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Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history breast cancer in her grandmother. Two standard digital views of both breasts obtained on 10 total images were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspic... | 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. | 77-year-old male. Left shoulder pain and deformity. Anterior dislocation of the humeral head. There are bony Bankart and Hill-Sachs fracture deformities. | Anterior dislocation of the humeral head. |
Generate impression based on findings. | 56 year old female with history of abdominal pain. ABDOMEN:LUNG BASES: Patchy consolidation in the right lower lobe and lingula, with air bronchograms. This is new from prior, however no pleural effusion is seen.LIVER, BILIARY TRACT: New 2.7-cm hypoattenuating focus within the anterior right hepatic lobe (4/18) is nons... | 1.Right lower lobe and left lingula patchy focal consolidation suggestive of pneumonia/aspiration pneumonia.2.New 2.7-cm hypoattenuating right hepatic lobe focus, nonspecific and may be further evaluated with liver MRI. |
Generate impression based on findings. | Female 28 days old Reason: evaluate for line placement History: bradycardia respiratory distress syndrome of the newborn.VIEW: Abdomen and chest AP (two views) 4/19/15 at 1054 hrs. NG tube terminates in the stomach. Right upper extremity PICC terminates at the confluence of both innominate veins.Cardiac silhouette size... | Interval repositioning of NG tube.Bilateral diffuse lung haziness with no focal lung opacities.Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Prior benign left breast biopsy. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 54-year-old female patient with history of right breast cyst. BILATERAL DIGITAL 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 is heterogeneously dense, which may obscure small masses, unchan... | Interval increase in size of cyst in the right breast, corresponding to the palpable abnormality. Patient plans to return for cyst aspiration. No mammographic evidence of malignancy. BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | 17 year-old male patient with low oxygen saturations, tachypnea, tachycardia, status post ORIF. Question of PE. PULMONARY ARTERIES: Technically adequate study to the segmental level without evidence of an acute pulmonary embolus. The main pulmonary artery is not enlarged. No evidence of right heart strain.LUNGS AND PLE... | 1. No evidence of an acute pulmonary embolus. 2. Consolidation and groundglass opacities likely represent pneumonia. |
Generate impression based on findings. | 40-year-old male with chest pressure, shortness of breath PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery borderline enlarged. No evidence of right heart strain.LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. Mild dependent atelectasis. No pleural effusion or pneumothorax. MEDI... | No evidence of pulmonary embolism.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | head injury with loss of consciousness No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osse... | No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | Respiratory distress.VIEW: Chest AP (one view) 4/20/15 at 602 hours. Cardiac silhouette size is normal. Peribronchial thickening, large lung volumes and streaky subsegmental atelectasis of the right upper, right lower and left lingula. No effusions or pneumothorax. | Bronchiolitis pattern. |
Generate impression based on findings. | Male 62 years old; Reason: Metastatic Thyroid Cancer, eval dz, compare to previous CHEST:LUNGS AND PLEURA: New from prior study is small medially located right-sided pneumothorax. Stable apical pleural nodularity/scarring. MEDIASTINUM AND HILA: Enhancing soft tissue nodularity seen in right anterior neck soft tissues, ... | 1. New small right-sided pneumothorax. Findings discussed with Dr. Desouza at 8:55 a.m. on 4/20/15.2. Enlarging mediastinal lymphadenopathy, enhancing right neck intramuscular soft tissue focus, findings suspicious for metastatic disease. 3. Mild to moderate rectal wall thickening, may be due in part to underdistention... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Prior history of melanoma in situ of the right breast for which the patient underwent local excision. 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 ... | 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. | Bronchopulmonary dysplasia. Chylothorax.VIEW: Chest AP (one view) 4/20/15 at 741 hours NG tube terminates in the stomach. Soft tissue edema persist. Central line tip is at the IVC/right atrium. Cardiac silhouette size is enlarged. Right upper lobe and bi-basilar opacities on a background of diffuse lung haziness. The p... | Multifocal opacities in about diffuse lung haziness. Question of bilateral pleural effusions and retractors as described. |
