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Generate impression based on findings. | Screen for HCC. Hepatitis C virus. LIVER: The liver measures 14.4 cm in length. Its mildly echogenic compatible with underlying hepatitis C infection. No focal lesions. The portal vein is patent with flow towards the liver on color Doppler imaging.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS:... | Mildly echogenic liver. No focal liver lesions. |
Generate impression based on findings. | Chronic lymphoid leukemia. There is no evidence of significant cervical lymphadenopathy. The Waldeyer ring structures are not enlarged. The airways are patent. The major salivary glands and thyroid are unremarkable. There is mild plaque in the carotid bifurcations. There is mild multilevel degenerative spondylosis. The... | No evidence of significant cervical lymphadenopathy to suggest recurrent leukemia. |
Generate impression based on findings. | Anemia, unspecified. Palpable liver on examination. Evaluate for liver or spleen enlargement. LIVER: The liver measures 15.6 cm in length. There are multiple near anechoic nodules which probably represent cysts although at least one is septated with a possible mural nodule making it indeterminate on ultrasound. This on... | Indeterminate cystic lesion in the right lobe of the liver measuring 2 cm in diameter. This could represent a benign septated cyst although the possibility of a complex cystic lesion with a mural nodule exists; therefore, further evaluation with cross-sectional imaging (dedicated liver CT or MRI) is suggested for more ... |
Generate impression based on findings. | T4aN2b squamous cell cancer of the anterior floor of mouth, completed chemoradiation in November 2011, mandibular debridement postoperatively, and stereotactic radiation for 4 metastatic sites in the lungs completed in March of 2013. There are stable post-treatment findings in the neck. There is no evidence of measurab... | 1.Stable post-treatment findings in the neck without evidence of measurable locoregional tumor recurrence.2.No significant cervical lymphadenopathy by size criteria.3.Moderate narrowing of the right proximal internal carotid artery. |
Generate impression based on findings. | Renal stones. RIGHT KIDNEY: The right kidney measures 11.3 cm in length and remains mildly echogenic. No hydronephrosis. Multiple small calculi that are not obstructive.LEFT KIDNEY: The left kidney measures 11.7 cm in length and remains mildly echogenic. Minimal pelvocaliectasis with cortical thinning as noted previous... | Bilateral nonobstructive renal calculi. Unchanged mildly echogenic kidneys. |
Generate impression based on findings. | 64-year-old female status post lumbar fusion There are posterior stabilization rods with screws entering the L4 and L5 vertebral bodies. A disk spacer device is noted at L4/L5. The bone graft appears slightly more dense, although there is no frank interbody fusion. There is grade 1 anterolisthesis of L4 on L5, appearin... | Postoperative changes of lower lumbar fusion as described above. |
Generate impression based on findings. | 56-year-old female with bilateral knee osteoarthritis and pain Right knee: Moderate to severe osteoarthritis particularly affects the lateral tibiofemoral joint compartment, appearing similar to the prior exam. The bones are demineralized suggesting osteopenia.Left knee: Moderate to severe osteoarthritis particularly a... | Osteoarthritis, as described above. |
Generate impression based on findings. | 70 year-old female with pain Right knee: Moderate osteoarthritis affects the knee with narrowing of the medial tibiofemoral joint compartment seen particularly on the skiers view. An ossicle along the proximal aspect of the medial femoral condyle is likely due to old injury to the MCL.Left knee: Moderate to severe oste... | Osteoarthritis as described above. |
Generate impression based on findings. | Testicular carcinoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedA... | Stable examination. No acute, inflammatory, or metastatic process. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign left breast biopsy in 1992. 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 distri... | Stable left focal asymmetry. 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. | 39 year-old female 6 weeks status post TKA Hardware components of a right total knee arthroplasty device are situated in near-anatomic alignment without evidence of complication. Anterior soft tissue swelling limits evaluation of the patella tendon. Postoperative changes of ACL reconstruction are noted in the left knee... | TKA as described above. |
Generate impression based on findings. | Reason: 71-year-old male with history of SDH and intraparenchymal hemorrhage in 11/2014. Now restarted on ASA and anticoagulation. Please assess for bleeding. No evidence of new/acute intracranial hemorrhage, mass effect or midline shift.Stable appearance of encephalomalacia along the right middle frontal gyrus and rig... | 1. No evidence of new intracranial hemorrhage or mass effect. Stable appearance of resolving left frontal lobe intraparenchymal hematoma and adjacent small subdural collection.2. Stable right frontal encephalomalacia, likely representing chronic infarct. |
Generate impression based on findings. | 65-year-old male with left lower extremity pain, history of multiple myeloma, rule out fracture Lumbar spine: The bones are demineralized, which may reflect osteopenia/osteoporosis or underlying multiple myeloma. Compression fractures of the L1, L2, and L4 vertebral bodies appear similar to the prior osseous survey dat... | Findings compatible with multiple myeloma and vertebral body compression fractures as described above. We see no acute fracture. |
