instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | Reason: history of lymphoma and lung nodules LUNGS AND PLEURA: Interval decrease in the size of the left upper lobe cavitary pulmonary lesion now measuring 0.6 x 0.6 cm (series 4 image 21), previously 1.5 x 1.1 cm. No other suspicious pulmonary nodules or masses are identified. No pleural effusion or pneumothorax.MEDIA... | 1.Interval decrease in the size of the left upper lobe cavitary pulmonary lesion. This is likely a healing fungus infection.2.Interval decrease in the size of the anterior mediastinal mass.3.No new suspicious lesion is identified. |
Generate impression based on findings. | 71-year-old male with history of prostate cancer and rising PSA. Status post lung resection. CHEST:LUNGS AND PLEURA: Biapical scarring/bronchiectasis with pleural thickening, predominantly on the right. Additional foci of patchy ground glass opacities and micronodules are present. This is in a peripheral predominant pa... | 1.Postoperative findings of prostatectomy and lymph node dissection as above.2.Mediastinal and hilar lymphadenopathy.3.Pulmonary scarring, small loculated effusion and postoperative findings in the right lung.4.Two indeterminate right renal foci, may be hemorrhagic/proteinaceous cysts but should be evaluated on subsequ... |
Generate impression based on findings. | Female 52 years old Reason: pain History: pain Right wrist: No fracture or malalignment. A cyst in the lunate may be secondary to ulnar abutment.Left foot: Postsurgical changes of fifth proximal interphalangeal joint arthroplasty. Moderate/severe osteoarthritis affects the first metatarsophalangeal joint. Small plantar... | Osteoarthritis and other findings as described above. |
Generate impression based on findings. | 36-year-old female. Numbing pain/limited ROM. Scraping baking pain with a knife/knife cut her left index finger. Mild soft tissue swelling over the dorsal aspect of the PIP joint. No radiopaque foreign body or underlying fracture. | Mild soft tissue swelling without evidence of a fracture. |
Generate impression based on findings. | Ms. Jacobs is a 65 year old female with a personal history of left breast lumpectomy performed in 2010 followed by chemoradiation and hormonal therapy. She has a family history of breast cancer in a maternal aunt and maternal cousin. She reports no current breast relayed complaints. Three standard views of both breasts... | Stable postsurgical changes of the left 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 - Diagnos... |
Generate impression based on findings. | Acute respiratory statusVIEWS: Chest AP 4/22/15 (1 view/s) Skeletal deformities, tracheostomy and gastrostomy tube are noted. The aortic arch, cardiac apex and stomach are left-sided. Left lower lobe opacity, likely atelectasis. | Middle lobe opacity, likely atelectasis. |
Generate impression based on findings. | 62 years, Male. Reason: eval obstruction/ileus History: ABD distention Persistently dilated loops of small bowel, with relative paucity of colonic gas, suggestive of small bowel obstruction. No evidence of pneumatosis intestinalis or portal venous gas is identified. Dobbhoff and enteric tubes terminate in the prepylori... | Persistently dilated loops of small bowel with relative paucity of colonic gas, appearing grossly similar to the prior exam, concerning for small bowel obstruction. |
Generate impression based on findings. | Female 99 years old Reason: follow up History: follow up Comminuted fracture through the distal third of the clavicle with persistent inferior angulation of the distal fracture fragment. There is callus formation consistent with healing. The bones are demineralized. | Healing fracture through the distal third of the clavicle with deformity. |
Generate impression based on findings. | Age: 67 years. Sex : Male. Reason for study: Reason: ? reflux to solid/liquid History: Dysphagia. Fluoroscopic guidance was provided for an oropharyngeal motility study performed by the Speech Pathology section of the ENT service. The examination was recorded on videotape. No static or hard copy films were obtained. Th... | The exam was positive for penetration and positive for aspiration. Please refer to concomitant speech pathology report for further details and feeding recommendations. |
Generate impression based on findings. | 54 year old male does not sweat on left. Evaluate a cause for Harlequin syndrome. LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural effusion or pneumothorax.MEDIASTINUM AND HILA: Normal sized heart no pericardial effusion. No mediastinal or hilar adenopathy.CORONARY ARTERY CALCIFICATION: ModerateC... | No acute cardiopulmonary abnormalities. |
Generate impression based on findings. | Subluxation.VIEWS: Pelvis AP and frog leg 4/22/15 (2 view/s) Both, round, smooth and well formed femoral heads are well directed to a normally developed acetabulum. | Normal examination. |
Generate impression based on findings. | Female 33 years old Reason: eval for underlying osteomyelitis/ soft tissue abnormality History: 3 weeks of swelling of finger- palmar between DIP and PIP Soft tissue swelling on the volar aspect of the middle phalanx without fracture or malalignment. | Soft tissue swelling on the volar aspect of the middle phalanx without fracture or malalignment. |
