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Generate impression based on findings. | Female 32 years old Reason: assess small bowel History: abdominal pain, weight loss ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffuse fatty infiltration of the liver.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormali... | No significant findings explain patient's abdominal pain or weight loss. |
Generate impression based on findings. | Female 82 years old Reason: Chest pain with swallowing history, of lung cancer, assess for mass History: Chest pain with swallowing. LUNGS AND PLEURA: Postsurgical and radiation changes and volume loss the left hemithorax are unchanged from the prior exam. There is a large left pleural effusion with overlying compressi... | 1.Heterogeneous mass within the lumen of the esophagus may represent a foreign body or mass. Direct visualization is recommended for further evaluation.2.Mild mucosal thickening and enhancement of the esophagus may reflect post radiation inflammatory changes, but direct visualization is recommended for further evaluati... |
Generate impression based on findings. | Left facial swelling. Teeth # 19 and 20 are carious with associated periodontal lucencies and dehiscence of the overlying buccal cortex of the mandible. There are extensive overlying inflammatory changes with mild swelling of the masticator and mimetic muscles, but no evidence of a discrete rim-enhancing collection. Th... | Carious teeth # 19 and 20 with associated periodontal lucencies and dehiscent buccal cortex of the mandible, as well as extensive overlying inflammatory changes with possible phlegmon formation, but no evidence of a discrete rim-enhancing collection to suggest abscess. |
Generate impression based on findings. | Male 59 years old Reason: 59 year old M with esophageal cancer s/p failed gastric pull up now s/p jejunal interposition with purulent median sternotomy incision; eval for leak, abscess, fistula. PO enteral contrast and IV contrast. History: 59 year old M with esophageal cancer s/p failed gastric pull up now s/p jejunal... | 1. Again seen is an anterior mediastinal fluid collection surrounding the jejunal interposition, with a focus of higher density fluid along the left aspect which may reflect post-surgical blood or a leak. Additionally, new foci of gas seen in the soft tissues anterior to the left clavicle may be compatible with a leak,... |
Generate impression based on findings. | History of cerebrovascular accident with slurred speech. There is no evidence of acute intracranial hemorrhage or mass effect. There are extensive confluent areas of hypoattenuation in the periventricular and subcortical white matter. There are multiple areas of hypoattenuation with loss of gray-white matter differenti... | 1. No evidence of acute intracranial hemorrhage or mass effect.2. Multiple age-indeterminate, but likely chronic infarcts, in the right frontal lobe, anterior right parietal lobe, left greater than right occipital lobes and right greater than left cerebellar hemispheres, on a background of extensive age indeterminate s... |
Generate impression based on findings. | Male 47 years old Reason: eval new dobhoff tube placement History: new dobhoff tube The tip of the enteric tube is coiled in the stomach body with tip directed retrograde. Nonobstructive bowel gas pattern. | No free air. |
Generate impression based on findings. | Female 50 years old Reason: Eval SBO History: TF residuals Dilated colon segments and small bowel segments may be secondary to ileus versus colonic obstruction. Large amount of stool is noted in the rectum. Air in the left buttock soft tissue corresponds to the ulcer noted on the clinical exam. | Dilated colon. Follow-up x-ray imaging is recommended to exclude an obstruction. |
Generate impression based on findings. | Female 79 years old Reason: 79F s/p DDRT now with emesis. Concern for ileus History: emesis Nonobstructive bowel gas pattern. No free air. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Female 58 years old Reason: rule out PE History: tachycardia, post op. PULMONARY ARTERIES: Suboptimal study. No acute pulmonary embolus to the segmental level. Main pulmonary artery is normal in caliber. No evidence of right heart strain.LUNGS AND PLEURA: Mild bibasilar atelectasis. Scattered bilateral pulmonary micron... | 1.No acute pulmonary embolus.2.Mildly enlarged right paratracheal lymph node.3.Moderate amount of abdominopelvic ascites.PULMONARY EMBOLISM: PE: None.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Female 102 years old Reason: obstruction History: SBO Slight interval worsening of the small bowel distention likely secondary to obstruction. No free air. NG tube coiled within the fundus of the stomach. | Slight interval worsening of the small bowel distention likely secondary to obstruction. |
Generate impression based on findings. | Male 76 years old Reason: ngt placement History: same Again noted multiple dilated loops of bowel most consistent with ileus, not significantly changed from previous study. NG tube projects to the level of the body of the stomach. No free air. | Dilated small bowel loops, unchanged. |
