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Generate impression based on findings. | 71 year-old man with LVAD and large GI bleed. Upper endoscopy not revealing. Colonoscopy with right-sided predominance blood. Unable to evaluate TIA. Evaluate source. ABDOMEN:LUNG BASES: Bilateral small effusions with overlying compressive-type atelectasis. Bronchiectasis bilaterally and scarring. LVAD noted. Pericardi... | Active cecal bleeding; Interventional Radiology notified and plan is for angiogram with embolization. Bilateral pleural effusions with overlying compressive atelectasis. LVAD. Pericardial effusion. |
Generate impression based on findings. | Male 63 years old; Reason: 63 y/o male with pancreatic ca, on chemotherapy. Pls compare to prior History: see above CHEST:LUNGS AND PLEURA: Subcentimeter left lower lobe pulmonary nodule is unchanged (image 66 series 5 ). There are scattered pulmonary micronodules.MEDIASTINUM AND HILA: Heart size is normal. No pericard... | 1.Near stable appearance of the primary pancreatic mass that infiltrates the hepatic hilum.2.Thickening of the cecum and ascending colon most compatible with a colitis which is new from prior. |
Generate impression based on findings. | Male 47 years old Reason: fx f/u History: pain Left humerus: There is a comminuted fracture of the distal humerus with slight posterior displacement of the fracture fragment. Callus formation along the fracture indicates some healing.Left shoulder: The shoulder is normal for age. No specific findings to account for pat... | Healing distal humeral fracture. |
Generate impression based on findings. | Neck: There is overall interval decrease in size of the previously seen necrotic cervical lymph nodes. For, example, a heterogeneous right level Ia lymph node measures 9 mm in short axis, previously 14 mm in short axis, a right level Ib lymph node measures 17 mm in short axis, previously 27 mm. A right level II lymph ... | 1. Interval decrease in size of previously seen right cervical lymphadenopathy with decrease in size of right face dermal metastases, but unchanged appearance of the treated right tonsillar fossa.2. No evidence of intracranial metastases. 3. An unchanged 12 mm nodule in the left tracheoesophageal groove may represent a... |
Generate impression based on findings. | Reason: stroke History: dysarthria The patient is status-post right-sided craniotomy and aneurysm clip placement at the anterior communicating region in the distal right internal carotid region.A small hypodense focus is present in the left parietal lobe centered at the inferior parietal lobule associated with some mil... | 1.No evidence for acute intracranial hemorrhage mass effect or edema. CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction. 2.Small foci of encephalomalacia are present in the left parietal lobe and in the right occipital lobe.3.The patient status post right-sided craniotomy for aneurys... |
Generate impression based on findings. | Status post left knee I & D with poly-exchange Components of a left total knee arthroplasty device are situated in near anatomic alignment without radiographic evidence of hardware complication. Skin staples, a drain and foci of gas density in the anterior soft tissues reflect recent surgery. | Total knee arthroplasty and postoperative changes as above. |
Generate impression based on findings. | T2N1 infiltrating ductal carcinoma of right breast, completed lumpectomy and CRT May 2009, presented with newly diagnosed adenoid cystic carcinoma of left floor of mouth at OSH, s/p WLE of left FOM and left SND on 2/10/14. There are postoperative findings related to left floor of mouth resection and left selective neck... | 1. Postoperative findings related to left floor of mouth resection and left selective neck dissection with no evidence of measurable mass lesions in the treatment bed, although a portion of the oral cavity is obscured by dental streak artifact. 2. No significant cervical lymphadenopathy based on size criteria. 3. Uncha... |
Generate impression based on findings. | Status post fracture A side plate and screws affix a distal fibular fracture in near-anatomic alignment, appearing similar to the prior study. There is also a trans-syndesmotic screw affixing the distal tibiofibular articulation in near-anatomic alignment. Two screws affix a fracture of the medial malleolus in near-ana... | Orthopedic fixation of distal tibial and fibular fractures appearing similar to the prior study. |
Generate impression based on findings. | Female 53 years old; Reason: 53 female s/p distal pancreatectomy, complicated by peripancreatic fluid collection. Had IR drain which has been removed. Evaluate for resolution of peripancreatic fluid collection History: none ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: There is a calcificat... | 1.Small volume upper and pelvic ascites. No loculated fluid collections.2.Status post distal pancreatectomy and splenectomy. |
Generate impression based on findings. | Postop evaluation status post fusion There are posterior rods with screws entering the L4 and L5 vertebrae. I see no hardware complications. There is an intervertebral spacer device at L4/5 with bone graft that appears similar to that seen on the prior study accounting for slight positional differences. I see no frank ... | Postoperative changes of lower lumbar fusion and other findings as above. |
Generate impression based on findings. | Female 68 years old; Reason: 68 year old female with neuroendocrine tumor on surveillance History: NA ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is unremarkable for unenhanced technique. There is some scattered intrahepatic gas in the left lateral segment of the liver. Gallbladder ... | 1.Decrease in the size of the retroperitoneal mass. |
Generate impression based on findings. | Male, 59 years old, status post falls. No evidence for edema, mass effect or loss of gray-white distinction is seen. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. The ventricles are normal in size and morphology.The osseous structures of the skull are intact. Paranasal sinuses are clear. ... | 1.No acute intracranial abnormality.2.Small areas of biparietal scalp swelling may represent soft tissue injury or chronic scarring. |
