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Generate impression based on findings. | Female 42 years old. Reason: pain. History: swelling Three views of the right foot are provided. There is no acute fracture or malalignment. There is no significant soft tissue swelling. There is a well-corticated ossicle adjacent to the talus which is of no clinical significance.Three views of the right ankle are prov... | No acute fracture or malalignment evident. |
Generate impression based on findings. | 75 years, Female. Reason: SBO dx at OSH, progression History: abd pain Left thoracoabdominal and right pelvic surgical clips. Paucity of bowel gas, particularly in bilateral upper quadrants. Air containing bowel measures up to 4.2 cm in right lower quadrant, may reflect dilated small bowel. No definite bowel gas seen d... | Findings suspicious for small bowel obstruction, with dilated small bowel and relative paucity gas seen distally in colon.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 82 years, Male, Reason: bilateral reflux on most recent Ct imaging History: bilateral reflux on most recent Ct imaging. The posterior abdominal radionuclide angiogram demonstrates decreased perfusion to the right kidney. Sequential renal images show the left renal parenchyma to be moderately atrophic with mild to moder... | 1.Mild to moderate dilated right pelvicaliceal system without definite evidence of current right-sided obstruction. The etiology of the right-sided dilation is not entirely certain, although this could indicate chronic reflux as suggested on recent CT.2.Mild to moderate dilated left pelvicaliceal system with moderately... |
Generate impression based on findings. | Male 59 years old; Reason: HCC post TACE/RFA r/a recurrence History: HCC CHEST:LUNGS AND PLEURA: Note is made of numerous bilateral pulmonary nodules, appearing similar to the prior studies. The largest of which measures 12 mm in the right lower lobe, previously 11 mm (69; series 10). No pleural effusion or pneumothora... | 1.Slight interval decrease in size of the reference segment 8 ablation cavity, as described above, without suspicious features. No new hepatic lesions. Cirrhosis with portal hypertension.2.No significant interval change in peripancreatic lymphadenopathy, which is nonspecific but may be related to the patient's portal h... |
Generate impression based on findings. | Reason: History of metastatic breast cancer on treatment, with progression in breast. Compare to prior imaging, evaluate for extent of disease. History: History of metastatic breast cancer on treatment, with progression in breast. Compare to prior imaging, evaluate for extent of disease. CHEST:LUNGS AND PLEURA: Left lo... | 1.Left lower lobe dependent subpleural areas of groundglass and nodular opacities suggestive of infection/aspiration.2.No evidence of intrathoracic metastatic disease.3.Stable extensive osseous metastases. |
Generate impression based on findings. | Status post cholecystostomy tube. 44-year-old man with gastroesophageal reflux. LIVER: The liver measures 14.9 cm in length. No evidence of intrahepatic biliary ductal dilatation or masses. The portal vein is patent with flow towards the liver on color Doppler imaging.GALLBLADDER, BILIARY TRACT: Minimal sludge and a fe... | A few tiny stones and sludge in the gallbladder. No evidence of acute cholecystitis. |
Generate impression based on findings. | 75-year-old female with mesothelioma LUNGS AND PLEURA: Part solid nodules bilaterally have not significantly changed. Reference right apical nodule measures 13 mm in the short axis (series 7 image 46) and 5 mm in the solid component, previously 14 and 7 mm, respectively. Right perihilar ground glass has increased compa... | 1.Stable to slightly decreased pleural reference measurements. Slightly decreased right pleural effusions.2.Decreasing mediastinal and hilar lymphadenopathy.3.Increasing right axillary and subpectoral lymphadenopathy.4.Bilateral subsolid nodules and foci of ground glass, increased in the right perihilar region. |
Generate impression based on findings. | Female 56 years old Reason: Eval for Osteo History: Sinus Tract L Shin Two views of the left tibia/fibular are provided. There is no evidence of cortical irregularity or gross bone destruction to suggest osteomyelitis. There is no fracture or malalignment. Diffuse vascular calcifications are noted. | No evidence of osteomyelitis. |
Generate impression based on findings. | There are post-operative findings related to a left C2-3 posterior fusion and laminectomy for resection of an intradural extramedullary mass at this level. Susceptibility artifact from hardware somewhat limits evaluation of this region. There is an unchanged residual tumor at the right C2-3 foramen posterior to the ri... | 1. Post-operative findings related to a left C2-3 posterior fusion and laminectomy for partial resection of tumor at this level. Residual tumor at the right C2-3 foramen measuring up to 1.4 cm is unchanged.2. Interval progression of T2 signal of the cord at the C2-3 level now down to the C3-4 level, which likely repres... |
Generate impression based on findings. | 47-year-old female. Status post MVA. Evaluate for C-spine injury. Straightening of the cervical spine, which be positional or due to muscle spasm; alignment is otherwise unremarkable. Moderate degenerative disk disease at C4-C5 with disc space narrowing and an anterior osteophyte. Vertebral body heights are maintained ... | Degenerative disk disease, as above. |
