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Generate impression based on findings. | Female 50 years old; Reason: Evaluate for progressive disease/myeloma lesions. History: Multiple myeloma post stem cell transplant. Increasing low back pain radiating to bilateral ribs. Evaluate for progressive disease.RADIOPHARMACEUTICAL: 13.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 110 mg/dL. Today... | 1.Numerous lytics lesion involving the skull, spine, pelvis, bilateral proximal femurs and proximal humeri as described above compatible with patient's history of multiple myeloma. There is an associated compression fracture involving the T9 vertebral body which was seen previous spine radiograph. There is no FDG activ... |
Generate impression based on findings. | Female; 71 years old. Reason: Changes in I.L.D. LUNGS AND PLEURA: Significant interval decrease in nonspecific basilar predominant subpleural reticulations. Minimal residual scar-like opacities persist. Again, no architectural distortion, honeycombing, or groundglass opacities. Minimal scarring/fibrosis in the lingula ... | Significant decrease in nonspecific basilar reticulations, which may have been post inflammatory in etiology. |
Generate impression based on findings. | 57 year female with pain, preoperative evaluation Three views of the left knee show severe osteoarthritis affecting the knee with approximately 1.5cm lateral translation of the tibia with respect to the long axis of the femur. Hardware components of a right total knee arthroplasty are situated in near anatomic alignmen... | Severe osteoarthritis and varus deformity of the knee as described above. |
Generate impression based on findings. | Female 49 years old; Reason: 49y/o female with right breast cancer RADIOPHARMACEUTICAL: The right breast was prepared in a sterile manner. A total of 0.5 mCi Tc-99m filtered sulfur colloid was injected in four periareolar injections. A focus of increased activity is noted in the right axilla, representing the sentinel ... | Sentinel node identified in the right axilla. |
Generate impression based on findings. | Male 68 years old; Reason: 67 yo M hx of increasing lymphadenopathy with no clear malignancy. Eval for mets/cancer History: LAD CHEST:LUNGS AND PLEURA: Left upper lobe lesion measures 2.6 x 2.2 cm (image 33/series 4) previously, 2.4 x 1.9 cm.Scarring is noted in the right anterior lung. Multiple pleural based nodules i... | 1.Extensive lymphadenopathy in the chest, abdomen and pelvis. Distribution is most compatible with a lymphoma which correlates with the flow cytometry results.2.Left femoral destructive cortical based lesion has increased in size. Follow-up with orthopedics is suggested. |
Generate impression based on findings. | 70 year-old female with increased back pain. Three views of the lumbar spine are provided. There are 5 lumbar type vertebral bodies. There is moderate dextroscoliosis of the thoracolumbar spine. Orthopedic fixation devices are again seen between the spinous processes of L3-4 and L4-5. There is moderate-severe multileve... | Scoliosis, degenerative disease, and postoperative changes as described above without acute compression fracture. |
Generate impression based on findings. | 54-year-old male with elevated white blood cell count and drain in place. Evaluate for abscess status post drain. PELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: Multiple surgical clips around an unopacified urinary bladder again noted.LYMPH NODES: No significant abnormality notedBOWEL, MESE... | 1.Near complete resolution of abscess in soft tissues of the left hemipelvis with residual component in the left iliacus muscle as above.2.Stable cortical breakthrough and fracturing of left iliac bone with possible sinus tract to the previously identified abscess suggestive of acute on chronic osteomyelitis.3.Stable l... |
Generate impression based on findings. | 54-year-old female with pain in palmar aspect of fourth digit No acute fracture is evident. Mild deformity of the volar aspect of the base of the middle phalanx of the fourth finger may represent old trauma. | No acute fracture or other specific findings to account for the patient's pain. |
Generate impression based on findings. | 16 year-old male, follow-up for gunshot wound A plate and screw device affixes a proximal tibia fracture in near-anatomic alignment. No hardware complications are evident. Skin staples are noted along the medial soft tissues. The distal tibia and fibula appear intact. | Orthopedic fixation of proximal tibia fracture as described above. |
Generate impression based on findings. | 82-year-old female with abrupt onset of loss of motion of the right thumb, pain, minimal swelling. Three views of the right wrist show a volar plate and screw device affixing the distal radius in near anatomic alignment. There is also cement density in the distal radius without evidence of complication. Mild osteoarthr... | Postoperative findings of distal radius fixation and osteoarthritis as described above without specific finding to account for the patient's loss of motion of the right thumb and pain. |
Generate impression based on findings. | History-year-old female with right thigh radicular pain The bones appear demineralized suggesting osteopenia. Mild lumbar scoliosis is noted. There is severe degenerative disk disease at L2/3 and L4/5, as well as moderate degenerative disk disease at L3/4. Multilevel facet joint osteoarthritis affects the lumbar spine.... | Degenerative disk disease and other findings as described above. |
Generate impression based on findings. | 57-year-old female, evaluate for first MTP joint deformity There is dorsal dislocation of the proximal phalanx of the great toe relative to the first metatarsal. The interphalangeal joints appear normal. Old healed fracture deformities of the second metatarsal and second proximal phalanx are noted. | First metatarsophalangeal joint dislocation and old healed fractures as described above. |
Generate impression based on findings. | Female 28 years old; Reason: H/O Gallstone Pancreatitis and fluid collection. Pt scheduled for surgery lap chole on 1/22/15, Need to evaluate extent of fluid collection near pancreas and gallbladder History: Wound drainage ABDOMEN:LUNGS BASES: Bibasilar atelectasis has resolved.LIVER, BILIARY TRACT: Hepatomegaly is unc... | Resolution of previously described pancreatic fluid collection. Cholecystostomy and enteric tubes have been removed. |