Generate impression based on findings. | Male 66 years old Reason: OA History: OA Right hand: There is widening of the scapholunate distance indicating scapholunate dissociation, with associated rotary subluxation of the scaphoid. Mild osteoarthritis affects the basilar joint.Left hand: There is widening of the scapholunate distance indicating scapholunate di... | 1. Moderate osteoarthritis affects both knee joints. 2. Bilateral osteoarthritis affects the basilar joints.3. Bilateral scapholunate dissociation with rotary subluxation of the scaphoid bilaterally. |
Generate impression based on findings. | Female 14 years old. Reason: s/p ACL reconstruction. History: knee pain Two views of the left knee are provided. There has been interval ACL reconstruction with hardware in the tibial metadiaphysis and the posterolateral aspect of the femoral metadiaphysis. There is no joint effusion, acute fracture or malalignment. | Postoperative changes from ACL reconstruction without evidence of acute abnormality. |
Generate impression based on findings. | Male 69 years old. Reason: assess prosthesis. History: S/P TSA 10/24/12 Three views of the right shoulder are provided. Hardware components of a right total shoulder arthroplasty are situated in anatomic alignment without evidence of loosening or hardware failure. The previously seen lucency along the distal aspect of ... | Total shoulder arthroplasty without evidence of hardware complication. |
Generate impression based on findings. | Female 55 years old. Reason: assess prosthesis. History: S/P TWA 2005, revision with distal ulnar resection with ulnar head replacement 2011. Three views of the left wrist are provided. Hardware components of a total wrist arthroplasty are situated in anatomic alignment. Again seen is resection of the proximal carpals ... | Left total wrist arthroplasty as described above. |
Generate impression based on findings. | Reason: e4 24 weeker now 3w old, please evaluate for ETT placement History: increased fio2 demandVIEW: Chest AP (one view) 4/23/15 11:24 ET tube below the thoracic inlet and above the carina. Central venous line tip in the retrohepatic IVC. NG tube tip is in the gastric body.Cardiothymic silhouette cannot be assessed d... | ET tube below the thoracic inlet and above the carina. Stable right retrocardiac pneumatocele and multiple left upper lobe pneumatoceles. Diffuse atelectasis of bilateral lungs unchanged. |
Generate impression based on findings. | Male 16 years old Reason: eval for fracture History: pain, swelling and tenderness after a fallVIEWS: Right ankle 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. | Female 46 years old Reason: evaluate SCS leads History: same Lumbar spine: Spinal cord simulator device is projected over the right gluteal region. The wires enter the canal at the L3 level and course cranially toward the thoracic spine. Preservation of vertebral body alignment and height. The wires are intact.Thoracic... | Spinal cord stimulator device as described above. |
Generate impression based on findings. | Please note that the 3-D T1 postcontrast images were inadvertently obtained prior to the fat saturated postcontrast images on the current exam, with the reverse but more typical order on the prior exam. This slightly limits direct comparison of the postcontrast appearance.There is been no significant interval change i... | No significant interval change in the overall appearance or size of left anterior mid mesial temporal lobe mass extending towards the posterior limb of the left internal capsule, with questioned subtle partial enhancement superimposed upon intrinsic T1 hyperintensity. |
Generate impression based on findings. | Male 34 years old Reason: Evaluate for osteomyelitis 2nd MTP joint left foot. History: Non-healing ulcer sub 2nd MTH left foot with sinus tract distally to 2nd MTPJ Soft tissue swelling about the proximal and middle phalanx of the second toe without periosteal reaction to suggest osteomyelitis. | No evidence of osteomyelitis. |
Generate impression based on findings. | Male 7 days old Reason: evaluate lung fields and ETT placement History: history of TEF, post-op and atelectasisVIEW: Chest AP (one view) 4/23/15 at 1150 hrs. ET tube terminates below thoracic inlet. NG tube, umbilical lines and right-sided chest tube unchanged. Cardiac silhouette size is normal. Interval reexpansion of... | Interval complete reexpansion of left lung with almost complete resolution of right-sided pleural effusion and development of right middle lobe atelectasis. |
Generate impression based on findings. | 36-year-old male with history of right upper quadrant pain and history of cholecystitis. Evaluate gallbladder and biliary tree. LIVER: No biliary dilatation, perihepatic fluid or other significant abnormalities noted.GALLBLADDER, BILIARY TRACT: Cholecystostomy tube is in the expected location, and the gallbladder is co... | Cholecystostomy tube within a decompressed gallbladder. No findings of acute cholecystitis or other significant abnormality. |
Generate impression based on findings. | Female 63 years old Reason: right hip pain Severe osteoarthritis of the right hip joint with joint space narrowing, subchondral sclerosis and subchondral cyst formation. Moderate/severe osteoarthritis affects the left hip as seen on the AP view. | Osteoarthritis as described above. |
Generate impression based on findings. | Male 56 years old; Reason: 56 y/o male rectal cancer, on chemotherapy. pls compare to prior. History: see above CHEST:LUNGS AND PLEURA: Visualized lung fields without significant change, including cluster of micronodularity in right infrahilar area (image 64 series 4) and calcified right middle lobe nodule. No suspicio... | Unchanged exam, stable presacral lesion. |
