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Generate impression based on findings. | Images are slightly limited by patient motion. In addition, fat saturation is inhomogeneous especially near the level of the clavicles.The cervical plexus and brachial plexus are well visualized. There are no masses or lymphadenopathy identified. There are no compressive masses demonstrated. There is no axillary lymph... | 1. Negative MRI of the brachial plexus with contrast.2. Demonstration of left posterior third rib abnormality suggestive of healing fracture, retrospectively subtly seen on recent cardiac MRI although not present on prior chest radiograph is. Correlation with x-rays of the left ribs may be helpful. |
Generate impression based on findings. | 47-year-old female. Injury. Severe osteoarthritis affects the right knee with bone-on-bone apposition of the medial tibiofemoral compartment, similar to prior study. There is mild varus deformity. Small knee joint effusion. No fracture or dislocation. | Severe osteoarthritis. |
Generate impression based on findings. | 37-year-old male. Status post right long finger reduction. Interval reduction of the 3rd finger PIP joint dislocation, which is now in anatomic alignment. No fracture is evident. Mild soft tissue swelling. | Interval reduction of third PIP joint dislocation. |
Generate impression based on findings. | 79-year-old female with recent surgery who presents for evaluation of pulmonary embolus. The comparison chest radiograph performed on 4/20/2015 demonstrates no focal pulmonary opacities or pleural fluid. The ventilation images show decreased distribution in the right upper lung. There is slight abnormal Xe-133 retentio... | Examination suggests low probability for pulmonary embolism. |
Generate impression based on findings. | Female 46 years old Reason: check for HO History: s/p hip scope Unremarkable appearance of the right femoral head and neck, specifically no evidence of heterotopic ossification. | No evidence of heterotopic ossification. |
Generate impression based on findings. | 60 year-old female who presents for lung transplant evaluation. The comparison chest radiograph performed on 4/21/2015 demonstrates extensive emphysema with right upper lobe nodule.The ventilation images show matched ventilation perfusion defects in the upper lungs bilaterally, with the most severe decrease in ventilat... | Matched ventilation perfusion defects with quantitation as above. |
Generate impression based on findings. | Status post fractureVIEWS: Right elbow AP and lateral on 4/21/15 (two views) Cast material and bone detail. Healing supracondylar fracture is in anatomic alignment. | Healing fracture, in anatomic alignment after casting. |
Generate impression based on findings. | 66 years, Male. Reason: eval pneumoperitoneum History: hx pneumoperitoneum Persistent free intraperitoneal air, of uncertain etiology which appears stable to slightly increased when compared to prior studies dating back to 4/11/15. The duration is concerning for a persistent air leak. Gastrostomy tube projects in expec... | Free intraperitoneal air is again seen, the duration of which is concerning for persistent air leak, which is stable to slightly increased from prior examinations. Further evaluation of the gastrostomy tube placement/location should be considered if clinically indicated and not already performed. |
Generate impression based on findings. | Female 66 years old. Chronic pain of the bilateral shoulders and neck. Three views of the left shoulder are provided. There are degenerative cysts in the left humeral head indicating mild osteoarthritis. There is no fracture or dislocation.Three views of the right shoulder are provided. The right shoulder appears unrem... | Mild degenerative arthritic changes as described above. |
Generate impression based on findings. | CT VENOGRAM: The superior sagittal sinus, inferior sagittal sinus, transverse sinuses, sigmoid sinuses, straight sinus, vein of Galen, internal cerebral veins, and several visualized cortical veins are patent. There is no evidence of venous thrombosis. Due to venogram phase imaging, evaluation of the arterial intracra... | 1.No evidence of otomastoiditis, regional abscess or dural venous thrombosis.2.Punctate infarcts in the bilateral cerebral watershed zones better depicted on the prior MRI.3.Decreased diffuse cerebral sulcal effacement reflecting improvement in leptomeningeal inflammation/infection. |
Generate impression based on findings. | Male 66 years old. Reason: R hand basilar joint arthritis and small finger PIP arthritis. History: as above Three views of the right hand are provided. There is marked osteoarthritis of the basilar joint. The right fifth digit is held in persistent flexion. There is no fracture or malalignment. | Osteoarthritis of the right basilar joint. |
Generate impression based on findings. | 55-year-old female. Pain. Evaluate for medial malleolus fracture. Moderate soft tissue swelling about the ankle. No fracture or malalignment is evident. | Moderate soft tissue swelling without evidence of a fracture. |
Generate impression based on findings. | 88 year old female. Right THA. Right hip: Hardware components of a total hip arthroplasty device in near anatomic alignment without radiographic evidence of hardware complication. A cable and claw device also affixes the proximal femur/greater trochanter. Interval removal of skin staples.Pelvis: Aforementioned right to... | Right total hip arthroplasty device. |
Generate impression based on findings. | 66-year-old male. Pain. Follow-up fracture. Again seen is a Mallet fracture through the base of the distal phalanx. Alignment is unchanged. The fracture line is indistinct indicating interval healing. | Healing Mallet fracture. |