Generate impression based on findings. | 36-year-old female patient with mobile firm mass/lump x 2 months along the lateral right chest wall. DIAGNOSTIC BILATERAL MAMMOGRAM: Three standard views of both breasts and exaggerated right lateral view were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, w... | Findings compatible with a lipomatous lesion in the lateral right chest wall. Recommend follow up with primary care physician. Findings and were discussed with patient and the patient expressed understanding.BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Reason: Restaging History: Restaging on treatment, history of lung cancer status post surgery chemotherapy CHEST:LUNGS AND PLEURA: Volume loss in the right lung compatible with history of right upper lobectomy.Interval improvement in the basilar ground glass opacities with stable septal thickening and mild fibrotic cha... | 1.Interval right thoracotomy and VATS with resection of focal pleural nodule along the lateral aspect of the right major fissure.2.Residual right pleural thickening and nodularity compatible with residual metastatic disease.3.No new sites of disease identified. |
Generate impression based on findings. | Ms. Harvey is a 49-year-old female with a personal history of left breast lumpectomy in February 2012 for tubular carcinoma followed by radiation therapy. She has no current breast related complaint. Three standard digital views of both breasts and two spot magnification views of the right breast were performed and rev... | High probability benign calcifications identified in the right upper outer breast, now appearing more conspicuous when compared to prior exams, likely due to differences in technique. A short-term 6 month right unilateral diagnostic mammogram is recommended to confirm stability of these calcifications. All results and ... |
Generate impression based on findings. | Right sided weakness. There is no evidence of 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. The imaged paranasal sinuses and mastoid air cells are clear. The skull and scalp soft ... | No evidence of intracranial hemorrhage or mass. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 35-year-old female patient with palpable left breast mass x 1 month. Family history of breast cancer in grandmother. BILATERAL DIAGNOSTIC MAMMOGRAM: Three standard views of both breasts, two spot compression views of the right breast, and two spot compression views of the left breast were performed digitally and review... | Probable left breast fat necrosis/oil cyst corresponding to palpable abnormality. In questioning the patient, she reports that she may have had an injury at that location recently but she is not sure. Recommend 3 month follow up with unilateral left breast ultrasound to confirm progression into an oil cyst. Benign righ... |
Generate impression based on findings. | 41-year-old male with history of testicular cancer. Surveillance imaging. ABDOMEN:LUNG BASES: No evidence of pulmonary metastases, consolidation or pleural effusions and the visualized lungs.LIVER, BILIARY TRACT: No biliary dilatation or perihepatic fluid collections.SPLEEN: No significant abnormality notedPANCREAS: No... | Stable exam, without findings of metastases. |
Generate impression based on findings. | Male 64 years old Reason: prostate cancer metastasis. Evaluate for impeding fracture. History: right femur pain, hx of prostate cancer No fracture or malalignment. No soft tissue swelling. | Negative study. |
Generate impression based on findings. | Female 69 years old. Reason: f/u study. History: as above Four views of the right shoulder are provided. There is no acute fracture or dislocation. There are small osteophytes at the inferior glenohumeral joint indicating mild osteoarthritis. The bones are somewhat demineralized. | Mild osteoarthritis as described above. |
Generate impression based on findings. | 64 years, Male. Reason: Evaluate for obstruction History: distended abdomen, ARF Greater than average stool burden. Multiple prominent small bowel loops may be secondary to large stool burden. No specific evidence of obstruction or pneumoperitoneum. Bilateral hip arthroplasties are partially visualized. There is hetero... | Multiple prominent small bowel loops which may be secondary to greater than average stool burden. No specific evidence of obstruction or pneumoperitoneum. |
Generate impression based on findings. | Male 47 years old. Reason: follow up History: follow up Two views of the right tibia/fibula and 3 views of the right ankle are provided. There has been interval removal of the external fixation device. No defects is present within the posterior calcaneus and the tibial diaphysis secondary to prior external fixation har... | Healing fractures of the distal tibia and fibula status post removal of external fixation hardware as described above. |
Generate impression based on findings. | 78 year old female with a history of lung cancer. ABDOMEN:LUNG BASES: Please see the separately dictated report of the dedicated CT of the chest. Note is made of a new round solid nodule measuring 9 mm (series 8, image 7) in the right lower lobe. Basilar atelectasis.LIVER, BILIARY TRACT: Stable nonspecific hepatic hypo... | 1. Stable osseous metastatic disease. 2. No new sites of disease are identified in the abdomen or pelvis. 3. Please see the separately dictated report of the dedicated CT of the chest. New round solid nodule measuring 9 mm (series 8, image 7) in the right lower lobe. |
Generate impression based on findings. | There is a two vessel configuration of the aortic arch. There is dense calcification of the aortic arch consistent with atherosclerotic disease. At the origin of the left subclavian artery, there is dense calcification with moderate stenosis. There is mild plaque at the carotid bifurcations and left vertebral artery o... | 1. Atherosclerotic vascular disease of the aortic arch and great vessels, as described in the findings section. Please refer to the prior chest CT report for additional details.2. Aside from mild tortuosity, the proximal portions of the superficial temporal and occipital arteries appear grossly unremarkable, although t... |