Generate impression based on findings. | amyloidosis with persistent double vision. No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The ... | Normal brain CT scan without contrast enhancement.Brain MRI can be considered for further evaluation.. |
Generate impression based on findings. | Male 55 years old Reason: 55yo M with history of scrotal abscess and metastatic RCC presenting with fevers x2 weeks. History: fever, scrotal swelling CHEST:LUNGS AND PLEURA: Bilateral lung metastases. Index nodule in the right lung apex now measures 1.1 by 1 cm image number 22, series number 6, not significantly change... | Interval development of a fistula between the right pelvic sidewall mass and sigmoid colon. Pelvic abscess formation containing oral contrast and air.Overall slight interval increase in the size of the most of the reference lesions as described above.Dr. Stier was notified about the above findings at the time of dictat... |
Generate impression based on findings. | Periventricular hypoattenuation is not significantly changed from the prior study and consistent with mild small vessel ischemic disease.The ventricles and sulci are normal for the patient's age. There is no effacement of the basal cisterns. There is no evidence for intracranial hemorrhage, masses, or midline shift. T... | No CT evidence of acute intracranial abnormality. If there is continued clinical concern for acute ischemia, MRI would be recommended. |
Generate impression based on findings. | Reason: fracture, dislocation History: FOOSH earlier today, left wrist painVIEWS: Left wrist PA oblique lateral (3 views) 4/19/15 18:31 No acute fracture or dislocation. | No acute fracture or dislocation. |
Generate impression based on findings. | Reason: head and neck cancer f/u compare to previous. History: as above CHEST:LUNGS AND PLEURA: Nodule along the right major fissure likely represents an intrapulmonary lymph node and is unchanged (series 4 image 53). No new or suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: No medias... | No evidence of metastases or significant abnormality. |
Generate impression based on findings. | Reason: evaluate for pneumothorax and effusion after chest tube placement History: hx of right effusion and pneumothorax s/p CT placementVIEW: Chest AP (one view) 4/19/15 17:17 Interval placement of right chest tube directed superiorly. Decrease but persistent right hydropneumothorax. Necrotizing pneumonia is again not... | Interval placement of right chest tube. Decreased but persistent right hydropneumothorax. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history breast cancer in her maternal grandmother. 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. No suspici... | 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 re... |
Generate impression based on findings. | Two day old male patient with history of emesis, and no stool passage since birth. Question of obstruction.VIEW: Chest and abdomen AP (two views) 4/19/2015 Enteric tube tip is in the stomach. The aortic arch, cardiac apex, and stomach are on the left. The cardiothymic silhouette size is normal. There is minimal left re... | Multiple dilated loops of bowel without distal bowel gas suggests a lower GI obstruction. |
Generate impression based on findings. | 69 year old female with history of pyelonephritis, atrophic right kidney and recurrent UTI, persistent fevers despite antibiotics, evaluate for right hydronephrosis or any signs of abscess. ABDOMEN:LUNG BASES: New small bilateral pleural effusions.LIVER, BILIARY TRACT: Slight prominence of the biliary system, similar t... | 1.Findings compatible with right emphysematous pyelonephritis.2.Chronic mild right hydronephrosis extends to the distal ureter, of unknown etiology and cannot exclude underlying neoplastic obstruction.3.Bilateral hypoattenuating renal foci appears similar to prior, and are incompletely evaluated on this exam. |
Generate impression based on findings. | 12-year-old male with mental status changes after hitting head on bed There has been slight interval decrease in size of a midline supra-vermian cyst with minimal increase in cyst content density (Hounsfield unit 18, previously 12). Redemonstrated are left transparietal and right transtemporal ventricular shunt cathete... | 1.There has been slight interval decrease in size of a midline supra-vermian cyst with minimal increase in cyst content density (Hounsfield unit 18, previously 12). 2.The shunted ventricular system is unchanged.3.Unchanged dysmorphic appearance of the brain and cerebellum. 4.No evidence of acute intracranial hemorrhage... |