Generate impression based on findings. | Renal mass ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Stable segment two and 4B enhancing foci; favor benign etiology.SPLEEN: No significant abnormality notedPANCREAS: Distal pancreatic ductal dilatation again noted and unchanged. Degree of associated pancreatic atrophy unchanged. Subcent... | Right lower pole renal mass unchanged and again consistent with renal cell carcinoma. No evidence for metastasis.Stable focal pancreatic ductal dilatation and associated pancreatic tail cyst and pancreatic atrophy; stricture versus IPMN are favored. |
Generate impression based on findings. | 41-year-old male status post ACDF. Surveillance imaging. Five views of the cervical spine were obtained in flexion, extension, and neutral positioning. The cervical spine is not well seen on the lateral views below C6 due to overlying anatomy. An anterior plate and screw device is present with screws entering the C4 an... | Postoperative changes of ACDF without radiographic evidence of instability. |
Generate impression based on findings. | 78 years, Female. Reason: NGT placement Pelvis is excluded from the field of view. Mild increase in the gaseous distention of the bowel. There is incompletely imaged stool in the rectum, correlate clinically for fecal impaction.IVC filter present. Enteric tube tip is coiled in the gastric fundus. Partially imaged centr... | Mild increase in the gaseous distention of the bowel. There is incompletely imaged stool in the rectum, correlate clinically for fecal impaction. |
Generate impression based on findings. | 87 year-old female with pain and tenderness The bones are slightly demineralized. Moderate osteoarthritis predominantly affects the patellofemoral joint. A moderate joint effusion is noted. Moderate osteoarthritis affects the right knee as seen on the frontal view. No fracture is evident. | Osteoarthritis without fracture evident. |
Generate impression based on findings. | 59-year-old female with pain status post fracture of the distal phalanx of the third toe Again seen is a fracture through the distal phalanx of the third toe. The fracture remains visible without radiographic evidence of healing. Severe osteoarthritis affects the first metatarsophalangeal joint. | Fracture of the third toe as described above without specific radiographic evidence of healing. |
Generate impression based on findings. | Neuroendocrine carcinoma of the thymus. Check for metastatic disease CHEST:LUNGS AND PLEURA: Left upper lobe paramediastinal wedge resection with postsurgical changes in suturing. No suspicious intrapulmonary nodules or masses. No effusions, however two small pleural focal soft tissue masses are observed in the left he... | Interval new small pleural nodular densities, nonspecific. In light of patient's history and surgery, metastatic disease cannot entirely be excluded versus interval scarring. Dr. Salgia contacted |
Generate impression based on findings. | Ms. Beard is a 44 year old female presenting with a self palpated mass in the right upper outer breast for the past few weeks along with a physician palpated mass in the left lateral breast. Three standard views of both breasts with two spot compression views in both breasts were performed digitally and reviewed with t... | (1) No mammographic or sonographic evidence of malignancy in the right breast, at site of patient's area of concern. This area can be followed by her primary care physician as clinically warranted. If physical exam findings remain concerning, surgical consultation may be warranted. (2) 0.8 cm solid mass with benign son... |
Generate impression based on findings. | 74 years, Female. Reason: evaluate tube Percutaneous jejunostomy tube is in place. Instilled contrast opacifies left sided jejunum, no definite abnormal contrast extravasation to suggest a leak. Nonobstructive bowel gas pattern. Evaluation suboptimal on this single supine film but no gross free air. Degenerative diseas... | Jejunostomy tube as above. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 20 old male with dysplastic small round cell tumor, evaluate disease status postsurgery. CHEST:LUNGS AND PLEURA: Left basilar scarring unchanged. Previously seen multifocal semi-solid nodules have resolved suggesting an inflammatory etiology.MEDIASTINUM AND HILA: The heart size is normal as is the caliber the great ves... | 1.Markedly improved/resolved peritoneal and omental masses/nodularity; however, evaluation limited by ascites.2.New loculated fluid within the lesser sac.3.Resolution and decrease in size of the hepatic metastases.4.Resolution of the previously seen pulmonary nodules, likely reflecting an inflammatory etiology. |
Generate impression based on findings. | 47-year-old female with also, evaluate for progression of osteomyelitis of the distal first phalanx Again seen is tapering of the tuft of the distal phalanx of the great toe compatible with resorption due to osteomyelitis. The tapering appears slightly more prominent, which is suggestive of further resorption of the bo... | Deformity of the distal phalanx of the great toe, compatible with prior infection. If there is clinical concern for active osteomyelitis, MRI may be considered for further evaluation. |
Generate impression based on findings. | Appendiceal carcinoma with solitary pulmonary nodule. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules can be followed.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Left subclavian vein chest port.ABDOMEN:LIVER, BILIARY TRACT: Subcentimeter segment 5 hypodense nodule (image 92) is nonspecifi... | Finding suspicious for local recurrence in the right hemipelvis with associated enlarged right inguinal lymph node. |
Generate impression based on findings. | Brain: Compared to the previous exam, there has been no significant change in the ill-defined T2/FLAIR hyperintensity within the right hippocampus. The associated small enhancing nodule measures 8 x 11 mm (series 1301, image 32) compared to 11 x 11 mm previously and may be minimally smaller, allowing for differences i... | 1.Minimally decreased size of the enhancing nodule in the right hippocampus with stable surrounding ill-defined abnormal signal. No elevation of the rCBV on perfusion imaging although this is somewhat limited by adjacent vasculature. Findings again are favored to represent post-treatment changes.2.Stable enhancement of... |