Generate impression based on findings. | History mesothelioma. Abdominal pain ABDOMEN:LUNG BASES: Right lower lobe airspace opacity unchanged. Right pleural base tumor foci relatively unchanged. Mediastinal adenopathy unchanged.LIVER, BILIARY TRACT: New 1.3 x 1.2 cm low-attenuation focus within the caudate lobe best seen on image 26 of series 3 worrisome for ... | New caudate lobe liver metastasis. Otherwise no significant change in extensive metastatic tumor burden. |
Generate impression based on findings. | 16-year-old male. Right knee pain. Evaluate for patellar instability. Patellofemoral joint appears anatomic in alignment on this single view. 9 mm ossific density at the medial aspect of the patella may relate to old trauma. | Anatomic alignment of the patellofemoral joint on this single view. |
Generate impression based on findings. | 40 year-old female. Left shoulder pain at acromion tip. Marked joint space narrowing of the glenohumeral joint and subchondral sclerosis consistent with osteoarthritis, similar to prior study. Linear ossific density at the inferior joint space may represent a loose body in the axillary pouch, unchanged. No fracture or ... | Severe glenohumeral joint osteoarthritis. |
Generate impression based on findings. | Male 54 years old Reason: rule out bleed History: rule out bleed This study is limited due to lack of intravenous contrastABDOMEN:LUNG BASES: Linear atelectasis suggestive of scarring.LIVER, BILIARY TRACT: Significantly enlarged liver.SPLEEN: Not visualized.PANCREAS: No significant abnormality notedADRENAL GLANDS: No s... | Very limited study due to lack of intravenous and oral contrast. No evidence of intra-abdominal bleed. Extensive omental and mesenteric masses, suboptimally evaluated. |
Generate impression based on findings. | 66 year old female with history of cholangiocarcinoma status post chemotherapy. Assess for disease progression. Also, history of thoracic aneurysm. CHEST:LUNGS AND PLEURA: Mild dependent atelectasis/scarring.MEDIASTINUM AND HILA: The ascending aorta measures 4.6 cm in diameter (sagittal series 81044, image 41). No sign... | 1.Ectatic ascending aorta measures 4.6 cm in diameter.2.Liver mass, compatible with patient's known cholangiocarcinoma, is stable in size.3.Slight interval increase in size of the reference lymph node.4.Biliary stents are in their expected locations. |
Generate impression based on findings. | The ventricles and sulci are prominent, at least in part related to moderate age-related volume loss although a jugular prominence may be somewhat disproportionate to sulcal prominence, with greater relative caliber of the supratentorial ventricles. There is no midline shift or mass effect. There is no intracranial he... | 1. No acute intracranial hemorrhage. Stable moderate chronic small vessel ischemic changes. Stable possible disproportionate dilatation of the ventricles with respect to sulcal prominence for age. Please correlate clinically for normal pressure hydrocephalus.2. No acute fracture or subluxation. Mild scattered spondylot... |
Generate impression based on findings. | Male 61 years old Reason: neutropenic fever, please r/o additional infectious process History: see 1 CHEST:Limited study due to lack of intravenous contrast.LUNGS AND PLEURA: Atelectasis at the lung bases. Mild bronchial wall thickening, again noted, unchanged.MEDIASTINUM AND HILA: No significant abnormality notedCORON... | Limited study to lack of intravenous contrast. Mild bronchial wall thickening and dependent atelectasis, unchanged.Cholelithiasis, unchanged. |
Generate impression based on findings. | Reason: Hx of lung cancer, diagnosed at OSH. History: Hx of lung cancer, diagnosed at OSH. LUNGS AND PLEURA: Postsurgical changes of the left upper lobe. Bilateral pulmonary nodules compatible with metastases. For reference, right upper lobe spiculated nodule measures 12 x 15 mm (series 4 image 13). For reference, left... | 1.Postsurgical changes of a left upper lobe wedge resection. 2.Bilateral spiculated pulmonary nodules compatible with metastases. 3.Mediastinal lymphadenopathy. |
Generate impression based on findings. | Male 8 months old Reason: NG tube position History: post surgeryVIEW: Chest and abdomen AP (two views) 4/21/15 at 1629 hrs. Tracheostomy tube, giant omphalocele, central line again noted. NG tube terminates in stomach. Cardiac silhouette size is enlarged but stable. Streaky opacity of the right upper lobe may represent... | NG tube positioning as described. |
Generate impression based on findings. | Female 62 years old. Reason: left knee fall. Right knee swelling and pain over medial joint line. History: got tangled up in a leash and fell down on a hard stair. Four weight-bearing views of the right knee are provided. There is no joint effusion. There is mild medial joint space narrowing indicating mild osteoarthri... | Mild osteoarthritis of evidence of fracture or dislocation.Findings were discussed in person with Dr. Schwartz at 5:15 PM on 4/21/2015. |
Generate impression based on findings. | 36-year-old male. Patient fell off ladder onto left shoulder/left buttock 2 weeks ago. Evaluate for internal derangement. No fracture or dislocation. | No significant acute abnormality. |
Generate impression based on findings. | 11 year old female. Healed Salter I. No acute fracture or malalignment is evident. Bones are in anatomic alignment. No significant soft tissue swelling. | Unremarkable radiograph of the wrist. |
