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Generate impression based on findings. | Evaluate for possible clavicular fractureVIEW: Chest AP There is an acute fracture involving the mid left clavicle. Cardiothymic silhouette normal. No focal lung opacity. No pleural effusion or pneumothorax. The stomach is dilated. | Acute left clavicular fracture. |
Generate impression based on findings. | Ms. Wolfe is a 55 year old female with a prior benign MR-guided right breast biopsy in 2007 (pathology of florid ductal hyperplasia). She has a family history of breast cancer in a maternal great aunt and paternal aunt. She has no current breast related complaints. Three standard views of both breasts were performed di... | 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: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Male 44 years old Reason: h/o left renal mass, Evaluate aorta and vessels for kidney transplant History: Pre Kidney TRansplant evaluation Limited study due to lack of intravenous contrast.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abn... | Interval development of numerous hypodense and hyperdense lesions involving both kidneys. These cannot be characterized due to lack of intravenous contrast. |
Generate impression based on findings. | Male 52 years old Reason: Pre-Kidney Transplant Evaluation assess aorta and iliac for possible kidney transplant History: hx of PVD pre-kidney transplant evaluation ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS:... | No calcifications involving the abdominal aorta. Minimal calcification in the posterior right common iliac artery. |
Generate impression based on findings. | There is no evidence of fracture. The vertebral column alignment is within normal limits. The vertebral body heights are preserved. There is mild loss of disc height at C5-C6 and mild to moderate loss of disc height at C6-C7 with endplate degenerative changes. The paravertebral soft tissues are unremarkable. There are... | Cervical spondylosis as described above, most prominent at C5-C6, contributing to mild spinal canal stenosis and mild to moderate bilateral foraminal stenosis. |
Generate impression based on findings. | Clinical question : Evaluate for subdural hematoma. Signs and symptoms: Status post fall and history of subdural. Nonenhanced head CT:The examination redemonstrates previously known right frontal parietal subdural with heavy patchy foci of calcification and with evidence of mild interval decreased size. There is no con... | 1.No evidence of acute posttraumatic findings.2.Revisualization of a slightly smaller right hemispheric subdural collection with heavy calcification since prior exam.3.Age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. The basal cisterns remain patent. There is no midline shift or mass effect. There are punctate foci of restricted diffusion with associated T2/FLAIR signal abnormality and susceptibility artifact in the right frontopolar region (series 1101, image 10) and left superio... | 1. Punctate foci of restricted diffusion with associated T2/FLAIR hyperintense signal and susceptibility artifact in the right frontopolar region and left superior frontal gyrus, highly suspicious for punctate hemorrhagic contusions. 2. No evidence of intraventricular hemorrhage or extra-axial collection. No definite T... |
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 mild bilateral... | 1. No evidence of intracranial metastasis.2. Stable post-surgical findings related to total thyroidectomy without evidence of tumor recurrence or lymphadenopathy in the neck.3. Partially imaged subcentimeter right pulmonary nodules as seen on concurrent chest CT, which are nonspecific. Please refer to the separate ches... |
Generate impression based on findings. | Images are slightly limited by patient motion. No acute facial bone fracture is identified. The temporomandibular joints are intact without evidence of joint widening and changes. There is no abnormal enhancement, or focal fluid collection/abscess. There is no evidence of focal lymphadenopathy. A slight increased size... | 1. No evidence of lymphadenopathy or focal fluid collection/abscess an area of concern. No significant bony abnormality involving the left temporomandibular joint. MRI of the TMJ could be considered as clinically indicated.2. Atherosclerotic septation at the carotid bifurcations with asymmetric at least mild-moderate n... |
Generate impression based on findings. | Reason: LVAD History: persistent posterior nasal bleeding Right common carotid artery: There is no stenosis at the carotid bifurcation on the basis of NASCET criteria. There is no evidence for carotid dissection. There is no evidence for arteriovenous fistula. There is no angiographic evidence for vasculitis. There is ... | 1.Embolization for epistaxis via bilateral sphenopalatine arteries using embospheres. |
Generate impression based on findings. | Reason: head and neck cancer restaging History: as above CHEST:LUNGS AND PLEURA: Right nodules stable, some of which are calcified. No suspicious pulmonary nodules or interval pleural effusion.MEDIASTINUM AND HILA: No significant abnormality noted.CORONARY ARTERY CALCIFICATION: None.CHEST WALL: Midsternal lesion is sta... | No evidence of pulmonary metastases.Midsternal lesion stable. |