Generate impression based on findings. | 9-year-old male, rule out calcaneal lesion, stress fracture or infection. There is increased density of the calcaneal apophysis, which is nonspecific and can be seen in healthy children or those with Sever's disease. There is a linear defect in the inferomedial calcaneal apophysis of questionable clinical significance.... | Nonspecific sclerosis of the calcaneal apophysis with small lucency in the posterior calcaneal tuberosity as described above. While it is conceivable this could represent sequela of prior infection or CRMO, the possibility of Sever's disease is also considered. |
Generate impression based on findings. | Male; 61 years old. Reason: Esophageal cancer History: initial staging CHEST:LUNGS AND PLEURA: Minimal bibasilar dependent subsegmental atelectasis. No suspicious pulmonary nodules or masses. No pleural effusions. Small amount of tracheal debris.MEDIASTINUM AND HILA: Moderate circumferential thickening of the distal es... | Distal esophageal adenocarcinoma with single enlarged mediastinal lymph node that is suspicious for metastasis. |
Generate impression based on findings. | 67-year-old female with nausea and vomiting post IV TPA administration. Interval increase in hypodensity involving the right frontal lobe pre-central gyrus is seen extending to the operculum and consistent with evolving acute infarct. No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-ef... | Evolving acute right frontal infarct involving the precentral gyrus. No evidence of hemorrhagic transformation or significant mass effect.Findings discussed with Dr. Buerki at 1440 hrs 1/14/2015. |
Generate impression based on findings. | Reason: S/p lap myotomy and partial fundoplication 7 years ago. History: dysphagia Scout radiograph of the chest unremarkable.Presbyesophagus with severe esophageal dysmotility including proximal escape was noted. There was circumferential cervical esophageal narrowing, lumen measured 0.6 cm in the smallest dimension w... | 1.Presbyesophagus with severe esophageal dysmotility including proximal escape.2.Cervical esophageal narrowing with prestenotic dilatation noted, no significant delay in transit of contrast beyond this level. Further evaluation with endoscopy to exclude an underlying stricture recommended.3.Some delay in transit time p... |
Generate impression based on findings. | There is prominence of the lateral and third ventricles as well as sulcal prominence. The fourth ventricle appears within normal limits. The corpus callosum appears thin especially anteriorly (less than 2 mm) but is intact. The cisterns remain patent. There is no midline shift or mass effect. There are no areas of abn... | 1.Prominence of the lateral and third ventricles may in part be due to benign external enlargement of the subarachnoid spaces of infancy given the patient's age, which should resolve by two years of age, however more diffuse sulcal prominence may suggest a superimposed component of global volume loss.2.The corpus callo... |
Generate impression based on findings. | 27-year-old female, evaluate for fracture of the wrist after volleyball injury No fracture is evident. A small cortical irregularity along the lateral distal radius likely represents a normal variant physeal spur. | No fracture evident. |
Generate impression based on findings. | Female 78 years old; Reason: Hx of Large Cell Lymphoma History: F/u; Compare with previous CHEST:LUNGS AND PLEURA: There is a small left pleural effusion. There is scarring and atelectasis at the left lung base.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. Coronary calcifications are present in t... | 1.Stable exam with no new sites of disease. |
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. Multiple partially circumscribed masse... | 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. | The bilateral external auditory canals, middle ear cavities and mastoid air cells are completely clear. There is an asymmetrically enlarged air cell within the right mastoid, which is likely developmental in the absences of surgical history. There is no evidence for congenital atresia of the external auditory canals o... | Negative high-resolution CT scan of the temporal bones |
Generate impression based on findings. | Nausea vomiting abdominal pain ABDOMEN:LUNG BASES: EmphysemaLIVER, BILIARY TRACT: 1 x 1.6 cm low attenuation focus within segment 3 left lobe liver best seen on image 52 of series 3; favor benign etiology.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant ab... | Abdominal aortic aneurysm with maximum AP diameter of 2.9 cm. Otherwise unremarkable examination for age without evidence for acute, inflammatory, or neoplastic process. |
Generate impression based on findings. | Postoperative changes right frontal craniotomy for resection of colloid cyst. There is a defect in the anterior body of the corpus callosum with exvacuo dilatation of the left frontal horn compatible with postsurgical change. There is underlying dural enhancement which is likely postsurgical. Pneumocephalus has resolv... | 1.Postsurgical changes of colloid cyst resection without evidence of recurrence.2.Small residual right extra axial fluid collection which was present on prior. |
Generate impression based on findings. | 53-year-old female status post surgery Resection of the fifth ray through the fifth metatarsal diaphysis is again noted. Osteolysis of the tuft of the distal phalanx of the great toe is consistent with osteomyelitis. A defect along the plantar aspect of the calcaneal tuberosity is compatible with osteomyelitis and perh... | 1. Osteomyelitis of the calcaneus with what appears to be a fracture through the posterior tuberosity and with soft tissue gas extending to the lower leg. If further evaluation is clinically warranted, dedicated leg radiographs may be considered.2. Osteomyelitis of the distal phalanx of the great toe.Dr. Shi was notifi... |
Generate impression based on findings. | 65-year-old female with syncope. History of breast cancer. Evaluate for pulmonary embolism. PULMONARY ARTERIES: No evidence of pulmonary embolism. The main pulmonary artery measures to 3.6 cm which suggests pulmonary arterial hypertension without evidence of right ventricular strain.LUNGS AND PLEURA: Small right pleura... | 1.No evidence of pulmonary embolism.2.Solitary lung nodule in the right lobe measuring 7 mm. Given the patient's history of breast cancer, metastasis cannot be excluded. 3.Small right pleural effusion.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.... |
