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Generate impression based on findings. | 20 year-old male with intermittent, chronic abdominal pain. HIV infection. CHEST:LUNGS AND PLEURA: Azygous lobe is identified which is a variant of normal.MEDIASTINUM AND HILA: No significant abnormality notedCORONARY ARTERY CALCIFICATION: None.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: N... | The sigmoid colon is completely collapsed and I cannot exclude mild wall thickening in this location. There is no pericolonic inflammatory change or fluid present, and the remainder the bowel appears normal. |
Generate impression based on findings. | 7 years old Male. Reason: post MIBG therapy imaging. History: Relapsed neuroblastoma post MIBG therapy imaging. Extensive bone marrow uptake in the skeleton is stable in distribution and size. The involved bones include whole spine, skull,facial bones, sternum, ribs, pelvis, bilateral femurs, bilateral humeri and elbow... | Interval decreased MIBG uptake in the skeleton. Near complete interval resolution of the opacities in both lungs. Interval resolution of focal uptake in the right upper abdomen. |
Generate impression based on findings. | Shoulder pain and decreased range of motion, acute onset 3 weeks ago. Right humerus high riding on exam compared to left. History of gout, inflammatory arthritis? Evaluate for osteoarthritis, rotator cuff disease. Four views of the right shoulder are provided. Minimal osteoarthritis affects the glenohumeral and acromio... | Mild osteoarthritis of the shoulders and other findings as described above. |
Generate impression based on findings. | 54 year old female status post surgery with two surgical teams. Suspected retained foreign objects: two needles. Findings consistent with recent placement of a ventricular assist device including multiple drains and skin staples. No unexpected retained foreign objects. | No unexpected retained foreign objects. Findings were relayed to Dr. Ota, attending surgeon, over the phone at 1900 hrs on 4/24/2015 by Dr. Charles Westin. |
Generate impression based on findings. | 29 years old, Female, History: headache, nausea, visual changes after hit with soccer ball near right zygomatic arch 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 hern... | No evidence of intracranial abnormality. |
Generate impression based on findings. | 28 year-old female with pain and swelling of bilateral knees. Evaluate for abnormality/effusion. Four views of the right knee demonstrate no acute fracture or malalignment. There is suggestion of a small knee joint effusion. There is a cortically based focus of sclerosis along the distal femoral diaphysis which may rep... | Probable small knee joint effusion without acute fracture or malalignment. |
Generate impression based on findings. | 86-year-old female with history of Parkinson's and sacral decubitus ulcer. Evaluate for osteomyelitis. Per clinical history, patient cannot tolerate MRI. Evaluation of some structures is limited due to lack of IV contrast.There is soft tissue defect posteriorly consistent with the known sacral decubitus ulcer. There ar... | Sacral decubitus ulcer as above with soft tissue density extending to the coccyx. While no gross bone destruction is evident, there's a small region along the posterior cortical margin of the upper coccyx which is indistinct and the possibility of mild/early osteomyelitis cannot be entirely excluded. |
Generate impression based on findings. | 64 years old, Male, History: new seizure, GBM s/p resection, TMZ, XRT, re-operation on 3/24/2015 There are postsurgical changes related to a right frontoparietotemporal craniotomy and resection of portions of the right frontal and temporal lobes. There is a near fluid density subdural fluid collection overlying the rig... | 1. Postsurgical changes related to a right frontoparietotemporal craniotomy and resection of portions of the right frontal and temporal lobes.2. Leftward midline shift measuring up to 8 mm, stable.3. Predominantly fluid density subdural collection, minimally increased in size compared to the prior study, with an area o... |
Generate impression based on findings. | 18 year-old female with proximal forearm pain status post trauma. Evaluate for fracture Two views of the right forearm demonstrate no acute fracture or malalignment. No additional specific findings to account for patient's pain. | No acute fracture or malalignment. |
