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Generate impression based on findings. | Male 72 years old. Reason: fall. History: severe pain Three views of the left ankle are provided. There is soft tissue swelling about the lateral malleolus. There is no joint effusion, acute fracture or dislocation. | Soft tissue swelling without evidence of acute fracture. |
Generate impression based on findings. | Female 23 days old Reason: ex 25 weeker now 3 weeks old with worsening hypoxemia History: hypoxemiaVIEW: Chest AP (one view) 4/23/15 at 708 hours. ET tube tip is at the carina. NG tube terminates in the stomach. Right lower extremity central line terminates at the retrohepatic IVC.Cardiac silhouette the no sizable due ... | Worsening in the appearance of multiple pneumatoceles of the left upper lobe, stable right lung base pneumatocele and worsening in lung aeration as described. |
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: No significant ... | Unremarkable study, physiologic changes in the pelvis. |
Generate impression based on findings. | 51-year-old female with a recent history of left breast cyst aspiration presents for bilateral diagnostic mammogram. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Female 28 years old. Reason: r/o fracture. History: pain Three views of the left ankle are provided. There is mild soft tissue swelling about the medial and lateral malleolus. There is no significant joint effusion, acute fracture or dislocation. | Soft tissue swelling without acute fracture. |
Generate impression based on findings. | Reason: PE? History: post op/ortho CP \T\ SOB PULMONARY ARTERIES: Technically limited examination due to suboptimal opacification of the pulmonary arteries. No large central pulmonary embolus. The main pulmonary artery is normal in caliber. No specific evidence of right heart strain.LUNGS AND PLEURA: Minimal bibasilar ... | 1.No large central acute pulmonary embolus. No evidence of right heart strain.2.No findings to explain patient's shortness of breath.3.Incompletely evaluated right adrenal nodule, likely an adenoma. If clinically indicated this could be further evaluated with dedicated adrenal CT or MRI imaging.PULMONARY EMBOLISM: PE: ... |
Generate impression based on findings. | Male 19 months old Reason: status post 48 hours of rectal irrigations; please evaluate bowel gas pattern in this 19mo M with history of Hirschsprung's s/p endorectal pull through History: status post rectal irrigations now will great improvement in abdominal distensionVIEW: Abdomen AP (one view) 4/23/15 at 808 hours. I... | Interval improvement in bowel distention |
Generate impression based on findings. | 33 year-old male with initial breath. Evaluate for pulmonary embolus. PULMONARY ARTERIES: Suboptimal evaluation due to patient body habitus. Within these limitations, no evidence of a central pulmonary embolus. Main pulmonary artery caliber enlarged at 40 mm suggestive of pulmonary arterial hypertension. LUNGS AND PLEU... | 1. Suboptimal study due to patient's body habitus. Within these limitations, no evidence of a central pulmonary embolus.2. Severe cardiomegaly with biventricular enlargement.PULMONARY EMBOLISM: PE: NegativeChronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Female 66 years old. Reason: r/o fracture. History: fall, L thigh trauma Two views of the left femur are provided. The left femur is unremarkable in appearance. There is no evidence of fracture or malalignment. | No evidence of fracture or malalignment. |
Generate impression based on findings. | 63 year old female with history of renal cell carcinoma. Evaluate left renal vein tumor versus thrombus. Also anemia, lower extremity swelling, dyspnea. ABDOMEN:LUNG BASES: Small pleural effusions and associated atelectasis. Numerous pulmonary nodules are noted, with a reference right middle lobe pulmonary nodule (4/7)... | 1. Large exophytic left renal mass, consistent with patient's given history of RCC, and multiple hepatic metastases.2. Significant left renal vein thrombosis, contiguous with left renal tumor. This may represent tumor thrombus versus bland thrombus, and could be further evaluated with Doppler ultrasound if this will af... |
Generate impression based on findings. | Status post fracture.VIEWS: Right wrist AP and lateral 4/25/15 (two views) Healed distal radial and ulnar fractures is anatomic alignment after cast removal. | Healed fractures after cast removal |
Generate impression based on findings. | Female 58 years old. Reason: old shoulder dislocation. History: pain Four views of the right shoulder are provided. The right shoulder is unremarkable in appearance. There is no fracture or dislocation. Four views of the left shoulder are provided. The left shoulder is unremarkable in appearance. There is no acute frac... | Unremarkable study of both shoulders. |
Generate impression based on findings. | Reason: chest pain, dyspnea History: chest pain, dyspnea PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus.LUNGS AND PLEURA: Moderate upper lobe predominant paraseptal emphysema. Bibasilar atelectasis. No suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: No mediastina... | No acute pulmonary embolus or specific finding to explain 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. | Male 18 years old. Reason: Jammed left long finger playing basketball, now with pain and swelling, please evaluate for fracture. History: above. Three views of the left third digit are provided. There is mild soft tissue swelling of the third digit. There is no acute fracture or malalignment. | Soft tissue swelling without acute fracture or malalignment. |
