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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, unchanged in pattern and distribution. Scattered benign bilateral ca... | 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. | Clinical question: Signs of bleed or mass. Signs and symptoms: New seizure. Unenhanced head CT:There is no detectable acute intracranial hemorrhage, edema, mass effect, midline shift or hydrocephalus. Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF the spaces and gray -- white matter differentiati... | Unremarkable nonenhanced head 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, 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. | Clinical question: RPLES? Signs and symptoms: Lupus and blurry vision. Nonenhanced head CT:No acute intracranial hemorrhage, edema, mass effect, midline shift or hydrocephalus.Mild prominence of cerebellar and vermian folia concerning for underlying parenchymal volume loss.Unremarkable cerebral cortex, cortical sulci, ... | No acute intracranial process. Please see above comments. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses, microcalcificati... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. 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. Benign calcifications are noted.No suspicious m... | 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. | 54 year old female presents for routine screening mammography. History of benign right breast biopsies. 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 susp... | 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. | Clinical question:? Chronic subdural hematoma or CVA. Signs and symptoms: Right-sided weakness. Unenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, vertical sulci, ventricular system, CSF ... | No acute intracranial process. |
Generate impression based on findings. | Clinical question: Status post fall, unclear when, history of CVA. Signs and symptoms: status post fall Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Subtle periventricular and subcortical low attenuation of ... | 1.No acute intracranial process.2.Findings of age indeterminate small vessel ischemic strokes grossly stable since prior study. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses, microcalcificati... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional right MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Cluster of calcifications in the right upper central lat... | Cluster of calcifications in the right upper central lateral breast and focal asymmetry in the left upper outer breast. Recommend comparison with prior imaging. If prior imaging cannot be obtained, recommend dedicated spot magnification view of the right breast and spot compression views of the left breast.BIRADS: 0 - ... |
Generate impression based on findings. | Clinical question: Evaluate for ICH. Signs and symptoms: Sudden onset of headache. Nonenhanced head CT:There is no detectable acute intracranial findings.Diffuse periventricular and subcortical attenuation of white matter highly suggestive of age indeterminate small vessel ischemic strokes of moderate to advanced degre... | 1.No acute intracranial process.2.Extensive age indeterminate small vessel ischemic strokes. |
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. | Clinical question: NSCLC with headache for one week, neutropenic fever. Evaluate for mass. Signs and symptoms: Neutropenic fever and headache. Unenhanced head CT:There is no detectable acute intracranial process.There is a large focus of encephalomalacia in the left inferior frontal lobe without change since prior MRI ... | 1.No acute intracranial process.2.Changes of aging determinate small vessel ischemic strokes.3.Stable large focus of left inferior frontal encephalomalacia and left frontal craniotomy.4.Paranasal sinuses and bilateral mastoid air cells and middle ear cavities remain well pneumatized. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast reduction surgery. Two standard digital views of both breasts, repeat left 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, unchanged... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 56 year old female with history of no urine output, status post right adrenalectomy. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Small amount of free air in the hepatic hilum from recent operation. No appreciable biliary dilatation. Cholecystectomy clips. Scattered calcified hepatic granul... | 1.Postoperative findings including subcutaneous and intra-abdominal free air. Small right anterior abdominal wall fluid collection is not significantly changed.2.Limited evaluation of the kidneys without intravenous contrast, however no significant abnormality is seen. |
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 almost entirely fatty, unchanged in distribution. No suspicious ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 9 years old Reason: r/o osteo or malalignment History: 2/24/15 laceration repair w/cast on for 2 monthsVIEWS: Left hand AP left and lateral and oblique 4/23/15 (3 views) There is soft tissue irregularity of the tip of the distal left first finger. Additionally a mark the subcutaneous reaction suggest healing fract... | Question of healing fracture versus bone infection as described. |