Generate impression based on findings. | Ms. Meek is a 48 year old female with a personal history of right breast mastectomy in September 2014 for IDC followed by chemotherapy. Three standard views of the left breast with an additional left MLO view were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattere... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 63-year-old female status post intramedullary rod placement for left humerus pathologic fracture Again seen is an intramedullary rod and screw device affixing a pathologic fracture through a lytic lesion of the proximal humeral diaphysis in near-anatomic alignment. Increased bone formation along the medial aspect of th... | Orthopedic fixation of pathologic fracture of the proximal humerus as described above. |
Generate impression based on findings. | CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules, some of which are calcified. Bibasilar subsegmental atelectasis/scarring, without pleural effusions.MEDIASTINUM AND HILA: Heart size within normal limits comment no pericardial effusion. No significant mediastinal or hilar lymphadenopathy. Moderate coronary art... | No suspicious masses or findings of metastatic disease. |
Generate impression based on findings. | Reason: s/p gastric bypass 11/2014, evaluate for stenosis History: nausea/vomiting Scout radiography unremarkable, nonobstructive bowel gas pattern, IUD present.Postsurgical changes related to gastric bypass seen. Contrast was seen beyond the gastrojejunal anastomosis and expected location of the jejunojejunal anastomo... | 1.Normal gastric bypass anatomy without evidence of significant stenosis or obstruction. 2.Unprovoked esophageal reflux.3. |
Generate impression based on findings. | 70-year-old female with pain, suspected osteoarthritis The lower cervicothoracic spine is not well seen on the lateral view due to overlying anatomy. Moderate degenerative disk disease affects C5/6. There are anterior vertebral body osteophytes at C3, C4, and C5. Moderate multilevel facet joint osteoarthritis is noted.... | Degenerative disk disease/osteoarthritis and other findings as described above. |
Generate impression based on findings. | 41 year-old female with pain, evaluate navicular fracture. Three views of the right foot show a 5-mm crescentic ossicle along the dorsal navicular representing a minimally displaced avulsion fracture. Ossicles overlying the anterior recess of the tibiotalar joint likely represent loose bodies. | Navicular avulsion fracture and loose bodies in the tibiotalar joint. |
Generate impression based on findings. | Reason: S/p laparoscopic IPAA handsewn in September 2014. Please evaluate to see if pouch is healed. Take down tomorrow. History: UC There is prompt opacification of the J-pouch.Trial straining showed appropriate descent of the perineal floor; voluntary anal sphincter contraction demonstrated expected perineal elevatio... | Evaluation of J-pouch demonstrated no leak. |
Generate impression based on findings. | 11 year old male status post kidney transplant, graft monitoring. RENAL TRANSPLANT: Appropriate renal cortical echogenicity. No perinephric fluid collection. LOCATION: Right iliac fossa.PERITRANSPLANT TISSUES: No significant abnormality notedCOLLECTING SYSTEM/URETER: There is grade 1 hydronephrosis.URINARY BLADDER: No ... | Patent renal vasculature. |
Generate impression based on findings. | 10-month-old female not move arms symmetrical left arm limited range of motionVIEWS: Left shoulder, right shoulder, internal and external rotation (4 views); Left clavicle, right clavicle AP/axial (4 views) 1/14/2015 Right shoulder: No fracture or malalignment is evident.Left shoulder: No fracture or malalignment is ev... | Normal examination. |
Generate impression based on findings. | 62-year-old male with history of relapsed CLL on treatment regimen. Evaluate disease status. CHEST:LUNGS AND PLEURA: Reference right upper lobe nodule measures 1.0 x 1.1 cm (series 4, image 70), unchanged. No new suspicious nodules or masses. Scattered micronodules are again noted. No pleural effusion or pneumothorax.M... | 1.No significant interval change in reference lymph nodes. 2.No evidence of new disease. |
Generate impression based on findings. | Female 35 years old Reason: 35F with CD s/p total proctocolectomy with end ileostomy c/b recurrent intraabdominal abscesses s/p IR drainage with evidence of partial SBO on recent imaging. Not progressing with diet, continues to have lower abdominal pain. History: s/p total proctocolecotmy with end ileostomy c/b abscess... | 1.Multiple dilated loops of small bowel predominating in the upper abdomen presumably representing a mechanical small bowel obstruction which has been described in detail previously and appears stable.2.Resolution of abdominal ascites3. Enlarging right pleural effusion. Stable left pleural effusion |
Generate impression based on findings. | Ms. Cooney is a 67 year old female with a personal history of left breast mastectomy in 2008 for IDC followed by implant-based reconstruction and chemotherapy. She also had a right breast reduction and benign right breast biopsy. Three standard views of the right breast were performed digitally and reviewed with the ai... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 54-year-old male with knee pain. Preoperative examination. Mechanical axis radiograph of the right lower extremity demonstrates moderate-severe osteoarthritis affecting the right knee with approximately 5 degrees of varus angulation relative to the neutral mechanical axis. Severe osteoarthritis affects the right hip. T... | Osteoarthritis and varus deformity of the knee. |
