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Generate impression based on findings. | Reason: flatfoot History: flatfootVIEWS: Left foot AP lateral (2 views), right foot AP lateral (2 views) 4/21/15 10:09 Bilateral pes planus deformity without tarsal coalitions. No fracture or dislocations. Normal bone mineralization. | Bilateral pes planus deformity without tarsal coalitions. |
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. Scattered benign-appearing calcifications are p... | 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. | Reason: h/o lung cancer with metastases in the liver, on therapy History: none CHEST:LUNGS AND PLEURA: Reference right upper lobe apical nodule with surrounding post therapy changes measures approximately 5 x 4 mm when measured similarly (series 4 image 18), previously 6 x 4 mm. Right perihilar radiation fibrosis again... | Stable right apical nodule and liver metastases. No new sites of disease. |
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. Stable benign subcentimeter ... | 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. 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. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Patient suffered from burns when she was a child. Limited study due to smaller left breast with scarring and skin changes due to prior history of burns. Two standard digital views of both breasts and additional bilateral MLO views were performed and review... | 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 heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masse... | 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: NSC - Screening Mammogram. |
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. Two adjacent focal asymmetries in the left brea... | Two adjacent focal asymmetries in the left breast 12 o'clock position on are not definitely seen on prior mammogram. Additional workup, including spot compression views and possible ultrasound, are recommended for further evaluation.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Addition... |
Generate impression based on findings. | Female 45 years old Reason: r/o fx, history of contralateral AVN, lot of pain in hip, no trauma History: as above No significant joint space narrowing. No fracture or malalignment. | Unremarkable study. No specific cause for patients pain is identified. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography.History of left breast cyst aspiration and bilateral benign masses. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged ... | 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: NSC - Screening Mammogram. |
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. Oval mass in the left breast upper outer quadra... | 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. Two standard digital views of both breasts and additional left CC view 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. Scattered bilateral... | 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 were performed 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 suspicious masses, microcalcificati... | 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: NSC - Screening Mammogram. |
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. Scattered benign calcifications in the right br... | 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. History of left breast benign biopsy. 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 heterogeneously dense, which may obscure small masses. No suspicious masses... | 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: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of a benign biopsy of the left breast consistent with a fibroadenoma in 2013 Two standard digital views of both breasts and additional right MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scatt... | 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. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses, microcalcificati... | 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: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography.History of benign right breast biopsy in 1988. History of breast carcinoma in maternal aunt and 3 paternal aunts. 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 scatter... | 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. | Male 18 years old Reason: rule out osteo History: swelling and pain of 3rd digit No fracture or malalignment. No cortical irregularity to suggest osteomyelitis. Note is made of an os peroneum, a normal variant. | Negative study. |