Generate impression based on findings. | Bodytom OR 23. Limited intraoperative CT head without contrast demonstrates an external frame with pins in place. There is no evidence of acute intracranial hemorrhage or mass effect. Redemonstrated is a right transfrontal catheter which terminates in a large right frontal lobe porencephalic cyst. The porencephalic cys... | 1. Limited intraoperative CT head without evidence of acute intracranial hemorrhage. 2. Stable enlarged size of the right porencephalic cyst, lateral and third ventricles with a right transfrontal catheter in place. Unchanged right to left midline shift measuring 6 mm. |
Generate impression based on findings. | There is hyperattenuating material in the right frontal and temporal cerebral sulci as well as the right sylvian fissure compatible with subarachnoid hemorrhage. There is also a small amount of subarachnoid hemorrhage in the anterior right interhemispheric fissure superiorly. The ventricles and basal cisterns are norm... | Subarachnoid hemorrhage in the right frontal and temporal cerebral sulci as well as the right sylvian fissure. Small amount of subarachnoid hemorrhage in the anterior right interhemispheric fissure superiorly. Further angiographic imaging such as MRA brain without contrast is recommended as clinically indicated, as giv... |
Generate impression based on findings. | 52 year old female with constipation and abdominal pain. Evaluate for SBO. ABDOMEN:LUNG BASES: Mild basilar atelectasis. No pleural effusions. Normal cardiac size without pericardial effusion.LIVER, BILIARY TRACT: No suspicious focal hepatic lesion or vascular abnormality. There is mild intrahepatic and extrahepatic bi... | 1. Small bowel obstruction with an abrupt transition point in the mid abdomen without discrete mass lesion, therefore likely related to adhesions. No specific CT findings of bowel ischemia.2. Enlarged heterogeneous uterus likely with multiple fibroids. 3. Prominent left adnexa. In a menopausal patient this may be withi... |
Generate impression based on findings. | Reason: 63 yo F with Stage IIIa lung cancer and L Upper lobe cystic mass of unclear etiology- surveillance 3 months post completion of chemoRT on Right, please compare with October 2014 CT and provide measurements on L lesion History: none CHEST:LUNGS AND PLEURA: Right upper lobe mass with chest wall and mediastinal le... | 1.Interval decrease in size of right upper lobe mass and right hilar lymphadenopathy. Interval increase in right upper lobe post treatment reaction.2.Unchanged left upper lobe ground glass and cystic mass highly suspicious for indolent adenocarcinoma. 3.Unchanged or smaller additional solid and subsolid nodules.4.No ne... |
Generate impression based on findings. | "BPD/Tracheostomy" Referring physician: Dr. Qamar, LaRabida orderEXAMINATION: Oropharyngeal motility study 4/16/15 Julie Ecclestone, speech and language therapist, supervised the examination.67 seconds of fluoroscopy was used.Decreased labial closure results in anterior spillage. Decreased lingular-velar valving result... | Penetration and aspiration as above. Please see the speech and language therapist's report for feeding recommendations. |
Generate impression based on findings. | Male 23 years old Reason: CT per living kidney donor protocol History: kidney donor Exam is not sensitive for detecting lesions in the bowel due to lack of oral contrast nodes dedicated renal donor protocol. Given that limitation, the following observations made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER... | No anatomic renal related variants.Multiple appendicoliths. |
Generate impression based on findings. | Ms. Ish is a 88 year old female with a personal history of left breast lumpectomy in 2009 for DCIS treated with radiation. She has no current breast related complaints. Three standard views of both breasts and a left laterally exaggerated CC view were performed digitally and reviewed with the aid of R2 CAD 9.3. The bre... | 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 - Diagn... |
Generate impression based on findings. | NG placementVIEW: Abdomen AP NG tube looped within the stomach. Disorganized nonobstructive bowel gas pattern. Moderate amount of fecal burden. No pneumatosis or pneumoperitoneum. | NG tube looped within the stomach and readjustment recommended. |
Generate impression based on findings. | Female, 44 years old. Reason: Evaluate for any ductal dilation or peri-hepatic fluid collections/hematoma. History: Patient has hx cholecystectomy, now 2 days post robotic right partial nephrectomy. Out of context RUQ pain and elevated LFTs LIVER: The liver measures 17.3 cm, with homogeneous echotexture. A round echoge... | 1.Very small right perinephric fluid collection presumed to be postoperative in etiology.2.Mildly prominent common bile duct is likely related to a history of cholecystectomy. No intrahepatic biliary ductal dilatation.3.An echogenic hepatic lesion is indeterminate on this nondedicated study. Recommend contrast enhanced... |
Generate impression based on findings. | Female 80 years old Reason: h/o DLBCL please restage History: prior masses CHEST:LUNGS AND PLEURA: Stable micronodules and apical scarring. No new nodules. No effusions.MEDIASTINUM AND HILA: No pathologic size lymph nodes. Heavy atherosclerotic calcifications aorta and coronary arteries. Tip of a central line is in the... | Stable disease. Incidental findings as above. |