Generate impression based on findings. | Five year old female with history of neuroblastoma. Off therapy. CHEST:LUNGS AND PLEURA: Lingular pinpoint densities are nonspecific and of uncertain significance.MEDIASTINUM AND HILA: The heart size is normal. There is no evidence of mediastinal or hilar lymphadenopathy on the basis of size criteria.CHEST WALL: There ... | 1.Soft tissue prominence anterior to the L1 vertebral body, without significant interval change dating back to 1/29/2014.2.Pinpoint densities in the lingula are nonspecific and of uncertain significance. |
Generate impression based on findings. | 65 year-old female with metastatic breast cancer and chronic subdural hematoma, evaluate for progression. There is no evidence of acute intracranial hemorrhage. Redemonstration of right cerebral convexity subdural fluid collection, again measuring up to 6 mm in thickness in at least one area, but overall significantly ... | 1. No evidence of new/acute intracranial hemorrhage.2. Redemonstration of right subdural fluid collection, which appears to be resolving.3. Stable appearance of postoperative findings related to left parieto-occipital craniotomy. |
Generate impression based on findings. | There are postsurgical changes of right frontal and temporal craniotomy from prior meningioma resection appearing similar to the prior exam. No evidence of tumor recurrence. Small foci of susceptibility in the region of the resection cavity appear similar to the prior exam and likely represent microhemorrhage secondar... | Postsurgical changes of meningioma resection without evidence of recurrence. |
Generate impression based on findings. | 10 year old female status post PICC placement.VIEW: Chest AP (one view) 1/14/2015, 10:50 Endotracheal tube tip below the thoracic inlet and above the carina. Left upper extremity PICC with tip at the level of the tricuspid valve. Enteric feeding tube extends out of the field-of-view. Right central line with tip at the ... | Left upper extremity PICC with tip at the tricuspid valve, retraction recommended. Persistent left lower lobe patchy atelectasis, unchanged. |
Generate impression based on findings. | Female; 65 years old. Reason: h/o HNC and Chemo, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Reference right lower lobe mass superiorly extending from the pleural surface to the right hilum measures 5.5 x 4.6 x 7.5 cm (image 53, series 4 and coronal image 42, series 80216), slightly decreased... | 1. Mixed response to multiple bilateral pulmonary masses and nodules, as detailed above.2. Slightly decreased mediastinal lymphadenopathy. |
Generate impression based on findings. | 38-year-old female with history of multiple endocrine tumors. Evaluate for changes. CHEST:LUNGS AND PLEURA: Scattered stable nonspecific pulmonary micronodules. No masses, no consolidation and no pleural effusion.MEDIASTINUM AND HILA: Heart size within normal limits, no pericardial effusion. No appreciable coronary art... | Unchanged reference lesion measurements. No new findings of metastatic disease. |
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. Multiple benign morphology masses are present 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. | 19-year-old male with nocturnal emesis, evaluate for constipationVIEW: Abdomen AP (one view) 01/14/15 Nonobstructive bowel gas pattern. Normal stool burden. No evidence of obstruction or ileus. | Normal stool burden. |
Generate impression based on findings. | Worsening cough, check for progressing pneumonia or hemorrhage LUNGS AND PLEURA: Essentially unchanged biapical scarring with relative decreasing appearance and more linear structure to the right upper lobe nodular opacity (image 33 series 4), again supporting a resolving infectious process. Patchy areas of bilateral b... | Marked interval increasing effusions and abdominal ascites with underlying compression changes the lung bases. Additional findings suggesting aspiration without a discrete focal pulmonary process or specific findings to suggest a discrete infection. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast carcinoma in a maternal aunt. Two standard digital views of both breasts were performed with tomosynthesis and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in... | 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. | 23 year-old female with Hodgkin's lymphoma status post chemotherapy in June 2014. Evaluate disease status. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural effusions or pneumothorax.MEDIASTINUM AND HILA: Continued interval decrease in supraclavicular and hilar lymphadenopathy. Reference sup... | 1.Continued mild improvement in reference lymphadenopathy. 2.No new sites of disease. |
Generate impression based on findings. | 52-year-old female with known right breast cysts presents for routine follow-up examination. No family history of breast cancer. Bilateral Diagnostic Mammogram: Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglan... | Right simple breast cysts. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Ms. Mechem is a 60 year old female with a history of bilateral mastectomy with reconstruction in Dec 2014. Her husband palpated a mass in the far right lateral reconstructed breast. The patient thinks it may have gotten smaller since then. Upon physical exam at the patient's area of concern, there is a soft, mobile, no... | Right lateral chest wall cyst. No sonographic evidence for malignancy. This cyst is amenable to aspiration if clinically warranted. All results and recommendations were relayed to Dr. Park via phone on 1/14/2015 at 11:00 am.BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Male, 21 years old, status post intracranial lead placement. Redemonstrated are multiple intracranial electrode arrays including two which traverse the right frontal lobe, 3 which traverse the right temporal lobe from a lateral approach, one which traverses the medial right temporal lobe from a posterior approach, and ... | Redemonstration of multiple intracranial electrodes without significant interval change. |