Generate impression based on findings. | Lymphadenopathy and fever. There are enlarged cervical and upper mediastinal lymph nodes. In particular, a left lateral retropharyngeal lymph node measures up to 15 mm. There is a persistent mild retropharyngeal edema. There is mild diffuse prominence of the Waldeyer ring structures. The thyroid and major salivary glan... | 1. Enlarged cervical and upper mediastinal lymph nodes, including a left lateral retropharyngeal lymph node, as well as mild diffuse prominence of the Waldeyer ring structures. Differential considerations include inflammatory and infectious conditions, although a neoplastic process cannot be entirely excluded. An 18FGD... |
Generate impression based on findings. | Clinical question: CVA. Signs and symptoms: CVA. Nonenhanced head CT:No detectable acute intracranial process. CT is however insensitive for early detection of acute nonhemorrhagic ischemic strokes.Mild periventricular and subcortical low attenuation of white matter likely representing age indeterminate small vessel is... | 1.No acute intracranial process.2.Mild age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign right breast biopsy in 2014 with pathology demonstrating hyalinized fibroadenomatoid change. Family history of breast cancer diagnosed in sister at 55 years of age. Two standard digital views of both breasts were performed and re... | 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: NSC - Screening Mammogram. |
Generate impression based on findings. | Clinical question: Hemorrhage. Signs and symptoms: Headache, on blood thinners and the worst headache. Nonenhanced head CT:No detectable acute intracranial process. CT however based in sensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Is there evidence of CVA. Signs and symptoms: Complain of left-sided feeding we care. History of ESRD. Unenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of accurate nonhemorrhagic ischemic strokes.Small patchy foci of subcortical low-a... | 1.No acute intracranial process.2.Mild age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Clinical question: Status post tumor resection. Signs and symptoms: Status post tumor resection. Nonenhanced head CT:Examination demonstrates expected post operative changes are the right high convexity frontal -- parietal craniotomy for removal of tumor. Trace hemorrhage within the surgical bed is within expected post... | 1.Expected postoperative changes of right frontal craniotomy as detailed.2.Residual peritumoral vasogenic edema in the right frontal lobe with regional mass-effect.3.Stable normal size of ventricular system and without evidence of midline shift. |
Generate impression based on findings. | follow up of the right MCA territorial ischemic infarction. Right MCA territorial ischemic infraction is again demonstrated, no change since prior exam.No definitive evidence of hemorrhagic transformation.Mass effects against right lateral ventricle does not show any significant interval change since prior exam.Right t... | No change of evolving right MCA ischemic infarction.No evidence of hemorrhagic transformation. |
Generate impression based on findings. | Clinical question: Rule out stroke. Signs and symptoms: Confusion, not following commands, history of stroke, history of seizure. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical su... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Male 3 years old Reason: Eval new PICC placement History: UTI, needs long term antibioticsVIEW: Chest AP (one view) 4/21/15 at 1713 hrs Central line tip terminates at the SVC. The aortic arch, cardiac apex and stomach are left-sided.Cardiac silhouette is normal in size and shape. Left lower lobe subsegmental atelectase... | Central line positioning as described.Left lower lobe subsegmental atelectases |
Generate impression based on findings. | postop mental status changes. No evidence of acute ischemic or hemorrhagic lesion on this scan.Minimal non specific small vessel disease.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous... | No evidence of acute ischemic or hemorrhagic lesion on this scan.If clinically indicated, brain MRI can be considered for further imaging evaluation. |
Generate impression based on findings. | Male 15 years old Reason: 15 yo M with Rubinstein-Taybi syndrome who presents with emesis and diarrhea History: emesis and diarrheaVIEWS: Abdomen AP and left lateral decubitus 4/21/15 at 1942 hrs. (two views) Skeletal deformities gastrostomy tube again noted. Disorganized, nonspecific abdominal gas pattern with no evid... | No evidence of free air or obstruction. |
Generate impression based on findings. | fall No evidence of acute ischemic or hemorrhagic lesion on this scan.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air... | No evidence of acute ischemic or hemorrhagic lesion on this scan. |
Generate impression based on findings. | malaise and fatigue No evidence of acute ischemic or hemorrhagic lesion on this scan.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The mastoid air cells ... | No evidence of acute ischemic or hemorrhagic lesion on this scan. |
Generate impression based on findings. | Female 8 days old Reason: projectile emesis, assess for volvulus, obstruction VIEWS: Abdomen AP and left lateral decubitus. 4/31/15 (two views) Normal abdominal gas pattern. No evidence of obstruction, free air, pneumatosis intestinalis or portal venous gas. | Normal examination. |
Generate impression based on findings. | Clinical question: Acute right upper extremity paralysis, acute stroke called. Signs and symptoms: As above. Nonenhanced head CT:Examination demonstrate no acute intracranial hemorrhage, mass effect, midline shift or change in the size of shunted supratentorial ventricular system.Extensive findings of age indeterminant... | 1.No acute intracranial process.2.Changes consistent with age indeterminate small vessel ischemic strokes of moderate to advanced degree.3.Suggestion of subtle interval increase small vessel ischemic changes in the left basal ganglia compared to prior study. |