Generate impression based on findings. | Female 64 years old Reason: eval for stool burden History: abd pain Nonobstructive bowel gas pattern. No free air. | No free air. |
Generate impression based on findings. | Male 67 years old Reason: R/O Ileus History: Nausea/vomiting/hiccupping/no flatus Significantly distended proximal small bowel loops suggestive of distal small bowel obstruction. No free air. | Distal small bowel obstruction. No free air. |
Generate impression based on findings. | Male 85 years old Reason: ng tube placement History: ng tube placement Gaseous distention of the small bowel is likely secondary to ileus. NG tube projects over the body of the stomach. | NG tube projects over the body of the stomach. Ileus. |
Generate impression based on findings. | Worsening right sided weakness on anticoagulation. Evaluate for intracranial hemorrhage, subarachnoid hemorrhage and stroke. There is no evidence of acute intracranial hemorrhage or mass effect. The ventricles and basal cisterns are normal in size and configuration. There is a partially empty sella. There is no midline... | 1. No evidence of acute intracranial hemorrhage or mass effect. Please note that CT is insensitive for the detection of acute nonhemorrhagic ischemic event. If there is continued clinical concern and no contraindications, MRI of the brain is recommended.2. Left frontal sinus 10 mm osteoma. 3. Deformity of the left lami... |
Generate impression based on findings. | Status post fall with head trauma on 4/17 and persistent headache. Evaluate for intracranial bleed versus mass. There is no evidence of acute intracranial hemorrhage or mass effect. There is unchanged nonspecific mild patchy cerebral white matter hypoattenuation. The ventricles and basal cisterns are normal in size and... | 1. No evidence of acute intracranial hemorrhage or skull fracture.2. New mucosal thickening of the bilateral ethmoid, maxillary and sphenoid sinuses, which may represent acute sinusitis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Female 67 years old Reason: chest and back pain History: chest and back pain . PULMONARY ARTERIES: No acute pulmonary embolus. Main pulmonary arteries normal in caliber. No evidence of right heart strain.LUNGS AND PLEURA: Postsurgical changes compatible with bilateral lung transplants are noted. Previously noted right ... | 1. No acute pulmonary embolus.2. Interval decrease in size of right basilar opacity which likely represents atelectasis or scarring.PULMONARY EMBOLISM: PE: None.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Cerebral infarction. There is diffuse hypoattenuation and effacement of cortical sulci in a large portion of the left middle cerebral artery territory. There are new scattered areas of hyperattenuation in this region. Redemonstrated is gyriform hyperattenuation centered in the posterior right middle frontal gyrus with ... | 1. Interval evolution of an acute left middle cerebral artery territory infarct with new areas of hyperattenuation of the underlying white matter may represent represent hemorrhagic transformation and/or retained contrast.2. Persistent gyriform hyperattenuation involving the posterior right frontal lobe with persistent... |
Generate impression based on findings. | Evaluate for evolution of stroke. There is interval increase in size and decrease in attenuation of a large right middle cerebral artery territory infarct with associated regional mass effect and effacement of cortical sulci. There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are unchang... | 1. Continued evolution of a subacute right middle cerebral artery territory infarct without hemorrhagic conversion.2. Unchanged arachnoid cyst in the right anterior middle cranial fossa.3. Findings suggestive of sinonasal polyposis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree wit... |
Generate impression based on findings. | Relapsed AML status post recent therapy; chronic sinus congestion: neutropenic fever, sinus congestion and tenderness. There is mild mucosal thickening of the right maxillary, right sphenoid sinus, and bilateral ethmoid sinuses. The other paranasal sinuses are clear. The nasal cavity is clear. The nasal septum is mildl... | Mild mucosal thickening of the right maxillary, right sphenoid sinus, and bilateral ethmoid sinuses. |
Generate impression based on findings. | Episode of altered mental status and left sided weakness. Status post MCA aneurysm clipping. There are postoperative findings related to a right frontotemporal craniotomy for aneurysm clip placement along the right middle cerebral artery with slightly decreased right scalp and periorbital swelling. There is increased c... | 1. Evolution of postoperative findings related to a right frontotemporal craniotomy for right middle cerebral artery aneurysm clipping with evolution of recent infarcts in the right frontal and temporal lobes.2. Persistent curvilinear hyperattenuation conforming to the right Sylvian fissure may represent subarachnoid h... |
Generate impression based on findings. | Male 67 years old Reason: eval fracture History: knee pain s/p fall. No acute fracture or malalignment. No definite effusion. Mild degenerative changes with sharpening of the tibial spines. | Mild degenerative changes. No acute fracture or malalignment. |