Generate impression based on findings. | 73-year-old male status post NG tube placement. Note is made of multiple dilated loops of bowel, suggestive of adynamic ileus. Interval repositioning of the NG tube which is coiled within the stomach with the tip projecting at the level of the body of the stomach. Numerous surgical staples project over the abdomen, unc... | 1. Findings suggestive of adynamic ileus.2. Interval repositioning of the NG tube which is coiled within the stomach with the tip projecting at the level of the body of the stomach. |
Generate impression based on findings. | Clinical question: ICH evaluation. Signs and symptoms: ICH, headache, nausea and vomiting. Nonenhanced head CT:Examination demonstrates an irregularly-shaped dissecting right basal ganglia hematoma measuring approximately 34 x 41 mm in transaxial dimensions.There is minimal surrounding edema associated with this findin... | 1.Acute right basal ganglial dissecting hematoma extending into the ventricular system and right sylvian fissure as detailed/measured above.2.Small focus of low-attenuation in the left basal ganglia is suspected for an age indeterminate lacunar infarct.3.Follow-up with an MRI exam is recommended. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right 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 suspi... | 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. | 86 years, Female. Reason: ? toxic megacolon History: suspect c. diff and ab pain Gaseous distention of loops of small bowel in the left hemiabdomen without evidence of obstruction. No evidence of pneumatosis intestinalis or portal venous gas. Vascular calcifications of the aorta and its branches. Left AICD, sternotomy ... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Female 9 years old Reason: injury History: pain and swellingVIEWS: 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 5 months old Reason: eval bowl gas pattern History: history of dilation on last KUB and bloody ostomy outputVIEW: Abdomen AP (one view) 4/34/15 at 310 hours. Left lower leg extremity central line terminates at the RA/IVC junction. NG tube tip is in the thoracic esophagus. Left sided pleural effusion and right lu... | Disorganized, nonspecific abdominal gas pattern, as described.Misplaced NG tube |
Generate impression based on findings. | 22 years, Male. Reason: r/o obstruction History: UC flare, diarrhea Nonobstructive bowel gas pattern. No evidence of free intraperitoneal air, pneumatosis intestinalis or portal venous gas. Moderate stool burden. The pelvis is incompletely included in the field of view. The lung bases appear clear. | Nonobstructive bowel gas pattern. Moderate stool burden. |
Generate impression based on findings. | 45 year old female presents for routine screening mammography. Family history of breast cancer in her paternal grandmother. 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, micr... | 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. | 56-year-old male status post NG tube placement. Suboptimal examination secondary to motion artifact. The pelvis is not completely included in the field of view. Multiple dilated loops of bowel, suggestive of adynamic ileus. No evidence of pneumatosis intestinalis or portal venous gas. LVAD, left AICD, mediastinal drain... | 1. NG tube tip projects at the level of the body of the stomach.2. Multiple dilated loops of bowel suggestive of adynamic ileus. |
Generate impression based on findings. | Female 5 months old Reason: 5 mo old ex 27 weeker with bloody output from gastrostomy site x1 week, worse today VIEW: Abdomen AP (one view) 4/20 at 15 at 1939 hrs. NG tube has been removed. Central line unchanged. Left-sided pleural effusion and right lung base pneumatocele again noted. Persistent soft tissue edema.Dis... | Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | Reason: eval for edema History: known ild, new edema, worsening sob LUNGS AND PLEURA: Apical predominant subpleural reticulation, traction bronchiectasis, and honeycombing, similar to prior. Interval increase in basilar predominant patchy ground glass opacity. Pleural calcification bilaterally. Trace left pleural effus... | 1.Apical predominant pulmonary fibrosis with severe traction bronchiectasis and honeycombing, similar to prior. Interval increase in basilar predominant ground glass suggesting superimposed acute edema or acute exacerbation ILD. 2.Interval increase in mediastinal lymphadenopathy, likely reactive in etiology.3.Dilatatio... |
Generate impression based on findings. | 39 years, Female. Reason: assess for constipation History: 39 y.o. woman with a history of severe gas/bloating Nonobstructive bowel gas pattern. Above average stool burden noted throughout the colon. No evidence of pneumatosis intestinalis or portal venous gas. The lung bases appear clear. | Nonobstructive bowel gas pattern. Above average stool burden. |