Generate impression based on findings. | 80 year-old male with hip and back pain. Two views of the right hip demonstrate hardware components of total hip arthroplasty in near anatomic alignment without radiographic evidence of complication. There is no acute fracture or dislocation. Healed cortical fracture of the lateral proximal femoral diaphysis.Three view... | 1.Right total hip arthroplasty without acute abnormality. 2.Progression of degenerative changes of the lumbar spine. |
Generate impression based on findings. | Reason: hit in nose and hyperextended neck playing football, concern for neck fracture History: neck painVIEWS: Cervical spine AP lateral (2 views) 4/24/15 16:40 Cervical spine is seen from C1 to C7. There is no prevertebral soft tissue swelling. No fracture or dislocation. Straightening of the cervical spine, reflecti... | No fracture or dislocation. No prevertebral soft tissue swelling. |
Generate impression based on findings. | Female; 29 years old. Reason: pe? History: tachy o2 sat decreased PULMONARY ARTERIES: No acute pulmonary embolus. Main pulmonary artery is mildly dilated and measures up to 3.2-cm, nonspecific but can be seen in the setting of pulmonary arterial hypertension.LUNGS AND PLEURA: Mild bibasilar dependent atelectasis subseg... | 1. No acute pulmonary embolus.2. Small pleural effusions with underlying basilar atelectasis.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Reason: r/o clavicle fracture VIEWS: Left clavicle AP and axillary (2 views) right clavicle AP and axillary (two views) 4/24/15 17:13 No fracture or dislocation of bilateral clavicles. | No fracture or dislocation. |
Generate impression based on findings. | Reason: Stent Placement History: UPJ ObstructionVIEWS: Pelvis AP (1 views) 4/24/15 17:35 Left nephrostomy tube with renal portion out of field of view. Left double j stent with distal portion in the bladder and proximal portion out of field of view. Urinary bladder catheter in place. Nonspecific disorganized bowel gas ... | Left double j stent distal portion in the bladder. |
Generate impression based on findings. | 82-year-old female with significant pain at the left great toe status post mechanical fall. Evaluate for fracture malalignment. Three views of the left foot demonstrate demineralization of the bones. No acute fracture or malalignment. There is artifact overlying the forefoot presumably external to the patient. There is... | Old posttraumatic changes as above without acute fracture. |
Generate impression based on findings. | 54 year-old female with swelling and pain of the right foot. Evaluate Three views of the right foot demonstrate no acute fracture or malalignment. There is a bipartite medial sesamoid and bipartite os peroneum, likely both normal variants. Midfoot osteophytes indicate mild osteoarthritis, particularly at the Lisfranc a... | 1.Mild degenerative changes and other findings as above. 2.No definite acute fracture. |
Generate impression based on findings. | Female; 44 years old. Reason: rule out PE History: short of breath, tachycardic, tachypneic, past DVT PULMONARY ARTERIES: No acute pulmonary embolus.LUNGS AND PLEURA: Focal consolidation in the inferior right upper lobe along the minor fissure measures up to 2.2 x 1.9 cm (series 7/7), unchanged. Single new pulmonary mi... | 1. No acute pulmonary embolus.2. Focal consolidation in the right upper lobe with scattered right lung micronodules and mild right hilar lymphadenopathy are overall not significantly changed. The findings are nonspecific and may be post infectious or inflammatory in etiology. Organizing pneumonia is a consideration. Lo... |
Generate impression based on findings. | 74-year-old male with pain and status post fall. Evaluate for fracture Shoulder: Three views of the right shoulder demonstrate mild osteoarthritis at the glenohumeral joint. No acute fracture or malalignment. Evaluation of the acromion on the Y view is limited due to suboptimal technique. Surgical clips and wires overl... | 1. There is a 2.5-cm bone fragment along the superior aspect of the greater trochanter that was not present on the CT examination in May of 2012. The majority of this fragment appears corticated and hence this may reflect old minimally displaced fracture that has occurred since 2012. If this represents the patient's si... |