Generate impression based on findings. | Male 22 years old. Rule out fracture, dislocation, or effusion. Four nonweightbearing views of the right knee are provided. There is a small joint effusion. The right knee is otherwise unremarkable in appearance. There is no fracture or dislocation. | Joint effusion without evidence of acute fracture or dislocation. |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with mild to moderate age-related volume loss. There is an incidental cavum septum pellucidum. There is no midline shift or mass effect. There is no intracranial hemorrhage. There is no abnormal attenuation. There is no extraaxial fluid collection. There is slight inc... | 1. No acute intracranial abnormality.2. Persistent near complete opacification of the left maxillary sinus consistent with chronic sinusitis.3. Additional partially visualized stable probable periodontal and endodontal disease. Please correlate with dental exam. |
Generate impression based on findings. | Ms. Orsini is a 45 year old female with a personal history of bilateral benign breast biopsies (right breast -- 2010 for fibroadenomatoid changes, left breast -- at the age of 19). Family history of ovarian cancer in mother and paternal aunt. No current breast related complaints. Three standard views of both breasts we... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Male 29 years old Reason: evaluate for fracture History: pain during soccer yesterday, pain over joint today Nondisplaced intra-articular fracture of the proximal phalanx extending to the interphalangeal joint. | Nondisplaced intra-articular fracture of the proximal phalanx. |
Generate impression based on findings. | 69 year-old female with metastatic ovarian cancer. Restaging examination. Patient presents with pelvic pain. CHEST:LUNGS AND PLEURA: Scattered and nonspecific micronodules in both lungs unchanged . The reference right middle lobe nodule measures 5 mm, previously 5 mm (series 5, image 64).MEDIASTINUM AND HILA: No adenop... | 1. Moderately extensive para-aortic and pelvic iliac adenopathy with slight decrease in size since the prior examination. There is, however, interval development of right sided hydroureteronephrosis extending to the level of right external iliac lymphadenopathy, as detailed above. 2. Nonspecific pulmonary micronodules ... |
Generate impression based on findings. | Female 25 years old Reason: brachial plexus palsy decreased ROM no pain History: as above The radial head is dislocated and is projected anterior to the coracoid process. No fracture is evident. Multiple surgical clips projected over the lower aspect of the proximal radius reflect prior surgery. Atrophy of the visualiz... | Radial head dislocation. |
Generate impression based on findings. | 72-year-old female. Right shoulder pain, right arm weakness/paresthesia. Mild glenohumeral joint osteoarthritis with tiny acetabular osteophytes. No fracture or dislocation. Mild AC joint osteoarthritis. | Osteoarthritis, as above. |
Generate impression based on findings. | Female 55 years old. Reason: shoulder pain. History: as above Four views of the right shoulder are provided. Again seen is slight widening of the acromioclavicular joint suggesting prior surgery. Small osteophytes project from the acromion process. A small calcific density superior to the greater tuberosity is more pro... | Calcific tendinopathy of the rotator cuff and other degenerative changes as described above. |
Generate impression based on findings. | Frontal sinus: The frontal sinus and frontoethmoidal recesses are clear.Anterior ethmoids: The anterior ethmoid air cells are clear.Maxillary sinuses: There are scattered mild mucosal thickening in the maxillary sinuses.. The ostiomeatal units are clear.Posterior ethmoids: The posterior ethmoid air cells are clear.Sph... | No significant sinus disease with patent bilateral ostiomeatal units. Mild leftward nasal septal deviation. Scattered dental caries. |
Generate impression based on findings. | Female 55 years old. Reason: healed. History: pain Four weight-bearing views of the left foot are provided. Again seen are K wires through the second through fifth digits extending from the distal tufts to the metatarsals which are in anatomic alignment. There is no evidence of hardware complication. These look similar... | Postoperative changes as described above. |
Generate impression based on findings. | Reason: lung cancer History: 7 months after RUL for Stage IA NSCLC LUNGS AND PLEURA: Interval right upper lobectomy. Right lower lobe scarring and atelectasis. No new or suspicious pulmonary nodules or masses. A pleural effusions.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart size is normal no per... | Interval post surgical changes of a right upper lobectomy. No evidence of recurrence or metastases. |
Generate impression based on findings. | Male 19 years old Reason: pain Patchy sclerosis within the tibial metaphysis which is most compatible with bone infarction. No fracture or malalignment. | Patchy sclerosis within the tibial metaphysis which is most compatible with bone infarction. No fracture or malalignment. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids/middle ears are grossly clear. | No acute intracranial abnormality. |
Generate impression based on findings. | Reason: s/p lobectomy History: s/p lobectomy LUNGS AND PLEURA: Postsurgical changes of a right upper lobectomy. Right middle lobe calcified nodule, unchanged. Scattered calcified and noncalcified pulmonary micronodules, benign. No new or suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA:... | Interval decrease in mediastinal lymph nodes. No new sites of disease. |
