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Generate impression based on findings. | 39-year-old female with history of abdominal pain and peripancreatic fluid collection. ABDOMEN:LUNG BASES: Minimal left basilar subsegmental atelectasis. No pleural effusions, result from the prior. Normal cardiac size without pericardial effusion.LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant... | Stable small peripancreatic fluid collection with drainage catheter in place. Resolution of left pleural effusion. Otherwise stable examination. |
Generate impression based on findings. | 63 years, Male. Reason: evaluate for obstruction History: gastric adeno with biliary and chole drain, recent chemo, n/v, passing gas, abd exam benign Again seen are multiple mildly distended loops of small bowel, appearing slightly decreased in caliber when compared to recent CT abdomen. No specific evidence of bowel o... | No specific evidence of obstruction. Right-sided pigtail drainage catheters noted. |
Generate impression based on findings. | Female; 53 years old. Reason: dissection History: cp, radiation to back Lack of oral contrast limits sensitivity for bowel pathology.CT ANGIOGRAM:No acute aortic dissection or rupture. Normal caliber of the aorta. Thoracic aortic arch branch vessels are widely patent. Left common carotid artery arises from the brachioc... | 1. No acute aortic dissection or rupture.2. Incidental 7-mm right middle lobe pulmonary nodule, for which follow-up imaging per Fleischner Society recommendations should be obtained.3. Incidental nonspecific right thyroid nodules, for which ultrasound characterization is recommended. |
Generate impression based on findings. | 75 years, Male. Reason: constipation, obstruction History: emesis Partially image cardiac device with leads projecting in the right atrium and right ventricle. Nonobstructive bowel gas pattern. Moderate to large stool burden. Surgical clips project over the pelvis. Degenerative disease affects the spine and hips. IVC f... | Moderate to large stool burden, without evidence of obstruction. |
Generate impression based on findings. | 69 years, Male. Reason: evaluate for Dobbhoff placement The left hemiabdomen and pelvis are incompletely visualized. The Dobbhoff tube tip projects at the level of the body of the stomach. Nonobstructive bowel gas pattern. Persistent patchy bilateral pulmonary opacities, better characterized on recent chest radiograph. | Dobbhoff tube tip projects at the level of the body of the stomach. |
Generate impression based on findings. | 76 year old male with cough, short of breath. Evaluate ILD. LUNGS AND PLEURA: Predominantly lower lung zone subpleural reticulation with minimal honeycombing. There is associated bronchiectasis. There is no ground glass opacities noted. Right subpleural nodule measures 9 mm (series 4, image 63) unchanged since outside ... | 1. Findings consistent with interstitial lung disease in pattern consistent with UIP . 2. Subpleural 9 mm nodule in the right lower lobe maybe inflammatory although CT follow up in 1 year is recommended to ensure stability. |
Generate impression based on findings. | 37 years, Female. Reason: DHT tip placement, needs to be post-pyloric History: see above Dobbhoff tube tip projects in the prepyloric antrum. Mildly dilated loops of small bowel, measuring up to 3.8 cm, with air seen distally within the colon, likely represents adynamic ileus. Right-sided pleural effusion and bilateral... | Dobbhoff tube tip projects over the prepyloric antrum; consider advancing approximately 8 cm. Bowel gas pattern is suggestive of ileus. |
Generate impression based on findings. | 59 year-old male status post NG tube placement. The right hemiabdomen and pelvis are not included in the field of view. Interval placement of NG tube which is coiled within the stomach with the tip projecting towards the fundus of the stomach. Nonobstructive bowel gas pattern. Residual contrast is identified within the... | NG tube is coiled within the stomach with the tip projecting towards the fundus of the stomach. |
Generate impression based on findings. | There is near complete opacification of the left mastoid air cells and the left middle ear. No gross evidence of bony erosions is seen on this CT exam. There is diffuse mural thickening of the left external auditory canal with scattered debris within the lumen. The tympanic membrane is silhouetted. There is mild asymm... | 1. Moderate-severe opacification of left mastoid air cells and middle ear with overlying asymmetric mild soft tissue thickening and enhancement without focal fluid collection or abscess. As well as left external auditory canal mural thickening. Findings are suggestive of otomastoiditis with findings further detailed on... |
Generate impression based on findings. | ICH on the right thala NONCONTRAST CT HEADThere is 16.6mm x 23.8mm x 7 slices (3mm thickness) sized right thalamic ICH with surrounding edeam.About 1mm midline shift toward left side with compression of the right lateral ventricle frontal horn indicating mass effects. No evidence of associated SAH or ICH or ischemic le... | No evidence of intracranial or extracranial arterial aneurysm, or arterial luminal stenosis.No evidence of arterial dissection.No evidence of major vessel occlusion. |
Generate impression based on findings. | Reason: evaluate for post-op bleeding or post-op abnormalities History: s/p crani The patient has undergone right-sided frontal craniotomy for removal of a right frontal lobe mass. Since the prior exam a multiseptated cystic lesion associated with nodules has been operated on. There are associated postoperative changes... | 1.Status post recent right frontal craniotomy for tumor surgery. There are associated postsurgical changes. No evidence for any significant postoperative bleeding. |