Generate impression based on findings. | 64 years old, Male, History: new seizure, GBM s/p resection, TMZ, XRT, re-operation on 3/24/2015 Please note there are two sets of images due to motion artifact on the original set.Again seen are postsurgical changes related to a right frontoparietotemporal craniotomy and resection of portions of the right frontal and ... | 1. Postsurgical changes related to a right frontoparietotemporal craniotomy and resection of portions of the right frontal and temporal lobes.2. Unchanged leftward midline shift measuring up to 8 mm.3. Unchanged predominantly fluid density subdural collection with focal somewhat globular isodensity to cortex along the ... |
Generate impression based on findings. | There is mild interval enlargement of the dominant and heterogeneously enhancing right supraclavicular lymph node measuring 31 x 31 mm today compared to 31 x 27 mm previously with no definite fat plane between the node lymph node and the right trapezius muscle. A right level 5 lymph node measures 10 mm compared to 7 m... | 1.Mild interval enlargement of the dominant and heterogeneously enhancing pathologic right supraclavicular lymph node with persistent absence of fat plane between the node and right trapezius muscle.2.Mild enlargement of right level 5 lymph node measuring 10 mm compared to 7 mm previously. |
Generate impression based on findings. | Reason: r/o fx History: lateral malleolar pain s/p fall on twisted ankle while running todayVIEWS: Left ankle AP oblique lateral (3 views) 4/24/15 18:10 Soft tissue swelling. No joint effusion. No fracture or dislocation. | No fracture or dislocation. Soft tissue swelling. |
Generate impression based on findings. | Assess for worsening bleed. Headaches. There is redemonstration of postoperative changes from right-sided burr holes for evacuation of subdural hematoma. There is further resorption of pneumocephalus along the right frontal lobe is mass-effect on the adjacent parenchyma. The hypodense right-sided subdural collection wh... | 1. Interval expected evolution of postoperative changes related to burr hole placement for right subdural hematoma evacuation with stable right CSF density subdural fluid collection, with decreased pneumocephalus and associated mass effect.2. Slight increased thickness of CSF density left-sided subdural collection.3. S... |
Generate impression based on findings. | Reason: r/o fx History: pain/swelling/ecchymosis lateral foot s/p fall on R ankleVIEWS: Right foot AP oblique lateral (3 views), right ankle AP oblique lateral (3 views) 4/24/15 19:34 Right foot: No joint effusion. No fracture or malalignment.Right ankle: Mild lateral soft tissue swelling. No fracture or malalignment. | Mild lateral ankle soft tissue swelling. No fracture or malalignment. |
Generate impression based on findings. | 50 year-old female with right lower extremity pain. Evaluate for acute process Four views of the lumbar spine demonstrate no acute fracture or malalignment. Vertebral body heights are well-preserved. Mild narrowing of the L5/S1 disk space; otherwise, intervertebral disk spaces are maintained. Small anterior osteophytes... | Mild degenerative changes as above. |
Generate impression based on findings. | Fall and shoulder pain, rule out fractureVIEWS: Right shoulder internal rotation and external rotation (2 views) right humerus AP and lateral (two views) 4/24/15 19:40 Right shoulder: No fracture or malalignment.Right humerus: AP view of the distal humerus is out of the field-of-view. Within this limitation, fracture o... | No fracture or malalignment. |
Generate impression based on findings. | 62 years old, Male, Reason: r/o bleed History: LOC head trauma, on xarelto 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. No significant soft tissue swellin... | 1. No evidence of intracranial hemorrhage or traumatic injury. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct.2. Rounded right cerebellar tonsil extends below and causes crowding of the foramen magnum. The imaging appearance does not meet the strict criteria for Chiari malfor... |