Generate impression based on findings. | 79-year-old female with pain, total shoulder arthroplasty, question of dislocation. Three views of the left shoulder show hardware components of a left reverse total shoulder arthroplasty. There appears to be superior angulation of the glenoid component that was not present on the recovery room radiographs with lucency... | 1. Reverse total shoulder arthroplasty with findings consistent with loosening and angulation of the glenoid component. 2. Osteoarthritis and soft tissue swelling of the left wrist as described above. |
Generate impression based on findings. | 73-year-old male with right parotid mass. Extensive streak artifact from dental hardware limits sensitivity.An ovoid, enhancing, well-circumscribed lesion is noted in the superior right parotid gland, measuring 20 x 13 x 23 mm. There is fatty atrophy of the bilateral parotid glands. The remainder of the major salivary ... | Enhancing, ovoid lesion in the superficial right parotid gland measuring 20 x 13 x 23 mm. Differential is broad but finding may represent a benign salivary gland tumor such as pleomorphic adenoma. Consider MRI or tissue sampling as clinically indicated. |
Generate impression based on findings. | Altered mental status. There is no evidence of intracranial hemorrhage or mass. There is an unchanged punctate focus of hypoattenuation in the right caudate and patchy cerebral white matter hypoattenution. The ventricles are unchanged in size and configuration. There is no midline shift or herniation. There are vertebr... | 1. No evidence of acute intracranial hemorrhage.2. Chronic lacunar infarct in the right caudate head and probable small vessel ischemic disease. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct. |
Generate impression based on findings. | 64-year-old female with knee pain status post ORIF. Three views of the left knee again show a plate and screw device affixing a comminuted fracture of the distal femur in near anatomic alignment. There has been progressive sclerosis and callus formation adjacent to the fracture indicating some interval healing. There i... | Orthopedic fixation of healing left distal femoral fracture and other findings as described above. |
Generate impression based on findings. | Male 68 years old; Reason: 67 yo M increasing LAD and pancreatic tail mass. No clear malignancy. Eval for bony mets History: LAD Increased activity involving the proximal left femur which correlates with the lytic lesion seen on recent CT. Scattered uptake involving the bilateral AC joints, knees, ankles and elbows lik... | Increased activity involving the proximal left femur associated with the lytic lesion seen on CT. This is suspicious for osseous metastatic disease. |
Generate impression based on findings. | 17 year-old female with nausea vomiting and weight loss. History of pyloric gastritis and near gastric antrum. Rule-out Crohn's disease or malignancy. ABDOMEN:LUNGS BASES: Nodular density in the right lower lobe is somewhat ill-defined, and presumably represents inflammatory change.LIVER, BILIARY TRACT: The gallbladder... | 1.Patulous distended stomach with thickening of the antrum, which may be infectious or inflammatory in etiology, and could be better evaluated with endoscopy.2.Postoperative changes related to total colectomy and end ileostomy formation as above. |
Generate impression based on findings. | Exam is limited by noncontrast technique, and by motion.ABDOMEN:LUNG BASES: Small bilateral pleural effusions, left greater than right, and associated atelectasis. Severe coronary artery calcifications. Large hiatal hernia.LIVER, BILIARY TRACT: No biliary dilation, no widening of the fissure.SPLEEN: No significant abn... | 1.Persistent large amount of ascites.2.Small, left greater than right pleural effusions.3.Unchanged findings of chronic pancreatitis. |
Generate impression based on findings. | 32 year old female with pain. Three views of the right ankle show no fracture or other findings to account for the patient's pain. | No fracture or other findings to account for the patient's pain. |
Generate impression based on findings. | Postoperative as from prior right parietal craniotomy as well as post radiation changes are again seen. There is further slight decreased extent of confluent subcortical T2/FLAIR hyperintensity within the subcortical white matter of the paramedian parietal lobes bilaterally, slightly greater on the right and extending... | 1. Interval further expected evolution of posttreatment changes in bilateral paramedian parietal lobes and extending into the right occipital lobe. Further decreased signal abnormality and confluence of enhancement in these locations, likely representing resolving radiation necrosis.2. Interval development of small dur... |
Generate impression based on findings. | 49-year-old male status post revision of right total knee arthroplasty. Four views of the right knee demonstrate hardware components of a long stem right total knee arthroplasty in near-anatomic alignment. There is periosteal reaction along the anterior aspect of the distal femur which is maturing. There is perhaps sli... | Total knee arthroplasty without evidence of complication. |
Generate impression based on findings. | Male 45 years old; Reason: pt with metastatic cancer, likely rcc. path pending. needs bone scan for full staging History: metastatic carcinoma based on fna lymph node results Focal activity seen at the craniocervical junction, more prominent on the left. | Focal activity at the craniocervical junction, more on the left may represent tumor or degenerative change. Please correlate with MRI study if clinically indicated. |
Generate impression based on findings. | There is minimal mucosal thickening involving the right frontal sinus. Left frontal sinus and bilateral anterior and posterior ethmoid air cells are clear. There is mild to moderate mucosal thickening involving the sphenoid sinuses. There is also mild mucosal thickening involving the bilateral maxillary sinuses. There... | Mild paranasal sinus disease as above. There are frothy secretions within the right maxillary sinus, which while nonspecific, can be seen with acute sinusitis. |
Generate impression based on findings. | 34-year-old male with pain. Four views of the right foot show a mild pes planovalgus deformity. There are tiny osteophytes along the anterior aspect of the tibial plafond but no fracture. | Mild pes planovalgus deformity. |
