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Generate impression based on findings. | 69-year-old male with history of metastatic prostate cancer. Evaluate disease status after 9 cycles of investigational therapy. CHEST:LUNGS AND PLEURA: Moderate centrilobular emphysema.Mild bibasilar scarring, similar to prior.MEDIASTINUM AND HILA: No significant abnormality notedCORONARY ARTERY CALCIFICATION: Severe.C... | Stable exam, without findings of new metastatic disease. |
Generate impression based on findings. | 6-year-old female with hydronephrosis. Evaluate for drainage from kidneys. The posterior abdominal radionuclide angiogram demonstrates prompt, symmetrical perfusion of the kidneys. Sequential renal images show moderate left and mild right hydronephrosis. There is prompt uptake of the radiopharmaceutical by both kidneys... | Findings consistent with moderate left and mild right hydronephrosis. No evidence of collecting system obstruction. Follow up examination to monitor renal function is recommended if clinically indicated. |
Generate impression based on findings. | 64-year-old male. Pain in the elbow, forearm. Pain in hip. Evaluate for DJD. Left elbow: No significant osteoarthritis. No fracture or dislocation. Mild enthesopathic changes at the triceps tendon insertion on the olecranon.Right hip: Mild osteoarthritis with mild joint space narrowing superiorly and a tiny femoral hea... | Osteoarthritis, as above. |
Generate impression based on findings. | Male 63 years old Reason: patient with a history of prostate cancer, status post 6 cycles of chemotherapy, please assess for disease progression History: prostate cancer CHEST:LUNGS AND PLEURA: Reference left lower lobe nodule seen on series 4 image 61 measuring 0.6 x 0.6 cm. Previously 1.4 x 1 cm. There are a few scat... | Decrease in size of peritoneal implants. Decrease in size of lung lesion. Other lung findings as above. Change in character of osseous lesions. |
Generate impression based on findings. | Reason: eval for emphysema History: see above LUNGS AND PLEURA: Severe centrilobular and paraseptal emphysema. Bibasilar bronchiectasis, scarring and atelectasis. Irregularly marginated scarlike opacity in the right middle lobe measures 6 x 9 mm (series 4 image 57). No pleural effusions.MEDIASTINUM AND HILA: No mediast... | Severe emphysema. Irreguarly marginated 6 x 9 mm scarlike opacity in the right middle lobe, for which short term follow-up in 3-6 months is recommended. |
Generate impression based on findings. | Airway vascular malformation postop.VIEW: Chest AP (one view) 04/21/15, 1307 Endotracheal tube tip is just above carina.The left lower lobe is completely atelectatic. No other focal lung abnormalities seen. Cardiothymic silhouette is normal. | Lobar atelectasis - left lower. |
Generate impression based on findings. | Male 51 years old Reason: PROSTATE CANCER History: PROSTATE CANCER No significant findings.OTHER: No significant abnormality noted | No evidence of pelvic mass or free fluid. |
Generate impression based on findings. | Female 70 years old Reason: 69F with new diagnosis of MALT lymphoma History: staging CT CHEST:LUNGS AND PLEURA: Bilateral patchy groundglass opacities, more prominent in the upper lobes, nonspecific.MEDIASTINUM AND HILA: Left thyroid lobe nodule.CORONARY ARTERY CALCIFICATION: Severe.CHEST WALL: No significant abnormali... | No evidence of enlarged lymph nodes in the chest abdomen or pelvis. |
Generate impression based on findings. | Male 7 years old Reason: Evaluate degree of stool burden History: severe constipationVIEW: Abdomen AP (one view) 4/21/15 at 1328 hrs. Increasing in fecal accumulation with no evidence of obstruction or free air. | Nonobstructive fecal accumulation. |
Generate impression based on findings. | Male 34 years old Reason: History of metastatic testicular cancer (to RPLN) s/p chemo History: none CHEST:LUNGS AND PLEURA: Stable right basilar subcentimeter nodulesMEDIASTINUM AND HILA: No significant abnormality notedCORONARY ARTERY CALCIFICATION: Non-CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIAR... | No significant change from previous study. |
Generate impression based on findings. | 67-year-old female with concern about lung neoplasm. Patient with left lung the spiculated nodule since November 2014RADIOPHARMACEUTICAL: 10.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 115 mg/dL. Today's CT portion grossly demonstrates left upper lobe spiculated nodule which has been previously demonst... | 1.Hypermetabolic left upper lobe nodule suspicious for primary lung carcinoma.2.Scattered pulmonary micronodules as above with faint metabolic activity are nonspecific. |
Generate impression based on findings. | 26-year-old male. Relapsed AML, paraplegia. Elevated CRP, positive quantitative wound cultures. Evaluate for fluid collection around a sacral decubitus ulcer. Limited evaluation for a fluid collection without intravenous contrast. There is a sacral decubitus ulcer with soft tissue density abnormality and foci of air at... | 1. Sacral decubitus ulcer with underlying soft tissue density abnormality and a few foci of air that may represent granulation tissue/phlegmon. No focal large drainable fluid collection is associated. 2. Subtle erosion of the S5 median crest, suspicious for osteomyelitis. |
Generate impression based on findings. | Reason: pulmonary nodules on chest CT of Jan 2015 History: none (patient with history of breast and colon cancer.) LUNGS AND PLEURA: Diffuse bilateral subcentimeter subsolid pulmonary nodules are not significantly changed. Reference left lower lobe subsolid nodule measures 5 mm (series 5 image 184), previously 5 mm.No ... | Bilateral diffuse subsolid pulmonary nodules have not significantly changed, most likely inflammatory in etiology. No suspicious pulmonary nodules or masses. Follow-up with routine surveillance for known primary malignancies. |