Generate impression based on findings. | Fall, shoulder pain. Evaluate for fracture, other abnormality. I see no fracture or malalignment. The glenohumeral and acromioclavicular joints are within normal limits. Nodules within the right lung are compatible with known metastatic disease per the recent chest radiograph report. | No fracture evident. Other findings as above. |
Generate impression based on findings. | Left knee medial unicompartmental arthroplasty Components of a medial unicompartmental arthroplasty are situated in near-anatomic alignment without radiographic evidence of hardware complication. Skin staples and foci of gas density in the soft tissues reflect recent surgery. Tubular lucencies in the distal femoral dia... | Postoperative changes of unicompartmental arthroplasty as above. |
Generate impression based on findings. | History of recurrent sinonasal squamous cell carcinoma who is approximately 1 year, 5 months since completion of radiation therapy. No evidence of disease on clinical exam. There are post-treatment findings related to sinonasal tumor resection and irradiation, as well as left neck dissection. There is no evidence of me... | 1. Stable post-treatment findings in the sinonasal region without evidence of measurable tumor or significant cervical lymphadenopathy. 2. Extensive emphysematous changes in the imaged portions of the lungs. |
Generate impression based on findings. | 41-year-old male with thyroid cancer, tumor assessment CHEST:LUNGS AND PLEURA: Innumerable pulmonary nodules in a miliary distribution similar to prior study. Right right lobe of the nodule measures 8 mm x 7 mm (series 6, image 150) this previously 8 mm x 8 mm. No pleural effusion or pneumothorax.MEDIASTINUM AND HILA: ... | Innumerable pulmonary nodules and enlarged mediastinal lymph nodes without significant interval change. |
Generate impression based on findings. | Reason: progression of bronchiectasis? History: cough and sputum production LUNGS AND PLEURA: Diffuse bronchial wall thickening, bronchiectasis, tree-in-bud opacities and mucus impaction, greater on the right, specifically right middle lobe, slightly increased compared to prior. Debris/fluid within the right middle lob... | Diffuse, right middle lobe predominant, bronchial wall thickening, bronchiectasis, tree-in-bud opacities and mucus impaction, slightly increased compared to prior. Debris within the right middle lobe bronchiectasis may represent subclinical infection, such as indolent atypical mycobacterial infection. |
Generate impression based on findings. | Female 70 years old with left knee pain The bones are demineralized. Minimal osteoarthritis affects the knee. There is perhaps a small joint effusion. Vascular calcification is noted. | Mild osteoarthritis and small joint effusion. |
Generate impression based on findings. | 25 year-old female. Status post assault. Evaluate for fracture. Three views of the thoracic spine show no fracture or malalignment. The thoracic spine appears normal for patient age. | No fracture is evident. |
Generate impression based on findings. | Male 69 years old Reason: Right knee pain History: Right knee pain Moderate/severe tricompartmental osteoarthritis with near bone-on-bone apposition in the medial joint compartment on the skiers view. Moderate joint effusion is noted. Moderate/severe osteoarthritis also affects the left knee as seen on the frontal view... | Osteoarthritis. |
Generate impression based on findings. | Female 48 years old Reason: evaluate for erosive OA History: hand pain Right hand: Mild osteoarthritis affects scattered interphalangeal joints but no findings for "erosive" arthritis. Tiny osteophytes and subchondral cysts are noted at the second and third metacarpophalangeal joints. Minimal osteoarthritis of the basi... | Osteoarthritis as described above. |
Generate impression based on findings. | 68 years, Female. Reason: free air? Bleeding? History: s/p biopsy PACU hypotension and fever Again seen are multiple dilated loops of predominantly large bowel, in particular within the large right ventral hernia sac. Small gas seen in descending colon with paucity of bowel gas in left lower quadrant and pelvis. There ... | Interval passage of residual contrast. Grossly unchanged appearance of mildly dilated loops of bowel, with paucity of bowel gas in left lower quadrant and pelvis (in area beyond the expected level of the sigmoid colon stricture seen on prior CT imaging). Findings raise concern for a partial large bowel obstruction at t... |
Generate impression based on findings. | 10 year old female with pain and swelling. Question of osteomyelitis. VIEWS: Left hand PA, oblique, lateral (3 views) 4/17/2015 Soft tissue swelling noted about the second and fifth digits. No fracture or dislocation is evident. No specific radiographic evidence of osteomyelitis. | Soft tissue swelling without fracture. |
Generate impression based on findings. | Male 67 years old Reason: bladder ca History: bladder ca The lack of intravenous contrast limits evaluation of the solid organs.CHEST:LUNGS AND PLEURA: Calcified right upper lobe granuloma additional and scattered nonspecific micronodules appear similar to prior. No new or suspicious pulmonary nodule.MEDIASTINUM AND HI... | 1. Interval increase in retroperitoneal lymphadenopathy.2. Hepatomegaly with heterogeneous hepatic parenchyma compatible with numerous poorly defined underlying metastases. Evaluation of these lesions is limited on noncontrast exam. |
Generate impression based on findings. | Male 77 years old Reason: left shoulder pain History: left shoulder pain Narrowing of the acromiohumeral interval to approximately 3-4 mm which may reflect chronic rotator cuff tear. There is moderate osteoarthritis of the acromioclavicular joint. There is mild osteoarthritis of the glenohumeral joint. Mild sclerosis a... | Degenerative arthritic changes of the shoulder joint appearing similar to prior study. |
Generate impression based on findings. | Reason: hx of ? COPD vs ILD. lobar collapse History: cough LUNGS AND PLEURA: Interval resolution of right lower lobe atelectasis and pleural effusion. No visible intraluminal lesion is identified. Of note, there is compression of a medial right lower lobe subsegmental bronchus by the adjacent inferior pulmonary vein. S... | 1.Interval resolution of right lower lobar atelectasis and pleural effusion. No definite intraluminal mass identified, though there is a small amount of debris in the proximal trachea.. 2.Near resolution of left lower lobe ground glass opacity.3.Findings compatible with pulmonary arterial hypertension and mild hypervol... |