Generate impression based on findings. | Female 24 years old Reason: eval fracture History: swelling, pain at 1st MCP s/p fight. There is mild soft tissue swelling about the without evidence of acute fracture or malalignment. | No acute fracture or malalignment. |
Generate impression based on findings. | Female 68 years old Reason: pain s/p blunt trauma History: pain s/p blunt trauma. No definite sacrococcygeal fracture is identified. The arcuate lines appear intact. Mild degenerative changes affect the bilateral sacroiliac joints and bilateral hip joints. | No definite sacrococcygeal fracture is identified. |
Generate impression based on findings. | Male 26 years old Reason: eval R posterior mandible fx History: eval. Minimally displaced right posterior mandibular fracture as seen on recent CT. Right posterior mandibular molar is displaced. | 1.Minimally displaced right posterior mandibular fracture as seen on recent CT.2.Displaced right mandibular molar. |
Generate impression based on findings. | Male 67 years old Reason: leg pain w/ chronic wound History: leg pain w/ chronic wound. Again seen is a soft tissue defect along the anterior aspect of the tibia. However, there is no underlying cortical destruction to suggest osteomyelitis. | Soft tissue wound without radiographic evidence of osteomyelitis. |
Generate impression based on findings. | Per EPIC, patient with unknown past medical history (patient is confused and no family by bedside) who is transferred from outside hospital with findings of left thalamic bleed, 1.4 x 1.6 cm, now with right-sided weakness. Evaluate for intracranial hemorrhage. There is a focus of hyperattenuating hemorrhage in the left... | 1. Acute left thalamic hematoma measuring up to 18 mm, which has slightly increased in size.2. Moderate age-indeterminate small vessel ischemic changes. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct.3. Multiple dermal nodules and soft tissue thickening of the scalp, which is... |
Generate impression based on findings. | Female 77 years old Reason: fracture History: R knee pain. Four views of the right knee show a small suprapatellar effusion with moderate tricompartmental osteoarthritic changes. There is no acute fracture or dislocation. | No acute fracture or dislocation. |
Generate impression based on findings. | Male 31 years old Reason: eval for fx History: finger injury. There are soft tissue defects of the distal third and fourth fingers. There is a comminuted fracture of the tuft of the distal phalanx of the third finger, with the largest fragment measuring 4 mm. Additional 2-mm radiopaque densities in the surrounding soft... | Comminuted fracture of the distal phalanx of the third finger as described above with surrounding radiopaque densities that may represent bone fragments or foreign bodies. |
Generate impression based on findings. | Assess bony anatomy at C3-C4: right upper extremity pain and mechanical symptoms. There are postoperative findings related to anterior plate and screw fusion of C4 to C7 with mature bony fusion and straightening of the vertebral column alignment in the sagittal plane. There is disc space loss and vacuum disc phenomenon... | 1. Postoperative findings related to anterior plate and screw fusion of C4 to C7 with mature bony fusion and straightening of the vertebral column alignment in the sagittal plane. 2. Disc space loss and vacuum disc phenomenon at C3-4 with a prominent anterior osteophyte and bilateral uncovertebral hypertrophy with asso... |
Generate impression based on findings. | Male 63 years old Reason: s/p R hip reduction History: see above. Interval reduction of the prosthetic femoral component of right total hip arthroplasty, which is now seated in the acetabular component in near anatomic alignment. | Right total hip arthroplasty with interval reduction, now in near-anatomic alignment. |
Generate impression based on findings. | Female 33 years old Reason: right knee pain, swelling s/p fall History: right knee pain There is no large patellar joint effusion. No acute fracture or malalignment. | No acute fracture or malalignment. |
Generate impression based on findings. | Female 42 years old Reason: s/p ankle reduction History: see above. Interval reduction and casting of distal tibial and fibular fractures with distal fracture fragments in near anatomic alignment. | Interval reduction and casting of distal tibial and fibular fractures in near-anatomic alignment. |
Generate impression based on findings. | Female 42 years old Reason: assess for fracture knee History: left ankle deformity, knee pain. Single view of the left knee shows no acute fracture or malalignment.Three views of the left ankle show complete dislocation of the tibiotalar joint with posterolateral displacement of the talus relative to the distal tibia. ... | Dislocation of the tibiotalar joint with a fracture of the distal tibia and a comminuted fracture of the distal fibula as described above. |