Generate impression based on findings. | Reason: evaluate sinuses History: chronic sinusitis tx medically without resolution; outside CT scan showed nasal polyps, per patient The ostiomeatal complex units are patent bilaterally. Within the nasal cavity no obstructive lesions are appreciated. Incidental note is made of concha bullosa bilaterally.The frontal si... | 1.No evidence for paranasal sinus outlet obstruction.2.Incidental note is made of fibrous dysplasia in the left sphenoid bone |
Generate impression based on findings. | Male 86 years old Reason: nephrolithiasis History: This study is limited due to lack of intravenous contrastABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signi... | Limited study due to lack of intravenous contrast. Bilateral renal vascular calcifications. Possible right upper pole renal stone without evidence of hydronephrosis. |
Generate impression based on findings. | Male 59 years old Reason: follow up of GIST tumor evaluate for signs of recurrence History: none CHEST:LUNGS AND PLEURA: Scattered micronodules unchanged.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Punctate hypodensity dome anterior seg... | Stable punctate hypodensities in the liver. Stable lung micronodules |
Generate impression based on findings. | Male 68 years old Reason: metastatic RCC History: abdominal pressure and cough CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Index prevascular lymph node measures 10 x 7 mm image number 45, series number 3, unchanged.CORONARY ARTERY CALCIFICATION: None.CHEST WALL: No significant abnormal... | Minimal interval increase in the size of the pancreatic head mass, otherwise no significant change from previous study. |
Generate impression based on findings. | 56-year-old male with history of metastatic melanoma. Assess disease status.RADIOPHARMACEUTICAL: 12.0 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 97 mg/dL. Today's CT portion grossly demonstrates lytic lesion in the right glenoid. Postoperative changes of cholecystectomy; the previously noted soft tissue... | 1.Significant interval improvement in the size and activity of the gallbladder fossa mass.2.No significant interval change in the activity of the right glenoid lytic lesion, which may represent metastatic disease.3.Interval increase in size of left knee joint effusion. |
Generate impression based on findings. | Male; 67 years old. Reason: pancreas cancer follow up CHEST:LUNGS AND PLEURA: New nonspecific 4-mm right upper lobe pulmonary nodule (series 4/37). Scattered calcified micronodules from prior inflammatory disease, unchanged. No pleural effusions.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Right ch... | 1. New right upper lobe pulmonary nodule, which is nonspecific and may be due to new metastasis. Short-term follow-up CT can be obtained as clinically indicated.2. Stable appearance of pancreatic mass with extension around adjacent vascular structures as described above. |
Generate impression based on findings. | Fall onto right shoulder yesterday. Range of motion limited pain.VIEWS: Right shoulder internal/external rotation (two views) 04/21/15 The humeral head is normally positioned with respect to the glenoid fossa. No fracture or dislocation is identified. | Normal examination. |
Generate impression based on findings. | 62-year-old male with history of prostate cancer status post cycles of chemotherapy. Evaluate Multiple abnormal osseous foci of increased activity are present involving the right posteromedial sixth rib, S1, and the medial left iliac wing, compatible with osseous metastases and not significantly changed. Interval decre... | Stable to mildly decreased multifocal osseous metastatic disease. |
Generate impression based on findings. | Male 40 years old Reason: evaluate vasculature to support kidney transplant History: absent distal pulses This study is limited due to lack of intravenous contrast.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: ... | Limited study due to lack of intravenous contrast. Bilateral hypodense lesions in the kidneys, some of which contain wall calcifications. Lack of intravenous contrast limits optimal evaluation of the kidneys. |
Generate impression based on findings. | 69 year-old male with a history of a maxillary sinus mass. Present with weight loss. Evaluate for abdominal process. CHEST:LUNGS AND PLEURA: Scattered, calcified and noncalcified pulmonary micronodules, likely related to prior granulomatous disease. No suspicious pulmonary masses or nodules. No pleural effusions.MEDIAS... | 1. No acute abdominal process or other specific findings to account for the patient's weight loss.2. Mild biliary ductal dilatation without an obvious distal obstructive lesion evident.3. Gallbladder sludge and/or cholelithiasis without acute gallbladder inflammation.4. Degenerative changes of the spine and age-indeter... |
Generate impression based on findings. | Reason: evaluate cervical radiculopathy. L arm weakness, pain History: evaluate for cervical radiculopathy. L arm weakness, pain The cervical vertebral bodies are appropriate in overall alignment and height. No fractures are identified in the cervical spine. Mucus retention cysts are present in the maxillary sinuses.In... | 1.There are degenerative changes present in the cervical spine without significant compromise to the spinal canal or exiting nerve roots.2.There is some distortion and narrowing of the upper trachea which is stable since prior exams. |
Generate impression based on findings. | 62 years, Male. Reason: abdominal distention History: abdominal distention The left hemiabdomen is incompletely included in the field of view. Suboptimal examination secondary to the patient's body habitus. Note is made of gaseous distention of the stomach and colon. There is a focally dilated loop of bowel in the cent... | 1. Suboptimal examination secondary to the patient's body habitus. 2. Focally dilated loop of bowel in the central abdomen, may reflect focal ileus but developing small bowel obstruction not entirely excluded and correlation with patient's clinical history recommended and continued followup suggested.3. Loop of bowel i... |