Generate impression based on findings. | 25 years, Female. Reason: history of ulcerative colitis and constipation History: abdominal pain Moderate stool is seen within the descending colon. Collapsed, nondilated loops of small bowel are visualized within the pelvis. No evidence of obstruction. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Reason: s/p injury History: left ankle pain and right knee painVIEWS: Left ankle AP oblique lateral (3 views), right knee AP oblique lateral (3 views) 4/20/15 17:42 Left ankle: No fracture or dislocation.Right knee: No fracture or dislocation. | No fracture or dislocation. |
Generate impression based on findings. | 54 years, Male. Reason: abdominal pain History: right sided abdominal pain Nonobstructive bowel gas pattern. No evidence of free intraperitoneal air, pneumatosis intestinalis or portal venous gas. Surgical clips project over the left upper quadrant and right hemipelvis. Bowel heterogeneity and soft tissue attenuation p... | Bowel heterogeneity and soft tissue attenuation particularly along the right hemiabdomen corresponds to the previously described peritoneal mesothelioma seen on recent CT examination. No findings to suggest obstruction. |
Generate impression based on findings. | History of left lumpectomy and radiation therapy. The patient also has history of stage I lung cancer. Three standard views of both breasts, repeat left MLO view and left lumpectomy magnification views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibro... | 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: T3-L3 PSF History: scoliosisVIEWS: Thoracic spine AP (1 view), Lumbosacral spine AP (1 views) 4/20/15 21:10 Status-post placement of transpedicular screws and spinal rods in place from T3 to L3. No hardware complication on this single view exam. Residual thoracolumbar rightward curvature noted. Cardiothymic sil... | Expected postoperative changes. No hardware complication on this single view exam. |
Generate impression based on findings. | 81 years, Male. Reason: assess ureteral stent status History: postop Dilated loops of bowel, suggestive of postoperative adynamic ileus. Bilateral nephroureteral stents in place with the inferior portions projecting at the level of the lower sacrum. Surgical clips and staples project over the abdomen. | 1. Bilateral nephroureteral stents in place with the inferior portions projecting at the level of the lower sacrum. 2. Findings suggestive of postoperative adynamic ileus. |
Generate impression based on findings. | 51 year old female with history of left lower quadrant pain. Evaluate for diverticulitis or other intra-abdominal pathology. ABDOMEN:LUNG BASES: Motion degrades evaluation of the lung bases, however no significant abnormality is appreciated.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant ab... | 1.No findings of diverticulitis or small bowel obstruction. No additional significant abnormality to explain the patient's left lower quadrant pain.2.Femoral head sclerosis bilaterally, may represent sequela of AVN. |
Generate impression based on findings. | Clinical question: View for hemorrhage. Signs and symptoms: Status post reanastomosis for moyamoya. Nonenhanced head CT: Examination demonstrates expected postoperative changes of the left frontal -- temporal small craniotomy. Small mixed density extra-axial collection under the craniotomy flap is within the expected p... | 1.3.5-mm subdural along the right side of the falx and along the inner table of right frontal bone is present.2.Postoperative changes of small left frontal -- temporal craniotomy. Slight malalignment of the craniotomy flap with the calvarium as detailed.3.Expected postoperative changes of craniotomy as detailed.4.Unrem... |
Generate impression based on findings. | 83 years, Male. Reason: Patient with h/o retroperitoneal bleed. need to re-evaluate with CT abdomen but had barium in colon ytd. Please evaluate for left over barium. If negative send patient to CT for CT A/P. Thanks History: retroperitoneal hemorrhage Moderate amount of enteric contrast is identified throughout the co... | Moderate amount of enteric contrast identified throughout the colon. |
Generate impression based on findings. | 59 year-old female with right lower lobe pulmonary nodules. LUNGS AND PLEURA: Right lower lobe smoothly marginated pulmonary nodule measures 9 x 6 mm. Additional micronodule adjacent to the right major fissure may represent an intrapulmonary lymph node. Minimal upper lobe predominant centrilobular emphysema. No pleural... | Right lower lobe 9 x 6 mm well circumscribed pulmonary nodule, for which short term 3 month follow-up to exclude growth is recommended. PET/CT may be considered, although due to its size and location, evaluation may be limited. |
Generate impression based on findings. | 22 years, Male. Reason: hx of Ulcerative Colitis History: UC Note is made of an ahaustral, relatively featureless transverse colon, consistent with stated history of ulcerative colitis. There is possible bowel wall thickening at the level of the splenic flexure. A moderate amount of stool is noted throughout the colon.... | Featureless transverse colon and possible wall thickening at the level of the splenic flexure, likely related to the stated history of ulcerative colitis. |
Generate impression based on findings. | Male; 69 years old. Reason: ischemic bowel visualized on colonoscopy, eval for source of mesenteric ischemia History: see above Lack of oral contrast limits sensitivity for bowel pathology.CT ANGIOGRAM:Normal caliber of the abdominal aorta and its branch vessels. Mild atherosclerotic calcifications of the abdominal aor... | 1. Patent mesenteric vasculature, though evaluation of the splenic artery is limited as detailed above.2. Stable findings suggestive of nonspecific pancolitis with unchanged mild abdominopelvic ascites. No pneumatosis, portal venous gas, or free air. 3. Stable splenic infarcts.4. New infrarenal IVC filter and percutane... |
