltration of ... | Interval decrease in the size of the retroperitoneal lymph nodes. Otherwise no significant change from previous study. |
Generate impression based on findings. | Headaches and ventricular shunt. There is a right transfrontal ventricular shunt catheter with tip positioned to the left of midline at the level of the collapsed left frontal horn. The imaged components of the catheter system appear to be intact. The lateral ventricles remain completely effaced, similar to the prior e... | 1. Persistently collapsed configuration of the shunted lateral ventricles without evidence of acute intracranial hemorrhage.2. Stable prominence of the suprasellar cistern, prepontine cistern, and right anterior middle cranial fossa. |
Generate impression based on findings. | 73 years, Female. Reason: 73yo F with abdominal pain and constipation. History: abdominal pain, constipation Multiple dilated loops of small bowel, measuring up to 3.2 cm in diameter. Gaseous distention of the colon. Gaseous distention of the stomach. Central venous catheter tip projects at the level of the right atriu... | Findings suggestive of a partial small bowel obstruction. |
Generate impression based on findings. | Prostate cancer PROSTATE, SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted | No significant abnormality noted. |
Generate impression based on findings. | Reason: evaluate hip location History: cerebral palsy s/p VDROVIEWS: Pelvis AP (1 view) 4/16/15 10:32 Left femoral head remains superiorly and laterally displaced with respect to the dysplastic acetabulum. Left femoral epiphysis appears smaller in size with medial sclerosis. Left proximal femoral plate and screws devic... | 1.Left femoral head remains superiorly and laterally displaced from dysplastic acetabulum. 2.Left femoral epiphysis is smaller with medial sclerosis, raising question of avascular necrosis. |
Generate impression based on findings. | 90-year-old female with nephrolithiasis and urinary tract infection. Lack of intravenous and oral contrast limits evaluation for solid organ, vascular, and bowel pathology.ABDOMEN:LUNG BASES: Calcified granulomata. No pleural effusions. Moderate cardiomegaly without pericardial effusion.LIVER, BILIARY TRACT: Punctate c... | 1. No specific findings of an acute intra-abdominal process on this non-contrast CT.2. Incidental focal intrahepatic biliary ductal dilatation in the medial segment of the left hepatic lobe. Further evaluation with ultrasound to confirm and correlation with LFTs is recommended.These findings and recommendations were re... |
Generate impression based on findings. | Male 73 years old; Reason: Pt is a 72 y/o male with h/o RCC, evaluate for recurrence History: RCC CHEST:LUNGS AND PLEURA: Visualized lung fields without significant change, including nonspecific right lower lobe subcentimeter nodularity, image 59 series 5, similar in appearance to prior study. Small dependent atelectas... | Suboptimal evaluation without IV contrast, stable exam as above. Status post left nephrectomy, appearance of left renal postoperative bed is unchanged from prior study, stable nodular scarring versus residual left adrenal gland. |
Generate impression based on findings. | Post-nasal discharge, facial pain. There is a subcentimeter left maxillary sinus retention cyst. The other paranasal sinuses are clear. The nasal cavity is also clear. The nasal septum is essentially midline. The lamina papyracea and ethmoid roofs are intact. The carotid grooves and optic canals are covered by bone. Th... | Subcentimeter left maxillary sinus retention cyst. The other paranasal sinuses are clear. |
Generate impression based on findings. | 66 year old female with cirrhosis. Evaluate for HCC. ABDOMEN:LUNG BASES: No significant pleural effusions. Partially visualized central venous catheter tip at the cavoatrial junction. Normal cardiac size. Extensive coronary artery calcifications.LIVER, BILIARY TRACT: Status-post cholecystectomy. The liver is small and ... | 1. Cirrhosis without a suspicious focal hepatic lesion. Splenomegaly.2. Portal vein thrombosis extending into the SMV and splenic vein.3. Cystic pancreatic tail lesion demonstrates short-interval growth, now measuring 2.8 cm; suspicious for a side-branch IPMN. ERCP with endoscopic sampling and/or further characterizati... |
Generate impression based on findings. | Male 70 years old Reason: renal cell carcinoma, metastatic to the adrenal gland s/p SBRT march 2015 History: none The exam is not sensitive for detecting lesions in the solid organs vasculature does lack of intravenous contrast. Given the limitations, the following observations are made:CHEST:LUNGS AND PLEURA: Index ri... | Enlarging left adrenal mass.Stable small lung nodule.Possible gallstones. |
Generate impression based on findings. | Reason: r/o mass or FB near heel History: specific heel pain radiating up to achilles - point tenderVIEWS: Right heel lateral and AP (2 views) 4/16/15 10:44 Achilles tendon is intact. Bone island noted in the posterior inferior calcaneus. No radiopaque foreign body. Mild soft tissue swelling. | No radiopaque foreign body. Mild soft tissue swelling. |