Generate impression based on findings. | 31 year-old female with palpable right breast mass at 12 o'clock position measuring 2.7 x 1.9 cm for ultrasound guided core biopsy Right ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a hypoechoic mass measuring 27 mm at the 12 o’clock position with increased vascularity, 1 cm from ... | Successful ultrasound-guided core biopsy of the right breast lesion and clip placement, best seen on ultrasound (diffucult to see on mammogram due to posterior location). 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. | 75 year old male with tachycardia, hypoxia. Evaluate for pulmonary embolism. PULMONARY ARTERIES: Filling defect in a right upper lobe subsegmental branch (series 80733, image 43 and series 8, image 68) compatible with pulmonary embolism. Main pulmonary artery caliber within normal limits. No evidence of right heart str... | 1. Acute but solitary pulmonary embolus in a right upper lobe subsegmental branch which is of unclear clinical significance. No evidence of right heart strain. 2. Bilateral small pleural effusions with adjacent compressive atelectasis unchanged. Mild bronchia wall thickening at the bases unchanged. Findings were discus... |
Generate impression based on findings. | Male 13 months old Reason: ingestion of paint chips, evaluate for signs of lead deposit History: paint chip ingestionVIEW: Abdomen AP (one view) 4/21/15 Normal abdomen pattern. No evidence of obstruction, free air or ascites. No radiopaque foreign bodies. | Normal examination. |
Generate impression based on findings. | There is mild nonspecific prominence of the lateral ventricles. The ventricles and sulci are otherwise within normal limits. The basal cisterns remain patent. There is no midline shift or mass effect. There is questioned slight conspicuity of hyperintensity within the periaqueductal gray, but likely remaining within n... | Essentially unremarkable noncontrast MRI brain except for mild nonspecific prominence of the lateral ventricles. |
Generate impression based on findings. | Age: 51 years. Sex : Male. Reason for study: Reason: r/o aspiration History: cough, dysarthria. Fluoroscopic guidance was provided for an oropharyngeal motility study performed by the Speech Pathology section of the ENT service. The examination was recorded on videotape. No static or hard copy films were obtained. The ... | The exam was positive for penetration and negative for aspiration. Please refer to dedicated speech pathology report for additional findings and feeding recommendations. |
Generate impression based on findings. | Retroperitoneal liposarcoma CHEST:LUNGS AND PLEURA: Stable left lower lobe micronodule.MEDIASTINUM AND HILA: Stable right thyroid nodule. Stable moderate hiatal hernia.CORONARY ARTERY CALCIFICATION: None.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomySPLEEN: No sig... | Subcentimeter mesenteric lymph node just medial to the ascending colon. Would pay special attention to this focus on future surveillance scans. Otherwise stable examination. |
Generate impression based on findings. | Female 72 years old Reason: GI malignancy of unknown primary. Assess disease status: progression vs. stability History: assess disease status: progression vs. Stability. CHEST:LUNGS AND PLEURA: Scattered micronodules unchanged. Some scarring or atelectasis abutting posterior right pleura series 4 image 52.In the corona... | Possible slight increase in size of right axillary enhancing foci.Stable osseous lesions. Stable micronodules lung. Stable cystic lesion abutting left diaphragm. Stable cystic lesion right adnexa. Stable cystic lesion pancreas consistent with IPMN. |
Generate impression based on findings. | Reason: sarcoma of pelvis off chemotherapy and radiation therapy. assess for progression of disease; has hydroureteronephrosis CHEST:LUNGS AND PLEURA: No pleural effusion. No focal pulmonary opacities.MEDIASTINUM AND HILA: Cardiac size is normal. No pericardial effusion. No significant mediastinal or hilar lymphadenopa... | 1.Right hemipelvis ill-defined soft tissue mass in the surgical bed appears unchanged.2.Interval placement of right nephroureteral stent with decreased hydronephrosis and hydroureter.3.No new suspicious lesion is identified. |
Generate impression based on findings. | Reason: re-evaluate neck abscess History: infection There is redemonstration of the drainage tubes located within the soft tissues of the left neck. Drainage tubes enter through the skin surface below the level of the angle of the left mandible and course through the left parotid gland into the left infratemporal fossa... | 1.The examination is not changed significantly since the prior exam from two days ago. There is redemonstration of multiple loculated fluid collections throughout the left neck and retropharyngeal space through which drainage tubes course.2.Small pleural effusions |
Generate impression based on findings. | 16 years, Female, Reason: HHT, hx pulmonary AVMs History: Annual surveillnace pulmonary AVMs, SOB. LUNGS AND PLEURA: Nidus of pulmonary AVM in left upper lobe (4/53) in the right lower lobe (4/75) are unchanged. No new AVMs are evident. No focal consolidation or pleural effusion.MEDIASTINUM AND HILA: No significant abn... | Pulmonary AVMs are stable. No new AVMs identified. |
Generate impression based on findings. | The ventricles and sulci are normal in size. The cerebellar tonsils are minimally low-lying, though less than 5 mm beyond the foramen magnum. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence of acute cerebral, brainstem or cerebellar infarction. A single pu... | Minimally low-lying cerebellar tonsils, which do not meet the imaging criteria for Chiari I malformation. Otherwise, no specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Female 79 years old Reason: liver mass History: liver mass ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Dominant mass in segment 6 measures 6.7 x 5.1 cm is seen on the recent venous phase series 11 image 56 with a cephalocaudad extent of 6.8 cm as seen on venous coronal image 79. It has inc... | Dominant hepatic mass consistent with adenocarcinoma with several satellite lesions and local invasion of the adjacent ascending colon.Possible adrenal metastasis. |