Generate impression based on findings. | Female 16 months old Reason: eval gas/stool pattern History: decreased stools, constipation?VIEW: Abdomen AP (one view) 4/19/15 at 1141 hrs Gastrostomy tube noted. Contrast material is visualized in the large bowel. No deformity of the right femur and possible left femur as well are present. Disorganized, nonspecific a... | Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | lung cancer brain metastasis followup Minimal to mild midline shift toward right side does not show any significant interval change since prior exam.Multiple bihemispheric and supra and infra tentorial various sized metastatic nodules with associated surrounding edema do not show any significant interval changes since ... | No change of multifocal various sized metastatic lesions with surrounding edema since prior exam.No change of minimal midline shift toward right side since prior exam. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history breast cancer in her mother and a cousin. Two standard digital views of both breasts and tomosynthesis and a repeat left CC view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchange... | 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. | There is a tiny ossific fragment adjacent to the left nasal process suggesting age-indeterminate fracture. There is an old left lamina papyracea fracture deformity measuring up to 19 mm wide, with herniated extraconal left orbital fat and no regional fat stranding or sinus air-fluid level. The extraocular muscles, orb... | 1.Tiny ossific fragment adjacent to the left nasal process suggesting age-indeterminate fracture. Please correlate with palpation and point tenderness.2.Old left lamina papyracea fracture.3.Dental and periodontal disease. |
Generate impression based on findings. | Reason: history of bilateral lung cancers s/p radiation History: none CHEST:LUNGS AND PLEURA: Postsurgical changes of a left upper lobectomy. Mild upper lobe predominant paraseptal emphysema, unchanged. Mosaic attenuation is unchanged. Scattered nonspecific pulmonary micronodules, unchanged, although likely benign post... | 1.Unchanged part solid left lower lobe nodule, which may represent an indolent adenocarcinoma. Continued follow up is recommended.2.Unchanged additional reference pulmonary nodules. No new sites. |
Generate impression based on findings. | Sickle cell disease with left shoulder pain.VIEWS: The shoulder AP in internal and external rotation. Left humerus AP and lateral 4/19/15 (4 views) There no evidence of lucent or sclerotic lesions. No fracture or malalignment. | Normal examination. |
Generate impression based on findings. | Male 1 day old Reason: Ex FT male, DOL 0 with respiratory distress History: respiratory distressVIEW: Chest AP (one view) 4/19/15 at 1353 hrs. The aortic arch, cardiac apex and stomach are left-sided. Cardiac silhouette size is normal. Diffuse lung haziness and bibasilar streaky opacity, like atelectases. Question of s... | Diffuse lung haziness with multifocal opacity likely due to TTN or RDS.Possible small left sided medial pneumothorax or pneumomediastinum. |
Generate impression based on findings. | 63 years, Male. Reason: Dobbhoff repositioning History: above Dobbhoff tube tip remains in the distribution of the the left lung base, likely placed through left main bronchus. Nonobstructive bowel gas pattern. Please refer to concomitant chest radiograph for detailed thoracic findings. | Dobbhoff tube tip in the left lung base. At the time of dictation, follow-up films have been obtained, and tube has been removed. |
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. No suspicious masses, microcalcifications or areas of architectural distortion are pre... | 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 re... |
Generate impression based on findings. | Status post liver transplant due to liver failure.VIEW: Chest AP (one view) 4/19/16 at 1415 hrs. Central line, NG tube, scan staples and abdominal drain unchanged. Interval removal of ET tube.Cardiac silhouette size is enlarged but stable. Persistent small lung volumes and bibasilar opacities, likely atelectasis. No ef... | Persistent multifocal opacities after ET tube removal. |
Generate impression based on findings. | Reason: r/o shunt malfunction History: hit head on bed, decreased MS, c/o pain at R shunt siteVIEWS: Shunt series: Skull AP/lateral (two views), chest AP/lateral (two views), abdomen AP/lateral (two views) 4/19/15 20:00 Redemonstration of bilateral ventricular peritoneal shunt catheter with tip near the midline. Both s... | No radiographic evidence of VP shunt malfunction. |
Generate impression based on findings. | Male 5 days old Reason: is the PICC in good position History: PICC adjustmentVIEW: Chest and abdomen AP (two views) 4/20/15 at 351 hrs. Left upper extremity PICC terminates at the SVC. NG tube tip is at the stomach.Cardiac silhouette size is normal. No focal lung opacities, effusions or pneumothorax.Disorganized, nonsp... | Interval repositioning of central line.Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | Hypodensities are present within the white matter without associated mass effect. The ventricles and sulci are unremarkable for age. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid col... | 1.Age indeterminate small vessel ischemic disease.2.No acute intracranial hemorrhage. |