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. Stable asymmetry in the left outer breast seen on CC view. Benign appe... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts (total 8 images) were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. No suspicious masses, microcalcifications or areas of architectural distortion are present. | 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history breast cancer in mother. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or a... | 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, additional left MLO view with tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications... | 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. | Reason: evaluate ILD for changes History: sob, scleroderma, ILD LUNGS AND PLEURA: Severe upper lobe predominant centrilobular emphysema, unchanged.Subpleural reticulation, right middle lobe and bibasilar subpleural consolidation and ground glass, unchanged.No evidence of honeycombing.No pleural effusions.MEDIASTINUM AN... | 1.Unchanged combined pulmonary fibrosis and emphysema. No new findings. 2.Stable mediastinal, axillary, and subpectoral lymphadenopathy.3.Stable marked splenomegaly with dense capsular calcification. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal aunt. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Stable focal asymmet... | 9-mm focal asymmetry in the right breast 12 to one o'clock position, needs further evaluation with spot compression views and possible ultrasound study.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EA - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 48-year-old with history of right breast LCIS. Palpable mass for the past week which is not palpable today clinically or by the patient. The patient states that it was previously in the 6 o'clock position of the right breast. Three standard views of the right breast and spot compression views in the area of patient con... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually due for this patient in December. Results and recommendation were discussed with the patient. The patient was also instructed that if the palpable area of concern ... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history breast cancer in maternal cousin. Two standard digital views of both breasts and additional bilateral MLO views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, un... | 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. | 30-year-old male. Knee pain. No fracture, dislocation, or arthritis. | No specific radiographic findings to account for the patient's pain. |
Generate impression based on findings. | 39-year-old male. Hardware removal. Again seen is mild deformity of the right mid femoral diaphysis due to a old healed fracture. Screw tracts in the proximal and distal femur from prior hardware are again noted. Amorphous densities in the lateral soft tissues of the distal femur may represent dystrophic calcifications... | Chronic post-traumatic mild deformity of the right femur. |
Generate impression based on findings. | The ventricles and sulci are somewhat prominent, consistent with mild global age-related volume loss. The basal cisterns remain patent. There is no midline shift or mass effect. There are scattered punctate foci of T2/FLAIR hyperintensity in the subcortical and periventricular white matter which are nonspecific. There... | Multiple scattered nonspecific punctate foci of T2/FLAIR hyperintensity within the supratentorial white matter. The differential diagnosis includes migraines, demyelinating disease, and infectious/inflammatory etiologies. |
Generate impression based on findings. | 57-year-old female. Pain. Evaluate for fracture. No fracture or dislocation. Degenerative arthritic changes with narrowing of the distal radioulnar joint and radiocarpal joint spaces. | No fracture is identified. Degenerative arthritic changes. |
Generate impression based on findings. | ConstipationVIEWS: Abdomen AP 4/21/15 (1 view/s) Moderate amount of fecal accumulation with generalized bowel distention. No obstruction or free air. | Bowel distention and moderate fecal accumulation with no obstruction. |
Generate impression based on findings. | Male 60 years old Reason: Evaluate for any pathology, new patient presenting with pain History: lower lumbar pain Moderate/severe degenerative changes affect the lower lumbar spine, most marked at the L4-5 and L5-S1 levels where there is vacuum phenomenon, anterior osteophyte formation and disk space narrowing. Preserv... | Degenerative changes as described above. |
Generate impression based on findings. | Reason: evaluate for hydrocephalus in setting of leptominingeal disease History: n/v dizziness There are hypodense foci present in the left and right cerebellar hemispheres associated with some mass effect and partial effacement of the quadrigeminal plate cistern and the fourth ventricle..The visualized portions of the... | 1.Findings are suspicious for possible mass and edema in the superior aspect of the left cerebellar hemisphere superior semilunar lobule. There is associated mild mass effect with mild compression of the fourth ventricle. Please refer to MRI of the brain from yesterday for further comments.2.There is a sulcal effacemen... |