Generate impression based on findings. | 65-year-old female. Hip pain. Evaluate for osteoarthritis. Evaluate for hip widening. Left hip: Total left hip arthroplasty device in anatomic alignment without radiographic evidence of hardware complication.Pelvis: Aforementioned left total hip arthroplasty device. Moderate osteoarthritis affects the right hip, simila... | Total left hip arthroplasty device and right hip osteoarthritis. |
Generate impression based on findings. | Reason: eval for hemorrhage History: altered mental status There is redemonstration of a right frontal lobe mass which currently measures 49 x 30 mm in axial dimensions and previously measured 30 x 20 mm axial dimensions. There is associated white matter hypodensity suggestive of vasogenic edema in the right hemisphere... | 1.Since the prior exam right frontal lobe mass has increased in size and there is greater midline shift on the current versus the prior exam. There is mild uncal herniation present2.Opacification of the left mastoid air cells and middle ear. Please correlate with clinical findings. |
Generate impression based on findings. | 65-year-old female. Right foot pain. Assess for arthritis. Mild first MTP joint osteoarthritis. Small plantar and posterior calcaneal spurs. No fracture or dislocation. | Mild osteoarthritis. |
Generate impression based on findings. | 56 year old female with history of thyroid cancer. Status post thyroidectomy. THYROID: The patient is status post thyroidectomy. RIGHT THYROIDECTOMY BED: Status post thyroidectomy with no evidence of residual or recurrent disease. LEFT THYROIDECTOMY BED: Status post thyroidectomy with no evidence of residual or recurre... | Status post thyroidectomy with no evidence of local recurrence or cervical lymphadenopathy. |
Generate impression based on findings. | 15-year-old male. Right ankle pain. Pain and swelling. Moderate soft tissue swelling about the ankle. No fracture or malalignment. | Moderate soft tissue swelling without underlying fracture. |
Generate impression based on findings. | 60 year old female with COPD, sob LUNGS AND PLEURA: Severe emphysema with marked architectural distortion. Scattered bilateral micronodules, some of which are calcified compatible with prior granulomatous disease. Right apical partially calcified nodule containing foci of low density likely fat most consistent with a h... | Severe emphysema with scattered bilateral micronodules unchanged presumably benign. Additional right upper lobe calcified nodules with morphology most consistent with a hamartoma. No suspicious pulmonary nodules or masses. |
Generate impression based on findings. | Female 70 years old Reason: Patient with 3 R thyroid nodules and 1 L nodule: left nodule FLUS. Pls bx L nodule and suspicious R side nodules History: FLUS in L thyroid nodule, suspicious R thyroid nodules (OSH read benign) Comparison was made to prior exam. Nodules in the right lobe all demonstrate signs of comet tail ... | Successful fine needle aspiration biopsy the most suspicious lesion in the posterior aspect of the left lobe. |
Generate impression based on findings. | 4 years, Male, Reason: evaluate for signs of bowel damage/hematoma, liver hematoma, other signs of trauma/abuse History: patient with brusing all over body, elevated AST 100, abdomen grossly distended. ABDOMEN:LUNG BASES: No abnormalities noted.LIVER, BILIARY TRACT: No focal hepatic lesions or intrahepatic biliary duct... | 1.Nonspecific dilated small and large bowel loops.2.No evidence of liver or other solid organ injury. No fractures. |
Generate impression based on findings. | 67-year-old with history of left mastectomy for breast cancer. Three standard views of the right breast and a right lateral exaggerated CC view were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distr... | 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. | Reason: seizure, eval ICH History: seizure d/o, additional sz, low grade glioma hx, eval ICH The hypodense lesion involving gray and white matter in the right temporal lobe which has been previously present. On the current exam sagittal dimensions were 70 x 36 mm on prior exam sagittal dimensions were 36 x 70 mm .Patie... | 1.Stable right temporal lobe lesion. If clinically appropriate or possible MRI of the brain may be of further benefit in evaluating this lesion2.Cerebellar atrophy. |
Generate impression based on findings. | Clinical question: Rule acute ischemia. Signs and symptoms: Slurred speech. Unenhanced head CT:There is revisualization of a small cortical low attenuation of the right postcentral gyrus (axial image 25) which could represent a focus of age indeterminant cortical stroke and has remained stable since prior study. There ... | 1.Nonenhanced head CT demonstrate no acute hemorrhage or mass effect. Tiny focus of cortical low attenuation in the right postcentral gyrus similar to prior exam and is suspected for an age indeterminate small cortical stroke. A stable small right anterior mid fossa arachnoid cyst.2.Neck CTA demonstrate shallow atheros... |
Generate impression based on findings. | Male 70 years old; Reason: Evaluate liver lesions; triple phase scan; compare to previous scan History: None Despite reported 4.2 cc injection rate, the arterial phase is somewhat weak with the aorta measuring hundred 42 Hounsfield units series 10 image 36. Likewise the venous phase somewhat weak with the aorta measuri... | 1.Measurements are slightly subjective and marginally slightly increased as detailed above. No new sites of disease. |
Generate impression based on findings. | There is redemonstration of a focal area of nodular enhancement along the anterior aspect of the left masseter muscle, which measures 1.2 x 2.1 cm in greatest axial dimensions, unchanged in size since the outside images. There is a similar appearance of additional nodular enhancing tissue with a more symmetric appeara... | 1. Stable focal nodular enhancement along the anterior aspect of the left masseter muscle consistent with the previously biopsied lesion demonstrating MALT lymphoma. Stable symmetric appearance of other probable accessory parotid tissue along the superficial aspect of the masseter muscles.2. No cervical lymphadenopathy... |
