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Generate impression based on findings. | Male, 65 years old. Reason: Patient with a previously seen 0.7cm right renal cyst. RIGHT KIDNEY: The right kidney measures 11.9 cm in length, with increased cortical echogenicity. The previously identified subcentimeter cystic lesion in the right anterior mid pole is not seen on this exam. No shadowing calculi or hydro... | 1. The previously identified subcentimeter cystic lesion in the right kidney is not seen on this exam. Review of prior studies demonstrates no follow-up needed.2. Increased renal cortical echogenicity, suggestive of medical renal disease. No hydronephrosis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and two implant displaced views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in distribution. Retroglandular silicone imp... | 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. | TachypneaVIEW: Chest AP Tracheostomy tube in place. Cardiothymic silhouette normal. Patchy atelectasis in the right lower lobe and left lower lobe. There is scoliosis involving the lower thoracic spine unchanged. | Left lower lobe opacity concerning for early infection. |
Generate impression based on findings. | 52 year old female status post right lumpectomy in 2013 for invasive ductal carcinoma and DCIS, presents today for routine follow up. Patient received radiation, chemotherapy, and endocrine therapy. History of benign left breast biopsy. No current breast complaints. No family history of breast cancer. Three standard vi... | Stable postsurgical changes of the right 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 - Diagno... |
Generate impression based on findings. | Abdominal distentionVIEW: Abdomen AP NG tube tip in the stomach. There is abnormal bowel dilation at the right lower quadrant not significantly changed. No pneumatosis or pneumoperitoneum. Minimal patchy atelectasis in the left lower lobe. | Abnormal bowel dilation right lower quadrant not significantly changed. |
Generate impression based on findings. | 68-year-old status post left mastectomy with reconstruction. Patient presents for right unilateral follow-up. 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 density, unchanged in pattern and distrib... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended in 6 months. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Reason: s/p stab wound to neck, History: stab wound to neck Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is no signific... | 1.No evidence for cervical cerebrovascular occlusive disease. No evidence for carotid injury.2.Air is present within the deep spaces of the right neck anterior to the right sternocleidomastoid muscle and adjacent to several branches of the right external carotid artery, the right submandibular gland and the right carot... |
Generate impression based on findings. | 74 year old female with distal radius fracture, follow up exam. Three views of the right wrist show the bones appearing demineralized suggesting osteopenia/osteoporosis. Again seen is a comminuted articular fracture of the distal radius with between 10 to 15 degrees of dorsal angulation of the distal articular radial s... | Distal radius fracture as described above with slight increase in dorsal angulation. |
Generate impression based on findings. | 57 years, Female, Reason: 57y/o female History: 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 in four periareolar injections. A focus of increased activity is noted in the right axilla, representing the sentinel node... | Sentinel node identified in the right axilla. |
Generate impression based on findings. | Female 15 years old Reason: eval rami and sacral fractures History: s/p pelvis fracture Again seen is a mildly displaced and angulated fracture of the right superior pubic ramus appearing similar to prior study. Slight widening of the right sacroiliac joint but the true extent of this injury is is better appreciated on... | Right superior pubic ramus fracture and sacroiliac joint widening as described above. |
Generate impression based on findings. | Female 54 years old Reason: patient with a history of gastroesophogeal cancer, currently receiving chemo, please assess for disease progression History: gastroesophogeal cancer CHEST:LUNGS AND PLEURA: Calcified and noncalcified micronodules, unchanged.No pleural effusions. No suspicious nodules or masses.MEDIASTINUM AN... | No substantial interval change in reference lesions with reference measurements given above. Patent esophageal stent. |
Generate impression based on findings. | Reason: hx of esophageal CA, pls compare to previous and measure History: none CHEST:LUNGS AND PLEURA: Stable mild paramediastinal postradiation fibrotic changes. Prior small foci of ground glass opacity have resolved with a a few new scattered ground glass foci bilaterally, likely representing ongoing aspiration.No ne... | 1.Large hiatal hernia with distal esophageal thickening, not significantly changed.2.No evidence of metastases.3.Findings compatible with ongoing aspiration bilaterally. |
Generate impression based on findings. | 26 year old female with recurrent chest pain on the left. History of spontaneous pneumothorax and bullectomy a decade ago. LUNGS AND PLEURA: Biapical scarring. Surgical staples in the left apex which appear intact. 4 mm right lower lobe nodule which is flat in appearance on coronal images most likely a benign intrapulm... | Postsurgical changes with no pneumothorax. No other findings to account for the patient's symptoms. |
Generate impression based on findings. | 10 year old female patient with trapezius spasm. Question of clavicle fracture/dislocation.VIEWS: Right clavicle AP and axial (two views), right shoulder AP internal and external rotation (two views), 4/17/2015 No acute fracture or dislocation of the right shoulder or clavicle is seen. | Normal examination. |
