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Generate impression based on findings. | Male 68 years old Reason: H/O Relapsed DLBC Lymphoma now S/P 2 rounds of R DHAP in need of reimaging. Please compare to prior. History: H/O Relapsed DLBC Lymphoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCORONARY ARTERY CALCIFICATION: Severe.CHEST WAL... | No significant change from previous study. Multiple hypodense areas in the spleen compatible with splenic infarcts are stable.Heterogeneous skeleton with small ill-defined lytic areas. Bony involvement by lymphoma cannot be excluded. Correlation with bone scan and PET scan is recommended. |
Generate impression based on findings. | There are unchanged post-treatment findings in the neck with no evidence of mass lesions or significant cervical lymphadenopathy. The thyroid and major salivary glands are unchanged. The left internal jugular vein narrows significantly at the C1 level but is otherwise patent and unchanged. There is unchanged cervical ... | Post-treatment findings in the neck without evidence of measurable locoregional tumor recurrence or significant cervical lymphadenopathy.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Hypodense foci can be found in the white matter without associated mass effect. 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... | 1.No acute intracranial hemorrhage.2.Small vessel ischemic disease of indeterminate ages. If there is continued clinical concern for acute ischemia, MRI would be recommended. |
Generate impression based on findings. | Cough feverVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Cardiac apex, aortic arch and stomach left-sided. Minimal peribronchial wall thickening with subsegmental atelectasis in the left lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | Female 38 years old Reason: left hip pain History: left hip pain Left hip: Joint space narrowing with a bony prominence at the femoral-head neck junction. Pelvis: Components of a right Birmingham resurfacing device in near anatomic alignment without hardware complication. | Moderate left hip osteoarthritis and right total hip arthroplasty. |
Generate impression based on findings. | Female 63 years old Reason: great toe Right foot: Minimal osteoarthritis affects the first metatarsophalangeal joint. No fracture or malalignment.Left foot: Moderate osteoarthritis affects the first metatarsophalangeal joint. There is an erosion at the proximal interphalangeal joint of the fifth toe with an overhanging... | 1. Erosion of the proximal interphalangeal joint of the left fifth toe which is consistent with a gouty tophus.2. Osteoarthritis at the first metatarsophalangeal joints bilaterally. |
Generate impression based on findings. | Unable to bear weightVIEWS: Right foot AP, oblique and lateral No acute fracture or dislocation. | Normal examination. |
Generate impression based on findings. | History of pT3N0 laryngeal squamous cell carcinoma status post surgery and chemoradiation. There are postoperative findings related to total thyroidectomy with flap reconstruction, neck dissection, and tracheostomy with mild subcutaneous fat stranding in the submental region. There is no evidence of measurable mass les... | Postoperative findings in the neck without evidence of locoregional recurrent tumor. |
Generate impression based on findings. | Unable to bear weightVIEWS: Right tibia-fibula AP and lateral There is a nondisplaced fracture involving the distal tibia in anatomic alignment. The fibula is normal. | Nondisplaced fracture of the distal tibia. |
Generate impression based on findings. | Unable to bear weightVIEWS: Right femur AP and lateral No acute fracture or dislocation. | Normal examination. |
Generate impression based on findings. | Unable to bear weightVIEWS: Pelvis AP and frog leg No acute fracture or dislocation. | Normal examination. |
Generate impression based on findings. | Male 65 years old Reason: eval for fracture History: fall No fracture or malalignment. Moderate joint space narrowing affects both hip joints, with osteophyte formation. | 1. No fracture or malalignment. 2. Moderate osteoarthritis as described above. |
Generate impression based on findings. | Male 23 years old Reason: determine uptake History: Hyperthyroid symptoms and labs, with small goiter The 4-hour radioactive iodine uptake is 63.7% and the 27-hour uptake is 69.7% (normal range 10-30% at 24-hours). | Increased thyroid uptake. |
Generate impression based on findings. | Male 55 years old Reason: Lung Transplant Evaluation History: SOB Visually there was significant and progressive gastric emptying. Using anterior and posterior geometric means, residual gastric activity at the following postprandial intervals was calculated as follows:30 mins: 50 % of peak activity (normal >70 %)1 hour... | Normal gastric emptying. |
Generate impression based on findings. | Female 54 years old Reason: 54 y.o with locally advanced breast cancer with mets lymph nodes-neet to assess for systemic disease History: Locally advanced breast cancer There is increased radiotracer activity related to degenerative arthritic changes in the shoulders, sacroiliac, bilateral first metatarsophalangeal joi... | No evidence of bone metastases. |
Generate impression based on findings. | Clinical information PULMONARY ARTERIES: Filling defect in the left main pulmonary artery with extension to the upper, lingular and lower lobe segmental branches compatible with pulmonary embolism (series 7, images 88, 101, and 115). Main pulmonary artery caliber borderline enlarged measuring 32 mm in caliber which can... | Left main pulmonary arterial embolism with extension extension to the upper, lingular and lower lobe segmental branches. Main pulmonary artery caliber borderline enlarged measuring 32 mm in caliber which can be seen with pulmonary arterial hypertension. Findings were discussed with Dr. Thomas Spiegel by phone on 4/20/2... |