Generate impression based on findings. | 51 year old male with hx of PE, lymphadenopathy, fever. Rule out mass lesion or pulmonary embolism. PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery caliber measures 34 mm suggestive of pulmonary arterial hypertension. No evidence of right heart strain.LUNGS AND PLEURA: Scattered bilateral p... | 1.No evidence of pulmonary embolism. 2. Mildly prominent mediastinal and hilar lymph nodes which are nonspecific and may be infectious or inflammatory. PULMONARY EMBOLISM: PE: NegativeChronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 44 year old female with dyspnea onset one month ago after uterine artery embolization procedure. Evaluate for pulmonary embolism vs. other cause of dyspnea/chest pain. PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery caliber within normal limits. No evidence of right heart strain. LUNGS AND ... | No evidence of pulmonary embolism. No findings to account for the patient's symptoms.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 26 year old female with history of abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholecystectomy clips are noted. No biliary dilatation.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, U... | No small bowel obstruction or other significant abnormality to explain the patient's abdominal pain. |
Generate impression based on findings. | 24 year old male. Pain. Evaluate for injury. There is a transverse nondisplaced extra-articular fracture through the proximal metadiaphysis of the fifth metatarsal. Associated mild soft tissue swelling. | Fifth metatarsal fracture. |
Generate impression based on findings. | Female 86 years old. Reason: needs assessment of prior patellar fracture. History: need assessment of prior fracture Bone detail are obscured by the overlying brace. Four nonweightbearing views of the right knee again demonstrate a stellate fracture of the patella with fracture fragments in near anatomic alignment. Thi... | Patella fracture as described above. |
Generate impression based on findings. | 39-year-old female. Fall. Swelling. Left wrist: Mild soft tissue swelling at the dorsal aspect of the wrist. A questionable transverse lucency in the medial aspect of the radial epiphysis is most likely not a fracture, favored to represent normal variant anatomy although correlation with point tenderness is recommended... | Mild soft tissue swelling at the dorsum of the wrist. Questionable transverse lucency in the distal radial epiphysis is most likely normal variant anatomy; although correlation with point tenderness is recommended. |
Generate impression based on findings. | History of dementia status post fall 2 days ago. Evaluate for progression of subdural hematoma. There is redemonstration of a left frontoparietal subdural hematoma measuring 13 mm in maximum width, previously 10 mm, with mass effect on the underlying parenchyma. There is also hemorrhage along the falx cerebri and tento... | 1. Slight interval increase in left frontoparietal subdural hematoma measuring 13 mm in maximum width with 4 mm of midline shift and small amounts of subdural hemorrhage along the falx cerebri and bilateral tentorium cerebelli, which appear to have increased as well.2. Apparent punctate focus of subarachnoid hemorrhage... |
Generate impression based on findings. | Evaluate colon mass, look for mets. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are noted. MEDIASTINUM AND HILA: No cardiomegaly or pericardial effusion. No significant mediastinal or hilar lymphadenopathy. Atherosclerotic calcifications are noted of the thoracic aorta.CHEST WALL: No significant abnormalit... | 1.Large mass within the ascending colon, appearing similar to the prior exam although exact dimensions are difficult to compare. There has been interval loss of the fat plane between the mass and the inferior aspect of the liver indicating at least abutment.2.Unchanged right adrenal nodule.3.Nonspecific, subcentimeter ... |
Generate impression based on findings. | 25-year-old male presents with right testicular pain. RIGHT TESTIS: The right testis is normal in morphology, echogenicity and size, measuring 2.9 x 2.2 x 4.3 cm. Spectral Doppler demonstrates arterial and venous blood flow.LEFT TESTIS: The left testis is normal in morphology, echogenicity, and size, measuring 3.1 x 2.... | Normal examination. |
Generate impression based on findings. | 74 year old female. Fall. Right shoulder pain. Evaluate for fracture. Right shoulder: No fracture or dislocation. Mild glenohumeral joint osteoarthritis.Right clavicle: Fracture of the medial clavicle with inferior displacement of the distal fracture fragment by approximately one half bone shaft width. | Right clavicle fracture, as above. |
Generate impression based on findings. | 57 year old male with right chest wall pleuritic pain. R/o thoracic wall abscess or any other issues around Pleurx catheter LUNGS AND PLEURA: Clustered nodules in a tree in bud pattern with several discrete nodules in the right upper and middle lobe are new from prior study and suggestive of aspiration/infection (serie... | 1. Interval decrease in size of right pleural effusion with Pleurx catheter tip in appropriate position. No evidence of loculation or abscess. Mild soft tissue swelling surrounding the catheter tip insertion could represent normal postsurgical changes though cellulitis cannot be excluded. Trace right pneumothorax. 2. C... |