Generate impression based on findings. | 70 year old male with malignant neoplasm of liver, evaluate for progression of metastatic disease LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. Mild dependent atelectasis. No pleural effusion or pneumothorax. MEDIASTINUM AND HILA: Normal sized heart with no pericardial effusion. No mediastinal or hilar a... | No evidence of metastatic disease to the thorax. Please refer to same day CT upper abdomen and pelvis for additional findings. |
Generate impression based on findings. | Male, 73 years old, with Parkinson's disease, imaging for intraoperative guidance of DBS placement. Since the prior examination, a left frontal burr hole has been created, through which a deep brain stimulator has been placed. The lead passes posteriorly, inferiorly and medially to terminate just below the left thalamu... | Expected findings status post placement of a left-sided deep brain stimulator lead. |
Generate impression based on findings. | 92 year-old male with history of bilateral renal cysts on CT. RIGHT KIDNEY: The right kidney measures 10.4 cm. No hydronephrosis or hydroureter. There is a small, approximately 2.5 cm anechoic, minimally complex cyst in the lower pole.LEFT KIDNEY: The left kidney measures approximately 12.1 cm. There is a large, 8.6 x ... | Minimally complex cysts in the bilateral kidneys, favor benign etiology. |
Generate impression based on findings. | Reason: L sided weakness onset overnight History: known brain mets, eval ICH There is a right frontal lobe hematoma present involving cortex. It measures 45 x 33 mm axial dimensions and is associated with vasogenic pattern of edema. The central portion of this hematoma is slightly different density. The right lateral v... | 1.There is a large right frontal lobe hematoma present associated with mass effect. It is possible that this has rehemorrhaged. Given the clinical history, underlying metastatic disease cannot be excluded. |
Generate impression based on findings. | Male, 69 years old, stenosis fusion, assess for stability. Since the prior examination, a spinous process fixation clamp has been placed spanning L3 and L4. Subjacent to the clamp, a segment of bone graft material has been interposed. Partial laminectomy was also performed at L3-4.A mild grade 1 anterolisthesis of L3 r... | Postoperative findings are seen compatible with instrumented spinous process fusion at L3-4.No other significant interval changes are seen. |
Generate impression based on findings. | Male 22 years old Reason: foot injury History: pain, swelling No fracture or malalignment. | No fracture or malalignment. |
Generate impression based on findings. | 74 year old male with history of ascending aortic aneurysm and RUL pleural based nodule, evaluate for progression of aneurysm or nodule, largely asymptomatic. LUNGS AND PLEURA: Scattered punctate micronodules unchanged. No suspicious pulmonary nodules or masses. No pleural effusion or pneumothorax. MEDIASTINUM AND HILA... | No suspicious pulmonary nodules or masses. 2. Ectatic ascending aorta unchanged. |
Generate impression based on findings. | Male 11 years old Reason: fracture VIEWS: Right forearm AP and lateral 4/21/15 (two views) Cast material obscures fine bone detail. Healing radial and ulnar fractures with minimal dorsal bowing deformity are in near anatomic alignment. | Healing fracture in near-anatomic alignment. |
Generate impression based on findings. | There is mild diffuse osteopenia. There is mild leftward convexity of the mid lumbar spine. Postoperative changes are seen from fusion of L4-L5 and L5-S1 with interbody spacers and bone graft material with suggestion of complete interbody fusion. Bilateral pedicle screws are identified at the L3 level, with additional... | 1. Postoperative changes as detailed above relating to L3-S1 fusion, with evidence of expected bony fusion. Slight acute angulation of the crossbar on the left at L5 with questioned small linear lucency, for which correlation with the surgical report is recommended.2. No high-grade stenosis at any level. Mild vertebral... |
Generate impression based on findings. | Reason: 65yo with known HTN, DM, h/o CVA. presents with facial droop and weakness. MRI with acute stroke. Neuro team requesting CTA head/neck for further evaluate History: weakness, facial droop Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral ar... | 1.No evidence for aneurysm.2.Findings suggests that the stenosis along the distal internal carotid arteries along the cavernous segments. Please note this may be partially exaggerated due to the presence of calcification. This is stable when compared to the previous exam3.Old lacunar infarcts in the pons. |
Generate impression based on findings. | Reason: history of DAH, complaints of SOB History: dyspnea LUNGS AND PLEURA: Interval resolution of bilateral pneumothoraces. Interval resolution of right pleural effusion and overlying atelectasis/consolidation. Interval decrease in left pleural effusion and overlying atelectasis/consolidation. Scattered calcified and... | 1.Interval resolution of right and near resolution of left pleural effusions with overlying atelectasis/consolidation. No new pulmonary findings. 2.Expected postsurgical changes of a recent heart transplant. |
Generate impression based on findings. | 41-year-old male. Septic arthritis. Right shoulder: No fracture or dislocation. Glenohumeral alignment is anatomic. No destructive osteolytic changes to suggest osteomyelitis. Enthesopathic changes at the greater tuberosity of the humeral head.Left knee: Alignment is anatomic. No destructive osteolytic changes to sugge... | Moderate left knee joint effusion and diffuse soft tissue swelling about the left wrist. No radiographic evidence of osteomyelitis. |
