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Generate impression based on findings. | Reason: Is there a PE? History: Metastatic cancer (clear-cell carcinoma), SOB, tachycardia, hypoxia PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus.LUNGS AND PLEURA: Evaluation of fine parenchymal detail is limited by motion. Bilateral pulmonary nodules. The largest in the right lower lobe measures... | 1.No acute pulmonary embolus.2.Limited evaluation of the lungs. At least one nodule in the right lower lobe, measuring 11 mm may represent a metastasis.3.Extensive supraclavicular, mediastinal, and hilar lymphadenopathy.4.Lytic osseous lesions compatible with metastases.5.Soft tissue nodule adjacent to the left adrenal... |
Generate impression based on findings. | Female 56 years old Reason: 56F s/p robotic right adrenalectomy now with intractable pain and oliguria. Please perform scan with PO contrast to assess for duodenal leak or other acute pathology History: pain, oliguria. The exam is not sensitive detecting lesions in the solid organs or vasculature due to lack of intrave... | Expected subcutaneous and right retroperitoneal gas. Minuscule amount of free intraperitoneal air. No evidence of active duodenal leak. Pneumobilia likely related to prior cholecystectomy. Small nonspecific fluid collection in the right abdominal wall. |
Generate impression based on findings. | Male 4 years old Reason: Vascular malformation History: intubatedVIEW: Chest AP (one view) 4/22/15 at 529 hours. ET tube tip is below the thoracic inlet. Cardiac silhouette size is normal. Bibasilar opacities, likely atelectasis. No effusions or pneumothorax. | Multifocal opacities as described. |
Generate impression based on findings. | There is a focus of diffusion abnormality in the posterior limb of the right internal capsule indicating an acute infarct. There is no significant associated mass effect at this time. There are scattered periventricular T2 hyperintense foci which likely represent chronic small vessel infarcts. The ventricles and sulci... | 1. Acute infarct in the posterior limb of the right internal capsule. No intracranial hemorrhage.2. Scattered periventricular T2 hyperintense foci likely represent chronic small vessel infarcts.3. Nonenhancing lesion in the posterior aspect of the pituitary gland is likely incidental, perhaps representing a pars interm... |
Generate impression based on findings. | Male 10 years old Reason: Evaluate NG placement and interval changes History: NG pulled out. Atelectases.VIEW: Chest AP (one view) 4/22/15 at 557 hours. Left jugular Central line terminates at the RA/SVC junction. Left upper extremity PICC terminates at the SVC. NG tube tip is at the antral pyloric region. Abdominal dr... | Interval improvement in left lower lobe atelectasis and resolution of right lung base opacity. |
Generate impression based on findings. | Left foot pain, evaluate for fractureVIEWS: Left foot AP oblique lateral (3 views) 4/22/15 2:09 No fracture or dislocation. | No fracture or dislocation. |
Generate impression based on findings. | Clinical question: Neutropenic fever, rule out additional infectious process. Signs and symptoms: As above. Nonenhanced maxillofacial CT:The frontal sinuses demonstrate minimal mucosal thickening in the dependent portion similar to prior study.Ethmoid sinuses are well pneumatized and unremarkable and similar to prior e... | 1.Very minimal chronic sinus disease as detailed.2.Significant rightward nasal septum deviation, rightward projecting bony septal spur which is in contact and deforms the mucosa of the right mid and inferior turbinates.3.Well pneumatized bilateral mastoid air cells and middle ear cavities and unremarkable images throug... |
Generate impression based on findings. | 24 years, Male. Reason: R/o ileus History: nausea, previous diarrhea Slight interval improvement of air space opacities. Overall paucity of bowel gas, appears similar to recent CT exam. Nonspecific mildly dilated loop of small bowel in the midabdomen, may represent focal ileus. No definite evidence of a bowel obstructi... | Relative paucity of bowel gas, without definite evidence of obstruction or ileus. |
Generate impression based on findings. | Pulmonary atresia with ventricular septal defect. Status post surgery.VIEW: Chest and abdomen AP (two views) 4/22/15 at 818 hours. Multiple surgical clips and epicardial pacer leads are again noted. Interval removal of urinary bladder catheter. Central line terminates at the SVC. Cardiac silhouette size is enlarged but... | Interval removal of urinary bladder catheter.Persistent cardiomegaly and lung vascular engorgement.Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | Reason: Evaluate for mandible fracture History: jaw pain following fallVIEWS: Mandible Panorex (1 views) 4/22/15 5:59 Cavity noted in the right 1st mandibular molar. No fracture identified. | Cavity noted in the right 1st mandibular molar. |
Generate impression based on findings. | Reason: eval L pleural effusion, ?loculated, ?hemorrhage History: SOB, large L pleural effusion LUNGS AND PLEURA: Large loculated left pleural effusion and atelectasis has increased compared to prior with minimal aeration of the left lung. Small right pleural effusion with overlying compressive atelectasis, similar to ... | 1.Interval increase in large left loculated pleural effusion with interval decrease in aeration of the left lung.2.Unchanged small right pleural effusion and atelectasis.3.Moderate pericardial effusion, unchanged.4.No new findings. |
Generate impression based on findings. | Acute hemoglobin drop. Evaluate for hemorrhage. ABDOMEN: Note that full evaluation of solid organs and lymph nodes in the abdomen and pelvis are limited secondary to lack of IV contrast.LUNG BASES: Small bilateral pleural effusions with adjacent consolidation/atelectasis.LIVER, BILIARY TRACT: Cirrhosis and hepatic stea... | 1.Note that full evaluation of solid organs and lymph nodes in the abdomen and pelvis are limited secondary to lack of IV contrast.2.Low density ascites in the abdomen and pelvis is nonspecific but does not rule-out a component of blood. However there are no specific signs of blood such as layering or hematoma. |