Generate impression based on findings. | Neck: There are post-operative findings related to prior thyroidectomy and right vocal cord medialization with silastic implant. There is a heterogeneous nodule in the right aspect of the surgical bed measuring 25 x 16 mm, previously 21 x 15 mm. A right level 2 pathologic lymph node measures 37 x 17 mm, previously 33 ... | 1. Interval increase in size of mutiple metastatic foci of thyroid carcinoma on the neck.2. Progression of presumed metastatic disease in the manubrium.3. No evidence of intracranial metastatic disease.4. New small right pneumothorax with an adjacent posterior mediastinal mass that also invades the contiguous tracheal ... |
Generate impression based on findings. | Male 56 years old Reason: mets? History: pain. Five views of the lumbar spine show mild degenerative changes with anterior vertebral body osteophytes. There is no acute fracture or malalignment. No radiographically evident osseous metastatic disease. Percutaneous gastrostomy catheter projects over the expected region o... | No radiographically evident osseous metastatic disease as clinically questioned. |
Generate impression based on findings. | Female 66 years old Reason: assess for osteo History: erythema and warmth, cellulits. Two views of the left hip joint show no cortical disruption to suggest osteomyelitis. Moderate osteoarthritic changes affect the right hip joint. | No radiographic evidence of osteomyelitis. |
Generate impression based on findings. | Female 80 years old Reason: assess for fracture History: fall. There is transverse fracture of the left femoral neck with lateral displacement of the distal fracture fragment. Moderate to severe degenerative arthritic changes affect the bilateral hip joints. Note is made of right pelvic surgical clips. | Transverse fracture of the left femoral neck as described above. |
Generate impression based on findings. | Female 69 years old Reason: Hx of disc disease, midline back pain, pls eval for compression fracture History: Midline back pain. Evaluation limited due to patient body habitus, but no gross compression fracture or malalignment is identified. Moderate to severe multilevel degenerative disk changes are seen. | Limited study without gross compression fracture or malalignment. |
Generate impression based on findings. | CT Head: There is possible faint hypoattenuation in the left pons. There is no evidence of acute intracranial hemorrhage or mass effect. The ventricles and basal cisterns are normal in size and configuration. There is a partially empty sella. There is no midline shift or herniation. There is a 10 mm osteoma in the lef... | 1. Possible faint hypoattenuation in the left pons, which may represent an early infarct or beam hardening artifact, but no evidence of acute intracranial hemorrhage or mass effect. Please note that CT is insensitive for the detection of acute nonhemorrhagic ischemic event and MRI is recommended for further evaluation ... |
Generate impression based on findings. | Reason: evaluate SAH History: headache, neck pain 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 significant stenos... | 1.Subarachnoid and interventricular blood with mild ventriculomegaly.2.No evidence for aneurysm.3.No evidence for cervicocerebral occlusive disease.4.Findings were discussed with Dr Khader-Eliyas at the time of the exam. |
Generate impression based on findings. | Patient with headache and subarachnoid hemorrhage. Evaluate for signs of Hydrocephalus . Examination was obtained following arteriography. The intracranial vasculature remains opacified with contrast.Biventricular diameter on coronal imaging at the level of foramen of Monro remains stable at 38mm. Third ventricular dia... | 1.Subarachnoid and interventricular blood with mild ventriculomegaly is stable since the prior exam. Please note that hydrocephalus is a clinical diagnosis. |
Generate impression based on findings. | Reason: SAHOPERATOR: Greg ChristoforidisEBL < 5ccFLUOROSCOPY TIME: 19.6 minutesFrontal: 935.59 mGyLateral: 783.23 mGy Left common carotid artery: No evidence for carotid stenosis on the basis of NASCET criteria. No evidence for carotid dissectionLeft internal carotid artery: There is opacification of the left anterior ... | 1.No evidence for cerebral aneurysm, AVM, arteriovenous fistula, carotid or vertebral dissection or vasculitis.2.Findings were discussed with Dr Ardelt and Dr Khader-Eliyas at the end of the exam. |
Generate impression based on findings. | Biventricular diameter on coronal imaging at the level of foramen of Monro remains stable at 38mm. Third ventricular diameter remains stable at 9mm. There is subarachnoid hemorrhage present. Blood is present in the perimesencephalic cisterns, suprasellar cistern, sylvian fissures, olfactory sulci, occipital lobe sulci... | 1.Subarachnoid and interventricular blood with mild ventriculomegaly is stable since the prior exam. Please note that hydrocephalus is a clinical diagnosis. |
Generate impression based on findings. | Reason: ICH? mass? History: HA, vomiting 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.The visualized portions of the paranasal sinus... | No evidence for acute intracranial hemorrhage mass effect or edema. CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction. |