Generate impression based on findings. | 25 years, Female. Reason: SBP History: abd distention, no flatus Gaseous distention of the colon, without evidence of obstruction. Gas is seen distally within the rectum. Stool is seen in the descending colon. Surgical drain projects over the pelvis. | Gaseous distention of the colon, without evidence of obstruction. |
Generate impression based on findings. | Female, 58 years old, altered mental status. No evidence of parenchymal edema, mass effect or loss of gray-white distinction is seen. At most, there may be minimal scattered areas of subcortical white matter hypoattenuation, but even this is equivocal.No evidence of intracranial hemorrhage or any abnormal extra-axial f... | No acute intracranial abnormality. |
Generate impression based on findings. | Reason: feeling of lump in throat History: feeling of lump in throat The right costophrenic angle is excluded from the field-of-view; mild degenerative disease of the spine, otherwise the scout radiograph is unremarkable. Double contrast evaluation of the esophagus and gastric cardia/fundus revealed no morphologic abno... | 1.Moderate esophageal dysmotility with minimal tertiary contractions.2.Transient retention of barium pill at the level of the aortic knob, which cleared with forceful swallowing. |
Generate impression based on findings. | 69 years, Female, Reason: 69y/o female with breast cancer; surg 4/17/15 DCAM Left breast re-excision lumpectomy and Left axilary SNBx History: breast caner.RADIOPHARMACEUTICAL: The left breast was prepared in a sterile manner. A total of 0.54 mCi Tc-99m filtered sulfur colloid was injected in four periareolar injection... | Sentinel node identified in the left axilla. |
Generate impression based on findings. | 52-year-old female. Low back pain. Three views of the lumbar spine show approximately 25 degrees of levoscoliosis of the lumbar spine, as measured from the superior endplate of T12 to the inferior endplate of L4. Severe degenerative disk disease affects T12-L1, L1-L2, and L5-S1. Moderate degenerative disk disease affec... | Degenerative arthritic changes, as above. |
Generate impression based on findings. | 80 years, Female, Reason: ? PE History: Dyspnea, abnl DLCO. The comparison chest radiograph performed on 4/17/2015 demonstrates no focal pulmonary opacities or pleural fluid. The ventilation images show focal decreased ventilation in the left upper lobe on single-breath and wash-in images. There is no abnormal Xe-133 r... | Low probability of pulmonary embolus. |
Generate impression based on findings. | Reason: feeling of food getting stuck in chest, evaluate for stricture vs anatomic etiology for symptom History: sensation of food getting stuck Scout radiograph of the chest demonstrates mild cardiomegaly, degenerative disease of the spine, and a 2-mm nodular focus in the left lung apex, for which further characteriza... | 1.Left apical lung nodular focus, indeterminate and for which further characterization with CT is recommended.2.Transient provoked gastroesophageal reflux, which quickly clears.3.Mild esophageal dysmotility. |
Generate impression based on findings. | Evaluation status post lung resection. History of right colonic adenocarcinoma. Left upper lobe wedge resection for moderately differentiated adenocarcinoma. LUNGS AND PLEURA: Postsurgical changes of a left upper lobe wedge resection. Mild emphysema. Numerous groundglass density nodules most likely reflecting foci of a... | No significant change in numerous pulmonary nodules. Stability is most consistent with multifocal atypical adenomatous hyperplasia or small foci of adenocarcinoma in situ/MIA. No signs of localized recurrence. |
Generate impression based on findings. | The colon is adequately distended. There is a moderate amount of residual fecal matter which is mobile or has typical characteristics of stool. This may limit sensitivity for diminutive polyps however the exam is of diagnostic quality. The colon demonstrates marked tortuosity of multiple segments. There is some mobili... | No significant size polyps or masses. Tortuous colon. Diverticulosis. Extracolonic findings as above.*OPTIONAL C-RADS CLASSIFICATION:C-1E-2*(see full definitions in: Zalis et al. CT Colonography reporting and data system: a consensus proposal. Radiology 2005;236:3-9)C1: Normal or benign lesions (no polyps > 6mm). Conti... |
Generate impression based on findings. | Reason: HNSCC. Compare to previous with measurements. History: as above (tonsillar squamous cell ca) CHEST:LUNGS AND PLEURA: Multiple bilateral lung nodules overall are not significantly changed in size. Reference right upper lobe nodule measures 7 x 5 mm (series 5 image 71), previously 5 x 6 mm.Reference left upper lo... | 1.Reference pulmonary metastases and mediastinal and hilar lymphadenopathy are not significantly changed in size.2.New right lower lobe airspace opacity and consolidation compatible with infection, possibly related to recurrent aspiration. Assessment for metastatic disease in this area of lung parenchyma is limited.3.S... |
Generate impression based on findings. | Male, 63 years old, with generalized muscle weakness. Moderately extensive periventricular hypoattenuation is demonstrated, a nonspecific finding which most likely represents age indeterminate microvascular ischemic disease.No definite evidence of parenchymal edema, mass effect, or loss of gray-white distinction is see... | 1.Moderate age indeterminate microvascular ischemic disease.2.No definite acute intracranial abnormalities. If concern for acute ischemia persists, further imaging with MRI would be appropriate. |
Generate impression based on findings. | This-year-old female with nephrolithiasis. RIGHT KIDNEY: The right kidney measures 10.7 cm in length. Shadowing calculus seen in the lower pole the right kidney without hydronephrosis. Small cyst is seen arising from the lower pole. No solid mass identified.LEFT KIDNEY: The left kidney measures 10.6 cm in length. Shado... | Bilateral nephrolithiasis no hydronephrosis.Potential small stone left ureterovesical junction. |