Generate impression based on findings. | Female 80 years old Reason: new baseline scan History: breast cancer Redemonstration of numerous widespread foci of increased radiotracer activity compatible with metastatic disease in both the appendicular and axial skeleton. This appears minimally progressed compared to prior. In particular there are new and/or enlar... | Slight interval progression of widespread osseous metastatic disease as described. |
Generate impression based on findings. | 52 year old female with lung nodule, compared to previous abdominal CT LUNGS AND PLEURA: Right lower lobe 5 mm micronodule (series 5, image 67) is noted which was above the field of view on prior CT angiogram of unclear chronicity. The two previously referenced micronodules (series 5, image 69 and 71) are unchanged. Ad... | Nonspecific right sided pulmonary micronodules, the largest of which measures 5 mm. The multiplicity and morphology are highly suggestive that these are benign, and no further CT follow-up is recommended at this time. |
Generate impression based on findings. | Reason: eval pleural effusions History: SOB CHEST:LUNGS AND PLEURA: Loculated bilateral pleural effusions right greater than left, slightly increased compared to prior, with overlying atelectasis/consolidation. No new or suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Heart size is normal with small amount... | Moderate bilateral pleural effusions, right greater the left, slightly increased compared to prior CT exam and showing some area of loculation. |
Generate impression based on findings. | 17-year-old playing football yesterday, hit right side of face against another player, was stunned, but no loss of consciousness. Headache and right cheek pain, not improved with OTC meds; this am with continued headache, photophobia, no vomiting. CT Head: There is a small right parietal scalp contusion or laceration o... | 1. Small age-indeterminate right parietal scalp contusion, but no evidence of acute intracranial hemorrhage or underlying calvarial fracture. 2. No evidence of maxillofacial fracture. 3. Mild paranasal sinus disease. |
Generate impression based on findings. | 54-year-old male with history of peritoneal mesothelioma. Evaluate and compare to prior. ABDOMEN:LUNG BASES: Small, right greater than left pleural effusions have decreased over the interval. Small amount of superimposed atelectasis is noted, however please refer to the CT chest report for detailed evaluation of the th... | 1.Small bilateral pleural effusions, right greater than left, have decreased over the interval.2.Left upper quadrant reference lesions have decreased in size over the interval. |
Generate impression based on findings. | Female 58 years old. Reason: hand pain swelling, RA vs OA vs CPPD. History: pain Three views of the left hand demonstrate mild osteoarthritis affecting the basilar joint. No erosions are evident.Three views of the right hand are provided. The right hand is unremarkable in appearance without significant degenerative cha... | Mild osteoarthritis of the left basilar joint as described above. No erosions or other findings to suggest rheumatoid arthritis. |
Generate impression based on findings. | Female 46 years old Reason: metastatic breast cancer History: on xgeva and hormonal therapy Redemonstration of subtle increased radiotracer activity in the medial right iliac bone and lateral right sacrum are not significantly changed from prior. No additional suspicious foci of radiotracer activity.Increased radiotrac... | Stable examination with right pelvic osseous metastases. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left breast cyst aspiration. History cough breast cancer in mother at age of 38 and great-grandmother. Two standard digital views of both breasts and additional left MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast par... | 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 are submitted, then an addendum to this repo... |
Generate impression based on findings. | 64 years old Female with a history of breast cancer presents with new neck and chest lesions. This study was performed for restaging. RADIOPHARMACEUTICAL: 14.3 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 116 mg/dL. Today's CT portion grossly demonstrates enlarged right level IB cervical lymph node. A pul... | 1.Enlarged hypermetabolic lymph node in the right neck, suspicious for tumor.2.Bony destruction with increased metabolic activity in the sternal manubrium, which may extend to left clavicle, consistent with osseous metastasis.3.Single pulmonary nodule in the right lower lobe, suspicious for malignant tumor. |
Generate impression based on findings. | Reason: evaluation of recurrent disease, chest wall History: evaluation of recurrent disease, chest wall (history of sarcoma) LUNGS AND PLEURA: Right middle lobe scarring and architectural distortion compatible with radiation fibrosis, unchanged. Left lower lobe scarring. No new pulmonary nodules or masses.MEDIASTINUM ... | No specific evidence of recurrence or metastases. |
Generate impression based on findings. | 10 year old male patient twisted ankle 4-5 days ago with pain which is worse. Question of fracture.VIEWS: Left ankle AP, oblique, lateral (3 views) 4/20/2015 No acute fracture is evident. The ankle mortise is intact. No ankle joint effusion is identified. | No acute fracture is evident. |