Generate impression based on findings. | Reason: r/o stenosis or occlusion History: vertigo, gait instability 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... | 1.No evidence for aneurysm.2.No evidence for cervicocerebral occlusive disease3.No evidence for acute intracranial hemorrhage mass effect or edema. CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction.4.Degenerative changes are present in the cervical spine. |
Generate impression based on findings. | 17 week old male patient with persistent abdominal distention and tachypnea. Question of increased atelectasis or evidence of obstruction.VIEW: Chest and abdomen AP (two views) 4/19/2015 Tracheostomy tube tip is above the thoracic inlet. The right femoral central venous catheter tip is in the right atrium. A gastrostom... | 1. Improved atelectasis.2. Persistent abnormally dilated bowel loops. |
Generate impression based on findings. | Reason: Vessels near hemorrhage? History: as above Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. No aneurysms or intracranial stenosis is appreciated. There is fenestration of the right A1 segmen... | 1.There is redemonstration and no change in size of a 16x18mm left thalamic hemorrhage.There is no associated CTA spot sign appreciated.2.No evidence for cerebral vascular occlusive disease.3.No evidence for aneurysm. |
Generate impression based on findings. | CVA. Other speech disturbance 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.The visualized portions of the paranasal sinuses are clea... | No evidence for acute intracranial hemorrhage mass effect or edema. CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction. |
Generate impression based on findings. | 11-year-old male patient with swelling, tenderness, and right wrist pain.VIEWS: Right wrist PA, oblique, lateral (3 views) 4/19/2015 Buckle fracture of the dorsal aspect of the distal radius. Soft tissue swelling is noted about the dorsal aspect of the wrist. | Buckle fracture of the distal radius. |
Generate impression based on findings. | Reason: dissection. History: right visual field deficit, right arm numbness, aphasia 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 crit... | 1.No evidence for aneurysm.2.No evidence for cervicocerebral occlusive disease. No evidence for carotid or vertebral dissection.3.CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction. |
Generate impression based on findings. | Reason: 55 y.o with 30 pack year history, quit 2012. screening. please evaluate with LungRADS protocol History: none LUNGS AND PLEURA: Bilateral scattered calcified and noncalcified pulmonary micronodules. The largest noncalcified pulmonary micronodule in the left lower lobe measures 3 mm (series 4 image 52, series 5 i... | 1.Unchanged scattered calcified and noncalcified pulmonary micronodules, likely benign postinflammatory/postinfectious in etiology. The largest measures 3 mm in the left lower lobe, unchanged. Recommend one year low dose CT follow up.Lung-RADS: Category: 2 (Benign Appearance or Behavior: Nodules with a very low likelih... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of ovarian cancer in her aunt. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. There is a ma... | Right breast mass in the posterior depth may represent a lymph node but should be evaluated for stability by comparing to prior studies.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OC - OLD FILM FOR COMPARISON |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. A round marker has been placed on a skin lesion... | 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. | 25 year-old male. Distal radius fracture left wrist. Comminuted intra-articular fracture of the distal radius in gross anatomic alignment. There is approximately 1 to 2 mm of articular step-off at the ulnar aspect of the radius. Nondisplaced fracture of the ulnar styloid. No fracture of the carpal bones is identified. | Distal radius and ulnar fractures, as described above. |
Generate impression based on findings. | Male 50 years old Reason: eval abnormalities History: low back pain Preservation of vertebral body alignment. Minimal anterior osteophytes at L5-S1. No fracture. | Minor degenerative changes at L5-S1. No fracture. |
Generate impression based on findings. | Reason: 85yoM sp Dobbhoff placement check position History: Dobbhoff placement The right hemiabdomen and pelvis are incompletely included in the field-of-view. A Dobbhoff tube tip projects at the level of the gastric body. Relative paucity of abdominal bowel gas, without radiographic evidence of obstruction. IVC filter... | Dobbhoff tube tip in the distribution of the gastric body. |
Generate impression based on findings. | Male 22 years old Reason: fracture History: swelling Soft tissue swelling about the fifth metacarpophalangeal joint but no fracture or malalignment. | No fracture or malalignment. |