Generate impression based on findings. | Male 50 years old Reason: nephrolithiasis History: UTI with pseudomonas This study is limited due to lack of intravenous contrastABDOMEN:LUNG BASES: Large right-sided pleural effusion, slightly decreased compared to previous study.LIVER, BILIARY TRACT: TIPS catheter is in place. Cirrhotic liver. Focal liver lesions can... | Limited study due to lack of intravenous contrast. Left nephrolithiasis. Mild right-sided caliectasis.Slight interval decrease in the size of the large right pleural effusion.Moderate ascites.Cirrhotic liver and portal hypertension. |
Generate impression based on findings. | Reason: ngt placement History: ngt NG tube tip in the proximal gastric body, with the side hole at the level of the gastroesophageal junction, recommend advancing 8 cm. Multiple dilated loops of small bowel are again visualized, consistent with small bowel obstruction. Right chest port catheter terminates at the cavoat... | NG tube side port is at the level of the gastroesophageal junction, recommend advancing 8 centimeters. Bowel gas pattern is suggestive of small bowel obstruction. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of ovarian cancer in her sister. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. There is a single fat containing mass ... | Left upper outer breast mass for which comparison to the patient's outside mammograms is needed. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISON |
Generate impression based on findings. | The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mas... | Negative unenhanced brain CT. If there is continued clinical concern for acute ischemia, MRI would be recommended. |
Generate impression based on findings. | 69 year old female with history of abdominal pain. Evaluate for diverticulitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Equivocal left adrenal gland thicken... | Findings suggestive of abscess formation adjacent to the tip of the appendix in the right pelvis, may represent ruptured appendicitis. |
Generate impression based on findings. | There is mild bilateral maxillary, ethmoid and left sphenoid sinus mucosal thickening. There is opacification of the bilateral (left greater than right) maxillary ostia. There is opacification of the bilateral sphenoid ostia. There is rightward nasal septal deviation with a prominent right nasal septal bony spur impin... | Mild pansinus mucosal thickening with sparing of the frontal sinuses. |
Generate impression based on findings. | Male 28 years old Reason: eval for obstruction, eval fluid surrounding old driveline site s/p LVAD explant, eval acute abominal changes History: constipation, s/p heart transplant, abdominal pain ABDOMEN:LUNG BASES: Cardiomegaly. Bilateral small pleural effusion. Interval development of patchy consolation and nodular g... | Patchy groundglass opacities in the right lower lobe. Pneumonia cannot be excluded.Left upper quadrant anterior abdominal wall fluid collection.Left inguinal hematoma. |
Generate impression based on findings. | History of right lumpectomy in 2002 for DCIS. Patient received adjuvant radiation therapy. No new breast complaints. Three standard views of both breasts and right exaggerated CC lateral view were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular ... | 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: Eval for pneumonia/consolidation, possible infiltrate on CXR, cough, febrile History: possible infiltrate on CXR, cough, febrile LUNGS AND PLEURA: Scattered pulmonary micronodules, unchanged. Interval resolution of anterior right upper lobe subpleural ground glass opacity. Bibasilar scarring and atelectasis. Mo... | 1.No evidence of pneumonia. Interval decrease in left pleural effusion and right upper lobe ground glass subpleural wedge-shaped opacity.2.New moderate abdominal ascites. |
Generate impression based on findings. | Female 61 years old. Reason: left knee pain. History: left knee pain Four weight-bearing views of the left knee are provided. There is severe joint space narrowing of the medial and lateral compartments, worse in the lateral compartment as seen on the skier's view. There are are small osteophytes at the patellofemoral ... | Severe osteoarthritis of the left knee as described above. |
Generate impression based on findings. | Male 75 years old. Reason: left leg pain. History: left leg pain Two views of the left tibia/fibula are provided. The left lower leg is normal in appearance without evidence of acute fracture. | Unremarkable study of the left lower leg. |
Generate impression based on findings. | Female 44 years old Reason: diverticulitis; pancreas abnml History: diffuse abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis. Multiple hemangiomas are unchanged.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No sig... | Inflammation involving right-sided colon, transverse colon and terminal ileum, suggestive of Crohn's disease. Correlation with endoscopy is recommended.Cholelithiasis and multiple liver hemangiomas unchanged. |