Generate impression based on findings. | Male 67 years old Reason: please assess for souce of infection, prior abd fluid collection History: leukocytosis CHEST:LUNGS AND PLEURA: Large right and small left pleural effusions with associated compressive atelectasis are increased compared to prior. Patchy consolidation in the left lower lobe may represent pneumon... | 1.Residual pelvic fluid collections as described are not significantly changed from prior, and abscess remains a differential consideration. The collections are amenable to percutaneous drainage by interventional radiology. 2.Worsening anasarca with increasing pleural effusions and ascites.3.Patchy left lower lobe opac... |
Generate impression based on findings. | Reason: 51 y.o. male with a h/o Crohn's disease, admitted with recent obstruction. Please eval for small bowel stricturing or active disease. History: recent obstruction. The left lateral flank is excluded from the field-of-view on the scout radiograph, otherwise, nonobstructive bowel gas pattern. Transit time to the c... | No evidence of bowel obstruction on current study. Findings suggestive of chronic Crohn's disease, as above. |
Generate impression based on findings. | 77-year-old female with lung cancer, follow-up LUNGS AND PLEURA: Postsurgical changes of right lower lobectomy. Previously noted left lower lobe subpleural scarlike opacities appear increased from prior study with a nodular component that is spiculated in appearance and difficult to accurately measure however for refer... | Enlarging left lower lobe nodule suspicious for primary or secondary malignancy. PET scan is recommended for further evaluation. |
Generate impression based on findings. | 44 year old female with pain, follow up for fracture. Three views of the left ankle are provided. Again seen are plate and screw device affixing a fracture of the distal fibular diaphysis in near anatomic alignment. We see no hardware complication. Portions of the fracture are less distinct on current study compared to... | Orthopedic fixation of distal fibula and medial malleolus fractures. |
Generate impression based on findings. | 35-year-old male status post trauma/fall. Evaluate for fracture. Four views of the lumbar spine show no fracture or malalignment. Vertebral body heights and intervertebral disk spaces are preserved.AP view of the pelvis shows no evidence of fracture. Small calcific focus superior to left greater trochanter may represen... | No fracture evident. |
Generate impression based on findings. | PainVIEWS: Left shoulder internal and external rotation There is an acute fracture involving the mid left clavicle with the apex of the fracture angulated superiorly. The glenohumeral joint is normal. | Acute fracture of the left clavicle. |
Generate impression based on findings. | Remote history of lymphoma status post chemoradiation 1995. Now with symptoms of recurrence. Restaging exam.RADIOPHARMACEUTICAL: 12.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 101 mg/dL. Today's CT portion of the neck, abdomen, and pelvis demonstrates enlarged left supraclavicular lymph nodes. There al... | 1.Widespread hypermetabolic lesions consistent with recurrent lymphoma involving lymph nodes from the neck through pelvis, abdominal carcinomatosis, osseous and likely splenic involvement.Diagnostic CTs of the chest also performed at today's visit will be reported separately. |
Generate impression based on findings. | 79 years, Male, Reason: bony mets evaluation. Prostate cancer Left inferior pubic rami metastases is unchanged. Superior pubic rami lesions are partially obscured from full bladder. There are no new foci of increased activity. | Stable osseous metastases. |
Generate impression based on findings. | ILD with cough. Mixed connective tissue disease, Sjogren's syndrome, polymyositis. Post inflammatory pulmonary fibrosis. Query progression versus acute exacerbation. LUNGS AND PLEURA: Interval progression of pulmonary fibrosis since the 2010 study, with decrease in lung volumes and progression of bronchiectasis. The ov... | 1. Interval progression of interstitial lung disease. Progression of groundglass opacity in the left lower lobe of indeterminate etiology.2. Development of mild mediastinal lymphadenopathy presumably related to underlying ILD however involvement of the posterior mediastinal compartment is a feature which may indicate l... |
Generate impression based on findings. | Female 65 years old Reason: evaluate for crohn's disease stricture of the small bowel History: known capsule enodscopy retention in small bowel. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormal... | 1.Retained endoscopy capsule at the site of a low grade stricture in the distal jejunum/proximal ileum. No evidence of functional bowel obstruction.2.Multiple long segment areas of small bowel narrowing compatible with Crohn's strictures. No CT evidence of active inflammatory disease. |
Generate impression based on findings. | Abdominal pain; patient s/p ileocecectomy on 8/7/2014EXAMINATION: MR enterography without and with IV contrast 4/17/15 ABDOMEN:LIVER, BILIARY TRACT: Normal morphology and enhancement.SPLEEN: Normal in size. A splenule is noted.PANCREAS: Normal in appearance.ADRENAL GLANDS: Normal in appearance.KIDNEYS, URETERS: No pelv... | Status post ileocecectomy. No abnormal bowel wall enhancement. |
Generate impression based on findings. | Reason: AC separation History: blunt shoulder trauma, R superior shoulder swelling/deformity, AC tendernessVIEWS: right shoulder AP and lateral (2 views) 4/17/15 13:40 Fracture of the distal clavicle with displacement of the distal fragment medially and inferiorly. | Distal clavicle fracture. |
Generate impression based on findings. | Dropping hemoglobin and hematoma. Possible compartment syndrome in the left thigh after biopsy. Status post embolization x 1. PELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: Enlarged left common femoral lymph nodes. For reference purposes, the lar... | 1. Status post embolization of left medial thigh mass; no active hemorrhage however there is continued perfusion of the mass from a posterior directed profunda femoris branch originating from the common femoral artery. Findings discussed with Dr. Lorenz in IR.2. Lytic metastasis of L4. 3. Pelvic adenopathy. |