Generate impression based on findings. | 38 year old female with chest pain, r/o pulmonary embolism. PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery caliber within normal limits. No evidence of right heart strain.LUNGS AND PLEURA: Scattered micronodules unchanged. No suspicious pulmonary nodules or masses. Mild dependent atelectas... | No evidence of pulmonary embolism. PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 76 year-old female with endometrial cancer. Evaluate per RECIST criteria. CHEST:LUNGS AND PLEURA: Right lower lobe pulmonary nodule has mildly increased in size and measures 10 x 10 mm (series 4/184), previously 8 x 7 mm. Internal lucency within the nodule may be due to cavitation. Additional scattered micronodules are... | 1. Mildly increased size of right lower lobe pulmonary nodule, suspicious for metastasis. 2. Increased right hepatic dome lesion with new subcentimeter right hepatic lesion, suspicious for metastases.3. Decreased superior retroperitoneal lymphadenopathy. Stable inferior retroperitoneal lymphadenopathy.4. New apparent m... |
Generate impression based on findings. | Noncontrast CT: No evidence of intracranial hemorrhage. No extra-axial fluid collections. No masses or mass effect. Hypoattenuation in the left occipital lobe is better visualized on this exam compared to prior study in 2012. This focal attenuation involves the cortex as well as white matter, and likely represents a c... | 1. Hypoattenuation the left occipital lobe likely represents a chronic left occipital infarct. 2. No evidence of intracranial hemorrhage or mass.3. No intracranial arterial occlusion or aneurysm is identified. 4. Atherosclerotic disease of the vertebrobasilar system and distal internal carotids.Contrast extravasation d... |
Generate impression based on findings. | Male 27 years old. Reason: ulnar impaction? History: pain Three views of the left wrist are provided. The left wrist is unremarkable in appearance. There is no acute fracture or malalignment. | Unremarkable study of the left wrist. |
Generate impression based on findings. | 72-year-old male. Status post removal of implant. Right elbow: Splint overlying the elbow obscures fine bone detail. Again seen are antibiotic beads in the medullary space of the distal humerus and proximal ulna. Cortical thickening and chronic appearing periosteal reaction in the distal humerus, unchanged. Post-surgic... | Antibiotic beads in the distal humerus and proximal ulna. |
Generate impression based on findings. | Head injury with loss of consciousness 3 months ago, recurrent headache and vomiting. There is no evidence of acute intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There appears to be a partially empty sella. There is no m... | 1. No evidence of acute intracranial hemorrhage or skull fracture.2. Nonspecific partially empty sella, which can be a manifestation of pseudotumor cerebri in the appropriate clinical setting. |
Generate impression based on findings. | 74 year old male. Lady with back pain on steroids. Alignment is anatomic. Unchanged mild compression deformity of the superior endplate of L3. The other vertebral body heights are maintained. Moderate degenerative disk disease of L5-S1 and mild degenerative disk disease of the other lumbar levels. Lower lumbar spine mi... | Mild compression deformity of the superior endplate of L3, unchanged. Degenerative disk disease, as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of right medial breast mass felt by her doctor in February 2015, which was not reproduced by a second doctor or by the patient. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The... | No mammographic evidence of malignancy. If the patient feels a palpable abnormality, she should come for a diagnostic mammogram. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detec... |
Generate impression based on findings. | 65 year old male, 1 year s/p stem cell transplant, recent infection, now off antibiotics with fever and cough LUNGS AND PLEURA: Interval improvement in the left upper lobe patchy consolidation now with residual nodular opacities (series 4, image 35). Posterior left lower lobe consolidation/atelectasis also improved. No... | 1. Mild residual nodular opacities in the left upper lobe represents improving infection/aspiration. 2. Left posterior lower lobe atelectasis/consolidation also improved and appears scar like in appearance. 3. Osseous lesions compatible with multiple myeloma. Stable compression deformities of the thoracic spine. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, a total of 7 images were obtained, were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Bilateral benign oil cysts. Focal asymmetry in the... | Focal asymmetry in the left upper outer breast. Recommend diagnostic mammogram with spot compression views and possible ultrasound.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Male 66 years old; Reason: R/O HCC History: Hx of HCV ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Right hepatic subcentimeter focus measuring 3-4 mm on axial image 48 series 9 may be a perfusional abnormality, no definite washout on subsequent more delayed imaging but small size makes ev... | 1. Right hepatic subcentimeter focus measuring 3-4 mm may be a perfusional abnormality, no definite washout on subsequent more delayed imaging but small size makes evaluation suboptimal. No suspicious hepatic arterially enhancing focus seen otherwise. No suspicious hepatic lesion visualized otherwise.2. Tiny hypoattenu... |