Generate impression based on findings. | Reason: intracranial lesion. History: dizziness 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 paranasa... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Male 55 years old. Reason: left hip pain with walking. History: left hip pain Two views of the left hip demonstrate small heterotopic bone formation adjacent to the greater trochanter likely of no clinical significance. There is mild osteoarthritis of the left hip. There is no acute fracture or dislocation.A single AP ... | Degenerative arthritic changes without acute abnormality. |
Generate impression based on findings. | Reason: source of neutropenic fever? 72F relapsed AML History: neutropenic fever, sinus congestion and tenderness LUNGS AND PLEURA: New small right pleural effusion.New 1-2 cm ill-defined peripheral nodule in the left lower lobe (image 47/95).MEDIASTINUM AND HILA: Perihilar scarring.CORONARY ARTERY CALCIFICATION: Sever... | New left lower lobe peripheral nodular opacity highly suggestive of fungal pneumonia.Findings discussed with Dr. Rich at the time of report. |
Generate impression based on findings. | Female 62 years old Reason: abd pain, nausea, vomiting, diarrhea History: abd pain, nausea, vomiting, diarrhea ABDOMEN:LUNG BASES: Left basilar air space opacity likely represents pneumonia which may be due to aspiration.LIVER, BILIARY TRACT: Diffuse fatty infiltration of the liverSPLEEN: No significant abnormality not... | Distal small bowel obstruction.Possible left lower lobe pneumonia. |
Generate impression based on findings. | Male 74 years old. Reason: new monoclonal gammopathy, CLL,sarcoid. History: see 1 SKULL: Lucencies seen within the skull are likely normal variants. No definite evidence of myelomatous lesions.CERVICAL SPINE: The cervicothoracic junction is not well-visualized secondary to overlying anatomy. There is disk space narrowi... | Questionable myelomatous lesions in the humeri and femurs bilaterally. |
Generate impression based on findings. | Female 68 years old Reason: evaluation for fluid collections History: leukocytosis, diarrhea, h/o duodenal leak CHEST:LUNGS AND PLEURA: Bilateral large pleural effusions and atelectasis, unchanged.MEDIASTINUM AND HILA: No significant abnormality noted.CORONARY ARTERY CALCIFICATION: Severe.CHEST WALL: No significant abn... | Interval decrease in the size of the paraduodenal and right retroperitoneal collections.Wall thickening of the predominantly right-sided colon may represent colitis. Clinical correlation is recommended. |
Generate impression based on findings. | Male 45 years old; Reason: restaging CT after resection of primary rectal cancer. Evaluate interval change and status of primary tumor. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules. MEDIASTINUM AND HILA: Unchanged subcentimeter mediastinal lymph nodes, measuring up to 7 mm in maximum short axis dimension.CHE... | 1. Postoperative changes related to low anterior resection, right-sided ostomy present. Heterogeneous hyperdense material seen in presacral space, most likely resolving postoperative hemorrhagic products. Peritoneal thickening seen, again may be reactive/postoperative in etiology but correlation with patient's clinical... |
Generate impression based on findings. | 47 year-old male with chronic left testicular pain. RIGHT TESTIS: There is preservation of the normal flow and phasicity without evidence to suggest testicular torsion. No focal testicular mass lesions are identified. There is a small right hydrocele.LEFT TESTIS: There is preservation of the normal flow and phasicity w... | 1. Small bilateral hydroceles without evidence of testicular torsion or testicular focal mass lesion.2. Subcentimeter cystic lesion in the right epididymis. Differential considerations include an epididymal cyst versus spermatocele. |
Generate impression based on findings. | Reason: eval for necrotizing mrsa pneumonia or abscesses History: persistent fever, cxr finding LUNGS AND PLEURA: Interval increase in severity and distribution of bilateral, lower lobe predominant consolidation now with multiple areas of cavitation. Peripheral areas of groundglass opacity are related to may be due to ... | Interval increase in severity and distribution of bilateral, lower lobe predominant consolidation now with multiple areas of cavitation. |
Generate impression based on findings. | Female 24 years old Reason: eval unreducible umbilical hernia. History: umbilical hernia ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Subcentimeter liver cyst.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKI... | Fat-containing umbilical hernia. Stranding in the hernia sac may be indicative of strangulation. |
Generate impression based on findings. | Male 47 years old Reason: eval liver abscess, drain placement History: pain at drain site ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is a 4.4 x 4.1 cm fluid collection within the caudate lobe consistent with patient's known history of liver abscess. Interval placement of a percutane... | Interval decrease in the size of the hepatic abscess. |