Generate impression based on findings. | Newly diagnosed advanced stage cervical cancer.RADIOPHARMACEUTICAL: 10.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 111 mg/dL. Today's CT portion grossly demonstrates small bilateral pleural effusions with bibasilar atelectasis. Several borderline enlarged abdominal retroperitoneal lymph nodes are noted... | 1.Large markedly hypermetabolic irregular midline pelvic mass, compatible with the patient's diagnosis of cervical cancer.2.Punctate mildly hypermetabolic lymph node adjacent to the left aspect of this mass is of some suspicion for an adjacent lymph node metastasis.3.No evidence of more distant FDG avid metastatic dise... |
Generate impression based on findings. | Male 52 years old Reason: Hx of CVA with right sided hemi-paresis with chronic right shoulder pain History: chronic right shoulder pain; chronic knee/hip pain. r/o OA Right shoulder: Mild osteoarthritis affects the glenohumeral joint as evidenced by small osteophyte formation at the inferior glenoid. No fracture or mal... | Mild osteoarthritis affects the right glenohumeral joint and right hip joint. |
Generate impression based on findings. | Male 8 days old Reason: valuate bowel gas pattern History: history of suspected pneumatosisVIEW: Abdomen AP (one view) 4/23/15 and 45 hours. NG tube terminates at the stomach. Disorganized, nonspecific abdominal gas pattern. No evidence of obstruction, free air, pneumatosis intestinalis or portal venous gas. | Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | Male 15 years old Reason: evaluate healing after femur fracture History: femur fracture d/t gswVIEWS: Right femur AP, and lateral 4/23/15 (two views) Interval open reduction and internal fixation with compression plates and screws of the distal right femur comminuted fracture due to gunshot wound. Skin staples are note... | Interval open reduction and internal fixation of comminuted fracture of the distal right femur as described. |
Generate impression based on findings. | Clinical question: Rule out ICH, stroke. Signs and symptoms: AMS. Nonenhanced head CT:No acute intracranial hemorrhage, edema, mass-effect, midline shift or hydrocephalus. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Very subtle subcortical and periventricular parenchyma no att... | 1.No acute intracranial process.2.Findings suggestive of mild age indeterminate small vessel ischemic strokes.3.Extensive pansinusitis. |
Generate impression based on findings. | Male 64 years old; Reason: 64 y/o male with colon ca with mets, on chemotherapy. Pls compare to prior. History: see above CHEST:LUNGS AND PLEURA: Multiple enlarging pulmonary nodules, compatible with metastatic disease. Reference left lower lobe nodule increased in size measuring 2.2 x 1.3 cm, image 70 series 5, previo... | 1. Multiple enlarging pulmonary nodules, compatible with metastatic disease. 2. Prominent mesenteric lymph nodes. Reference mesenteric lymph node increased in size. |
Generate impression based on findings. | Female 36 years old Reason: left hip spacer AP view of the pelvis and two views of the left hip show no acute fracture. Left total hip arthroplasty removal and cement spacer placement is similar to prior study. Three cerclage wires affix a proximal femoral fracture with increased callus formation compared to prior stud... | Postoperative changes and findings compatible with sickle cell anemia. |
Generate impression based on findings. | Reason: r/o PE History: chest pain PULMONARY ARTERIES: No evidence of pulmonary embolism. The caliber of the main pulmonary artery is normal.LUNGS AND PLEURA: Small lung volumes, with small to moderate sized pleural effusions and overlying atelectasis.No specific evidence of edema or pneumonia. MEDIASTINUM AND HILA: No... | No evidence of pulmonary embolism. Bilateral pleural effusions and adjacent atelectasis could be the result of hypervolemia/CHF. PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Female 68 years old Reason: Evaluate for osteomyelitis at level of 1st \T\ 2nd MTB/cuneiform region left foot History: Non-healing ulcer left foot with exposed bone Since the prior study there has been further amputation of the distal first and second metatarsal bones. There is a large soft tissue defect distal to the ... | Gas within the soft tissues which tracks to the resection margin of the second metatarsal bone and is suspicious for osteomyelitis. |
Generate impression based on findings. | Female 82 years old; Reason: metastatic breast cancer - evaluate response to treatment with bidimensional measurements per recist 1.1 History: pulmonary and right axillary mets CHEST:LUNGS AND PLEURA: Visualized lung fields without significant change. Extensive peripheral pleural scarring/fibrotic disease, similar in a... | 1. Unchanged pulmonary nodules and right axillary lymph node.2. Underdistended bladder, making evaluation for wall thickening suboptimal but wall prominence appears more pronounced than on prior exam within these limitations and correlation patient's clinical history and laboratory values recommended to exclude cystiti... |
Generate impression based on findings. | Female 26 years old Reason: Acute 'right shoulder pain. unable to lift /extend arm r/lo dislocation History: Acute 'right shoulder pain. unable to lift /extend arm r/lo dislocation No fracture or dislocation. | No fracture or dislocation. |