Generate impression based on findings. | 62-year-old male with history of fever and epigastric. Evaluate for pancreatitis or intra-abdominal pathology. ABDOMEN:LUNG BASES: Mild left basilar atelectasis/consolidation.LIVER, BILIARY TRACT: Right hepatic lobe hypoattenuating lesion represents a cyst.SPLEEN: The spleen is mildly enlarged.PANCREAS: The pancreas is... | Findings compatible with acute on chronic pancreatitis. |
Generate impression based on findings. | Abdominal distentionVIEW: Chest AP and abdomen AP NG tube tip in the stomach. The umbilical venous catheter has been removed. Cardiothymic silhouette normal. Minimal patchy atelectasis left lower lobe. No pleural effusion or pneumothorax. Abnormal dilated loops of bowel increased from prior study. No pneumatosis or pne... | Abnormal dilated loops of bowel increased from prior study. |
Generate impression based on findings. | 43 years old, Male, History: Dizziness There is a 10 x 8mm focus of intraparenchymal hemorrhage (series 3, image 9) in the medial left cerebellar hemisphere near the left middle/superior cerebellar peduncle with associated surrounding hypoattenuation suggestive of vasogenic edema. There is mild mass effect on the fourt... | 1. Focus of intraparenchymal hemorrhage in the medial left cerebellar hemisphere with mild associated mass-effect. Given lack of anticoagulation and location this likely represents a hypertensive hemorrhage.2. Exophytic ossification of the left mastoid likely represents a benign osteoma.These findings were relayed to t... |
Generate impression based on findings. | Reason: Concern for PNA, SOB History: SOB, rhonchiVIEWS: Chest AP/lateral (two views) 4/24/15 19:42 The aortic arch, cardiac apex and stomach are left-sided. Cardiothymic silhouette is normal.Peribronchial thickening. Bilateral retrocardiac subsegmental atelectasis. No pleural effusions or pneumothorax. | Bronchiolitis/reactive airway disease pattern. |
Generate impression based on findings. | Female; 51 years old. Reason: 51F with opacity in R lung lobe, eval for mass vs infiltrate/edema History: SOB LUNGS AND PLEURA: Rounded opacity in the right lung seen on preceding chest radiograph is due to small amount of loculated pleural effusion within the right minor fissure. Additional small amount right pleural ... | Findings most compatible with mild CHF and/or volume overload with cardiomegaly, small right pleural effusion, and opacities most suggestive of mild pulmonary edema. The opacities may also be due to infection. |
Generate impression based on findings. | Reason: running then fell while playing soccer, r/o fracture History: pain, swelling, decrease ROMVIEWS: Left ankle AP oblique lateral (3 views) 4/24/15 19:48 No fracture or malalignment. Small joint effusion. No soft tissue swelling. | No fracture or malalignment. Small joint effusion. |
Generate impression based on findings. | Pain lacerationVIEWS: Right hand AP and lateral No acute fracture or dislocation. There is a soft tissue defect at the volar aspect of the thumb representing the laceration. No evidence of radiopaque foreign body. | No evidence of radiopaque foreign body. |
Generate impression based on findings. | There is stable nonspecific prominence of the ventricles. The sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. There is patchy bilateral maxillary sinus and ethmoid sinus m... | 1. No acute intracranial abnormality. Mild scattered right frontal and parietal scalp swelling likely relating to areas of superficial contusion.2. Slight crowding of structures at the foramen magnum with slightly pointed cerebellar tonsils not meeting criteria for Chiari one malformation at this time.3. Stable appeara... |
Generate impression based on findings. | Reason: sprain vs fracture injured at gym Finger "popped out" History: swelling with limited movementVIEWS: Right hand AP oblique lateral (3 views) 4/24/15 19:55 There is Salter II fracture at the base of the fifth proximal phalanx with associated soft tissue swelling. No other fractures noted. | Salter II fracture at the base of the fifth proximal phalanx. |