Generate impression based on findings. | 23 years, Female. Reason: 23F with prolonged hospital course, persistent left-sided abdominal pain only partial relieved with BMs, ?constipation History: 23F with prolonged hospital course, persistent left-sided abdominal pain only partial relieved with BMs, ?constipation The pelvis is not complete included in the fiel... | 1. No radiographic findings to suggest obstruction.2. Prominent hepatic shadow which can be seen in hepatomegaly.3. Left lower lobe consolidation. Please refer to chest radiograph for additional details. |
Generate impression based on findings. | 82 years, Male. Reason: NGT placement, ileus? History: ileus NG tube tip projects at the level of the body of the stomach. The side-port terminates just beyond the level of the GE junction. There are persistent dilated loops of small bowel measuring up to 3.7 cm diameter. There is a relative paucity of bowel gas within... | 1. NG tube tip projects at the level of the body of the stomach. The side port terminates just beyond the level of the GE junction.2. Persistent dilated loops of small bowel, suggestive of a postoperative adynamic ileus, however, follow-up examination is recommended to exclude the possibility of early evolving small bo... |
Generate impression based on findings. | 36 year old female with history of enterocolitis, diffuse abdominal pain. Evaluate for abscess or other acute abnormality. ABDOMEN:LUNG BASES: Minimal atelectasis in the lung bases.LIVER, BILIARY TRACT: Focal low attenuation within the anterior right hepatic lobe, likely focal fatty deposition and unchanged from prior.... | Postoperative findings from prior colectomy and J-pouch formation without evidence of acute inflammation, abscess or other acute abnormality which would explain the patient's pain. |
Generate impression based on findings. | Abdominal distention. Evaluate stool burden.VIEW: Abdomen AP (one view) 4/21/15 804 hours. Generalized bowel distention with no evidence of obstruction or free air. Bubble soap like appearance on the left upper abdominal quadrant may represent gastric contain. No ascites. No fecal impaction. | Generalized non-specific bowel distention. |
Generate impression based on findings. | One day old male with increased oxygen requirement, evaluate for congestionVIEW: Chest AP (one view) 4/21/15 Cardiomegaly is unchanged. Disuse lung haziness is improved. Minimal patchy atelectasis is unchanged. No effusions or pneumothorax. | Improved diffuse lung haziness. No effusions. |
Generate impression based on findings. | Knee painVIEWS: Right knee AP, lateral and oblique 4/21/15 (3 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Reason: s/p NG Dobbhoff placement, verify History: NGT Dobbhoff tube is coiled on itself, with the tip projecting over the gastric fundus. Basilar airspace opacities are better evaluated on recent chest radiograph. Bowel gas pattern is suggestive of mild ileus. Multiple surgical clips project in the pelvis and right up... | Dobbhoff tube tip coiled on itself, with tip projecting over the gastric fundus. Bowel gas pattern is suggestive of mild ileus. |
Generate impression based on findings. | 61 year old with history of left lumpectomy and sentinel node biopsy in 2004 for triple negative breast cancer. Status post radiation and chemotherapy. 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 den... | 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: 46 yo female on Lovenox for h/o DVTs. She injected Lovenox into her abdomen but did not see needle come out after injection. Innumerable surgical clips project in the abdomen and pelvis as well as the abdominal soft tissues. IVC filter projects in expected location. Nonobstructive bowel gas pattern. | Innumerable surgical clips project over the abdomen and pelvis. Please correlate with patient history and physical exam. According to the clinical service, needle was identified perpendicular to the abdominal skin, annotated on the lateral film. Discussed with ordering provider, Amy Reid, on 4/21/15 at 8:50. |
Generate impression based on findings. | Female 26 years old Reason: right knee pain History: right knee pain No fracture, malalignment or joint effusion. | Negative study. |
Generate impression based on findings. | 69-year-old male with history of distended abdomen and colonic distention. Evaluate for bowel obstruction. ABDOMEN:LUNG BASES: Mild atelectasis in lung bases.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Splenomegaly, similar to prior, with peripheral calcifications.PANCREAS: No significant abnormality ... | Findings are not consistent with bowel obstruction, however continued follow-up is advised if clinical symptoms persist or worsen. |
Generate impression based on findings. | 51-year-old male. Lumbar pain. Mild rightward curvature of the lumbar spine. Exaggerated lumbar lordosis. Moderate degenerative disk disease at L5-S1 with disc space narrowing and mild degenerative arthritic changes at the other lumbar levels. Vertebral body heights are preserved without evidence of a compression fract... | Degenerative disk disease, as above. |
Generate impression based on findings. | 24 year-old male status post OG tube placement. The lower abdomen and pelvis are not included in the field of view. Interval placement of an enteric tube with the side port projecting at the level of the body of the stomach. The tip terminates below the caudal aspect of the film beyond the level of the GE junction. Not... | Enteric tube tip terminates beyond the caudal aspect of the film, beyond the level of the GE junction. The side port is at the level of the body of the stomach. |
