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Generate impression based on findings. | Clinical question: Evaluate sinuses; assess for interval changes, compared to prior CT. Signs and symptoms: Persistent nasal congestion, PND and cough, despite 3 courses of antibiotics and prednisone. Medtronic fusion sinus CT:Frontal sinuses are well pneumatized and there is a small focus of mucosal thickening in the ... | Minimal residual chronic sinusitis and with interval improvement since prior exam as detailed above |
Generate impression based on findings. | Reason: eval nasogastric tube position History: ngt Enteric tube tip lies in the distribution of the gastric body. Midline skin staples are noted. Multiple dilated loops of small bowel, incompletely imaged, consistent with known small bowel obstruction. Asymmetric elevation of the left hemidiaphragm. Pelvis is excluded... | Enteric tube tip in the distribution of the gastric body. Findings suggestive of persistent small bowel obstruction. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history rheumatoid arthritis. Patient currently complains of burning sensation in both breasts. 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 fibro... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Patient's bilateral breast burning sensation should be managed clinically. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: Dobbhoff History: Dobbhoff Dobbhoff tube is coiled in the stomach with the tip overlying the gastric fundus. Enteric tube is coiled in the gastric fundus, with the tip overlying the gastric body. Relative paucity of bowel gas, without specific evidence of obstruction. The pelvis is excluded from the field-of-vi... | A Dobbhoff tube coiled in the stomach with the tip overlying the gastric fundus. |
Generate impression based on findings. | Uterine mass. Vaginal discharge. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedR... | Lower uterine or cervical mass with hydrocolpos and at least one enlarged left internal iliac lymph node |
Generate impression based on findings. | 50 year old male with h/o HNC and CRT, compare to previous measurements LUNGS AND PLEURA: Mutiple bilateral pulmonary nodules with interval increase in size. For reference a left lower lobe nodular measures 19 mm in long axis (Series 4, image 75) previously 17 mm. A right middle lobe nodule middle lobe nodule measures ... | Interval increase in size of multiple bilateral pulmonary nodules and mediastinal lymphadenopathy. No new sites of disease identified. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign right cyst aspiration. 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... | 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. | Male 17 years old Reason: evaluate scoliosis in brace History: scoliosisVIEWS: Thoracic and lumbar spine AP, supine out of brace on 4/22/15 (one views) 137 degrees thoracolumbar dextrorotoscoliosis. Gastrostomy tube again noted. Mild fecal accumulation with no evidence of obstruction. | Worsening in thoracolumbar extra stenoses when the patient is out of brace. |
Generate impression based on findings. | Reason: Evaluate for progression of metastatic disease; compare to previous scan. History: None CHEST:LUNGS AND PLEURA: Solid pulmonary nodule in the left upper lobe (series 5, image 31) measures 0.9 x 0 .8 cm, previously 0.9 x 1.0 cm, previously shown to be hypermetabolic on recent PET, and is suspicious for metastasi... | 1.Postsurgical changes to the colon.2.Metastatic lesions to the liver, abdominal lymph nodes, and lungs appear increased in size and number with reference measurements provided above.3.Cholelithiasis. |
Generate impression based on findings. | 31 year old female with history of metastatic breast cancer. Chest pain. Fleck of intravenous contrast limits evaluation for lymphadenopathy and solid organ, vascular, and bowel pathology.CHEST:LUNGS AND PLEURA: Few pulmonary micronodules are unchanged. No new suspicious pulmonary mass or nodule. Small left pleural eff... | 1. Extensive osseous metastatic disease. No new sites of disease.2. Small left pleural effusion with adjacent consolidation/atelectasis.3. Decreasing pelvic lymphadenopathy with development of dystrophic calcification, suggesting treatment related changes. |
Generate impression based on findings. | 53 year-old female. Follow-up. The lower cervical spine from C5 inferiorly and cervicothoracic junction is not well seen due to overlying anatomy. An anterior plate and screws enter the C5 and C6 vertebral bodies with an interbody bone graft. No radiographic evidence of hardware complication. Alignment is grossly anato... | Post-operative changes of C5-6 ACDF. |
Generate impression based on findings. | 15 year old female. Status post twisting injury to the right ankle. Evaluate for fracture. Moderate soft tissue swelling over the lateral malleolus. No fracture or malalignment is evident. | Moderate soft tissue swelling without evidence of a fracture. |
Generate impression based on findings. | Female 59 years old Reason: mets esoph cancer, liver mets, s/p 2 cycles of chemo. Pls c/w previous study to evaluate tx response. History: mets esoph ca CHEST:LUNGS AND PLEURA: Scattered micronodules.Reference left upper lobe micronodules series 5 image 27, 5 mm maximal dimension previously 6 x 4 mm.MEDIASTINUM AND HIL... | Measurements as above with decrease in size of several lesions. |
Generate impression based on findings. | Reason: Adenoid Hypertrophy History: nasal congestionVIEWS: Soft tissue neck AP and lateral (2 views) 4/22/15 15:39 Images are degraded by motion artifact. Normal appearance of adenoids without nasopharyngeal airway obstruction. | Normal appearance of adenoids without nasopharyngeal airway obstruction. |