Generate impression based on findings. | 57 year old female. Knee pain with swelling. Evaluate for DJD. Tiny tricompartmental osteophytes consistent with minimal osteoarthritis. No fracture or dislocation. | Minimal osteoarthritis. |
Generate impression based on findings. | Male 77 years old. Reason: spinal stenosis History: pain, stiffness Two views of the spine are provided. There is 33 degrees of scoliosis of the lumbar spine with convexity to the right as measured from the superior endplate of L1 to the inferior endplate of L5. There is marked multilevel disk space narrowing and anter... | Scoliosis and degenerative arthritic changes as described above. |
Generate impression based on findings. | Follow up of left distal ICA aneurysm 3D time of flight MOTSA MRA brain images with maximum intensity projections reconstructions were performed in a separated workstation.Re demonstration of the left distal ICA aneurysm, likely to be a superior hypophyseal artery aneurysm.The size of the aneurysm was measured about 3.... | 1. 3.4mm x 4.4mm sized left distal ICA (likely left superior hypophyseal artery) aneurysm, grossly no significant interval change in terms of configuration and maximum diameter since prior exam.2. An infundibulum at the junction of the left Pcom and basilar artery.3. Fetal origin of the left PCA.4. Otherwise no remarka... |
Generate impression based on findings. | Female 39 years old. Reason: foot synovial swelling laterally - eval for fx/erosion. History: as above Three views of the left foot are provided. The left foot is unremarkable in appearance without evidence of fracture or dislocation. Specifically, there is no radiographic evidence of erosions or other findings to sugg... | No evidence of acute fracture or other findings to suggest inflammatory arthritis. |
Generate impression based on findings. | Rule out SBO History: acute abdomen. ABDOMEN:LUNGS BASES: Basilar dependent atelectasis.LIVER, BILIARY TRACT: Hepatic steatosis is visualized. No mass lesion is identified.SPLEEN: Calcifications are noted throughout the spleen likely from a previous granulomatous process. There is also a wedge-shaped peripheral defect ... | 1.No acute intra-abdominal process detected.2.Multiple thoracolumbar compression fractures appearing similar to the prior CT thoracolumbar from 7/4/2014. |
Generate impression based on findings. | 60 year old female. Pain. Evaluate for fracture. Again seen is an oblique fracture through the distal fibula extending to the tibiotalar joint, similar to prior study. The fracture line is indistinct with adjacent callus formation consistent with healing. A minimally displaced healing posterior malleolus fracture is ag... | Healing tibia and fibular fractures. |
Generate impression based on findings. | 53-year-old female patient with history of bilateral cyst aspiration and benign right breast biopsy in 2013. Family history of breast cancer in maternal aunt. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandu... | Stable asymmetries in the left breast and clips in the right breast from prior benign biopsies. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient. BIRADS... |
Generate impression based on findings. | 68 year old male with hypoxia, shortness of breath, evaluate for pulmonary embolism. PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery measures 32 mm in caliber, upper limits of normal. LUNGS AND PLEURA: Low lung volumes. Diffuse subpleural reticular opacities with architectural distortion an... | 1. No evidence of pulmonary embolism. 2. Interstitial lung disease compatible with history of amiodarone toxicity. 3. Interval development of ascites and diffuse anasarca.PULMONARY EMBOLISM: PE: NoneChronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 54 year old female with sob, cp, rule out pulmonary embolism. PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery caliber within normal limits. No evidence of right heart strain. LUNGS AND PLEURA: Severe centrilobular emphysema. Left lingular and bilateral lower lobe subsegmental atelectasis or... | No evidence of pulmonary embolism. PULMONARY EMBOLISM: PE: Negative Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Headache status post craniotomy. There are post-operative findings related to a right-sided craniotomy for resection of a cystic appearing mass. There is fluid, air and a small amount of blood products within the resection cavity, as well as pneumocephalus along the bilateral frontal convexities, as well as scalp swell... | Post-operative findings related to a right-sided craniotomy for resection of a cystic appearing mass with subarachnoid blood products in the right sylvian fissure and right posterior frontal lobe sulci and presumed residual edema surrounding the resection cavity. Evaluation for residual tumor is otherwise limited on th... |
Generate impression based on findings. | Female 42 years old Reason: 42 y/o F with mid-abdominal pain, prior blood in stool, now with mucus in stool. CT Enterography to rule out evidence of IBD or other etiology of symptoms. History: as above One initial scanning there was extensive streak artifact from peristalsis and probably some abdominal movement in the ... | No CT signs of inflammatory bowel disease or other etiology to explain abdominal symptoms. |
Generate impression based on findings. | Status post resection of a large AML, left nephrectomy, partial colectomy, distal pancreatectomy, now with concern for bowel leak. ABDOMEN:LUNG BASES: Again seen are multiple cysts in the lung based noted previously and compatible lymphangiomyomatosis. Again seen are small pleural effusions with adjacent atelectasis/co... | 1.Splenic flexure colonic leak with a surgical drain traversing the superior left paracolic gutter fluid and air containing collection.2.Postsurgical changes in left renal fossa, peritoneal cavity and abdominal wall. Free fluid and fluid near surgical sites. 3.Small pleural effusions with adjacent atelectasis/consolida... |