Generate impression based on findings. | 66-year-old female with cough, shortness of breath PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery measures 32 mm in caliber suggestive of pulmonary arterial hypertension. No evidence of right heart strain.LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. Dependent atelectasis an... | No evidence of pulmonary embolism. Previously noted extensive emboli have resolved.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Head CT:Soft tissue swelling is noted overlying the lateral left orbit without underlying calvarial fracture or intraorbital deformity.Incidental note is made of small bilateral parietal foramina, a congenital variant.The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There... | 1.Soft tissue swelling is noted overlying the lateral left orbit without underlying calvarial fracture or intraorbital deformity.2.Negative cervical and thoracic spine CT. |
Generate impression based on findings. | Female 46 years old Reason: fracture History: pain Nondisplaced fracture of the of the proximal phalanx of the great toe with apparent extension to the interphalangeal joint, best seen on the lateral view. Alignment is near anatomic. | Nondisplaced fracture of the proximal phalanx of the great toe with extension to the interphalangeal joint. |
Generate impression based on findings. | 50 years, Female. Reason: s/p bowel movements, eval for improvement in colonic dilation History: diarrhea Persistent gaseous distention of the colon, appearing not significantly changed when compared to prior study. Average stool burden is noted within the rectosigmoid colon. Gastrostomy tube projects in expected locat... | Persistent gaseous distention of the colon, appearing similar to prior, with average stool noted in the rectosigmoid colon. No definitive evidence of obstruction. |
Generate impression based on findings. | 46-year-old female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural dis... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 59 year old female presents for routine screening mammography. Complains of pimple at the right nipple for 6 months. History of breast cancer in mother and sister. Two standard digital views of both breasts, additional right MLO view, and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. Minimal bibasilar linear opacities compatible with scarring are unchanged. MEDIASTINUM AND HILA: No mediastinal or hilar adenopathy.CORONARY ARTERY CALCIFICATION: NoneCHEST WALL: Mi... | No evidence of metastatic disease. |
Generate impression based on findings. | Female 88 years old Reason: assess for fracture History: Fall from standing Pelvis: The bones are demineralized. Mild osteoarthritis affects both hip joints. No fracture or malalignment. Mild degenerative changes affect the lower lumbar spine. Surgical sutures projected over the right lower abdomen.Ribs: A radiopaque m... | No fracture or malalignment. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in a maternal aunt. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribut... | 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. | 57 years, Male. Reason: check ureteral stent placement History: rt flank pain Right nephroureteral stent in place, appearing in similar position to recent CT needle biopsy dated 3/12/15. Nonobstructive bowel gas pattern. Moderate stool throughout the colon. No acute cardiopulmonary process. | Right nephroureteral stent in expected location. |
Generate impression based on findings. | 21 year old female with history of untreated Chlamydia, and diffuse abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality noted... | No significant abnormality to explain the patient's diffuse abdominal pain. |
Generate impression based on findings. | Reason: 73 y/o F with difficult to intubate esophagus at time of EGD; CT NECK AND CHEST to rule out extrinsic compression on upper esophagus History: as above LUNGS AND PLEURA: Micronodules along the right minor fissure likely represent intra-pulmonary lymph nodes. Bibasilar dependent atelectasis. Reticulation and scar... | 1.Diffusely patulous esophagus with nonspecific distal esophageal wall thickening. Nonspecific borderline enlarged distal paraesophageal lymph node. Small hiatal hernia. No evidence of a extrinsic mass.2.Nonspecific mildly enlarged right hilar lymph node. |
Generate impression based on findings. | Female 40 years old Reason: Pt with diffuse abdominal pain and flank pain, pls eval for stone History: renal stone eval. The exam is not sensitive for detecting lesions in the bowel solid organs due to lack or or intravenous contrast. Given these limitations, the following observations made:ABDOMEN:LUNG BASES: No signi... | Stable postoperative changes right kidney with areas of scarring and high density postoperative in nature the more central punctate areas of high density in the upper pole which could represent stable nonobstructive nephrolithiasis as compared to 12/21/14. No new findings to explain symptoms. No findings to explain dif... |
Generate impression based on findings. | 36 years, Female. Reason: s/p placement of a pancreatic stent and biliary SEMS - please eval stent placement History: ruq abdominal pain Biliary/pancreatic stents project in expected location. Nonobstructive bowel gas pattern. Residual contrast is noted throughout the ascending colon. | Biliary/pancreatic stents project in the right upper quadrant. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Three standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural ... | 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. | 18-year-old female. Fall. Swelling. Mild soft tissue swelling along the wrist. No fracture or dislocation. | Soft tissue swelling without evidence of fracture. |