Generate impression based on findings. | 73 years, Female. Reason: location of Dobbhoff History: s/p Dobbhoff placement Dobbhoff tube appears coiled on itself in the distal gastric body, with a small kink approximately 5 cm from the tip. Nonobstructive bowel gas pattern. Bilateral hip arthroplasties, which are incompletely evaluated on this study. The left la... | Dobbhoff tube appears coiled on itself in the distal gastric body, with a small kink approximately 5 cm from the tip. |
Generate impression based on findings. | Female 66 years old Reason: assess for PE History: sob, tachycardia The comparison chest radiograph performed on 4/18/15 demonstrates cardiomegaly with no focal pulmonary opacities or pleural fluid. The ventilation images show decreased activity in the left lower lung on single-breath and wash-in images. There is no ab... | No ventilation perfusion mismatches. Low probability exam for pulmonary embolus. |
Generate impression based on findings. | DLBCL status post 2 cycles of chemotherapy. The study is mildly limited by poor contrast bolus.The healed sclerotic lesion in the anteromedial portion of the left maxillary sinus wall is unchanged. Multiple lytic lesions in the calvarium, left mandible, right mandibular condyle, and vertebral bodies, some of which corr... | 1. No evidence of lymphadenopathy in the neck.2. Unchanged appearance of the scattered lytic lesions in the calvarium, mandible, and vertebral bodies, some of which correspond to hypermetabolic foci on PET. Please refer to the separate PET-CT report for further evaluation of osseous metastatic disease. |
Generate impression based on findings. | Female, 51 years old.Trigger: Multiple surgical teams.Surgical Case Information | Procedure(s): Procedure(s): | EXPLORATORY LAPAROTOMY | TUMOR DEBULKING | BYPASS ILIO-FEMORAL | Operating Room: CDOR 20 CENTRAL | Surgeon(s) and Role: | Panel 1: | * Seiko Diane Yamada, M.D. - Primary | * John Joseph Byrne, M.D. | * Joseph... | No suspicious radiopaque foreign object is identified.These findings were discussed by telephone with Dr. Yamada, the attending surgeon, on 4/20/15 at 11:48. |
Generate impression based on findings. | Reason: left prox humerus fx VIEWS: Left shoulder lateral AP axillary Redemonstration of left proximal humeral epiphysis fracture. No evidence of dislocation. | Left proximal humeral fracture as described above.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: New right lower lobe bronchial wall thickening, scarring, atelectasis and and ground glass opacity, likely related to aspiration. No new or suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: L... | 1.New patchy right lower lobe opacities are likely due to aspirate though continued follow up is recommended to exclude metastases.2.Increased intrahepatic and extrahepatic biliary ductal dilatation without clear obstructing lesion. If clinically indicated then MRCP could be considered. |
Generate impression based on findings. | 62 year old female who has a complaint of physician palpated a right breast mass. Personal history of endometrial carcinoma at age 55. History benign left breast biopsy. No family history of breast cancer. MAMMOGRAM: Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. ... | No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 76-year-old male >100 pack year smoking history, evaluate for thymoma interval change, lung nodules. LUNGS AND PLEURA: Bilateral perifissural punctate micronodules appear similar to prior study. No suspicious pulmonary nodules or masses. No pleural effusion or pneumothorax. MEDIASTINUM AND HILA: Partially calcified ant... | 1. Unchanged presumed thymoma . 2. Unchanged bilateral perifissural micronodules most likely benign intrapulmonary lymph nodes. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography.History of bilateral benign breast biopsies. Family history of breast cancer in her mother diagnosed at the age of 72. 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 sc... | 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. Two standard digital views of both breasts with 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. 18-mm lobulated, circumscrib... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 58 years old. Reason: right hip pain. History: right hip pain Two views of the right hip are provided. There is severe joint space narrowing, subchondral sclerosis, and subchondral cyst formation indicating severe osteoarthritis. There is no fracture or dislocation.The single view of the pelvis demonstrates the ... | Severe osteoarthritis of the right hip. |
Generate impression based on findings. | Female, 64 years old, with stroke. Redemonstrated is evidence of gyriform hyperattenuation along the posterior aspect of the right middle frontal gyrus. The adjacent white matter remains hypoattenuating. There has been no significant interval change in the appearance or extent of this lesion.Also redemonstrated is a la... | 1. Stable infarct of the posterior right aspect of the middle frontal gyrus with likely hemorrhagic transformation.2. Evolving infarct affecting a majority of the left MCA territory with likely hemorrhagic transformation, less likely retained contrast. The geographic extent of this lesion is unchanged. |
Generate impression based on findings. | Female, 64 years old, with stroke. Redemonstrated is evidence of gyriform hyperattenuation along the posterior aspect of the right middle frontal gyrus. The adjacent white matter remains significantly hypoattenuating. There has been no significant interval change in the appearance or extent of this lesion.Also redemons... | 1. Stable infarct of the posterior right aspect of the middle frontal gyrus with likely hemorrhagic transformation.2. Evolving infarct affecting the majority of the left MCA territory. The geographic extent of this lesion is unchanged. Patchy hyperattenuating material within this abnormal tissue is suspected to represe... |