Generate impression based on findings. | Female 58 years old. Reason: pain. History: pain Two views of the cervical spine are provided. The cervicothoracic junction and C7 are not well visualized on the lateral view secondary to overlying anatomy. There is multilevel disk space narrowing and anterior osteophytes at C3-C6 which appear similar to the prior exam... | Degenerative arthritic changes of the cervical spine as described above. |
Generate impression based on findings. | Reason: ft female with history of shoulder dystocia at delivery History: decreased ROM of L arm and palpable fracture of L clavicleVIEWS: left clavicle AP and axillary (2 views), right clavicle AP and axillary (2 views) 4/22/15 14:31 No fractures identified. Questionable agenesis of the proximal epiphysis of the left c... | No fractures identified. Questionable agenesis of the proximal epiphysis of the left clavicle. |
Generate impression based on findings. | Male 17 years old Reason: s/p distal fibula fracture need xray for follow up History: left ankle pain Nondisplaced oblique fracture of the distal fibular epiphysis. The fracture line is less visible on today's study compared to prior study suggestive of healing. No significant soft tissue swelling. | Healing oblique fracture of the distal fibular epiphysis. |
Generate impression based on findings. | Frontal sinus: The frontal sinus and frontoethmoidal recesses are clear.Anterior ethmoids: The anterior ethmoid air cells are clear.Maxillary sinuses: There is minimal mucosal thickening along the floor of the right maxillary sinus. The left maxillary sinus is clear. The ostiomeatal units are clear. There is a small r... | 1. No significant paranasal sinus disease. Mild left nasal septal deviation.2. Palatine tonsils not included within the field of view on this noncontrast CT sinus as ordered, in area of previously seen high density foci. Additional imaging to include this area within the field of view may be obtained as clinically indi... |
Generate impression based on findings. | Age: 75 years. Sex : Female. Reason for study: Reason: Recommended from clinical swallow evaluation History: Recommended from clinical swallow evaluation. Fluoroscopic guidance was provided for an oropharyngeal motility study performed by the Speech Pathology section of the ENT service. The examination was recorded on ... | The exam was positive for penetration and negative for aspiration. Please see dedicated speech pathology report for additional findings and feeding recommendations. |
Generate impression based on findings. | Age: 63 years. Sex : Male. Reason for study: Reason: coughing to liquid or solid sometimes. Dx as parkinsonism recently. 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 ... | The exam was negative for penetration and negative for aspiration. Incidental subcentimeter neck soft tissue nodular foci, may be further assessed with dedicated sonography if clinically indicated. Please see dedicated speech pathology report for additional findings and feeding recommendations. |
Generate impression based on findings. | Age: 73 years. Sex : Male. Reason for study: Reason: s/p CRT for unknown primary History: above. Fluoroscopic guidance was provided for an oropharyngeal motility study performed by the Speech Pathology section of the ENT service. The examination was recorded on videotape. No static or hard copy films were obtained. The... | The exam was positive for penetration and positive for aspiration. Please see dedicated speech pathology report for additional findings and feeding recommendations. |
Generate impression based on findings. | Reason: R/O rectocele or stricture diverticular structure. History: Constipation Scout film demonstrated metallic coil material overlying the upper abdomen corresponding to patient's history of hepatic vascular coil. There is prompt opacification of the rectum, sigmoid, and descending colon of normal static morphology.... | 1.Anterior, right lateral and left lateral rectoceles, as above.2.Low lying rectum and mild rectal prolapse. |
Generate impression based on findings. | Reason: esophageal cancer History: 6 months after MIE for esophageal cancer CHEST:LUNGS AND PLEURA: A few scattered punctate micronodules. No new or suspicious pulmonary nodule or mass. No pleural effusion.MEDIASTINUM AND HILA: Left chest port with catheter tip at the cavoatrial junction.Postsurgical changes of esophag... | Postsurgical changes without evidence of recurrence or metastases. |
Generate impression based on findings. | 82-year-old female. Left tibial tenderness. Left leg pain. No fracture is identified. Tricompartment osteophytes at the knee joint consistent with osteoarthritis. | No fracture is evident. |
Generate impression based on findings. | 76 year old female. Pain and swelling. Evaluate for inflammatory or erosive changes. Left foot: Mild hallux valgus deformity. Moderate osteoarthritis affects the first MTP joint, unchanged. Cluster of small densities next to the calcaneal cuboid joint, likely represent a multipartite os peroneum, a normal variant. Diff... | Osteoarthritis in the hands and feet, including erosive osteoarthritic changes in the hands. |
Generate impression based on findings. | Reason: tobacco use History: fatigue LUNGS AND PLEURA: Mild upper lobe predominant centrilobular and paraseptal emphysema. Scattered calcified and noncalcified pulmonary micronodules, unchanged, likely benign. The largest in the right upper lobe measures 3 mm, unchanged since 2011 (series 6 image 110). No new or suspic... | Bilateral pulmonary micronodules measuring up to 3 mm, unchanged and likely benign post-inflammatory or post infectious in etiology. Annual low dose CT follow-up is recommended.Lung-RADS: Category: 2 (Benign Appearance or Behavior: Nodules with a very low likelihood of becoming a clinically active cancer due to size or... |