Generate impression based on findings. | 77 years, Male, Reason: Assessing bone mets History: Chest wall pain. Increased uptake is again seen within the T7 and T10 vertebral bodies corresponding to hypermetabolic regions on prior PET/CT. New focus of increased activity in the right posterior 12th vertebral body. Left iliac lesion is unchanged. | Increased osseous metastasis. |
Generate impression based on findings. | 33-year-old male with decreasing hemoglobin. Evaluate for intra-abdominal bleed. Lack of intravenous and oral contrast limits evaluation for solid organ, vascular, and bowel pathology.ABDOMEN:LUNG BASES: Moderate right pleural effusion with adjacent consolidation/atelectasis, increased from the prior and may reflect as... | 1. No evidence of an acute intra-peritoneal bleed.2. New pulmonary lung nodules are suspicious for new metastatic disease. 3. Moderate right pleural effusion with adjacent consolidation/atelectasis. The amount of consolidation raises the possibility of infection or aspiration.4. Multiple poorly defined hepatic hypodens... |
Generate impression based on findings. | Left hip pain Two views of the left hip reveal a nondisplaced intertrochanteric fracture.. | Right intertrochanteric fracture |
Generate impression based on findings. | 46 years, Female. Reason: eval LP shunt History: pain, h/o shunt Nonobstructive bowel gas pattern. Note is made of multiple distended loops of small bowel. Note is made of an LP shunt in the soft tissues overlying the posterior aspect of the lumbar spine. These shunt catheter enters the central spinal canal at the leve... | No evidence of shunt discontinuity or kinking. |
Generate impression based on findings. | Female 61 years old Reason: 60 yo F with history of recurrent acute pancreatitis c/b pseudocyst formation, s/p EUS with cystgastrostomy placement 3/17/15. CT with contrast to assess healing History: pancreatic pseudocyst ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Mild hepatomegaly, unchan... | Interval resolution of the previous large pseudocyst. Significant inflammation persists around the pancreas.Focal pancreatic necrosis in the neck causing upstream pancreatic ductal dilatation. Chronic splenic vein thrombosis and decrease in the caliber of the main portal vein, sequela of patient's previous history of a... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of melanoma approximately 4 years ago. Family history breast carcinoma in her maternal 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 ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female, 43 years old.43 year old female with a BMI over 40. Rule-out retained foreign body. Motion artifact limits examination. Gaseous distention of the stomach and colon. Nonobstructive bowel gas pattern. No unexpected radiopaque foreign bodies. | No unexpected radiopaque foreign bodies. These findings were discussed with the attending surgeon, Dr. Estrada, by phone at 12:40 p.m. on 4/16/15. |
Generate impression based on findings. | Male, 30 years old. Reason: aki, r/o obstruction History: aki RIGHT KIDNEY: The right kidney measures 12.6 cm, with normal echotexture. No shadowing calculi, perinephric collection, or hydronephrosis.LEFT KIDNEY: The left kidney measures 12.8 cm, with normal echotexture. No shadowing calculi, perinephric collection, or... | No hydronephrosis, perinephric collections, or renal stones. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed, with tomosynthesis, and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is Multiple circumscribed masses are present bilaterally, unchanged from prior examination. No suspicious masses, ... | 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, 84 years old. Reason: bacteremia, incr lfts, eval for cholecystitis/any other source of infection LIVER: The liver measures 14.9 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 ... | 1.Gallbladder sludge and stones without secondary evidence of acute cholecystitis.2.An enlarged peripancreatic lymph node may be reactive given the presence of a benign-appearing fatty hilum but is nonspecific. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of ovarian cancer in maternal grandmother. Two standard digital views of both breasts and additional bilateral CC views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history breast carcinoma in a maternal niece at age 35. Two standard digital views of both breasts were performed, with tomosynthesis, and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, un... | 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. | 71-year-old female with 3 weeks of breast pain presents for routine screening mammography. Family history of ovarian cancer in mother. 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. There is focal ... | Focal asymmetry in the left outer breast on CC view. Recommend obtaining outside examination for comparison.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISON |
Generate impression based on findings. | Reason: s/p g- tube placement 2/27/15 evaluate through G-tube for blockage and position History: difficulty eating Scout radiograph demonstrated evidence of prior gastric sleeve procedure, gastrostomy tube in expected position, surgical clips in the right upper quadrant, and a diaphragmatic pacer device with associated... | Unremarkable gastrostomy tube evaluation, without evidence of malfunction or malposition. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Ileus or breast carcinoma in her mother. 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. No sus... | 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. | Reason: eval for pulmonary parenchymal disease History: abnormal PFTs LUNGS AND PLEURA: Mild upper lobe predominant centrilobular emphysema. Diffuse bronchial wall thickening and mild bronchiectasis, not remarkable for age. Right middle lobe subpleural reticulation likely postradiation fibrosis. No focal consolidation,... | 1.Mild emphysema. Diffuse bronchial wall thickening and mild bronchiectasis, not remarkable for age.2.Severe coronary artery atherosclerosis.3.Indeterminate bilateral renal lesions, for which dedicated renal CT or MRI could be considered for further evaluation if clinically indicated. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Families or breast carcinoma in a maternal aunt at age 53. 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 den... | 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 bilateral benign breast biopsies. Family history breast carcinoma in maternal cousins. Two standard digital views of both breasts were performed, with tomosynthesis, and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of 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. | Asymptomatic female presents for routine screening mammography. Patient with history of end-stage renal disease. 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. Extensive benign ar... | 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 an additional left CC view, were performed, with tomosynthesis, and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distrib... | 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. | There is again smooth nonspecific fusiform prominence of the right vertebral artery just distal to the dural margin but overall this appears less conspicuous than on the prior CTA. The remainder of the V4 segment then becomes more uniform and normal in caliber, with likely developmental diminutive appearance. The rema... | Smooth nonspecific fusiform prominence of the right vertebral artery just distal to the dural margin of doubtful clinical significance. No definite evidence of dissection, occlusion, or aneurysm. |
Generate impression based on findings. | 79 years, Male, Reason: prostate cancer, rising PSA, assess for metastases History: none. Foci of increased activity in the manubrium and sternum have decreased and may have been degenerative on the prior exam. However, there is increased activity in the left distal clavicle which is suspicious for metastases. Increase... | Increased osseous metastases. |
Generate impression based on findings. | Swelling and pain at right wrist. Evaluate for fracture Three views of the right wrist reveal no evidence of any fractures or dislocations. Note is made of negative ulnar variance. | No fractures or dislocations. |
Generate impression based on findings. | 48 years old Female. Reason: On chemotherapy, reevaluate disease. History: breast cancer. RADIOPHARMACEUTICAL: 11.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 108 mg/dL. Today's CT portion grossly demonstrates new enlarged lymph nodes in the right axilla. There is a prominence of the soft tissue in the ... | 1.New ringlike enhanced FDG uptake in the surgical site of the left brain frontal lobe, suspicious for recurrence of metastasis. Suggest correlation with brain MRI with contrast enhancement.2.New hypermetabolic lymph nodes in the left and the right supraclavicular regions and right axilla, highly suspicious for nodal m... |
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. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 65 years old Reason: fx History: pain, anemia Single AP view of the pelvis shows the bones are diffusely demineralized.Severe osteoarthritis affect the hips, left greater than right.Degenerative changes affect the lower lumbar spine, sacroiliac joints and pubic symphysis.Two views the right femur shows aforement... | Degenerative changes and osteopenia without definite fracture. |
Generate impression based on findings. | Male 65 years old Reason: metastatic prostate cancer, evaluation of disease during treatment w/investigational agent. Please provide bi-dimentional measurements per RECIST 1.1 History: metastatic prostate cancer CHEST:LUNGS AND PLEURA: Scattered pulmonary nodules largest in the right upper lobe on image number 33, seri... | Interval increase in the size of the recurrent pelvic mass causing worsening right-sided hydronephrosis.Slight interval increase in the size of hepatic metastases. |
