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Generate impression based on findings. | 67-year-old male with a history of Nutcracker esophagus. Status post dilation with recurrent complaints of dysphagia. Note is made of an old healed rib fracture along the left lateral 7th rib. There is an apparent nodular opacity in the right upper lobe, may be related to costochondral junction but nonspecific. Further... | 1. Intermittent diffuse esophageal spasm, as described above.2. Apparent nodular opacity in the right lung apex for which further evaluation with a dedicated CT chest examination should be considered. |
Generate impression based on findings. | Female 75 years old; Reason: Pleural mesothelioma please provide bi-dimensional measurements per RECIST 1.1 criteria and compare to prior exam. History: Pleural mesothelioma ABDOMEN:LUNG BASES: Right pleural effusion and nodularity present previously and most prominent at the right lung base appears roughly stable. Ple... | No change compared to previous CT. Reference measurements given above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign left breast biopsy. Family history of breast cancer in her sister, diagnosed in her 50s. 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 scat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 61 years old; Reason: rule out renal recurrence History: renal cell carcinoma sp partial nephrectomy ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No si... | 1.Postsurgical changes left kidney. No evidence of residual or recurrent neoplasm. Nephrolithiasis right upper pole.2.Postsurgical changes stomach. Other findings as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign cyst aspiration in 2005. Family history of breast cancer in paternal grandmother and paternal aunt. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heter... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal cousin and maternal aunt. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. No susp... | 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. | 71-year-old male with history of pelvic pressure and pain in the left lower quadrant. ABDOMEN:LUNG BASES: Tiny right lower lobe pleural-based scar like nodule (4/12), nonspecific and may be related to prior infection/inflammation.LIVER, BILIARY TRACT: No biliary dilatation or perihepatic fluid. Small gallstone, however... | Findings suggestive of panniculitis in the lower mid abdomen. Panniculitis may be idiopathic, however inflammatory, infectious and neoplastic (such as early lymphoma) causes should be considered. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign right breast biopsies. Family history of breast cancer in two sisters (diagnosed at the age of 55 and 68 years). Patient does report persistent tenderness in the lateral aspect of her right breast. Two standard digital views of b... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.The patient's persistent right lateral breast tenderness should be managed clinically.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Female 51 years old Reason: HIP TOTAL ARTHROPLASTY PRIMARY (Right HIP) Components of a right total hip arthroplasty in near anatomic alignment. No fracture or dislocation. Skin staples, a drain and foci of gas density within the soft tissues reflect recent surgery. Multiple surgical clips overlie the lower abdomen and ... | Right total hip arthroplasty. |
Generate impression based on findings. | 36 year old male with fever, cough. Evaluate for pleural effusion, pneumonia. LUNGS AND PLEURA: Redemonstration of large geographic airspace opacities with intercommunicating pneumatoceles or cavitation which appears more dense compared to prior study. Bilateral pleural effusions unchanged. No pneumothorax. MEDIASTINUM... | Multifocal presumed pneumococcal pneumonia which appear more dense compared to prior study. Small bilateral pleural effusions unchanged. Multifocal and cavitary, the appearance raises a question of staph or atypical infection. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of ovarian cancer in mother. Two standard digital views (with repeat left MLO view) of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular densi... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 26 years old Reason: injury sustained after marathon - pain at 5th metatarsal History: as above Left foot: No fracture, malalignment or soft tissue swelling. No specific findings to account for patient's pain.Left tibia/fibula: No fracture, malalignment or soft tissue swelling. No specific findings to account fo... | No fracture, malalignment or soft tissue swelling. No specific findings to account for patient's pain. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign left breast biopsy. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. Scattered benign calcifications are present bilaterally. No su... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses, microcalcificati... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 70 year old male with ESRD on HD, 'COPD', diastolic CHF, right lung nodule, mild cognitive impairment, repeated presentations for SOB. While likely volume overload, interstitial marking not seem to resolve. Lung exam has coarse crackles persistently. Evaluate interstitial marking on CXR, concern for chronic aspiration ... | Severe emphysema and bronchiectasis with superimposed aspiration or infection. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal aunt. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in patte... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 66 years old Reason: eval for fracture History: pain s/p trauma Joint space narrowing, cortical irregularity and subchondral sclerosis of the distal interphalangeal joint of the third toe, which is likely secondary to osteoarthritis. No fracture. | No fracture. Osteoarthritis of the distal interphalangeal joint. |
Generate impression based on findings. | Male 8 years old Reason: Does patient have any bone abnormalities or subungual exostosis of big toe? History: nail dystrophy and firm outgrowth from L. big toeVIEWS: Right foot AP, lateral and oblique 4/22/15. (Three views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. No evide... | Normal bones. |
Generate impression based on findings. | Malignant neoplasm of uterus. Chemotherapy followed. Please evaluate left axillary node, head of pancreas mass, and left internal iliac soft tissue mass. CHEST:LUNGS AND PLEURA: New, 3-mm left upper lobe nodule (image 21; series 5). The should be followed.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. C... | Overall worsening disease with reference measurements given above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign left breast biopsy. Family history of breast cancer in mother and sister. 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 composed of s... | 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. | Female 68 years old. Worsening knee pain. Four nonweightbearing views of the left knee are provided. There is mild medial joint space narrowing with small osteophytes in the medial and patellofemoral compartments indicating mild osteoarthritis. This is a slightly progressed since prior study from 2009. There is no frac... | Mild osteoarthritis of the bilateral knees. Nonweightbearing radiographs may underestimate the degree of osteoarthritis. |
Generate impression based on findings. | Female 34 years old Reason: eval for ureteral stone History: hx of kidney stones with right flank pain and hematuria Exam is not sensitive for detecting lesions in the bowel due to lack of oral contrast in the solid organs or vasculature due to the lack of intravenous contrast. Given those limitations, the following ob... | No findings to explain right flank pain and hematuria. If unexplained hematuria persists, patient should be evaluated with dedicated renal CT with cortical and excretory phase scans. The noncontrast portion may be omitted. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of a benign left breast biopsy. Family history of breast cancer in maternal niece. 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 fibrogland... | 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. | Female 59 years old Reason: Eval for Fx History: Finger Pain s/p trauma No fracture or malalignment. | No fracture or malalignment. |
Generate impression based on findings. | Stage IV invasive moderately differentiated esophageal squamous cell cancer (18-20 cm from the incisors) and colon adenocarcinoma s/p 12 cycles of FOLFOX at OSH presented to ED from HONC clinic concerning for sepsis, has been treated for bacteremia and is being admitted to the MICU for upper airway edema and monitoring... | 1. The cervical esophageal tumor compresses the trachea resulting in severe airway narrowing at the level of the thoracic inlet. 2. The esophageal tumor appears to be ulcerated and tumor perforation cannot be excluded. A fluoroscopic leak study may be useful for further evaluation if clinically warranted. 3. Extensive ... |
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. No suspicious masses, microcalcifications or areas of architectural distortion are pre... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms are submitted, then an addendum to this repor... |
Generate impression based on findings. | Male 22 years old. Reason: tib or fib fracture. History: basketball injury 6 days ago with increasing leg pain Two views of the right tibia/fibular provided. There is no acute fracture or malalignment. | No acute fracture or malalignment.Findings were discussed by telephone with Dr. Asbury at the student health clinic, pager 6343, at 11:30 a.m. on 4/22/2015. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of a benign left breast biopsy. Family history of breast cancer in mother, diagnosed at the age of 70. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchy... | 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. | 58-year-old female status post orthotopic liver transplant. LIMITED ABDOMENLIVER: Patient is status post orthotopic liver transplant. The liver measures 18.4 cm in craniocaudal dimension. No focal lesion or intrahepatic biliary ductal dilatation.BILIARY TRACT: No gallbladder.SPLEEN: Mild splenomegaly, measuring 13.8 cm... | Normal hepatic vasculature as described. Small volume ascites. |