Generate impression based on findings. | Female 37 years old Reason: eval for imflammation or abscess or abnormal pathology History: abdominal pain ABDOMEN:LUNG BASES: No focal pulmonary opacity. Resolution of previous pericardial effusion.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Small accessory splenule's.PANCREAS: No significant abnorma... | No acute intra-abdominal abnormality to account for the patient's pain. |
Generate impression based on findings. | Female, 90 years old. Reason: RUQ U/S- r/o acute abnormalities History: Incidental focal intrahepatic biliary ductal dilatation on CT abd/pelvis LIVER: The liver measures 13.6 cm. Branching lobulated hyperechoic regions in the left lobe correspond with the abnormality seen on recent CT exam, and likely represent dilate... | 1. Asymmetric complex intrahepatic ductal dilatation in the left hepatic lobe with echogenic material within the ducts, which is a nonspecific finding and may represent sludge, blood, or infiltrating tumor in the appropriate clinical setting.2. Mild diffuse intrahepatic ductal dilatation elsewhere, improved from prior ... |
Generate impression based on findings. | Reason: lung cancer History: 20 years after LUL for Stage I NSCLC LUNGS AND PLEURA: Partly solid 19-mm nodule in the right apex has slightly increased in its solid component measuring 6 mm, previously 5 mm (series 5 image 20), and remains suspicious for indolent primary lung malignancy.Left lower lobe subsolid 11-mm no... | 1.Right apical partly solid nodule has increased in its solid component, highly suspicious for indolent primary lung malignancy.2.Left lower lobe sub-solid nodule has slightly increased in size, highly suspicious for indolent adenocarcinoma. |
Generate impression based on findings. | Female 53 years old; Reason: 53 yr old female with recurrent stage LLLC ovarian cancer. '12 TAH/BSO, multiple chemo treatments. Please assess current disease status and compare with previous scans. History: RUQ pain, elevated LFT's CHEST:LUNGS AND PLEURA: Unchanged scarring of the left upper lobe. 3-mm subpleural nodul... | New gastrohepatic lymph node and enlarging right external iliac lymph node. Reference measurements given above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign right breast biopsy in 2010. Two standard digital views of both breasts and additional left MLO were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is extremely dense, which lowers the sensitivity of mam... | 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. | Female 47 years old chronic low back pain "sciatica ". Evaluate for bony pathology. Thoracic spine: Small anterior vertebral body osteophytes at multiple levels. Vertebral body heights are preserved. Alignment is within normal limits.Lumbar spine: Vertebral body heights and intervertebral disk spaces are within normal ... | Mild degenerative changes of the thoracic spine. Otherwise no findings to account for patient's pain. |
Generate impression based on findings. | Female 78 years old Reason: restaging CRC on chemotherapy compare to prior History: none CHEST:LUNGS AND PLEURA: Reference right lower lobe pulmonary nodule is not significantly changed measuring 10 x 9 mm (series 4 image 142), previously 11 x 8 mm. Additional bilateral pulmonary nodules are also not significantly chan... | 1.Stable examination with no significant interval change in multiple bilateral pulmonary nodules and hepatic lesions.2.Moderate intrahepatic and extrahepatic biliary duct dilatation is slightly increased compared to prior however no obstructing lesion is identified. Correlate with bilirubin levels. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of moles on the right breast. Two standard digital views of both breasts and additional left MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in patter... | 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. | 83 years, Female, Reason: ? pheochromocytoma History: hypertension, flushing. Negative urine catecholamines Normal physiologic radiotracer distribution is seen in the salivary glands, myocardium, liver, bowel and bladder. There is faint non-mass like and most likely physiologic activity in the adrenal glands bilaterall... | 1.Normal appearing adrenal glands without evidence of MIBG avid primary neoplasm.2.Significantly heterogeneous uptake in the liver with areas of increased activity raise the question of an MIBG avid hepatic metastases, despite no identification of a primary extrahepatic lesion. Conceivably, however, this appearance cou... |
Generate impression based on findings. | Female 91 years old Reason: Right hip pain in the iliac crest/sciatic region with radiation to the groin History: As above Mild osteoarthritis affects the hip. Chronic enthesophytes on the iliac wing and greater trochanter may not be of current clinical significance. The bones are demineralized. | Degenerative arthritic changes as described above. |
Generate impression based on findings. | Male, 46 years old. Rule out hcc per protocol LIVER: The liver measures 14.5 cm, with normal morphology and echotexture, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow. Portal venous velocity = 0.2 m/sec.GALLBLADDER, BILIARY TRACT: No intrahepatic or extrahepatic biliary ductal dilatat... | 1.No evidence of hepatocellular carcinoma.2.Nonspecific periportal lymph node is unchanged. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. A few intramammary lymph node... | 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. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is minimal periventricular white matter hypoattenuation which is nonspecific and may be vascular related. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal... | No acute intracranial hemorrhage or skull fracture. CT is insensitive for detection of early nonhemorrhagic acute cerebral infarction. |