Generate impression based on findings. | Lung cancer CHEST:LUNGS AND PLEURA: A discrete right hilar mass projects inferiorly measuring 5.1 x 4.0 cm (image 59 series 3) with displacement and compression of the adjacent turning right lower lobe pulmonary vein. No definite evidence of discrete invasion is observed although narrowing and displacement is noted. As... | Discrete right hilar mass compatible with known nonspecified lung cancer with questionable lymphangitic spread of tumor extending into the right lower lobe and with potential early extension to the pleural surface. See reference measurements provided |
Generate impression based on findings. | 79-year-old female with right shoulder pain. Three views of the right shoulder demonstrate moderate osteoarthritis affecting the glenohumeral and acromioclavicular joints. The bones appear demineralized. | Moderate osteoarthritis. |
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. | 39 year-old female with persistent heel pain, pattern not consistent with plantar fasciitis. Three views of the left foot demonstrate a mild pes planus deformity with small midfoot osteophytes indicating minimal osteoarthritis. We see no fracture or plantar calcaneal spurs. | Flatfoot deformity and minimal osteoarthritis of the midfoot. |
Generate impression based on findings. | Reason: continued evaluation of a RUL nodule History: f/u LUNGS AND PLEURA: Stable right upper lobe nodule associated scar like opacity (image 83 series 5) measuring 5 mm.Reference right upper lobe nodule (image 112 series 5) measures 6 mm x 8 mm previously measuring the same.No new suspicious pulmonary nodules or mass... | 1.Stable right upper lobe nodule. Follow-up examination in one year is recommended.2.Moderate to severe central lobular emphysema. |
Generate impression based on findings. | Metastatic lung cancer status post 6 doses of Gemzar. CHEST:LUNGS AND PLEURA: Right hemithorax volume loss with numerous pleural and subpleural nodules, subjectively improved. Reference measurements on the right as follows:1. Abutting the superior mediastinum, aortic arch level (4/29): When measured in a similar fashio... | Interval improvement in the reference measurements and overall tumor burden in the right hemithorax. Improved non-index bilateral mediastinal and right axillary, subpectoral and hilar lymphadenopathy. |
Generate impression based on findings. | Male 28 years old; Reason: 6 month colon cancer survellance History: surveillance CHEST:LUNGS AND PLEURA: No significant abnormality noted MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedOTHER: ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No sig... | 1. No evidence of recurrence. |
Generate impression based on findings. | Reason: 64 yo F smoker hx of R lower lobectomy for mgmt of T1aN0M0 Stage IA adenocarcinoma 2010 - last surveillance CT 2011 (pt failed other surveillance). pls eval for malig History: cough, smoker LUNGS AND PLEURA: Status post right lower lobectomy with volume loss in the right lung. No suspicious pulmonary nodules or... | No interval change without evidence of metastatic disease. |
Generate impression based on findings. | Female; 55 years old. Reason: f/u old pulmonary nodules, r/o progression of disease, malignancy History: chronic cough, 60-70 pack year history of smoking LUNGS AND PLEURA: No significant interval change in scattered subpleural micronodules in the right upper and middle lobes, which may be post inflammatory in etiology... | Stable scattered subpleural micronodules, which may be post inflammatory. No new suspicious pulmonary nodules or masses. |
Generate impression based on findings. | Ms. Booth is a 40 year old female with a personal history of known left breast IDC treated with neoadjuvant chemotherapy. She presents today for imaging to assess for response to therapy. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is h... | Decrease in size of index cancer and axillary lymph node. Per patient, she is scheduled for a mastectomy in Feb 2015. Follow up with Dr. Chhablani as surgically warranted. BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | Evaluate Dobbhoff tube position.VIEW: Abdomen AP Enteric feeding tube tip in the body of the stomach. The urinary catheter has been removed. Nonspecific disorganized bowel gas pattern. No evidence of pneumatosis, portal venous gas, or intraperitoneal free air. Numerous clips project over the superior right thigh. There... | Enteric feeding tube tip in the body of the stomach.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 83-year-old female with unequal and minimally reactive pupils. No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No mass, midline shift or uncal herniation. Dilatation of the ventricles and prominence of the sulci compatible with moderate age-related atrophy. No extra-axial coll... | 1. No evidence of intracranial hemorrhage. 2. Moderate periventricular/subcortical white matter hypodensities likely represent age-indeterminant small vessel ischemic disease. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical s... |