Generate impression based on findings. | 51-year-old with history of right lumpectomy for LCIS. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No dominant mass, suspicious microcalcifications or ... | 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. | Male 58 years old; Reason: r/o infection \T\ typhilitis. Hx: recurrent cdiff. Recent stem cell transplant. History: abd pain, diarrhea, nausea The exam is not sensitive for detecting lesions in the solid organs of vasculature due to lack of intravenous contrast. Given those limitations, the following observations are m... | 1.Areas of colonic wall thickening concerning for colitis. Correlate rule out infectious colitis.2.Stable splenomegaly |
Generate impression based on findings. | Clinical question: Status post tumor resection. Signs and symptoms: Status post craniotomy. Nonenhanced head CT:Examination demonstrate postoperative changes of bilateral frontal (left greater than right) craniectomy for removal of metastatic disease. Expected postoperative changes are noted. There is a metallic mesh t... | 1.Postoperative changes of a large left frontal craniectomy for removal of tumor. Craniectomy extends across the midline to right paramedian frontal.2.Extra axial air and fluid collection at the craniectomy site apply subtle mass effect on the adjacent left frontal lobe.3.Re-visualization of right frontal high density ... |
Generate impression based on findings. | Female 36 years old Reason: evaluate for abscess on R mandibular molar History: pain Impacted right molar. Small periodontal lucencies which may represent erosions/cavities. No evidence of abscess. | No evidence of periodontal abscess. |
Generate impression based on findings. | Male 40 years old. Reason: r/o fx. History: right wrist fx Three views of the right wrist are provided. There is a comminuted, intraarticular fracture of the distal radial metaphysis with dorsal angulation of distal fracture fragments. There is also an ulnar styloid fracture. | Distal radial and ulnar styloid fractures as described above. |
Generate impression based on findings. | 29 year old female with history of left CVA tenderness and fever. Evaluate for pyelonephritis. ABDOMEN:LUNG BASES: Mild bibasilar atelectasis/scarring.LIVER, BILIARY TRACT: No biliary dilatation or other significant abnormality.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GL... | No CT evidence of pyelonephritis. Equivocal bladder wall thickening may be due to underdistention, however correlate with symptoms/labs to exclude cystitis. |
Generate impression based on findings. | There are unchanged posttreatment findings in the neck. There is no evidence of mass lesions or significant cervical lymphadenopathy; however extensive artifact from dental amalgam limits evaluation of the oral cavity and oropharynx. The thyroid and major salivary glands are unremarkable. The left internal jugular vei... | 1.Posttreatment findings in the neck without measurable tumor or significant lymphadenopathy.2.Asymmetry of the vocal folds in a pattern suggesting right vocal cord palsy. |
Generate impression based on findings. | RIGHT TEMPORAL BONE: The external auditory canal is clear. The tympanic membrane is faintly visualized. The scutum remains sharp.The tympanic cavity and mastoid air cells are clear. The ossicular chain and tegmen tympani are intact.The inner ear structures have a normal morphology. The bony coverings of the cochlea, v... | 1. Findings suggestive of left otomastoiditis without evidence of osseous erosion at this time. Diffuse mural thickening of the left external auditory canal with narrowing, concerning for otitis externa for which clinical correlation is recommended.2. Left facial nerve canal grossly appears similar in appearance and de... |
Generate impression based on findings. | Sonogram abdomen 5 years, Male, Reason: SCT, h/o VOS, eval hepatic flows having inc bili and ascites. History: abd pain. LIMITED ABDOMENLIVER: Liver is normal in size measuring 14.7 cm in length. Hepatic echotexture and contour is normal. No focal hepatic lesions are evident.GALLBLADDER, BILIARY TRACT: The gallbladder ... | 1.Normal hepatic vasculature.2.Unchanged ascites.3.Unchanged biliary sludge.4.Unchanged right-sided hydronephrosis. |
Generate impression based on findings. | 33 year old female. Chronic low back pain on long-term anticoagulation. Lumbar spine alignment is anatomic. Vertebral body heights and intervertebral disk spaces are preserved. No evidence of a pars defect. Multiple phleboliths are noted in the pelvis. | Unremarkable lumbar spine radiograph. |
Generate impression based on findings. | Male 47 years old Reason: r/o abscess/ determine source of sepsis History: febrile, hypotensive requiring pressors, not responsive to abx. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: ET tube. NG tube.CHEST WALL: Minimal gynecomastia.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormal... | Pneumatosis intestinalis segmentally and transverse and left colon concerning for ischemia or infarction.Right upper pole renal massOther findings as above.Exam complicated by IV contrast extravasation as detailed above. |
Generate impression based on findings. | Prostate carcinoma ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality noted. Unremarkable ... | Stable examination without acute, inflammatory, or metastatic process. |
Generate impression based on findings. | 29 year old female with history of right upper quadrant pain. History of cholecystectomy in 2013. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Postoperative findings of cholecystectomy. No biliary dilatation or other significant abnormality.SPLEEN: No significant abnormality notedPANCREAS: ... | 1. No convincing evidence of small bowel obstruction. However, findings above could represent a paraduodenal hernia, so consider small bowel follow through if symptoms persist/worsened.2. Horseshoe kidney |