Generate impression based on findings. | Reason: history of GVHD of lung; please use low dose given age History: dyspnea (history of AML) LUNGS AND PLEURA: Interval near resolution of bilateral ground glass opacities. Diffuse bronchial wall thickening. Apical reticulation and scarring. Lingular atelectasis and scarring. No pleural effusions.MEDIASTINUM AND HI... | Interval near resolution of bilateral ground glass opacities. Diffuse bronchial wall thickening. |
Generate impression based on findings. | Female, 32 years old. Reason: elevated alk phos. assess for stones, biliary dilation, liver pathology History: nausea, vomiting abdominal pain LIVER: The liver measures 15.6 cm, with heterogeneous echotexture, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow. Portal vein flow velocity = ... | 1. Gallbladder sludge and possible stones without evidence of acute inflammation or biliary ductal dilatation .2. Atrophic kidneys compatible with end-stage renal disease. |
Generate impression based on findings. | ET placementVIEW: Chest AP ET tube tip below thoracic inlet and above the carina. Umbilical lines unchanged. Cardiothymic silhouette normal. Right lower lobe atelectasis has improved from prior study. Multiple segmentation anomalies in the thoracic spine again noted. | Right lower lobe atelectasis has improved from prior study. |
Generate impression based on findings. | 37-year-old male with anterior chest wall mass midchest to right side of chest approximately 3 x 5 cm, hard, firm, non-mobile, fixed, non tender. LUNGS AND PLEURA: Bibasilar scarring/atelectasis. Scattered nonspecific pulmonary micronodules. No suspicious pulmonary nodule or mass. No pleural effusions. MEDIASTINUM AND ... | 1.Right subxiphoid chest wall mass with associated destruction of the right 12th rib anterior cartilage. No definite intrathoracic evidence of invasion. Associated right cardiophrenic lymph nodes and localized trace pericardial effusion. Differential includes infection in the correct clinical setting or a malignancy su... |
Generate impression based on findings. | Respiratory decompensationVIEW: Chest AP Cardiothymic silhouette normal. NG tube has been removed. Lower extremity central line again noted. Patchy atelectasis bilaterally in a background of chronic lung disease. No pleural effusion or pneumothorax. | Patchy atelectasis bilaterally in a background of chronic lung disease. |
Generate impression based on findings. | Reason: assess NG tube placement Nasogastric tube tip overlies the proximal gastric fundus, with the tip proximal to the gastroesophageal junction, recommend advancing at least 8 cm. Incompletely imaged relative paucity of bowel gas. Retrocardiac atelectasis is better evaluated on recent chest radiograph. Vascular calc... | NG tube side-port is proximal to the GE junction, recommend advancing at least 8 cm. |
Generate impression based on findings. | 75 years, Female. Reason: NG tube advanced 2/2 to being too high History: NG tube advanced Interval advancement of nasogastric tube, with the side-port now immediately distal to the gastroesophageal junction, recommend advancing. Persistent relative paucity of bowel gas, without specific evidence of obstruction. The lo... | Interval advancement of nasogastric tube. Recommend advancing another 6 cm. |
Generate impression based on findings. | 75 years, Female. Reason: NG tube placement History: NG tube placement Interval advancement of nasogastric tube, with the tip overlying the gastric body and the side port just distal to the gastroesophageal junction. Persistent relative paucity of bowel gas. Catheter tubing overlies the left hemiabdomen, which may be e... | Interval advancement nasogastric tube with the tip overlying the gastric body. |
Generate impression based on findings. | Female 76 years old Reason: low back pain History: low back pain Approximately 30 degrees of levorotoscoliosis of the thoracolumbar spine as measured from the superior endplate of T11 to the inferior endplate of L3. Demineralization of the bones suggesting osteopenia/osteoporosis. Moderate facet joint osteoarthritis af... | Scoliosis and degenerative arthritic changes as described above. |
Generate impression based on findings. | Male 16 years old Reason: Assess fracture fixation and healing - L knee s/p ORIF tibial tubercle on 3/9/15 Two views left knee show 3 orthopedic screws affixing a fracture of the tibial tubercle in near anatomic alignment. We see no hardware complication. Soft tissue swelling is noted about the knee. Fracture margins a... | Orthopedic fixation of tibial tubercle fracture. |
Generate impression based on findings. | 13-year-old male, follow up, history of fibular fracture. There is soft tissue swelling along the lateral aspect of the ankle. When compared to prior study, distal fibular physis appears slightly widened likely reflecting bone resorption along a Salter-Harris fracture (Salter-Harris II fracture base on prior radiograph... | Distal fibular physeal fracture and possible "posterior malleolar" tibial fracture. |