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 heterogeneously dense, which may obscure small masses. Arterial calcifications and benign calcifications are noted.No suspicious mas... | 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. | 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. | Female 72 years old Reason: eval infection History: h/o cholangiocarcinoma, fatigue, RUQ pain This study is limited due to lack of intravenous contrast.CHEST:LUNGS AND PLEURA: Bilateral numerous lung metastases. An index parenchymal nodule in the right lower lobe measures 1.8 x 1.7 cm in image number 34, series number ... | Limited study due to lack of intravenous contrast. Bilateral extensive lung metastases. Extensive liver metastases.Large amount of ascites.Indeterminate bilateral calcified renal masses. |
Generate impression based on findings. | Rule out fractureVIEWS: Cervical spine AP lateral odontoid open mouth views (3 views), lumbar spine AP lateral and L5/S1 lateral 4/19/15 16:29 Cervical spine: Seven cervical vertebrae are visualized. No evidence of fracture or malalignment.Lumbar spine: Straightening of the lumbar spine, which may be due to pain or mus... | Straightening of the lumbar spine. Otherwise normal exam of cervical spine and lumbar spine. |
Generate impression based on findings. | Back pain. Evaluate for fracture. There is no evidence of fracture, though please note that subtle nondisplaced fractures may be limited in the setting of diffuse osteopenia. Spinal alignment is anatomic. The vertebral body heights are preserved. There is moderate to severe loss of disc height at L5-S1 with vacuum disc... | 1.Multilevel degenerative changes of the lumbar spine with multilevel spinal canal stenoses and foraminal narrowing, most severely affecting L3-L4, L4-L5 and L5-S1. 2.No evidence of spinal fracture or acute dislocation.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report... |
Generate impression based on findings. | ConstipationVIEW: Abdomen AP Mild amount of fecal burden at the right lower quadrant. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. | Mild amount of fecal burden improved from prior study. |
Generate impression based on findings. | Male 53 years old Reason: laceration History: laceration No radiopaque foreign body. No fracture or malalignment. Chondrocalcinosis of the triangular fibrocartilage complex is noted. | 1. No radiopaque foreign body. 2. Triangular fibrocartilage complex chondrocalcinosis. |
Generate impression based on findings. | Abdominal distentionVIEW: Chest AP and abdomen AP NG tube tip in the midesophagus. Cardiothymic silhouette normal. No focal lung opacity. No pleural effusion or pneumothorax. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. | Malpositioned NG tube. |
Generate impression based on findings. | Reason: h/o BOT ca, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CORONARY ARTERY CALCIFICATION: Mild.CHEST WALL: No significant abnormality noted.ABDOMEN: Absence of enteric contrast material limits se... | No evidence of metastatic disease. |
Generate impression based on findings. | Female 58 years old Reason: left ankle swelling after fall History: left ankle swelling Mild soft tissue swelling. No fracture or malalignment. | No fracture or malalignment. |
Generate impression based on findings. | Male 69 years old; Reason: 69 y/o Male, Reason: please compare to prior for evidence of progression History: history of pancreatic cancer, s/p rsxn, receiving adjuvant chemo CHEST:LUNGS AND PLEURA: Stable scattered pulmonary micronodules.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant ... | Extensive peritoneal carcinomatosis, not significant changed from previous study.Colitis, unchanged. |
Generate impression based on findings. | Male 36 years old Reason: Pelvic fracture History: Left hip pain after peds vs auto Minimal osteophytes noted at the hip joints. No fracture or malalignment. | Mild osteoarthritis. No fracture or malalignment. |
Generate impression based on findings. | Abdominal distentionVIEW: Chest AP and abdomen AP NG tube tip in the stomach. Cardiothymic silhouette normal. Minimal patchy atelectasis in the left upper lobe. No pleural effusion or pneumothorax. Right lower extremity PICC with tip in the right common iliac vein. Disorganized nonobstructive bowel gas pattern. No pneu... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | History of left lumpectomy in 2009 for poorly differentiated invasive ductal carcinoma with medullary features. Patient received radiation and chemotherapy. No new breast complaints. History of breast cancer in mother and paternal aunt. Three standard views of both breasts were performed digitally and reviewed with the... | Stable postsurgical changes of the left breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Ma... |