Generate impression based on findings. | 55-year-old female patient with history of benign left breast biopsy in 2007. Patient presents with two masses in the right inner breast that she noticed after injury to the area from prior motor vehicle accident in 2014 where she was the driver. RIGHT BREAST ULTRASOUND: There is an oval anechoic collection containing ... | Both palpable lumps immediately overlay cystic lesions compatible with fat necrosis and oil cyst formation in the right inner breast from prior trauma. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and... |
Generate impression based on findings. | 60 years, Male, Reason: Pt has GIST History: 60 yo male with new diagnosis of GIST; pt had CT scan that showed abnormality in the adrenal gland; please evaluate for metastatic disease.RADIOPHARMACEUTICAL: 15.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 101 mg/dL. Today's CT portion grossly demonstrates ... | 1.Moderately sized gastric cardia lesion which is only slightly FDG avid above normal stomach consistent with patient's known GIST tumor.2.Left adrenal lesion is mild to moderately hypermetabolic. Given low density on CT, a benign adenoma is favored although metastases cannot be excluded.3.Left lower lobe nodular lung ... |
Generate impression based on findings. | Male 54 years old. Reason: healed IP fusion. History: none Three views of the right thumb are provided. Again seen is a plate and screw device with screws entering the proximal and distal phalanges of the thumb and affixing the healed fracture and interphalangeal joint in near anatomic alignment, similar to prior study... | Postoperative changes as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in paternal aunt, diagnosed in her 40s. 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 p... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in two maternal aunts and ovarian cancer in one maternal aunt. Patient reports a two week history of right superior breast tenderness. Two standard digital views of both breasts were performed and reviewed with the aid of R2... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.The patient's right superior breast pain should be managed clinically.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | There is no acute intracranial hemorrhage, mass effect or midline shift. There is a stable small area of hypoattenuation in the left middle frontal gyrus which is consistent with a chronic infarct. Small new focus of hyperattenuation along the posterior in anterior aspect of this region (series 4 image 20) is consiste... | No acute intracranial hemorrhage or mass-effect. CT is insensitive for detection of early nonhemorrhagic stroke. |
Generate impression based on findings. | Male 52 years old Reason: 52 year old man with stage I DLBCL s/p chemotherapy in presumed remission. Evaluate disease status and compare to prior scans. History: None CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality noted. No pathologic size nodes.CHEST WALL: No s... | Stable small nodes as above. |
Generate impression based on findings. | Female 4 years old Reason: r/o pneumonia History: fever, cough, increased WOB, crackles on RVIEWS: Chest AP/lateral (two views) 4/22/15 The aortic arch, cardiac apex and stomach are left-sided.Cardiac silhouette is normal in size and shape. Right lower lobe ill-defined opacity , likely pneumonia or atelectases. No effu... | Right lower lobe opacity likely pneumonia or atelectasis |
Generate impression based on findings. | History of right lower lobectomy for stage I non-small cell lung cancer. Now with growing left lower lobe lung density concerning for new primary. Restaging exam. Also history of hairy cell leukemia.RADIOPHARMACEUTICAL: 11.2 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 98 mg/dL. Today's CT portion grossly... | 1.Two adjacent hypermetabolic pulmonary parenchymal lesions in the posterior left lower lobe, very suspicious for recurrent lung cancer.2.No FDG evidence of FDG avid tumor elsewhere. |
Generate impression based on findings. | Status-post surgery for left hydrocele. Enlarged left testicle.EXAMINATION: Sonogram scrotum 4/22/15 RIGHT TESTIS: Multiple punctate echogenic foci may represent microcalcifications. No testicular mass noted. The right testicle is 4.86 x 3.29 x 2.71 cm in 3 dimensions. Small multiseptated and loculated right-sided hydr... | Multiseptated loculated right-sided hydrocele.Bilateral microcalcifications.Question of right-sided inguinal hernia. |
Generate impression based on findings. | The right uterine artery was embolized using 500-700 micron followed by 700-900 micron Embospheres until near stasis was achieved. The post-embolization angiogram confirmed these findings.LEFT UTERINE ARTERY EMBOLIZATION | Successful right ovarian artery and left uterine artery embolization.PLAN: 1. The patient will be admitted overnight for pain control and observation.2. The patient was entered into the IR clinic follow-up system. A follow-up MRI pelvis will be performed in 3 months time, after which the patient should return to the in... |