Generate impression based on findings. | Male; 78 years old. Reason: Pleural mesothelioma please compare to prior exam per recist criteria. History: Pleural mesothelioma LUNGS AND PLEURA: Left hemithorax pleural thickening and nodularity compatible with known diagnosis of mesothelioma. Left pleurex catheter similar in position. Reference lesions on the left a... | Slightly increased size of numerous right intrapulmonary metastases, but otherwise, no significant interval change in the left pleural, mediastinal, and left chest wall disease. No new sites of disease identified. |
Generate impression based on findings. | Reason: thymoma, s/p chemo and RT. Pls c/w previous study and evalaute dx status History: thymoma CHEST:LUNGS AND PLEURA: Right perihilar opacity unchanged.Right lower lobe opacity (image 40 series 5) is difficult to accurately measure measure. Best estimate is 12 mm x 10 mm decreasing measuring 11 mm x 10 mm. Right ba... | Stable pulmonary nodules. |
Generate impression based on findings. | 86-year-old male with history of type B dissection with chest pain. Evaluate.Per conversation with the ordering physician, patient in acute renal failure and evaluation with noncontrast examination is preferred. Evaluation for aortic dissection is significantly limited given noncontrast examination for the above stated... | Evaluation for aortic dissection is significantly limited given noncontrast examination.1.No significant interval change in the intramural aortic hematoma starting distal to the left subclavian artery and terminating in the mid thoracic aorta.2.Bilateral hypoattenuating renal lesions are unchanged and most likely cysts... |
Generate impression based on findings. | History of hepatic hemangiomas. LIVER: There are at least 3 subcentimeter well-circumscribed slightly hypoattenuating lesions identified within the right hepatic lobe, which are probably hemangiomas. Trace free fluid is evident about the liver. The liver measures 7.5 cm in length and demonstrates appropriate parenchyma... | 1.Subcentimeter hypoechoic lesions in the right hepatic lobe probably representing hemangiomas.2.Nonobstructing left renal stone. |
Generate impression based on findings. | 41 year old female who was recalled from screening mammogram for questionable architectural distortion in the right breast. Family history of breast carcinoma in her maternal aunt. An ML view and one spot compression view of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast p... | 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. | Ankle pain status post trauma. Evaluate for fracture. There is a nondisplaced fracture through the base of the fifth metatarsal which I suspect is acute. A triangle-shaped ossicle posterior to the talus may represent an old fracture fragment or perhaps an os trigonum, but I suspect that it is chronic in etiology rather... | 1.Fracture of the base of the fifth metatarsal which I suspect is acute.2.Ossicle posterior to the talus which I suspect is chronic in etiology; however, if there is clinical concern for an acute fracture at this location, CT may be considered for further evaluation.3.Arthritic changes as described above likely represe... |
Generate impression based on findings. | PICC repositioningVIEW: Chest AP (one view) 01/14/15 Left upper extremity PICC with tip in the right atrium. Right internal jugular central venous catheter tip is at the superior cavoatrial junction. ET tube tip is below thoracic inlet and above the carina. Enteric tube appears within the duodenum with tip below the fi... | Left PICC tip in the right atrium.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Head and neck and lung cancer. CHEST:LUNGS AND PLEURA: A spiculated nodule is observed in the right upper lobe in the posterior segment (image 28 series 4) measuring 15 x 9 mm. There is associated biapical scarring with scattered mild central lobular emphysematous changes, again greater in the upper lungs. Additional s... | 1. A right upper lobe focal spiculated nodule concerning for a primary malignancy with additional scattered changes suggesting aspiration. See detail provided above |
Generate impression based on findings. | Shortness of breath. Stage IV lung cancer based on outside hospital reports. Has pleurex on the right not draining ; evaluate placement of the tube as well as extent of malignancy. LUNGS AND PLEURA: Near circumferential nodular pleural thickening in the right hemithorax consistent with known tumor. For reference, tumor... | 1. Extensive pleural tumor of the right hemithorax causing leftward mediastinal shift and mass effect upon the right atrium, SVC, and suprahepatic IVC. Tumor extends through the chest wall at several sites and encroaches upon right neural foramina of the lower thorax. 2. Acute pulmonary emboli extending from the distal... |
Generate impression based on findings. | Alcohol abuse, status post fall Head: There is no intracranial hemorrhage, edema, midline shift, or abnormal extraaxial fluid collections. There is global parenchymal volume loss. There is mild patchy subcortical and periventricular white matter hypoattenuation, most compatible with chronic small vessel ischemic change... | 1. No evidence of acute intracranial hemorrhage or mass effect. 2. No acute cervical fracture or subluxation. Moderate degenerative change in the cervical spine as described above.3. Unchanged left frontal sinus mass, which likely represents an osteoma. |