Generate impression based on findings. | 56 years old, Male, Reason: Evaluate for fracture or hardware complication History: back pain Postsurgical findings are noted at the T7 to L1 fusion with posterior rod and hook and screw device placement spanning from and a left costotransversectomy at T11. Postsurgical changes include partial resection of the inferior... | 1. Postsurgical findings are noted at the T7 to L1 fusion with apparent fractures of the bilateral T7 transverse processes as well as the right T8 transverse process as detailed above. There is questionable lucency across the left T10 transverse process which may be postsurgical, however a fracture cannot be excluded.2... |
Generate impression based on findings. | Ms. Malone is a 63 year old female with a personal history of right breast lumpectomy performed in 1998 for cancer treated with radiation therapy. She also has a personal history of benign left breast biopsy. She has no current breast related complaints. Three standard views of both breasts were performed digitally and... | Stable postsurgical changes of the right breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagno... |
Generate impression based on findings. | 41 year old female with cp, evaluate for PE 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. Mild dependent atelectasis. No pleural effusion or pneumothorax.MEDIAST... | 1. No evidence of pulmonary embolism. 2. Right renal solid mass partially imaged on prior exams raises concern for neoplasm. Dedicated renal CT or ultrasound imaging is recommended for further evaluation.PULMONARY EMBOLISM: PE: NegativeChronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicabl... |
Generate impression based on findings. | 65-year-old female. Screen. Marked osteoarthritis affects the left knee with lateral tibiofemoral compartment joint space narrowing and tricompartmental osteophytes. There is also patellofemoral joint space narrowing. Small knee joint effusion. | Marked osteoarthritis. |
Generate impression based on findings. | 66-year-old female. Left small finger proximal phalanx fracture, thumb ulnar collateral ligament injury. Again seen is a nondisplaced fracture through the base of the proximal phalanx of the fifth finger in gross anatomic alignment. The fracture line is indistinct indicating interval healing. Moderate osteoarthritis af... | Healing fifth proximal phalanx fracture. |
Generate impression based on findings. | 40 year-old male with history of right lower quadrant pain. Evaluate for appendicitis. ABDOMEN:LUNG BASES: 6 x 4 mm right middle lobe micronodular (4/5), nonspecific but may be post inflammatory in nature given the patient's right lower lobe bronchial impaction.LIVER, BILIARY TRACT: No significant abnormality notedSPLE... | 1.Mild right hydronephrosis upstream to a 3-mm UVJ calculus.2.Right middle lobe pulmonary micronodule, likely postinflammatory in nature given the patient's adjacent bronchial impaction but correlation with patient's clinical history and follow-up recommended. |
Generate impression based on findings. | Reason: evaluate for dysphagia and esophageal narrowing History: dysphagia Scout radiograph of the chest demonstrates dense calcification of the left hilum and aortic knob. There is a large left pleural effusion, similar to previous radiograph. The right costophrenic angle is excluded from the field-of-view. Dextroscol... | 1.Filling defect in the proximal esophagus at the level of the aortic knob, corresponding to region of interest on recent CT chest. Cannot exclude extrinsic/submucosal mass. Recommend repeat CT chest to confirm resolution versus persistence.2.Epiphrenic diverticulum as above.3.Moderate esophageal dysmotility with terti... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal aunt. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is extremely dense, which lowers the sensitivity of mammography, un... | 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: NSD - Screening Mammogram. |
Generate impression based on findings. | Male 58 years old. Reason: 58yr old male with history of MM; pre-auto sct evaluation. History: evaluate. SKULL: No evidence of discrete lesion of myeloma. CERVICAL SPINE: No evidence of discrete lesion of myeloma. THORACIC SPINE: There are age-indeterminate compression fractures of T4 and kyphoplasty at T6. No evidence... | 1.Definite myelomatous lesions within the bilateral humeri. Questionable myelomatous lesion in the left femur.2.Multiple age-indeterminate compression fractures within the thoracic and lumbar spine. |
Generate impression based on findings. | Male 68 years old; Reason: 68M with biochemically recurrent prostate cancer (status post prostatectomy and adjuvant XRT), restaging imaging. Please perform CT urogram ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PAN... | 1. Status post prostatectomy. Underdistended state makes evaluation particularly for wall thickening suboptimal, prominent wall particularly at level of base posteriorly. 2. L5 vertebral body heterogeneous bony mineralization. If there is clinical concern for osseous metastatic disease, nuclear medicine scintigraphy wh... |
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. There is mild mucosal thickening of the right sphenoid sinus with a possible small air fluid level. The ... | No acute intracranial abnormality. |