Generate impression based on findings. | Female 64 years old Reason: eval for OA vs inflammatory arthritis History: foot and ankle pain Right foot: Mild osteoarthritis affects the first metatarsophalangeal joint. Questionable irregularity of the tip of the lateral malleolus which may represent a small avulsion fracture. No specific radiographic evidence of rh... | 1. Mild osteoarthritis affects the first metatarsophalangeal joints bilaterally. No specific evidence of rheumatoid arthritis. 2. Questionable irregularity of the tip of the lateral malleolus which may represent a small avulsion fracture. This would be better evaluated with dedicated ankle radiograph. |
Generate impression based on findings. | No current breast related complaints. Prior ultrasound for cysts. Three standard views of both breasts and a spot compression view of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distrib... | 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: NS - Screening Mammogram. |
Generate impression based on findings. | There is no significant interval change in the hypointense T1 and T2 signal and enhancement of the dens. The dens also appears to have irregular contours. There is interval resolution of enhancement at the bilateral craniocervical joint, which was likely reactive. There is unchanged multilevel degenerative spondylosis... | 1. No significant interval change in findings suggestive of chronic osteomyelitis of the odontoid region.2. Multilevel degenerative spondylosis of the cervical spine. |
Generate impression based on findings. | Since the prior exam, there has been interval development of a prominent focal lucent lesion and the anterolateral right frontal bone measuring approximately 20 mm. No bone fragments are identified. There does appear to be soft tissue within the area of lucency. In addition, coronal images raise the question of underl... | 1. Interval development of a prominent focal calvarial lucency along the right anterolateral frontal bone with associated cavity of the skin contour, containing soft tissue density. Questioned underlying contiguous intracranial soft tissue which could represent a dural component to this process. Differential diagnosis ... |
Generate impression based on findings. | Reason: 6 months s/p RLL wedge for Stage Ia Lung Ca History: follow up LUNGS AND PLEURA: Stable scattered calcified and non-calcified micronodules.Status post interval right right lower lobe wedge resection with postsurgical changes identified.No obvious residual or recurrent tumor noted.No suspicious pulmonary nodules... | Status post wedge resection within the right lower lobe for known lung cancer. No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 57-year-old female with a history of anuria. Evaluate for hydronephrosis. RIGHT KIDNEY: The right kidney is normal in size, measuring 10.2 cm without hydronephrosis, shadowing nephrolithiasis or discrete lesion evident. The 1.0-cm exophytic lesion in the right kidney seen on the prior CT is not visualized on today's st... | 1. No hydronephrosis.2. Echogenic renal cortices suggesting medical renal disease.3. Distended urinary bladder in spite of catheter. |
Generate impression based on findings. | 48-year-old female. Bunion, pain. Hallux valgus deformity. No fracture or dislocation. Small plantar and posterior calcaneal heel spurs. | Hallux valgus deformity. |
Generate impression based on findings. | Evaluate for barium and abdomen, history of OPM on April 21 Moderate to large residual barium seen throughout colon. Contrast opacification of the appendix. Left basilar/retrocardiac consolidation. Basilar atelectasis. | Residual barium seen as above. |
Generate impression based on findings. | Age: 70 years. Sex : Male. Reason for study: Reason: eval for aspiration History: worrisome CXR and clinical swallow exam. 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 cop... | 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. | Ms. Gillespie is a 62 year old female with a personal history of two benign left breast biopsies. She has no current breast related complaints. 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 density, un... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 48 years, Male. Reason: NJT confirmation History: as above Enteric tube tip terminates in the distribution of the jejunum, distal to the ligament of Treitz. Nonobstructive bowel gas pattern. The right lateral hemiabdomen and lower pelvis are excluded from the field-of-view. Posterior stabilization rods and interpedicul... | Enteric tube tip terminates in the distribution of the proximal jejunum. |
Generate impression based on findings. | 58-year-old male. Popping and decreased ROM. Evaluate for loose bodies in elbow. 10 x 7 mm ossicle medial to the trochlea of the distal humerus is most likely a loose body. Moderate osteoarthritis of the elbow joint with radiocapitellar and ulnotrochlear joint space narrowing and osteophytes. | Loose body medial to the trochlea of the humerus. Moderate elbow osteoarthritis. |
Generate impression based on findings. | 75-year-old female with a history of recent nephrolithiasis and recurrent renal stones. Presents with acute kidney injury. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL G... | 1. Multiple bilateral nonobstructive renal calculi.2. Multiple subcentimeter foci of high attenuation in the left kidney are incompletely characterized on this noncontrast examination. A dedicated contrast enhanced renal CT examination could be considered if clinically indicated. |
Generate impression based on findings. | Male 72 years old Reason: pain History: pain Anterior sideplate with screws fusing the C4 and C5 vertebral bodies. Post laminoplasty changes with suture anchors at the left lateral aspect of the C4, C5, and C6 vertebral body levels. Alignment is near-anatomic. Intervertebral disk space narrowing at C5-6 and C6-7. | Postsurgical changes of cervical spinal fusion. |