Generate impression based on findings. | 67 years, Female. Reason: r/o obstruction History: vomiting Extensive pneumatosis is present throughout the entire colon. Multiple gas-filled loops of small bowel with differential air-fluid levels seen on left lateral decubitus view are suggestive of ileus, although given that no recent procedure is noted, an early/de... | 1.Nonspecific, extensive, predominantly colonic pneumatosis, new since previous radiograph dated 3/20/15. 2.Dilated loops of bowel, also new from previous exam, which can be seen in the setting of ileus, although given the lack of interval procedural history, developing small bowel obstruction should be considered.3.Fu... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. The patient had a cyst removed from her right breast in the 1980s. The patient has had her ovaries removed. The patient has a family history of ovarian cancer diagnosed in her maternal aunt. Two standard digital views of both breasts were performed and rev... | 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. | Fracture base of fifth metacarpal Three views of the right hand reveal an indistinct lucency at the base of the fifth metacarpal consistent with a healing fracture. The bones are in anatomic alignment. | Healing fracture at the base of the fifth metacarpal a whole I. |
Generate impression based on findings. | Female 52 years old Reason: fracture? History: pain Alignment is anatomic. There is joint space loss at the interphalangeal joints and basilar joint from osteoarthritis.No acute fracture or malalignment.No radiopaque foreign body is evident. | No acute fracture or malalignment. |
Generate impression based on findings. | Male 68 years old Reason: Patient enrolled in clinical trial history of myelofibrosis This study is limited due to lack of intravenous contrastCHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCORONARY ARTERY CALCIFICATION: Severe.CHEST WALL: Sclerotic changes... | no significant change from previous study other than slight interval decrease in the size of the index left para-aortic node |
Generate impression based on findings. | Left mouth numbness/ slurred speech. There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. There is partial opacification of the right ethmoid air cells. The image... | No evidence of intracranial hemorrhage or mass. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Female 68 years old Reason: osteomyelitis History: ulcer, pain Debris within the colon partially obscures the pelvis. There are vascular calcifications and pelvic calcifications.The bones are demineralized. Partially imaged is a right femoral neck screw.There is a large soft tissue defect that extends from the distal s... | Large sacral decubitus ulcer that extends to bone with findings suggestive of osteomyelitis of the coccyx. |
Generate impression based on findings. | Following a discussion of the procedure with the patient and/or family, including its risks, benefits, alternatives and steps to prevent infection, informed written consent was obtained and documented in the patient's chart. The time-out form was completed to confirm patient identity and side/type of procedure. All op... | Successful CT guided biopsy of right proximal humerus lytic lesion.PLAN: Discharge home. Follow-up on pathology results. |
Generate impression based on findings. | 58 years, Male, Reason: staging exam History: high grade prostate cancer. Increased activity in the right fifth and 10th rib are suspicious for metastases. Activity in the left sternomanubrial suspicious for metastases. Additional increased activity in the right 10th vertebral body and right ilium likely also represent... | Multiple osseous metastases. |
Generate impression based on findings. | 47 year-old male with history of non-Hodgkin's lymphoma. Please restage. CHEST:LUNGS AND PLEURA: Stable few scattered pulmonary micronodules. No suspicious pulmonary mass or nodule. No focal consolidation, pleural effusions or pneumothorax.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Normal cardiac si... | No significant interval change with reference measurements provided above. |
Generate impression based on findings. | Female 21 years old Reason: evaluating for fx History: pt with point ttp over the 3rd, 4th, 5th metatarsals, proximally after fall down stairs \T\ twisting ankle Bone mineralization is normal. Alignment is anatomic. The joint spaces are normal. There is a small avulsion fracture from the dorsal aspect of the navicular ... | Dorsal avulsion of the navicular bone. |
Generate impression based on findings. | 82-year-old male. Status post fall on buttocks with right buttock pain. Right hip: No fracture or dislocation. Moderate osteoarthritis with joint space narrowing and osteophyte formation. Dense vascular calcifications in the medial soft tissues of the thigh.Lumbar spine: Alignment is anatomic. Moderate degenerative dis... | No fracture is identified. Osteoarthritis and degenerative disk disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in sister (age 50). Two standard digital views of both breasts and additional anterior MLO compression views of the bilateral breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost en... | 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. | 15 years, Female, Reason: hepatobiliary abnormalities to explain patient's abdominal pain? History: abdominal pain for 3 months. Angiographic images are unremarkable. Prompt clearance of radiotracer from the blood pool and uniform accumulation of the tracer by the liver is present. There is normal excretion of tracer i... | Normal hepatobiliary imaging. No evidence of acute or chronic cholecystitis. |