Generate impression based on findings. | 40 year-old who is recalled from screening for a mass in the left upper outer breast. An ML view and two spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distributio... | Solid mass in the left breast one o'clock position may represent a fibroadenoma. However, to ensure a benign etiology, ultrasound guided core biopsy is recommended. The findings and recommendation were discussed with the patient at the conclusion of the exam.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percut... |
Generate impression based on findings. | Male 61 years old; Reason: sp RFA OF HCC History: HISTORY of hcc ABDOMEN:LUNGS BASES: Extensive segmental atelectasis in the right lower lobe.LIVER, BILIARY TRACT: Cirrhotic morphology liver with post RFA changes reevaluation of index lesions as follows:Lesion in segment one has no enhancement. Hypodense component alon... | 1.No hypervascular lesions in the liver. Increase in size of lesion compared to recent MR may represent treatment effect. 2.Other postsurgical changes and stable splenomegaly. Right basilar atelectasis. Colonic ileus. Stable nephrolithiasis left lower pole. Stable small cystic lesion pancreas. |
Generate impression based on findings. | Reason: mets squamous cell lung cancer newly dx. Pls evaluate CNS status History: lung ca The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchy... | 1.No evidence for brain metastases . Please note that MRI is more sensitive in detecting brain metastases than CT.2.No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Male 63 years old. Reason: right knee pain. History: right knee pain Four weight-bearing views of the right knee are provided. There is a small joint effusion. There is marked joint space narrowing most prominent in the lateral compartment indicating severe osteoarthritis. This has slightly progressed since prior study... | Severe osteoarthritis of the right knee which has slightly progressed since prior study. |
Generate impression based on findings. | 48-year-old male. Status post corpectomy. Postsurgical findings of L3 partial corpectomy, posterior bilateral stabilization rods traversing L1 to L5, and a left lateral anterior instrumented fusion with a side plate and screws in L2 to L4. L1-L2 intervertebral spacer device. No radiographic evidence of hardware complic... | Postsurgical findings of partial L3 corpectomy, posterior fusion of L1 to L5, and lateral side plate fusion from L2 to L4. |
Generate impression based on findings. | 79 year old male, evaluate interval change in pulm nodules LUNGS AND PLEURA: Right lung base 9 mm nodule (series 5, image 223) unchanged. Right lower lobe superior segment subpleural ground glass opacity is ill-defined but increased from prior study when it was more focal, now extending over a 5 cm distance in cranioca... | 1. Right lung base nodule unchanged. 2. Bilateral lower lobe superior segment subpleural ground glass opacities, new on the left, which based on appearance could represent postinflammatory scarring or atelectasis. However, continued follow up is recommend to ensure stability or resolution. |
Generate impression based on findings. | 15 years, Female, Reason: neutropenic fever, now counts coming back. look for invasive fungal vs other History: as above. History of lymphoma. CHEST:LUNGS AND PLEURA: No focal consolidation or effusions.MEDIASTINUM AND HILA: Port catheter tip in the right atrium. No lymphadenopathy. Filling defect previously seen in th... | 1.No CT findings to suggest infection.2.Asymmetric breast tissue with prominent density in the right breast. Recommend correlation with physical exam and possible ultrasound if asymmetry is present.3.Hepatomegaly with hepatic steatosis.4.Resolution of left internal jugular thrombosis. |
Generate impression based on findings. | There is a scoliotic curvature of the spine. The conus is normal in signal and morphology and terminates at an appropriate level. The visualized intra-abdominal and paraspinal contents are unremarkable.T12/L1: No significant spinal canal stenosis or neuroforaminal narrowing.L1/2: There is loss of disk space and mild d... | 1. Compression fracture of L4 vertebral body with fairly diffuse abnormal signal within the vertebral body which is nonspecific and could simply be reactive to fracture. No epidural or paraspinal soft tissue masses are seen. Review of prior CT and PET CT show no destructive bone lesion or hypermetabolic tumor. Altogeth... |
Generate impression based on findings. | 19 year-old female. Left shoulder cystic lesion. Lucency in the greater tuberosity of the humeral head is most likely a normal variant due to decreased trabeculation in this region. No fracture or dislocation. | No concerning cystic lesion in the humerus. The lucency in the greater tuberosity is most likely a normal variant. |
Generate impression based on findings. | 54 years, Male. Reason: kidney stones History: stones Radiopaque density with a tubular configuration superior to the left lumbosacral junction may represent ureteral stone/debris, without definite correlate on previous CT exam. Additional punctate densities overlying the left renal shadow, measuring up to 5 mm, corres... | Radiopaque densities overlying the left renal shadow and the left lumbosacral junction, as above. |
Generate impression based on findings. | 42 year old female. Anterior knee pain. No fracture, dislocation, or arthritic changes. Possible small knee effusion. | No specific finding to explain the patient's symptoms. |
Generate impression based on findings. | 42-year-old male. Pain. Evaluate position of metacarpal heads. Overlying cast obscures fine bone detail. There are fractures of the fourth and fifth metacarpal necks with mild volar angulation of the distal fracture fragment, similar to prior study. Orthopedic fixation of a distal radius fracture, incompletely imaged. | Fourth and fifth metacarpal fractures with mild volar angulation of the distal fracture fragments, similar to prior study. |