Generate impression based on findings. | Male 70 years old Reason: renal cell cancer, s/p RT to the 8th right rib History: none CHEST:LUNGS AND PLEURA: Small right-sided pleural effusion and dependent atelectasis at the lung bases.MEDIASTINUM AND HILA: No significant abnormality notedCORONARY ARTERY CALCIFICATION: Severe.CHEST WALL: Right lower expansile rib ... | No significant change from previous study. |
Generate impression based on findings. | Reason: Evaluate hip location after vdro History: cerebral palsyVIEWS: Pelvis AP (1 views) 4/16/15 10:52 Interval right femoral VDRO. Right femoral head is well seated in the dysplastic acetabulum. There is sclerosis of the osteotomy site. The left femoral head remains well directed into the acetabulum. Image obtained ... | Postsurgical changes of right VDRO and healing osteotomy. Right femoral head is well seated in the dysplastic acetabulum. |
Generate impression based on findings. | Male 70 years old Reason: eval for progression History: metastatic RCC CHEST:LUNGS AND PLEURA: Right middle lobe nodule is unchanged measuring 4-mm image number 52, series number 5.MEDIASTINUM AND HILA: Index right hilar lymph node measures 4.1 by 2.7-cm image number 60, series number 3, unchanged. Index subcarinal ade... | Minimal interval increase in the size of the adrenal masses. Other reference lesions are unchanged. |
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 no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. | No acute intracranial hemorrhage or skull fracture. |
Generate impression based on findings. | Male 28 years old Reason: left hand swelling History: swelling L hand Three views of the left hand provided. There is mild soft tissue swelling without evidence of fracture or malalignment. | Soft tissue swelling without evidence of fracture. |
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. There are no areas of abnormal attenuation or pathological enhancement. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids/middle ears ar... | Unremarkable CTA of the head. |
Generate impression based on findings. | Female 67 years old. Reason: r/o fracture, effusion, signs of infection. History: R knee warm, tender, ?medial effusion. Hx of fall. Four nonweightbearing views of the right knee are provided. There are small osteophytes which indicates mild osteoarthritis. There may be mild soft tissue swelling along the medial aspect... | Osteoarthritis without evidence of joint effusion or fracture. |
Generate impression based on findings. | Female 77 years old Reason: 76F w/ history of IPMN, please evaluate for recurrence History: hx IPMN ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Multiple bilobar cystic lesions are unchanged. Some of these cysts are complex.SPLEEN: No significant abnormality notedPANCREAS: Postsurgical chan... | No significant change from previous study. Dilated endometrial stripe. Histologic sampling may be helpful to exclude endometrial carcinoma. |
Generate impression based on findings. | Assess for pneumoniaVIEWS: chest AP (1 views) 4/16/15 11:03 Right lung opacity which may represent early infection. Left perihilar atelectasis. Small lung volumes. Cardiothymic silhouette is normal. Partially imaged distended loops of bowels.G-tube in place. Tracheostomy tube is below the thoracic inlet and above the c... | Right lower lobe opacity concerning for early infection. |
Generate impression based on findings. | History of squamous cell carcinoma of the right floor of mouth status post wide local excision and bilateral selective neck dissection levels I-III in August 2014. Patient presents recently with pain to left neck and shoulder x 2 months and sensation of a marble blocking throat. There are post-treatment findings in the... | 1. A new opacity in the right piriform sinus that measures up to 10 mm with surrounding prominent mucosal enhancement may represent retained debris and inflammatory changes versus neoplasm or dysplasia.2. Multilevel degenerative cervical spondylosis with anterior disc-osteophyte complexes, but no significant spinal can... |
Generate impression based on findings. | Male 70 years old Reason: eval for response History: metastatic RCC, on axitinib CHEST:LUNGS AND PLEURA: Index right pleural-based nodule measures 1.6 x 1.4 cm image number 63, series number 3, not significantly changed from previous study. More inferior index pleural based nodule measures 12-mm in short axis on image ... | Mixed response in the size of the index lesions as described above. |
Generate impression based on findings. | Male, 54 years old. Reason: eval for residual ascites History: cirrhosis No ascites. Splenomegaly and heterogeneous, nodular appearance of the liver are incidentally noted. | 1. No ascites.2. Heterogeneous, nodular liver and splenomegaly are consistent with a history of liver cirrhosis. |