Generate impression based on findings. | 48-year-old with history of right breast cancer status post lumpectomy in 2012. Three standard views of both breasts and right 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 pattern and ... | 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. | 63 years, Male. Reason: Dobbhoff placement History: above Dobbhoff tube tip in the distribution of the prepyloric antrum. Nonobstructive bowel gas pattern. Please refer to concomitant chest radiography for detailed thoracic findings. | Dobbhoff tube tip in the distribution of the prepyloric antrum. |
Generate impression based on findings. | 52 year-old male with dysphagia to solids. Scout radiograph of the chest unremarkable. Double contrast evaluation of the esophagus and gastric cardia/fundus was performed. Note was made of a prominent cricopharyngeus muscle or bar in the cervical esophagus at the level of C5/C6 (series 9). There was also prominent ante... | 1. Findings consistent with a Schatzki's ring of the distal thoracic esophagus, with reference measurements provided above.2. Small hiatal hernia with low grade provoked gastroesophageal reflux.3. Prominent cricopharyngeus muscle or bar and C5/6 degenerative spinal disease. |
Generate impression based on findings. | 52 year old female with history of right flank pain and dysuria. Evaluate renal stents and for renal stone. Exam limited by lack of intravenous or oral contrast.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis, without findings of cholecystitis. No biliary dilatation.SPLEEN: No s... | Right double J stent in expected location, without hydronephrosis or obstructing stones bilaterally. Isolated upper pole dilated calyx on the right, similar to prior. No perinephric stranding or other significant abnormality. |
Generate impression based on findings. | 53-year-old with history of ALH of the left breast status post excisional biopsy. Three standard views of both breasts and a right spot compression view 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 distr... | 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. | Age: 59 years. Sex : Male. Reason for study: Reason: aspiration? History: aspiration pneumonia; copious secretions. 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... | 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. | 45 year old female with history of kidney cancer and right nephrectomy. Renal cell carcinoma on therapy. CHEST:LUNGS AND PLEURA: Right middle lobe micro-nodule (5/45) is unchanged.MEDIASTINUM AND HILA: No significant abnormality noted.CORONARY ARTERY CALCIFICATION: None.CHEST WALL: No significant abnormality noted.ABDO... | Status post nephrectomy for renal cell carcinoma, without findings of recurrent or metastatic disease. |
Generate impression based on findings. | Female 28 years old Reason: left knee pain History: left knee pain No significant joint space narrowing. No effusion. No fracture or malalignment. | Negative study. |
Generate impression based on findings. | Female 60 years old Reason: bunion History: pain No fracture or malalignment. No findings to explain the patient's pain. | Normal foot radiograph without any findings to explain the patient's pain. |
Generate impression based on findings. | Female 46 years old Reason: follow up History: follow up Sideplate and screw device affixing the distal fibula. A side plate and screw device also affixes the distal tibia with the screw abutting the fibula along with two orthopedic screws within the posterior distal tibia. The fracture fragments are in near anatomic a... | Orthopedic fixation of tibia and fibula fractures. |
Generate impression based on findings. | Female 27 years old Reason: toe injury, evaluate for fracture. History: pain and swelling Nondisplaced spiral fracture of the body of the proximal phalanx of the fourth toe. | Nondisplaced spiral fracture of the body of the proximal phalanx of the fourth toe. |
Generate impression based on findings. | 53 year old female with history of right flank pain. Hematuria. Evaluate for nephrolithiasis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnorma... | 1.No hydronephrosis or obstructing stones.2.Right adnexal cyst may be further evaluated with pelvic ultrasound. |
Generate impression based on findings. | Female 19 years old. Reason: evaluate leg length discrepancy and right hip pain. History: same Two views of the right hip and a single view of the pelvis appear unremarkable. There is no fracture or dislocation.Bone length study radiographs demonstrate a length discrepancy with the left leg measuring approximately 3.5 ... | Length discrepancy with the left leg measuring approximate 3.5 cm longer than the right leg. |