Generate impression based on findings. | 56-year-old female. Status post left hip head exchange. Assess component positioning. Interval exchange of the head of the left hip bipolar hemiarthroplasty device, which is in near anatomic alignment without radiographic evidence of hardware complication. Surgical drain reflects recent surgery. Vascular calcifications... | Left hip hemiarthroplasty device, as above. |
Generate impression based on findings. | 39-year-old female with history of papillary thyroid cancer. The patient reports a thyroidectomy. RIGHT LOBE MEASUREMENTS: Soft tissue resembling a right thyroid lobe measuring 1.1 x 1.0 x 1.9 cm.LEFT LOBE MEASUREMENTS: Status post thyroidectomy.ISTHMUS MEASUREMENTS: Status post thyroidectomy.RIGHT LOBE: There is a 0.7... | 1.0 cm solid isoechoic nodule in the superior aspect of the right thyroid lobe. Comparison with prior outside hospital ultrasounds and correlation with prior biopsy, if performed, is recommended prior to considering sampling of this nodule. Left thyroidectomy bed demonstrates no evidence of residual or recurrent diseas... |
Generate impression based on findings. | Female 53 years old. Reason: History of pelvis fracture, no intervention, status post fall, please re-evaluate. History: As above Three views of the pelvis are provided. Again seen is a nondisplaced fracture through the right inferior pubic ramus with an angular deformity of the superior ramus of the right pubic bone w... | Nondisplaced pubic fractures as described above. |
Generate impression based on findings. | Male 40 years old Reason: s/p wrist reduction History: see above Bone details are obscured by overlying plaster. Three views of the right wrist are provided. Again seen is a comminuted, intraarticular fracture of the distal radial metaphysis in near-anatomic alignment status post reduction. There is also an ulnar stylo... | Distal radial fracture status-post reduction. |
Generate impression based on findings. | 54-year-old male. Left foot and great toe pain. Moderate soft tissue swelling of the great toe. No fracture or dislocation. Small plantar heel spur. | Moderate soft tissue swelling of the great toe without underlying fracture. |
Generate impression based on findings. | Female, 61 years old, with history of multiple myeloma and new lymphadenopathy/parotid mass on CT of the C-spine. Also with history of breast cancer and endometrial cancer. A mildly hyperattenuating oval mass is present in the right parotid space measuring 19 x 15 mm (image 51 series 5). Two similar appearing, partiall... | 1.Three masses are identified in the right neck, one in the parotid space, one in the supra-clavicular fossa, and one in the right axilla. Given the history, findings are concerning for metastases from one of the patient's solid malignancies.2.No mucosal lesions are identified. No additional mass or adenopathy is ident... |
Generate impression based on findings. | 45 year old female with history of hernia. Evaluate for incarcerated hernia. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Calcifications suggestive of prior granulomatous infection.PANCREAS: No significant abnormality notedADRENAL GLANDS: Small left a... | Redemonstration of small upper abdominal wall defects containing fat, with adjacent inflammatory changes noted that could represent fat/omental incarceration. |
Generate impression based on findings. | Male 65 years old Reason: evaluate for traumatic injury History: fall, RUQ pain/tenderness ABDOMEN:LUNGS BASES: Extensive bullous disease. Extensive bibasilar atelectasis or consolidation. Small pleural effusions bilaterally.Right rib fracture series 3 image 25 probably accounts patient's symptoms.Regarding esophagus p... | Right rib fracture.Bibasilar atelectasis, bullous disease and pleural effusions.Thickening distal esophagus slightly more prominent than on today's and 7; correlate clinically to rule out esophagitis versus neoplasm. |
Generate impression based on findings. | 33 year old female with a history of nephrolithiasis. RIGHT KIDNEY: The right kidney is normal in size measure 9.9 cm in length without hydronephrosis, shadowing calculus or discrete lesion.LEFT KIDNEY: The left kidney is normal in size, measuring 10.9 cm in length without hydronephrosis or discrete lesion. There is a ... | No hydronephrosis. 1.0 cm shadowing calculus in the left collecting system. |
Generate impression based on findings. | There are no focal nasopharyngeal, oropharyngeal or laryngeal masses identified and there is no airway compromise. There is no abscess as clinically questioned. There is mild nonspecific aryepiglottic thickening bilaterally. Left piriform sinus is slightly larger than the right, with very subtle medial convexity of th... | 1. Near complete opacification of the frontal, ethmoid, and maxillary sinuses bilaterally which can be consistent with sinusitis in the correct clinical setting.2. Mild Waldeyer's ring structure enlargement. No abscess as clinically questioned.3. There is a developmental segmentation anomaly with apparent fusion of C6 ... |
Generate impression based on findings. | Male 36 years old; Reason: assess vasculature prior to kidney transplant History: diminished peripheral pulses. Exam is insensitive for detecting lesions in the bowel due to lack of oral contrast and in the solid the organs and vasculature due to lack of intravenous contrast. Given those limitations, the following obse... | Small atrophic kidneys consistent with chronic medical renal disease. Two lesions in the right kidney, favor cysts. Very minimal atherosclerotic calcification aortic bifurcation. No significant calcification in the iliac arteries. |
Generate impression based on findings. | 73 year old female with history of coronary artery disease, asthma and progressive weakness/weight loss. Early satiety. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules, nonspecific.MEDIASTINUM AND HILA: No significant abnormality noted.CORONARY ARTERY CALCIFICATION: Severe.CHEST WALL: No significant abnormalit... | The stomach is distended with debris, and there is equivocal thickening of the pyloric antrum, which could play a role in the patient's symptoms. |