Generate impression based on findings. | Femoral fracture, tachycardia. PULMONARY ARTERIES: Adequate infusion quality. No pulmonary embolus.LUNGS AND PLEURA: Mild lobular groundglass opacity in the lung periphery, predominantly the superior segment of the right lower lobe.MEDIASTINUM AND HILA: The airways are clear; no endobronchial debris to suggest aspirati... | No acute (thrombotic) pulmonary embolus. Nonspecific small lobular groundglass foci in the dependent aspect of the right lower lobe of unclear etiology or clinical significance. Though not typically a radiographic diagnosis, the possibility of lipid microemboli may be considered in the appropriate clinical context.PULM... |
Generate impression based on findings. | 44-year-old female with broken left lower molar, jaw pain Several teeth are absent. The remaining left mandibular molar appears intact although there may be a small cavity in the crown. A broken right maxillary first incisor is noted. | Several absent teeth and possible cavity in the remaining left mandibular molar. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history breast carcinoma in a maternal cousin. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, 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: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 38 years old; Reason: 38 yo M with locally advanced esophageal/GEJ cancer. s/p chemo-RT. Please eval for response. History: dysphagia CHEST:LUNGS AND PLEURA: Mosaic perfusion in the left lower lobe. Diffuse scattered pulmonary nodules. No dominant lung lesion.MEDIASTINUM AND HILA: Heart size is normal. No pericard... | 1.Decrease in the size of the distal esophageal mass.2.Necrotic left upper abdominal lymphadenopathy. |
Generate impression based on findings. | 72-year-old female with history of bladder cancer. Evaluate for metastatic disease. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Two segment 4a subcentimeter hypoattenuating lesions are too small to characterize but statistically likely cysts.SPLEEN: No significant abnormality notedPANCREAS... | No specific findings to suggest disease recurrence or metastatic disease. |
Generate impression based on findings. | 50 year-old female with anterior neck pain and tenderness, assess for lymphadenopathy or mass There is no evidence of mass lesions or significant cervical lymphadenopathy. Small bilateral jugular chain nodes are not enlarged by CT criteria. Mild mucosal thickening of the right maxillary sinus, otherwise the paranasal s... | 1. No neck masses or cervical lymphadenopathy.2. Status post anterior cervical fusion at C5-6 with solid osseous fusion. There is prominent anterior cervical osteophyte at the C4-5 level with mild impression on the posterior hypopharyngeal wall. Finding is of questionable significance in relation to the dysphagia. |
Generate impression based on findings. | Altered mental status after anticoagulations for stroke, evaluate for hemorrhage Again seen is evolving subacute infarct in the right frontal lobe. No new mass-effect. Unchanged petechial hyperdensities within the infarct. No evidence of frank hematoma formation. Again seen are scattered areas of hypoattenuation in the... | 1. Evolving subacute right frontal infarct. Unchanged tiny hyperdensities within the infarct which may represent petechial hemorrhages. No frank hemorrhagic transformation. No new mass effect.2. Small left frontal extra-axial lesion compatible with a meningioma again seen. |
Generate impression based on findings. | 55-year-old male with lung cancer non-small cell. Newly diagnosed non-small cell lung cancer in need of PET for staging.RADIOPHARMACEUTICAL: 13.780 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 112 mg/dL. Today's CT portion grossly demonstrates an enlarged right lower paratracheal lymph node. Additional sm... | 1.Nodular focus of FDG activity in the right upper lobe suspicious for primary malignancy or metastasis.2.Multiple hypermetabolic right hilar and right paratracheal lymph nodes also suspicious for tumor involvement.3.Significant decrease in right upper lobe consolidation compatible with history of resection of mucous p... |
Generate impression based on findings. | Assess pleural effusion. LUNGS AND PLEURA: Volume of pleural fluid not significantly changed in the interval, with a large right and moderate left collection. Compressive atelectasis of the lung parenchyma appears proportionate to volume of pleural fluid and unchanged.Mild mosaic attenuation of the aerated lung parench... | 1. New small lobular foci of groundglass opacity in the anterior lung fields bilaterally could represent early ARDS or pulmonary contusion. Volume of pleural fluid and creative atelectasis is similar to the previous study; apparent differences on plain film likely are related to patient positioning.2. The region of the... |
Generate impression based on findings. | Female 34 years old; Reason: abdominal pain History: pain Visually there was significant and progressive gastric emptying. Using anterior and posterior geometric means, residual gastric activity at the following postprandial intervals was calculated as follows:30 mins: 81.6 % of peak activity (normal >70 %)1 hour: 83.8... | Gastric emptying within normal limits. |
Generate impression based on findings. | 20-year-old female status post MIBG #2, relapsed neuroblastoma CHEST:LUNGS AND PLEURA: Interval decrease in size of multiple bilateral pulmonary nodules. The reference left lower lobe nodule now measures 7 x 4 mm, previously 6 x 6 mm (series 4, image 73). No pleural effusions. No new nodules.MEDIASTINUM AND HILA: Exten... | Slight interval decrease in reference pulmonary nodules and mediastinal lymphadenopathy. Unchanged retroperitoneal lymphadenopathy and diffuse osseous changes. |
Generate impression based on findings. | 74-year-old male with malignant neoplasm of lower third of esophagus. Evaluate for response after induction; follow CALGB 80803 procedure. RADIOPHARMACEUTICAL: 12.2 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 102 mg/dL. Today's CT portion grossly again demonstrates masslike thickening of the distal esoph... | 1.Interval decrease in size and activity of known distal esophageal mass.2.Interval decrease in FDG activity of bilateral hilar lymph nodes and posterior hypopharyngeal wall focus, likely benign.3.Stable left hypermetabolic adrenal nodule, most likely benign.4.Interval resolution of scattered hypermetabolic bilateral g... |