Generate impression based on findings. | 43 year old female status post left lumpectomy in 2008 for invasive ductal carcinoma with nodal involvement, presents today for routine follow up. Patient received radiation, chemotherapy, and tamoxifen. No current breast complaints. Family history of breast carcinoma in her paternal grandmother at age 77. Patient perf... | 1. Stable postsurgical changes of the left breast. No mammographic evidence of malignancy. 2. Palpable abnormality in right breast 6 o'clock position corresponds to a simple cyst. Clustered cyst at the 9:00 position of the right breast. As long as the patient's physical examination remains normal, 6 month follow-up rig... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal aunt. Two standard digital views of both breasts, with a total of the images, were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distr... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Male; 71 years old. Reason: metastatic prostate cancer to the LN, pulm nodule on tx. reeval History: prostate cancer, LAD, pulm nodule CHEST:LUNGS AND PLEURA: Reference right lower lobe pulmonary nodule has significantly decreased in size and measures 5 x 3 mm, previously 10 x 10 mm (series 5/77).Reference right upper ... | Interval decreased size of reference lesions. No new sites of disease. |
Generate impression based on findings. | Male 57 years old Reason: Eval for erosive or inflammatory changes History: ?RA Left hand: Severe osteoarthritis affects the basilar joint. Small lucencies within the carpal bones are more likely degenerative cysts than chronic erosions. Narrowing and small osteophytes at the first and second metacarpophalangeal joints... | Arthritic changes as described above which appear degenerative in etiology. |
Generate impression based on findings. | Female, 69 years old. Reason: fever, recurrent UTI, assess for abscess, urinary obstruction? History: fever, dysuria RIGHT KIDNEY: The right kidney is atrophic, with severe hydroureteronephrosis and multiple cysts, some peripherally calcified. No areas of increased vascularity are noted.LEFT KIDNEY: The left kidney mea... | Atrophic right kidney with severe right hydronephrosis and multiple cysts. No areas of focal increased renal vascularity are identified, and evaluation for abscess is limited. |
Generate impression based on findings. | 34 years old, Male, History: seizures, rule out structural lesion There is no abnormal enhancement of the brain parenchyma. 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 ... | No abnormal enhancement of the brain parenchyma. No evidence of intracranial hemorrhage or mass. |
Generate impression based on findings. | 72 year old female, fall last night, pain. The bones appear demineralized suggesting osteopenia/osteoporosis. There is a comminuted, mildly displaced fracture through the distal clavicle. The acromioclavicular joint alignment is maintained. Severe osteoarthritis affects the glenohumeral joint and may be due to old trau... | Distal clavicle fracture. |
Generate impression based on findings. | Right arm lymphedemaRADIOPHARMACEUTICAL: A total of 0.53 mCi Tc-99m filtered sulfur colloid was injected subcutaneously in operating room. Radiotracer was injected into left leg in operating room by Dr. Chang for lymph node transfer. No images were acquired. | Successful injection of radiotracer for lymph node transfer. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History benign biopsy of the right breast. Family history of breast cancer in a niece. 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,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 50 years old Reason: LLQ abd pain, eval for partial SBO History: s/p OLT Lack of intravenous contrast limits evaluation of the solid organs.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Postoperative changes from liver transplant. No intrahepatic or extrahepatic biliary ductal dilatatio... | 1. Postoperative changes without evidence of bowel obstruction as clinically queried.2. Nonobstructing left renal calculus without nephroureterolithiasis or CT evidence of pyelonephritis. |
Generate impression based on findings. | Female 54 years old Reason: low back pain History: low back pain Slight leftward curvature of the lumbar spine. Mild degenerative disk disease affects the L2-3, L3-4, L4-5 levels. Vertebral body heights are maintained. | Mild degenerative disk disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Three standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Stable benign bilateral cal... | 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 58 years old Reason: pain History: pain Posterior stabilization rods with screws entering the L3, L4 and L5 vertebral bodies. Also an intervertebral spacer is identified at the L4-L5 level and bone graft is noted along the lateral aspects of the lower lumbar spine. There is severe degenerative disk disease at th... | Orthopedic fixation of the lower lumbar spine and severe degenerative disk disease at L5-S1 with anterolisthesis of L5 relative to S1 as described above. |
Generate impression based on findings. | History of toe walking and urology changes. Concern for arachnoid cyst. Contrast fills the entire thecal sac. There is a small epidural and subdural component of the injection extending to the foraminal paraspinal regions in the lumbar region. The spinal cord again appears displaced anteriorly. The thecal sac including... | The thecal sac opacifies completely including the expanded posterior region which may have have altered CSF circulation with thin fibrous strands traversing the thecal sac. Free passage of nerve roots and vessels is seen in this area.An intact arachnoid cyst is therefore felt to be unlikely. Rather, there may be adhesi... |
Generate impression based on findings. | Male 87 years old Reason: eval History: eval endoleak from EVAR and R CIA repair ANGIOGRAPHY:Redemonstrated infrarenal abdominal aortic aneurysm status post placement of an infrarenal stent graft. The graft has an extended right common iliac artery component. The aneurysm sac is not significantly changed in size measur... | 1.Infrarenal abdominal aortic aneurysm status post stent graft placement. While the aneurysm sac is stable in size, there is evidence of a type II endo- leak.2.Stable right common and internal iliac artery aneurysms status post placement of right common iliac stent graft.3.Additional incidental findings as described ab... |