Generate impression based on findings. | Stage IIA DLBCL status post chemotherapy and IF RT. The Waldeyer ring structures appear unchanged. There is no significant cervical lymphadenopathy. There is no significant narrowing of the airways. The major salivary glands are unchanged. There is an unchanged partially calcified 4 mm left thyroid nodule. There is a r... | No findings to suggest recurrent lymphoma in the neck. |
Generate impression based on findings. | Female 70 years old Reason: eval for fluid collection / abscess History: status post bowel perforation on 4/15 with ex lap, colostomy and mucous fistula now with leukocytosis. ABDOMEN:LUNG BASES: Large bilateral pleural effusions and bibasilar atelectasis or consolidation. Moderate coronary artery calcification seen on... | Moderate ascites. There is no specific focal area of loculation to suggest abscess. Small amount of free air consistent with recent surgery. Hepatic lesions measures slightly larger. Severe anasarca. Large bilateral pleural effusions and extensive bibasilar atelectasis or consolidation.Other findings as above. |
Generate impression based on findings. | Female 50 years old Reason: eval for hydronephrosis History: new AKI, known to have R renal pelvic calculus RIGHT KIDNEY: 14 cm in length. Caliectasis in the upper pole corresponds to the findings in the 2/26/15 CT. Right-sided stone is not very apparent on this ultrasound. Normal corticomedullary differentiation. Limi... | Right renal stone not well seen. Caliectasis right upper pole. Probable congenital variant left kidney mimics mass.Probable diffuse hepatic metastases which may be new. |
Generate impression based on findings. | Fall with emesis. The images are partly degraded by patient motion. There is no evidence of acute intracranial hemorrhage or mass. There is encephalomalacia in the right temporal lobe and diffuse cerebral white matter hypoattenuation. There is a diffuse background of cerebral volume loss. There is no midline shift or h... | 1. No evidence of acute intracranial hemorrhage or skull fracture.2. Chronic right middle cerebral artery territory infarct and small vessel ischemic disease. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct.3. Diffuse cerebral volume loss. |
Generate impression based on findings. | Status post fall 9 days agoVIEWS: Left knee AP, lateral and oblique 4/22/15 (3 view/s) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | The scout lateral view and the sagittal reformatted images demonstrate stable alignment of the cervical spine, including 4-mm grade 1/2 degenerative anterolisthesis of C3 on C4 as well as minimal grade 1 degenerative retrolisthesis of C4 on C5 and C5 on C6. There is straightening of the normal cervical lordosis. The v... | 1. Stable degenerative subluxations at C3-C4 and C4-C5.2. Moderate-severe multilevel spondylotic changes with a moderate-severe central spinal canal stenosis at C3-C4 and moderate-severe right foraminal narrowing at C6-C7.3. Areas of amorphous mineralization the C1-C2 level, including on the ligaments. This may simply ... |
Generate impression based on findings. | Reason: 6mo FUP s/p CRT for HNSCC. Compare to previous. History: as above CHEST:LUNGS AND PLEURA: 8mm right apical ground glass nodule remains suspicious for adenocarcinoma in situ, unchanged.No pulmonary or pleural metastases are identifiable. MEDIASTINUM AND HILA: There is no mediastinal or hilar lymphadenopathy.Hear... | 1. No sign of pulmonary metastases.2. Unchanged 8mm right apical ground glass nodule, for which annual follow-up is recommended. |
Generate impression based on findings. | Chronic sinusitis treated medically without resolution. There is minimal mucosal thickening in the right maxillary sinus. The other paranasal sinuses are clear. The nasal cavity is also clear. There is mild S-shaped nasal septal deviation. The lamina papyracea and ethmoid roofs are intact. The carotid grooves and optic... | Minimal mucosal thickening in the right maxillary sinus with otherwise no evidence of sinusitis. |
Generate impression based on findings. | Male 64 years old Reason: eval for recurrence History: RCC, s/p resection Exam is not sensitive detecting lesions in the solid organs or vasculature due to lack of intravenous contrast. Given those limitations, the following observations made:CHEST:LUNGS AND PLEURA: Centrilobular emphysema. Stable micronodule left ling... | No measurable disease. Stable micronodules left lingula. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: rule out presence of amyloid lung History: none LUNGS AND PLEURA: Small left pleural effusion with adjacent atelectasis.No evidence of interstitial lung disease, and no evidence of amyloid deposition.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy noted.The heart is mild to moderately enlarged.The... | Left pleural effusion with adjacent atelectasis and mild to moderate cardiomegaly. The only other significant abnormality is premature vascular calcification. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Scattered benign calcifications, including dermal calcifications, have... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Abdominal or pelvic swelling, mass or lump. Cirrhosis without mention of alcohol. ABDOMEN:LUNG BASES: Micronodular at the right lung bases too small to characterize but could be followed (image 9; series 10).LIVER, BILIARY TRACT: Cirrhotic appearing liver with no enhancing lesions identified. No intrahepatic biliary du... | 1. Cirrhosis and portal hypertension. No enhancing hepatic lesions. 2. Nonobstructive, periumbilical ventral hernia/protrusion involving small bowel with a small amount of adjacent fluid. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Patient reports bilateral non spontaneous clear nipple discharge for the past 14 years. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. Scattered benign calc... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms are submitted, then an addendum to this repor... |
Generate impression based on findings. | Reason: evaluate for cause of bronchiectasis exacerbation. PNA? History: increasing cough, sob LUNGS AND PLEURA: Previous scattered groundglass opacities have continued to diminish although persist in the lung bases, possibly aspiration related.Mild basilar predominant bronchiectasis with bronchial wall thickening has ... | Unchanged basilar predominant bronchiectasis with bronchial wall thickening. Stable mediastinal and hilar lymph node enlargement likely reactive in etiology. No reliable evidence of acute pneumonia. |
Generate impression based on findings. | 72 years, Female, Reason: evalate for metastasis History: LLL nodule; newly diagnosed adenocarcinoma.RADIOPHARMACEUTICAL: 13.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 82 mg/dL. Today's CT portion grossly demonstrates a left lower lobe bilobed mass measuring approximately 2.5 x 1.7 cm. Mediastinal and... | 1.Hypermetabolic left lower lobe mass consistent with patient's known lung cancer.2.No FDG avid metastatic disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. 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, unchanged in pattern and distribution. Bilateral focal asym... | 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. | 68 year old male with stridor, evaluate cause of upper airway swelling. LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. Bilateral pleural effusions appear slightly increased compared to recent CT abdomen and pelvis study. with adjacent compressive atelectasis. No pneumothorax.MEDIASTINUM AND HILA: Interval... | 1. Interval increase in size of upper esophageal mass causing critical narrowing of the trachea. Associated mediastinal lymphadenopathy are suspicious for metastatic disease. 2. Bilateral slightly increased pleural effusions with adjacent compressive atelectasis.Findings were discussed with Dr. Calvin Williams by phone... |
Generate impression based on findings. | Reason: r/o mediastinistis History: sternal drainage LUNGS AND PLEURA: Nodule along the right minor fissure likely represents an intrapulmonary lymph node. No suspicious nodules or masses. Moderate bilateral pleural effusions with overlying atelectasis.MEDIASTINUM AND HILA: Large amount of mediastinal air. Subxiphoid d... | Postsurgical changes of a heart transplant with midline sternotomy and open incision. Large amount of pneumomediastinum; infection cannot be excluded. No loculated mediastinal fluid collection. |
Generate impression based on findings. | 69 year old male with DOE, orthopnea. Assess cause of dyspnea over last 4 months, worsened over last 2 days LUNGS AND PLEURA: Predominantly basilar ground glass opacities and interlobular septal thickening is noted. No suspicious pulmonary nodules or masses. No pleural effusion or pneumothorax.MEDIASTINUM AND HILA: Sev... | Severe cardiomegaly with predominantly basilar ground glass opacities and interlobular septal thickening suggestive of mild edema or chronic hemosiderin deposition related to longstanding CHF. |
Generate impression based on findings. | 70 year old female with history of ovarian cancer. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No pericardial effusion, lymphadenopathy or other significant abnormality.CHEST WALL: Left chest Port-A-Cath, with tip at the SVC/RA junction.CORONARY ARTERY CALCIFICATION: Mild.ABDOMEN:LIVE... | Unchanged reference portacaval lymph node, without findings of new metastases. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Scattered benign calcifications, including derm... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Altered mental status and low platelet levels. There is no evidence of acute intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. There are bilateral carotid siphon calcifications. The i... | No evidence of acute intracranial hemorrhage or mass. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct. |