Generate impression based on findings. | 67-year-old male with GERD and Barrett's esophagus. Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.There is gradual narrowing of the distal thoracic esophagus which measures approximately 11-mm in its greatest diameter (series 23). Double contrast evalua... | 1. Spontaneous gastroesophageal reflux.2. Gradual tapering/narrowing of the distal thoracic esophagus, which likely represents the sequelae of chronic reflux esophagitis and is consistent with the stated history of Barrett's esophagus, with reference measurements provided above. Correlation with findings from recent en... |
Generate impression based on findings. | 34 year old female with shortness of breath PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery caliber within normal limits. No evidence of right heart strain.LUNGS AND PLEURA: Punctate calcified micronodule in the left lower lobe consistent with prior granulomatous disease. No suspicious pulm... | No evidence of pulmonary embolism. No acute cardiopulmonary abnormalities.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of cervical cancer. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern a... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Reason: eval for emphysema or lung nodules History: cough, weight loss, long smoking history LUNGS AND PLEURA: Mild to moderate upper lobe predominant centrilobular and paraseptal emphysema. Biapical pleural parenchymal scarring. Scattered pulmonary nodules, the largest in the right apex measures 3 mm (series 4 image 1... | Moderate emphysema. Scattered pulmonary nodules with the largest measuring 3 mm in the right apex. Recommend follow up in 1 year and referral to high risk clinic (2-9660) for annual low dose CT lung cancer screening. |
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. | Female 64 years old. Reason: left knee pain. History: left knee pain Four weight-bearing views of the left knee are provided. There is a small joint effusion. There is medial joint space narrowing and small osteophyte formation in the medial and patellofemoral compartments indicating moderate osteoarthritis. There is f... | Moderate osteoarthritis as described above. |
Generate impression based on findings. | 76-year-old female with history breast cancer status post left mastectomy. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No dominant mass, s... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Male 15 years old. Reason: right ankle pain s/p fall. History: right ankle pain Three views of the right ankle are provided. There is diffuse soft tissue swelling about the ankle. There is no large joint effusion. There is no fracture or dislocation.Two views of the right knee are provided. The fracture line of the pos... | 1.Soft tissue swelling of the ankle without fracture or dislocation.2.Healing posterior tibial plateau fracture without significant change. |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with moderate age-related volume loss. There is no midline shift or mass effect. There is again ex vacuo dilatation of the anterior left lateral ventricle. There is no intracranial hemorrhage. There are scattered punctate and confluent areas of abnormal low density in... | 1. Stable CT appearance of the brain, with evidence of moderate to severe age indeterminate small vessel ischemic changes and lacunar infarcts. Chronic right parietal and left caudate to insular region infarcts.2. Moderate narrowing of the right paraclinoid internal artery with prominent cavernous and paraclinoid carot... |
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. The cluster of punctate round calcifications at... | Stable cluster of calcifications at the posterior superior aspect of the left breast as well as in the right upper outer quadrant. 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.RECOMME... |
Generate impression based on findings. | Reason: 53 years with abn CTE ? narrowing of superior mesenteric vessels History: abd pain Scout film is unremarkable. Limited single contrast visualization of the esophagus showed no morphologic abnormalities of the mucosal surfaces or mural contours. Fluoroscopic evaluation of esophageal peristalsis demonstrated a no... | Normal examination of the esophagus, stomach, and duodenum, without evidence of superior mesenteric artery syndrome. |
Generate impression based on findings. | Reason: h.o breast ca; lung nodules History: none LUNGS AND PLEURA: Multiple subsolid nodules in the right upper lobe are not significantly changed in size and density compared to prior (series 5 image 16, 26, 36). Reference right apical subsolid nodule measures 14 x 18 mm (series 5 image 16), previously 17 mm. Left up... | Multiple right upper lobe subsolid nodules have not significantly changed, although remain suspicious for AAH or indolent adenocarcinoma. Continued follow up in 1 year is recommended. No evidence of metastatic disease. |
Generate impression based on findings. | Recently diagnosed oral acinic cell adenocarcinoma (T1N0) in the area of tooth #17 treated with excisional biopsy on 3/23/2015. There is no evidence of measurable mass lesions in the oral cavity, within the limits of CT. There is a prominent left level 2A lymph node that measures up to 12 mm in short axis. The thyroid ... | No discernible evidence of residual oral cavity mass, within the limits of CT. Nonspecific enlargement of a left level 2 lymph node. Otherwise, MRI of PET may be useful for further evaluation, if clinically warranted. |
Generate impression based on findings. | 78-year-old male with history of chronic abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: Small splenule.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Bilateral simple cysts.RETROPE... | 1. Degenerative changes as above.2. Left iliopsoas bursitis. |