Generate impression based on findings. | 31 years, Female, Reason: evaluate bone metastases History: breast cancer. Widespread osseous metastases with several areas which are suspicious for new lesions including the left superior ilium, several ribs, right anterior temporal skull and vertex, and several thoracic vertebral bodies. Additional lesions are unchan... | Widespread osseous metastases which are likely mildly progressed, however exam is slightly limited due to patient body habitus. |
Generate impression based on findings. | Reason: restaging FOM cancer History: asymptomatic CHEST:LUNGS AND PLEURA: Mild right upper lobe anterior subpleural scarring, possibly related to radiation. No new or suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: Multiple nodules and calcifications in the left thyroid gland, unchang... | No evidence of metastases. |
Generate impression based on findings. | There is a small area of abnormal signal which persists along the dorsolateral margin of the fourth ventricle within the left paramedian vermis, best seen on thin section 1101/28 and 901/55. There is corresponding FLAIR hyperintensity on the whole brain images, which does not appear significantly changed compared to t... | No significant interval change in appearance of a small area of focal T2 such FLAIR hyperintensity in the left paramedian vermis which is nonspecific. Additional stable of punctate foci of FLAIR hyperintensity in the bifrontal subcortical white matter. |
Generate impression based on findings. | 52 year old female, pain, shortness of breath, cough. Fall, left rib pain. There are mildly angulated fractures of left fifth to 10th ribs. There is a left-sided pleural effusion with basilar atelectasis/scarring. There is mild deformity of the right seventh rib suggesting old healed fracture. Small dense focus in the ... | Fracture of left fifth through 10th ribs and other findings as described above. |
Generate impression based on findings. | Reason: lung mets from prostate cancer follow up History: prostate cancer LUNGS AND PLEURA: Reference right upper lobe nodule (series 4 image 33), now a thin-walled cyst.Reference left upper lobe nodule no longer accurately measurable with residual scarring (series 4 image 43). Reference lingular cavitary nodule demons... | Treated metastases with residual thin-walled cysts. Solid lower lobe nodule may represent an intrapulmonary lymph node rather than a metastasis. No measurable disease. |
Generate impression based on findings. | Dizziness and giddiness. Recent dizziness some neck pain potentially some decreased sensation right V1. The ventricles and sulci are mildly prominent, consistent with mild age-related volume loss. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are scattered punctate and confluent a... | No acute intracranial hemorrhage. Mild age-indeterminate small vessel ischemic changes. If there remains clinical concern for an acute ischemic event and there are no contraindications, MRI of the brain is recommended. |
Generate impression based on findings. | History of chronic sinusitis with anosmia. Frontal sinus: The frontal sinus and frontoethmoidal recesses are clear.Anterior ethmoids: There is minimal partial opacification of a right anterior ethmoid air cell. The anterior ethmoid air cells are otherwise clear.Maxillary sinuses: There is a small mucous retention cyst ... | Mucous retention cysts within the bilateral maxillary sinuses, left greater than right. Paranasal sinuses are otherwise clear. If there are no contraindications, MRI may be considered for further evaluation of etiology of anosmia. |
Generate impression based on findings. | 53-year-old female patient with history of cervical cancer. Family history of breast cancer in maternal cousin. Three standard views of both breasts and 2 spot magnifications views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which ... | Findings most likely represent a benign hyalinizing fibroadenoma in the left upper outer breast. Recommend 6 month left diagnostic mammogram to ensure stability.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months). |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Moderate centrilobular emphysema. No new or suspicious powdery nodules or masses. Bibasilar scarring and atelectasis. Right lower lobe bronchial wall thickening. Small area of tree in bud opacities in the right upper and lef... | 1.Stable nonspecific right hilar lymphadenopathy.2.No new sites of disease.3.Right heterogeneously enhancing renal mass, previously characterized on dedicated renal imaging as primary renal malignancy such as renal cell carcinoma, difficult to compare to recent prior nondedicated studies but the hypoattenuating compone... |
Generate impression based on findings. | 6-year-old male patient with autism and right foot pain/limping. Evaluate for fracture.VIEWS: Right foot AP, oblique, lateral (3 views) 4/17/2015 No acute fracture is evident. Alignment is anatomic. | Normal examination. |
Generate impression based on findings. | Image quality is somewhat degraded by motion artifact. The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no acute intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. There is a small amount of fluid in the lef... | Motion artifact somewhat limits evaluation, but there is no acute intracranial hemorrhage. |
Generate impression based on findings. | 59 years, Female, Reason: chronic thromboembolic disease? Pulmonary hypertension work up History: right heart failure. The comparison chest radiograph performed on a 4/17/2015 demonstrates no focal pulmonary opacities or pleural fluid. The ventilation images shows multiple defects bilaterally on single breath images wi... | Intermediate probability of pulmonary embolus. |
Generate impression based on findings. | Reason: NG tube placement History: SBO NG tube tip in the distal esophagus, recommend advancing approximately 12 cm. Interval improvement in degree of small bowel dilatation. Degenerative disease affects the spine. Chronic-appearing fibrotic changes affect the lung bases. Residual contrast is present within the bladder... | NG tube tip in the distal esophagus, recommend advancing approximately 12 cm. Mild ventral improvement in degree of small bowel dilatation. |
Generate impression based on findings. | Female 71 years old Reason: evidence of bony metastatic disease; evidence of osteoarthritis History: R hip pain The bones are demineralized . There is mild osteoarthritis of the hip but no focal lesion to suggest metastatic disease to bone. Arterial calcifications are noted. | Mild osteoarthritis. |