Generate impression based on findings. | 51 year old female with h/o oral tongue cancer and CRT, compare to previous CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural effusion or pneumothorax.MEDIASTINUM AND HILA: Normal sized heart with no pericardial effusion. Calcified mediastinal lymph nodes compatible with prior granulomatous ... | No evidence of metastatic disease. |
Generate impression based on findings. | 76 year old female patient with left breast oil cysts and fat necrosis. History of breast carcinoma in two sisters. No current breast complaints. Three standard views of both breasts and additional right MLO view were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scat... | Stable oil cysts, fat necrosis and coarse calcifications in the left breast. Stable right focal asymmetry. 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 pati... |
Generate impression based on findings. | Reason: Evaluate for osteonecrosis History: pain, Leukemia and hemophagocytic lymphohistiocytosisVIEWS: Right tibia/fibula AP and lateral (2 views) Left tibia/fibula AP and lateral (2 views) 4/17/15 10:13 No focal sclerosis suggestive of osteonecrosis. No fracture or dislocation. Bilateral diffuse decreased mineralizat... | No focal sclerosis suggestive of osteonecrosis. Diffuse decreased mineralization. |
Generate impression based on findings. | 57 year old female with h/o lung cancer, f/u CT CHEST:LUNGS AND PLEURA: Post surgical changes from right middle lobectomy. Stable post radiation changes and soft tissue density along the suture line in the right lung likely residual scarring. Bilateral lower lobe scarring or atelectasis. No new nodules or masses. No pl... | No interval change. No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Female 64 years old Reason: Evaluate for kidney stone left ureter or ureteropelvic junction. History: left flank pain radiating into left groin. The lack of intravenous contrast limits evaluation of the solid organs. The lack of oral contrast limits evaluation of the bowel.ABDOMEN:LUNG BASES: A calcified pulmonary gran... | No nephroureteral lithiasis other findings to account for the patient's pain. |
Generate impression based on findings. | 17 months old, Male, Reason: evaluate for hemorrhage History: s/p ETV There is no evidence for intracranial hemorrhage. Postoperative findings of an endoscopic third ventriculostomy including scattered pneumocephalus. Redemonstrated is a right frontal approach ventriculostomy catheter with tip determining its in the ri... | 1. No evidence of intracranial hemorrhage as clinically questioned.2. Expected postoperative findings of an endoscopic third ventriculostomy.3. Size of right porencephalic cyst, lateral, and third ventricles are unchanged. There is unchanged right to left midline shift. Ventriculostomy catheter is in unchanged position... |
Generate impression based on findings. | 73 year-old female with history of left breast cancer status post mastectomy in 1990 presents for right unilateral diagnostic mammogram. Three standard views of the right breast and additional right CC view were performed digitally 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, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 69 years, Male. Reason: r/o ileus NG tube coiled within the stomach with the tip projecting at the level of the fundus. Nonobstructive bowel gas pattern. Gas distention of the transverse colon and stomach. Posterior spinal fixation device in place in the lower lumbar spine. | Nonobstructive bowel gas pattern. NG tube coiled within the stomach with the tip projecting at the level of the fundus. |
Generate impression based on findings. | 64 years, Male. Reason: NGT History: NGT The pelvis is not included in the field of view. Interval removal of Dobbhoff tube. Interval placement of NG tube with the tip projecting at the level of the body of the stomach. Nonobstructive bowel gas pattern. Right upper quadrant surgical clips in place, unchanged. Bibasilar... | NG tube tip projects at the level of the body of the stomach. |
Generate impression based on findings. | Male 34 years old Reason: restaging lung oligomets (rectal primary s/p resection) s/p RT 2/2014. Evaluate interval change History: none CHEST:LUNGS AND PLEURA: Upper lobe nodules is not significantly changed measuring 15 x 11 mm (series 5 image 14), previously 10 x 14 mm. Right lower lobe perifissual nodule is slightly... | 1.Interval increase in size of multiple pulmonary nodules and mediastinal lymphadenopathy as described.2.Diffusely heterogeneous liver parenchyma. While no discrete metastatic lesion is identified, this may represent early diffuse metastatic disease. Continued follow-up is recommended. |
Generate impression based on findings. | Female 53 years old Reason: f/u fx History: pain Again seen is a plate and screws affixing a fracture of the fibula in near-anatomic alignment. We see no hardware complications. The fracture line is indistinct which may represent healing. The medial malleolar fracture line is indistinct indicating healing. The "posteri... | Healing fractures as described above. |
Generate impression based on findings. | T1N1 right anterior tongue status post partial glossectomy and bilateral neck dissection and chemo RT completed in March of 2012. There are postoperative findings related to partial glossectomy and neck dissection. There is extensive streak artifact related to dental amalgam that obscure a portion of the oral cavity. W... | 1. Unchanged post-treatment findings without evidence of measurable locoregional tumor recurrence or significant lymphadenopathy, within the limits of dental streak artifact.2. Persistent dental disease. |