Generate impression based on findings. | 72 years, Female. Reason: Encounter for nasogastric (NG) tube placement History: Enteric tube has been advanced, now in the distribution of the prepyloric antrum. Surgical clips project in the right upper quadrant. Nonobstructive bowel gas pattern. The lower part of the pelvis is excluded from the field-of-view. Averag... | Interval advancement of enteric tube, with the tip overlying the prepyloric antrum. |
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. No suspicious masses, microcalcifications or areas of architectural ... | 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. | 61 years, Male. Reason: 61M with abdominal pain and constipation History: abdominal pain and constipation Nonobstructive bowel gas pattern. No evidence of pneumatosis intestinalis or portal venous gas. Moderate stool burden. Surgical clips project over the pelvis. Radiopaque densities project over the right upper quadr... | Nonobstructive bowel gas pattern. Moderate stool burden. |
Generate impression based on findings. | 72 years, Female. Reason: please check for NG placement History: please check for NG placement Enteric tube tip overlying gastric body. Surgical clips project in the right upper quadrant. Nonobstructive bowel gas pattern. Average stool burden. Please refer to concomitant chest radiograph for detailed thoracic findings.... | Enteric tube tip overlying gastric body. |
Generate impression based on findings. | Reason: bruising on back, concern for NAT History: bruisingEXAMINATION: Skull AP/lateral, cervical spine AP/lateral, thoracolumbar spine AP/lateral, right humerus AP, left humerus AP, right forearm AP, left forearm AP, right hand PA, left hand PA, chest AP, ribs right oblique/left oblique, pelvis AP, right femur AP, le... | Dystrophic bone/calcification in the region adjacent to the left mandible of unknown etiology. No definite fracture or dislocation identified. |
Generate impression based on findings. | 55-year-old female. Pain right arm status post fall. Evaluate for fracture. Minimally displaced intra-articular vertical fracture of the radial head with 1 to 2 mm of articular depression. Associated elbow joint effusion. | Radial head fracture. |
Generate impression based on findings. | 60 year old male with history of liver metastases. Evaluate for progression of hemorrhagic metastases. ABDOMEN:LUNG BASES: Small right pleural effusion and associated atelectasis.LIVER, BILIARY TRACT: Over the short interval since last CT, the right hepatic lobe has become more heterogeneous in appearance, which is lik... | 1.Limited evaluation without intravenous contrast, however findings suggest intraparenchymal hepatic hemorrhage. Likely related to evolution of multiple hepatic hemorrhagic metastases. If further noninvasive imaging is indicated, MRI is suggested.2.Mild anasarca and small amount of ascites.3.Small right pleural effusio... |
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. Loosely clustered calcifications in the left up... | 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: fracture, dislocation, effusion History: b/l knee pain and swelling x 3 monthsVIEWS: Right and left knee AP, lateral and oblique on 4/23/15 (6 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | 75-year-old female. Low-back pain. Inability to walk. Pelvis: Mild osteoarthritis affects the hips. Severe right sacroiliac joint osteoarthritis. Calcified fibroid in the left hemipelvis.Lumbar spine: Grade 2 anterolisthesis of L5. Age indeterminate compression deformity of L3 with approximately 20% loss of height. The... | Osteoarthritis and degenerative disk disease. Age indeterminate compression deformity of L3. |
Generate impression based on findings. | 64 years old, Female, History: New peripheral L facial droop Brain: There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid ... | 1. No acute intracranial abnormalities. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct.2. No arterial aneurysm, stenosis, or occlusion.3. Atrophic globes unchanged.4. Degenerative changes of the temporomandibular joints bilaterally. |
Generate impression based on findings. | Reason: evaluate placement of Dobbhoff History: Dobbhoff placed The pelvis is excluded from the field-of-view. Dobbhoff tube is again seen projecting the level of the gastric antrum. LVAD, sternotomy wires and plates, a CT leads, and right hemiabdomen surgical clips appear similar to prior. Nonobstructive bowel gas pat... | Dobbhoff tube tip projects over the gastric antrum. |
Generate impression based on findings. | Male 9 years old Reason: 9 yo M with left big toe trauma, swelling History: swelling, pain, unable to bear weight on toeVIEWS: Left great toe AP, lateral and oblique 4/23/15 (3 views) Subtle cortical irregularity on the lateral aspect of the distal phalanx of the left great toe is concerning for osteomyelitis. No fract... | Findings concerning for bone infection as described. |