Generate impression based on findings. | Female 39 years old Reason: ? foreign body History: states glass in hand There is a 3.2 x 0.5-cm radiopaque foreign body within the soft tissues adjacent to the carpometacarpal joint and extending along the length of the shaft of the 5th metacarpal bone which is consistent with provided history of glass within the hand... | Foreign body within the soft tissues of the hand as described above. |
Generate impression based on findings. | Female 17 years old Reason: r/o obstruction History: abd painVIEWS: Abdomen AP supine and upright 4/23/15 (two views) Elevated BMI , almost gasless abdomen with no evidence of obstruction, free air or ascites. | Nonspecific almost gasless abdomen. |
Generate impression based on findings. | Male 53 years old Reason: ? fracture History: fall and now c pain over knee There is a joint effusion. The patella is low lying. The quadriceps tendon is poorly visualized. A corticated bone fragment anterior to the knee joint is suspicious for an avulsion fracture off the patella secondary to quadriceps tendon tear, p... | Patella baja with suspicion for patellar avulsion fracture secondary to quadriceps tendon tear. Findings discussed by Dr. T. Tullius with Dr. Ahn 1:30 p: m 04/23/15 |
Generate impression based on findings. | Female 9 months old Reason: s/p left subclavian line placement History: line placementVIEW: Chest AP (one view) 4/23/15 at 1230 hrs. Gastrostomy tube noted. Left subclavian venous access tip is at the RA/SVC junction. The aortic arch, cardiac apex and stomach are left-sided.Cardiac silhouette is normal in size and shap... | Central line positioning as described.Nonspecific upper abdominal bowel distention. |
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 new suspicious masses, microcalcifications or areas of architectura... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. An asymmetry in the left inferior breast disperses on tomos... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. The sensitivity of mammography for detecting breast cancer is decreased in patients with dense breasts such as this patient. Physical exam assumes a more important r... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts (with an additional right MLO view) and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Scattered benign calcifications,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms are submitted, then an addendum to this repor... |
Generate impression based on findings. | Male 60 years old; Reason: follow up for metastatic prostate cancer after therapy History: hx of prostate cancer CHEST:LUNGS AND PLEURA: Evaluation of pulmonary parenchyma suboptimal due to respiratory motion artifact. Stable right sided micronodule or focus of nodular scarring on image 64 series 5. Unchanged major fis... | 1. Extensive osseous metastatic disease again seen. Nuclear medicine scintigraphy more sensitive of evaluation, please refer to concomitant nuclear medicine exam from same day for additional findings.2. New trace right pleural effusion. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in sister, diagnosed at the age of 46. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular densit... | 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. History benign left breast biopsy in 2004. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribut... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast biopsy. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspic... | 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 15 years old Reason: kang FAI protocol History: same Left hip: There is a small bump at the femoral head neck junction with some loss of normal sharp outline of the lateral aspect of the femoral neck. This raises the possibility of femoroacetabular impingement.Left tibia/fibula: No fracture or malalignment.Right... | There is a small bump at the femoral head neck junction with some loss of normal sharp outline of the lateral aspect of the femoral neck. This raises the possibility of femoroacetabular impingement. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. There is a focal asymmetry identified in the right upper outer breas... | Bilateral focal asymmetries. Submission of old mammograms from outside institution is recommended in order to confirm stability of these findings.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISON |
Generate impression based on findings. | Female 10 days old Reason: evaluate for ett placement, lung fields History: post-op, reintubationVIEW: Chest and abdomen AP (two views) 4/23/15 at 1139 hrs. Interval removal of abdominal silo. Persistent soft tissue edema. NG tube terminates at the stomach. Central line tip is at the right innominate vein. ET tube term... | Interval removal of abdominal silo.Complete atelectasis of the right lung.Disorganized, slightly distended and nonspecific abdominal gas pattern. |
Generate impression based on findings. | Female 62 years old Reason: evaluate left knee pain Osteoarthritis affects the left knee which is most marked in the lateral joint compartment where there is severe joint space narrowing. A length discrepancy is noted on the weight-bearing view. | Severe osteoarthritis and other findings as described above. |