Generate impression based on findings. | Male, 66 years old, history of head and neck squamous cell carcinoma. Extensive treatment related findings are seen including infiltration of the fascial planes, supraglottic laryngeal edema, and evidence of bilateral neck dissection as well as surgery in the left floor of mouth and left submental space.Thickening of t... | 1. Findings related to prior therapy and surgery are redemonstrated. Within this abnormal background, no definite evidence of recurrent tumor or pathologic adenopathy is seen.2. Progressive thickening of the lower lip, right side more than left, may also simply represent a response to treatment. However, direct visual ... |
Generate impression based on findings. | 46-year-old male. Right hip pain. Right hip: Severe osteoarthritis with marked joint space narrowing, subchondral sclerosis, and cyst formation.Pelvis: Aforementioned right hip severe osteoarthritis. Moderate osteoarthritis affects the left hip. Widening of the pubic symphysis, which may be post-traumatic. Left femoral... | Osteoarthritis, as above. |
Generate impression based on findings. | 54 years, Female. Reason: OG tube placement History: as above Enteric tube projects in the distribution of the gastric body. Incompletely imaged relative paucity of bowel gas, without radiographic evidence of obstruction. Linear metallic densities overlie the midline, please correlate with patient's surgical history ve... | Enteric tube projects over the gastric body. |
Generate impression based on findings. | 54 year old female with history of intermittent small bowel symptoms. Abdominal pain. ABDOMEN:LUNG BASES: Nonspecific pleural thickening is again noted, unchanged. Amplatz ASD closure device is noted between the cardiac atria. The ascending aorta is ectatic, up to 4.5 cm.LIVER, BILIARY TRACT: No significant abnormality... | 1.No significant abdominal abnormality to explain the patient's intermittent small bowel obstructive symptoms.2.Ascending aorta ectasia as above. |
Generate impression based on findings. | Male 70 years old Reason: fifth digit left hand History: pain Fixed flexion deformity of the distal interphalangeal joint may be secondary to a fracture of indeterminate age. | Fixed flexion deformity of the distal interphalangeal joint may be secondary to fracture of indeterminate age. |
Generate impression based on findings. | 56-year-old male. Status post PSF for osteodiscitis. Evaluate implant position and kyphosis. Post-surgical findings of T7 to L1 fusion with posterior stabilization rods and left costotransversectomy at T11. There is marked disc space loss at T10-T11 with adjacent endplate destruction consistent with stated history of d... | Increased vertebral body height loss of T10 and T11 with associated increased kyphosis. |
Generate impression based on findings. | 65 years old Male. Reason: new diagnosis of NSCLC. History: cough and weight loss. RADIOPHARMACEUTICAL: 14.0 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 102 mg/dL. Today's CT portion grossly demonstrates left lower lobe consolidation and an ill-defined soft tissue density in the left hilum. Multiple medi... | 1.Hypermetabolic mass in the left hilum with obstructive pneumonia/atelectasis in the left lower lung.2.Increased activity in the left hilar and AP window lymph nodes, suspicious for nodal metastasis.3.A focus of increased activity in the left lower visceral pleural surface, which may be due to pleural metastasis or po... |
Generate impression based on findings. | 50 years, Male. Reason: abdominal distention History: abdominal distention Nonobstructive bowel gas pattern. Ingested material is noted within a distended stomach. A moderate amount of stool is seen throughout the ascending and transverse colon. TIPS catheter in place. Calcifications projecting at the level of the pubi... | Nonobstructive bowel gas pattern. Moderate stool burden. |
Generate impression based on findings. | 62-year-old female with history of lymphedema.RADIOPHARMACEUTICAL: A total of 0.513 mCi Tc-99m filtered sulfur colloid was delivered to the operating room A total of 0.513 mCi Tc-99m filtered sulfur colloid was delivered to the operating room for Dr. Chang to inject preoperatively. No images were acquired. | Technetium 99m filtered sulfur colloid was delivered to the operating room for Dr. Chang to inject preoperatively. |
Generate impression based on findings. | Reason: newly mets squamous cell lung cancer. No therapy yet, pls c/w previous study to evaluate dx status History: lung ca CHEST:LUNGS AND PLEURA: Left upper lobe necrotic mass with associated atelectasis is difficult to reproducibly measure, although has not significantly changed compared to prior. It measures approx... | 1.No significant interval change in left upper lobe mass compatible with patient's history of squamous cell carcinoma with pericardial invasion. Adjacent loculated pleural fluid has slightly increased. 2.Unchanged left focal pleural thickening and small pleural effusion suspicious for metastases.3.Stable to slightly in... |
Generate impression based on findings. | Frontal sinus: The frontal sinus and frontoethmoidal recesses are clear.Anterior ethmoids: The anterior ethmoid air cells are clear.Maxillary sinuses: There is minimal mucosal thickening of the right maxillary sinus. The left maxillary sinus is clear. The ostiomeatal units are clear.Posterior ethmoids: The posterior e... | Moderate nodular mucosal thickening along the right lateral nasal cavity, may represent a polyp. Otherwise, very minimal mucosal thickening in the right maxillary sinus. |
Generate impression based on findings. | Male 33 years old Reason: hand caught in stroller 48 hours ago. r/o fx History: Tenderness to palpation and with dorsiflexion of wrist at proximal 4th and 5th metacarpals. No fracture or malalignment. | No fracture or malalignment. |