Generate impression based on findings. | 61 year old female with history of multiple myeloma, in remission. Also history of breast and endometrial cancer. CHEST:LUNGS AND PLEURA: Nonspecific nodular pleural thickeningin the left upper lung (4/51). This may represent scarring, however should be followed on subsequent imaging.MEDIASTINUM AND HILA: No significan... | 1.Mild proximal bowel dilation, with associated asymmetric bowel wall thickening. This of uncertain etiology.2.Postoperative findings of hysterectomy.3.Multiple compression fractures appear similar to prior, and are likely related to the patient's known multiple myeloma.4.Questionable left hemidiaphragm paralysis. |
Generate impression based on findings. | 49-year-old female patient with history of prior evaluation at an outside facility for a palpable abnormality in the right breast and a prior attempted right breast cyst aspiration (also at the outside facility). Patient reports that the palpable abnormality in the right upper outer quadrant is still palpable but has b... | Benign bilateral calcifications. No mammographic evidence of malignancy. Continued clinical managment is recommended if there are any potential lingering clinical concerns based on the patient's history, otherwise, as long as the patient's physical examination remains normal, bilateral screening mammogram is recommende... |
Generate impression based on findings. | Female 35 years old Reason: inflammation History: colonic inflammation ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URET... | Severe diffuse colitis with normal small bowel. Small volume ascites. Rule out infectious causes or ulcerative colitis. |
Generate impression based on findings. | Male 57 years old. Reason: hx left meniscectomy. History: bilateral knee pain Four nonweightbearing views of the right knee demonstrate marked medial compartment joint space narrowing with patellofemoral joint osteophyte formation indicating severe osteoarthritis. Four nonweightbearing views of the left knee demonstrat... | Severe osteoarthritis of both knees as described above. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. | No acute intracranial hemorrhage or mass-effect. CT is insensitive for detection of early nonhemorrhagic stroke. |
Generate impression based on findings. | 67 years, Male. Reason: 67 yo M w abdominal pain, no BM in 1 week, r/o obstruction History: abdominal pain, constipation Average stool burden without evidence of bowel obstruction. Status post cholecystectomy. Surgical clips project in the left upper quadrant. Partially imaged pacer wires, sternotomy wires, cardiac ste... | Average stool burden without evidence of bowel obstruction. |
Generate impression based on findings. | Female 60 years old Reason: assess prosthesis. History: S/P TEA Three views of the right elbow demonstrate a hinge-type total elbow arthroplasty situated in near-anatomic alignment without evidence of hardware complication. The prosthesis appears similar to prior study from 2012. Again seen is resection of the radial h... | Bilateral total elbow arthroplasty which appear similar to prior study. |
Generate impression based on findings. | 59 years, Female. Reason: abdominal pain History: abdominal pain Nonobstructive bowel gas pattern. Average stool burden. Heterotopic ossification is noted about the right hip. Left hip post surgical changes appear stable since prior hip radiograph. Degenerative changes affect the lumbar spine. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Abdominal pain and history of nephrolithiasis. Evaluation of the abdominal solid organs and bowel is limited by the lack of intravenous and oral contrast.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffusely decreased hepatic parenchymal attenuation compatible with hepatic steatosis. Liver... | Unchanged bilateral renal calculi without evidence of obstruction and interval improvement in left-sided hydronephrosis. |
Generate impression based on findings. | Reason: adenoid cystic carcinoma of the lung compare to outside CT 02/27/2015 and measure measurable lesions using recist criteria History: post 2 cycles of chemo CHEST:LUNGS AND PLEURA: Right multiple pulmonary nodules compatible with metastases have increased in size and number. For reference right upper lobe nodule ... | 1.Postsurgical changes of a left pneumonectomy. Right pulmonary metastases have increased in size and number compared to prior outside exam.2.Unchanged right hilar lymphadenopathy.3.No new sites of disease. |
Generate impression based on findings. | 57 year old female. Wrist pain, radial sided. Right hand trauma. Left wrist: No fracture or dislocation. Bones are in anatomic alignment.Right pinky finger: Mild diffuse soft tissue swelling. No fracture or dislocation. | Mild soft tissue swelling of the right pinky finger. No fracture is identified. |
Generate impression based on findings. | Female 74 years old Reason: Evaluate soft tissue lesion at hepatic hilum, compare to last imagining 12/2014 History: Sarcoidosis. The exam is not sensitive for detecting lesions in the solid organs or of vasculature due to lack of intravenous contrast. Given those limitations, the following observations are made:ABDOME... | Ringlike soft tissue density probably corresponds to previously identified pseudoaneurysm as compared to CT of 9/sec/14. Stable in size.Catheters, unchanged.Pneumobilia. Splenomegaly. Small retroperitoneal nodes probably unchanged.New calcification developing in left upper pole renal papilla. |
Generate impression based on findings. | 29 years, Male. Reason: evaluate for position of IVF filter, r/o retroperitoneal hematoma History: abdominal pain Single left-sided tine of IVC filter is superiorly displaced, new since fluoroscopic image acquired during placement. The tine may be perforating through the IVC. Nonobstructive bowel gas pattern. No acute ... | Single left-sided tine of IVC filter is superiorly displaced. Cannot exclude IVC perforation or retroperitoneal hematoma on plain radiographs. Further evaluation with CT can be obtained as clinically indicated. |