Generate impression based on findings. | 60 year-old male with rising LFTs. Assess liver vasculature. LIMITED ABDOMENLIVER: The liver is mildly coarsened in echotexture, consistent with hepatic steatosis. Liver is normal in size, measuring 16.2 cm in craniocaudal dimension.BILIARY TRACT: No extrahepatic biliary ductal dilatation with the common duct measuring... | 1. Coarsened liver parenchyma, consistent with hepatic steatosis. No biliary ductal dilatation or focal lesion. 2. Normal hepatic vasculature. |
Generate impression based on findings. | 59 year old male with h/o HNC and CRT, compare to previous CHEST:LUNGS AND PLEURA: Left lower lobe calcified granuloma. Right flat appearing nodule abutting the minor fissure unchanged most likely a benign intrapulmonary lymph node. Additional punctate micronodules unchanged. No suspicious pulmonary nodules or masses. ... | Stable exam with no interval change. No evidence of metastatic disease. |
Generate impression based on findings. | 46-year-old with history of cysts. Family history breast cancer in her maternal grandmother. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No do... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Given the patient's breast density, future screening examinations with tomosynthesis may be of use. Additionally, screening with automated whole breast ultrasound ... |
Generate impression based on findings. | 65-year-old with history of right breast DCIS status post lumpectomy. Three standard views of both breasts, repeat right ML view and lumpectomy magnification views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in patter... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, 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. | 68-year-old who is recalled from screening for an asymmetry in the lateral right breast. An ML view, rolled CC and spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 56 year old female with history of liver transplant. Patient presents with fever. LIMITED ABDOMENLIVER: The liver is coarse in echotexture and nodular in contour, consistent with cirrhosis. There is a 5.4 x 5.6 x 5.3 cm right hepatic dome cyst, unchanged. No suspicious focal hepatic lesion is seen. No intrahepatic bili... | Patent TIPS, similar to prior. Patent portal vein. As seen previously there is persistent hepatopetal blood flow through the left protal vein. No ascites. |
Generate impression based on findings. | Reason: s/p Rmca/ica/acom clipping History: s/p 3 vessel aneurysm clipping Since the prior exam the patient has developed bilateral subdural collections which are similar in density to gray matter on the left side and similar in density to white matter on the right. A subdural collection left side measures 11 mm in thi... | 1.Since the prior exam the patient has developed bilateral subdural collections. Most likely these represent subdural hematomas. Please correlate with clinical findings. In the appropriate clinical setting, empyema can have a similar appearance. 2.The patient is status post right-sided craniotomy from multiple aneurysm... |
Generate impression based on findings. | 19 year old with right breast area of concern with pain for one week. Redness to skin. A targeted right ultrasound was performed for the patient’s area of concern. At the area of palpable concern in the right breast two o'clock position, there is a multiloculated complex fluid collection measuring up to 4 cm in total, ... | Sonographic findings are compatible with abscess of the right breast.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | 52 year old female with sob, abnormal V/Q scan, rule out PE. PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery caliber is within normal limits. No evidence of right heart strain. LUNGS AND PLEURA: Right basilar calcified granuloma. No suspicious pulmonary nodules or masses. Basilar subsegment... | 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. | Male 55 years old; Reason: diverticulitis History: abdominal pain ABDOMEN:LUNGS BASES: Right basilar atelectasis. Small left lower lobe bulla.LIVER, BILIARY TRACT: Probable diffuse fatty infiltration of the liver. No focal lesions.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADREN... | 1.4 mm stone obstructed in the right ureterovesical junction causing right-sided mild hydronephrosis and diffuse perinephric fat stranding. |
Generate impression based on findings. | Age: 50 years. Sex : Male. Reason for study: Reason: h/o HNC, s/p CRT, eval swallow Fluoroscopic guidance was provided for an oropharyngeal motility study performed by the Speech Pathology section of the ENT service. The examination was recorded on videotape. No static or hard copy films were obtained. The exam was pos... | The exam was positive for penetration and positive for aspiration. Please refer to dedicated speech pathology report for additional findings and feeding recommendations. |
Generate impression based on findings. | [ Male 47 years old. Reason: r/o source of sepsis, h/o L toe osteo History: septic, febrile, hypotensive ] [Nonenhanced CT of the left foot demonstrates a cortical irregularity of the tuft of the first distal phalanx of the left foot with mild adjacent soft tissue swelling which could represent osteomyelitis. There is ... | [Cortical irregularity of the tuft of the first distal phalanx of the left foot which could represent osteomyelitis. However, there is no gross bone destruction or air in the soft tissues. ] |