Generate impression based on findings. | Chronic sinusitis, FESS in past. There are postoperative findings related to right Caldwell Luc surgery and endoscopic sinus surgery with bilateral uncinectomy medial antrostomy, middle turbinectomy and partial ethmoidectomy. There is extensive diffuse sclerosis and thickening of the maxillary sinus walls bilaterally. ... | 1. Extensive postoperative findings with sclerotic changes of sinus walls and persistent sinonasal inflammatory changes in a sporadic pattern.2. Anterior nasal septal defect with prosthesis in position. |
Generate impression based on findings. | Recurrent/metastatic squamous cell carcinoma of the head and neck (parotid primary with pulmonary metastases) on IRB 140212 clinical trial. Neck: There are post-treatment findings related to left parotidectomy. There is no evidence of measurable mass lesions in the face or neck. Likewise, there is no significant cervic... | 1. No evidence of recurrent tumor in the left parotid treatment bed or in the left cheek.2. Subcentimeter nodules in the partially imaged lungs and upper mediastinal lymphadenopathy have increased in size and are compatible with metastases. Please refer to the separate chest CT report for additional details.3. No evide... |
Generate impression based on findings. | Reason: Cancer of the Parotid gland; follow up; with measurements History: as above CHEST:LUNGS AND PLEURA: Bilateral pulmonary nodules compatible with metastatic disease. For reference the largest left lower lobe pulmonary nodule measures 25 x 20 mm (series 4 image 25), previously 22 x 15 mm on prior CT abdomen.Right ... | 1.Pulmonary metastases have increased in size and number compared to prior outside PET/CT. Previously visualized nodule in the left lower lobe on prior CT abdomen has also increased in size since that exam.2.Extensive mediastinal lymphadenopathy increased compared to prior PET/CT. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of right breast benign 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. 14-mm cl... | 14-mm cluster of calcifications in the left upper outer quadrant, need comparison with prior mammograms. Additional workup, including spot compression views and possible ultrasound, are recommended for further evaluation if prior mammograms cannot be submitted.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationR... |
Generate impression based on findings. | 65-year-old male with history of pancreatic cancer and distal pancreatectomy. Evaluate and compare to prior. CHEST:LUNGS AND PLEURA: Mild apical scarring, similar to prior. Minimal paraseptal emphysema.MEDIASTINUM AND HILA: Small mediastinal lymph nodes, nonspecific and unchanged. No significant pericardial effusion. H... | 1.Interval increased size and number of hepatic metastases.2.Apparent tumor invasion of the gastric wall and transverse colon 3.Very small focal fluid/gas collection along the greater curvature of the stomach, may be the result of tumor invasion of the gastric wall and resultant microperforation. |
Generate impression based on findings. | ArthralgiaVIEWS: Right knee AP lateral (two views), left knee AP lateral (2 views) 4/20/15 10:59 Bilateral joint effusions noted. No fracture or dislocation. | Bilateral joint effusions. No fracture or dislocation. If continued clinical concern, MRI may be obtained for evaluation of soft tissues and ligaments. |
Generate impression based on findings. | Line placementVIEW: Chest AP and abdomen AP There is a catheter at the level of the thoracic inlet likely to represent an NG tube with tip in the proximal esophagus. The umbilical venous catheter tip within the right atrium. The umbilical arterial catheter tip at T7. Cardiothymic silhouette normal. Right upper lobe ate... | Right upper lobe atelectasis new from prior study. |
Generate impression based on findings. | Hip subluxationVIEWS: Pelvis AP and frog leg (2 views) 4/20/15 11:51 The femoral heads are well directed into the acetabula. The acetabular angles are within normal limits. Normal bony coverage of the right femoral head. 20% uncovering of left femoral head. No fracture is evident. | 20% uncovering of left femoral head. The right hip is within normal limits. No significant change from prior study. |
Generate impression based on findings. | Male 22 years old. Reason: hx of R 4th MC fx s/p Open reduction, perc pinning. History: s/p surgery Three views of the right hand are provided. There are two K wires superimposed over the third, fourth, and fifth metacarpals. The fourth metacarpal is in near anatomic alignment. The fracture line is indistinct consisten... | Orthopedic fixation of the fourth metacarpal fracture as described above. |
Generate impression based on findings. | 54 year old male with peritoneal mesothelioma, compare to prior scan LUNGS AND PLEURA: Bilateral moderate pleural effusions, right greater than left slightly decreased from prior study with adjacent compressive atelectasis. Persistent peripheral opacities are likely a component of atelectasis or scarring. No suspicious... | 1. Bilateral moderate pleural effusions, right great than left, with adjacent compressive atelectasis slightly decreased from prior study. 2. Posterior mediastinal mass not significantly changed. |