Generate impression based on findings. | Female, 58 years old.Trigger: liver transplant Enteric tube side port overlies the gastric body. Surgical drains are present terminating in the midline upper abdomen and right upper quadrant. Multiple surgical clips project throughout the abdomen and pelvis. Non-obstructed bowel gas pattern. No suspicious radiopaque fo... | No suspicious radiopaque foreign object is identified.Findings were discussed with the attending surgeon, Dr. Renz, by the resident radiologist on call on 4/22/15 at 4:02 a.m. |
Generate impression based on findings. | 69-year-old male with a history of multiple myeloma, right upper quadrant pain and rising LFTs. Evaluate for vascular abnormality. LIMITED ABDOMENLIVER: The liver is coarse in echotexture and normal in size, measuring 17.0 cm in craniocaudal dimension. No focal hepatic lesion or intrahepatic biliary ductal dilatation.B... | 1. Coarsened hepatic echotexture compatible with parenchymal dysfunction without a focal lesion, biliary ductal dilatation or specific findings of a vascular abnormality.2. Cholelithiasis without evidence of acute cholecystitis. |
Generate impression based on findings. | Chronic sinusitis. The frontal sinuses have not pneumatized. The paranasal sinuses are otherwise clear. Indeed, the previously demonstrated opacification in the left maxillary sinus has resolved. The nasal cavity is also clear. The nasal septum is essentially midline. There is a 2 mm wide defect in the anterior nasal s... | 1. The paranasal sinuses are now clear.2. Degenerative changes involving the left temporomandibular joint. |
Generate impression based on findings. | 74 year old female with history of metastatic urothelial cancer. Evaluate for progression. CHEST:LUNGS AND PLEURA: Left upper lobe pulmonary nodule (4/28) measures 1.1 x 1 cm, previously 0.5 x 0.4 cm. Severe centrilobular emphysema is unchanged. Scattered micronodules, some of which are calcified, again noted.MEDIASTIN... | 1.Osseous metastatic disease with some lesions having increased in size over the interval, as above.2.Increased size of reference left lung nodule. |
Generate impression based on findings. | Female 9 years old Reason: eval for renal stone, eval bowel gas pattern History: abdominal painVIEW: Abdomen AP (one view) 4/22/15 Normal abdominal gas pattern. No evidence of obstruction or free air. No evidence of radiopaque foreign bodies/stones. | No evidence of radiopaque foreign body/stones |
Generate impression based on findings. | Reason: esoph cancer, s/p chemo and RT, s/p esophagectomy @ 11/2014. Pls c/w previous study and evaluate dx status. History: esoph ca CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are unchanged and likely benign postinflammatory/postinfectious in etiology. No new or suspicious pulmonary nodules or masses. No... | Interval postsurgical changes of esophagectomy and gastric interposition. No evidence or metastases or recurrence. |
Generate impression based on findings. | Thyroid cancer status post thyroidectomy and lymph node resection, and I-131 therapy. There postoperative findings related to thyroidectomy and neck dissection. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. Indeed, a right level 3 lymph node measures up ... | 1. Postoperative findings in the neck without discernible evidence of locoregional recurrent tumor or residual lymphadenopathy in the neck. 2. Numerous nonspecific micronodules in the imaged portions of the lungs. Please refer to the separate chest CT report for additional details. |
Generate impression based on findings. | 34 year-old female with a history of ulcerative colitis status post IPAA on 1/12/15. Please evaluate J-pouch for healing. There is prompt opacification of the rectum and J-pouch of normal static morphology. Contrast passes freely through the ileoanal anastomosis and reaches the level of the patient's ostomy bag in the ... | 1. Postoperative changes of ileoanal anastomosis without evidence of anastomotic leak, fistula formation, or significant stenosis.2. Subcentimeter left sided anterolateral rectocele. |
Generate impression based on findings. | Reason: HCC, HCV eval possible mets History: HCC, HCV LUNGS AND PLEURA: Scattered bilateral granulomas. No new or suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart size is normal with no pericardial effusion. Coronary artery stent. Small ri... | No evidence of metastases. Known multifocal HCC status post ablation, incompletely evaluated. |
Generate impression based on findings. | Female 35 years old. Reason: Eval for fx. History: Anterior shin pain Two views of the left tibia/fibula are provided. The left lower extremity appears unremarkable. There is no evidence of fracture or dislocation. | Unremarkable examination of the left lower extremity. |
Generate impression based on findings. | Female 27 years old Reason: Crohn's History: abdominal. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality noted. Mild perihepatic ascites.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedK... | Long segment asymmetric thickening of distal ileum. The dilatation of bowel is likely related to the enterography technique with rapid ingestion of oral contrast. There is no definite mesenteric fat stranding but the moderate volume ascites in the dependant portions of pelvis is more than is physiologic and likely rela... |
Generate impression based on findings. | Reason: History of metastatic breast cancer on treatment. Compare to prior imaging, evaluate for response and extent of disease. History: History of metastatic breast cancer on treatment. Compare to prior imaging, evaluate for response and extent of disease. CHEST:LUNGS AND PLEURA: Interval increase in large right pleu... | 1.Pulmonary, hepatic, mesenteric, and peritoneal metastases are stable to slightly decreased in size.2.Unchanged left adrenal metastasis.3.Slightly increased right pleural effusion. |
Generate impression based on findings. | Reason: hx of pelvic abscess with new worsening sacral pain, concern for recurrence of disease EXAMINATION: MR without and with IV contrast 3/12/15 PELVIS:Uterus and Adnexa: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No signifi... | 1.Previously noted fluid collection dorsal to the coccyx is increased in size.2.Previously noted multiloculated collection anterior to coccyx is decreased in size. |