Generate impression based on findings. | Reason: Eval for NGT placement History: As above Enteric tube tip is coiled in the gastric fundus. Surgical clips and suture material project in the right upper quadrant. Retained contrast is present within the colon related to recent CT. The pelvis is excluded from the field-of-view. Bilateral pleural effusions and re... | Enteric tube tip coiled in gastric fundus. |
Generate impression based on findings. | Female 61 years old Reason: eval with flex/extension of lumbar spine History: back pain Orthopedic rods with two screws entering the L5 and S1 pedicles. An interposed bone graft is also noted at L5-S1. There is grade 1 anterolisthesis of L5 relative to S1 without evidence of instability between flexion, neutral and ext... | Orthopedic fixation of the lumbosacral spine without instability between flexion, neutral and extension views. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Focal asymmetry approximately measuring 12 mm in size in the left retroareolar region ... | Focal asymmetry in the left retroareolar region at mid depth. Recommend comparison with prior mammograms performed at Rush. If no comparisons can be obtained, recommend spot compression views.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISON |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts additional bilateral MLO views, and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifica... | 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. | 23 years, Male. Reason: ? constipation History: ulcerative colitis Stool is distributed throughout the colon, with the exception of the rectosigmoid region, which may be related to inflammation in this region. Nonobstructive bowel gas pattern. No acute cardiopulmonary process. | Stool is distributed throughout the colon, with the exception of the rectosigmoid region, which may be related to inflammation in this region. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts additional right MLO view, 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. Scattered benign calcific... | Focal asymmetry in the left upper outer quadrant. Recommend spot compression views and possible ultrasound for further evaluation.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: ED - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Reason: status hemorrhage and PCA stroke before starting heparin History: status hemorrhage There is redemonstration of hematoma located in the left anterior temporal lobe and extending along the insular cortex and left inferior frontal lobe cortical white matter which remains stable since the prior exam.There is redem... | 1.Examination is relatively stable compared to the prior exam with continued evolution of a left frontal and temporal hematoma as well as infarctions in the left parietal lobe , temporal lobe and occipital lobe.2.There is redemonstration of encephalomalacia in the cerebellar hemispheres |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast carcinoma in maternal grandmother. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pa... | 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.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 75-year-old male. History of lung cancer. Bilateral hip pain. Evaluate for mets. No fracture or dislocation. Mild to moderate osteoarthritis affects the hips. Chondrocalcinosis affects the pubic symphysis and likely also the right hip. Degenerative arthritic changes of the lower lumbar spine. Mild osteoarthritis of the... | Osteoarthritis and chondrocalcinosis. No radiographic evidence of metastases. |
Generate impression based on findings. | 75 years, Male. Reason: assess for ileus History: see above Relative paucity of bowel gas, without radiographic evidence of obstruction. Air is seen distally within the colon. Enteric tube tip likely terminates in the proximal duodenum. Left pleural effusion and air space opacities are better evaluated on recent CT. | Relative paucity of bowel gas, without radiographic evidence of ileus or obstruction. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in mother diagnosed at the age of 32 and 3 maternal aunts. History of benign MRI guided right breast biopsy in 2010 with histology of papilloma. Two standard digital views of both breasts were performed and reviewed with the aid of... | 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.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Reason: eval of pleural effusion History: premature infant with L pleural effusionVIEW: Chest AP (one view) 4/24/15 3:16 ET tube tip below the thoracic inlet and above the carina. NG tube extends into the stomach out of the field of view. Central venous catheter tip in the intrahepatic IVC.Interval decrease in the righ... | Mild improvement of the right lung aeration. Interval decrease in the right retrocardiac and left upper pneumatoceles. Persistent right upper lobe and bilateral lung base atelectasis. Stable background diffuse lung haziness compatible with PIE. |