Generate impression based on findings. | 57 year old female with right lower quadrant pain and weight loss. Patient with history of diverticulosis and abdominal surgery. Evaluate for small bowel obstruction or diverticulitis.Per additional history obtained from Dr. Lu, patient with two weeks of intermittent right lower abdominal pain and two to 3 pounds of we... | 1.Findings consistent with cholecystitis. Findings relayed to Dr. Lu, covering pager 2809, over the phone at approximately 3:20 p.m.2.No evidence of diverticulitis or small bowel obstruction as clinically questioned.3.Incompletely evaluated left adrenal nodule. |
Generate impression based on findings. | 55-year-old female with history of primary lung neoplasm. Evaluate for metastatic disease. ABDOMEN:LUNG BASES: No significant abnormality noted. Please see dedicated concurrent CT chest report for details thoracic findings.LIVER, BILIARY TRACT: Hypoattenuating segment IVb lesion measures 2.4 x 1.4 cm; there is suggesti... | 1.No specific findings to suggest metastatic disease.2.Hypoattenuating segment IVb hepatic lesion is favored to be a hemangioma; however, liver MRI is recommended for definite characterization.3.Please refer to concurrent CT chest report for thoracic findings. |
Generate impression based on findings. | There are posttreatment findings in the bilateral temporal lobes with a left-sided craniotomy. Large heterogeneous area of flair hyperintensity in the mid left temporal lobe extending into the temporal pole and involving the cortex and subcortical white matter is similar to the prior exam. There are foci of T1 shorten... | 1.Multifocal glioblastoma with enhancing ovoid focus in the right anterior frontal lobe demonstrating interval increase in size and increased diffusion restriction and relative cerebral blood flow. Finding is highly suspicious for tumor progression.2.Large focus of T2 abnormality in the left temporal pole demonstrates ... |
Generate impression based on findings. | Ms. Jordan is a 61 year old female presenting with bilateral non-focal retroareolar pain for the past year. Three standard views of both breasts (total of 15 images) were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. T... | No mammographic evidence of malignancy. Patient should follow up with her primary care physician for her breast pain as clinically warranted. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BI... |
Generate impression based on findings. | 56 year old male with appendiceal cancer baseline clinical trial.RADIOPHARMACEUTICAL: 13.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 91 mg/dL. Today's CT portion of the neck demonstrates no lymphadenopathy based on CT size criteria.Today's PET examination demonstrates numerous hypermetabolic foci predo... | 1.Numerous hypermetabolic foci that correlate with focal areas of wall thickening involving the stomach and intestines, peritoneal implants, and lymph nodes in the abdomen and pelvis, predominantly on the right side. These findings are suspicious for peritoneal carcinomatosis. 2.No definite hypermetabolic foci within t... |
Generate impression based on findings. | 50-year-old female with pain in both knees status post fall one week ago Right knee: A vertically oriented lucency within the medial aspect of the patella is compatible with a nondisplaced fracture. No joint effusion is noted. Mild osteoarthritis affects the knee.Left knee: Mild tricompartmental osteoarthritis affects ... | Osteoarthritis and right patella fracture as described above. Dr. Birnie is aware of these findings. |
Generate impression based on findings. | Female 62 years old; Reason: R proximal femur metastatic carcinoma, evaluate for tumor burden/staging Multiple foci of uptake involving the right frontoparietal bones as well as multiple bilateral ribs, including the anterior aspect of the right 2nd, 3rd, 4th and 6th ribs, the posterior aspect of the right 8th and 9th ... | Please note only anterior and posterior whole body images were obtained. No spot images were obtained as study had to be terminated due to patient's discomfort. 1. Multiple foci of activity involving the right frontoparietal bones as well as multiple bilateral ribs and thoracic vertebrae as described above suspicious f... |
Generate impression based on findings. | 65-year-old female with neck pain, shoulder pain. Three views of the left shoulder are provided. The bones appear slightly demineralized. There are no specific findings to account for the patient's pain.Three views of the right shoulder are provided. The bones appear slightly demineralized. There is an approximately 1.... | 1. Calcific density overlying the right glenoid of uncertain etiology could represent a loose body or calcium hydroxyapatite deposition in the adjacent soft tissue. If further imaging is clinically indicated, MRI may be considered.2. Cervical spine degenerative disease and neuroforaminal narrowing as described above. |
Generate impression based on findings. | Ms. Rafferty is a 25 year old female with a personal history of lymphoma treated with chest radiation (>20 Gy). She is presenting for surveillance in light of prior chest radiation. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed o... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Per discussion with the patient, she is on a research protocol that allows for annual mammogram/MRI, which is reasonable given her prior history of chest radiation... |
Generate impression based on findings. | 33-year-old female with knee pain. Four views of the right knee are provided. Arterial calcifications are present in the posterior soft tissues. A tiny bony excrescence projects from the medial tibial metaphysis and may represent a tiny exostosis, but there are no specific findings to account for the patient's pain.Fou... | No specific findings to account for the patient's pain. Other findings as described above. |
Generate impression based on findings. | 53-year-old female with right hip pain, history of lung cancer. CT of the right hip was performed with and without intravenous contrast. There is moderate osteoarthritis of the right hip corresponding to radiographs from October 2014 with subchondral cysts in the acetabulum. Small densities along the anterior/superior ... | Osteoarthritis without evidence of metastatic disease. |