Generate impression based on findings. | CoughVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Peribronchial wall thickening with subsegmental atelectasis in the left lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | 43 years old, Male, Reason: evolution of left cerebellar hemorrhage History: vertigo The left cerebellar hemisphere intraparenchymal hemorrhage measures 11 mm x 8 mm (series 4, image 9), previously measuring 10 mm x 8 mm. The surrounding mild edema is not significantly changed. There is unchanged mild mass effect on th... | Left cerebellar hemisphere intraparenchymal hemorrhage is unchanged to possibly very minimally increased in size with unchanged mild surrounding edema and mass effect. |
Generate impression based on findings. | FractureVIEWS: Right tibia and fibula AP and lateral Again noted the external fixator device in place. There is a new surgical drain in place. The fractures involving the distal tibia and fibula are not significantly changed in alignment. The previously noted two surgical drains have been removed. | Postsurgical changes as described above. |
Generate impression based on findings. | Reason: pneumonia History: hypoxia, respiratory distress, feverVIEWS: Chest AP/lateral (two views) 4/24/15 Cardiothymic silhouette is normal. Right lung base subsegmental atelectasis. Peribronchial thickening. No pleural effusions or pneumothorax. | Bronchiolitis/reactive airway disease pattern. |
Generate impression based on findings. | 79-year-old male with history of right-sided abdominal swelling and lower extremity edema. CHEST:LUNGS AND PLEURA: Small bilateral pleural effusions and basilar pleural thickening. New basilar predominant subpleural micronodules are favored to be infectious or inflammatory in etiology.MEDIASTINUM AND HILA: Central veno... | 1. Progression of metastatic disease with new segment right hepatic lobe metastatic lesion and increased ascites.2. Subpleural pulmonary micronodules are favored to be inflammatory or infectious although metastatic disease is a differential consideration. |
Generate impression based on findings. | Cardiac surgery evaluate pulmonary edemaVIEW: Chest AP Midline sternotomy wires are again noted some of which are fractured. There are multiple pacer leads overlying the lower sternum. Fractured defibrillator leads are again noted. Cardiothymic silhouette normal. Bilateral pleural effusions left greater than right not ... | Bilateral pleural effusions and pulmonary edema not significantly changed. |
Generate impression based on findings. | Trauma. Rule out fractureVIEWS: Chest AP (one view), cervical spine AP and lateral (two views), pelvis AP (one view), 4/24/15, 20:30 Cervical spine: Marked adenoid hypertrophy with narrowing of the nasopharyngeal airway. Cervical spine is seen from C1 to superior aspect of C5. The remainder of the cervical spine is not... | 1.Limited evaluation of the cervical spine due to reasons stated above. Odontoid process appears to be mildly anteriorly located in relation to the base of the second vertebral body. Cross sectional imaging is recommended to exclude fracture. 2.No acute cardiopulmonary process. 3.No acute pelvic fracture.4.Findings dis... |
Generate impression based on findings. | 8 months old, Male, History: sleepiness, anterior hematoma There is a small scalp hematoma overlying the left frontal bone. 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 ... | 1. Left frontal hematoma without evidence of intracranial hemorrhage or skull fracture.2. Complete opacification of the middle ears and mastoid air cells bilaterally. Please correlate clinically. |
Generate impression based on findings. | Female; 40 years old. Reason: eval for PE History: CP, sob PULMONARY ARTERIES: No acute pulmonary embolus. Normal caliber of the main pulmonary artery.LUNGS AND PLEURA: Large pleural effusions with mild adjacent bibasilar compressive subsegmental atelectasis.MEDIASTINUM AND HILA: Increased density in the anterior media... | 1. No acute pulmonary embolus.2. Large pleural effusions.3. Probable postsurgical changes in the partially visualized left neck, though clinical correlation is recommended.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Cardiac arrestVIEW: Chest AP Tracheostomy tube in place. Gastrostomy tube in place. Cardiothymic silhouette normal. Right upper lobe atelectasis new from prior study. Patchy atelectasis in the left lower lobe. No pleural effusion or pneumothorax. | Right upper lobe atelectasis new from prior study. |