Generate impression based on findings. | 51 years, Female, Reason: staging of newly diagnosed breast cancer History: newly diagnosed breast cancer, staging. No abnormal osseous foci are identified to indicate metastatic disease. | No evidence of bone metastases. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign left breast biopsy in 2008. Patient reports a long-term history of white nipple discharge of the left breast. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchym... | 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. | Asymptomatic female presents for routine screening mammography. 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, unchanged in pattern and distribution. Scattered benign cal... | 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. | 25-year-old female with history of acute liver failure and outside hospital concern for acute cholecystitis. LIMITED ABDOMENLIVER: The hepatic parenchyma is coarse. The liver morphology is normal with a smooth capsule. It is normal in size, measuring 17.1 cm in craniocaudal dimension. No focal hepatic lesion or intrahe... | 1. Cholelithiasis and mild nonspecific gallbladder wall thickening without focal tenderness or pericholecystic fluid to suggest acute gallbladder inflammation.2. Coarse hepatic echotexture compatible with parenchymal dysfunction. No biliary ductal dilatation.3. Focal thickening of the gallbladder dome may represent foc... |
Generate impression based on findings. | Female 51 years old Reason: HIP TOTAL ARTHROPLASTY PRIMARY (Right HIP) Some components of a right total hip arthroplasty are present but the femoral head component is not visualized. The distal components of the femoral stem are not included on the field-of-view. Gas within the soft tissues reflect recent surgery. Mult... | Incomplete right total hip arthroplasty. |
Generate impression based on findings. | Reason: 74 yo F with sarcoid, atelectasis, eval for interval change History: sarcoid LUNGS AND PLEURA: New left upper lobe subpleural nodule (image 107 series 5) measuring 5 mm.Additional new scattered micronodules identified bilaterally some along the fissure on the left suggesting intrapulmonary lymph nodes.Right low... | 1.New scattered micronodules bilaterally and new 5-mm left upper lobe subpleural nodule may be inflammatory in origin.2.Minimal decrease in right lower lobe subpleural round atelectasis. |
Generate impression based on findings. | Low back pain. There is degenerative spondylosis in the lower lumbar spine predominantly manifesting as facet hypertrophy and ligamentum flavum thickening. In particular, at L4-5 there is moderate right and mild left neural foramen stenosis and at L5-S1 there is mild bilateral neural foramen stenosis. There is also irr... | 1. Degenerative spondylosis in the lower lumbar spine manifesting as facet hypertrophy and ligamentum flavum thickening and Baastrup disease. In particular, at L4-5 there is moderate right and mild left neural foramen stenosis and at L5-S1 there is mild bilateral neural foramen stenosis. 2. Diffuse osteopenia.3. Degene... |
Generate impression based on findings. | 66 years, Male, Reason: HCC eval possible mets History: HCC, HCV. No abnormal osseous foci are identified to indicate metastatic disease. | No evidence of bone metastases. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. A grouping of incompletely characterized calcifications are identified... | Incompletely characterized calcifications in the right superior breast, significantly changed from prior exams. Additional imaging, including spot magnification views, should be performed for further evaluation. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EA - Additional Mammo/Ultrasound W... |
Generate impression based on findings. | hypoxiaVIEWS: Chest AP (1 views) 4/22/15 12:55 Mild right lung base opacity which may represent early infection. Cardiothymic silhouette is normal. Tracheostomy tube in place. | Mild right lung bas opacity which may represent early infection. |
Generate impression based on findings. | 37 years, Female, Reason: History of metastatic disease on treatment. Compare to prior imaging; evaluate for response and extent of disease. History: History of metastatic disease on treatment. Compare to prior imaging; evaluate for response and extent of disease. Breast cancer Extensive osseous metastases involving th... | Stable osseous metastases. |
Generate impression based on findings. | Chronic sinusitis treated medically without resolution; enlarged, erythematous adenoids on endoscopy. There is a low attenuation midline nasopharyngeal lesion that measures up to 22 mm. The paranasal sinuses are clear. The left frontal sinus is not pneumatized. The nasal cavity is clear. The nasal septum is essentially... | 1. A midline nasopharyngeal lesion that measures up to 22 mm may represent a Thornwaldt cyst, perhaps with superimposed inflammation or infection, for example. However, the lesion is incompletely characterized on this non-contrast CT and other etiologies are not excluded. Therefore, a nasopharynx MRI with contrast may ... |
Generate impression based on findings. | 96 year-old female. Pain status post fall. A dynamic hip screw and additional orthopedic screw affixes the right femur and an intramedullary rod and screw affixes the left femur. No radiographic evidence of hardware complication. Please note that the distal aspect of the bilateral femoral hardware is not imaged. No acu... | Bilateral femoral orthopedic fixation without evidence of an acute fracture. |