Generate impression based on findings. | Altered mental status with history of hepatocellular carcinoma and elevated ammonia. There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. There is a partially emp... | No evidence of intracranial hemorrhage or mass. However, noncontrast CT is insensitive for the detection of nonhemorrhagic acute infarction, hyperammonemic encephalopathy, and metastases. If there is continued clinical concern for these conditions, MRI is recommended, assuming there are no contraindications.I personall... |
Generate impression based on findings. | Metatarsal pain Three views of the right foot reveal no evidence of any fractures or dislocations. There are degenerative changes at the first metatarsophalangeal joint with narrowing and subchondral sclerosis. | Degenerative changes at the first metatarsophalangeal joint. Otherwise negative |
Generate impression based on findings. | 31-year-old female. Pain right upper quadrant. Status post fall. Evaluate for fracture. No rib fracture is identified. Small right pleural effusion with underlying atelectasis. IVC dialysis catheter with tip in the right atrium. Left upper arm vascular stent. | No rib fracture is identified. |
Generate impression based on findings. | Male 24 years old; Reason: 24-year-old man with history of small testicular mass (right) please evaluate change RIGHT TESTIS: 4.7 x 2.1 x 3.0 cm, with homogeneous echotexture. A small hypoechoic focus in the superior right testis measures 0.3 x 0.2 x 0.2 cm, without associated calcification or significant increased blo... | A small hypoechoic focus in the right testis is unchanged from prior, and of uncertain clinical significance. This may be sequela of old infection or infarct. Continued follow up imaging is recommended as clinically indicated. |
Generate impression based on findings. | Hip pain. Status post arthroscopy. Single view of the right hip is unremarkable. No radiographic abnormalities. | Negative right hip examination |
Generate impression based on findings. | 26-year-old male. Pain. Evaluate for shoulder injury. No fracture or dislocation. | No fracture. |
Generate impression based on findings. | 57 year old female patient with history of right simple mastectomy and complete axillary lymph node dissection in 2008 for multifocal IDC. Patient received chemotherapy and radiation therapy. History of breast cancer in sister diagnosed at age 64. Three standard views of the left breast were performed digitally and rev... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 69-year-old female. Fracture follow-up. Preop planning, please include all the scapula and all of proximal humerus. Comminuted, predominately transverse impacted fracture of the left humeral neck without intra-articular extension. Multiple fracture fragments are seen in the soft tissues lateral to the humerus and in th... | Comminuted, predominately transverse impacted fracture of the left humeral neck. |
Generate impression based on findings. | Reason: shunt, evaluate valve only to lumbar, lateral standing x-ray only, make sure valve is visible to check setting History: shunt, headacheVIEWS: Lumbar spine lateral (1 views) 4/16/15 12:54 Codman Hakim valve setting is 40 mm of water. Visualized portions of LP shunt system appears to be intact with no evidence of... | Codman Hakim valve setting is 40mm of water. No evidence of kinking or discontinuities of the LP shunt catheter. |
Generate impression based on findings. | Female 62 years old; Reason: hx marginal zone lymphoma History: weakness CHEST:LUNGS AND PLEURA: Stable left anterior basilar focal nodular scarring, image 76 series 4.MEDIASTINUM AND HILA: Unchanged subcentimeter thyroid nodules. Stable subcarinal calcified lymph node and hilar lymph nodes. CHEST WALL: No significant ... | 1. Stable study as above. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are diagnostic mammogram and ultrasound (4/7/2015), and images from ultrasound guided left breast biopsy with post procedural mammogram (4/7/2015) performed at Advocate Lutheran General Hospital. For comparison, mammograms dated 11/1/2014 and 1/22/2011 ... | Biopsy proven malignancy at the two o'clock position of the left breast. MRI is recommended to assess extent of disease.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | 28 year-old male with with history of testicular cancer. CHEST:LUNGS AND PLEURA: Few scattered pulmonary micronodules are likely related to granulomatous disease. No suspicious pulmonary masses or nodules. No focal consolidation, pleural effusions, or pneumothorax.MEDIASTINUM AND HILA: Mildly prominent residual thymic ... | 1. No retroperitoneal adenopathy or other signs of metastatic disease. 2. Nonspecific pulmonary micronodules most commonly seen in prior granulomatous disease. |
Generate impression based on findings. | The ventricles are mildly prominent. The sulci of the temporal lobes are prominent. The basal cisterns remain patent. There is no midline shift or mass effect. There is extensive abnormal T2/FLAIR hyperintense signal within the periventricular and subcortical white matter, a minimal degree of T2/FLAIR hyperintense sig... | 1. Mild prominence of the ventricles and bilateral temporal lobe sulci, cannot exclude parenchymal volume loss.2. Extensive chronic small vessel ischemic changes. |