Generate impression based on findings. | 73 year old male with SOB. R/O PE PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery caliber measures 37 mm suggestive of pulmonary arterial hypertension. No evidence of right heart strain.LUNGS AND PLEURA: Bilateral small pleural effusions with adjacent compressive atelectasis. Diffuse centri... | 1. No evidence of pulmonary embolism. 2. Thrombosed left innominate vein stent with extensive collateral formation and distal reconstitution to the SVC. 3. Bilateral small pleural effusions with adjacent atelectasis.PULMONARY EMBOLISM: PE: Negative Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: ... |
Generate impression based on findings. | Reason: Hx of metastatic lung cancer, eval for progression. please compare to previous and measure History: none CHEST:LUNGS AND PLEURA: Left upper lobe mass with extension into the hilum, has increased in size, measuring approximately 58 x 42 mm (series 5 image 29), previously 50 x 38 mm. Is associated postobstructive... | 1.Multiple new bilobar hepatic metastases.2.New porta hepatis lymphadenopathy.3.New possible splenic metastasis.4.Interval increase in left upper lobe mass and associated atelectasis. Increase in left upper lobe ground glass and interlobular septal thickening. 5.A few new right pulmonary micronodules, which may represe... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in her mother (diagnosed in her 60s) and sister (diagnosed in her 40s). Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibrog... | 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. | 20 year-old female. Lateral malleolus tender to palpation. Evaluate for ankle fracture. No fracture or dislocation. | No evidence of a fracture. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in her sister diagnosed at age 45. 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 micro... | Bilateral findings described above for which comparison to prior outside examinations is needed to determine stability.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISON |
Generate impression based on findings. | 66-year-old male. Hip pain. Evaluate for OA versus AVN versus metastatic disease. No fracture or dislocation. Mild osteoarthritis affects the right hip with superior joint space narrowing. No radiographic evidence of avascular necrosis or metastatic disease. | Mild osteoarthritis. |
Generate impression based on findings. | History of assault concern for fracture. There is a minimally displaced fracture of the left nasal bone with mild overlying soft tissue swelling. No other fractures are identified. The orbits are unremarkable. There is diffuse sinonasal opacification. There is thickening and sclerosis of some of the paranasal sinus wal... | 1. Minimally displaced fracture of the left nasal bone with mild overlying soft tissue swelling.2. Sinonasal inflammatory disease with components of chronic sinusitis and polyposis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Male 25 years old. Reason: s/p ACL reconstruction. History: knee pain. Two views of the left knee are provided. There has been interval ACL reconstruction with hardware in the tibial metadiaphysis and the posterolateral aspect of the femoral metadiaphysis. There is no acute fracture or malalignment. | Postoperative changes from ACL reconstruction without evidence of acute abnormality. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign left breast biopsy in 2004 (pathology demonstrating fibroadenoma). 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 dens... | 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. | 57-year-old female. Left hip pain. Left hip: Moderate osteoarthritis affects the left hip with subchondral cysts and femoral head osteophytes.Pelvis: Aforementioned left hip osteoarthritis. Moderate osteoarthritis also affects the right hip. | Osteoarthritis. |
Generate impression based on findings. | Female 44 years old; Reason: evaluate for etiology of LLQ pain, h/o pyelonephritis History: LLQ pain ABDOMEN:LUNGS BASES: Right lower lobe calcified granuloma. Interval resolution of previously present left pleural effusion.LIVER, BILIARY TRACT: Stable hepatic hypoattenuating focus, too small to characterize but statis... | 1. Minimal left renal upper pole parenchymal heterogeneity (coronal images 32-35), may reflect sequela of previously seen left pyelonephritis (favored) but correlation with patient's clinical history and urinalysis recommended to exclude acute findings. Otherwise, marked interval improvement of previously seen heteroge... |
Generate impression based on findings. | 66 years, Female, Reason: functional nodules? History: low TSH, nodules on US. There are several bilateral hyper and hypofunctioning nodules. The most prominent hyperfunctioning nodules is small and at the left lower pole with additional small hyperfunctioning nodules in the left upper pole and possibly right mid pole.... | 1.Significantly increased thyroid uptake in the setting of multiple hot and cold nodules may represent a toxic multinodular gland. However, given that the significant degree of thyroid uptake compared to the relatively few/small hyperfunctioning nodules, as well is the presence of a faint pyramidal lobe and lack of bac... |
Generate impression based on findings. | 58 years, Female. Reason: DHT History: same Interval advancement of Dobbhoff tube, with the tip likely in the distal duodenum, proximal to the ligament of Treitz. Surgical drains are again noted, terminating in the right upper quadrant and left upper quadrant. Multiple surgical clips again project over the abdomen and ... | Interval advancement of Dobbhoff tube, likely terminating just proximal to the ligament of Treitz. |