Generate impression based on findings. | Male 61 years old Reason: 61 year old male with history copd/chf. No rib fracture. Components of a cardiac conduction device are noted. Components of cervical and lumbar orthopedic hardware devices are incompletely imaged. | No rib fracture. |
Generate impression based on findings. | Female 35 years old. Reason: eval for osteo. History: diabetic wound, tenderness Two views of the right tibia/fibula are provided. There is no acute fracture or malalignment. There is no cortical irregularity or bone destruction to suggest osteomyelitis.Three views of the left foot are provided. There is an ulceration ... | Soft tissue ulceration without evidence of osteomyelitis. |
Generate impression based on findings. | Reason: assess abnormal cxr and cough History: cough LUNGS AND PLEURA: Biapical pleural parenchymal scarring. Scattered bronchial wall thickening, bronchiectasis, and centrilobular nodules compatible with MAI. Mild upper lobe predominant centrilobular emphysema. No pleural effusions.MEDIASTINUM AND HILA: Small mediasti... | 1.Scattered bronchial wall thickening, bronchiectasis, and centrilobular nodules compatible with MAI.2.Mild emphysema. |
Generate impression based on findings. | 69 years, Male. Reason: eval for og tube placement History: og tube Interval removal of Dobbhoff tube. Enteric tube tip in distribution of the gastric body. The pelvis is excluded from the field-of-view. No radiographic evidence of obstruction. Bilateral airspace opacities are better evaluated on recent chest radiograp... | Enteric tube tip in the distribution of the gastric body. |
Generate impression based on findings. | 25-year-old female presents with abdominal pain and vomiting. Status post EGD yesterday. ABDOMEN:LUNG BASES: Clear lung bases without pleural effusion. Normal cardiac size is pericardial effusion.LIVER, BILIARY TRACT: Geographic hypoattenuation adjacent to the falciform ligament, compatible with focal fatty infiltratio... | No specific findings to account for the patient's epigastric pain. |
Generate impression based on findings. | Infertility Scout AP film of the pelvis was unremarkable. Opacification of the uterine cavity revealed a normally oriented uterine cavity without mucosal irregularity or filling defects in the uterine cavity. Both tubes were freely opacified with free spillage on both sides into the pelvis, indicating tubal patency.TOT... | Patent fallopian tubes. |
Generate impression based on findings. | Neutropenic patient, counts recovering, history of fever. There is mild bilateral maxillary sinus mucosal thickening. The other paranasal sinuses are clear. There are bilateral Onodi cells, which is an anatomic variant. The nasal cavity is clear. However, there are secretions within the nasopharynx. The nasal septum is... | Mild bilateral maxillary sinus mucosal thickening and secretions within the nasopharynx, but otherwise no specific signs for invasive fungal sinusitis. |
Generate impression based on findings. | Female 4 months old Reason: assess cardiac size. H/o of Tetralogy of Fallot repair History: holosystolic murmurVIEW: Chest AP (one view) 4/22/15 at 1506 hrs. The aortic arch, cardiac apex and stomach are left-sided. Cardiac silhouette size is enlarged. Lung vascular engorgement noted. Right lower lobe subsegmental atel... | Cardiomegaly, and vascular engorgement and right lower lobe subsegmental atelectasis.Question of right mediastinal mass versus enlarged main pulmonary artery. Lateral view of the chest is recommended. |
Generate impression based on findings. | Reason: h/o laryngeal ca, s/p induction, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Upper lobe predominant moderate paraseptal and mild centrilobular emphysema. No new or suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: Interval resolution of pneumomedi... | 1.No evidence of pulmonary metastases.2.Diffuse sclerotic osseous metastases slightly increased compared to prior.3.Interval resolution of post procedural pneumomediastinum and subcutaneous emphysema. |
Generate impression based on findings. | 61-year-old male with history of left renal mass noted on 4/15/15 chest CT. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholecystectomy clips are noted, without additional significant abnormality noted.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENA... | Large left renal enhancing mass, most concerning for renal cell carcinoma. No convincing evidence of distant metastases. |
Generate impression based on findings. | 64 year old female with cough, soboe, fibrosis. Evaluate ILD LUNGS AND PLEURA: Predominantly subpleural reticular opacities most pronounced at the bases and left upper lobe with associated mild traction bronchiectasis. There is mild honeycombing. Significant pleural and subpleural thickening anteriorly in the left uppe... | Moderate interstitial fibrosis in a somewhat atypical UIP pattern not significantly changed from prior outside CT study dated 11/11/2014 allowing for differences in technique. |
Generate impression based on findings. | Ms. Smith is a 48 year old female with a personal history of bilateral benign breast biopsies (right breast -- 2008 diabetic mastopathy, left breast -- 2004 fibroadenoma/stromal fibrosis). She has no current breast related complaints. Three standard views of both breasts were performed digitally and reviewed with the a... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Supraglottic laryngeal T4aN2b squamous cell carcinoma and metastatic prostate cancer, completed induction chemotherapy with carbo/taxol on 4/15/15. There are postoperative findings related to tracheostomy tube insertion with interval resolution of the previously demonstrated multicompartment emphysema in the neck. Ther... | 1. Interval resolution of the extensive multicompartment emphysema in the neck. 2. Interval decrease in size of the infiltrative mass centered in the supraglottic region, indicating treatment response. 3. Interval decrease in size of the right neck lymphadenopathy, also indicating treatment response. 4. Numerous sclero... |