Generate impression based on findings. | 71-year-old male status post lumbar spine fusion. Posterior stabilization rods enter L5 and S1. We see no hardware complication. There is an intervertebral disk spacer with bone graft at L5-S1. There is moderate degenerative disk disease L4-5 and mild degenerative disk disease at L3-4 with calcification of posterior an... | Postoperative changes of lumbosacral fusion as above. |
Generate impression based on findings. | Chronic renal insufficiency and inoperable NSCLC status post hyperfractionated RT, evaluate for change. CHEST:LUNGS AND PLEURA: Increasing radiation reaction and atelectasis associated with a right lower lobe mass which now measures 16 x 29 mm (4/68), previously 19 x 36 mm. Previously seen nodular air space opacities i... | Progressive post-therapeutic changes related to radiation reaction. The right lower lobe mass continues to decrease in size in the adjacent nodular opacities are no longer visible. No distant metastases are identified. |
Generate impression based on findings. | 67-year-old male with right wrist pain and swelling for 4 months. Fell on hands years ago, with no radiograph at that time. The bones appear slightly demineralized suggesting osteopenia/osteoporosis. There is swelling of the soft tissues about the wrist. Mild osteoarthritic changes affect the wrist. A 4 mm within linea... | Soft tissue swelling and mild degenerative changes, and old posttraumatic changes as above. |
Generate impression based on findings. | Follow-up of metastatic thyroid carcinoma, status post treatment. Neck: There are stable postoperative findings related to total thyroidectomy. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy. The salivary glands are unchanged. The left internal jugular vein is absent, but the ot... | 1. Stable findings related to thyroidectomy without evidence of measurable tumor recurrence or significant lymphadenopathy in the neck.2. Multiple partially-imaged pulmonary nodules, which may represent metastases. Please refer to the separate chest CT report for additional details.3. No evidence of intracranial metast... |
Generate impression based on findings. | Reason: eval neck vasculature in setting of unusual headache \T\ recent chiropractor neck manipulation . Possible carotid or vertebral dissection Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the gr... | 1.No evidence for cervical cerebrovascular occlusive disease.2.No evidence for vertebral or carotid dissection. |
Generate impression based on findings. | Female 13 years old Reason: Right knee pain History: Right knee pain The femoral trochlea appears slightly shallow on the axial view which may reflect mild trochlear dysplasia. The knee otherwise appears normal.The left knee appears normal as seen on the frontal views. | The femoral trochlea appears slightly shallow on the axial view which may reflect trochlear dysplasia. The knee otherwise appears normal. |
Generate impression based on findings. | T4bN0 right maxillary sinus squamous cell carcinoma, status post surgery and XRT. Neck: There are post-treatment findings in the paranasal sinuses, including right uncinectomy with residual moderate mucosal thickening and diffuse sclerosis and thickening of the surrounding walls. There is also unchanged mild irregulari... | 1. Stable post-treatment findings in the sinonasal cavity with scattered inflammatory changes, but no evidence of measurable tumor recurrence.2. No evidence of intracranial metastases. |
Generate impression based on findings. | 21-year-old male. Pain. Follow-up fracture. Two views of the right tibia/fibula show a new intramedullary rod affixing a predominately transverse fracture of the distal tibial diaphysis in near anatomic alignment. There is perhaps some bony bridging posteriorly. There is mild overlying soft tissue swelling. Mild posttr... | Orthopedic fixation of distal tibial fracture and a healing fibular fracture, as above. |
Generate impression based on findings. | 51-year-old female. Postop. Follow-up evaluate fusion. Three views of the lumbar spine show post-surgical findings of multilevel laminectomies as well as posterior rods with screws entering L3 and L4. We see no hardware complication. There is an intervertebral spacer device at L3-L4 with bone graft that appears more de... | Postoperative changes of lumbar fusion, as described above. |
Generate impression based on findings. | Bronchiectasis, now with recurrent pneumonias and cough. LUNGS AND PLEURA: Mild cylindrical bronchiectasis with scattered foci of retained debris in the airways, right greater than left, most pronounced in the right middle lobe. Scattered ground glass to sub-solid nodular opacities in the right lower lobe also noted. N... | 1. No significant change in mild cylindrical bronchiectasis.2. Mild bronchiolitis and signs of peribronchial inflammatory changes in the right lung, especially in the middle and lower lobes suggestive of infectious bronchiolitis, but no signs of pneumonia.3. Mild narrowing at of the left renal vein as it passes between... |
Generate impression based on findings. | Left sided conductive hearing loss; left sided facial swelling related to Herpes Zoster. Left: The external auditory canal is patent. There is retraction of the tympanic membrane and the middle ear and mastoid air cells are completely opacified. The ossicular chain and temporomandibular joint appear to be intact. The i... | 1. Retraction of the tympanic membrane and the middle ear and mastoid air cells are completely opacified. The ossicular chain and temporomandibular joint appear to be intact. The constellation of findings may represent an infectious otomastoiditis. Nevertheless, an MRI with contrast of the temporal bones may be useful ... |