Generate impression based on findings. | Screen detected two suspicious masses in left breast 2:00 position (lesion # 1 measures 11 mm and lesion # 2 is possible satellite measures 4 mm) for ultrasound guided biopsies. Left ultrasound re-identified the target lesions for biopsy. The lesions to be targeted are lesion #1: a hypoechoic mass measuring 11 x 9 mm a... | Successful ultrasound-guided core biopsy of the left breast lesions (2 sites) and clip placement. This is most likely a malignancy. Pathology is pending at this time.BIRADS: 5 - Highly suggestive of malignancy.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Female 81 years old. Reason: fracture. History: fracture Two views of the left femur demonstrate an intramedullary rod with proximal and distal transverse interlocking screws affixing a distal femoral fracture in near-anatomic alignment. The fracture lines are less distinct consistent with interval healing. Skin staple... | Orthopedic fixation of the healing distal femoral fracture as above. |
Generate impression based on findings. | Female 80 years old Reason: fell onto hand, r/o fracture History: pain and swelling left 5th metacarpal.. The bones are demineralized. There is a nondisplaced, intra-articular fracture of the fifth metacarpal head. Negative ulnar variance with sclerosis of the lunate consistent with avascular necrosis. Lucencies within... | 1. Nondisplaced intra-articular fracture of the fifth metacarpal head.2. Negative ulnar variance with avascular necrosis of the lunate and degenerative changes of the wrist. |
Generate impression based on findings. | Imaging was obtained for surgical localization purposes.There is a large ring enhancing T2 hyperintense and T1 hypointense intra-axial cystic appearing mass in the right frontal lobe abutting the sylvian fissure. The contents of the lesion is slightly hyperintense to CSF on T1-weighted images. There is more focal nodu... | Large right frontal lobe intra-axial peripherally enhancing cystic appearing mass with localized mass effect and minimal midline shift to the left, not present on CT one year ago. The primary differential considerations based on this limited imaging would include metastatic disease or primary glial tumor. |
Generate impression based on findings. | Male 56 years old Reason: Pre-Kidney Transplant Evaluation, assess aorta and iliac for possible kidney transplant. History: Please also asses left kidney lesion from 2013 CT scan see comment section ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis.SPLEEN: No significant abnormali... | Cholelithiasis. Bilateral atrophic kidneys. Left renal multiple hypodense lesions with no obvious enhancement. Some of the left renal lesions . are too small to accurately characterize. Follow-up CT in one year may be helpful for further evaluation |
Generate impression based on findings. | 67-year-old male with history of chronic kidney disease progression. RIGHT KIDNEY: No hydronephrosis or hydroureter. The kidney measures 9.5 cm. Questionable midpole contour abnormality, likely artifact and may be followed on subsequent ultrasound.LEFT KIDNEY: No hydronephrosis or hydroureter. The kidney measures 9.8 c... | No significant abnormality to explain the patient's progressive kidney disease. Questionable midpole contour abnormality on the right may be followed on subsequent imaging. |
Generate impression based on findings. | Male 39 years old Reason: resected stage 3 melanoma, was on adjuvant IFN History: melanoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Small nonpathologic sized mediastinal nodes.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Cholelithiasis. No CT evidence of... | Stable small mediastinal nodes and retroperitoneal nodes. No concerning lesions.Cholelithiasis. |
Generate impression based on findings. | Male 60 years old Reason: hx of bladder cancer s/p radical cystectomy with orthotopic neobladder urinary diversion, evaluate for metastatic disease with delayed imaging. Please note the right filling defect in right renal pelvic History: see above ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT... | Previously noted subcentimeter filling defect in the right renal pelvis is not well visualized on today's study. No significant change from previous study. |
Generate impression based on findings. | Male 77 years old Reason: pt with metastatic melanoma please assess disease status and compare to previous imaging History: met melanoma CHEST:LUNGS AND PLEURA: Scattered micronodules are unchanged. Basilar atelectasis.MEDIASTINUM AND HILA: Left thyroid nodule with calcifications, unchanged. Scattered small thyroid nod... | Roughly stable mediastinal node. Renal cysts, some complex. Other findings as above. No new sites of disease. |