Generate impression based on findings. | 56-year-old female patient with focal asymmetry in the right breast presents for 6 month follow-up. History of breast cancer in a maternal grandmother. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular den... | Stable focal asymmetry in the medial right breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended in 6 months. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMM... |
Generate impression based on findings. | History of benign left breast biopsy in 2012. Known left retroareolar mass. No new breast complaints. Mammogram: Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram with tomosynthesis is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Head CT: Periventricular and subcortical low attenuation of white matter likely representing age indeterminate small vessel ischemic strokes. Subtle asymmetric hypoattenuation in the posterior limb of the right internal capsule in the area of known infarct. There is no significant associated mass effect. No evidence o... | 1.Subtle hypoattenuation in posterior limb of the right internal capsule without significant mass effect corresponds to known infarct. Periventricular and subcortical low attenuation of white matter represents age indeterminate small vessel ischemic strokes. 2.Cavernous carotid calcification and unremarkable CTA of hea... |
Generate impression based on findings. | There are post-treatment findings in the left face and neck related to resection of the greater auricular nerve tumor, a portion of the left sternocleidomastoid muscle, and left parotid tail, as well as radiation therapy. In addition, there has been interval wide local excision of a left auricular lesion, although thi... | 1. Post-treatment findings in the head and neck without evidence of measurable residual or recurrent tumor, although the left auricular region is incompletely imaged.2. No significant lymphadenopathy in the neck. |
Generate impression based on findings. | Female 57 years old Reason: Assess for aortic dissection History: Chest pain radiating to back; OSH CT showing possible aortic dissection. CHEST:LUNGS AND PLEURA: Bibasilar atelectasis. Some groundglass opacities in a pattern suggestive of mild edema.MEDIASTINUM AND HILA: Normal size heart. Minimal calcification near a... | Type B aortic dissection as described above and reported to SICU by radiology resident on call at the time the examination. Prominent pulmonary arteries correlate for pulmonary arterial hypertension. Markedly enlarged uterus with masses.Other findings as above. |
Generate impression based on findings. | 48-year-old female patient with history of left mastectomy for invasive ductal carcinoma and right breast lift. Family history of breast cancer in paternal aunts ages 55 and 66 years of age as well as breast cancer in cousin at 34 years of age. Three standard views of the right breast, two additional rolled right CC vi... | Postsurgical changes in the right breast. 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 - Diagno... |
Generate impression based on findings. | Reason: thyroid cancer prior to tx please provide measurments. History: as above CHEST:LUNGS AND PLEURA: Innumerable bilateral pulmonary nodules compatible with metastases, not significantly changed. Reference right lower lobe nodule measures 7 mm, unchanged (series 5 image 40). No pleural effusions.MEDIASTINUM AND HIL... | 1.Interval decrease in size of mediastinal and hilar lymphadenopathy.2.Stable innumerable pulmonary metastases.3.Stable right adrenal nodule. |
Generate impression based on findings. | Male, 56 years old, with recent stroke and new left-sided weakness. The size and morphology of a left thalamic hemorrhage has not significantly changed from prior. No evidence of any new intracranial hemorrhage or abnormal extra-axial fluid collection is seen.Fairly extensive patchy subcortical and periventricular whit... | 1. Stable left thalamic hemorrhage.2. No new intracranial abnormality.3. No significant change in the severity or distribution of patchy white matter hypoattenuation which may represent age indeterminate microvascular ischemic disease. |
Generate impression based on findings. | 62 years, Male. Reason: r/o bowel obstruction History: abdominal distention There is interval increase in size of a markedly distended stomach, now with associated dilated loops of small bowel, with a relative paucity of gas throughout the colon. These findings are suspicious for small bowel obstruction. No evidence of... | Findings consistent with small bowel obstruction. Dobbhoff tube tip projects at the level of the antrum of the stomach. |
Generate impression based on findings. | Reason: h/o left cheek skin cancer History: r/o lung mets LUNGS AND PLEURA: Severe centrilobular emphysema.Subsegmental atelectasis lingular region of the left upper lobe and lateral segment of the right lower lobe is suggestive of aspirated secretions or mucous plugging. No reliable evidence of pulmonary metastases.ME... | Severe centrilobular emphysema. There are new areas of atelectasis but no evidence of metastases. |
Generate impression based on findings. | 67 years, Female. Reason: assess for obstipation History: 67 y.o. woman with a history of DM, constipation, and upper abdominal fullness/pain Nonobstructive bowel gas pattern. An average amount of stool is noted throughout the colon. Hepatomegaly. The lung bases appear clear. Incidental note is made of a large hiatal h... | 1. Nonobstructive bowel gas pattern. Average stool burden.2. Prominent hepatic shadow may be seen in hepatomegaly. |
Generate impression based on findings. | 80 years, Female. Reason: evaluate Dobbhoff placement History: Dobbhoff placement The pelvis is incompletely included in the field-of-view. Dobbhoff tube tip projects at the level of the body of the stomach. Nonobstructive bowel gas pattern. Lucency projecting over the upper abdomen appears to be related to a prominent... | 1. Dobbhoff tube tip projects at the level of the body of the stomach.2. Lucency projecting over the upper abdomen appears be related to a prominent skin fold. If there is strong clinical concern for free intraperitoneal air, further evaluation with upright or lateral decubitus views should be considered. |