Generate impression based on findings. | Male 35 years old. Reason: eval RT hand/OUT OF BRACE. History: pain Three views of the right hand are provided. A sideplate and multiple screws affix the fracture through the distal diaphysis of the fifth metacarpal in anatomic alignment. There is no evidence of hardware complication. The fracture line is no longer vis... | Orthopedic fixation of the healing fifth metacarpal fracture. |
Generate impression based on findings. | hip subluxationVIEWS: Pelvis AP frog leg (2 views) 4/20/15 12:16 Right VDRO blade and plate device noted. Bilateral 20% femoral head uncovering on AP view. The bilateral smooth round femoral heads are well directed into the acetabulum on frog leg view. Bilateral coxa valga deformity. | Bilateral 20% femoral head uncovering on AP view. |
Generate impression based on findings. | HypoxiaVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Peribronchial wall thickening with atelectasis in the perihilar regions and left lower lobe. No pleural effusion or pneumothorax. Pectus carinatum again noted. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | Reason: assess lungs for cause of right sided pneumothorax History: h/o pneumothorax and subcutaneous emphysema prior to recent chest tube placement, right LUNGS AND PLEURA: Right chest pigtail catheter with tip at the anterior apex. Small pneumothorax.Bilateral scattered calcified and noncalcified pulmonary micronodul... | 1.Small right pneumothorax. Right chest pigtail catheter in anterior superior pleural space.2.Pneumomediastinum. Large amount of right chest wall subcutaneous emphysema with tracking into the neck and left chest wall.3.Postsurgical changes of a heart transplant. Nonspecific small hyperattenuating fluid collection, like... |
Generate impression based on findings. | 68-year-old female patient with history of right mastectomy for breast cancer in 1996. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. A percutaneously ... | 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. | Reason: evalaute for MAI, abnormal CT History: POsitive MAI in sputum LUNGS AND PLEURA: Emphysema. Scattered areas of mild bronchial wall thickening with bronchiectasis and volume loss most notably in the lingula and right middle lobe which could be seen with atypical mycobacterial infection. Scarring and atelectasis i... | Scattered areas of mild bronchial wall thickening with bronchiectasis and volume loss most notably in the lingula and right middle lobe which is nonspecific but could be seen with atypical mycobacterial infection. |
Generate impression based on findings. | 44 year old female. Left hip pain. Evaluate for left hip FAI. Left hip: Again seen is slight prominence of the anterolateral aspect of the femoral head/neck junction consistent with a CAM deformity. Pelvis: Aforementioned left CAM deformity. There is also suggestion of a CAM deformity involving the right femoral head/n... | CAM deformities of the femoral head/neck junctions. |
Generate impression based on findings. | Reason: 49 year old male with biopsy proven Sarcoidosis (lung, skin involvement) with hypercalcemia History: Evaluate for ILD LUNGS AND PLEURA: Interval resolution of left upper lobe ground glass opacity.Chronic elevation of the right hemidiaphragm with overlying atelectasis. Bilateral lower lobe subsegmental scarring/... | 1.Interval resolution of left upper lobe ground glass opacity.2.Mild mediastinal lymphadenopathy compatible with patient's history of sarcoidosis, unchanged.3.Unchanged bibasilar and perihilar scarring, atelectasis and areas of bronchiectasis. The pattern and distribution is not typical of active pulmonary sarcoidosis ... |
Generate impression based on findings. | 78-year-old male. Fall, left hip heaviness. Evaluate for fracture. Moderate to severe osteoarthritis of the left hip. No fracture or dislocation is evident. Vascular stent projects over the left hemipelvis. Vascular calcifications in the medial soft tissues of the thigh. | Moderate to severe left hip osteoarthritis without evidence of a fracture. |
Generate impression based on findings. | Reason: Does this patient have a bleeding lesion in his large bowel? History: 74 year old man with low iron on two determinations. Incomplete colonoscopy to the mid transverse back on 9-23-08 due to diverticular disease of the sigmoid with fixation. The scout film showed a nonspecific bowel gas pattern without any evid... | 1.Diverticulosis and redundancy of the sigmoid colon/splenic flexure.2.No evidence of mass lesion or ulceration. |
Generate impression based on findings. | 25-year-old male. Comminuted fracture of both right body and left condyle. Please evaluate. Two oblique minimally displaced fracture lines through the right mandibular body. Displaced, comminuted fracture of the base of the left mandibular condyle. Patient is edentulous. | Fractures of the right mandibular body and base of the left mandibular condyle. |
Generate impression based on findings. | Metastatic lung cancer, with neck/supraclavicular lymph node involvement. There is extensive infiltrative metastatic tumors in the lower neck and upper mediastinum. A right supraclavicular mass measures now up to 56 x 50 mm, previously 57 x 55 mm. The other imaged metastases appear similar in size, although precise com... | 1. Extensive metastatic disease in the lower neck and upper mediastinum, with persistent encasement of the great vessels and compression of the brachiocephalic veins and superior vena cava, as well as invasion of the trachea and esophagus with luminal narrowing and right vocal cord paralysis. The right supraclavicular ... |