Generate impression based on findings. | The lumbar spine is in normal alignment, with a normal lumbar lordosis. The vertebral body and disk heights are well-maintained. No worrisome focal marrow signal abnormality is appreciated. The distal spinal cord and conus are within normal limits with the conus terminating at the mid L2 level. There is mild amount of... | 1. Trace disk bulge at L5-S1 without significant stenosis at any level. Mild developmentally narrow mid to distal lumbar spinal canal.2. Partially visualized lobulated structures which appear isointense to bone marrow within the right hemipelvis. These could be related to partially visualized bowel contents or perhaps ... |
Generate impression based on findings. | Female; 55 years old. Per EPIC, patient has stage IV NSCLC/adenocarcinoma. LUNGS AND PLEURA: Spiculated right upper lobe mass measures 3.3 x 3 cm x 4.2-cm (transverse by AP by craniocaudal) (image 29, series 5 and sagittal image 40, series 80294), mildly increased since prior outside study when it measured approximatel... | 1. Slightly increased size of spiculated, necrotic right upper lobe mass. 2. No evidence of tumor elsewhere.3. Please see report for dedicated CT abdomen/pelvis performed concomitantly. |
Generate impression based on findings. | 59-year-old male with pain. Four views of the left foot demonstrate postoperative changes of amputation through the base of the proximal phalanx of the great toe. Soft tissue swelling distal to the amputation has increased since the prior study. The osteotomy margins appear sharp without evidence of osteomyelitis. The ... | 1.Postoperative changes of left great toe amputation as described above with soft tissue swelling distal to the remaining proximal phalanx of the great toe and finding suggesting a stress fracture of the second metatarsal neck.2.Postoperative changes in the right foot with a fractured calcaneocuboid screw and other fin... |
Generate impression based on findings. | Infertility Opacification of the uterine cavity was unremarkable. Filling defect in lower endocervical canal is catheter balloon. Both fallopian tubes were freely opacified with free spillage into the pelvis, indicating tubal patency.TOTAL FLUOROSCOPY TIME: Approximately 1 minute | Patent fallopian tubes. |
Generate impression based on findings. | 60 year old female who has a complaint of diffuse bilateral intermittent breast pain x 1 year. No family history of breast cancer. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty.No dominant mass, suspicious microcalci... | No mammographic evidence of malignancy. Patient should return to her primary care physician for further management of bilateral breast pain. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIR... |
Generate impression based on findings. | 47-year-old female with pain, question of glass foreign body. Three views of the right thumb show mild soft tissue swelling and osteoarthritis affecting the interphalangeal and metacarpophalangeal joints. No radiopaque foreign bodies are identified. | Soft tissue swelling and degenerative changes without foreign body evident. If further evaluation is clinically indicated, targeted ultrasound may be considered. |
Generate impression based on findings. | Reason: follow up lung cancer History: None. CHEST:LUNGS AND PLEURA: Stable circumferential nodular pleural thickening in the left hemithorax not significantly changed from the prior exam. Areas of subpleural rounded atelectasis in left lung are redemonstrated.Multiple poorly defined groundglass and silent nodules in t... | Stable exam without new sites of disease identified. |
Generate impression based on findings. | 75 year old male with new supraglottic ca with mediastinal adenopathy and RML nodule. RADIOPHARMACEUTICAL: 13.9 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 138 mg/dL. Today's CT portion grossly demonstrates a base of tongue mass which also involves the aryepiglottic folds. Mild coronary artery and aortic... | 1.Hypermetabolic base of tongue soft tissue mass compatible with history of supraglottic cancer.2.No additional hypermetabolic foci to suggest metastases.3.Nonspecific right middle lobe pulmonary nodule. |
Generate impression based on findings. | 9 year old male with HLH, hyperammonemia, and intracranial hemorrhage. There is persistent intraventricular hemorrhage within the occipital horns, as well as subarachnoid hemorrhage within the interpeduncular cistern, anterior suprasellar cistern, and left sylvian fissure. There is unchanged mild temporal horn dilatati... | 1.Unchanged mild scattered subarachnoid and intraventricular hemorrhage with suspected mild incipient hydrocephalus. The constellation of findings may be secondary to cyclosporin toxicity and/or underlying coagulopathy. 2.No definite evidence of cerebral edema, although MRI is more sensitive.3.Paranasal sinus and masto... |
Generate impression based on findings. | 57-year-old female with history of pain, fracture. Two views of the left ankle again show an oblique fracture through the distal fibula with one cortical width lateral displacement of the distal fracture fragment appearing similar to the prior study. Small densities distal to the medial malleolus may represent small av... | Distal fibular fracture appearing similar to the prior study. |
Generate impression based on findings. | 7-month-old female, rule out infection or perforation.VIEW: Abdomen and chest AP (two view) 1/14/2015 Gastrostomy tube in place. Amplatzer occlusion devices project over the heart.Bibasilar opacities suggestive of atelectasis. The cardiothymic silhouette is normal. There is a disorganized bowel gas pattern with slightl... | Bibasilar opacities suggestive of atelectasis. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of lupus and multiple myeloma diagnosed at age 40, in remission. Family history of breast carcinoma in her sister. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is ... | 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. | Male 88 years old; Reason: Pancreatic Mass; evaluate for progression History: See Above CHEST:LUNGS AND PLEURA: Subcentimeter right middle lobe pulmonary nodule is unchanged. Small calcified granuloma in the left lung base.There is a small right pleural effusion. This has decreased in size. The left pleural effusion ha... | 1.Decrease in the biliary ductal dilatation. Infiltrative mass in the liver at the Klatskin point measuring 2.7 cm most suggestive of a cholangiocarcinoma. |