Generate impression based on findings. | Reason: staging, pleural mesothelioma History: pleural mesothelioma CHEST:LUNGS AND PLEURA: Multiple bilateral micronodules, unchanged.Postsurgical changes of a right middle lobe resection.Right hemithorax reference measurements as follows:1.At the level of the left brachiocephalic vein (series 3 image 25): Four o'cloc... | Right hemithorax reference measurements are stable although there is new right pleural effusion, pleural thickening, pericardial thickening, cardiophrenic lymph node, and right lateral chest/upper abdominal wall nodule. |
Generate impression based on findings. | Reason: OG placement Enteric tube tip lies in the distribution of the gastric body. Relative paucity of bowel gas without radiographic evidence of obstruction. Please refer to concomitant chest radiograph for detailed thoracic findings. IVC filter projects in expected location. The pelvis is excluded from the field-of-... | Enteric tube tip lies in the distribution of the gastric body. |
Generate impression based on findings. | 77-year-old female. Swelling. Fall. Left hand: No fracture or dislocation. Diffusely demineralized bones. Short fourth metacarpal.Right hand: No fracture or dislocation. Diffusely demineralized bones. Short fourth metacarpal.Left wrist: No fracture or dislocation. Diffusely demineralized bones. Right wrist: No fracture... | No acute fracture or dislocation. Short fourth metacarpals bilaterally, which may be idiopathic or from remote trauma; however, given the symmetry of this finding, a metabolic condition such as pseudohypoparathyroidism is also a consideration. |
Generate impression based on findings. | Right-sided weakness and facial droop. There is diffuse confluent periventricular white matter hypoattenuation consistent with age indeterminate small vessel ischemic disease. There is a focus of hypoattenuation and volume loss in the left caudate extending into the left insula, representing encephalomalacia of a prior... | 1. No evidence of intracranial hemorrhage. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct. There is questionable focally increased density in the M1 segment of the left MCA which could indicate thrombus in the correct clinical setting, although no definite CT evidence of acut... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses, microcalcificati... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign cyst aspiration in the right breast. Family history of breast cancer in maternal aunt. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously de... | 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. | There is significant interval decreased conspicuity of not resolution of multiple areas of symmetric intrinsic T1 hyperintensity identified on the prior exam, involving the insular cortex, cingulate gyri, and just anterior to the temporal horns. There is persistent intrinsic T1 hyperintensity remaining within the righ... | 1. No acute infarct. Probable interval development of mild chronic small vessel ischemic changes.2. Progressive predominantly supratentorial volume loss, much greater than expected for the patient's stated age perhaps disproportionate ventricular prominence with relation to sulcal prominence. The volume loss may relate... |
Generate impression based on findings. | Reason: Evaluate Lung Fields History: Suspected SepsisVIEW: Chest AP (one view) 4/22/15 13:14 The cardiothymic silhouette is normal. Interval improvement of left lung base opacity. Subsegmental retrocardiac atelectasis. Peribronchial thickening. | Bronchiolitis/reactive airway disease pattern. Subsegmental retrocardiac atelectasis. Interval improvement of left lung base opacity. |
Generate impression based on findings. | 35-year-old female patient with history of left breast cancer status post lumpectomy for medullary carcinoma and reexcision as well as axillary lymph node dissection at St. Bernard. Patient complains of increasing left breast mass x 3 weeks and right breast tenderness x 3 weeks. BILATERAL DIAGNOSTIC ULTRASOUND: Three s... | 1. Probably benign nonspecific postsurgical collection in the left lower inner breast. Recommend surgical consultation. 2. Tender retroareolar cyst on the right.3. No sonographic or mammographic abnormality in the area of pain at the upper inner quadrant of the right breast. Continued clinical managment is recommended.... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal cousin. 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. No susp... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms are submitted, then an addendum to this repor... |