Generate impression based on findings. | Reason: eval for stress fracture History: shin pain sports basketballVIEWS: Left tibia/fibula AP lateral (2 views) 4/22/15 15:46 No evidence of fracture or malalignment. | No evidence of fracture or malalignment. |
Generate impression based on findings. | Reason: eval for fx History: wrist pain s/p fallVIEWS: Left wrist PA oblique lateral (3 views) 4/22/15 No acute fracture or dislocation. | No acute fracture or dislocation. |
Generate impression based on findings. | 71 years, Male. Reason: s/p G-tube for nutrition, assess gas pattern and ?air-fluid History: tympanic on exam Pneumoperitoneum visualized, presumably postprocedural in etiology, comparison to prior postprocedural imaging if available would be helpful to confirm decreasing pneumoperitoneum. Curvilinear lucency involving... | Small to moderate pneumoperitoneum visualized, presumably postprocedural in etiology, comparison to prior postprocedural imaging if available would be helpful to confirm decreasing amount of pneumoperitoneum. Curvilinear lucency involving portions of the ascending and transverse colon, appearance suspicious for pneumat... |
Generate impression based on findings. | Reason: fracture, dislocation History: inversion injury to ankle playing basketball yesterdayVIEWS: Right ankle AP oblique lateral (3 views), Left shoulder internal rotation and external rotation (2 views), 4/22/15 15:59 Right ankle: No fracture or dislocation. Mild joint effusion and soft tissue swelling.Left shoulder... | No fracture or dislocation. Mild ankle soft tissue swelling and joint effusion. |
Generate impression based on findings. | Thyroid cancer metastatic to the lungs with rising thyroglobulin. Assess for FDG avid lesions.RADIOPHARMACEUTICAL: 8.2 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 103 mg/dL. Today's CT portion grossly demonstrates postsurgical changes from a thyroidectomy. There are numerous bilateral pulmonary nodules m... | 1.Numerous FDG avid bilateral pulmonary nodule metastases.2.No extrathoracic FDG avid tumor. |
Generate impression based on findings. | There is a mildly expansile slightly lobulated lucent lesion within the left inferior clivus and left jugular tubercle with extension towards the left occipital condyle. This corresponds to the enhancing T1/T2 hypointense lesion seen on the prior MRI. There is a small amount of amorphous hyperdensity within the lesion... | 1. Expansile lucent lesion within the left central skull base involving the left jugular tubercle with slight narrowing of the left hypoglossal canal, and extension towards the left occipital condyle. Previous area of corresponding enhancement in this location on MRI does demonstrate enhancing component on CT as well, ... |
Generate impression based on findings. | NONCONTRAST: There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is a mucus retention cyst in the left maxillary sinus. There is a 4 mm wide osteoma along the outer table of the ... | 1.No intracranial hemorrhage or mass effect. CT is insensitive for detection of early nonhemorrhagic stroke.2.Minimal cavernous carotid atherosclerotic calcifications with no flow limiting stenosis in the neck or intracranial vasculature.3.No intracranial aneurysm. |
Generate impression based on findings. | 27-year-old female with an intrathecal shunt and headache. Again seen are postoperative findings related to suboccipital craniectomy with a partially visualized intrathecal catheter entering between C1 and the occiput appear similar to prior exam. The radiopaque portion of the partially imaged shunt catheter is intact.... | No acute intracranial abnormality or change in ventricular size. The radiopaque portion of the partially imaged shunt catheter is intact. |
Generate impression based on findings. | Evaluate for mass/tumor of the larynx in the setting of worsening right sided throat pain x 2 months, dysphagia, referred ear pain (right), and tender cervical adenopathy. Neck: There is asymmetric enlargement of the right thyroid lobe with suggestion of an ill-defined nodule, although beam hardening artifact limits th... | 1. Asymmetric enlargement of the right thyroid lobe with suggestion of an ill-defined nodule, although beam hardening artifact limits the assessment. A thyroid ultrasound may be useful for further evaluation.2. Apparent mild thickening of the right aryepiglottic fold and inferior epiglottis, which is otherwise difficul... |
Generate impression based on findings. | Clinical question: Intracranial hemorrhage, shunt malfunction. Signs and symptoms: Headache and blurred vision. Nonenhanced head CT:Examination demonstrates no detectable acute intracranial process. CT however he is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Shunted supratentorial ventricu... | 1.No detectable acute intracranial process and no interval change since prior exam.2.Small stable shunted ventricular system since prior study. |
Generate impression based on findings. | Clinical question: Evaluate for new seizures. Signs and symptoms: Seizures. Nonenhanced head CT conal orthere is no detectable acute intracranial process. CT however is not sensitive for early detection of acute nonhemorrhagic ischemic strokes.Heavily calcified subependymal tubers are again identified without significa... | 1.No detectable acute or new finding since prior exam.2.Findings of tuberous sclerosis without interval change since prior exam. |