Generate impression based on findings. | Female 38 years old. Reason: fell History: pain Three weight-bearing views of the right ankle are provided. There is no joint effusion, acute fracture or malalignment. There is a small metallic foreign body in the posterior soft tissues of the lower leg measuring approximately 4 mm in greatest diameter.Four views of th... | Moderate osteoarthritis of both knees as described above. Small metallic foreign body in the posterior soft tissues of the lower leg. |
Generate impression based on findings. | Question of fracture: cervical spine tenderness. There are small posterior disc-osteophyte complexes at C5-6 and C6-7 with mild spinal canal stenosis. There is no evidence of cervical spine fracture. The is straightening of the vertebral column alignment is in the sagittal plane. The vertebral body and disc space heigh... | 1. No evidence of cervical spine fracture.2. Degenerative spondylosis at C5-6 and C6-7 with mild spinal canal stenosis. A cervical spine MRI may be useful for further characterization, if there are no contraindications. |
Generate impression based on findings. | Female, 58 years old.Surgical Case Information | Procedure(s): Procedure(s) with comments: | EXPLORATORY LAPAROTOMY (LIVER) - x | Operating Room: CDOR 18 CENTRAL | Surgeon(s) and Role: | * John F. Renz, M.D. - Primary No suspicious radiopaque foreign object is identified. Interval placement of Dobbhoff tube, with the t... | No suspicious radiopaque foreign object is identified.These findings were discussed by telephone with Dr. Renz, the attending surgeon, on 4/23/15 at 13:54. |
Generate impression based on findings. | 54 year-old male. Tibialis tendinitis, right. Post-surgical findings of a Lapidus procedure with two screws affixing the 1st tarsometatarsal joint. Foci of air in the adjacent soft tissues reflect recent surgery. Two hollow screws traverse the calcaneus. Mild 1st MTP joint osteoarthritis. | Post-surgical changes of a Lapidus procedure and calcaneal osteotomy with screws. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Non-small cell lung cancer right middle lobe status post radiation therapy. Now with increasing density in the RML on recent CT. Restaging exam.RADIOPHARMACEUTICAL: 13.6 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 91 mg/dL. Today's CT portion grossly demonstrates ill-defined lateral right midlung parench... | 1.Right midlung opacity, while still only mildly FDG avid, has progressed from previous, suspicious for progression of (likely indolent) tumor activity.2.No suspicious FDG avid lesion elsewhere. |
Generate impression based on findings. | 73 year old male with history of urothelial carcinoma now with shortness of breath, desaturation. PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery caliber upper limits of normal. No evidence of right heart strain.LUNGS AND PLEURA: Moderate bilateral pleural effusions, right greater the left,... | 1. No evidence of pulmonary embolism. 2. Moderate bilateral pleural effusions, right greater the left foot adjacent compressive atelectasis. 3. Partially imaged upper abdominal ascites. 4. Small hiatal hernia with fluid within the distal esophagus and markedly distended fluid filled stomach. PULMONARY EMBOLISM: PE: Neg... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of bilateral breast reduction and benign left breast biopsy in 2001. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibrog... | 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. | 47 years, Female, Reason: evaluate for adenoma History: elevated parathyroid. There is physiologic distribution of the radiopharmaceutical. There is no abnormal persistent activity to suggest an adenoma. However, there is a subtle focus of activity in the early images in the posterior right mid thyroid which may repres... | No definite parathyroid adenoma. However, there is a subtle focus of activity along the posterior aspect of the right mid thyroid which may represent artifact but could conceivably represent a parathyroid adenoma. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. There is a mass in the posterior depth of the left upper inner breas... | Left breast mass and right breast asymmetry for which comparison to prior mammograms is needed to determine stability.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISON |
Generate impression based on findings. | Age: 76 years. Sex : Male. Reason for study: Reason: 76 y/o male with oropharyngeal cancer need baseline OPM History: oropharyngeal cancer. Fluoroscopic guidance was provided for an oropharyngeal motility study performed by the Speech Pathology section of the ENT service. The examination was recorded on videotape. No s... | The exam was positive for penetration and positive for aspiration. Please refer to concomitant speech pathology report for further details and feeding recommendations. |
Generate impression based on findings. | Weakness and slumping. There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles, sulci, and cisterns are diffuse prominent and increased from the prior exam. There is particularly pronounced volume loss in the medial temporal lobes. There is mil... | 1. No evidence of intracranial hemorrhage or mass.2. Diffuse cerebral volume loss that has increased since the prior exam, perhaps with features of Alzheimer's disease.3. Mild hypoattenuation within the periventricular white matter is nonspecific, but may represent age indeterminant small vessel ischemic disease. Howev... |