Generate impression based on findings. | Reason: r/o appendicitis History: RLQ pain, unable to visualize appendix on US ABDOMEN:LUNG BASES: Lung bases are normal.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETER... | Acute appendicitis. |
Generate impression based on findings. | 37-year-old male. Left foot pain status post fall. Evaluate for fracture. No fracture or dislocation. Small plantar heel spur. | No fracture is identified. |
Generate impression based on findings. | 66 years, Male. Reason: history of PEG, cardiac surgery, now with emesis History: nausea/emesis Persistent free intraperitoneal air, of uncertain etiology. However, duration is concerning for a persistent air leak. Gastrostomy tube projects in expected location, unchanged. Nonobstructive bowel gas pattern. Please refer... | Free intraperitoneal air is again seen, the duration of which is concerning for persistent air leak. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 27-year-old female. Pain. Evaluate for fracture. No fracture or malalignment is identified. Ankle mortise is intact. | No evidence of a fracture. |
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 distribution. Dermal calcifications are again noted.No ... | 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. | 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. No suspicious masses, microca... | 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 32 years old Reason: Assess for fracture/dislocation History: S/p fall on right knee No fracture or malalignment. No significant joint effusion. | No fracture or malalignment. |
Generate impression based on findings. | 64 year old male. Pain. Capsulitis? Limited study given only single portable view. No gross osseous abnormality is evident. ETT and incompletely visualized enteric tube are noted. A central line catheter projects below the right clavicle. | Very limited study given single portable view. No gross osseous abnormality. |
Generate impression based on findings. | 74 year-old female with tachycardia, chest pain. Evaluate for pulmonary embolus PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery caliber is within normal limits. LUNGS AND PLEURA: Subpleural 8 mm nodules in the right upper lobe (series 7, image 45), additional smaller nodules are noted which... | 1. No evidence of pulmonary embolism. 2. Basilar edema and atelectasis with small pleural effusions.3. Scattered small calcified and noncalcified pulmonary nodules are nonspecific but most likely postinflammatory. 6 -12 month follow up CT is recommended to document stability.PULMONARY EMBOLISM: PE: Negative.Chronicity:... |
Generate impression based on findings. | Female 26 years old Reason: trauma History: trauma Left foot: No fracture or malalignment.Left ankle: Diffuse soft tissue swelling about the ankle joint without fracture or malalignment. | Soft tissue swelling about the ankle joint. No fracture or malalignment. |
Generate impression based on findings. | 102 years, Female. Reason: assess for improvement of obstruction History: improvement in pain, passing gas as per patient Nasogastric tube is coiled in the gastric fundus, with the tip in the proximal gastric body. There is persistent dilatation of the small bowel, which appears mildly increased when compared to previo... | Slight interval worsening of distention of the small bowel, consistent with persistent obstruction. Nasogastric tube is coiled in the gastric fundus. |
Generate impression based on findings. | Eight month old male patient with respiratory failure, intubated. Evaluate for interval change.VIEW: Chest AP (one view) 4/20/2015 Endotracheal tube tip is below the thoracic inlet and above the carina. Enteric tube tip is in the stomach.The cardiothymic silhouette size is normal. Interval increase in hazy basilar/peri... | Increased basilar opacities and pleural effusions suggestive of pulmonary edema. |
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. No suspicious masses, microca... | 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. | 10-year-old male with hypertension secondary to renal disease admitted for seizure, evaluate for PRES or other acute intracranial abnormality No evidence of intracranial hemorrhage, mass, or edema. The gray-white differentiation is maintained. There is no midline shift. Normal size and configuration of the ventricles a... | 1.No CT evidence for acute intracranial process.2.There are falcine and tentorial calcifications greater than that expected for the patient's age. This likely represents dysplastic calcification from a prior inflammatory or infectious process and are unchanged in appearance. |
Generate impression based on findings. | 54 year old female. Lower back pain status post fall down stairs. Evaluate for compression fracture. Mild anterolisthesis of L5, similar to prior exam; alignment is otherwise unremarkable. Vertebral body heights are preserved without evidence of a compression fracture. Severe degenerative disk disease at L5-S1 and mild... | Degenerative disk disease. No evidence of a compression fracture. |