Generate impression based on findings. | Reason: s/p IPAA with stenosis at pouch inlet, evaluation of proximal small bowel to pouch History: diarrhea, bloating Scout radiograph was unremarkable. Transit time to the pouch was 30 minutes. Fluoroscopic evaluation showed normal mucosa throughout the small bowel, with no ulcers, sinus tracts, or fistulae. No persi... | Suggestion of nonobstructive adhesive disease without evidence of significant obstruction or stricture. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. 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, unchanged in pattern and distribution. No suspicious masses... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Reason: h/o laryngeal cancer, s/p induction chemo, eval response, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Mild upper lobe predominant paraseptal and centrilobular emphysema, unchanged. No new or suspicious pulmonary nodule or mass. No pleural effusion.MEDIASTINUM AND HILA: Tracheotom... | Soft tissue adjacent to the left adrenal gland may represent bowel. Recommend a dedicated abdominal CT with oral contrast. Otherwise, no metastases. |
Generate impression based on findings. | 69 year old male with mesothelioma on observation, evaluate EOD, compared to previous CHEST:LUNGS AND PLEURA: Stable postsurgical appearance of the right hemithorax. Trace pleural fluid adjacent to the liver. Reference right pleural lesions as follows:Level of the carina (Series 3, image 42): Three o'clock position 17,... | No interval change since prior study. |
Generate impression based on findings. | 69 years, Female. Reason: mass, distention History: Constipation Greater than average stool burden. Nondilated air containing small bowel, no definitive evidence of obstruction. Degenerative changes affect the lumbar spine and bilateral hips. Lower lung fields are unremarkable. Cardiomegaly suggested. | Greater than average stool burden. No definitive evidence of bowel obstruction. |
Generate impression based on findings. | Male 63 years old. Reason: Evaluate for fracture of the right great toe. History: Right great toe injury 2 months ago with pain since then Three views of the right great toe are provided. There is no evidence of acute fracture or malalignment. There is a small hallux valgus deformity. | No evidence of acute fracture or malalignment. |
Generate impression based on findings. | Reason: Dysphagia r/o GI etiology. Recommended by speech service History: Dysphagia Scout radiograph of the chest demonstrates degenerative disease of the cervical spine.Double contrast evaluation of the esophagus and gastric cardia/fundus revealed a small linear defect in the anterior esophagus at the level of C5/C6, ... | 1.Suggestion of small anterior web at the level of C5-6.2.Bilateral pharyngeal pouches, left greater than right.3.Sliding hiatal hernia, with a slightly tortuous appearance of the distal esophagus just proximal to this point.4.Mild to moderate dilatation of the esophagus, which may be related to partially obstructing e... |
Generate impression based on findings. | 3 months, Female, Reason: Eval for split function in right duplex kidney History: Right duplex kidney with upper pole hydroureteronephrosis. There is essentially absent radiotracer activity in the right upper pole corresponding to obstructed right upper pole collecting system on ultrasound. No additional parenchymal de... | No demonstrable function of the right upper pole with split function as above. |
Generate impression based on findings. | Female 47 years old Reason: fx f/u History: pain The previously described nondisplaced lateral tibial plateau fracture is not visualized consistent with healing. Mild osteoarthritis affects the knee. | Healing lateral tibial plateau fracture. |
Generate impression based on findings. | 48-year-old woman with right groin abscess status post incision and drainage. Continued induration. Evaluate for fluid collection. No region of the right groin, there is a residual 0.9 x 1.6 x 0.9 centimeter collection. In the periumbilical region, there is a 0.6 x 0.6 x 1.2 cm collection. | Two tiny residual fluid collections. |
Generate impression based on findings. | Reason: check NGT position History: cardiac arrest Paucity of bowel gas, no definitive evidence of obstruction. Enteric tube tip terminates in the proximal gastric body with the side port in the distal esophagus, recommend advancing. NJ tube with tip at or just beyond ligament of Treitz. IVC filter projects in expected... | Enteric tube side port in distal esophagus, recommend advancing 8 cm. |
Generate impression based on findings. | 76 year old male with history of anemia. Evaluate for retroperitoneal bleed. ABDOMEN:LUNG BASES: Moderate sized right pleural effusion and associated atelectasis. Smaller left pleural effusion. Severe coronary artery calcifications.LIVER, BILIARY TRACT: Hepatic steatosis. No biliary dilatation. Small amount of perihepa... | Pleural effusions and moderate amount of ascites, without findings of retroperitoneal hematoma. |
Generate impression based on findings. | 53 years, Female. Reason: nausea/vomiting - evaluate History: nausea Suboptimal exam secondary to patient motion artifact. Partially imaged pacer wires in expected locations, in right atrium, right ventricle and coronary sinus. No acute cardiopulmonary process. Nonobstructive bowel gas pattern. | Nonobstructive bowel gas pattern. |
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