Generate impression based on findings. | Reason: staging for newly diagnosed breast cancer History: staging for newly diagnosed breast cancer LUNGS AND PLEURA: Left upper lobe calcified granuloma. No suspicious pulmonary nodule or mass. Mild diffuse bronchial wall thickening. Bibasilar scarring/linear atelectasis. No pleural effusions.MEDIASTINUM AND HILA: Sm... | 1.Right breast mass, incompletely evaluated. Right axillary, subpectoral, and internal mammary lymphadenopathy.2.No evidence of distant metastases. |
Generate impression based on findings. | evaluate for hip subluxation VIEWS: Pelvis AP and frog leg (2 views) 4/20/15 10:48 Bilateral femoral epiphyses are directed appropriately towards the well developed acetabula. No evidence of slippage or uncovering of femoral head. No fracture. Moderate stool burden. | No evidence of hip subluxation. Moderate stool burden. |
Generate impression based on findings. | [ Female 24 years old Reason: abscess History: chronic abscess ] Mild asymmetry and thickening of the soft tissues along the left intergluteal cleft consistent with provided history of buttock abscess/cellulitis. This measures approximately 3.2 x 1.0 cm (series 3, image 55). No drainable fluid collection is identified.... | Mild asymmetry and thickening of the soft tissues along the left intergluteal cleft. No drainable collection. |
Generate impression based on findings. | Reason: Pleural mesothelioma please provide bi-dimensional measurements per RECIST 1.1 criteria. Pelvic portion for abdominal pain. History: Pleural mesothelioma/abdominal pain LUNGS AND PLEURA: Diffuse nodular right pleural thickening compatible with patient's known history of mesothelioma. Reference measurements as f... | 1.Right pleural nodularity compatible with patient's history of mesothelioma, stable to minimally decreased in size. Reference measurements as above. 2.Slight interval increase in size of right cardiophrenic lymph nodes. 3.Please see separately dictated CT abdomen and pelvis performed the same day. |
Generate impression based on findings. | Age: 64 years. Sex : Female. Reason for study: Reason: dysphagia History: dysphagia/ hx recent egd dilations. 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 ... | The exam was negative for penetration and negative for aspiration. Please see dedicated speech pathology report for additional findings and feeding recommendations. |
Generate impression based on findings. | Knee Reason: Please eval for fracture, effusion History: pain and limited ROM s/p traumaHand Reason: Please eval for fracture, possibly 5th metacarpal History: pain, swelling, limited ROM s/p traumaVIEWS: Left knee AP oblique lateral (3 views) 4/22/15 10:16 Left knee: No fracture or dislocation. No joint effusion. Left... | Minimally displaced fracture of left fifth distal metacarpal with volar angulation. No fracture or dislocation of the left knee. |
Generate impression based on findings. | Female 52 years old. Reason: follow up History: follow up Two views of the spine are provided. There are posterior stabilization rods with orthopedic screws entering the T10, T11, L1, L2, L4, and L5 vertebral bodies without evidence of hardware complication. There are sclerotic lesions in the T12 and L3 vertebral bodie... | Postoperative changes of thoracolumbar spine fusion as described above. |
Generate impression based on findings. | Male 66 years old Reason: low back pain History: pain Endplate sclerosis, anterior osteophyte formation and joint space narrowing indicating moderate degenerative disk disease.Probable gallstone projected over the right upper quadrant. | Moderate degenerative disk disease. |
Generate impression based on findings. | The scout film demonstrated evidence of multiple is a dilated small bowel, consistent with known partial small bowel obstruction.Water-soluble Omnipaque contrast flowed freely to the level of the ileocolonic anastomosis in the right upper quadrant. At which point there was initially no further opacification of the sma... | Significant narrowing at the level of the anastomosis with eventual passage of contrast into a moderately dilated distal ileum, consistent with partial obstruction at level of postsurgical bowel anastomosis. Findings were communicated to the ordering service on 4/22/15 at 10:35 am. |
Generate impression based on findings. | Reason: Pleural mesothelioma please provide bi-dimensional measurements per RECIST 1.1 criteria and compare to prior exam. History: Pleural mesothelioma LUNGS AND PLEURA: Nodular pleural thickening in the right lower hemithorax compatible with patient's history of mesothelioma. No pleural effusions. Reference measureme... | 1.Right pleural nodularity compatible with patient's history mesothelioma, not significantly changed with reference measurements as above.2.Interval increase in supraclavicular lymphadenopathy.3.Stable mediastinal lymphadenopathy.4.Extensive extrathoracic disease with interval decrease in size of one chest wall lesion.... |
Generate impression based on findings. | Reason: new R supraglottic squamous cell CA; eval for mets. History: new R supraglottic squamous cell CA; eval for mets. CHEST:LUNGS AND PLEURA: Stable scattered calcified and noncalcified micronodules.Right middle lobe nodule (image 53 series 4 unchanged measuring 12 mm x 8 mm.Mild upper lobe predominant centrilobular... | No evidence of metastatic disease. Stable right middle lobe nodule. New left lower lobe segmental atelectasis related to bronchial plugging. |
Generate impression based on findings. | 72-year-old female patient with history of right lumpectomy in 2012 for IDC and DCIS. Patient received radiation and hormonal therapy. History of breast cancer in sister. No new breast complaints. Three standard views of both breasts and two spot compression views of the right breast were performed digitally and review... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 71-year-old female with a history of elevated creatinine. RIGHT KIDNEY: The right kidney is normal in size measure 9.8 cm in length without hydronephrosis or shadowing nephrolithiasis. The renal cortex is echogenic. There is a 1.7 x 1.4 x 2.0 cm anechoic interpolar lesion with posterior through enhancement consistent w... | 1. Minimally complex right and simple left renal cysts. 2. Findings of medical renal disease.3. Cholelithiasis. |