Generate impression based on findings. | Clinical question: Progressive metastatic breast cancer, assess for brain metastases. Signs and symptoms: As above. Enhanced head CT:Examination demonstrate no detectable abnormal parenchymal or leptomeningeal enhancement and no evidence of parenchymal edema to suggest the presence of a metastatic disease.Age indetermi... | 1.No evidence of metastatic disease.2.Mild age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Right breast cancer.RADIOPHARMACEUTICAL: The right breast was prepared in a sterile manner. A total of 0.53 mCi Tc-99m filtered sulfur colloid was injected subcutaneously. Following injection, intraoperative probe localization was performed. No images were acquired. | Successful right breast injection for intraoperative identification of sentinel lymph node. |
Generate impression based on findings. | 68 years, Female, Reason: hyperpara History: elevated calcium and PTH. There is increased activity adjacent to the left upper pole of the thyroid on early images which is not seen on delayed images. Otherwise, normal uptake within the salivatory glands | Focus of increased activity adjacent to the left upper pole thyroid may represent parathyroid adenoma. Recommend correlation with ultrasound. |
Generate impression based on findings. | 79 year old female with history of breast cancer with metastatic disease. CHEST:LUNGS AND PLEURA: Extensive biapical scarring/fibrosis, appearing similar to the prior study.The reference ill-defined left upper lobe nodule measures approximately 1.3 by 0.6 cm (series 5 image 37), unchanged. The reference right lower lob... | Mildly interval enlargement of left hilar and hepatic metastatic disease with reference measurements as above. No new sites of metastatic disease. |
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. Scattered benign calcifications, including arterial calcifications, are noted.No suspi... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this r... |
Generate impression based on findings. | Male 27 years old; Reason: eval for inguinal hernia History: right scrotal pain, inguinal pain x 2 days RIGHT TESTIS: 3.8 x 5.1 x 2 .4 cm, with homogeneous echotexture.LEFT TESTIS: 3.8 x 4 .0 by 2.6 cm, with homogeneous echotexture.RIGHT EPIDIDYMIS: The right epididymal head measures 0.8 x 0.8 x 1.0 cm, with normal son... | No inguinal hernia. |
Generate impression based on findings. | Clinical question: 58 year old female with sinus congestion. Signs and symptoms: As above. Pre-and post-enhanced maxillofacial CT:All paranasal sinuses are well pneumatized and without evidence of acute or chronic sinus disease.Patent bilateral sphenoethmoidal recesses and bilateral ostiomeatal units of maxillary sinus... | 1.No evidence of sinusitis and no evidence of abnormal enhancement.2.Multiple small foci of calcification in the left palatin tonsil likely as result of prior infection. |
Generate impression based on findings. | Male 72 years old; Reason: hx of bladder cancer s/p cystectomy, evaluate for metastatic disease with delayed imaging ABDOMEN:LUNGS BASES: Bibasilar pulmonary fibrosis and emphysematous disease seen. Relatively hypoattenuated appearance of the cardiac blood pool suggestive of underlying anemia.LIVER, BILIARY TRACT: No s... | 1. Postsurgical changes related to cystoprostatectomy and formation of neobladder. No evidence of tumor recurrence or metastatic disease. |
Generate impression based on findings. | Evaluate renal stonesVIEW: Abdomen AP The previously noted renal stones at the left flank region are not identified. There is a surgical clip at the left upper quadrant. Subcutaneous emphysema noted at the left flank. Disorganized nonobstructive bowel gas pattern. Multiple surgical instruments at the right pelvic regio... | The previously noted renal stones at the left flank region are not identified. |
Generate impression based on findings. | 20 years, Female. Reason: ulcerative colitis transferred from OSH on Dilaudid. please eval for perforation History: excruciating abd pain Nonobstructive bowel gas pattern. Stool is visualized throughout the colon. Supine images are insensitive for the detection of pneumoperitoneum. | Nonobstructive bowel gas pattern. If there is continued clinical concern for pneumoperitoneum, upright/left lateral decubitus films may be obtained. |
Generate impression based on findings. | Reason: evaluate healing fracture History: left 1st metatarsal buckle fractureVIEWS: Left foot AP oblique lateral (3 views) 4/16/15 14:13 Overlying cast limits evaluation of fine bone details. Sclerosis of the buckle fracture site at the first metatarsal. | Healing first metatarsal buckle fracture. |
Generate impression based on findings. | 35 years, Female, Reason: pulmonary hypertension, eval for chronic PEs History: pulmonary hypertension. The comparison chest radiograph performed on 4/16/2015 demonstrates no focal pulmonary opacities or pleural fluid. The ventilation images shows slightly decreased activity in the left lower lobe, posterior basal segm... | Intermediate probability of pulmonary embolus. |