Generate impression based on findings. | Clinical question: Status post subdural evacuation. Signs and symptoms: Status post subdural evacuation. Unenhanced head CT:Examination demonstrates a large low-attenuation in right hemispheric subdural collection measuring approximately 32 mm in thickness and with significant mass effect on the adjacent brain parenchy... | 1.Large low-attenuation right hemispheric subdural measuring approximately 32 mm in thickness and with resultant 14-mm deviation of midline to the left.2.Mild dilatation of left lateral ventricle highly suspicious for hydrocephalus.3.Mild age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Clinical question: Status post subdural evacuation. Signs and symptoms: As above. Nonenhanced head CT:Examination demonstrate partial evacuation of right hemispheric subdural. There is extensive residual air within the subdural space and mixed with remaining subdural. The maximum thickness of remaining subdural measure... | 1.Status post partial right hemispheric subdural.2.Residual subdural and extensive post operative subdural air collection measures 33-mm and results in approximately 14 mm midline shift to the left similar to preoperative study.3.Slight interval further increased size of left lateral ventricle concerning for hydrocepha... |
Generate impression based on findings. | Clinical question: Altered mental status. Signs and symptoms: Altered mental status. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes. Examination demonstrate periventricular and subcortical low-attenuation are ... | 1.No acute intracranial process.2.Mild supratentorial ventriculomegaly.3.Age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Clinical question : Word finding difficulty. Signs and symptoms: Word finding difficulty Nonenhanced head CT:There is no detectable acute intracranial process number no findings since prior study. Note should be made that CT is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Findings of mild ag... | 1.No acute or new findings since prior exam.2.Mild age indeterminate small vessel ischemic stroke and supratentorial ventriculomegaly similar to prior exam. |
Generate impression based on findings. | VomitingVIEW: Abdomen AP (one view) 4/22/15 NG tube terminates at the antropyloric region. Normal abdominal gas pattern. No evidence of obstruction or free air. | Normal examination. |
Generate impression based on findings. | Clinical question: Evaluate for pontine hemorrhage. Signs and symptoms: Prior hemorrhagic CVA (one year ago), now obtunded. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Examination demonstrate a focus of inc... | 1.No acute intracranial process.2.Parenchyma volume loss of pons and a focus of calcification measuring 8 x 11-mm as detailed above. Follow up with an MRI exam is highly recommended. Please see above comments.3.Unremarkable exam otherwise. |
Generate impression based on findings. | Male 14 years old Reason: Eval for fx History: Medial joint pain, knee pain s/p plant and twist injuryVIEWS: Right knee AP, lateral and oblique 4/22/15 (3 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Female 9 years old Reason: r/o fx History: swollen wristVIEWS: Right wrist AP, lateral and oblique 4/22/15 (3 views) Buckle fracture of the distal metaphyses of the right radius. Alignment is anatomic. | Buckle fracture of the distal right radius as described. |
Generate impression based on findings. | Male 21 months old Reason: left wrist pain and swelling. assess for fracture History: left wrist pain and swelling. assess for fractureVIEWS: Left wrist AP, lateral and oblique 4/22/15 (3 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Left elbow injury.VIEWS: Left elbow AP, lateral and oblique. 4/22/15 (3 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Female 5 years old Reason: r/o clavicular fracture History: s/p GSWVIEWS: Left clavicle AP and axial 4/23/15 (two views) There is no evidence of fracture, malalignment or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | 60 years, Male. Reason: NGT placement History: see above The pelvis is not entirely included in the field-of-view. Enteric tube tip projects at the level of the proximal jejunum. Interval repositioning of the NG tube the tip projecting at the body of the stomach. TIPS catheter, biliary drains, right sided surgical drai... | Interval repositioning of NG tube with the tip projecting at the level of the body of the stomach. |
Generate impression based on findings. | Headache and fever. No evidence of acute ischemic or hemorrhagic lesion.Extensive dural calcifications otherwise unremarkable.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures... | No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | Female 8 years old Reason: looking for acute chest or infection History: feverVIEW: Chest AP (one view) 4/22/15 at 2138 hrs. Central line and cholecystectomy clips are noted. Cardiac silhouette size is large but stable. No focal lung opacities, effusions or pneumothorax. | No evidence of acute chest. |
Generate impression based on findings. | Female 12 years old Reason: lateral mal fx, eval for proximal 5th MT fx VIEWS: Right foot and ankle AP, lateral and oblique 4/22/15 (6 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | 64 years, Male. Reason: evaluate for evidence of perforated viscus History: s/p trochar placement with acute decompensation, abdominal distention Note is made of multiple dilated loops of bowel, suggestive of adynamic ileus. Average stool burden. The free intraperitoneal air seen on recent chest CT examination is not d... | 1. Findings suggestive of adynamic ileus.2. The free intraperitoneal air seen on recent chest CT examination is not definitively seen on this examination, likely due to patient positioning. If continued concern for perforated viscous further evaluation with a dedicated abdominal CT examination could be considered. |