Generate impression based on findings. | Evaluate a cause of harlequin syndrome; does not sweat on the left. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unremarkable. There is mild plaque at the carotid bifurcations. The osseous structures are unremar... | Mild plaque at the carotid bifurcations. Otherwise, no lesions are identified that may compromise the sympathetic chain in the neck. Nevertheless, a brain MRI may be useful for further investigation, if there are no contraindications. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast biopsy. Personal history of colon cancer. Family history of breast cancer in maternal cousin. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 76 years, Male. Reason: eval progression of contrast into colon History: ileus Enteric tube tip lies in the prepyloric antrum. Again seen are multiple dilated loops of small bowel, consistent with known small bowel obstruction. Multiple hernia coils and midline skin staples are noted. There is no significant retained c... | Enteric tube tip overlying the prepyloric antrum. Persistent small bowel obstruction. No significant retained contrast, as clinically queried. |
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. A few benign calcifications in both breasts are... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal aunt and two cousins as well as four paternal cousins. 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... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this r... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural di... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Reason: mets small cell lung cancer, s/p 2 cycles of chemo, pls c/w previous study @ 2/20/2015 (baseline CT) to evaluate t x response. Pls provide bi-dimensional measurement to all lesions. History: lung cancer CHEST:LUNGS AND PLEURA: Moderate paraseptal and centrilobular emphysema, unchanged. Left apical and paramedia... | 1.Significant interval decrease in right paramediastinal mass and mediastinal/right hilar lymphadenopathy.2.Interval increase in sclerosis of the T12 and L1 superior end plates. Osseous metastases better seen on PET/CT. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural distortion are pre... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. Benign bilateral scattered and arterial calcifications are noted.No suspicious masses, microcalcifications or... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this r... |
Generate impression based on findings. | 66-year-old female with history of neuroendocrine tumor of the bile duct. ABDOMEN:LUNG BASES: Right lobe calcified pulmonary micronodule.LIVER, BILIARY TRACT: Moderate sized cyst in the right hepatic lobe. The common bile duct measures up to 9 mm. No intrahepatic biliary ductal dilatation. Tiny focus of arterial enhanc... | 5 mm hyperenhancing intraductal lesion at the pancreatic head/neck with resultant ductal dilation compatible with patient's known history of intraductal neuroendocrine tumor. No convincing evidence of metastatic disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in sister diagnosed at age 65 and ovarian cancer in a sister diagnosed at the age of 17. 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 scatte... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 73 years old. Reason: Eval for fx. History: same Three views of the left shoulder are provided. Again seen is a comminuted mildly displaced fracture through the distal clavicle which appears similar to the prior study. The acromioclavicular joint alignment is maintained. There is sclerosis along the glenohumeral... | Distal clavicle fracture not significantly changed compared to prior exam. |
Generate impression based on findings. | 81-year-old female. Ankle arthrodesis (right foot). A sideplate and screws affix the first metatarsal and proximal phalanx with interval revision of previously seen hallux valgus deformity. Foci of gas in the soft tissues and soft tissue swelling reflect recent surgery. No radiographic evidence of hardware complication... | Post-surgical findings of 1st metatarsophalangeal joint orthopedic fixation. |
Generate impression based on findings. | Ms. WilliamsAnderson is a 53 year old female with a personal history of benign left breast biopsy in 2005 (cystic apocrine lesion). She has a family history of breast cancer in a maternal aunt. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma i... | Bilateral benign morphology masses, likely representing cysts. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually (given that the patient has been recalled from screening mammogram multiple times in the past). All ... |
Generate impression based on findings. | Female 47 years old. Reason: right knee pain. History: right knee pain Four weight-bearing views of the right knee are provided. There is mild medial joint space narrowing consistent with mild osteoarthritis. There is no fracture or dislocation. | Mild osteoarthritis of the right knee. |
Generate impression based on findings. | Headache status post craniotomy. There are post-operative findings related to a right-sided craniotomy for resection of a cystic appearing mass. There is fluid, air and a small amount of blood products within the resection cavity, as well as pneumocephalus along the bilateral frontal convexities, as well as scalp swell... | Post-operative findings related to a right-sided craniotomy for resection of a cystic appearing mass with subarachnoid blood products in the right sylvian fissure and right posterior frontal lobe sulci and presumed residual edema surrounding the resection cavity. Evaluation for residual tumor is otherwise limited on th... |