Generate impression based on findings. | Grayscale images of the abdomen.LIVER: The liver measures 15.8 cm, with homogeneous echotexture. A round subcapsular collection adjacent to the right hepatic lobe measures 7.7 x 7.4 x 8.8 cm, similar in appearance to prior CT examination, for differences in technique.The main portal vein is patent, with normal hepatop... | 1. Normal hepatic vascular flow.2. Stable posterior right hepatic subcapsular fluid collection. |
Generate impression based on findings. | Female 22 years old. Reason: r/o fx History: l1-l2 ttp s/p fall down stairs Four views of the lumbar spine are provided. Vertebral body heights and disk spaces are preserved. There is no fracture evident. | No evidence of fracture. |
Generate impression based on findings. | 35-year-old female with facial pain/pressure; frequent sinusitis tx medically without resolution; deviated nasal septum on endoscopy. Evaluate sinuses. There is partial opacification of the maxillary sinuses, left greater than right, with mucosal thickening and fluid. There is osseous remodeling of the anterior maxilla... | Acute upon chronic maxillary sinusitis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Male 19 years old Reason: stress fracture right lateral forefoot? History: right lateral forefoot pain in runner Bone mineralization is normal. Alignment is anatomic. No acute fracture or malalignment. There is subtle cortical and trabecular changes involving the base of the fourth metatarsal.Small osteophytes are note... | Findings suggestive of stress changes involving the base of the fourth metatarsal. Further confirmation an MRI is suggested. |
Generate impression based on findings. | FractureVIEWS: Right forearm AP and lateral There are healing fractures involving the mid radius and ulna with periosteal reaction and sclerosis at the fracture sites increased from prior study. The alignment is near anatomic. | Healing forearm fractures as described above. |
Generate impression based on findings. | History of AML: evaluation prior to stem cell transplant. There is mild mucosal thickening within the right maxillary sinus. There is dehiscence of the underlying maxillary alveolus. There is also mild opacification of the anterior right ethmoid sinus. The other paranasal sinuses are clear. The nasal cavity is clear. T... | Mild opacification of the anterior right ethmoid sinus and persistent inflammation of the right maxillary sinus mucosa and dehiscence of the underlying alveolus, for which an oroantral fistula cannot be excluded. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are screening mammogram (3/20/2015) performed at Ingalls Family Care Center, as well as diagnostic right mammogram and ultrasound (3/30/2015), and images from ultrasound guided biopsy and post procedural mammogram (3/31/2015) performed at St. Margaret M... | Biopsy proven invasive ductal carcinoma of the right breast with axillary nodal involvement. BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of cervical cancer. Two standard digital views of both breasts, additional right CC view, and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small mas... | 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. | Female 42 years old Reason: Eval for OA History: Lateral Elbow Pain Bone mineralization is normal. Alignment is anatomic. The joint spaces are normal. No acute fracture or malalignment. | No evident arthritic changes. |
Generate impression based on findings. | Male 26 years old Reason: left knee pain History: left knee pain Bone mineralization is normal. Alignment is anatomic. The joint spaces are normal. There is a small joint effusion. There is a subtle impaction injury involving the lateral femoral condyle.Mature periosteal changes in the distal femoral diaphysis on its p... | Small joint effusion and small impaction injury in the lateral femoral condyle. |
Generate impression based on findings. | 30 year-old male with history of gunshot wound to the head with retained bullet. History seizure. Evaluate for intracranial injury. Significant streak artifact from bullet fragment in the right parietal lobe region limits evaluation at this level. There are multiple defects in the right parietal calvarium. There is ext... | Gunshot wound to the right parietal cranium with associated encephalomalacia centered in the right parietal lobe and a retained bullet fragment. No evidence of acute intracranial hemorrhage.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Female 64 years old Reason: s/p 14 cycles of chemotherapy for metastatic colon cancer, please compare to previous and provide measurements History: restaging CHEST:LUNGS AND PLEURA: Again noted multiple bilateral numerous metastases. Index right lower lobe metastatic lesion measures 4 x 3.2 cm on image number 54, serie... | Interval increase in the size of the bilateral lung metastases.Interval increase in the peritoneal carcinomatosis of the pelvis likely causing new right-sided hydronephrosis. Other metastatic index lesions are grossly unchanged as described above. |
Generate impression based on findings. | Female 81 years old Reason: left hip pain History: left hip pain Left hip: Severe osteoarthritis affects the left hip with bone on bone apposition and severe osteophytosis.There are subchondral cystic changes with sclerosis. No acute fracture or malalignment.AP view of the pelvis shows the aforementioned left hip osteo... | Severe left hip osteoarthritis. |
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