Generate impression based on findings. | 25-year-old male with a history of posterior urethral valves, now with retention and bilateral hydronephrosis. Assess for persistent posterior urethral valves or reflux. Scout radiograph of the pelvis demonstrated normal bowel gas pattern.After instillation of approximately 450 cc's of Cystografin into the urinary blad... | There is dilation of the posterior urethra. In conjunction with the trabeculated and elongated appearance of the bladder and convexity of the inferior bladder margin, these findings are suspicious for chronic outlet obstruction. No vesicoureteral reflux occurred during study. While no definitive filling defect or focal... |
Generate impression based on findings. | Reason: 6 year old female with proximal femur osteosarcoma s/p total femur replacement History: proximal femur massVIEWS: Left femur AP lateral (2 views) Pelvis AP (1 views) 4/17/15 10:47 Femur: Stable appearing long-stem left femoral proximal endoprosthesis device, replacing the previously resected femur, in near anat... | Stable appearing long-stem left femoral proximal endoprosthesis device, without hardware complication. |
Generate impression based on findings. | 31-year-old female. Status post lumbar spine fusion. Two views of the lumbar spine show posterior rods with screws entering L5 and S1. We see no hardware complications. There is an intervertebral device with bone graft at L5-S1. A drain and foci of gas in the posterior soft tissues reflect recent surgery. | Postoperative changes of lumbosacral fusion. |
Generate impression based on findings. | 35-year-old female. Left hip pain. Two views of the left hip show slight prominence of the anterolateral femoral head/neck junction. Small os acetabula. | Mild CAM deformity that can be associated with femoroacetabular impingement in the correct clinical context. |
Generate impression based on findings. | Lung CA. CHEST:LUNGS AND PLEURA: Severe emphysema.Slight continued increase in density within the area of right apical scarring, best appreciated when comparing the standard axial series soft tissue windows image 20 of the current study compared to image 20 of the prior examination and image 21 of the 9/2/14 study. Thi... | Slight continued increase in density within the the area of the right apical scarring and persistent adjacent solid nodule remain suspicious for new primary pulmonary neoplasm. Stable left apical reference measurements. No significant change in right axillary region lymphadenopathy. Mixed change in measurements of smal... |
Generate impression based on findings. | Metastatic thyroid carcinoma enrolled in clinical trial 10-182, randomized to the cediranib arm. There are postoperative findings related to thyroidectomy and bilateral neck dissection. There is no significant interval change in size of the nodules in the region of the thyroidectomy bed, although assessment is limited ... | 1. Overall, no significant interval change in the locoregional thyroid carcinoma recurrence.2. Numerous subcentimeter nodules in the partially imaged lungs. Please refer to the separate chest CT report for additional details.3. Extensive dental disease. |
Generate impression based on findings. | Male 51 years old Reason: hx of germ cell tumor History: hx of cancer CHEST:LUNGS AND PLEURA: The reference left upper lobe nodule has slightly increased in size measuring 4 mm (series 4 image 37), previously 2 mm. Reference left lower lobe nodule is not significantly change measuring 6 x 4 mm (series 4 image 23) previ... | Questionable increase in size of a small left upper lobe pulmonary nodule. The remainder of the exam is stable compared to prior. |
Generate impression based on findings. | Reason: 58 y/o f with sarcoid, please eval. History: dyspnea LUNGS AND PLEURA: Diffuse upper lobe predominant traction bronchiectasis and scarring, similar to prior outside CT. No honeycombing. Scattered areas of air trapping.Scattered right pleural calcifications compatible with prior talc pleurodesis or infection. No... | 1.Diffuse, upper lung zone predominant, traction bronchiectasis, scarring, and air trapping compatible with patient's stated history of sarcoid.2.Mild mediastinal and right hilar lymphadenopathy. |
Generate impression based on findings. | 81-year-old male with left elbow swelling and pain after fall yesterday. Four views of the left elbow show a comminuted fracture of the olecranon process with approximately 2 cm of proximal displacement of the proximal fracture fragment along with some rotation. There is soft tissue swelling and elevation of the fat pa... | Olecranon fracture. |
Generate impression based on findings. | 72 year-old female with clavicle fracture, pain. Evaluate for joint widening. Axial view of the left shoulder is provided. Previously seen distal clavicle fracture is not well-visualized on this study. Acromioclavicular joint alignment is within normal limits. There is severe glenohumeral joint osteoarthritis but gleno... | Distal clavicle fracture not well seen on this study. We see no malalignment. |
Generate impression based on findings. | Male, 82 years old. Reason: cirrhosis evaluate for HCC History: cirrhosis LIVER: The liver measures 11.6 cm, with coarse 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 du... | 1. Coarse liver echotexture, compatible with chronic liver disease, without hepatic mass or biliary ductal dilatation.2. Nonspecific chronic mild dilation of the pancreatic duct. |