Generate impression based on findings. | 68 years old, Male, history of altered mental status and acute decompensated heart failure Motion degrades fine detail of some images. 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. Patchy subcorti... | 1. No evidence of intracranial hemorrhage or mass.2. Focal hypoattenuation within the right frontal centrum semiovale and periventricular white matter is likely secondary to age indeterminate small vessel ischemic disease. If there is concern for acute ischemic event, MRI of the brain is recommended.3. Conspicuous bila... |
Generate impression based on findings. | Reason: deformity of left proximal forearm History: swelling of proximal forearmVIEWS: Left forearm AP lateral (2 views), left elbow AP oblique lateral (3 views) 4/24/15 20:28 Capitellar epiphysis and fractured lateral epicondyle of the humerus are laterally and anteriorly displaced. Fractured lateral epicondyle fragme... | Fracture of the lateral humeral epicondyle and displacement of the capitellar epiphysis as above. |
Generate impression based on findings. | Female; 34 years old. Reason: eval for PE History: LE edema, SOB, CP PULMONARY ARTERIES: No acute pulmonary embolus. Normal caliber of the main pulmonary artery.LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Residual thymic tissue noted.CORONARY ARTERY CALCIFICATION: No visible coronary artery... | No acute pulmonary embolus.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 67-year-old male with history of pancreatic fluid collection status post drainage. Evaluate for change. ABDOMEN:LUNG BASES: Mild left basilar atelectasis. Calcified right hilar lymph nodes likely the sequela of prior granulomatous disease.LIVER, BILIARY TRACT: Multiple subcentimeter hypoattenuating hepatic lesions are ... | Near resolution of peripancreatic fluid collection as detailed above. |
Generate impression based on findings. | 57 years old, Female, History: R arm/leg weakness, numbness, EOM not intact. History of known aneurysm. 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 i... | No evidence of intracranial hemorrhage or edema. |
Generate impression based on findings. | 57-year-old female with history of alpha one antitrypsin deficiency. LUNGS AND PLEURA: Stable scattered pulmonary micronodules, some of which are calcified. No new suspicious pulmonary nodules or masses. No significant emphysema. Mosaic attenuation is nonspecific and may related to small vessel disease, small airway di... | 1. No significant emphysema.2. Mosaic attenuation as detailed above. |
Generate impression based on findings. | Abdominal distention gastroschisis repairVIEW: Chest AP and abdomen AP ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Right upper extremity PICC not significantly changed. Cardiothymic silhouette normal. Patchy atelectasis left lower lobe. No pleural effusion or pneumothorax. There i... | Postoperative exam as described above. |
Generate impression based on findings. | Reason: perforation, megacolon History: cdiff positiveVIEWS: Abdomen AP and left lateral decubitus (two views), Chest AP and latera (2 views) 4/24/15 21:00 Abdomen: G-tube in place. Surgical clips overlie in the mid upper abdomen. Nonspecific disorganized bowel gas pattern with mild gaseous distention. No definite evid... | 1.Mild gaseous distention of the bowel loops. No intraperitoneal free air.2.Bronchiolitis/reactive airway disease pattern. |
Generate impression based on findings. | PainVIEWS: Left wrist AP, oblique and lateral, left forearm AP and lateral There is a buckle fracture involving the distal radius in anatomic alignment. The ulnar is normal. There is soft tissue swelling about the wrist joint. | Buckle fracture distal radius as described above. |
Generate impression based on findings. | Frontal sinus: The frontal sinus and frontoethmoidal recesses are clear.Anterior ethmoids: The anterior ethmoid air cells are clear.Maxillary sinuses: The maxillary sinuses are clear. The ostiomeatal units are clear.Posterior ethmoids: The posterior ethmoid air cells are clear.Sphenoid sinus: The sphenoid sinus and bi... | 1. No significant mucoperiosteal thickening or radiographic evidence of acute sinusitis.2. Right posterior maxillary dental disease. Please correlate with dental exam.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Female; 65 years old. Reason: History of breast cancer with recurrence in supraclavicular lymph node, on treatment. Compare to prior imaging; evaluate for response and extent of disease. History: History of breast cancer with recurrence in supraclavicular lymph node, on treatment. Compare to prior imaging; evaluate for... | 1. Right supraclavicular lymph node conglomerate is incompletely imaged. Please refer to same day neck CT for further details.2. No evidence of additional metastatic disease in the chest or upper abdomen. |