Generate impression based on findings. | 62-year-old male with history of parotid malignancy. Evaluate for metastatic disease. CHEST:LUNGS AND PLEURA: Irregular rectal opacity associated with mild bronchiectasis extending along the fissure most consistent with inflammatory/infectious etiology. Very mild similar changes the left lower lobe which could be due t... | Infectious/inflammatory changes in the lungs as noted above.No evidence for metastatic disease.Right common iliac artery aneurysm. |
Generate impression based on findings. | Female 56 years old Reason: Ankle pain s/p fall - c/f fracture History: ankle pain Left ankle: No fracture or malalignment. Left foot: Deformity of the fourth metatarsal bone suggestive of prior fracture. Small plantar calcaneal spur is noted. | No acute fracture or malalignment. |
Generate impression based on findings. | Female 50 years old Reason: MGUS with low back pain History: Low back pain Degenerative disk disease affects the L5-S1 level where there is some loss of intravertebral disk height. Vertebral body alignment and vertebral body heights are preserved. No discrete lytic lesion is identified. | Mild degenerative disk disease affects the lower lumbar spine. No discrete lytic lesion is identified. |
Generate impression based on findings. | Female 71 years old Reason: rule out signs of infection, malignancy, cracked or chipped teeth. Baseline exam for heart transplant evaluation Poor dentition. No gross bone destruction to suggest abscess. | No gross bone destruction to suggest abscess. |
Generate impression based on findings. | Male 4 years old Reason: s/p ng placement History: Status post surgeryVIEW: Abdomen AP (one view) 4/22/15 at 1740 hrs. NG tube terminates at the antropyloric region. Normal abdomen a gas pattern. No evidence of obstruction or free air. | NG tube positioning as described. |
Generate impression based on findings. | 52-year-old female. Worsening LLE edema and pain. Evaluate for myositis ossificans. There has been interval maturation of two separate areas of myositis ossificans, one in the vastus medialis and the other continuous with the anterior iliac wing. There is a mildly heterogeneous collection with scattered hyperdense area... | 1. Heterogeneous fusiform collection centered in the medial head of the gastrocnemius/soleus muscle, likely a hematoma and may be related to plantaris tendon rupture. Follow-up MRI w/wo IV contrast of the left tibia/fibula is recommended in 6 weeks to confirm evolution of this hematoma and to exclude an underlying hemo... |
Generate impression based on findings. | Male 44 years old Reason: MTP1 joint pain, swelling , erythema, assess for acute/chronic gout changes or other join abnormality History: MTP 1 pain swelling erythema. Mild osteoarthritis affects the first metatarsophalangeal joint. No specific radiographic findings to suggest gout. | Osteoarthritis. No specific radiographic findings to suggest gout. |
Generate impression based on findings. | Abdominal or pelvic swelling, mass or lump in left upper quadrant. Fever, tachycardia sepsis. 10-pound weight loss in the last month. Decreasing appetite. The following observations are made given the limitations of an unenhanced study.ABDOMEN:LUNG BASES: Mild scarring at both lung bases. Calcified infrahilar lymph nod... | Complex mass apparently emanating from the greater curvature of the stomach with imaging characteristics suggesting a gastrointestinal stromal tumor. |
Generate impression based on findings. | Reason: bilateral hip pain, r/o SCFE History: hip painVIEWS: Pelvis AP and frog leg (2 views) 4/23/15 23:02 Smooth round bilateral femoral heads are appropriately seated in the well developed acetabula. No fracture or dislocation. Moderate stool burden without evidence of bowel obstruction. | No evidence of SCFE. |
Generate impression based on findings. | Acute pancreatitis with persistent abdominal pain ABDOMEN:LUNG BASES: Bibasilar atelectasis with new small pleural effusions.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: The splenic vein is patent. No splenic artery pseudoaneurysm.PANCREAS: Persistent inflammation of the pancreas with asymmetric enlarg... | 1.Acute pancreatitis with new ill defined fluid collection anterior to the pancreatic body as described above. 2.New pleural effusions. |
Generate impression based on findings. | 33-year-old male with history of right lower quadrant pain, fever, and vomiting. Evaluate for appendicitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signi... | No evidence of appendicitis or other specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Reason: first time wheezing History: SOBVIEWS: Chest AP/lateral (two views) 4/23/15 23:12 The aortic arch, cardiac apex and stomach are left-sided. Cardiothymic silhouette is normal. Mild peribronchial thickening. Subsegmental retrocardiac atelectasis. No pleural effusion or pneumothorax is seen. | Bronchiolitis/reactive airway disease pattern. |
Generate impression based on findings. | Reason: high res- interstitial process History: hypoxia, cxr LUNGS AND PLEURA: Right upper lobe spiculated necrotic mass measures 50 x 41 mm (series 4 image 23), highly suspicious for primary lung malignancy. Associated scarring and pleural thickening at that level. Innumerable bilateral pulmonary nodules compatible wi... | 1.Right upper lobe spiculated necrotic mass highly suspicious for primary lung malignancy. Innumerable bilateral pulmonary nodules compatible with metastases.2.Extensive mediastinal and bilateral lymphadenopathy.3.Heterogeneously enhancing liver with no focal hepatic lesion, this may represent phase of contrast, chroni... |