Generate impression based on findings. | Female 51 years old Reason: r/o fracture History: pain Three views taken in cast demonstrate a spiral fracture of the lateral malleolus extending to the joint, an avulsion fracture of the medial malleolus and a vertical fracture through the "posterior malleolus". There is slight widening of the ankle mortise. Alignment... | Trimalleolar fracture as described above. |
Generate impression based on findings. | 31-year-old male. Bilateral hip pain. Prominence of the anterolateral aspect of the bilateral femoral head/neck junctions consistent with bilateral CAM deformities. Surgical clips project over the right abdomen. | Bilateral CAM deformities. |
Generate impression based on findings. | Female 51 years old Reason: assess for medial mall fracture History: right ankle pain No fracture or malalignment. | No fracture or malalignment. |
Generate impression based on findings. | 81 year old female with history of vomiting, abdominal pain. Evaluate for obstruction. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Focus of low attenuation within the anterior mediastinum measures approximately 2.8 x 2.6 cm (3/30) and may represent thymic cyst. The ascending aorta is ... | 1.No small bowel obstruction or free air, or other significant abnormality to explain the patient's symptoms.2.Ascending aortic ectasia, and other findings as above.3.Anterior mediastinum focus of low attenuation, may represent a thymic cyst. |
Generate impression based on findings. | Reason: ETT placement History: Right thoracotomy with ligation of tracheoesophageal fistula and repair of esophageal atresia on 4/20/15, POD1.VIEW: Chest AP (one view) 4/21/15 3:08 Retraction of the ET tube, tip is now below the thoracic inlet and above the carina. Right chest tube directed towards apex. NG tube tip in... | ET tube tip is below the thoracic inlet and above the carina. Near complete reexpansion of the left lung. Residual atelectasis of left upper lobe and right upper lobe. There is new right middle lobe atelectasis. |
Generate impression based on findings. | 13-year-old male. Follow-up. Decreased soft tissue swelling about the ankle. Again seen is a triangular subcentimeter fragment at the medial aspect of the distal fibular physis suspicious for a nondisplaced Salter-Harris III fracture. The fracture line is less distinct, indicating an attempt at healing. | Healing Salter-Harris III fracture of the distal fibula. |
Generate impression based on findings. | Right thoracotomy with ligation of tracheoesophageal fistula and repair of esophageal atresia on 4/20/15, POD0.VIEW: Abdomen AP (one view) 4/20/15 22:58 Right main stem bronchus intubation. Right chest tube directed towards apex. NG tube tip in the stomach. UVC tip int he right atrium. UAC tip at the level of T8. Compl... | Right main stem bronchus intubation, which is retracted on subsequent study. Complete atelectasis of left lung and right upper lobe. |
Generate impression based on findings. | Reason: evaluation for lung mass History: lung mass LUNGS AND PLEURA: Moderate-sized left-sided pleural effusion.Left hilar and perihilar mass encasing and obstructing the left lower lobe bronchus with subsequent atelectasis of the left lower lobe. This mass is interpretable from the left lower lobe atelectasis. Howeve... | Large left necrotic perihilar mass with obstruction and encasement of the left lower lobe bronchus and subsequent left lower lobe atelectasis. This mass extends into the posterior mediastinum on the left and may represent a primary neoplasm.2.Mediastinal, left hilar, and left axillary lymphadenopathy.3.Moderate-sized l... |
Generate impression based on findings. | Female 68 years old. Reason: h/o L hip hemiarthroplasty, r/o dislocation. History: see above A single AP view of the pelvis and two views of the left hip demonstrate a left bipolar hemiarthroplasty device which is dislocated superiorly and posteriorly.Osteoarthritis affects the right hip with osteophyte formation and j... | Superior and posterior dislocation of the left bipolar hemiarthroplasty device. |
Generate impression based on findings. | Female 66 years old Reason: pancreatic cancer History: annual surveillance. CHEST:LUNGS AND PLEURA: Bilateral calcific granulomata. No soft tissue nodules. No effusions.MEDIASTINUM AND HILA: Calcific granulomata. No pathologic size nodes.CHEST WALL: Previously described soft tissue nodule in the left breast is decrease... | Stable findings including small hypoattenuating focus in the uncinate process, mild soft tissue around celiac axis, granulomatous disease chest. Decrease in size of small soft tissue density described in the left breast. |
Generate impression based on findings. | Female 68 years old. Reason: L hip dislocation, evaluate acetabulum. History: see above Three views of the pelvis demonstrate a left bipolar hemiarthroplasty device which is dislocated superiorly. There is a likely fracture along the posterior acetabulum.Osteoarthritis affects the right hip with osteophyte formation an... | Left bipolar hemiarthroplasty device dislocated superiorly with likely posterior acetabular fracture. |
Generate impression based on findings. | Female 61 years old Reason: h/o SLE, RA, psoriasis History: diffuse rash Left hand: Triscaphe and basilar joint osteoarthritis. Beaklike osteophytes arising from the head of the third and fifth metacarpal heads, again raising the possibility of CPPD arthropathy. Mild osteoarthritis affects the interphalangeal joints. D... | Metacarpal head osteophytes again raises the possibility of CPPD arthropathy although there is no chondrocalcinosis. Other findings as described above. |
Generate impression based on findings. | 45-year-old female. Left total knee. Hardware components of a total left knee arthroplasty device in anatomic alignment without radiographic evidence of hardware complication. Interval removal of surgical drain. Moderate osteoarthritis affects the right knee, as seen on the frontal views. | Total left knee arthroplasty device. |