Generate impression based on findings. | Status post cardiac surgeryVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Epicardial pacer leads in place. Minimal patchy atelectasis left lower lobe. No pleural effusion or pneumothorax. | Minimal patchy atelectasis left lower lobe. |
Generate impression based on findings. | Male 38 years old Reason: knee pain History: knee pain s/p mvc Small joint effusion but no fracture or malalignment. | Small joint effusion but no fracture or malalignment. |
Generate impression based on findings. | Female 55 years old Reason: abdominal pain History: abdominal pain, ttp rlq ABDOMEN:LUNG BASES: Basilar interstitial opacity may reflect mild pulmonary edema. Cardiomegaly.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLAN... | Mild pulmonary edema and cardiomegaly. |
Generate impression based on findings. | 64 year old female with history of metastatic pancreatic cancer. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Heterogeneous enlarged thyroid gland, with a hypervascular nodule in the right thyroid lobe (3/15) measuring approximately 1.9 x 2.6 cm, similar to prior. Small mediastinal lym... | 1.Pancreatic body neoplasm decreased in size, as above.2.Reference liver lesion is slightly decreased in size.3.Right axillary lymphadenopathy, nonspecific and similar to prior.4.Hypervascular right thyroid nodule is again noted. |
Generate impression based on findings. | History of right mastectomy in 1999 for breast cancer. Patient received radiation, chemotherapy and hormonal therapy. History of breast cancer in mother diagnosed at the age of 70 and sister diagnosed at the age of 63. No new breast complaints. Three standard views of the left breast were performed digitally and review... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Female 26 years old Reason: pain History: pain Well corticated ossicles adjacent to the medial and lateral malleoli as well as adjacent to the talus, likely reflect old trauma. No fracture or malalignment. No significant joint effusion. | Negative study. |
Generate impression based on findings. | Male 39 years old. Reason: diffuse pain after altercation. History: right wrist pain Three views of the right hand and three views of the right wrist demonstrate no acute fracture or malalignment. | Unremarkable study of the right hand and wrist. |
Generate impression based on findings. | Female 35 years old Reason: eval for appy vs ovarian cyst vs SBO History: abd pain, lower + tenderness on pelvic exam ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEY... | Unremarkable study. |
Generate impression based on findings. | Respiratory failureVIEW: Chest AP ET tube tip below thoracic inlet and above the carina. NG tube has been removed. Right upper extremity PICC with tip in the right atrium. Cardiothymic silhouette normal. Patchy opacities in the right lower lobe and left lower lobe minimally increased from prior study. Right upper lobe ... | Bilateral lung opacities minimally increased from prior study. |
Generate impression based on findings. | Reason: Hip pain, anterior pelvic pain with leg raise History: TTP ASIS, pain in that spot with straight leg raiseVIEWS: Pelvis AP and frog leg (2 views) 4/19/15 18:06 No fracture or malalignment. | No fracture or malalignment. |
Generate impression based on findings. | Male 29 years old Reason: r/o fracture History: s/p assault, 4th and 5th metatarsal tenderness No fracture or malalignment. | No fracture or malalignment. |
Generate impression based on findings. | Female 47 years old Reason: r/o subacute fracture, arthritis History: medial ankle pain and heel pain Diffuse soft tissue swelling about the ankle. No fracture or malalignment. | Diffuse soft tissue swelling. No fracture or malalignment. |
Generate impression based on findings. | Female 75 years old Reason: disoriented, confusion s/p R EIA to SMA bypass and ileocolic resection History: disoriented, confusion s/p R EIA to SMA bypass and ileocolic resection Limited study due to lack of intravenous contrast.CHEST:LUNGS AND PLEURA: Bilateral large pleural effusions which are increased in size compa... | Mild bowel wall thickening involving the small bowel loops in the pelvis and transverse colon. No drainable fluid collections. Generalized anasarca.Interval increase in the size of the large bilateral pleural effusions. |
Generate impression based on findings. | Status post cardiac surgeryVIEW: Chest AP Right internal jugular central line, epicardial pacer leads, PDA clip and left chest tube again noted. Cardiomegaly unchanged. Mild pulmonary edema with patchy atelectasis in the right lower lobe. No pleural effusion or pneumothorax. | Mild pulmonary edema with patchy atelectasis in the right lower lobe. |
Generate impression based on findings. | 78-year-old female. Evaluate for fracture status post fall. Severe osteoarthritis of the glenohumeral joint with marked joint space narrowing. Loose body is noted in the subscapularis recess. No fracture or dislocation is evident on these two views of the shoulder. | Severe osteoarthritis. No fracture is evident. |