Generate impression based on findings. | 56 years, Female, Reason: Assess for metastatic disease; appears to be early stage lung adenocarcinoma so want to assess what therapy pt is a candidate for History: H/o of newly diagnosed lung adenocarcinoma, h/o tethered spinal cord, DM2, here with c-diff. PET needed to assess for metastatic disease.RADIOPHARMACEUTICA... | 1.Hypermetabolic left lower lobe mass is highly suspicious for tumor, likely primary lung cancer.2.No evidence of FDG avid metastatic disease. |
Generate impression based on findings. | Clinical question: Headache. Signs and symptoms: Headache. Nonenhanced head CT:Examination demonstrates no detectable acute intracranial hemorrhage, edema, mass effect, midline shift or hydrocephalus. CT is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical s... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Reason: 88-year-old female with breast cancer on Faslodex; evaluate for response to treatment. CHEST:LUNGS AND PLEURA: Mild dependent atelectasis. Right lung base scarring appear similar to prior study. Pulmonary micronodules appear similar to prior study.MEDIASTINUM AND HILA: Cardiac size is unremarkable. Mild coronar... | 1.Slight interval increase in size of the right chest wall mass with persistent right axillary lymphadenopathy.2.Slight interval increase in size of the left retroareolar nodule. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation or pathological enhancement. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids/middle ears ar... | 1. No acute intracranial abnormality. Unremarkable CTA of the head and neck, although somewhat limited exam secondary to patient body habitus.2. Diminutive appearing left transverse and sigmoid sinuses, although this is felt to represent normal variation of the nondominant sinus.3. Prominent dental disease as detailed ... |
Generate impression based on findings. | Reason: assess for lung cancer History: Cough LUNGS AND PLEURA: Right pulmonary nodules have increased in size and number. Previous reference right upper lobe nodule has increased in size, measuring 15 x 15 mm (series 6 image 34), previously 8 x 6 mm.Left apical consolidation and scarring has increased compared to prio... | 1.Interval increase in right pulmonary nodules in size and number compatible with metastases. 2.Unchanged mediastinal lymph nodes and sclerotic osseous metastases. 3.No new sites of disease. 4.Please see separately dictated CT abdomen and pelvis performed of the same day. |
Generate impression based on findings. | Mantle cell lymphoma status post chemotherapy. Concern for recurrence; restaging exam.RADIOPHARMACEUTICAL: 12.6 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 132 mg/dL. Today's CT portion grossly demonstrates an 8-mm round left submental lymph node. Enlarged prostate gland with bladder wall thickening is a... | 1.Two markedly hypermetabolic neck lesions involving the oral cavity along the medial surface of the right maxilla and a left submental lymph node, highly suspicious for recurrent tumor.2.No suspicious FDG avid lesion within the chest, abdomen, or pelvis. |
Generate impression based on findings. | 73 year old male with pleural mesothelioma CHEST:LUNGS AND PLEURA: Postsurgical changes of right pleurectomy and decortication with interval resolution of hydropneumothorax. Mild residual pleural thickening/nodularity with no definite measurable disease. Focal pleural thickening is noted (series 3, image 48). Areas of ... | Postsurgical changes with interval resolution of the hydropneumothorax. Minimal pleural thickening/nodularity without measurable pleural disease. Recommend continued observation. |
Generate impression based on findings. | 19 years, Female, Reason: disease status evaluation History: history of relapsed clear cell sarcoma s/p 2 cycles of chemotherapy.RADIOPHARMACEUTICAL: 14.2 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 87 mg/dL. Today's CT portion grossly demonstrates postsurgical changes in the right lung with residual sof... | Interval resection of right lung lesion without FDG avid tumor identified currently. |
Generate impression based on findings. | 64 year old female. Pain scaphoid tuberosity. No evidence of fracture or dislocation. Bones are in anatomic alignment. | No significant abnormality to explain the patient's pain. |
Generate impression based on findings. | 68-year-old female. Status post left hemiarthroplasty revision for chronic dislocation. Left hip: Hardware components of a left hip hemiarthroplasty device in anatomic alignment without radiographic evidence of hardware complication. Skin staples reflect recent surgery.Pelvis: Aforementioned left hip hemiarthroplasty d... | Left hip hemiarthroplasty device. |
Generate impression based on findings. | Leucocytosis; aspiration. The images are markedly degraded by patient motion. There appears to be partial opacification of the left maxillary sinus. The other paranasal sinuses are grossly clear. | The images are markedly degraded by patient motion, markedly limited the diagnostic value of this study. There appears to be partial nonspecific opacification of the left maxillary sinus. The other paranasal sinuses are grossly clear. Consider a repeat examination with appropriate measures to minimize patient motion, i... |