Generate impression based on findings. | Male 57 years old. Reason: 57 yo M with L shoulder pain. History: as above Three views of the left shoulder are provided. There is globular calcification of the rotator cuff along the superolateral humeral head indicating calcific tendinopathy. There is no fracture or dislocation evident.Three views of the right should... | Calcific tendinopathy of the rotator cuffs bilaterally. |
Generate impression based on findings. | Tender palpable lump at the 7 o'clock inframammary region of the left breast. Spontaneous drainage was noted. NOTE the annotations on the ultrasound images are incorrectly labeled in terms of laterality. The ultrasound was performed at the 7 o'clock position of the LEFT breast, 10 cm from the nipple.A targeted ultrasou... | 2.9-cm complex collection at the 7 o'clock position of the left breast, compatible with an abscess. The patient was transferred to the breast surgery clinic for further treatment.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | Alignment is anatomic. Mild leftward curvature of the lumbar spine. There are no fractures or subluxations. The marrow signal is benign. The conus is normal in signal and morphology and terminates at an appropriate level. Left kidney cystic lesion with septation and solid component measures 20mm x 21mm (Series 701, im... | 1. L5-S1 left facet synovial cyst with mass effect on the thecal sac and S1 nerve root.2. Degenerative changes with neuroforaminal narrowing worse at L3/4 and L4/5 as detailed above.3. Left kidney cystic lesion with septation and solid component is not significantly changed in size from sonogram in 2012. |
Generate impression based on findings. | Reason: ex 25 w now 28 w corrected with emesis History: tachycardia and desaturationsVIEW: Chest AP (one view) Abdomen AP (one view) 4/22/15 10:14 ET tube terminates below thoracic inlet. NG tube tip in the stomach. UVC tip in the IVC.Cardiac silhouette size is normal. Stable size of the right lung base retrocardiac pn... | Stable size of the right lung base retrocardiac pneumatocele with increased wall thickness. Persistent diffuse bilateral lung haziness compatible with PIE. |
Generate impression based on findings. | Female 37 years old Reason: 37yo female with newly diagnosed cervical cancer, MRI for radiation planning History: vaginal bleeding, pevlic and back pain PELVIS:UTERUS, ADNEXA: There is a large cervical mass measuring 9.9 x 8.4 cm image number 28, series number 601 he invading bilateral parametrium and the entire uterus... | Large cervical mass invading the uterus, vagina, bilateral ovaries, sigmoid colon and bilateral parametrium. Pelvic adenopathy. The vagina is significantly distended likely with blood. Artifact from blood and other possible metallic products in the vagina limit optimal evaluation of the vagina.1. |
Generate impression based on findings. | Male 57 years old. Reason: pip arthroplasty. History: none Three views of the right fourth digit are provided. Metallic hardware components of the right fourth digit proximal interphalangeal arthroplasty are situated in anatomic alignment without evidence of hardware complication. The fracture line is not visualized in... | Right fourth PIP arthroplasty as described above. |
Generate impression based on findings. | 62 year old male with metastatic NSCLC s/p RUL 2014, surveillance scans CHEST:LUNGS AND PLEURA: Postsurgical changes of right upper lobectomy and associated volume loss. Scattered punctate micronodules, some of which are calcified compatible with prior granulomatous disease. No suspicious pulmonary nodules or masses. M... | 1. Postoperative changes of right upper lobectomy with no evidence of recurrent disease. 2. Two hypoattenuating lesions in the liver are nonspecific but were present before and appear more conspicuous on today's exam. Enlarging left adrenal metastasis. |
Generate impression based on findings. | Reason: evaluate for stricture/fibrosis History: dysphagia, s/p radiation and chemo for lung cancer. Scout radiograph of the chest demonstrated postsurgical changes related to previous right upper lobectomy including a large loculated hydropneumothorax in the right upper lobe as well as a moderate right pleural effusio... | 1.Patulous gastroesophageal junction with low-grade intermittent reflux.2.Mild circumferential narrowing of the proximal third of the esophagus, which does remain patent.3.Transient delay of passage of the barium pill at the level of the aforementioned circumferential narrowing, which passes with multiple sips of water... |
Generate impression based on findings. | Female 52 years old Reason: Evaluate for recurrence of crohns disease at stoma site for inflammation as well as for hernia as the patient has pain prior to passage of stool contents History: Pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No signifi... | Right lower quadrant ileostomy. No evidence of inflammation noted in the small bowel loops. |
Generate impression based on findings. | Pleural mesothelioma. Please provide bi-dimensional measurements per RECIST 1.1 criteria and compare to prior exam. ABDOMEN:LUNG BASES: Please see separately dictated CT chest report from the same day.LIVER, BILIARY TRACT: Interval increase in size of the right hepatic hypodense lesion which now measures 2.1 x 2.2 cm (... | 1. Interval increase in the size of the bilateral liver lesions suspicious for metastases.2. Unchanged portacaval and retrocrural/retroperitoneal lymphadenopathy. |
Generate impression based on findings. | Patient recalled from the screening mammography floor and obscured left breast mass in the central left breast anterior depth. A 90 degree 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 fibrogland... | No mammographic evidence of malignancy. The screen detected mass was due to a 17-mm benign cyst. No further evaluation is necessary. 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: 2 -... |