Generate impression based on findings. | 84-year-old female with new effusion and limited range of motion in right shoulder. Evaluate for trauma. Severe osteoarthritis affects the glenohumeral joint. The humeral head is high riding with narrowing of the acromiohumeral interval suggesting chronic rotator cuff tear. The bones appear demineralized suggesting ost... | Severe glenohumeral osteoarthritis and high riding humeral head suggesting possibility of rotator cuff tear. |
Generate impression based on findings. | Reason: SAH r/o vascular malformation History: SAH Left subclavian artery: There is no evidence for arteriovenous fistula. There is no evidence for vertebral dissection.Right common carotid artery: There is no stenosis at the carotid bifurcation on the basis of NASCET criteria. There is no evidence for carotid dissecti... | 1.There is an atherosclerotic aneurysm at the right distal cavernous carotid artery. 2.There is no evidence for AVM, arteriovenous fistula, carotid or vertebral dissection or vasculitis in the right carotid distribution.3.Findings were reported to Dr Awad and Dr Ardelt at the end of the procedure. |
Generate impression based on findings. | Male 62 years old; Reason: 62 yo F s/p CABG with mediastinal hematoma, persistent septoid picture, re-evaluate mediastinal hematoma and also look for any other potential sources of infection History: nonspecific abdominal pain, leukocytosis CHEST:LUNGS AND PLEURA: There is atelectasis and consolidation at the lung base... | 1.Findings of airspace disease in the lower lobes and ground glass alveolar opacities in the upper lobes and possibly represents infection.2.Evolution of the mediastinal fluid collection. Superimposed infection is not excluded.3.Mild thickening of the mid ileal loops of unclear etiology. There is relatively slow bowel ... |
Generate impression based on findings. | 47 years, Male. Reason: evaluate for ileus. also evaluate DHT placement History: hiccups, abdominal distension, new DHT tube Dobbhoff tube is coiled in the stomach with the tip overlying the gastric fundus. Air seen within small and large bowel which may be seen in the setting of ileus, without evidence of obstruction. | Air-filled loops of small and large bowel which can be seen in the setting of ileus. No definite evidence of bowel obstruction. Dobbhoff tube coiled in the stomach with the tip overlying the gastric fundus. |
Generate impression based on findings. | TraumaVIEW: Chest AP Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. No focal lung opacity. No pleural effusion or pneumothorax. Minimal right curve of the thoracic spine. There is an acute left clavicular fracture. | Acute left clavicular fracture as described above. |
Generate impression based on findings. | Female; 71 years old. Reason: metastatic breast cancer History: surveillance CHEST:LUNGS AND PLEURA: New nonspecific right lower lobe 4-mm nodule (series 6/44). Stable additional bilateral pulmonary micronodules, some of which are calcified. No pleural effusions.MEDIASTINUM AND HILA: Normal heart size. No pericardial e... | New nonspecific 4-mm right lower lobe nodule, which may be post infectious or inflammatory and for which follow-up CT chest in 3 months can be obtained to ensure resolution. Otherwise, stable examination without evidence of metastatic disease.Findings discussed with Dr. Zhang at 3 p.m. on 4/17/15. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is incidental cavum septum pellucidum et vergae. The basal cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal. There is no diffusion abnormality. No extra-axial fluid collection is identified.Normal flow-voids... | 1. No evidence of intracranial structural abnormality.2. Extensive paranasal sinus disease including complete opacification of the right maxillary sinus with central differential signal which may represent a polyp or inspissated secretions, extending towards the right infundibulum. Please correlate clinically. Also, mo... |
Generate impression based on findings. | Female 58 years old Reason: on peritoneal dialysis, transaminitis, nml peritoneal fluid. Cause of abd pain? History: abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Small stones versus polyps in the gallbladder. No CT evidence of acute cholecystitis. No intrahepatic or extrahepa... | Peritoneal dialysis catheter and associated intra-abdominal fluid. No findings to suggest a superimposed acute abnormality. |
Generate impression based on findings. | Age: 83 years. Sex : Male. Reason for study: Reason: eval aspiration risk History: hypoxia. Fluoroscopic guidance was provided for an oropharyngeal motility study performed by the Speech Pathology section of the ENT service. The examination was recorded on videotape. No static or hard copy films were obtained. The exam... | The exam was positive for penetration and positive for aspiration. Please see dedicated speech pathology report for additional findings and feeding recommendations. |
Generate impression based on findings. | Follow-up intracranial hemorrhage.. There has been no significant interval change in size or configuration of the right anterior temporal subdural hematoma and suspected parenchymal hemorrhage inseparable from subdural blood products measuring 10 mm in transverse dimension, previously also 10-11 mm. There is stable adj... | 1. No significant interval change in right anterior temporal subdural hematoma with adjacent parenchymal hemorrhage inseparable from subdural. 2. Expected redistribution of right-sided subdural hematoma, now located dependently and posteriorly along the and occipital region. |
Generate impression based on findings. | Female; 63 years old. Reason: 63 yo female with ampullary cancer; please evaluate for extent of disease and or abnormalities History: ampullary cancer ABDOMEN:LUNGS BASES: Extensive respiratory motion artifact, making assessment suboptimal. Mild cardiomegaly.LIVER, BILIARY TRACT: Stable common bile duct stent. Decrease... | Diffusely described ill-defined soft tissue density in the region of the ampulla is not evident on the current exam. No evidence of metastatic disease in the abdomen or pelvis. |