Generate impression based on findings. | Reason: lung cancer History: Stage IA NSCLC s/p RUL lobectomy 04/2013 LUNGS AND PLEURA: Postsurgical changes of a right upper lobectomy. Right middle lobe small nodular opacities and scarring, unchanged. Right lower lobe centrilobular nodules and ground glass opacity stable. Scattered punctate micronodules, unchanged, ... | Unchanged mediastinal lymphadenopathy, which was hypermetabolic on recent PET/CT. No new or suspicious nodules or masses. |
Generate impression based on findings. | 84 years old, Female, History: lethargic, fall 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. There is dense calcification of the distal internal carotids b... | No evidence of intracranial hemorrhage or postraumatic fracture. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct. |
Generate impression based on findings. | 62 year old female with history of HCC and transarterial radio embolization. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules, similar to prior.No consolidation or pleural effusion.MEDIASTINUM AND HILA: Scattered small mediastinal lymph nodes are again seen, unchanged. No significant hilar lymphadenopathy. No p... | Large right hepatic mass consistent with hepatocellular carcinoma, similar to slightly increased in size from prior however it is uncertain to what extent this is due to post-therapeutic changes. Additional lymph node mass as above. |
Generate impression based on findings. | Reason: hx of lung CA, pls compare to previous and measure History: none CHEST:LUNGS AND PLEURA: Postsurgical changes of right middle lobe wedge resection and left apical wedge resection. Right paramediastinal post radiation changes, unchanged. Previous reference Subsolid nodule in the right upper lobe is no longer vis... | 1.No evidence of recurrence or metastases. 2.Previously identified right upper lobe ground glass opacities have decreased or resolved and likely were postinflammatory or postinfectious in etiology. Similarly, previously referenced enlarging but small mediastinal lymph nodes may have been reactive in etiology. 3.Bilater... |
Generate impression based on findings. | Congestion. There is mild mucosal thickening in the left maxillary sinus and opacification of a left anterior ethmoid air cell. The other paranasal sinuses are clear. The nasal cavity is clear. The nasal septum is essentially midline. There is mild bilateral lamellar concha bullosa. The lamina papyracea and ethmoid roo... | Mild mucosal thickening in the left maxillary sinus and opacification of a left anterior ethmoid air cell. |
Generate impression based on findings. | Acute cerebral infarct. Head CT: There are diffuse foci of cerebral white matter hypoattenuation, including the area of hypoattenuation in the left precentral gyrus region that corresponds to the area of acute infarction on the recent brain MRI. There is no evidence of acute intracranial hemorrhage or mass. There is no... | 1. No evidence of acute intracranial hemorrhage or mass. The acute cerebral infarction predominantly involving the left precentral gyrus is better depicted on the prior brain MRI.2. Mild to moderate right and moderate to severe left proximal internal carotid artery stenosis related to predominantly calcified plaque. Do... |
Generate impression based on findings. | Male 82 years old; Reason: malignant bladder cancer- please compare to previous scans with measurements History: Malignant bladder cancer CHEST:LUNGS AND PLEURA: Numerous new and enlarging bilateral pulmonary nodules compatible with metastatic disease. Reference right lower lobe lung nodule measures 4.1 x 4 cm, image 1... | 1. New and enlarging pulmonary metastases.2. New hepatic lesion, suspicious for metastatic focus.3. Enlarging soft tissue nodular foci near postoperative bed, in retroperitoneal/left para-aortic area, suspicious for metastatic nodal disease.4. Multiple small mediastinal lymph nodes again seen, stable to mildly increase... |
Generate impression based on findings. | Ms. Holmes is a 46 year old female with a personal history of right breast lumpectomy in October 2013 for IDC/DCIS treated with neoadjuvant chemotherapy. 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 parenc... | Stable postsurgical changes of the right breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagno... |
Generate impression based on findings. | 64 years old, Male, Reason: Evaluate for ICH, ischemia History: Acute onset stupor There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. Anterior and posterior periventricular likely represents age indeterminate small vessel ischemic disease. The ventricles... | 1. No evidence of intracranial hemorrhage or mass. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct.2. Periventricular hypoattenuation likely represents age indeterminate small vessel ischemic disease.3. Unchanged age indeterminate fractures of the nasal bones with slight right... |
Generate impression based on findings. | 75-year-old male. Left foot pain. Post-surgical findings of a Lapidus procedure with two screws traversing the first tarsometatarsal joint, which appears fused. The more medial screw is broken down the middle. Moderate osteoarthritis affects the first MTP joint. Small plantar heel spur. | Post-surgical findings of a Lapidus procedure with a broken medial screw. Osteoarthritis. |