Generate impression based on findings. | Reason: rule-out pulmonary embolism protocol History: history of dyspnea, history of asthma PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus. LUNGS AND PLEURA: Diffuse bronchial wall thickening. Bibasilar dependent atelectasis. Dependent opacities raises the question of interstitial lung disease.Sca... | 1.No acute pulmonary embolus.2.Diffuse bronchial wall thickening compatible with patient's history of asthma.3.Dependent opacities raises the question of interstitial lung disease. Dedicated interstitial lung disease CT protocol could be obtained for further evaluation.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not a... |
Generate impression based on findings. | Reason: ovarian cyst, appendicitis History: lower abdominal pain ABDOMEN:LUNG BASES: Lung bases are clear. No pericardial effusion.LIVER, BILIARY TRACT: No focal hepatic abnormality. No intrahepatic or extrahepatic biliary ductal dilatation. No gallbladder wall thickening or pericholecystic fluid collection.SPLEEN: No ... | 1.No evidence of acute appendicitis.2.Multiple small scattered mesentery lymph nodes which may reflect mesenteric adenitis.3.Adnexa as above, likely physiologic given patient's age. Correlate with pelvic ultrasound if continued clinical concern. |
Generate impression based on findings. | hydrocephalus evaluation. follow up of pseudotumor cerebri No evidence of acute ischemic or hemorrhagic lesion.Ventricle size appears to be slightly smaller than usual but could be seen as within normal limits.The cisterno peritoneal shunt tube is located on the right side of C2 vertebral body level. No change since pr... | 1. No evidence of acute ischemic or hemorrhagic lesion.2. No change of ventricle size and cisterno-peritoneal shunt tube since prior exam. |
Generate impression based on findings. | Female, 64 years old. Trigger: Multiple surgical teams. No suspicious radiopaque foreign object is identified. Enteric tube is coiled in the stomach with the tip overlying the gastric body. Right-sided surgical drain terminates lateral to T12. Degenerative changes affect the lower lumbar spine. Surgical clips project o... | No suspicious radiopaque foreign object is identified.These findings were discussed by telephone with Dr. Roggin, the attending surgeon, on 4/22/15 at 18:31 by the resident radiologist on call. |
Generate impression based on findings. | Female 11 years old Reason: fell from bed History: painVIEWS: Left wrist AP, lateral and oblique. 4/23/15 (3 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | 75 year-old female with elevated d-dimer, chest pain PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery caliber is within normal limits. No evidence of right heart strain.LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural effusion or pneumothorax. Small scar in the superio... | No evidence of pulmonary embolism. No findings account for the patient's symptoms.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Female 7 days old Reason: Ex 34 weeker with multiple congential defects, s/p gastrostomy placement today. Check ETT placement History: DesaturationsVIEW: Chest AP (one view) 4/22/15 at 2149 hrs. ET tube tip is below thoracic inlet. Replogle catheter overlies C6. Umbilical venous line terminates at the hepatic vein/IVC.... | Interval improvement in right lung aeration after ET tube repositioning. |
Generate impression based on findings. | 65 years, Male. Reason: Dobbhoff tube displaced The lower abdomen and pelvis are not completely included in the field of view. Interval repositioning of the Dobbhoff tube with the tip projecting at the level of the antrum of the stomach. LVAD, sternotomy wires and plates, AICD leads, and right upper quadrant. Surgical ... | Dobbhoff tube tip projects at the level of the antrum of the stomach. |
Generate impression based on findings. | 70 years, Female. Reason: sob, eval for effusion History: above Enteric tube terminates in the distribution of the proximal duodenum. A pigtail catheter is coiled in the left pelvis. Retained contrast in the large bowel related to recent CT scan. Nonobstructive bowel gas pattern. Bilateral pleural effusions and basilar... | Bilateral pleural effusions and basilar atelectasis/consolidation, better evaluated on CT of the same date. |
Generate impression based on findings. | Female 7 days old Reason: patient with new Gtube, intubated History: patient intubated, assess ETT positionVIEW: Chest and abdomen AP (two views) 4/22/15 at 1701 hrs. Right mainstem bronchus intubation. Umbilical line is unchanged. A urinary bladder catheter has been placed. Replogle catheter overlies C6/7. Arterial ma... | Misplaced ET tube.Complete right lung atelectasis. Atelectasis of the left upper lobe is noted as well. |
Generate impression based on findings. | Reason: constipation History: abdominal painVIEW: Abdomen AP (one view) 4/23/15 0:41 Average stool burden. Nonspecific mild gaseous distention of a small bowel in the left upper quadrant. No definite evidence of bowel obstruction. | Nonspecific mild gaseous distention of a small bowel loop in the left upper quadrant. Average stool burden. |
Generate impression based on findings. | Reason: Evaluate for PE History: Refractory hypoxemia, tachycardia, pulmonary edema Examination is slightly limited by motion.PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus.LUNGS AND PLEURA: Endotracheal tube with tip 5 cm above the carina. Diffuse interlobular septal thickening is bilateral depen... | 1.No acute pulmonary embolism.2.Diffuse dependent dense consolidation with no pleural effusions. Findings could represent edema or hemorrhage, or aspiration.3.Moderate amount of free intraperitoneal air. Subsequent requisition states patient is status-post trocar with acute decompensation. Recommend dedicated CT abdome... |