Generate impression based on findings. | Reason: 76 y.o with 30 plus pack year, quit 2005. lung cancer screening. LungRADS. Medicare History: none LUNGS AND PLEURA: Bilateral scattered pulmonary nodules and micronodules. The largest in the right lower lobe measures 5 mm (series 5 image 67). Scattered calcified micronodules compatible with prior granulomatous ... | 1.Bilateral pulmonary micronodules and nodules, with the largest measuring 5 mm in the right lower lobe, most compatible with post-inflammatory/infectious etiology. Low dose follow-up in 12 months is recommended.2.Left adrenal nodule, incompletely evaluated.Lung-RADS: Category: 2 (Benign Appearance or Behavior: Nodules... |
Generate impression based on findings. | Personal history of left breast cancer status post lumpectomy and radiation. Multiple benign biopsies in both the left and right breast. No current breast related complaints. Three standard views of both breasts and two magnification views of the left breast were performed digitally and reviewed with the aid of R2 CAD ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient and with her husband who translated.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogra... |
Generate impression based on findings. | Male, 62 years old. Reason: to rule out hcc per protocol LIVER: The liver measures 14.2 cm, with homogeneous echotexture, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic or extrahepatic biliary ductal dilatation. The common bile duct measures ... | No focal hepatic lesion identified. |
Generate impression based on findings. | Female 63 years old; Reason: re evaluate known h/o gastrinoma History: mild upper abdominal discomfort CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Small anterior mediastinal soft tissue attenuation, may reflect thymic tissue, unchanged. Calcified mediastinal and hilar lymph nodes, sug... | 1. Stable appearing subcentimeter arterially enhancing hepatic parenchymal focus, nonspecific. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast carcinoma in her maternal great aunt. 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 an... | 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. | Male 16 years old. Reason: s/p hip arthroscopy. History: s/p hip arthroscopy One view of the right hip is provided. There has been interval CAM resection, now with a normal appearance of the anterior aspect of the femoral head/neck junction. There is no evidence of fracture or dislocation. | Postsurgical changes from CAM resection. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast carcinoma in her mother at age 62, and in her maternal aunt in her 50s. Two standard digital views of both breasts, and additional bilateral MLO views, were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma i... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male, 81 years old. Reason: cirrhosis, eval for HCC History: cirrhosis LIVER: The liver measures 21.0 cm, with heterogeneous, 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 ... | 1. Hepatosplenomegaly and heterogeneous liver appearance compatible with cirrhosis.2. No focal hepatic lesion. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, and additional bilateral MLO and cleavage view, were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Stable benign morphol... | 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. | Asymptomatic female presents for routine screening mammography. History of benign left breast excisional biopsy. Family history of breast carcinoma in maternal cousins. Two standard digital views of both breasts, and an additional right MLO view, were performed, with tomosynthesis, and reviewed with the aid of R2 CAD 9... | 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. | 41 year female patient with left breast pain. Two standard digital views of both breasts with tomosynthesis was 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. Again seen is a stable benign lymph node in the... | No mammographic evidence of malignancy. Clinical evaluation is recommended for left breast pain. A negative screening mammogram should not preclude further evaluation with diagnostic imaging. Otherwise, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammog... |