Generate impression based on findings. | 68-year-old female in a wheelchair presents for routine diagnostic mammogram. Family history of breast cancer in maternal aunt. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in patte... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 38-year-old male with left ankle and left knee pain after fall. Two views of the left knee show no fracture, malalignment or joint effusion. Small ossicle overlying the distal patellar tendon is of doubtful clinical significance. Sclerosis along the posterior cortex of the distal femur is also thought to be of unlikely... | Findings suggestive of old trauma but no definite acute fracture evident. |
Generate impression based on findings. | Female, 64 years old. Reason: Study-related tumor biopsy; left hepatic lesion? Hx colon cancer A hypoechoic lesion posteriorly in the right hepatic lobe measures approximately 2 cm.An additional hypoechoic lesion in the anterior midabdomen measures approximately 2 cm, and is adjacent to a loop of bowel. | Metastatic liver and intra-abdominal lesions imaged for pre-biopsy planning. |
Generate impression based on findings. | Reason: fall with weakness History: fall, weakness b/l LE The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. There is a hypodensity prese... | 1.No evidence for acute intracranial hemorrhage or mass effect.2.Finding suggestive small focus of encephalomalacia in the left occipital lobe. This is most likely vascular related.3.Small right cerebellar lesion suspected to represent a small focus of encephalomalacia. It is new since the prior exam.4.A small hypodens... |
Generate impression based on findings. | Female, 54 years old. Reason: r/o adenopathy, recurrence History: h/o thyroid cancer, s/p surgery but no RAI RIGHT LOBE: Status post thyroidectomy. No focal lesion in the thyroid bed.LEFT LOBE: Status post thyroidectomy. No focal lesion in the thyroid bed.ISTHMUS: Status post thyroidectomy. No focal lesion in the thyro... | No evidence of recurrent disease or regional adenopathy. |
Generate impression based on findings. | Rule out kidney stones. Left flank pain. The following observations are made given the limitations of an unenhanced study.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GL... | Colonic diverticulosis. No evidence of renal calculi or hydronephrosis. |
Generate impression based on findings. | 45 year old female who has a complaint of physician palpated area in the left axillary region. Personal history of leiomyosarcoma. Three standard views of both breasts, and an additional right MLO view, were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibr... | No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral axillary ultrasound is recommended in 6 months. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Inter... |
Generate impression based on findings. | Reason: follow up for RCC History: hx of RCC CHEST:LUNGS AND PLEURA: No change in pulmonary micronodules (e.g. right middle lobe image 52; series 5).MEDIASTINUM AND HILA: Reference right hilar lymph node is better defined on today's exam due to IV contrast administration and measures 1.7 x 1.0 cm (image 42; series 3); ... | Roughly stable exam with reference measurements given above. |
Generate impression based on findings. | Male, 65 years old, with anosmia. Mild patchy periventricular hypoattenuation is seen, a nonspecific finding which can reflect age indeterminate microvascular ischemic disease.No evidence of intracranial hemorrhage or any abnormal extra axial fluid collection is seen. No parenchymal edema or mass effect is detected. Th... | 1.No definite abnormalities are detected along the floor of the anterior cranial fossa or the olfactory grooves within the sensitivity limitations of CT.2.Mild age indeterminate microvascular ischemic disease is suspected intracranially. No other significant or acute abnormalities are seen. |
Generate impression based on findings. | Reason: h/o maxillary sinus cancer and CRT, compare to previous, measurements, pls History: none LUNGS AND PLEURA: Punctate benign appearing micronodules are stable.Irregular left basilar opacities are suggestive of aspiration, not typical of metastases.MEDIASTINUM AND HILA: There is no mediastinal or hilar lymphadenop... | No evidence of metastatic disease. Severe coronary calcifications are present. |
Generate impression based on findings. | 55-year-old male with history of urothelial cancer and recent scrotal abscess excision at outside hospital. Patient has fever and persistent scrotal swelling. RIGHT TESTIS: Not discretely visualized. In the right hemiscrotum there is a large and well demarcated fluid collection measuring approximately 3 0.4 x 4.7 x 5.6... | Include collection in the right hemiscrotum. I cannot exclude an infected fluid collection the basis of this exam.Testes not distinctly visualized.Echogenic material shadowing in the left scrotum. See discussion above. |
Generate impression based on findings. | Restaging Hodgkin's lymphoma.RADIOPHARMACEUTICAL: 15.0 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 93 mg/dL. Today's CT portion grossly demonstrates stable enlarged anterior mediastinal lymph nodes. Mild superior pericardial thickening is also noted.Today's PET examination demonstrates a small to medium-... | 1.Small but increasing hypermetabolic left pharyngeal focus is nonspecific. It could represent inflammation or neoplasm (including lymphoma or primary head and neck cancer). Further evaluation can be made with diagnostic neck CT and/or endoscopy.2.No evidence of FDG avid tumor elsewhere. |
Generate impression based on findings. | RIGHT TEMPORAL BONE: The external auditory canal is patent. The middle ear and mastoid air cells are well-pneumatized and clear. The ossicular chain is intact. The inner ear structures are unremarkable. The facial nerve describes a normal course. Incidentally, the styloid process appears to be interrupted, which may b... | No discernible inner ear anomalies. Please refer to the separate MRI report as well. |
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