Generate impression based on findings. | Reason: pain after playground injury History: rotational painVIEWS: left elbow AP oblique lateral (3 views), left forearm AP lateral (2 views) 4/20/15 14:00 Proximal radial non-displaced fracture. Small joint effusion. | Proximal radial non-displaced fracture. Small joint effusion. |
Generate impression based on findings. | Reason: 49yo female s/p vaginal hysterectomy complicated by cystotomy, 2 weeks post op with foley catheter in place History: leaking of urine with Foley in place A retrograde urethrocystogram was performed in standard fashion and serial spot films were obtained. The cystogram was performed using patient's existing Fole... | Normal cystogram/vaginogram, as above. No evidence of vesicovaginal fistula or contrast extravasation. |
Generate impression based on findings. | Reason: pt involved in MVA on a CTA bus this morning with diffuse neck tenderness including midline tenderness History: neck pain The cervical vertebral bodies are appropriate in overall alignment and height. No fractures are identified in the cervical spine.At C2-3 there is no significant compromise to the spinal cana... | 1.There is no evidence for cervical spine fracture.2.There some degenerative changes present in the cervical spine with some narrowing of the neural foramina at C3-4. |
Generate impression based on findings. | 52-year-old female patient with right breast cancer status post one cycle of chemotherapy at Mount Sinai Hospital. Unable to obtain outside films. BILATERAL DIAGNOSTIC MAMMOGRAM: Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of s... | Known right breast cancer with clip within it and enlarged right axillary lymph node. Patient subsequently underwent ultrasound guided right axillary lymph node biopsy. Please refer to report for details.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | Female 62 years old Reason: 62 F with appendiceal cancer and rising CEA, please evaluate for evidence of metastatic disease. History: none CHEST:LUNGS AND PLEURA: Stable, nonspecific 3-mm nodule image number 13, series number 4 in the left upper lobe.MEDIASTINUM AND HILA: Multinodular goiter.CORONARY ARTERY CALCIFICATI... | No significant change from previous study. |
Generate impression based on findings. | 60-year-old male. Right knee pain. Moderate osteoarthritis affects the right knee with tricompartmental osteophytes and marked lateral tibiofemoral compartment joint space narrowing, not significantly changed. Mild osteoarthritis affects the left knee as seen on the frontal view. | Moderate right knee osteoarthritis. |
Generate impression based on findings. | Reason: Noted with lung mass? on CT scan at UIC March 2013, was supposed to get f/u but didn't. Records ordered. History: NONE LUNGS AND PLEURA: Bilateral scattered pulmonary micronodules, predominately subpleural in location. The largest in the left lower lobe measures 4 mm. No pulmonary mass. Bibasilar dependent atel... | 1. No evidence of pulmonary mass.2. Small 4 mm and smaller micronodules which are likely benign. If the patient is high risk/smoker, 1 year follow up is typically recommended to exclude growth. |
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 almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural di... | 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. | Reason: NSIP SJOGRENS INCREASED SOB History: SOB with stairs LUNGS AND PLEURA: Scattered punctate calcified granulomas. Subcentimeter groundglass nodules in the right apex (image 20/92) and right upper lobe (image 37/92) are unchanged and presumably benign.Interstitial and ground glass opacity in the lingula with volum... | Interstitial and ground glass opacity in the lingula with volume loss and mild bronchial wall thickening and bronchiectasis has increased. The previously noted basilar groundglass opacities have resolved though there is residual interstitial thickening and mild basilar bronchiectasis. |
Generate impression based on findings. | There is a 2.5x3.0 cm focus of hypoattenuation involving the medial aspect of the right inferior parietal lobule and the lateral aspect of the right precuneus without regional sulcal effacement or significant mass-effect. Adjacent sulci are widened. There is no evidence of acute intracranial hemorrhage, mass, or cereb... | 1.Findings are compatible with a focus of encephalomalacia involving the medial aspect of the right precuneus and the lateral aspect of the right inferior parietal lobule.2.No acute intracranial hemorrhage or mass-effect.3.Punctate lesions in the right thalamus and left pons most likely represent lacunar infarcts of in... |
Generate impression based on findings. | 86 years old Male with lung nodule. Reason: evaluate for the lung nodule and mediastinum. History: kidney transplant patient with lung nodule. RADIOPHARMACEUTICAL: 14.6 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 97 mg/dL. Today's CT portion grossly demonstrates bilateral upper lobe irregular nodular les... | 1.Hypermetabolic nodular densities in the upper lobes, which may be due to tumor or granulomatous disease. 2.Focal FDG uptake in the left chest wall at 6th intercostal space, which may be due to tumor or granulomatous disease.3.Multiple small hypermetabolic lymph nodes in the mediastinum and both lung hila, which may b... |
Generate impression based on findings. | Male, 26 years old, severe headaches since Friday after starting new medication, thrombocytopenic, history of relapsed AML. No intracranial hemorrhage or any abnormal extra-axial fluid collection is seen. No evidence of parenchymal edema or loss of gray-white distinction is seen. Mild periventricular hypoattenuation ma... | 1. No evidence of intracranial hemorrhage or any other acute intracranial abnormality which would account for the patient's symptoms.2. Mild periventricular hypoattenuation is seen, a nonspecific finding. Given the age group and history of this patient, it may reflect the sequelae of therapy. |