Generate impression based on findings. | Reason: rle swelling, neurovascular compromise, rule out fracture History: swelling, neurovascular compromise; 3 month old former ex 28-weeker, trach-dependent transferred from OSH for cardiac arrestVIEWS: Right tibia and fibula AP lateral (2 views) 4/24/15 0:43 Lucency of the mid right tibia correlates with prior intr... | Lucencies of right tibia as above. No definite fracture or malalignment. |
Generate impression based on findings. | 22 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 ... | 1. Moderate amount of ascites likely the result of a ruptured ovarian cyst.2. Dilated veins in the left pelvis representing pelvic congestion syndrome. |
Generate impression based on findings. | Female 11 days old ,resp distressVIEW: Chest AP (one view) 4/24/15 at 635 hours. ET tube terminates below thoracic inlet. NG tube tip is in the stomach. Central line terminates at the SVC. Cardiac silhouette size is normal. Persistent complete atelectasis of the right lung and soft tissue edema. | Persistent right lung atelectases. |
Generate impression based on findings. | 54-year-old male with anemia and bladder cancer with decreasing hemoglobin after placement of drain in right lower quadrant. Evaluate for hemorrhage. ABDOMEN:LUNG BASES: Somewhat nodular and rounded soft tissue density in the inferior, posterior left lower lobe not present on the prior study. This has a linear componen... | Likely atelectasis left lung base.No evidence for hematoma as clinically questioned.Marked decrease in complex fluid collection/mass involving the right psoas muscle.More discrete and stable fluid collection right groin.Dilatation of the neobladder chimney of uncertain etiology when compared to prior exam. |
Generate impression based on findings. | Male 3 months old Reason: f/u pneumonosis seen on previous xr History: s/p cardiac arrestVIEW: Abdomen AP (one view) 4/24/15 at 814 hours. Gastrostomy tube, urinary bladder catheter and left-sided femoral venous access unchanged. Disorganized, slightly distended and nonspecific abdominal gas pattern. No evidence of obs... | Disorganized, slightly distended and nonspecific abdominal gas pattern. |
Generate impression based on findings. | 82-year-old male with history of subtotal colectomy and end ileostomy. Postop day 8 with inability to tolerate p.o. ABDOMEN:LUNG BASES: Small bilateral pleural effusions, left greater than right, and associated atelectasis. Very mild emphysema.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Splenic granul... | 1.Findings consistent with small bowel obstruction with likely left lower quadrant transition point. Given free fluid in the abdomen/pelvis, cannot exclude bowel injury. No pneumatosis or free air.2.Small bilateral pleural effusions and associated atelectasis.3.Mild anasarca. |
Generate impression based on findings. | Lower abdominal pain, diarrhea, black stools ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Atrophic native ... | 1.No acute intra-abdominal pathology. 2.Severe atherosclerosis. |
Generate impression based on findings. | Reason: 3 mo ex 28 wk male, trach/vent dependent, s/p cardiac arrest with rosc, rule out pna vs malpositioned tracheostomy vs atelectasis History: cardiac arrestVIEW: Chest AP (one view) 4/24/15 0:39 Tracheostomy tube tip is below the thoracic inlet and above the carina. G-tube in place. Left femoral access in the left... | 1.Tracheostomy tube in good position. 2.Atelectasis of right upper lobe, left upper lobe, retrocardiac left lower lobe. 3.Small bilateral pleural effusions. 4.Disorganized featureless bowel loops with mild gaseous distention. |
Generate impression based on findings. | 61-year-old female. Pain and decreased ROM. Evaluate for dislocation. No fracture or dislocation is evident on these limited two views. | Limited study. No dislocation is evident. |
Generate impression based on findings. | 59-year-old male. MVC. Evaluate for fracture. Left knee: No fracture or dislocation. Osteoarthritis affects the knee with tricompartmental osteophytes and medial tibiofemoral compartment joint space narrowing.Left tibia/fibula: No fracture is identified. | Osteoarthritis. No fracture is identified. |
Generate impression based on findings. | Dysphagia and shortness of breath after endoscopy. The cervical esophagus is patulous, but there is no evidence of extraluminal air or appreciable fluid collections in the neck. The airways are patent. There is no evidence of mass lesions or significant cervical lymphadenopathy. The thyroid and major salivary glands ar... | 1. The cervical esophagus is patulous, but there is no evidence of extraluminal air or appreciable fluid collections in the neck to suggest perforation in this region.2. Extensive emphysema and multiple nodules in the imaged portions of the lungs. Please refer to the separate chest CT report for additional details. |