Generate impression based on findings. | 74-year-old female with history of 15 pounds weight loss and dysphagia. CHEST:LUNGS AND PLEURA: Scattered calcified and noncalcified pulmonary micronodules.MEDIASTINUM AND HILA: The heart size is normal without pericardial effusion. No significant mediastinal or hilar lymphadenopathy.Mild circumferential esophageal wal... | 1. Solid left renal lesion as above is highly suspicious for renal cell carcinoma. A dedicated renal CT or MRI may be obtained for further characterization2. Small hiatal hernia and circumferential esophageal wall thickening may be the cause of the patients dysphagia. These can be further evaluated with esophogram or d... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 60 years, Male, Reason: hx of prostate cancer, follow up for response to therapy History: hx of prostate cancer. Innumerable foci of increased uptake throughout the ribs, spine, pelvis, proximal femurs and upper extremities has significantly progressed since the prior exam with multiple new lesions. | Significant progression of innumerable osseous metastases. |
Generate impression based on findings. | Reason: Pt s/p lap reduction and left transverse diaphragmatic repair with mesh for a recurrent incarcerated diaphragmatic hernia with acute gastric volvulus on 5/23/2014 - please eval for recurrent hernia History: SOB, difficulty swallowing, nausea Scout radiograph of the chest showed no mediastinal widening, abnormal... | Trace provoked gastroesophageal reflux, otherwise, unremarkable esophagram. |
Generate impression based on findings. | 76-year-old female. Pain. Evaluate extent of osteoarthritis. Right hip: Moderate osteoarthritis with superior joint space narrowing and acetabular osteophytes.Right knee: Severe osteoarthritis with bone on bone apposition of the lateral tibiofemoral compartment and tricompartmental osteophytes. The patella is absent, p... | Osteoarthritis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, additional left MLO view, and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distrib... | 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. | Head CT: No intracranial hemorrhage. There is mild patchy periventricular hypoattenuation. The grey-white differentiation otherwise appears intact. The ventricles and sulci are diffusely prominent due to cerebral volume loss. There is mineralization within the basal ganglia bilaterally. There is a 4 mm wide ossific le... | 1. The left PICA is not discernible, which may be a developmental variant or due to occlusion. 2. Bilateral retropharyngeal internal carotid arteries and mild plaque at the left carotid bifurcation. Otherwise, no evidence of significant steno-occlusive lesions in the neck.3. No acute intracranial hemorrhage. 4. Periven... |
Generate impression based on findings. | Reason: hx of lung CA, pls compare to previous and measure History: none CHEST:LUNGS AND PLEURA: Severe centrilobular emphysema, unchanged. Postsurgical changes of a right lower lobe wedge resection.Right upper lobe part solid nodule in the azygoesophageal recess measures 16 x 13 millimeters (series 6 image 56), previo... | Interval increase in solid components of semisolid nodules in the right upper lobe highly suspicious for indolent adenocarcinoma.1.Nodularity with irregular margins along the right lower lobe suture line remains suspicious for recurrence. Consider PET/CT for further evaluation.2.New right adrenal enhancing nodule suspi... |
Generate impression based on findings. | Ms. Murphy is a 72 year old female who is recalled from screening mammogram for a focal asymmetry in the left breast. She has a personal history of a benign left breast biopsy. An ML view and two spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast paren... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Interval post operative changes are seen from posterior fusion of L5 and S1, with bilateral pedicle screws at these levels and interconnecting rods. There is an interbody spacer with bone graft material at the L5-S1 level with increased and disk space height. There is a right L5-S1 facetectomy. Postoperative changes a... | Interval expected postoperative changes with mild restriction of space height at L5-S1 due to interbody spacer. Decompression of right L5-S1 foramen, with limited evaluation of the central spinal canal due to artifact at this level. Similar degree of mild-moderate central spinal stenosis at L3-L4. No evidence of acute ... |
Generate impression based on findings. | 68 years, Male, Reason: 68M with biochemically recurrent prostate cancer (Status post prostatectomy and adjuvant XRT) History: biochemically recurrent prostate cancer. There is a lesion in the anterolateral aspect of the left sixth rib with markedly increased uptake and a configuration which is highly suspicious for me... | 1.Left sixth rib lesion is highly suspicious for a solitary osseous metastasis.2.Probable chronic Paget's disease of the lumbar spine, left pelvis and right proximal femur. |
Generate impression based on findings. | 63-year-old male with history of EVAR. ABDOMEN:LUNG BASES: Right sided subpleural cysts and fibrotic changes/scarring appearing similar to prior. LIVER, BILIARY TRACT: Stable hepatic hypodensities.SPLEEN: No significant abnormality notedPANCREAS: Mild pancreatic atrophy.ADRENAL GLANDS: Nodular right adrenal gland.KIDNE... | Status post EVAR without evidence of complication. Aortic aneurysm sac has decreased in size. |