Generate impression based on findings. | Reason: please eval GU tract History: L ureter surgically divided with proximal urostomy creation; right robotic assisted pyelolithotomy and left open pyelolithotomy (4/20/15). ABDOMEN:LUNG BASES: Dependent atelectasis. Partially imaged central venous catheter tip in the right atrium.LIVER, BILIARY TRACT: Radiopacity i... | Postsurgical change of left ureteral surgical division with proximal urostomy creation in the left lower quadrant. |
Generate impression based on findings. | 65 year old female with history of abdominal pain and bandemia. Evaluate for abdominal pathology. ABDOMEN:LUNG BASES: Bibasilar scarring and scattered nonspecific micronodules are seen.LIVER, BILIARY TRACT: No biliary dilatation or other significant abnormality. Low-attenuation focus in the left hepatic lobe, too small... | 1. No acute emergent abnormality to explain the patient's pain.2. Approximately 2.2 cm splenic artery aneurysm. Is there is no prior imaging available for comparison, correlate with outside hospital imaging to ensure stability. If no prior imaging is available, consider one year follow up. |
Generate impression based on findings. | Female 30 years old. Reason: is there a fracture? History: right hip avascular necrosis, scd. hip pain Two views of the right hip are provided. Again seen is patchy sclerosis in the femoral head which is consistent with avascular necrosis and not significantly changed since the prior study. There is no fracture or disl... | Avascular necrosis which is stable in appearance. No fracture or dislocation is evident. |
Generate impression based on findings. | Reason: acute leukemia - mass/lymph involvement History: acute leukemia LUNGS AND PLEURA: Diffuse bronchial wall thickening. Scattered foci of tree in bud and ground glass opacity. Left lower lobe bronchial wall thickening, ground glass opacity, atelectasis, and scarring. Bibasilar dependent atelectasis. Scattered pulm... | 1.Mild supraclavicular and mediastinal lymphadenopathy compatible with patient's history of acute leukemia.2.Bronchial wall thickening scattered foci of tree in bud and ground glass opacity, and left lower lobe atelectasis and scarring compatible with aspiration.3.Scattered pulmonary nodules, the largest measures 6 mm ... |
Generate impression based on findings. | 20 years, Female. Reason: Ulcerative colitis, worsening pain, flex sig yesterday History: worsening abd pain Nonobstructive bowel gas pattern. Greater than average stool burden. No evidence of pneumatosis or portal venous gas. No pneumoperitoneum is identified, although supine images are insensitive. No acute cardiopul... | Nonobstructive bowel gas pattern. No evidence of pneumoperitoneum, although if there is continued clinical concern, consider upright/decubitus films. |
Generate impression based on findings. | 50 year old male. Fall. Evaluate for fracture. Diffuse subcutaneous reticulation/edema. No fracture is identified. | Diffuse subcutaneous edema. No evidence of a fracture. |
Generate impression based on findings. | 87 years old, Female, History: tripped and fell, swelling to left zygoma area CT head: There is no evidence of intracranial hemorrhage or mass. Marked subcortical periventricular and deep white matter confluent hypodensity most compatible age indeterminate small vessel ischemic disease. The ventricles are normal in siz... | 1. No evidence of intracranial hemorrhage or mass. Marked periventricular and deep white matter patchy confluent hypodensity is most compatible with age indeterminate small vessel ischemic disease.2. Mild left facial soft tissue swelling without evidence of fracture. |
Generate impression based on findings. | Female 8 days old Reason: evaluate for interval change in placement in UV line History: uv lien pulled backVIEW: Chest and abdomen AP (two views) 4/21/15 at 1647 hrs ET tube terminates below the thoracic inlet. NG tube tip is above GE junction. Umbilical lines unchanged.Cardiac silhouette size is top normal. Large lung... | Misplaced NG tube.Interval repositioning of ET tube.Large lung volumes and diffuse lung haziness with no focal opacities.Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | 50-year-old male. Fever, discharge. Evaluate for osteomyelitis. Postsurgical findings of transmetatarsal fourth and fifth amputations. There is a large soft tissue defect/ulcer extending down to the 4th amputated metatarsal head. Cortical erosion and coarsened trabeculae of the 4th and 5th metatarsals is most consisten... | Findings most consistent with osteomyelitis involving the amputated 4th and 5th metatarsals. |
Generate impression based on findings. | Female 33 years old. Reason: left thumb r/o fracture. frequent dislocation and tender at distal metacarpal History: frequent dislocation and tender at distal metacarpal. Three views of the left thumb are provided. The left thumb is unremarkable in appearance. There is no evidence of fracture or malalignment. | No fracture or malalignment. |
Generate impression based on findings. | Male, 73 years old.Trigger: Multiple surgical teams. Multiple surgical clips project over the abdomen. Bowel gas pattern is suggestive of ileus. Expected postsurgical pneumoperitoneum and subcutaneous emphysema. ET tube approximately 3 cm above the carina. Enteric tube lies in the distribution of the gastric body. No s... | No suspicious radiopaque foreign object is identified.Findings discussed by telephone with the attending surgeon, Dr. Lee, by the resident radiologist on call on 4/21/15 at 17:27. |
Generate impression based on findings. | 50-year-old male. Fall, decreased ROM. Tiny patellar osteophytes and mild sharpening of the tibial spines indicate osteoarthritis. No fracture or dislocation is identified. Diffuse soft tissue swelling about the knee. | No fracture is identified. Diffuse soft tissue swelling. |