Generate impression based on findings. | [ Female 68 years old. Reason: L prosthetic hip dislocation, evaluate version of femoral component History: see above ] [Streak artifact from the metallic hemiarthroplasty makes the examination suboptimal.]There continues to be a superior/posterior dislocation of the left bipolar hemiarthroplasty device. There is a flu... | [Persistent dislocation of the left bipolar hemiarthroplasty device with nondisplaced fractures of the posterior acetabulum and the iliac crest.] |
Generate impression based on findings. | Male 48 years old Reason: met urachal cancer, restaging History: met urachal cancer, restaging CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCORONARY ARTERY CALCIFICATION: NoneCHEST WALL: Right posterior T8 mixed sclerotic and lytic destructive rib lesion ... | Interval significant increase in the mixed sclerotic and lytic lesions throughout the skeleton. |
Generate impression based on findings. | Fracture.VIEWS: Left elbow AP/lateral (two views) 04/21/15 The callus encircling the distal humerus is being incorporated into the cortex. The fracture is in near-anatomic alignment. | Continued healing of supracondylar fracture. |
Generate impression based on findings. | Male 79 years old Reason: follow up for rectal cancer History: none CHEST:LUNGS AND PLEURA: Scattered micronodules are unchanged. Bilateral pleural based calcified soft tissue nodules. An index pleural based nodule measures 11 x 5 mm on image number 49, series number 5.MEDIASTINUM AND HILA: Nonenlarged mediastinal lymp... | Previously noted air containing presacral collection and associated inflammatory changes, unchanged.Bilateral multiple calcified pleural-based nodules. |
Generate impression based on findings. | Female 68 years old Reason: hip dislocation, knee pain History: hip dislocation, knee pain [Streak artifact from the metallic hemiarthroplasty makes the examination suboptimal.]A left bipolar hemiarthroplasty device is present with stem in the proximal half of the femoral diaphysis. Again seen is a superior/posterior d... | [1.Persistent dislocation of the left bipolar hemiarthroplasty device with nondisplaced fracture of the posterior column of the acetabulum.2.Osteoarthritis of the left knee without evidence of fracture or dislocation. |
Generate impression based on findings. | The ventricles are within normal limits. The basal cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal. There is no diffusion abnormality. There is a focal area of retroclival intrinsic T1 hyperintensity with associated mild T2 hypointensity and diffusion restriction... | 1. Focal subdural subacute blood products along the foramen magnum, ventrally greater than dorsally, which are likely birth-related.2. Sulcation pattern appears slightly less than expected for corrected age especially along the parietal lobes although without cortical thickening.3. No imaging findings concerning for HI... |
Generate impression based on findings. | Reason: resected stage 3 melanoma, was on adjuvant IFN History: melanoma CT neck:There is redemonstration of some soft tissue thickening along the lateral aspect of the left parotid gland. The patient is status post partial left parotidectomy. The nodular appearance along the superficial aspect of the remaining is stab... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.No evidence for brain metastases.3.Status post partial removal of the left parotid gland.4.There are degenerative changes present in the cervical spine worse at C5-6 rather is suspicion for spinal stenosis a... |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: New patchy foci of consolidation and nodularity are noted throughout all lobes. For example, with in the right upper lobe on image 32 series 4, a new focus measures 10 x 8 mm. An additional focus of nodularity occupies the p... | Multifocal patchy consolidation, pulmonary nodules, bronchiectasis/bronchiolectasis and bronchial wall thickening. Mucoid impaction with material in the right interlobar bronchus compatible with aspiration. The constellation of findings suggestive of infection related to aspiration rather than metastases. Close interva... |
Generate impression based on findings. | Female 78 years old Reason: s/p ileostomy takedown with abdominal hematoma s/p drain History: same ABDOMEN:LUNG BASES: Bilateral dependent atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: Pancreatic duct is diffusely prominent.ADRENAL GLANDS: No signifi... | Abscess medial to the descending colon with surrounding inflammatory changes as described above. |
Generate impression based on findings. | Male 15 years old Reason: knee pain VIEWS: Right knee AP and lateral 4/21/15 (two views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Side pain. Assess for fracture.VIEWS: Left femur AP/lateral (two views) 04/21/15 Intramedullary rod with one distal interlocking screw is present. The rod and screw are intact. No loosening is seen. The femoral fracture is healed. Mild modeling abnormality is present. No acute fracture is identified. | Healed fracture with no acute abnormality. |