Generate impression based on findings. | Reason: h/o SCC head and neck s/p induction chemo, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Left chest port with catheter tip in main SVC. Small amount of nonocclusive thrombus versus fibrin sheath around the tip. No mediastinal o... | Interval increase in size of right axillary necrotic mass compatible with metastatic disease. No new sites of disease. |
Generate impression based on findings. | Male 68 years old Reason: Relapsed DLBC Lymphoma History: H/O Relapsed DLBC Lymphoma now S/P 2 rounds of R DHAP in need of reimaging. Please compare to prior.RADIOPHARMACEUTICAL: 11.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 102 mg/dL. Please see diagnostic CT reports for details of the neck, chest, a... | 1.Interval increase in size and metabolic activity in innumerable osseous lesions compatible with tumor.2.Numerous normally sized, but newly hypermetabolic lymph nodes as described above are also compatible with tumor.3.Interval decrease in size and hypermetabolic activity within the spleen.Diagnostic CTs of the chest,... |
Generate impression based on findings. | Age: 77 years. Sex : Female. Reason for study: Reason: history of head and neck cancer and previous esophageal dilation History: dysphagia. progressive. Fluoroscopic guidance was provided for an oropharyngeal motility study performed by the Speech Pathology section of the ENT service. The examination was recorded on vi... | The exam was positive for penetration and positive for aspiration. |
Generate impression based on findings. | Reason: s/p artificial urinary sphincter erosion, device removed 3/31/15 check for extravasation of urine. History: s/p artificial urinary sphincter erosion, device removed 3/31/15 check for extravasation of urine. A retrograde urethrogram was performed in standard fashion and serial spot films were obtained. Scout fil... | 1.Sinus tract extending caudally from the mid-penile urethra, approximately 2.5 cm distal to the meatus.2.Saccular dilatation of the bulbous urethra.3.Attenuation of the distal prostatic urethra.Findings were discussed with the ordering provider, Dr. Bales, on 4/20/15 at 10:15 a.m. |
Generate impression based on findings. | Reason: history of sickle cell disease planning allogeneic transplant-baseline test History: pre-transplant LUNGS AND PLEURA: Minimal linear scarring or atelectasis at right lung base. MEDIASTINUM AND HILA: Very small pericardial effusion. Mild cardiomegaly. Left port tip at RA/SVC junction.CORONARY ARTERY CALCIFICATIO... | Mild cardiomegaly with very small pericardial effusion. No acute lung abnormality. |
Generate impression based on findings. | Female 69 years old Reason: FTD or AD pattern? History: language and memory declineRADIOPHARMACEUTICAL: 12.7 mCi F-18 fluorodeoxyglucose (FDG)BLOOD GLUCOSE (FASTING): 133 mg/dL Peripheral wedge-shaped areas of markedly decreased metabolic activity in the anterior/inferior left frontal lobe. There is more mild generaliz... | Multiple regions of decreased metabolic activity in the left anterior and middle cerebral artery territory compatible with prior infarct/multi-infarct dementia. There is associated crossed cerebellar diaschisis. No PET imaging findings to suggest primary frontotemporal dementia or Alzheimer's disease. |
Generate impression based on findings. | History of squamous cell carcinoma head and neck status post induction chemotherapy. Please compare to previous study. There is interval development of a necrotic mass in the right axillary region, which is partially imaged. The larynx appears unremarkable. The thyroid and major salivary glands are unchanged. There is ... | A new necrotic mass at the right axilla measuring at least 40 mm likely represents metastatic disease. Please refer to the separate chest CT report for additional details. |
Generate impression based on findings. | 55-year-old with history of right lumpectomy for breast cancer, status post recent right breast reconstruction. The patient presents for routine follow-up. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular... | 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. | Pre-transplant-sickle cell disease prior to allogeneic transplant. There are persistent bilateral maxillary sinus retention cysts. The other paranasal sinuses are clear and the right frontal sinus is hypoplastic. The nasal cavity is clear. The nasal septum is deviated slightly to the left. The lamina papyracea and ethm... | 1. Bilateral maxillary sinus retention cysts. 2. Carious tooth # 15. |
Generate impression based on findings. | History of a left breast cyst aspiration in 2005. Clinical information from prior reports indicate a history of atypical hyperplasia of the right breast and a history of breast cancer in a maternal aunt. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast pa... | 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. | 53 year old female with history of microscopic hematuria. Evaluate for upper urinary tract lesion/calculus. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signi... | 1.No urographic filling defects or other findings of urothelial malignancy or stone to explain the patient's symptoms.2.Large exophytic uterine fibroids as above. |
Generate impression based on findings. | Central line placementVIEW: Chest AP Left subclavian central line with tip in the SVC. Cardiothymic silhouette normal. Minimal patchy atelectasis in the right lower lobe and left lower lobe. No pleural effusion or pneumothorax. | Placement of central line without pneumothorax. |