Generate impression based on findings. | Male 70 years old. Reason: cervical fx, eval for instability, flex/ex films. History: cervical fx, eval for instability, flex/ex films Five views of the cervical spine are provided. The cervicothoracic junction is not well visualized secondary to overlying anatomy. There is increased distance between the odontoid and a... | Increased distance between the odontoid and anterior arch of C1 on the flexion views |
Generate impression based on findings. | 63 year old male. Status post THA. Had dislocation. Need acetabular and femoral version analysis. Hardware components of a right hip total arthroplasty device in near anatomic alignment. Large field of view images show a left total hip arthroplasty device in gross anatomic alignment. No evidence of a hardware complicat... | Right hip total arthroplasty device with measurements, as above. |
Generate impression based on findings. | Male, 10 years old, with soft palate laceration. Evaluate depth of oropharynx laceration and assess for mandible fracture. An irregularly marginated laceration is evident within the right soft palate containing fluid and bubbles of air. It appears to traverse the soft palate and may extend minimally into the nasopharyn... | 1.Laceration of the right soft palate with questionable minimal extension into the nasopharyngeal mucosa.2.No evidence of significant vascular injury is seen.3.No facial or mandible fractures are detected. Lucency affecting the crowns of two right-sided teeth, one mandibular and one maxillary, could represent carious e... |
Generate impression based on findings. | fall, small hematoma No evidence of acute ischemic or hemorrhagic lesion on this scan.Scalp swelling on the left high parietal area without evidence of underlying skull fracture.Mild to moderate non specific small vessel ischemic disease, no change since prior exam.The ventricles, sulci, and cisterns are symmetric and ... | No evidence of acute ischemic or hemorrhagic lesion on this scan. |
Generate impression based on findings. | 90 year-old female with history of left lower quadrant abdominal pain and known AAA. ABDOMEN:VASCULAR: Celiac and superior mesenteric artery stents are noted at their origin, and with an additional stent in the mid SMA. Tortuous, ectatic abdominal aorta appears unchanged. Infrarenal abdominal aortic aneurysm measures u... | 1. Findings suggestive of omental infarct.2. No pneumatosis, no free air, and no bowel wall thickening to suggest bowel injury at this time.2. Abdominal aortic aneurysm with measurements above.D/w Dr. Carlson at time of dictation. |
Generate impression based on findings. | Reason: eval for PE History: SOB, new O2 req after travel PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus.LUNGS AND PLEURA: Scattered calcified pulmonary micronodules compatible with prior granulomatous disease. Interlobular septal thickening, basilar patchy ground glass, and airspace opacities com... | 1.No acute pulmonary embolus.2.Mild CHF.3.Mediastinal lymphadenopathy, likely reactive.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | headache for one week not subsided with medications. NONCONTRAST CT HEADNo evidence of acute ischemic or hemorrhagic lesion on this scan.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axi... | 1. No evidence of acute ischemic or hemorrhagic lesion on this scan.2. Normal intracranial CTA |
Generate impression based on findings. | 83 years, Female. Reason: r/o bowel obstruction History: hx of multiple ab surgeries, now w/ ab pain, N/V Note is made of multiple dilated loops of small bowel, particularly in the left hemiabdomen. The colon appears relatively decompressed. There is an above average stool burden within the rectum. Gaseous distention o... | 1. Multiple dilated loops of small bowel, suspicious for early small bowel obstruction.2. Above average stool burden within the rectum. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of ovarian cancer in maternal aunt. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchange... | 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. | Abdominal pain. Rule out pseudocyst. ABDOMEN:LUNG BASES: Bibasilar streaky opacities indicate likely atelectasis.LIVER, BILIARY TRACT: Hepatic steatosis again visualized.SPLEEN: Splenule is noted.PANCREAS: The pancreas appears edematous and there is patchy enhancement of the pancreatic body but no definite evidence of ... | 1.Pancreatitis without necrosis, vascular compromise or loculated free fluid. |
Generate impression based on findings. | Male 48 years old Reason: triquetral fracture Negative ulnar variance. Poorly corticated bone fragment projects over the dorsal aspect of the carpus consistent with a triquetral fracture. There is associated overlying soft tissue swelling. | Triquetral fracture. |
Generate impression based on findings. | 53-year-old female patient with bilateral breast tenderness and shooting pain in left lower outer breast. Personal history of benign bilateral breast biopsies. 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 ... | Calcifications in the right upper outer breast and focal asymmetry in the left upper outer quadrant without sonographic correlate. Ectatic ducts and cysts in the left upper outer quadrant. Recommend comparison with patient's prior imaging and prior pathology results.BIRADS: 0 - INCOMPLETE; Need additional imaging evalu... |
Generate impression based on findings. | 47 years, Male. Reason: eval bowel gas pattern History: pneumatosis seen on CT yesterday Motion artifact limits examination. Multiple dilated loops of bowel, consistent with adynamic ileus. The previously described pneumatosis intestinalis seen on recent CT abdomen and pelvis dated 4/20/15 is not definitely seen on tod... | Findings suggestive of adynamic ileus. |