Generate impression based on findings. | Ms. Wilson is a 75 year old female with an focal asymmetry identified on mammogram and ultrasound. She presents today for biopsy of this area. Left ultrasound identified two target lesions for biopsy, one of which was seen on most recent ultrasound and recommended for biopsy. The two target lesions were closely adjacen... | (1) Successful ultrasound-guided core biopsy of two hypoechoic left breast lesions, both of which collapsed entirely by the end of the procedure, suggesting cysts. Clip was placed. (2) The two biopsied lesions were anterior to the original mammographically detected mass. A second look ultrasound identified two addition... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast carcinoma in her maternal uncle. Two standard digital views of both breasts were performed with tomosynthesis and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, 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: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of ovarian carcinoma diagnosed at age 49. 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 patte... | 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. | Head and neck cancer CHEST:LUNGS AND PLEURA: Interval decreasing number of the multiple scattered right sided nodules, specifically the right upper lobe nodules currently not appreciated. However, the largest reference lesion in the right lower lobe (image 84 series 4) has increased in size, currently measuring 2.4 x 2... | Continued interval increasing size and surrounding changes to the cavitary right lower lobe nodular mass. Interval resolution of previously noted additional pulmonary nodules and interval surgery, see detail provided above |
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. | Back pain, right lower extremity radiculopathy. Preoperative planning. There is a slight levoscoliosis of the lumbar spine as seen on the AP view. Severe degenerative disk disease affects L5/S1 as well as L1/2, with moderate degenerative disk disease affecting the remaining lumbar levels. There is also multilevel facet... | Degenerative disk disease/osteoarthritis as above. |
Generate impression based on findings. | Left hip osteoarthritis Severe osteoarthritis affects the left hip with near bone-on-bone apposition superiorly. | Severe osteoarthritis. |
Generate impression based on findings. | Status post fall with low back pain. There is a mild compression fracture of L2 that I suspect is acute or perhaps subacute. The remaining lumbar vertebral body heights are within normal limits. Slight anterior wedging of the lower thoracic vertebra is probably of no clinical significance. Severe degenerative disk dise... | Findings suggestive of an acute/subacute compression fracture of the L2 vertebral body. Degenerative arthritic changes as described above. |
Generate impression based on findings. | Acute respiratory infectionVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Minimal peribronchial wall thickening with subsegmental atelectasis in the left lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | Acute pain and swelling in left foot and ankle. Evaluate for fracture versus gout flare. Three views of the left ankle are provided. There is mild diffuse soft tissue swelling. I see no fracture. The bones appear demineralized, suggesting osteopenia/osteoporosis. There is mild osteoarthritis of the ankle joint, but I s... | Soft tissue swelling and osteoarthritic changes as described above. I see no fracture or specific radiographic features of gout. |
Generate impression based on findings. | Female 58 years old; Reason: 57 yr old patient with ovarian cancer s/p 8 cycles of MEK-162 compare to 11-5-14 scan eval disease process. History: none CHEST:LUNGS AND PLEURA: Scattered left lung micronodules. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion.Left chest wal... | 1.Stable measurements of the reference lesions which are partially calcified. Increase in the size of the right retroperitoneal nodularity with measurements provided above. |
Generate impression based on findings. | Reason: follow up lung cancer History: exertional SOB CHEST:LUNGS AND PLEURA: Right lower lobe postsurgical changes again noted.Postsurgical and post radiation volume loss on the left.No new suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy. Stable... | Stable exam without evidence of recurrent tumor or metastatic disease. |
Generate impression based on findings. | 38 years Male. Reason: eval for hydrocephalus; history of hydrocephalus and shunt placement History: AMS. Redemonstration of bilateral parietal-approach ventriculostomy catheters, and remnant of a left frontal approach ventriculostomy catheter. The left parietal-approach catheter continues to drain into the cervical su... | 1. Compared to 1/12/2015, stable appearance of the lateral ventricles and third ventricle.2. Status post multiple ventriculostomies including left Torkildsen shunt.3. No evidence of acute intracranial hemorrhage, mass-effect, or edema.4. Stable 5 mm fluid collection in the right frontal scalp at the site of the prior E... |
Generate impression based on findings. | Extensor retinaculum nerve compression. Any acute findings? The soft tissues appear mildly edematous, but I see no fracture or malalignment. | Mild soft tissue swelling without fracture evident. |
Generate impression based on findings. | Male 78 years old; Reason: Pleural mesothelioma please compare to prior exam per recist criteria. History: Pleural mesothelioma ABDOMEN:LUNG BASES: Extensive left thoracic tumor. This is detailed in the chest section.LIVER, BILIARY TRACT: Status post cholecystectomy. No focal hepatic lesions. No biliary ductal dilatati... | 1.Increase in the left chest wall mass. |