Generate impression based on findings. | Status post fractureVIEWS: Right femur AP and lateral on 4/21/15 (two views) Cast material obscures fine bone detail. Oblique healing fracture of the mid diaphyses of the right femur with mild overlapping is in near-anatomic alignment. | Healing fracture in near-anatomic alignment after casting. |
Generate impression based on findings. | There are postoperative findings related to left craniotomy and left MCA aneurysm clipping. Streak artifact associated with the clip in limits evaluation of the regional structures. There is dural thickening subjacent to the craniotomy site, and soft tissue thickening overlying the craniotomy site. There is no evidenc... | Post surgical findings related to left sided craniotomy for MCA aneurysm clipping. No acute intracranial hemorrhage or mass-effect. However, CT is insensitive for detection of early nonhemorrhagic stroke. |
Generate impression based on findings. | Female 59 years old Reason: Pancreatic cancer History: F/U panc and liver mass CHEST:LUNGS AND PLEURA: Scattered micronodules, not significantly changed from previous study.MEDIASTINUM AND HILA: No significant abnormality noted.CORONARY ARTERY CALCIFICATION: None.CHEST WALL: No significant abnormality noted.ABDOMEN:LIV... | Slight interval increase in the size of the patient's known pancreatic head mass which cannot be accurately measured on today's study. |
Generate impression based on findings. | Status post fracture.VIEWS: Left wrist AP and lateral on 4/21/15 (two views) Cast has been removed. Healing fractures of the distal radius and ulna with lateral and dorsal angulation are unchanged in alignment. | Healing fracture, unchanged in alignment after cast removal. |
Generate impression based on findings. | Abdominal pain. History of appendectomy.VIEWS: Abdomen AP supine/upright (two views) 04/21/15 Postoperative changes are noted in right lower quadrant. Bowel gas pattern is disorganized. A few air-fluid levels are present. No free peritoneal air is identified. A left lumbar curve is identified. A small to moderate amoun... | Disorganized bowel gas pattern. |
Generate impression based on findings. | Reason: Metastatic prostate cancer, biopsy from a metastatic site can arrange for a T11 CT guided biopsy as recommended by Dr. Christoforidis. History: required for clinical trial 10-662; please page Kelly 7904 when ready for biopsy, she will collect the tissue Serial CT images obtained during the biopsy procedure demo... | T11 vertebral bone biopsy under CT guidance. A total of five samples were delivered to pathology for analysis. |
Generate impression based on findings. | A skin fold is evident in the posterior aspect of the neck with prominent subcutaneous fat but without a discrete encapsulated lipoma. There are calcifications in the bilateral palatine tonsils which may be due to prior granulomatous or infectious etiology. There are few prominent left level 1 lymph nodes, measuring u... | 1.Suboccipital neck skin fold with prominent subcutaneous fat. No encapsulated or discrete lipoma.2.Few prominent and mildly enlarged left level 1 lymph nodes measuring up to 11 mm in short axis, nonspecific and probably reactive. |
Generate impression based on findings. | Ankle injury 3 weeks ago and continued pain.VIEWS: Right ankle AP/lateral/oblique (3 views) 04/21/15 Ankle joint effusion has decreased in size. Small soft tissue swelling is noted laterally. No fracture is seen. Alignment is anatomic. | Decrease in size of joint effusion. |
Generate impression based on findings. | 73-year-old with history of left lumpectomy in 2011 for 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 density, unchanged in pattern and distributi... | 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, with neck pain, status post cervical fusion C3 through C7. Anterior instrumented spinal fusion has been performed from C4 through C7. A screw and plate device is in place with no evidence of instrument complication. Interbody devices have also been placed at C4-5, C5-6 and C6-7.The fused disk spaces... | 1.Findings compatible with instrumented anterior spinal fusion. No instrument complications are seen. At least partial osseous incorporation is evident within the fused region as above.2.Degenerative findings as above. The most severely affected level is C5-6 where there may be a mild generalized spinal canal stenosis ... |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is an old infarct in the left corona radiata. There is minimal periventricular and subcortical white matter hypoattenuation which is nonspecific, likely representing age indeterminate small vessel ischemic changes. The ventricles and basal... | 1.No acute intracranial hemorrhage or mass-effect.2.Age indeterminate small vessel ischemic changes and old infarct of the left corona radiata. CT is insensitive for detection of early nonhemorrhagic stroke. |