Generate impression based on findings. | Reason: 15 yo M with congestive heart failure, crackles on exam, eval for pleural effusions History: congestive heart failure, peripheral edemaVIEW: Chest AP (one view) 4/24/15 0:51 Intact and broken sternotomy wires are again seen. Mediastinal surgical clips noted. Pacer leads overly the lower mediastinum. Broken defi... | Moderate left pleural effusion and small right pleural effusion with pulmonary edema. Bibasilar pulmonary opacities. |
Generate impression based on findings. | 8 months old, Female, Reason: concern for possible NAT History: bruising on back There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. The partially formed and par... | 1. No evidence of intracranial hemorrhage or edema. 2. No skull fractures are identified. |
Generate impression based on findings. | Female, 84 years old, with deep left sided white matter infarct. Evaluate vasculature, questionable left ICA stenosis. Non-angiographic findings:Subtle ill-defined hypoattenuation corresponding to the known ischemic lesions in the left corona radiata and basal ganglia is just barely detectable.No evidence of significan... | 1.Thrombosis with complete occlusion is seen at the left M1 segment origin. A 10-mm segment of non-enhancement is seen, beyond which thready opacification reconstitutes. The more distal left MCA vessels enhance but they are of smaller caliber than those on the right.2.The left vertebral artery is diffusely smaller than... |
Generate impression based on findings. | Female 71 years old; Reason: evaluate for ventriculomegaly History: EVD; ICH There is evolution of the intraparenchymal hemorrhage centered in the left thalamus extending into the internal capsule and expanded third ventricle. The hyperattenuating portion measures approximately 38 x 25 mm, previously 41 x 40 mm, and ap... | 1. Evolving left thalamic hemorrhage with slightly increased hydrocephalus.2. Decreased intraventricular hemorrhage. |
Generate impression based on findings. | Reason: PE History: SOB PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus.LUNGS AND PLEURA: Interlobular septal thickening and basilar ground glass. Moderate right and trace left pleural effusions. Mosaic attenuation, which is accentuated by expiration phase of imaging.MEDIASTINUM AND HILA: No medias... | 1.No acute pulmonary embolus.2.CHF with cardiomegaly, basilar edema and pleural effusions.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 47 year old female with history of right lower quadrant pain. Evaluate for thrombophlebitis in the ovarian vein. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No ... | Findings suggestive of right pelvic vein thrombosis, cannot exclude thrombophlebitis. |
Generate impression based on findings. | Reason: ex 40 week infant s/p TEF repair, please eval ET tube VIEW: Chest AP (one view) abdomen AP (one view) 4/24/15 3:01 ET tube tip is below the thoracic inlet and above the carina. NG tube tip in the gastric body. UVC tip in the IVC. UAC tip overlies the T7 vertebra. Right chest tube directed superiorly.Cardiothymi... | Continued improvement of bilateral lung aeration. Persistent small right pleural effusion. |
Generate impression based on findings. | Reason: eval pleural space History: recurrent pleural effusion LUNGS AND PLEURA: Moderate left and small right pleural effusions with overlying atelectasis/consolidation. Patchy ground glass opacity in the right upper lobe. Left upper lobe subpleural reticulation.MEDIASTINUM AND HILA: Right jugular catheter with tip in... | 1.Moderate left and small right pleural effusions with overlying atelectasis/consolidation.2.Right upper lobe patchy ground glass opacity may represent edema or infection. |
Generate impression based on findings. | Reason: nodular opacity in R lung apex on esophagram, needing further evaluation History: abnormal radiologic findings LUNGS AND PLEURA: Moderate upper lobe predominant centrilobular emphysema. Scattered bilateral pulmonary nodules and micronodules. The largest in the right upper lobe measures 8 x 10 mm (series 4 image... | Bilateral pulmonary nodules. The largest in the right upper lobe measures 8 x 10 mm and may correlate with the findings seen on the scout image of the esophagram. Recommend short- term 3-6 month follow-up or alternatively, a PET CT could be considered. |
Generate impression based on findings. | There are postoperative findings related to posterior lumbar fusion of L4-S1 with longitudinal rods and bilateral pedicle screws, as well as L4-5 and L5-S1 disk spacer devices. There has also been resection of the right L5 hemilamina. There is no evidence of hardware failure, however the bilateral S1 screws course thr... | 1.Postsurgical findings related to posterior lumbar fusion and interbody fusion devices at L4-5 L5-S1, and right L5 hemilaminectomy.2.Moderate soft tissue gas in the left retroperitoneum which surrounds the left kidney, probably representing a left retroperitoneal surgical approach. Please correlate with surgical histo... |