Generate impression based on findings. | 66-year-old female with right upper quadrant tenderness and flank pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Cirrhosis without focal hepatic lesion. Mild intrahepatic biliary ductal dilation. Distended gallbladder. The main common bile duct measures up to 17 mm diameter. SPLEEN: No ... | 1.Cirrhosis without evidence of focal hepatic lesion.2.Distended gallbladder with intrahepatic, common bile duct, and main pancreatic duct dilatation but no evidence of stones or distal obstructing mass. |
Generate impression based on findings. | 25 years, Female. Reason: r/o SHARPS AND LAPS History: none Nonobstructive bowel gas pattern. No unexpected radiopaque foreign object. Skin staples project over the lower pelvis. Epidural catheter projects over the L4 vertebral body. | No suspicious radiopaque foreign object is identified.These findings were discussed by telephone with Dr. Harth, the attending surgeon, on 4/23/15 at 0756. |
Generate impression based on findings. | 56-year-old female with hypoxia, DOE. Rule out pulmonary embolism. PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery caliber is upper limits of normal. No evidence of right heart strain.LUNGS AND PLEURA: Postsurgical changes from right upper lobectomy. Extensive severe emphysema. Increased br... | 1. No evidence of pulmonary embolism. 2. Bronchial wall thickening with persistent right lung base atelectasis and interval development of patchy consolidation in the superior segment of the right lower lobe. Findings suggestive of aspiration . PULMONARY EMBOLISM: PE: NegativeChronicity: Not applicable.Multiplicity: No... |
Generate impression based on findings. | Female 20 years old. Reason: eval for acute process. History: atraumatic knee pain Four non-weightbearing views of the left knee are provided. There is no joint effusion, acute fracture, or dislocation. | Unremarkable study of the left knee. |
Generate impression based on findings. | 68 year old female with history of pancreatic cancer. Presents with nausea and vomiting. ABDOMEN:LUNG BASES: Mild basilar scarring is again noted.LIVER, BILIARY TRACT: Biliary stent, and associated pneumobilia. No significant biliary dilatation. Along the superior aspect of the remaining left hepatic lobe is a small fl... | 1.Findings of pancreatic malignancy, with interval increase in size of mass. 2.Small suprahepatic fluid collection with a focus of internal gas, may represent infected fluid collection versus contained bile leak.3.Mass-effect on the duodenum is noted, and although there is no frank obstruction this could contribute to ... |
Generate impression based on findings. | Male 20 years old. Reason: hx sickle cell, bilateral hip/knee pain with hx of infarct and equivocal prior, r/o AVN. History: as above Four views of the right knee are provided. There is subtle patchy sclerosis of the distal femoral metaphysis consistent with early avascular necrosis. There is no joint effusion, disloca... | Avascular necrosis of the bilateral hips and knees as described above. |
Generate impression based on findings. | Reason: atraumatic ankle pain VIEWS: Left ankle AP oblique lateral (3 views), Left knee AP oblique lateral (3 views) 4/23/15 1:59 Left ankle: Mild soft tissue swelling. No joint diffusion. No fracture or dislocation.Left knee: Mild soft tissue swelling. No fracture or dislocation. | Mild soft tissue swelling of ankle and knee. No fracture or dislocation. |
Generate impression based on findings. | 54 female with history of Hodgkin's, abdominal pain ABDOMEN:LUNG BASES: Basilar atelectasis.LIVER, BILIARY TRACT: Gallstones.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral nonobstructive renal pelvis stones... | 1.Bilateral nonobstructive renal pelvis stones. 2.Gallstones. 3.No lymphadenopathy. |
Generate impression based on findings. | Reason: lung cancer pt, on chemotherapy, increased DOE, increased SOB History: SOB, DOE PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus. Redemonstration of chronic partially recanalized thrombus in the left lower lobe pulmonary artery, unchanged. Distal branches are not opacified, unchanged. Right ... | 1.Chronic partially recanalized thrombus in the left lower pulmonary artery, unchanged. No new acute pulmonary embolus.2.Slightly increased large pericardial effusion with findings compatible with right heart failure and pulmonary hypertension.3.Left lower lobe mass is difficult to reproducibly measure due to associate... |
Generate impression based on findings. | Female 9 days old Reason: ex 24 weeker with new pcvc please assess placement VIEW: Chest AP (one view) 4/23/15 at 715 hours. Right upper extremity PCVC terminates at the right innominate vein. ET tube tip is below the thoracic inlet. NG tube terminates above the GE junction. UAC tip is at T8. UVC has been removed.Cardi... | Interval repositioning of PCVC removal of UVC.Bilateral diffuse lung haziness with pattern of PIE and bibasilar atelectases as described. PDA is a consideration. |