Generate impression based on findings. | 51-year-old male with history of testicular cancer. Per EPIC, surgery on 4/20/15. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: In the right anterior hepatic lobe, adjacent to the fissure, is a focus of relative hypoattenuation is most consistent with focal fat. Several hypoattenuating foci ... | 1.Postoperative findings as above.2.Findings most consistent with hepatic cysts, however correlation with previous imaging would add diagnostic specificity.3.No evidence of metastatic disease. |
Generate impression based on findings. | 24-year-old male. Left shoulder pain. Evaluate for dislocation or fracture. No fracture, dislocation, or significant abnormality to explain the patient's pain. | No significant abnormality to explain the patient's pain. |
Generate impression based on findings. | Partial SBO a week ago with continued abdominal pain Dilated small bowel, measuring up to 4.6 cm, increased from prior study (when remeasured small bowel measured approximately 3.8 cm). Differential air fluid levels seen on the upright view. No free air. No pneumatosis intestinalis or portal venous gas delineated. Righ... | Interval increase in degree of small bowel dilatation and decreased amount of colonic gas distally, suspicious for evolving small bowel obstruction.No free air. |
Generate impression based on findings. | Male 20 years old Reason: tibial avulsion fx History: Lateral malleolus ttp s/p basketball injury Soft tissue swelling about the ankle joint without evidence of fracture or malalignment. | Soft tissue swelling about the ankle joint without evidence of fracture or malalignment. |
Generate impression based on findings. | There is a small area of apparent hypoattenuation in the right postcentral gyrus. There is also a questionable hyperdense right MCA sign. However, the right insular ribbon, and basal ganglia are intact. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is prominence of the CSF space anter... | Findings concerning for developing ischemia in the right MCA distribution. MRI is recommended for confirmation if patient is able. No intracranial hemorrhage or mass-effect.Findings discussed with resident Dr. Twum from ED at 2:27 PM today over the telephone. Patient is to be admitted. |
Generate impression based on findings. | Male; 61 years old. Reason: GIST on therapy History: surveillance CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Moderate hiatal hernia.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Stable subcentimeter hypoattenuating lesion at the hepatic dome.SPLEEN: No sign... | Mild interval increased size of largest mesenteric index lesion. The other mesenteric lesion is mildly decreased. No new sites of disease. |
Generate impression based on findings. | Reason: rule out PE History: short of breath, chest pain x5 days, past PE PULMONARY ARTERIES: No acute pulmonary embolus. Main pulmonary artery is normal in caliber. No evidence of right heart strain.LUNGS AND PLEURA: Bibasilar dependent atelectasis and scarring. No evidence of pulmonary infarction.MEDIASTINUM AND HILA... | 1.No acute pulmonary embolus.2.Moderate right paratracheal and bilateral hilar lymphadenopathy of uncertain etiology. Differential includes inflammatory conditions including sarcoidosis versus malignancy including lymphoproliferative disorders. Consider PET scanning or comparison with prior outside CT scans if availabl... |
Generate impression based on findings. | 64-year-old male with history of lung nodule who presents for evaluation. The comparison CT chest performed on 4/10/2015 demonstrates right upper lobe irregular nodules as well as scattered bilateral pulmonary nodules.The ventilation images show a uniform distribution of activity on single-breath and wash-in images. Th... | Matched ventilation perfusion abnormality in the upper lobes bilaterally with quantitation as above. |
Generate impression based on findings. | 59 year-old male status post Dobbhoff tube placement. The pelvis is incompletely visualized. Interval placement of a Dobbhoff tube with the tip projecting at the level of the body of the stomach. NG tube coiled within the stomach with the tip projecting at the level of the fundus. Nonobstructive bowel gas pattern. Bila... | Interval placement of a Dobbhoff tube which is kinked approximately 5 cm proximal to the tip, with the tip projecting at the level of the body of the stomach. |
Generate impression based on findings. | Left thumb pain and decreased range of motion after playing basketball 9 days ago.VIEWS: Left hand PA/lateral/oblique (3 views) 04/21/15 The bones are normal in appearance. No fracture is identified. No significant soft tissue swelling seen. | Normal examination. |