Generate impression based on findings. | 53-year-old male with history of end-stage renal disease and left flank pain. Outside hospital imaging suggested perinephric hematoma. ABDOMEN:LUNG BASES: Minimal patchy opacities in the bilateral lung bases, improved from previous CT.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormal... | Left kidney subcapsular hematoma as above, of unknown etiology. This may be idiopathic, due to recent procedure, or due to renal neoplasm. |
Generate impression based on findings. | Female 20 years old Reason: follow up; healing 5th met avulsion fx History: follow up Again seen is a comminuted but predominantly transverse intra-articular fracture through the proximal tuberosity of the fifth metatarsal. There is slight lateral displacement of the tuberosity fracture fragment. The appearance is not ... | Fracture of the fifth metatarsal base appearing similar to prior study. |
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. Focal asymmetry is identified in the left upper outer breast, far posterior depth. No ... | Focal asymmetry in the left upper outer breast. Submission of old mammogram from outside institution is recommended in order to confirm stability of these findings.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISON |
Generate impression based on findings. | 73 year old male with sarcoidosis, LAD, DOE LUNGS AND PLEURA: Perihilar reticular opacities and traction bronchiectasis similar to prior study. No significant air trapping is noted. Scattered micronodules. No suspicious pulmonary nodules or masses. Mild pleural thickening unchanged. No pleural effusion or pneumothorax.... | Pulmonary abnormalities and lymphadenopathy consistent with sarcoidosis not significantly changed. |
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: evaluation one year s/p MIE History: evaluation one year s/p MIE CHEST:LUNGS AND PLEURA: Mild upper lobe predominant centrilobular and paraseptal emphysema. Mild paramediastinal radiation fibrosis. No new or suspicious quarry nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: Postsurgical changes and... | No evidence of recurrence or 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 heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Scattered benign calcifications are st... | 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. | Reason: aspiration pneumonia? History: leucocytosis; aspiration LUNGS AND PLEURA: Moderate size left pleural effusion increased in size since the prior exam.Small right pleural effusion stable.Right basilar atelectasis, scarring, and septal thickening with bronchial wall thickening similar to the prior exam and compati... | 1. Bilateral pleural effusions with mild interval increase on the left.2.Large amount of fluid and debris noted within the esophagus an esophageal stent with persistent right lower lobe opacities compatible with recurrence/chronic aspiration.3.No new focal areas of consolidation to indicate acute infection.4.Paraesopha... |
Generate impression based on findings. | 57 year-old male. Right ankle deformity. Assess fracture. There is a complete break through the sideplate and screws affixing a displaced distal tibial fracture. There is medial angulation and displacement of the distal tibial fracture fragment. A sideplate and screw affixes a distal fibular fracture with mild medial a... | The sideplate affixing a distal tibial fracture is broken with resultant malalignment of the fracture fragments. Broken most inferior screw of a sideplate/screw device affixing a distal fibular fracture. These findings would be better assessed with an ankle radiograph if clinically warranted. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history breast cancer in maternal aunt, diagnosed at the age of 65. Personal history of bilateral silicone implants placed in 1974. Two standard digital views and two implant displaced views of both breasts were performed and reviewed with the aid o... | 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. | Reason: stem cell transplant patient with + adenovirus and coronavirus on BAL. + infiltrates noted on CT or abdomen and pelvis History: cough LUNGS AND PLEURA: Interval resolution or near resolution of cluster of ground glass opacities in the posterior aspect of the left upper lobe. New scattered foci of ground glass o... | 1.New right lower lobe airspace opacities and left lingular consolidation with possible adjacent left chest wall invasion, which raises the question of Actinomyces and Nocardia as etiology of infection.2.Trace bilateral pleural effusions.3.New ill defined hypoattenuating focus in the dome of the liver, incompletely eva... |
Generate impression based on findings. | Female 46 years old. Reason: mechanical fall, point tenderness of medial malleolus. Assess for fracture. History: mechanical fall, assess for left ankle fracture Three views of the left ankle are provided. There is no evidence of acute fracture or dislocation. The patient is status post midfoot amputation. There is ulc... | 1.Ulceration and loss of cortex along the medial aspect of the left foot suspicious for osteomyelitis.2.No evidence of acute fracture or dislocation.Findings were discussed by telephone with the ordering physician, Dr. Farrington, at 4 p.m.. on 4/22/2015. |
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. Two focal asymmetries are identified in the right breast (r... | Two focal asymmetries in the right breast. Additional imaging, including spot compression views and possible ultrasound, are recommended for further evaluation. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Reason: Infertility Scout AP film of the pelvis was normal. Opacification of the uterine cavity revealed a within normal limits uterine cavity without mucosal irregularity or filling defects in the uterine cavity. Both tubes were freely opacified with free spillage on both sides into the pelvis, indicating tubal patenc... | Patent fallopian tubes. |
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