Generate impression based on findings. | Reason: eval for etiology of hemoptysis History: h/o bronchiectasis 2/2 TB and pulmonary aspergillus LUNGS AND PLEURA: Subpleural fibrosis and reticulation, most severe in the upper lobes, not significantly changed. Apical predominant bronchiectasis, volume loss, and scarring, not significantly changed. Debris within b... | Stable upper lobe predominant bronchiectasis and fibrosis with intracavitary debris compatible with mycetomas. No new findings. |
Generate impression based on findings. | 64-year-old female. Right knee pain. Marked osteoarthritis affects the right knee with lateral tibiofemoral compartment joint space narrowing and tricompartmental osteophytes. | Marked osteoarthritis. |
Generate impression based on findings. | Male 14 years old Reason: evaluate humerus fracture History: left humerus fracture through cystVIEWS: Left humerus AP and transthoracic 4/23/15 1031 hrs. (Two views) Transverse pathological fracture of the proximal left humerus with posterior angulation noted. | Humeral pathological fracture with dorsal angulation. |
Generate impression based on findings. | 37 year old female with history of chromophobe RCC, GGO stable over 2 years. Evaluate for change in GGO. LUNGS AND PLEURA: Right upper lobe ground glass opacity appears smaller and less discrete measuring 3 mm (series 5, image 49) with an appearance suggesting a focal scar. No suspicious pulmonary nodules or masses. No... | Right upper lobe ground glass nodule is decreased in size with an appearance suggestive of focal scar, although continued follow up is recommend with CT as part of the patient's monitoring for her renal cancer. |
Generate impression based on findings. | Reason: pe? History: chest pain worse with breathing, sob, tachycardia, h/o pe, lvad in place nicm PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus.LUNGS AND PLEURA: Scattered punctate micronodules are unchanged. Mild apical predominant paraseptal emphysema. Bibasilar scarring and atelectasis. Previ... | 1.No acute pulmonary embolus.2.Interval decrease in fluid surrounding the intraperitoneal portion of the LVAD drive line. Unchanged nonocclusive thrombus within the efferent cannula of the LVAD.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Stra... |
Generate impression based on findings. | Male 14 years old Reason: evaluate healing after surgery History: cerebral palsy/ status post vdro for dislocated right hipVIEWS: Pelvis AP 4/23/15 (one views) Cast material obscures fine bone detail. Left coxa valga deformity with 30% uncovering of the femoral head. Right VDRO , femoral head is well directed to the ac... | Status post right-sided VDRO as described. |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with moderate age-related volume loss. There is no midline shift or mass effect. There is again ex vacuo dilatation of the anterior left lateral ventricle. There is no intracranial hemorrhage. There are scattered punctate and confluent areas of abnormal low density in... | No acute intracranial hemorrhage. Stable noncontrast CT appearance of the brain with moderate-severe age-indeterminate small vessel ischemic changes. If there remains clinical concern for an acute ischemic event, MRI of the brain is recommended. |
Generate impression based on findings. | Ms. Adsit is a 89 year old female with a personal history of right breast mastectomy in 1998 for cancer and left breast lumpectomy in April 2012 for IDC followed by radiation therapy and tamoxifen therapy. She currently has no breast related complaints. Note that this is a limited evaluation of the left breast due to p... | Stable postsurgical changes of the left breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - D... |
Generate impression based on findings. | Trauma MVC.VIEWS: Chest AP and lateral (two views), thoracic spine AP swimmer's view and lateral (two views), pelvis AP and frog leg (two views), left knee AP , oblique and lateral left tibia-fibula AP and lateral (5 views) 4/23/15 at 1004 hrs., The aortic arch, cardiac apex and stomach are left-sided. Cardiac silhouet... | Normal examination. |
Generate impression based on findings. | 70 year-old female with history of calcified mesenteric lesion. ABDOMEN:LUNG BASES: Calcified right hilar lymph nodes.LIVER, BILIARY TRACT: Hepatic steatosis. No suspicious hepatic lesions.SPLEEN: Small splenule.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: ... | Suspicious right upper quadrant mesenteric mass as above. Differential includes carcinoid tumor, desmoid tumor or sclerosing mesenteritis, other benign etiologies not entirely excluded. |
Generate impression based on findings. | Status post bilateral VDROVIEWS: Pelvis AP 4/23/15 (one views) Cast material obscures fine bone detail. Status post bilateral VDRO. Both femoral heads are well directed into the acetabulum. | Status post bilateral VDRO with no evidence of complications related to the procedure. |
Generate impression based on findings. | There is a subtle area of linear appearing diffusion restriction in the left inferior pons and left paramedian ventral medulla. There is subtle corresponding T2/FLAIR hyperintensity this location. The ventricles and sulci are within normal limits. The basal cisterns remain patent. There is no midline shift or mass eff... | Small acute infarct in the left paramedian pontomedullary junction. |
Generate impression based on findings. | 43 year old male. Pain. Evaluate for impingement vs AC sprain. Evaluate for etiology of shoulder pain. Elbow swelling and pain. Cervical spine: Alignment is anatomic. The vertebral body heights are preserved. No significant degenerative arthritic changes or significant neural foraminal narrowing. Dens is intact on the ... | No significant abnormality to explain the patient's pain. |