Generate impression based on findings. | Male 40 years old; Reason: hx of kidney cancer s/p right nephrectomy, adrenalectomy, left adrenalectomy with metastatic RCC, evaluate for metastatic disease CHEST:LUNGS AND PLEURA: Apical pleural nodularity/scarring. Findings visualized lung fields without significant change. Left-sided pulmonary nodularity in lingula,... | 1. Status post right nephrectomy and adrenalectomy and left adrenalectomy. No evidence of recurrent or metastatic disease.2. Left-sided pulmonary nodularity in lingula, without significant change and may be postinfectious/inflammatory in etiology given stability since 11/4/2013 exam. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of lung carcinoma at age 52. 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. T... | 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. History of breast carcinoma in a paternal first cousin diagnosed at age 66. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular d... | Stable benign calcifications. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 56 years old Reason: bilateral knee replacement History: bilateral knee replacement Right knee: Mild osteoarthritis affects the right knee and mild medial compartment joint space narrowing and tiny developing osteophytes. No joint effusion. No acute fracture or malalignment.Left knee: Components of a total left ... | 1.Mild right knee osteoarthritis2.Total left knee arthroplasty without radiographic evidence of hardware complication. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in her sister. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern ... | 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. | Age: 88 years. Sex : Female. Reason for study: Reason: eval for aspiration History: coughing with solids/liquids, intermittent choking. 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 stati... | The exam was negative for penetration and negative for aspiration. |
Generate impression based on findings. | Age: 81 years. Sex : Male. Reason for study: Reason: evaluate for leak/ History: s/p laryngectomy/glossectomy. 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... | The exam was negative for penetration and negative for aspiration. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, and an additional left CC view, were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Scattered beni... | 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. | 72-year-old male. Status post removal of elbow arthroplasty and placement of antibiotic beads. Right elbow: Cast overlying the distal arm and forearm obscures fine bone detail. Interval removal of elbow arthroplasty device and placement of antibiotic beads in the medullary space of the distal humerus and proximal ulna.... | Interval removal of right elbow arthroplasty device and placement of antibiotic beads in the medullary space of the distal humerus and proximal ulna. |
Generate impression based on findings. | There is redemonstration of irregular areas of enhancement along the posterior inferior margin of the right frontal lobe resection cavity, as well as in the right subinsular region. Given current thin section post contrast images, these areas of irregular enhancement actually appear peripherally enhancing lower signal... | 1. Redemonstration of areas of irregular enhancement in the right subinsular region and along the posterior inferior aspect of the right frontal lobe portion of the resection cavity without gross interval change dating back to December 2013 when allowing for differences in technique. Current thin section post contrast ... |
Generate impression based on findings. | Age: 59 years. Sex : Male. Reason for study: Reason: evaluate swallow function History: head and neck cancer. 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 ... | The exam was positive for penetration and positive for aspiration. |
Generate impression based on findings. | Reason: difficult/painful swallowing, evaluate for GERD History: difficult/painful swallowing 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 morphologic abnormalities of th... | 1.Silent tracheal aspiration, for which the exam was prematurely terminated. Patient was referred for speech therapy evaluation and video swallow study the following day.2.Possible anterior esophageal web, which would be better evaluated on video swallow.3.Mild irregularity of the mid-distal esophageal wall, which may ... |
Generate impression based on findings. | Male 73 years old Reason: gross hematuria - pt is s/p partial nephrectomy on 12/12/14- please evaluate for pseudoaneurysm or AV fistula in the right kidney History: gross hematuria - pt is s/p partial nephrectomy on 12/12/14- please evaluate for pseudoaneurysm or AV fistula in the right kidney ABDOMEN:LUNG BASES: No si... | Postsurgical changes involving the right kidney. Small enhancing lesion in the upper pole of the left kidney suspicious for no side carcinoma, unchanged.Diffusely thickened bladder wall and enlarged prostate. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Vascular calcifications are present. Elsewhere,... | 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. | Ms. Polk is a 43 year old female recalled from screening mammogram for a left breast asymmetry. She has a family history of breast cancer in a maternal cousin. An ML view, a CC view and two spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | CoughVIEW: Chest AP Cardiothymic silhouette normal. Cardiac apex, aortic arch and stomach left-sided. Minimal atelectasis right lower lobe. No pleural effusion or pneumothorax. | Minimal atelectasis right lower lobe. |
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