Generate impression based on findings. | Female 84 years old Reason: s/p fall 4d ago with extreme left foot pain History: as above The bones are demineralized. Osteoarthritis affects the first metatarsal joint and first and second metatarsal cuneiform joints with subchondral cysts noted in the medial cuneiform. Hallux valgus noted. No fracture or malalignment... | No fracture or malalignment. Osteoarthritis as described above. |
Generate impression based on findings. | FractureVIEWS: Left elbow AP lateral (2 views) 4/21/15 15:07 Overlying cast limits evaluation of fine bone details. Medial condyle healing fracture is in near anatomic alignment. | Healing medial supracondylar fracture. |
Generate impression based on findings. | Male 9 years old Reason: HLH, steroids, acute ankle pain, unable to bear wt. r/o fx VIEWS: Right ankle AP, lateral and oblique 4/21/15 (3 views) Generalized bone demineralization and soft tissue swelling. No effusions or fractures noted. | Generalized bone demineralization and soft tissue swelling but no fracture or joint effusion. |
Generate impression based on findings. | Age: 59 years. Sex : Female. Reason for study: Reason: rule out aspiration History: aspiration pneumonia. Fluoroscopic guidance was provided for an oropharyngeal motility study performed by the Speech Pathology section of the ENT service. The examination was recorded on videotape. No static or hard copy films were obta... | The exam was positive for penetration and negative for aspiration. Please refer to dedicated speech pathology report for additional findings and feeding recommendations. |
Generate impression based on findings. | Female 51 years old Reason: sp radical nephrectomy, segmental colectomy, distal pancreatectomy History: leukocytosis, purulent drain output ABDOMEN:LUNG BASES: Again seen are multiple cysts in the lung. In this noted previously in the clinical context compatible lymphangiomyomatosis.New extensive bibasilar atelectasis ... | Postsurgical changes in left renal fossa, peritoneal cavity and abdominal wall. Free fluid and fluid near surgical sites. No loculation to specifically suggest abscess. Bibasilar atelectasis or consolidation.Stable findings including cystic lesions in the lung, probable hepatic cysts, sclerotic focus in T12 and right a... |
Generate impression based on findings. | Reason: Evidence of PE History: Pleuritic-like chest pain, positive D-dimer, verbal report of recently diagnosed prostate cancer. PULMONARY ARTERIES: The technical quality of this examination is adequate for the evaluation of pulmonary embolism. No evidence of acute pulmonary embolism.LUNGS AND PLEURA: There are multip... | No evidence of acute pulmonary embolus. Multiple peripheral foci of consolidation which may represent resolving pulmonary infarcts. These do appear to be reducing in size when correlated to previous radiograph of 2/9/15.Right upper lobe spiculated nodule atypical for pulmonary infarct. While this may represent a focus ... |
Generate impression based on findings. | Male 82 years old Reason: urothelial cancer please provide measurements per recist 1.1 History: urothelial cancer CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Retroesophageal goiter, unchanged. Small mediastinal lymph nodes are unchanged.CORONARY ARTERY CALCIFICATION: Severe.CHEST WALL:... | No significant change from previous study. MRI of the pelvis may be helpful for better characterization of the right pelvic sidewall mass. |
Generate impression based on findings. | Female 63 years old Reason: patient with cervical cancer s/p chemoradiation, now with new pelvic pain despite response in tumor, assess for pelvic fracture History: pelvic pain Minimal osteoarthritis affects both hip joints. No fracture or malalignment. | No fracture. |
Generate impression based on findings. | 31-year-old female with history of metastatic breast cancer who presents for evaluation for a metastatic disease. Increased foci of activity in T11, L1, L2, L3, and right superior pubic ramus suspicious for osseous metastatic disease. Additionally, there is decreased activity in L2 vertebral body corresponding to the s... | Osseous metastatic disease, including right superior pubic ramus, as above.Findings relayed to Dr. Amico, pager 3903, via text page at 3:36 p.m. |
Generate impression based on findings. | Female 61 years old Reason: BL foot pain - suspect plantar fasciitis; r/o other bony anomaly/spurs History: as above Right foot: No fracture or malalignment. Mild osteoarthritis affects the first metatarsophalangeal joint and tibiotalar joint. Small plantar calcaneal spur noted. Remodeling of the fifth metatarsal appea... | Small bilateral plantar calcaneal spurs. Mild degenerative changes as described above. |
Generate impression based on findings. | 62 year old female who was recalled from screening mammogram for bilateral areas of asymmetry. An ML view and spot compression views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and ... | 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. | The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There are no extraaxial fluid collections or subdural hematomas. There is no evidence for intracranial hemorrhage or acute cerebral, brai... | 1. Chronic left thalamic lacunar infarct and possible punctate chronic right cerebellar infarcts, without evidence of acute infarction.2. No acute intracranial abnormality. |
Generate impression based on findings. | Motion degrades fine detail of some sequences. The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The myelination pattern is appropriate for the patient's age. There is no evidence for intracranial hemorrhage or acute cerebral,... | Normal MRI of the brain without mass or developmental abnormality. Normal appearance of the pituitary. |
Generate impression based on findings. | Female 62 years old Reason: Hx of OA in hip and knee. Evaluate for OA or inflammatory arthritis. History: pain Right foot: No fracture or malalignment. No radiographic evidence of inflammatory arthritis.Left foot: No fracture or malalignment. No radiographic evidence of inflammatory arthritis. | No radiographic evidence of inflammatory arthritis. |
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