Generate impression based on findings. | New right supraglottic squamous cell carcinoma. There is an infiltrative mass in the supraglottic larynx with thickening of the aryepiglottic folds and epiglottis with airway narrowing. For example, the right aryepiglottic fold measures up to 14 mm in thickness and the epiglottis measures 5 mm in thickness. There is ex... | 1. An infiltrative mass involving the supraglottic larynx is compatible with squamous cell carcinoma.2. Bilateral cervical lymphadenopathy likely represents metastatic disease.3. Bilateral thyroid nodules. |
Generate impression based on findings. | 64 years old, Male, History: CVA There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. Periventricular hypoattenuation in the anterior and posterior periventricular areas likely represents age indeterminate small vessel ischemic disease. The ventricles are ... | 1. No evidence of intracranial hemorrhage or mass.2. Periventricular hypoattenuation likely represents age indeterminate small vessel ischemic disease.3. Age indeterminate fractures of the nasal bones with slight rightward displacement. Correlation with physical exam is recommended. |
Generate impression based on findings. | 75-year-old female with a history of lymphoma. Status post chemotherapy. CHEST:LUNGS AND PLEURA: Reference left lower lobe nodule measures 8 x 8 mm (series 5 image 71) compared to 9 x 8 as previously, with interval cavitation.Ill-defined nodular opacity in the superior segment of the right lower lobe now measures 2.7 x... | Interval cavitation of the left lower lobe nodule. Stable appearance of the right lower lobe opacity. No new sites of disease. |
Generate impression based on findings. | 36 year old male, hypoxic on room air and tachycardiac, tachypneic, LLE swollen, family hx of DVTs. PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery caliber upper limits of normal. No evidence of right heart strain.LUNGS AND PLEURA: Right upper lobe 5 mm nonspecific nodule (series 9, image 1... | 1. No evidence of pulmonary embolism. 2. Cardiomegaly with suggestion of fishmouth deformity throughout the thoracic spine. Constellation of findings raises the question of sickle cell disease. PULMONARY EMBOLISM: PE: NegativeChronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strai... |
Generate impression based on findings. | History of intraparenchymal hemorrhage status post fall in room. There is a right thalamic hematoma measuring 16 x 24 mm (TR x AP), previously 16 x 14 mm with surrounding edema. The ventricles and basal cisterns are unchanged in size and configuration. There is minimal right to left midline shift measuring 2 mm. There ... | No significant interval change in right thalamic hematoma with minimal midline shift to the left measuring up to 2 mm. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Female 64 years old Reason: eval for RA, OA and gout, joint pain History: eval for RA, OA and gout, joint pain Right foot: Hallux valgus. Periarticular erosion of the base of the proximal phalanx of the great toe with an overhanging edge. The appearance is suspicious for gout. Small erosions at the fifth metatarsophala... | Rheumatoid arthritis affects the feet and hands bilaterally. Osteoarthritis affects the feet, hands, and knees bilaterally. Suspicion for gouty erosion at the base of the proximal phalanx of the great toe. |
Generate impression based on findings. | Reason: evaluate for PE History: hemoptysis, SOB Examination slightly limited by motion.PULMONARY ARTERIES: Technically adequate to the segmental level. No acute pulmonary embolus. Main pulmonary artery is enlarged measuring 36 mm compatible with pulmonary arterial hypertension.LUNGS AND PLEURA: Diffuse basilar predomi... | 1.No acute pulmonary embolus.2.Findings compatible with pulmonary arterial hypertension and right heart strain. Tricuspid prosthesis.3.Diffuse basilar predominant dense ground glass opacity bilaterally. In the provided clinical context, hemorrhage is favored with edema and infection less likely.4.Partially visualized s... |
Generate impression based on findings. | 58 years, Male. Reason: Check for stool burden History: watery brown diarrhea Nonobstructive bowel gas pattern. Note is made of an average amount of stool throughout the ascending colon. The lung bases appear clear. | Nonobstructive bowel gas pattern. Average stool burden. |
Generate impression based on findings. | 68 years, Male. Reason: DHT placement History: s/p DHT Dobbhoff tube is coiled within the stomach with the tip projecting at the level of the body of the stomach. Sternotomy wires, surgical drain, Swan Gantz catheter, and epicardial pacer wires in place. Relative paucity of abdominal bowel gas without evidence of obstr... | Dobbhoff tube is coiled within the stomach with the tip projecting at the level of the body of the stomach. |
Generate impression based on findings. | Male 6 days old Reason: evaluate lung fields History: term infant s/p TEF repair, on vent, with atelectasisVIEW: Chest AP (one view) 4/22/15 at 300 hours. ET tube, NG tube, umbilical line right sided chest tube are again noted and unchanged. Cardiac silhouette size is normal. Complete opacification of the right hemitho... | Interval complete opacification of the left hemithorax as described. |
Generate impression based on findings. | 64 years, Male. Reason: obstruction? History: abdominal pain Nonobstructive bowel gas pattern. Radiopaque density projecting over the right upper quadrant may represent cholelithiasis. Cardiomegaly. Bilateral patchy interstitial and air space opacities, better characterized on recent chest radiograph. Sternotomy wires ... | 1. Nonobstructive bowel gas pattern.2. Possible gallstones. |