Generate impression based on findings. | Female 9 days old Reason: evaluate for placement of PCVC respiratory distressVIEW: Chest and abdomen AP (two views) 4/22/15 at 2051 hrs.. ET tube tip is at the thoracic inlet. NG tube tip is above the GE junction. Umbilical line is unchanged. Right upper extremity central line terminates at the left subclavian vein.Car... | Interval PCVC placement as described.Interval worsening in diffuse lung haziness. PDA is a consideration.Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | Reason: eval for resolution of pneumothorax History: Spontaneous pneumothoraxVIEW: Chest AP (one view) 4/23/15 3:57 Interval placement of left pigtail chest tube directed inferiorly. Decrease in pulmonary pneumothorax with residual medial pneumothorax or small pneumomediastinum. Stable pleural effusion. Mediastinum is ... | Interval placement of left pigtail chest tube directed inferiorly. Residual medial pneumothorax or small pneumomediastinum. Stable pleural effusion. Mediastinum is midline. |
Generate impression based on findings. | Postoperative changes are seen from interval vermian mass biopsy, with small right paramedian occipital burr hole with overlying soft tissue swelling and subcutaneous emphysema. Trace air is also seen in the suprasellar cistern. There is minimal high density layering along the left tentorium measuring up to 4 mm in gr... | 1. Expected interval postoperative changes from mildly hyperdense vermian mass biopsy, without evidence of significant blood products in the area of biopsy. No gross interval change in size of the vermian mass.2. Trace subdural hematoma along the left tentorium as well as possible subacute extra-axial subdural blood pr... |
Generate impression based on findings. | 74-year-old male with history of right lower quadrant pain. Evaluate for stone. Lack of intravenous contrast enhancement limits the evaluation of solid organ parenchyma and vascular structures. Given these limitations, the following observations can be made:ABDOMEN:LUNG BASES: Scattered calcified and noncalcified pulmo... | 3-mm calculus at the right UVJ resulting in mild right hydronephroureter and perinephric inflammation. |
Generate impression based on findings. | 61-year-old male presents with a left breast mass, unchanged. Mammogram: Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Marker denoting a palpable abnormality noted in the left ... | Palpable abnormality in the left breast corresponds to a benign lipoma, based on imaging characteristics.BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Reason: Concern for stress fx History: Limping, TTP over shinsVIEWS: Right tibia/fibula AP and lateral (2 views), left tibia/fibula AP and lateral (two views) 4/23/15 1:08 Right tibia/fibula: No fracture or dislocation identified. No soft tissue swelling or joint effusion.Left tibia/fibula: No fracture or dislocation i... | No fracture or dislocation identified. |
Generate impression based on findings. | 62-year-old male. Hip pain. Evaluate for hip fracture. No fracture or dislocation is identified. The hip appears unremarkable for patient age. | No specific findings to explain the patient's symptoms. |
Generate impression based on findings. | Male 24 years old; Reason: eval for metastatic disease History: melanoma CHEST:LUNGS AND PLEURA: No suspicious lung nodule. Central airways patent.MEDIASTINUM AND HILA: No enlarged mediastinal, hilar or axillary adenopathy. Right axillary surgical clips with adjacent linear scarring.CHEST WALL: No significant abnormali... | 1. Hepatic steatosis, making evaluation for lesions suboptimal. Hepatic hypoattenuating lesions, incompletely accessed. Largest is a hepatic segment 5 rounded hypoattenuating focus measuring 1.4 x 1.3 cm, indeterminant and may be better characterized with dedicated contrast-enhanced liver MRI. Additional hypoattenuatin... |
Generate impression based on findings. | 71-year-old male. Status post L5-S1 foraminotomy, posterior lumbar fusion, MIS TLIF. Posterior stabilization rods and screws traverse the L5 and S1 levels with an interbody cage. No radiographic evidence of hardware complication. There is mild Grade 1 anterolisthesis of L5. Mild to moderate degenerative disk disease af... | Post-surgical findings of L5-S1 posterior fusion. |
Generate impression based on findings. | Knee painVIEWS: Left knee AP oblique lateral (3 views) 4/23/15 1:28 No fracture or dislocation. Small knee joint effusion. | No fracture or dislocation. Small knee joint effusion. |
Generate impression based on findings. | 21-year-old female with history of right lower quadrant abdominal pain. Evaluate for appendicitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant ab... | Dilated appendix for which early acute appendicitis cannot be excluded. |
Generate impression based on findings. | 31 year-old female with metastatic rectal cancer presents with nausea, vomiting, back and abdominal pain CHEST:LUNGS AND PLEURA: Left upper lobe nodule measures 1.1 x 0.8 cm (series 5, image 42), previously 0.9 x 0.5 cm.Lingular nodule measures 1.6 x 1.4 cm (series 5, image 55), previously 0.9 x 0.8 cm. Additional lesi... | 1.Increasing presacral soft tissue mass now with internal foci of gas which may represent necrosis, fistula to bowel, or superimposed infection.2.Pulmonary and hepatic metastases, increasing in size. |
Generate impression based on findings. | Reason: foreign body after foot lac History: foot lacVIEWS: Left foot AP oblique lateral (3 views) 4/23/15 2:52 No radiopaque foreign body is noted. No fracture or dislocation. | No radiopaque foreign body is noted. No fracture or dislocation. |
Generate impression based on findings. | 40 year old female with history of urinary and bowel incontinence. Evaluate for mass lesion. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No peripancreatic inflammation.ADRENAL GLANDS: No significant abnormali... | Unremarkable exam. |