Generate impression based on findings. | 5 year old female with metastatic neuroblastoma now nine months off therapy. There is slight interval increase in size of level 1 lymph nodes. For example, a left level 1A lymph node measures 6 mm in short axis, previously 4 mm and a right level 1B lymph node measures 6 mm, previously 4 mm. There is interval increase i... | 1.Level 1 lymph nodes and tonsils have slightly increased in size, which may be reactive in nature, but nonspecific. 2.Evidence of acute sinusitis and mastoiditis. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Postoperative changes are seen from interval decompression of the foramen magnum, with suboccipital craniectomy and resection of posterior arch of C1. The neo-foramen magnum is now widely patent, with ample CSF along the dorsal aspect of the tonsils. The tip of the now rounded cerebellar tonsils extend to the level of... | 1. Interval suboccipital decompression with widely patent neo-foramen magnum. Improved biphasic CSF flow through this level, as well is suggested through the fourth ventricle.2. Significant interval reduction in extent and caliber of the cervical thoracic syringohydromyelia as detailed above. No residual central spinal... |
Generate impression based on findings. | Lateral pain and swelling. Rule out fracture. There is perhaps mild soft tissue swelling. I see no fracture. Small osteophytes are noted affecting the ankle and midfoot articulations. | Mild soft tissue swelling and small osteophytes; I see no fracture. |
Generate impression based on findings. | Male, 73 years old, altered mental status on anticoagulation. Extensive patchy areas of hypoattenuation and encephalomalacia in the left cerebral hemisphere are again seen without significant interval change. Similar patchy hypoattenuation within the right cerebral hemisphere has progressed, at least in the frontal lob... | Sequelae of extensive prior ischemic injury are demonstrated with some progression in the right cerebral hemisphere. While many of these areas do appear chronic, the possibility of subtle superimposed acute ischemia cannot be excluded. This can be better assessed with MRI if clinically warranted.No evidence of intracra... |
Generate impression based on findings. | Female 32 years old; Reason: persistent pelvic fluid collection History: pelvic fluid collection ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal in morphology. No focal hepatic lesions. The hepatic and portal veins are patent.SPLEEN: No significant abnormality noted.PANCREAS: ... | 1.Decreasing abdominal and pelvic fluid collections |
Generate impression based on findings. | Hip total arthroplasty, primary, uncemented Precursor components of a right total hip arthroplasty device are situated in gross anatomic alignment. Gas density in the soft tissues represents a surgical wound. The superior aspects of the iliac wings are not included on the field of view of this study. | Intraoperative findings of right total hip arthroplasty placement as described above. |
Generate impression based on findings. | 80 years, Female. Reason: GI bleeding, evaluate for bowel perforation Nonobstructive bowel gas pattern. No evidence of free air. Incompletely imaged patchy bibasilar airspace opacities. Vascular calcifications noted. | Nonobstructive bowel gas pattern. No evidence of free air. |
Generate impression based on findings. | Neutropenic fever and AML history LUNGS AND PLEURA: Persistent unchanged scattered right-sided nodules with mild surrounding ground glass changes. Appearance again given patient's history is concerning for atypical infection including fungal etiologies. No evidence of significant change or new superimposed findings. No... | Unchanged pulmonary status without new focal abnormalities. Scattered multiple right-sided pulmonary nodules again concerning for atypical infection including fungal etiologies given patient history |
Generate impression based on findings. | Toe pain. Left sciatica, previous surgery (L5/S1 fusion). Three views of the left great toe are provided. Moderate osteoarthritis affects the first metatarsophalangeal joint with prominent osteophyte formation dorsally.Five views of the lumbar spine are provided. There is orthopedic fixation of L5/S1 anteriorly, with a... | Osteoarthritis of the great toe and postoperative changes of lower lumbar spine fusion as described above. |
Generate impression based on findings. | 54-year-old male with right knee osteoarthritis, preop for right UKA. CT images of the right knee demonstrate moderate-severe osteoarthritis of the knee with near bone-on-bone apposition of the medial femoral compartment. There are also tricompartmental osteophytes. A 6-mm ossicle within the anterior aspect of the late... | Osteoarthritis and other findings as described above. |
Generate impression based on findings. | Recurrent lung adenocarcinoma, surveillance CHEST:LUNGS AND PLEURA: Postsurgical change in the right upper and left lung laterally and lingular regions, demonstrating unchanged suture material and volume loss. No suspicious new nodules or masses. No effusionsMEDIASTINUM AND HILA: Small left thyroid hypodense nodule, pr... | No specific findings or changes, specifically no metastatic disease |
Generate impression based on findings. | Esophageal adenocarcinoma status post chemotherapy, restage. CHEST:LUNGS AND PLEURA: Interval development of multifocal fibrosis in the right apex and a scarlike opacity in in the anterior right lung.Right lower lobe segmental/subsegmental atelectasis related to acute pulmonary embolus. No pleural fluid. No suspicious ... | 1. Small acute right lower lobe pulmonary embolus with associated atelectasis. Dr. Saha verbally notified at time of preliminary interpretation.2. Improved thickening of the distal esophageal segment and size of index/non-index mediastinal lymph nodes.3. Indeterminate left adrenal gland nodule is unchanged, favoring a ... |