Generate impression based on findings. | 68-year-old male. Right knee pain. Mild to moderate osteoarthritis affects the right knee with medial tibiofemoral compartment joint space narrowing and tricompartmental osteophytes. | Mild to moderate osteoarthritis. |
Generate impression based on findings. | FractureVIEWS: Right thumb AP, oblique and lateral There is a Salter II fracture involving the base of the proximal phalanx of the right thumb. There is associated soft tissue swelling. | Fracture involving the base of the proximal phalanx of the right thumb. |
Generate impression based on findings. | The right uterine artery was embolized using 500-700 micron Embospheres until near stasis was achieved. The post-embolization angiogram confirmed these findings.LEFT UTERINE ARTERY EMBOLIZATION | Successful bilateral uterine artery embolization.PLAN: 1. The patient will be admitted overnight for pain control and observation.2. The patient was entered into the IR clinic follow-up system. A follow-up MRI pelvis will be performed in 3 months time, after which the patient should return to the interventional radiolo... |
Generate impression based on findings. | Cough feverVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Peribronchial wall thickening with subsegmental atelectasis in the right lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | Male 16 years old Reason: left small finger XR History: hx of fx Intra-articular, mildly impacted fracture of the head of the proximal phalanx with mild ventral angulation of the distal fracture fragment. The appearance is not significantly changed compared to prior study. | Intra-articular fracture of the head of the proximal phalanx. |
Generate impression based on findings. | 48-year-old female. Right distal radius fracture. Again seen is an oblique healing fracture of the distal radial metaphysis in near-anatomic alignment. Mild soft tissue swelling about the wrist. | Healing distal radius fracture. |
Generate impression based on findings. | Male 34 years old Reason: s/p left distal AKA, evaluate for healing of patella. Postsurgical changes of above-knee amputation through the femoral metaphysis. We see the patella anteriorly within the soft tissues adjacent to the femur and while it is not well visualized, no definite fracture line is identified. No prior... | Postsurgical changes of above-knee amputation. |
Generate impression based on findings. | 27-year-old female. Left knee pain. No fracture, dislocation, or significant abnormality to explain the patient's pain. | No significant abnormalities to explain the patient's pain. |
Generate impression based on findings. | [ Male 62 years old Reason: evaluate rotation of femoral and tibial components History: dislocated patella in right total knee ] Hardware components of the total knee arthroplasty device with a laterally dislocated patella. There also appears to be external rotation of the tibia/fibula relative to the femur. Attempt wa... | 1. Total knee arthroplasty device with a laterally dislocated patella and findings suggestive of patellar instability.2. Abnormal tibiofemoral alignment with external rotation of the tibia/fibula relative to the femur. |
Generate impression based on findings. | Female 78 years old Reason: PMH of R lung adenocarcinoma s/p resection in 2010; evaluate compare tp previous. History: PMH of R lung adenocarcinoma s/p resection in 2010RADIOPHARMACEUTICAL: 12.6 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 112 mg/dL. Today's CT portion grossly demonstrates postsurgical ch... | 1.Interval decrease in hypermetabolic activity in a right paratracheal lymph node compatible with treatment response. Stable hypermetabolic right hilar lymph node compatible with residual tumor. |
Generate impression based on findings. | 15 year old female patient with abnormal bowel architecture consistent with IBD. Concern for fibrofatty proliferation on UGI. Abdominal pain and weight loss.EXAMINATION: MR enterography without and with IV contrast 4/20/2015 ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: A accessory splenule is ... | No specific evidence of inflammatory bowel disease. |
Generate impression based on findings. | 46 years, Female. Reason: 46 yo female on lovenox for h/o DVTs. She injected Lovenox into her abdomen but did not see needle come out after injection. Please assess if needle in her subcu abdominal tissue. History: foreign body Nonobstructive bowel gas pattern. Multiple surgical clips and suture material project over t... | No evidence of retained needle. Please correlate that the area of interest is included in the field-of-view. If there is persistent clinical concern, consider lateral radiographs or CT for further evaluation. |
Generate impression based on findings. | Reason: evaluate for metastasis. History: hx of angiosarcomal. LUNGS AND PLEURA: Scattered stable calcified and noncalcified micronodules.Mild bronchial/bronchiolar wall thickening with scattered areas of groundglass.No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: No hilar or medias... | No evidence or recurrent or metastatic disease. |
Generate impression based on findings. | 69 years, Male. Reason: 69 yo female with AML s/p MUD with possible GI GVHD, presented with abd pain and bloating History: abd bloating Multiple dilated loops of large bowel, with redundant appearing sigmoid colon, suggestive of generalized colonic ileus. Amorphous stool is present in the ascending colon. Relative poss... | Multiple dilated loops of large bowel, suggestive of generalized colonic ileus. |
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