Generate impression based on findings. | Female 85 years old Reason: Stone vs Diverticulosis History: Bilateral Lower quadrant pain, left flank pain. Exam is not sensitive for detecting lesions in the bowel due to lack of oral contrast and in the solid organs of vasculature due to the lack of intravenous contrast. Given those limitations, the following observ... | No specific findings to explain left flank pain or bilateral lower quadrant pain. No evidence of diverticulitis. |
Generate impression based on findings. | The patient has a history of tongue squamous cell carcinoma treated with partial glossectomy and neck dissection on 4/16/15 and presents with dysphagia and inability to tolerate PO since the operation. There is no evidence of acute intracranial hemorrhage or mass. There are mild patchy areas of cerebral white matter hy... | 1. No evidence of acute intracranial hemorrhage, mass, or cerebral edema.2. Nonspecific mild patchy areas of cerebral white matter hypoattenuation, which may represent small vessel ischemic disease of indeterminate age. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct and metas... |
Generate impression based on findings. | Reason: eval for PNA or PTX History: focal diminished breath sounds and wheezing in RLLVIEW: Chest AP (one view) 4/23/15 4:07 The aortic arch, cardiac apex and stomach are left-sided. Cardiothymic silhouette is normal.Increased lung volumes. Right lung base streaky opacities, compatible with atelectasis. Possible small... | Right lung base atelectasis. Possible small right pleural effusion or scarring. |
Generate impression based on findings. | follow up after ischemic stroke Subtle low attenuation lesion on the right post central gyrus is hardly seen on today's scan.There is no evidence of acute hemorrhagic lesion. The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid co... | Subtle hypoattenuation on the right post central gyrus, no significant interval change.No evidence of hemorrhagic transformation. |
Generate impression based on findings. | Female 57 years old. Reason: signs of arthritis. History: pain Two views of the left hip are provided. There are minimal osteophytes indicating minimal osteoarthritis. There is an ossification along the femoral neck which could represent a loose body within the joint. There is no acute fracture or dislocation. Vascular... | Minimal osteoarthritis of the left hip. No acute fracture or dislocation. |
Generate impression based on findings. | 44-year-old male with history of drain placement for ascites at outside hospital: And questionable cellulitis/abscess and drain site. ABDOMEN:LUNG BASES: Bibasilar scarring/atelectasis.LIVER, BILIARY TRACT: Stigmata of cirrhosis and portal hypertension. Evaluation of the liver parenchyma is suboptimal without intraveno... | Small umbilical fat and fluid containing hernia. Small adjacent subcutaneous low-density collection may represent a collection of simple fluid (no discernable wall or internal gas) although cannot exclude abscess on this noncontrast exam. |
Generate impression based on findings. | Clinical question: Status post dural evacuation. Signs and symptoms: Status post subdural evacuation. Nonenhanced head CT:Examination demonstrates complete evacuation of an acute left frontal temporal subdural via a small left parietal craniotomy. Residual expected postprocedural air within the subdural space is identi... | 1.Expected postoperative changes of left parietal craniotomy and evacuation of subdural as detailed. No significant residual subdural.2.Placement of a drain on the left as mentioned above.3.Subtle interval increased size of acute subdural along the superior surface of tentorial leaf and right side of falx as detailed.4... |
Generate impression based on findings. | The patient has a history of tongue squamous cell carcinoma treated with partial glossectomy and neck dissection on 4/16/15 and presents with dysphagia and inability to tolerate PO since the operation. Dental amalgam artifact obscures portions of the oral cavity, Nevertheless, there are postoperative findings related t... | Postoperative findings related to recent right partial glossectomy and neck dissection, with air and fluid in the treatment bed, which may represent expected residual postoperative effects, although superimposed infection cannot be excluded. |
Generate impression based on findings. | Abdominal pain, infection ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Fatty liver. Status post cholecystectomy with mild intra-hepatic and common bile duct dilation.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Incompletely evaluated l... | 1.Left adrenal nodule, incompletely evaluated.2.Fatty liver.3.No acute intra-abdominal abnormality. |
Generate impression based on findings. | Reason: r/o obstruction, ileus, pna History: tachypnea, tachycardia, emesisVIEW: Chest AP (one view), abdomen AP (one view) 4/23/15 4:30 NG tube tip is in the gastric antrum. Lower extremity central venous catheter tip and the intrahepatic IVC. There is mild gaseous distention of the small bowel loops to 2.6-cm. No pne... | Nonspecific mild gaseous distention of the small bowel loops. |
Generate impression based on findings. | Post ischemic stroke hemorrhagic transformation. Follow up CT Scan. The degree of midline shift toward right side appears to be a bit worsen comparing to prior scan (on coronal scan at the level of 3rd ventricle, 14.5mm to 15.6mm).The extent of hemorrhagic transformation does not show significant interval change since ... | Interval progression of edema and midline shift of left MCA territorial ischemic infarction since prior exam.No interval change of the extent of hemorrhagic transformation since prior exam. |