Generate impression based on findings. | Pain. Evaluate fracture. Again seen is an oblique fracture through the proximal diaphysis of the fifth metatarsal with fracture fragments in near-anatomic alignment. The full extent of the fracture is better visualized on the current study than on the prior study, likely due to the resorptive phase of healing. A small ... | Fifth metatarsal fracture as above. |
Generate impression based on findings. | 67 years, Female. Reason: n/v, abdominal pain Moderate scoliosis of the spine and degenerative joint disease. Mild blunting of costophrenic angles. Pelvis is excluded from the field of view. No evidence of bowel obstruction. | Pelvis is excluded from the field of view. No evidence of bowel obstruction. |
Generate impression based on findings. | 59-year-old male with cirrhosis. Screen for HCC. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cirrhotic morphology of the liver is re-demonstrated. Reference hypodense lesion in segment 4b with high density material within the lesion status post radiofrequency ablation measures 2.9 x 2.4 cm... | 1.Cirrhotic morphology of the liver with treated liver lesions as above. 2.Multiple previously noted arterially enhancing lesions now demonstrate washout, worrisome for HCC. Reference measurements as above.3.Retroperitoneal lymphadenopathy is unchanged.4.Small new ascites, nonspecific. |
Generate impression based on findings. | 51-year-old female with hammertoe of second toe bilaterally Right foot: There is moderate hallux valgus deformity with flattening of the medial aspect of the first metatarsal head, which may represent prior surgery.Left foot: Mild hallux valgus deformity. The foot otherwise appears unremarkable. | Bilateral hallux valgus deformities as described above. |
Generate impression based on findings. | 61-year-old male with NSCLC presumably stage IV based on outside hospital reports; needs staging PET/CT.RADIOPHARMACEUTICAL: 10.7 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 98 mg/dL. Today's CT portion grossly demonstrates extensive right pleural nodularity compatible with tumor. Moderate right pleural ... | 1.Extensive markedly hypermetabolic tumor involving the right pleura and mediastinum. Additional small foci of probable FDG avid tumor also involving gastrohepatic lymph nodes and the left femoral lesser trochanter.2.Mild FDG activity involving both lower lobe ground glass opacity/consolidation likely infectious or inf... |
Generate impression based on findings. | PICC placementVIEW: Chest AP 1/14/15 Cardiothymic silhouette normal. Placement of a left upper extremity PICC with tip in the right atrium. Bilateral moderate size pleural effusions not significantly changed. Patchy atelectasis bilaterally in the right lower lobe and left lower lobe. | Placement of a left upper extremity PICC with tip in the right atrium. |
Generate impression based on findings. | There is mild supraglottic edema which is likely treatment related but no enhancing laryngeal or hypopharyngeal masses suggest recurrence. A small retropharyngeal effusion is unchanged. There is no evidence of significant cervical lymphadenopathy. Subcentimeter right thyroid nodule. Submandibular glands are atrophic b... | 1.No evidence of supraglottic tumor recurrence or lymphadenopathy in the neck.2.Chronic right maxillary sinusitis is slightly worse than the prior exam.3.For findings in the chest, please see dedicated chest CT performed on the same day. |
Generate impression based on findings. | Esophageal cancer, follow-up CHEST:LUNGS AND PLEURA: Interval resolution of the previously observed small right pneumothorax and underlying effusion. Additionally the biapical scarring appears unchanged with scattered focal areas of tree in bud deformity largely on the right and right upper lobe. These changes are supe... | 1. Status post gastric pull up with enteric tube removed2. Nonspecific new ill-defined hypodensity in the left kidney, not clearly a cyst, and questionably warranting serial and/or dedicated imaging.3. No specific findings to support a intrapulmonary new metastatic disease yet aspiration changes noted. |
Generate impression based on findings. | 52-year-old female with severe pain at medial, anterior and lateral joint and involving the tarsal bones, evaluate for stress fracture The bones appear demineralized suggesting osteopenia/osteoporosis. No fracture is evident. There is mild pes planovalgus deformity. Diffuse soft tissue swelling is noted. | Mild pes planovalgus deformity. |
Generate impression based on findings. | Chronic constipationVIEW: Abdomen AP Large amount of fecal burden. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. | Large amount of fecal burden. |
Generate impression based on findings. | Frontal sinus: Mild left frontal sinus mucosal thickening and frothy secretions within the right frontal sinus. Findings are new since prior.Anterior ethmoids: The anterior ethmoid air cells are clear.Maxillary sinuses: There is mild mucosal thickening within the bilateral maxillary sinuses, and a new fluid level on t... | Mild paranasal sinus disease, as detailed above, including interval increase in amount of layering fluid within the sphenoid and left maxillary sinus as well as within the frontal sinuses. These findings may represent acute sinusitis. No findings to suggest an aggressive sinonasal process. |
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