Generate impression based on findings. | Fracture postop.VIEWS: Left forearm AP/lateral (two views) 04/21/15 A cast obscures bone detail. The flexible nails remain in place in the radius and ulna. The fractures of the mid forearm are in anatomic alignment. Callus formation has increased in the interval. | Continued healing of both bones fracture of mid forearm. |
Generate impression based on findings. | 80 year-old female. Right shoulder pain radiating down right back. No fracture or dislocation. Mild osteoarthritis of the glenohumeral joint with small humeral head osteophytes and subchondral cysts, not significantly changed. Mild AC joint osteoarthritis. Again seen is a high riding humeral head consistent with a chro... | No fracture is identified. Osteoarthritis, as above. |
Generate impression based on findings. | 69-year-old male with history of metastatic prostate cancer who presents for evaluation of disease after 9 cycles of investigational therapy. Redemonstration of small focus of increased activity along the posterior aspect of L2 vertebral body slightly to the right of midline which is unchanged. Additional faint foci of... | Stable exam with no new additional osseous metastases are identified. |
Generate impression based on findings. | Reason: evaluate vp shunt--pt having increased HA and dizziness History: HA and dizziness A ventriculostomy tube courses through the left parietal bone into the left parietal lobe and extends in to the left lateral ventricle with the tip across the midline in the body of the right lateral ventricle. There is hypodensit... | 1.No evidence for acute intracranial hemorrhage.2.The lateral ventricles are collapsed3.Hypodensity and surrounding the left-sided ventriculostomy tube is nonspecific. It could represent edema. If further evaluation is necessary MRI of the brain may be helpful.4.There is cortical dysplasia &/or schizencephaly involving... |
Generate impression based on findings. | 42 year-old female with right flank pain. Evaluate for obstruction and hydronephrosis The posterior abdominal radionuclide angiogram demonstrates prompt, symmetrical perfusion of the kidneys. Sequential renal images show the right kidney to be smaller in size compared to the left. There is prompt uptake and excretion o... | Small right kidney with slightly decreased function. No evidence of collecting system obstruction. |
Generate impression based on findings. | 70 year-old female. Acute increase in left hip pain yesterday without trauma. Patient with arthritis. Severe osteoarthritis of the left hip with bone-on-bone apposition of the superior joint space, subchondral cysts and sclerosis. No fracture or dislocation. | Severe osteoarthritis. |
Generate impression based on findings. | 72-year-old female. Right hip pain. Right total hip arthroplasty (MAKO protocol). Severe osteoarthritis of the right hip with bone-on-bone apposition, subchondral sclerosis and cyst formation. Severe osteoarthritis also affects the left hip as seen on the large field of view images. Bilateral sacroiliac joint osteoarth... | Severe right hip osteoarthritis. |
Generate impression based on findings. | 48-year-old male with history of you urachal cancer. Evaluate for disease progression. There are numerous areas of increased uptake involving the bilateral ribs, spine, pelvis, bilateral humeri, and proximal femurs. The most prominent lesions involve the left posterior 8th rib, left mid-humerus, and distal right humeru... | 1.Stable to mild interval worsening of the osseous metastatic disease.2.Re-demonstration of prominent left mid humerus lesion. Dedicated radiographs may be considered if clinically indicated. |
Generate impression based on findings. | Reason: Patient with 5mm nodule seen on CT October 2014- Interval follow up History: Cough Hemoptysis LUNGS AND PLEURA: Previously identified right lower lobe has decreased in size measuring 4 mm (series 5 image 139), previously 5 mm, likely post infectious/post inflammatory in etiology. No new or suspicious pulmonary ... | Right lower lobe pulmonary nodule is stable to slightly decreased in size, most compatible with a postinflammatory/postinfectious etiology. No further follow up is recommended. No new pulmonary nodules or masses. |
Generate impression based on findings. | Female 75 years old Reason: hx of bladder cancer s/p radical cystectomy with ileal conduit T3, evaluate for metastatic disease with delayed imaging History: see above ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholecystectomy clips. No focal liver lesions.SPLEEN: No significant abnormalit... | Postoperative fluid collection in the dependent portion of the pelvis is resolved. No measurable disease. Expected postsurgical changes. |
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