Generate impression based on findings. | Reason: r/o fx, dislocation History: neck pain s/p MVC; CT c-spine negVIEWS: Cervical spine lateral neutral, lateral flexion, lateral extension (3 views) 4/23/15 13:07 Seven cervical vertebrae are imaged. Airway is patent. No prevertebral soft tissue swelling. No fracture or dislocation.Pre-dentate space in neutral pos... | No evidence of cervical instability. |
Generate impression based on findings. | 56-year-old with history of right breast cancer status post mastectomy. Patient complains of left nipple pain. Three standard views of the left 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 an... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Clinical follow-up with Dr. Chhablani is recommended for the patient's pain. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative... |
Generate impression based on findings. | 50 year-old male with history of HCC and known liver mass. CHEST:LUNGS AND PLEURA: Minimal basilar atelectasis.MEDIASTINUM AND HILA: No pericardial effusion or significant lymphadenopathy.CORONARY ARTERY CALCIFICATION: Mild.CHEST WALL: Degenerative changes affect the visualized spine.ABDOMEN:LIVER, BILIARY TRACT: In th... | 1.Right hepatic mass which has the appearance of a malignancy, however hepatocellular carcinoma would be atypical the absence of cirrhosis.2.Slightly enlarged caval lymph node, nonspecific but may represent metastatic lymph node involvement.3.Right inguinal hernia containing fat and low attenuation material that may be... |
Generate impression based on findings. | 80 years, Female. Reason: r/o obstruction, stool burden History: n/v Note is made of numerous dilated loops of small bowel measuring up to 5.1 cm in diameter. The colon appears decompressed. No evidence of pneumatosis intestinalis or portal venous gas. Streaky bibasilar opacities appear most consistent with subsegmenta... | Findings consistent with a high grade small bowel obstruction. Further evaluation with an abdominal CT examination could be considered if clinically indicated. These findings were discussed with Dr. Sheth via phone at 2:10 pm on 4/23/15. |
Generate impression based on findings. | 55-year-old male. Persistent right pain after injury playing basketball. Evaluate for OA, fracture. Tiny patellar osteophytes and sharpening of the tibial spines consistent with minimal osteoarthritis. No fracture or dislocation. | Minimal osteoarthritis without evidence of a fracture. |
Generate impression based on findings. | 90 year-old male. Left thigh pain. Mild osteoarthritis affects the hips and SI joints, similar to prior study. Degenerative arthritic changes in the lower lumber spine. Diffusely demineralized bones. Vascular calcifications in the medial soft tissues of the thighs. | Osteoarthritis. |
Generate impression based on findings. | 71 years, Male, Reason: history metastatic prostate cancer, rising PSA, assess for radiologic disease History: none. Increased uptake in the lower lumbar and sternoclavicular joints is likely degenerative. Uptake at L3 corresponds to a prominent Schmorl's node on CT. linear activity in the lower sacrum may be degenerat... | No evidence of bone metastases. |
Generate impression based on findings. | 25 year old male with hx of testicular cancer s/p chemo and PRLND, evaluate for metastatic disease LUNGS AND PLEURA: Right lower lobe nodule measures 4 mm (series 4, image 58) previously 7 mm. No new pulmonary nodules or masses. No pleural effusion or pneumothorax. MEDIASTINUM AND HILA: Normal sized heart with no peric... | Interval decrease in size of right lower lobe nodule and right hilar lymphadenopathy presumably represents interval response to chemotherapy. |
Generate impression based on findings. | 66 years, Female, Reason: 66yo female with new invasive basaloid SCC of vulva, scheduled for vulvectomy with sentinel lymph node dissection on 4/23 History: vulvar lesion.RADIOPHARMACEUTICAL: The left labia was prepared in a sterile manner. A total of 0.5 mCi Tc-99m filtered sulfur colloid was injected along the medial... | Successful peritumoral injection of radiotracer without identification of draining nodes. |
Generate impression based on findings. | Lymphoma status post bone marrow transplant May 2014. Now with enlarging lymph nodes. Restaging exam.RADIOPHARMACEUTICAL: 14.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 108 mg/dL. Today's CT portion grossly demonstrates multiple enlarged bilateral jugular lymph nodes. Enlargement of bilateral submandib... | Significant progression of hypermetabolic tumor involving the neck, chest, and abdomen. |
Generate impression based on findings. | Reason: r/o fx History: contusion/avulsion of 3rd finger R hand s/p fallVIEWS: Right hand PA (1 view), right 3rd finger oblique and PA (2 views), 4/23/15 13:39; uncooperative patient, difficulty with finger positioning No evidence of fracture or dislocation. | No evidence of fracture or dislocation. |
Generate impression based on findings. | 56 years, Female. Reason: Patient s/p right adrenalectomy. Abdominal pain and distension. Please perform upright to eval for free air History: As above. Please eval for free air by performing as upright. Air-fluid level within the stomach and colonic loops, without evidence of pneumoperitoneum. Mildly dilated loops of ... | No evidence of pneumoperitoneum. Bowel gas pattern is suggestive of adynamic ileus. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.