Generate impression based on findings. | Reason: 33M s/p high jejunostomy assess for leak History: Assess for leak Water-soluble contrast was administered to assess for leakage of the patient's high jejunostomy. The overall transit time of contrast was quite slow, likely in part due to ileus. Additionally, there are sites of more focal bowel dilatation, for e... | The aforementioned findings, including the proximal small bowel dilatation, may again reflect ileus, but partial or developing bowel obstruction is a consideration. Correlation with patient's clinical history and symptoms, as well as continued follow-up is recommended. If there is continued clinical concern for an anas... |
Generate impression based on findings. | 77 year old female who was recalled from screening mammogram for left breast calcifications. History of benign right breast excisional biopsies 25 years ago. No family history of breast cancer. Evaluation is somewhat limited given the patient's inability to adequately position for the examianation. Two ML and one spot ... | High probability benign calcifications within the central left breast, posterior depth. These are felt to represent fibroadenomatoid calcifications, however 6 month follow-up mammogram is recommended to assess stability.BIRADS: 3 - Probably benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 30 years, Female. Reason: assess for passage of Pillcam patency capsule through small intestine. History of ileal Crohn's disease. History: abdominal pain Nonobstructive bowel gas pattern. No radiopaque capsule is identified, as clinically questioned. The diaphragm/lung bases are not included in the field of view. Ther... | 1. No radiopaque capsule is identified, as clinically questioned.2. Equivocal wall thickening of a loop of distal ileum in the right lower quadrant may be related to the patient's history of inflammatory bowel disease. |
Generate impression based on findings. | RDSVIEW: Chest AP and abdomen AP NG tube tip in the stomach. The umbilical lines have been removed. Cardiothymic silhouette normal. Diffuse atelectasis bilaterally improved from prior study. No pleural effusion or pneumothorax. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. | Diffuse atelectasis bilaterally improved from prior study. |
Generate impression based on findings. | 73-year-old male with history of NHL status post treatment 1994 with concern for recurrence, staging LUNGS AND PLEURA: Large bilateral pleural effusions, left greater than right with adjacent compressive atelectasis.MEDIASTINUM AND HILA: Normal size heart with no pericardial effusion. Moderate diffuse mediastinal and h... | 1. Large bilateral pleural effusions, left greater than right, with severe compressive atelectasis. This was not hypermetabolic on same day PET scan.2. Diffuse thoracic and upper abdominal lymphadenopathy which are hypermetabolic on same day PET scan and are consistent with lymphoma recurrence. Please refer to same day... |
Generate impression based on findings. | DLBCL in the right neck s/p RCHOP needs. There are postoperative findings in the right neck related to resection of enlarged lymph nodes. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unremarkable. The superior p... | Postoperative findings in the right neck related to resection of enlarged lymph nodes without evidence of residual cervical lymphadenopathy. |
Generate impression based on findings. | 38 year old male status post NJ tube placement. The pelvis is not completely included in the field of view. Enteric tube tip projects at the level of the ligament of Treitz, unchanged in position. Nonobstructive bowel gas pattern. The lung bases appear clear. | Enteric tube tip projects at the level of the ligament of Treitz. |
Generate impression based on findings. | 17 year old male patient status post mandibular fracture repair. Evaluate mandibular fracture alignment. VIEWS: Panorex radiograph of the mandible (1 view) 4/17/2015 Plate and screw devices affix a right mandibular body/angle fracture and a left para-symphyseal fracture in anatomic alignment. Additional plate with hook... | Orthopedic fixation of multiple fractures without evidence of hardware complication. |
Generate impression based on findings. | Dropping hemoglobin and hematoma. Possible compartment syndrome in the left thigh after biopsy. Status post embolization x 1. PELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: Enlarged left common femoral lymph nodes. For reference purposes, the lar... | 1. Status post embolization of left medial thigh mass; no active hemorrhage however there is continued perfusion of the mass from a posterior directed profunda femoris branch originating from the common femoral artery. Findings discussed with Dr. Lorenz in IR.2. Lytic metastasis of L4. 3. Pelvic adenopathy. |
Generate impression based on findings. | 64 years, Male, Reason: see above History: esophageal cancer with lung and liver mets clinical trial cycle 1 day 11.RADIOPHARMACEUTICAL: 14.2 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 87 mg/dL. Today's CT portion grossly demonstrates right chest port with tip in the SVC. 5-mm left lower lobe nodule and... | Mixed interval change. There is slight decreased activity in a large right hepatic lesion, however there has been progression of other hypermetabolic lesions, most notably a right diaphragmatic lymph node, while other lesions have remained stable (and significantly active). |
Generate impression based on findings. | 62 year old female patient with screen detected round obscured mass in the right inner breast. Personal history of benign left core biopsy. MAMMOGRAM: An ML view and three spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneousl... | Right breast cyst. 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 59 years old Reason: question if Hepatitis C has resulted in HCC. History: progressive fatigue, weakness, falls. ABDOMEN:LUNG BASES: Left basilar subsegmental atelectasis and trace left pleural fluid.LIVER, BILIARY TRACT: Cirrhotic morphology liver with fissural prominence and caudate lobe hypertrophy. No foci of ... | 1.Cirrhotic morphology liver with associated abdominal varices and splenomegaly to indicate portal hypertension. No areas of abnormal parenchymal enhancement to suggest hepatocellular carcinoma.2.Small volume of intra-mesenteric fluid most notably in the lesser sac. This is likely related to the patient's cirrhosis, bu... |