Generate impression based on findings. | Giant omphalocele. Emesis.VIEW: Abdomen cross table lateral (one view) 04/21/15, 0958 Feeding tube tip is in distal esophagus. A tracheostomy tube is present. Central line has its tip in superior vena cava.Bowel gas pattern is disorganized. An air-fluid level is present in the stomach. Few air-fluid levels are seen in ... | No obstruction. |
Generate impression based on findings. | 48-year-old female. Severe PSS osteopenia. Back pain. Evaluate for a compression fracture. Thoracic spine: Demineralized bones. Vertebral body heights are preserved without evidence of a compression fracture. Alignment is anatomic.Lumbar spine: Demineralized bones. Vertebral body heights and intervertebral disc spaces ... | No evidence of a compression fracture as clinically questioned. |
Generate impression based on findings. | Encopresis with constipation and overflow incontinenceVIEW: Abdomen AP (one view) 4/21/15 at 956 hours. Moderate amount of fecal accumulation with no evidence of obstruction or free air. | Moderate fecal accumulation with no evidence of obstruction. |
Generate impression based on findings. | Male 39 years old Reason: knee replacement. 6 months pain with flexion and intermittent prepatellar swelling eval abnormality History: pain with flexion and intermittent swelling A single screw is identified in the proximal tibial metadiaphysis. No fracture or malalignment. No significant joint effusion. | No specific cause for patient's symptoms is identified. |
Generate impression based on findings. | 70 year old female. Status post fusion. Evaluate implant position. Right sided laminectomies at L4-L5 with placement of a right-sided rod and transpedicular screws. Interbody spacer is present at L4-L5. No radiographic evidence of hardware complication. Moderate degenerative disk disease at L5-S1 and mild degenerative ... | Post-surgical findings of L4-L5 fusion. |
Generate impression based on findings. | 67-year-old female with history of newly diagnosed endometrial cancer. Evaluate for metastatic disease. CHEST:LUNGS AND PLEURA: Several noncalcified pulmonary micronodules are present, nonspecific. The largest measures 4 mm in the right upper lobe (series 6 image 39). No suspicious pulmonary nodules or masses. No pleur... | 1. Findings of endometrial carcinoma without specific evidence of local invasion, regional lymphadenopathy or metastatic disease.2. Non-specific pulmonary micronodules. Attention to these on follow-up imaging is recommended. |
Generate impression based on findings. | Female 68 years old Reason: assess dislocation, r/o fx History: s/p reduction attempt Two views of the left hip demonstrate a left bipolar hemiarthroplasty device which is dislocated superiorly and posteriorly. Again seen is the likely posterior acetabular fracture. | Persistent dislocation of the left bipolar hemiarthroplasty. |
Generate impression based on findings. | Male 67 years old. Reason: IgG kappa multiple myeloma, evaluate for lytic lesions and prep for study. History: IgG kappa multiple myeloma, evaluate for lytic lesions and prep for study SKULL: No evidence of myelomatous lesions.CERVICAL SPINE: Multilevel degenerative disk disease and anterior vertebral osteophytes.THORA... | Lucent lesions in the bilateral proximal humeri suspicious for myelomatous involvement. Questionable myelomatous lesion in the right distal radius. |
Generate impression based on findings. | 6 years, Male, Reason: MRI R hand History: hemangioma. A lobulated lesion, dorsal to the base of the first proximal phalanx, measures 0.9 x 0.8 x 1.6 cm. This lesion has high intrinsic T1 shortening and high T2 signal with likely diffuse homogenous enhancement. Small amount of T2 signal surrounds the lesion and extends... | Lesion along the dorsal aspect of the first proximal phalanx has nonspecific imaging features. The appearance is not characteristic of a hemangioma. A slow growing sarcoma, such as an alveolar soft parts sarcoma, or other malignancies may be considered. |
Generate impression based on findings. | Fracture post operative.VIEWS: Right ankle AP/lateral/oblique (3 views) 04/21/15 Screw fragment remains in place in the tibial epiphysis. Alignment is anatomic. The Salter IV fracture has completely healed. | Healed distal tibial fracture. |
Generate impression based on findings. | Male 54 years old Reason: urothelial cancer, s/p surgery and chemotherapy, restaging History: urothelial cancer, s/p surgery and chemotherapy, restaging CHEST:LUNGS AND PLEURA: Calcific granulomata left lung. No suspicious lung nodules. Stable fibrotic changes right lower lobe.MEDIASTINUM AND HILA: Small non-pathologic... | Large complex cystic mass occupying the right iliac fossa iliac muscle with extension into the psoas muscle and right groin with compressive effect on the ureters and right iliac vasculature. Extensive adjacent fat stranding. This is concerning for abscess. Underlying necrotic or infarcted tumor is less likely but cann... |
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. Stable benign calcifications are seen in both b... | 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. | Asymptomatic female presents for routine screening mammography. Family history of mother with cervical cancer and sister with ovarian cancer. 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 almost entirely fatty, unchanged in... | Two small subcentimeter focal asymmetries in the left breast 3 o'clock position and left upper outer quadrant are noted. Additional workup, including spot compression views and possible ultrasound, are recommended for further evaluation.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EA - Addi... |
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. No suspicious masses, microc... | 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. |
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