Generate impression based on findings. | Female; 67 years old. Reason: Hx stem cell transplant and GVHD, most recently found to have colonic pneumatosis on CT, re-evaluating History: Colonic Pneumatosis ABDOMEN:LUNG BASES: Mild nonspecific patchy dependent bibasilar air space opacities are similar to prior study, though evaluation is limited by motion.LIVER, ... | Significantly decreased (both in amount and extent) pneumatosis intestinalis, though a large amount of pneumatosis persists in the transverse colon. Mild amount of free air has resolved. |
Generate impression based on findings. | 34-year-old female with history of abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Small left rena... | Nonspecific minimally complex left adnexal cystic lesion. If there is clinical concern for ovarian torsion, correlation with dedicated pelvic ultrasound is recommended. |
Generate impression based on findings. | Reason: change in mycetoma, sarcoidosis History: hemotpysis LUNGS AND PLEURA: Left apical cavity with fluid and debris measures 45 x 32 mm (series 3 image 19), slightly increased in size compared to prior, compatible with patient's history of a mycetoma. Extensive upper lobe predominant architectural distortion volume ... | 1.Slight interval increase in left apical mycetoma. 2.Extensive architectural distortion, bronchiectasis, and volume loss/scarring consistent with sarcoidosis, not significantly changed. |
Generate impression based on findings. | right thalamic ICH follow up No interval change of the size of the right thalamic ICH, the extent of surrounding edema and minimal midline shift toward left side since prior exam.No new hemorrhage or new ischemic infarction was seen.The ventricles, sulci, and cisterns are unremarkable. There is no mass effect, edema, m... | No interval change of the right thalamic ICH, the extent of surrounding edema and minimal midline shift since prior exam. |
Generate impression based on findings. | Male 7 days old Reason: evaluate for interval change in lung fields History: s/p tef repair, intubated, hypoxicVIEW: Chest AP (one view) 4/23/15 at 620 hours. ET tube tip is below the thoracic inlet tear it NG tube terminates in the stomach. Right-sided chest tube and umbilical lines unchanged. Cardiac silhouette E. no... | Interval reexpansion of right lung with atelectasis of the left lung. Right-sided pleural effusion. |
Generate impression based on findings. | 25-year-old female with history of abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Mild scarring o... | Small pelvic free fluid, may be physiologic/related to recently ruptured ovarian cyst or follicle. Small involuting right-sided corpus luteal cyst. |
Generate impression based on findings. | Reason: atelectasis History: desaturationVIEW: Chest AP (one view) 4/23/15 7:26 Dextroscoliosis of the thoracic spine again seen. Bilateral streaky lung base opacities compatible with atelectasis. Right costophrenic angle is outside the field of view. No definite evidence of pleural effusions. No pneumothorax. Cardioth... | Bilateral lung base atelectasis. No definite pleural effusions. |
Generate impression based on findings. | Reason: hypoxia, tachycardia History: hypoxia, tachycardia PULMONARY ARTERIES: Technically adequate to the segmental level. No acute pulmonary embolus.LUNGS AND PLEURA: Scattered calcified granulomas. Scattered pulmonary micronodules, nonspecific. Right middle lobe atelectasis possibly related to multiple large right h... | 1.No acute pulmonary embolus.2.Right middle lobe atelectasis, possibly related to bulky calcified right hilar lymph nodes from prior granulomatous disease.3.Incompletely visualized/evaluated soft tissue density abutting or within the stomach. Recommend dedicated CT abdomen and pelvis for further evaluation.PULMONARY EM... |
Generate impression based on findings. | Male 4 months old Reason: what is gas pattern? History: s/p surgery for small bowel volvulusVIEW: Abdomen AP (one view) 4/23/15 at 819 hours. Gastrostomy tube, central line, residual contrast material are again noted. Interval removal of ET tube. Left lower lobe atelectasis noted. Almost complete paucity of abdominal g... | Almost complete paucity of abdominal gas development after ET tube removal. |
Generate impression based on findings. | Clinical question: Status post subdural evacuation. Signs and symptoms: As above. Nonenhanced head CT:Examination demonstrate no evidence of interval new hemorrhage since prior exam.Residual mixed density subdural on the left and extensive postoperative air is again identified. Constellation of changes results in leftw... | 1.No detectable acute new hemorrhage since prior exam.2.Residual right hemispheric subdural and extensive subdural postprocedural air although not significantly changed since prior exam there is however mild decreased midline shift to the left which measures at 12.2 millimeters on current exam at the level of third ven... |
Generate impression based on findings. | Reason: r/o PNA History: cough, fever, vomitingVIEWS: Chest AP/lateral (two views) 4/23/15 7:30 The aortic arch, cardiac apex and stomach are left-sided. Cardiothymic silhouette is normal. Mild peribronchial thickening. Retrocardiac linear opacity compatible with subsegmental atelectasis. No pleural effusions or pneumo... | Bronchiolitis/reactive airway disease pattern. |
Generate impression based on findings. | Male 4 months old Reason: evaluate for interval change in lung feeds History: hypercapniaVIEW: Chest AP (one view) 4/23/15 at 702 hours. Tracheostomy tube and central line unchanged. Interval NG tube removal. Cardiac silhouette size is top normal. Left lower lobe atelectases on a background of chronic lung disease. | Left lower lobe atelectasis on a background of chronic lung bases |
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