Generate impression based on findings. | 49 year old female, evaluation of lung nodule CHEST:LUNGS AND PLEURA: Nodule in the lingula measures 15 mm x 10 mm (series 4, image 160), previously measured 16 mm x 10 mm and has a larger soft tissue component. No new pulmonary nodules or masses. Mild dependent atelectasis. No pleural effusion or pneumothorax. MEDIAST... | No change in pulmonary nodule in the lingula however there is increased soft tissue component consistent with lung cancer. |
Generate impression based on findings. | Acute kidney injury, rule out obstruction RENAL TRANSPLANT: LOCATION: Right iliac fossa.PERITRANSPLANT TISSUES: No significant abnormality noted.KIDNEY: Minimally complex renal cyst.COLLECTING SYSTEM/URETER: No hydronephrosis.URINARY BLADDER: Mildly distended.VASCULAR DOPPLER DATA: Color and spectral Doppler were perfo... | 1.No hydronephrosis2.Diastolic dampening consistent with parenchymal resistance. |
Generate impression based on findings. | 78-year-old male with chronic upper abdominal pain. UPPER GI EXAMINATION:Double contrast visualization of the esophagus showed no morphologic abnormalities of the mucosal surfaces or mural contours. During the exam, note is made of spontaneous gastroesophageal reflux to the level of the upper esophageal sphincter which... | 1. Two large duodenal diverticulum, with reference measurements provided above.2. Spontaneous high grade gastroesophageal reflux to the level of the upper esophageal sphincter.3. Transient small Richter's umbilical hernia without evidence of complication.4. Minor motor abnormality of the esophagus. |
Generate impression based on findings. | 84 year old female. Right small finger middle phalanx fracture. Fracture of the fifth middle phalanx neck in near anatomic alignment with mild volar angulation of the distal fracture fragment, similar to prior study. The fracture line is indistinct indicating an attempt at healing. There is associated soft tissue swell... | Healing fifth middle phalanx fracture, similar to prior study. |
Generate impression based on findings. | Cervical spine midline TTP s/p MVC w/airbag deployment and significant damage to car. Head: There is no evidence of acute intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. The mastoid... | 1. No evidence of acute intracranial hemorrhage or skull fracture.2. No evidence of maxillofacial fractures. 3. No evidence of cervical spine fracture or spondylolisthesis. However, MRI is more sensitive for the detection of ligamentous injury. |
Generate impression based on findings. | 75-year-old female. Status post right ankle ORIF. Again seen is a sideplate and screws affixing a distal fibular fracture as well as two syndesmotic screws. No radiographic evidence of hardware complication. The fibular fracture line is indistinct indicating healing. | Orthopedic fixation of a healing distal fibular fracture. |
Generate impression based on findings. | 39-year-old male. Status post-ORIF left olecranon now with decreased ROM. A cerclage wire and two K wires affix the olecranon in anatomic alignment. No radiographic evidence of hardware complication. Moderate osteoarthritis affects the elbow joint with joint space narrowing and osteophytes. | Internal fixation of the olecranon. Moderate osteoarthritis of the elbow joint. |
Generate impression based on findings. | Female 68 years old; Reason: cholangiocarcinoma restaging after chemotherapy, stent change and photodynamic therapy to primary tumor vis EUS/ERCP CHEST:LUNGS AND PLEURA: Interstitial thickening seen diffusely. Stable calcified granulomas.MEDIASTINUM AND HILA: Mild supraclavicular, mediastinal and hilar lymphadenopathy,... | 1. Index mass at confluence of hepatic biliary ducts demonstrates interval increase in size, increased soft tissue attenuation seen extending superiorly as well. Infiltrative mass involving right hepatic lobe appears larger also (comparison difficult due to infiltrative margins). Degree of biliary duct dilatation not s... |
Generate impression based on findings. | 66-year-old female with history of renal insufficiency. Evaluate for hydronephrosis or chronic kidney disease. RIGHT KIDNEY: Increased renal parenchymal echogenicity, which may be seen in medical renal disease. The right kidney measures 11.1 cm.LEFT KIDNEY: Increased renal parenchymal echogenicity, which may be seen in... | Findings suggestive of medical renal disease, without hydronephrosis or other acute abnormality. |
Generate impression based on findings. | Female 58 years old Reason: s/p lumbar fusion History: s/p lumbar fusion Orthopedic rod with screws entering the pedicles of T12 through L4 vertebral bodies without radiographic evidence of hardware complication. An intervertebral bone graft is also noted at the L2-L3 level. Skin staples and gas foci within the subcuta... | Postoperative changes of lumbar spinal fusion. |
Generate impression based on findings. | Female 54 years old. Reason: eval for bullet fragment placement History: bullet in arm, MRI needed Two views of the right humerus demonstrate a deformity of the distal humerus consistent with an old healed fracture. There are small metallic densities, likely bullet fragments, in the soft tissues adjacent to the distal ... | 1.Bullet fragments in the soft tissues adjacent to the distal humerus as described above.2.Deformity of the right distal humerus consistent with an old healed fracture. No acute fracture or dislocation. |
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