Generate impression based on findings. | 53-year-old with history of benign right breast biopsy presents for bilateral diagnostic mammogram. 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 pattern and distribution. Clips f... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Reason: h/o thyroid SCC, s/p CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: New right apical focal consolidation. Scattered calcified pulmonary micronodular compatible with prior granulomatous disease. No new or suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM A... | 1.Interval decrease in size of right thyroid mass. Adjacent right lower cervical lymph node has also decreased in size. Please see separately dictated CT head and neck performed on the same day. 2.No new sites of disease or evidence of metastases.3.New right apical focal consolidation may represent resolving or organiz... |
Generate impression based on findings. | Male 72 years old; Reason: 71 y/o M with DLBCL in the R neck s/p RCHOP needs interim re-assessment please History: none CHEST:LUNGS AND PLEURA: Right middle lobe calcified granuloma. No dominant lung lesions. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No mediastina... | 1.Stable exam without new lymphadenopathy in the chest, abdomen or pelvis. |
Generate impression based on findings. | Reason: eval for PNA History: cough, focal wheezing in RLLVIEWS: Chest AP/lateral (two views) 4/17/15 15:10 The aortic arch, cardiac apex and stomach are left-sided. Cardiothymic silhouette is normal. Right middle lobe subsegmental atelectasis. Mild peribronchial thickening. No pleural effusion or pneumothorax is seen. | Bronchiolitis/reactive airway disease. Right middle lobe subsegmental atelectasis. |
Generate impression based on findings. | Reason: NG tube History: SBO NG tube coiled within the fundus with the tip in the body of the stomach. Persistent small bowel dilatation. Degenerative disease affects the spine. Chronic-appearing fibrotic changes affect the lung bases. Residual contrast present within the bladder is only partially visualized on this ex... | 1. Interval repositioning of the NG tube with the tip in the body of the stomach. Persistent small bowel dilatation.2. Prominence of the right paratracheal stripe. A dedicated chest radiograph is recommended for further evaluation. |
Generate impression based on findings. | Female, 58 years old, with new left facial weakness. Status post recent surgery. Evidence of right pterional craniotomy is again seen with aneurysm clips visualized along the right anterior clinoid process and more posteriorly along the Sylvian fissure. The scalp remains swollen. A small extra-axial collection subjacen... | 1. Progressive subtle loss of gray-white distinction in the inferior right frontal lobe and insula. Findings are concerning for developing ischemia.2. Apparent curvilinear hyperattenuation conforming to the right Sylvian fissure is of uncertain etiology. This could represent streak artifact from the immediately adjacen... |
Generate impression based on findings. | Reason: Subject in research trial IRB# 13-0530, EMPROVE, 6 month f/u for COPD History: COPD LUNGS AND PLEURA: Diffuse severe centrilobular emphysema. Interval placement of right upper lobe IBV valve with complete right upper lobe atelectasis. Stable pulmonary micronodules in the left lower lobe. Scattered calcified mic... | 1.Interval placement of right upper lobe IBV valve with complete atelectasis of the right upper lobe.2.Severe emphysema with no new or suspicious pulmonary nodules or masses.3.New subacute right eighth rib fracture. |
Generate impression based on findings. | Chest tube removalVIEW: Chest AP Right internal jugular central line with tip in the right atrium. The epicardial pacer leads are again noted. The right and left chest tubes have been removed. Patchy atelectasis left lower lobe. No pleural effusion or pneumothorax. | No evidence of pneumothorax. |
Generate impression based on findings. | 40 year-old female with slight increase in size of biopsy proven fibroadenoma in the right upper outer quadrant, presents for 6 month follow-up to confirm stability Mammogram: Three standard views of the right breast, two spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breas... | Six month stability of biopsy proven fibroadenoma in Right breast 10 o'clock position. Patient complains of severe pain in the right upper, outer quadrant and contemplates excision of the fibroadenoma. Surgical consultation is recommended.BIRADS: 2 - Benign finding.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | Male 79 years old Reason: Hx of bladder cancer, lung lesion, treated with chemo and RT History: None CHEST:LUNGS AND PLEURA: Moderate to severe centrilobular and paraseptal emphysema. Scattered nonspecific pulmonary micronodules.Previously referenced right upper lobe spiculated nodule has markedly decreased in size and... | 1.Interval decrease in size of right upper lobe pulmonary nodule.2.Interval increase in size of multiple mediastinal and hilar lymph nodes. While these may be reactive in etiology, metastatic disease is not excluded.3.Stable abdominal aortic ectasia with occlusion of the proximal left common iliac artery. |
Generate impression based on findings. | 75-year-old with metastatic papillary thyroid cancer. Restaging exam. Please include size and precise location of right paraesophageal lesion, number and locations of pulmonary nodules, and question left adrenal gland involvement.IMAGES: Submitted for interpretation are outside whole body FDG PET/CT images from the sku... | 1.Markedly hypermetabolic lesion in the posterior thyroid bed behind the superior trachea, compatible with recurrent thyroid cancer.2.Three hypermetabolic bilateral pulmonary nodules as described above. The most metabolically active on the left is highly suspicious for metastatic disease. The other two are also suspici... |
Generate impression based on findings. | 40 year-old female patient with left breast palpable abnormality. Three standard views of both breasts, additional right MLO view, and 2 spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. There is a triangular p... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
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