Generate impression based on findings. | 62 year-old female with high probability benign cyst within the right breast presents for diagnostic mammogram. History of benign right breast biopsy. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular dens... | Stable asymmetries and calcifications bilaterally. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diag... |
Generate impression based on findings. | Male 43 years old Reason: eval for acute process History: ttp/pain on amb 4th/5th toe s/p struck toe on bed post 1 mo ago. No fracture or malalignment. | No fracture or malalignment. |
Generate impression based on findings. | History of T4aN2c oral tongue squamous cell carcinoma status post treatment: 6 month follow up. Neck: There are post-treatment findings in the neck. There has been further interval decrease in size of the ill-defined left tongue mass, which now measures up to approximately 15 mm, previously 35 mm. There has is no signi... | 1. Post-treatment findings in the neck with further interval decrease in size of the tongue mass lesions and no residual cervical lymphadenopathy. 2. Unchanged right paraclinoid mass, which may represent a meningioma.3. Persistent subcentimeter ground glass lesion in the right lung. Please refer to the separate chest C... |
Generate impression based on findings. | Female, 51 years old.Trigger: Multiple surgical teams. No suspicious radiopaque foreign object is identified. Nonobstructive bowel gas pattern. Retained contrast is seen within the right colon. Enteric tube tip terminates in the duodenum. Surgical drain projects over the left hemiabdomen. Multiple surgical clips projec... | No suspicious radiopaque foreign object is identified.These findings were discussed by telephone with Dr. Hussain, the attending surgeon, on 4/22/15 at 10:52. |
Generate impression based on findings. | Abdominal painVIEWS: abdomen AP (1 views) 4/22/15 9:13 Paucity of bowel gas. Stool filled colon. No evidence of bowel obstruction. No intraperitoneal free air. | Moderate stool burden. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 32-year-old male with history of right lower quadrant pain radiating to back. Tenderness to palpation. ABDOMEN:LUNG BASES: Lung bases are clear, without significant abnormality noted.LIVER, BILIARY TRACT: Scattered tiny hypoattenuating foci, too small to characterize but likely benign cysts. No biliary dilatation. No p... | 1.Findings suggestive of polycystic kidney disease, without hydronephrosis or hydroureter or other evidence of urinary obstruction.2.Appendix within normal limits, without additional acute significant abnormality. |
Generate impression based on findings. | 29-year-old female status post renal transplant presenting with increasing creatinine, fevers and abdominal pain. RENAL TRANSPLANT: LOCATION: Right iliac fossa.PERITRANSPLANT TISSUES: There is no significant peritransplant fluid collection.KIDNEY: The right kidney is normal in size, measuring 11.6 cm.COLLECTING SYSTEM/... | No significant interval change. The renal pelvis is visible but there is no significant caliceal dilatation. |
Generate impression based on findings. | 48-year-old female patient with history of surgery for hydradenitis suppurativa and benign left breast biopsy. BILATERAL DIAGNOSTIC MAMMOGRAM: Three standard views of both breasts and 2 right and 1 left spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is com... | Multiple bilateral small low density circumscribed round masses in both breasts at least two of which are due to simple benign cysts. This is a highly probable benign finding and therefore 6 month follow-up bilateral mammography is recommended.There is an ectatic material or duct on the right with inspissated material.... |
Generate impression based on findings. | Bilateral renal masses status post left partial nephrectomy with diagnosis of clear cell renal cell carcinoma ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Stable splenic low attenuation focusPANCREAS: No significant abnormality notedADRENAL GLANDS: No... | Status post resection of reference right upper pole enhancing mass. No enhancing lesions identified. |
Generate impression based on findings. | Pleural mesothelioma. Please provide bi-dimensional measurements per RECIST 1.1 criteria. Pelvic portion for abdominal pain. ABDOMEN:LUNG BASES: Please refer to the dedicated same day chest CT for chest findings.LIVER, BILIARY TRACT: No suspicious enhancing lesions. No intra-or extrahepatic biliary ductal dilatation.SP... | 1.Stranding and fluid in mesentery of the small intestines with the epicenter near the distal ileum without bowel wall thickening or dilatation. Correlate for ischemia or an infectious/inflammatory process.2.Mildly enlarged 1.2 cm right common iliac lymph node which is nonspecific but can be followed in subsequent exam... |
Generate impression based on findings. | T3N2cM0 supraglottic larynx squamous cell carcinoma status post induction chemotherapy. There has been interval tracheostomy with patency of the airway inferior to the tube. There has been interval decrease in size of the infiltrative necrotic mass centered in the supraglottic region, now measuring up to approximately ... | Interval decrease in size of the laryngeal mass and cervical lymphadenopathy, indicating treatment response. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of bilateral benign breast biopsies. Family history of breast cancer in paternal grandmother and paternal cousin. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The brea... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 68 years old Reason: Pt is a 68 y/o male wtih prostate cancer, complains of groin pain, evaluate for progression History: prostate cancer, groin pain ABDOMEN:LUNG BASES: Right lower lobe subcentimeter nodule is unchanged. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality note... | Interval resection of previous described right sided pelvic mass.Left pelvic pseudoaneurysm is unchanged. |
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