Generate impression based on findings. | Left renal AVM follow. ABDOMEN:LUNG BASES: No significant abnormality noted. Minimal scarring at the left lung base.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Subcentimeter hypodense nodules in the spleen appear unchanged and are probably benign.PANCREAS: No significant abnormality notedADRENAL GLAND... | Stable left medial renal arteriovenous malformation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history breast carcinoma in a maternal aunt and her maternal grandmother. Two standard digital views of both breasts were performed with tomosynthesis and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may... | 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. | Ms. Mbengue submitted outside mammogram dated 09/20/2012, from Mercy Hospital. Submitted outside study was compared to the current mammogram dated 12/23/2014. The breast parenchyma is heterogeneously dense, which may obscure small masses. No suspicious masses, microcalcifications or areas of architectural distortion ar... | No mammographic evidence of malignancy. Physical examination is of increased importance for a patient with dense breast. 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. | Female; 74 years old. Reason: patient with previous h/o nsclc History: previous nsclc CHEST:LUNGS AND PLEURA: Postoperative changes of right pneumonectomy are similar to prior study aside from new in-situ thrombus within the right pulmonary artery stump. Scattered calcified granulomas in the left lung. No suspicious pu... | 1. New in-situ thrombus within the right pulmonary artery stump. Otherwise, postsurgical changes from pneumonectomy are similar to prior study.2. Possible gallbladder polyp, again for which correlation with ultrasound is recommended.3. No definite recurrent/residual or metastatic disease. |
Generate impression based on findings. | Ms. Lyons submitted outside mammogram dated 10/22/2013, from St. Bernard Hospital. Submitted outside study was compared to the current mammogram dated 01/05/2015. The breast parenchyma is almost entirely fatty. No suspicious masses, microcalcifications or areas of architectural distortion are present. There is no signi... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Ms. Lyons submitted outside mammogram dated 10/22/2013, from St. Bernard Hospital. Submitted outside study was compared to the current mammogram dated 01/05/2015. The breast parenchyma is almost entirely fatty. No suspicious masses, microcalcifications or areas of architectural distortion are present. There is no signi... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Ms. Mbengue submitted outside mammogram dated 09/20/2012, from Mercy Hospital. Submitted outside study was compared to the current mammogram dated 12/23/2014. The breast parenchyma is heterogeneously dense, which may obscure small masses. No suspicious masses, microcalcifications or areas of architectural distortion ar... | No mammographic evidence of malignancy. Physical examination is of increased importance for a patient with dense breast. 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. | Female 77 years old; Reason: evaluate vasculature to support kidney transplant History: abdominal bruit ABDOMEN:LUNG BASES: Heart size is enlarged. Calcifications within the left ventricle likely representing ischemic changes in the papillary muscles.LIVER, BILIARY TRACT: Liver is unremarkable for unenhanced technique.... | 1.Calcific arteriosclerotic disease of the aorta and pelvic vasculature.2.Nonspecific but enlarged lymph nodes in the retroperitoneum. Follow up suggested. In a patient with renal transplant, PTLD should be a clinical consideration. |
Generate impression based on findings. | 57 years, Male. Reason: Evaluate for intraabdominal process History: Abdominal pain Mild scoliosis and spinal degenerative disease noted. IVC filter present. There are right femoral approach catheters. IABP marker overlies the lumbosacral junction. Residual contrast noted in the bladder, correlate with recent exam. Mil... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Lung cancer. LUNGS AND PLEURA: Numerous bilateral suspicious pulmonary nodules. Previously referenced lesions as follows:Right lower lobe cystic and groundglass lesion increased in size, 3 x 1.7 cm (4/41), compared to 2.5 x 1 .Seen previously. The cranial aspect of this lesion has developed a punctate soft tissue densi... | 1. Enlarging endovascular lesions left lower lobe most compatible with tumor emboli from the patient's known bladder cancer.2. New solid nodule right lower lobe, also consistent with a metastasis.3. Multiple additional suspicious sub-solid nodules, some with cystic components, in the lungs bilaterally with growth of a ... |
Generate impression based on findings. | 50 year-old female with history of headache. Evaluate for intracranial hemorrhage. No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No mass, midline shift or uncal herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits for age, witho... | 1. No evidence of intracranial hemorrhage or mass effect. Mild chronic small vessel ischemic changes. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion.2. Mild residual mucosal thickening in the maxillary sinuses. |
Generate impression based on findings. | 70 year old female who was recalled from screening mammogram for left breast calcifications and right breast asymmetry. History breast carcinoma in a maternal cousin in her late 20s. Bilateral Diagnostic Mammogram: An ML view of each breast, multiple spot compression views of the right breast, and multiple spot magnifi... | 1. Left breast calcifications, vascular in origin.2. Normal morphology right intramammary lymph node, and a rest of dense breast tissue within the upper outer right breast, corresponding to the asymmetry seen on prior mammogram. No mammographic evidence of malignancy. As long as the patient's physical examination remai... |
Generate impression based on findings. | 72-year-old man with hepatocellular carcinoma. Evaluate size and location of the lesion. ABDOMEN:LUNG BASES: Cardiomegaly. Basilar scarring. Subcentimeter micronodule at the right lung base (image 7) is unchanged.LIVER, BILIARY TRACT: Cirrhotic appearing liver. Status post cholecystectomy. There is an enhancing lesion ... | Right lobe HCC as noted above. |
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