Generate impression based on findings. | Female 92 years old Reason: Evaluate hardware s/p short TFN History: S/p recent surgery Short TFN affixes a left intertrochanteric fracture in near-anatomic alignment without hardware complication. Skin staples and foci of gas within the soft tissues reflect recent surgery. | Short TFN affixes a left intertrochanteric fracture in near-anatomic alignment. |
Generate impression based on findings. | Reason: R hip pain, spondylolisthesis, spondylolysis History: Antalgic gait, hip painVIEWS: Lumbar spine AP lateral L5/S1 lateral (3 views), pelvis AP and frog leg (3 views) 4/21/15 20:41 Lumbar spine: Posterior fusion defect of S1, of no clinical significance. No fracture or malalignment.Pelvis: Femoral heads are appr... | Normal examination. |
Generate impression based on findings. | Male 6 days old Reason: evaluate lung fields History: term infant s/p TEF repair, on vent, with atelectasisVIEW: Chest AP (one view) 4/21/15 at 1656 hrs. ET tube, NG tube, umbilical line and right-sided chest tube unchanged. Cardiac silhouette size is normal. Right upper , right middle and right lower lobe opacities, l... | Worsening in multifocal opacities with development of small right-sided pleural effusion. |
Generate impression based on findings. | C1-C2 fracture NONCONTRAST CT HEADNo evidence of acute ischemic or hemorrhagic lesion on this scan.Large scalp hematoma on the left high fronto-parietal area without underlying skull fracture.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or ext... | 1. No evidence of acute ischemic or hemorrhagic lesion on this scan.2. Non visualization of the distal right VA especially from C2 level to the right vertebro-basilar junction. Possible mechanism include traumatic dissection related occlusion or direct compression-occlusion.3. Otherwise no remarkable extracranial and i... |
Generate impression based on findings. | Female 54 years old Reason: patient with tenderness over dorsum of foot and lateral mal, eval for RA History: ankle pain No fracture or malalignment. No specific radiographic evidence of rheumatoid arthritis. | No specific radiographic evidence of rheumatoid arthritis. No cause for patient's ankle pain is identified. |
Generate impression based on findings. | Male 8 years old Reason: Cochlear implant placement History: Post-op cochlear implantVIEWS: Skull AP and lateral 4/21/15 (two views) Interval left cochlear implant placement. The implant does the complete curl of the cochlea. No evidence of kinking or disconnections. | Left cochlear implant placement as described. |
Generate impression based on findings. | Reason: Evaluate for foreign body or esophageal perforation History: swallowed mechanical pencilVIEWS: Soft tissue neck AP lateral (2 views) 4/21/15 22:53 Six cervical vertebrae are evaluated. C7 vertebra is only partially imaged.No radiopaque foreign body is identified. No prevertebral soft tissue swelling. No fractur... | No radiopaque foreign body is identified. No pre-vertebral soft tissue swelling. |
Generate impression based on findings. | Anisocoria, increased tone on lower extremities. Status post forehead laceration repair status post 2 generalized tonic clonic seizures. There is left frontal scalp swelling. There is no evidence of acute intracranial hemorrhage or mass effect. The ventricles and basal cisterns are normal in size and configuration. The... | 1. Small left frontal scalp contusion, but no evidence of acute intracranial hemorrhage or skull fracture. However, non-contrast CT is insensitive for the detection of seizure foci.2. A defect in the left medial orbital wall likely represents a chronic fracture. I personally reviewed the Images and/or procedure with th... |
Generate impression based on findings. | Female 5 months old Reason: evaluate lung fields History: pleural effusions s/p thoracentesisVIEW: Chest AP (one view) 4/22/15 at 307 hours. ET tube terminates below thoracic inlet. NG tube tip is at GE junction. Central line unchanged. Cardiac silhouette size is normal. Persistent left-sided pleural effusion , bibasil... | No change in left-sided pleural effusion, right lung base pneumatocele and multifocal opacities. |
Generate impression based on findings. | Male; 76 years old. Reason: r/o obstruction History: ileus ABDOMEN:LUNG BASES: Mild bibasilar dependent subsegmental atelectasis and trace pleural effusions, similar to prior study.LIVER, BILIARY TRACT: No significant abnormality noted. Perihepatic ascites appears unchanged.SPLEEN: No significant abnormality notedPANCR... | Continued distention of the small bowel with interval decompression of the colon; the imaging appearance favors obstruction over ileus. |
Generate impression based on findings. | 30 year-old male with history of diffuse abdominal pain and left lower quadrant scar in tenderness to palpation. CSF shunt. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No biliary dilatation or other significant abnormality noted.SPLEEN: No significant abnormality notedPANCREAS: No signific... | No significant acute abnormality, or other findings to explain the patient's abdominal pain. |
Generate impression based on findings. | 82 year old female with sob, cp. Evaluate for pulmonary embolism PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery caliber measures 36 mm suggestive of pulmonary arterial hypertension. LUNGS AND PLEURA: Right lower pulmonary nodule unchanged presumably benign. No suspicious pulmonary nodules ... | 1. No evidence of pulmonary embolism. Findings suggestive of pulmonary arterial hypertension2. Very large hiatal hernia. PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
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