Generate impression based on findings. | 3 months old, Male, History: Infant s/p arrest and prolonged CPR, now need to anticoagulate for cold extremity There is no evidence of intracranial hemorrhage or mass. There is left MCA territorial encephalomalacia extending through much of the left temporal lobe likely secondary to chronic infarct. Encephalomalacia is... | 1. Encephalomalacia in the left temporal and right parietal lobes likely secondary to prior infarcts.2. Nonspecific anterior periventricular hypoattenuation which is of uncertain etiology and acuity. Findings may be ischemic or metabolic in nature, among many other possibilities. 3. If there is persistent clinical conc... |
Generate impression based on findings. | Male 6 years old Reason: abdominal pain, eval bowel pattern History: Neuroblastoma with abdominal pain. He relates abdominal gas pattern.VIEW: Abdomen AP (one view) 4/24/15 Right upper abdominal quadrant surgical clips are noted. Almost complete gasless abdomen with no evidence of obstruction or free air. | Almost complete gasless abdomen with no obstruction or free air. |
Generate impression based on findings. | Male 27 years old with history of CD status post completion proctectomy, evaluate for wound dehiscence ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No signif... | Status post proctectomy with a large fluid collection posterior to the bladder in the surgical field as described above. |
Generate impression based on findings. | 88-year-old female patient with history of right breast lumpectomy and sentinel lymph node biopsy in 2007 status post radiation and aromatase inhibitor treatment. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibrogl... | 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. | 62-year-old male with femoral venous thrombus without underlying etiology. Evaluate for occult malignancy. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCORONARY ARTERY CALCIFICATION: None.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY ... | Distended urinary bladder which is suggestive of lateral obstruction, although there is no dilatation of the renal collecting systems/ureters.Report to Jared Davis by pager 4/24/15 at 9:30 AM:CAMPBELL, CHESTER for study CT CHEST ABDOMEN PELVIS W - Dr. dpaushter. Markedly distended bladder without enlarged prostate or h... |
Generate impression based on findings. | Reason: eval for progression History: eval for progression (metastatic renal cell carcinoma). LUNGS AND PLEURA: Multiple bilateral pulmonary nodules compatible with metastases are again noted. Reference left lower lobe nodule measures 12 x 11 mm (series 6 image 46) previously 11 x 10 mm. Reference right upper lobe nodu... | 1.Stable pulmonary metastases.2.No new sites of disease.3.Please see separately dictated CT abdomen and pelvis performed on the same day. |
Generate impression based on findings. | Headaches associated with dizziness. New onset The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized portions of the paranasal... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | History of left mastectomy in 1996 for DCIS. No new breast complaints. 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, suspi... | 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. | Reason: evaluate for abdominal masses, cysts, or lesions History: patient with Von Hippel Lindau disease LIVER: Liver measures 12.3-cm with normal configuration and echogenicity. Portal vein is patent with normal velocity and flow.GALLBLADDER, BILIARY TRACT: No gallbladder wall thickening or pericholecystic fluid colle... | Normal examination. |
Generate impression based on findings. | Reason: Evaluate for etiology of hoarseness, specifically recurrent laryngeal nerve History: Hoarseness, hypophonia, likely paralyzed L vocal cord LUNGS AND PLEURA: Bronchial wall thickening, greater in the bases with mucus impaction, air space opacity, and atelectasis.No pleural effusion.MEDIASTINUM AND HILA: Left ICD... | 1.Bronchial wall thickening, impaction, and airspace opacities compatible with aspiration. 2.Right hilar fullness is difficult to evaluate without the administration of intravenous contrast. No left hilar abnormality. Recommend follow-up with a contrast CT chest. If patient is unable to receive intravenous contrast adm... |
Generate impression based on findings. | Male 61 years old Reason: 61yr old male with history of MM; pre-auto sct evaluation History: evaluate SKULL: No discrete lytic lesions.CERVICAL SPINE: Anterior plate with screws entering C6, C7 and T1. Moderate degenerative disk disease affects the lower cervical spine. No discrete lytic lesions.THORACIC SPINE: Diffuse... | 1. Compression fractures again seen at T4, T7, T12, and L2 as described above with new compression fractures at T9 and T11.2. Lucencies within the pelvis, bilateral humeri and bilateral femora consistent with myelomatous involvement and overall appearing unchanged compared to prior study. |
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