Generate impression based on findings. | 52 years, Female. Reason: Evaluate for retained contrast History: abdominal pain Residual contrast is noted in the ascending and transverse colon. Greater than average stool burden is noted throughout the remainder of the colon. Nonobstructive bowel gas pattern. Degenerative changes affect the lumbar spine. The lung ba... | Nonobstructive bowel gas pattern. Residual contrast in the ascending and transverse colon. Greater than average stool burden. |
Generate impression based on findings. | Female, 75 years old, altered mental status. Mild nonspecific periventricular hypoattenuation is seen. No evidence of parenchymal edema, mass effect or loss of gray-white distinction is detected. No intracranial hemorrhage or abnormal extra-axial fluid is seen. The ventricles are within normal limits for size and morph... | 1.No acute intracranial abnormality.2.Mild nonspecific periventricular hypoattenuation may reflect age indeterminate microvascular ischemic disease. |
Generate impression based on findings. | Reason: s/p DHT placement. eval History: asx Dobbhoff tube tip in the distribution of the gastric antrum. Relative paucity of abdominal bowel gas, without radiographic evidence of obstruction. Layering bilateral pleural effusions, left greater than right, are better evaluated on concomitant chest radiograph. Degenerati... | Dobbhoff tube tip in the digitation of the gastric antrum. |
Generate impression based on findings. | Alignment is anatomic. There are no fractures or subluxations. The marrow signal is benign. The conus is normal in signal and morphology and terminates at an appropriate level. The visualized intra-abdominal and paraspinal contents are unremarkable.There is a tiny focus of T1 hyperintensity within the inferior most as... | 1.There is a tiny focus of T1 hyperintensity within the inferior most aspect of the filum terminally (only seen on axial T1 series 501, images 35-37).2.Incidental note is made of a conjoined nerve root sleeve involving the left L5 and S1.3.L5/S1: There is a small left foraminal disc protrusion with annular fissure abut... |
Generate impression based on findings. | 48-year-old female patient with history of benign right breast biopsy in 2011. Family history of breast cancer in sister and mother. BILATERAL DIAGNOSTIC MAMMOGRAM: Three standard views of both breasts and 2 spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma i... | Multiple right breast cysts. 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. | Reason: Dx: Esophageal cancer History: S/P cycle 4 compare to previous CHEST:LUNGS AND PLEURA: Bilateral pulmonary nodules have decreased in size compared to prior. No new pulmonary nodules or masses. Reference measurements as follows: 1.Reference right middle lobe nodule has decreased in size with new cavitation, meas... | Interval decrease in size of bilateral pulmonary nodules and mediastinal lymphadenopathy. No new sites of disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of ovarian cancer. Family history of breast cancer in a sister. Two standard digital views of both breasts with additional bilateral MLO views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of sca... | 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. | 77-year-old male. Shoulder pain status post reduction. Interval decrease in malalignment of the glenohumeral joint though there remains anterior subluxation of the humeral head with respect to the glenoid as seen on the axillary view. Hill-Sachs and Bankhart deformities are redemonstrated. | Anterior subluxation of the humeral head with respect to the glenoid. |
Generate impression based on findings. | Three year old female patient with shortness of breath, wheezing, rhonchi.VIEWS: Chest AP/lateral (two views) 4/19/2015 The aortic arch, cardiac apex, and stomach are on the left. The cardiothymic silhouette size is normal. There are streaky left retrocardiac and perihilar opacities which likely represent atelectasis. ... | Bronchiolitis/reactive airways disease pattern with subsegmental atelectasis, although atypical pneumonia is not entirely excluded. |
Generate impression based on findings. | Female 58 years old Reason: 58 yr old patient with hx of ovarian cancer s/p 10 cycles of MEK-162. eval disease process. compare to last scan. patient will also have a urogram with this scan History: none CHEST:LUNGS AND PLEURA: Scattered micronodules are unchanged.MEDIASTINUM AND HILA: Thyroid nodules are unchanged.COR... | No significant change in the extent of the peritoneal carcinomatosis and index lesions as described above. |
Generate impression based on findings. | Female, 46 years old, with hoarse voice and preauricular abscess. The soft tissues surrounding the right external auditory canal are thickened, infiltrated and edematous. The canal itself appears to be swollen shut. No discretely marginated fluid collection is seen, though ill-defined hypoattenuation along the external... | Right sided otitis externa with possible small phlegmon but no evidence of mature abscess as of yet. |
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