Generate impression based on findings. | Hardware removalVIEWS: Left knee AP and lateral The multiple K wires have been removed from the distal femur. There is a healing fracture involving the distal femur with periosteal reaction. The alignment is near anatomic. The overlying cast has been removed. | Removal metallic hardware from the distal femur. |
Generate impression based on findings. | Reason: ? fracture History: Left wrist pain after fallVIEWS: Left wrist AP lateral oblique (3 views) 4/20/15 0:12 No fracture or dislocation. | No fracture or dislocation. |
Generate impression based on findings. | Reason: h/o BOT ca, compare to previous, measurements pls History: none There is infiltration of the fat planes along the right suprahyoid neck especially surrounding the right carotid sheath. Additionally there is thickening of the mucosal tissues located in the right to suprahyoid neck. In general these findings are ... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy |
Generate impression based on findings. | Reason: s/p trauma History: abrasions status post pedestrian v vehicle about 20-30 mph VIEWS: Right tibia fibula AP lateral (two views), right knee AP oblique lateral (3 views), left shoulder AP and lateral (two views), cervical right AP lateral (two views), chest AP (one view), pelvis AP (one view) 4/20/15 8:56 Cervic... | 1.Comminuted fracture predominantly of the lateral epiphysis of the proximal humerus.2.Irregularity of the left anterior/inferior iliac spine. Subtle pelvic inlet irregularity on the right side. These findings may represent pelvic fracture. Findings discussed with Dr. Mason Hedberg on 4/20/15 10:00AM. |
Generate impression based on findings. | Female 14 years old Reason: right knee pain History: right knee pain Note is made of patella alta. No fracture or malalignment. No joint effusion. | Patella alta. No fracture or malalignment. |
Generate impression based on findings. | Two day old male patient status post UVC placement. Evaluate line placement.VIEW: Chest and abdomen AP (two views) 4/19/2015 at 1826 hrs Interval placement of a catheter which appears to be in the expected position of a UAC catheter with tip at the level of L3. Enteric tube tip is in the stomach.The cardiothymic silhou... | 1. Line in the expected distribution of a UAC, not UVC.2. Persistent abnormal dilatation of bowel loops suggestive of a distal bowel obstruction. |
Generate impression based on findings. | Reason: History of metastatic breast cancer. Compare to prior imaging; evaluate for response and extent of disease. History: History of metastatic breast cancer. Compare to prior imaging; evaluate for response and extent of disease. CHEST:LUNGS AND PLEURA: Interval increase in multiple ground glass foci, bronchial wall... | 1.Interval increase in fissural and pleural nodularity with trace bilateral pleural effusions, suspicious for metastatic disease.2.Interval increase in multiple foci of ground glass opacity and bronchial wall thickening, which may represent an endobronchial infection. 3.Right breast mass and skin thickening compatible ... |
Generate impression based on findings. | Female 60 years old. Reason: R wrist pain. History: see above Three views of the right wrist are provided. There is no acute fracture or malalignment. There is questionable chondrocalcinosis at the triangular fibrocartilage complex. | No acute fracture or malalignment evident. Questionable chondrocalcinosis of the wrist. |
Generate impression based on findings. | Female 62 years old Reason: bilateral knee pain History: bilateral knee pain Right knee: Severe tricompartmental joint space narrowing with bone-on-bone apposition in the medial joint compartment and near bone-on-bone apposition in the patellofemoral joint. Bulky osteophytosis affects the knee joint. There has been int... | Severe bilateral tricompartmental osteoarthritis, progressed compared to prior study. Loose bodies identified within the knee joint bilaterally. |
Generate impression based on findings. | Female 58 years old. Reason: r/o fracture. History: pain. Four views of the right elbow are provided. There is a small posterior joint effusion with a cortical irregularity at the proximal radius consistent with a nondisplaced fracture of the radial head. | Nondisplaced fracture of the right radial head as described above. |
Generate impression based on findings. | 27-year-old female patient with right breast abscess. A targeted right breast ultrasound was performed in the area of patient's palpable abnormality. Erythema of the right inferior breast is noted. The right nipple areolar complex is very tender. Patient gives history of nipple piercing that did not heal well. There is... | Right breast abscess.BIRADS: 2 - Benign finding.RECOMMENDATION: B - Surgical Consultation. |
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