Generate impression based on findings. | Evaluate foreign body lacerationVIEWS: Left foot AP, oblique and lateral No acute fracture or dislocation. Probable soft tissue laceration involving the great toe medially. No radiopaque foreign body. | No radiopaque foreign body. |
Generate impression based on findings. | 90-year-old female with history of ovarian mass now unable to ambulate. ABDOMEN:LUNG BASES: There is mild bilateral atelectasis.LIVER, BILIARY TRACT: Cholelithiasis without evidence of cholecystitis.SPLEEN: No significant abnormality notedPANCREAS: 6 mm hypodensity in the pancreatic body is nonspecific.ADRENAL GLANDS: ... | 1. Acute segmental inflammation of the ileum with focal narrowing in the left lower quadrant, probably acute on chronic, with partial small bowel obstruction. This appearance is somewhat unusual for an acute inflammatory or infectious process and regional enteritis should also be considered.2. Right adnexal cystic lesi... |
Generate impression based on findings. | Reason: assess for fracture History: pain over lateral aspect of foot over 4th to 5th metatarsalVIEWS: Right foot AP oblique lateral (3 views) right ankle AP oblique lateral (3 views) 4/24/15 22:05 Right foot: No fracture of dislocation.Right ankle: Mild ankle soft tissue swelling. No fracture or dislocation. | Mild ankle soft tissue swelling. No fracture or dislocation. |
Generate impression based on findings. | Images are somewhat limited by patient motion. There is stable 5-6-mm grade 1 anterolisthesis of L3 on L4, retrolisthesis of L4 on L5, as well as minimal grade 1 retrolisthesis of L5 on S1. The spine is otherwise in normal alignment. There is diffusely abnormal marrow signal, with numerous areas of abnormal T1 hypoint... | 1. Diffuse osseous metastatic disease with redemonstration of pathologic inferior endplate fracture of L4 with dorsally convex posterior vertebral body margin secondary to tumor/retropulsion, resulting in severe central spinal canal stenosis as well as severe left foraminal narrowing at L4-L5 due to direct tumor extens... |
Generate impression based on findings. | Female; 68 years old. Reason: 68F with MDS and fever eval for PNA History: fever LUNGS AND PLEURA: Focal areas of consolidation are seen in the right lower and middle lobes, suspicious for infection (series 6/42 and 43). Mild patchy bibasilar ground glass opacities, which may be due to atelectatic changes.MEDIASTINUM A... | Focal areas of consolidation in the right lower and middle lobes, suspicious for infection. Follow-up is recommended to ensure resolution. |
Generate impression based on findings. | Female; 37 years old. Reason: eval for PE, hx of PE here w/ same pain History: CP, SOB PULMONARY ARTERIES: No acute pulmonary embolus. Normal caliber of the main pulmonary artery.LUNGS AND PLEURA: Mild diffuse hazy groundglass opacity is most likely secondary to air trapping given that the images were acquired in expir... | No acute pulmonary embolus.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 41 years old, Female, History: Headache and face pain, photophobia, other neurological symptoms There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. There is a mi... | No evidence of intracranial abnormality. |
Generate impression based on findings. | 6 years old, Male, Reason: r/o scalp fx or ICH History: vomiting, headache after fall out of bunk bed. There is no evidence of intracranial hemorrhage or mass. No fracture or significant soft tissue swelling. The grey-white matter differentiation appears to be intact. No fracture or soft tissue swelling. There is a pro... | 1. No evidence of intracranial abnormality. No fracture or significant soft tissue swelling.2. Prominent CSF space anterior to the left temporal lobe with mild mass effect is statistically favored to represent an arachnoid cyst. |
Generate impression based on findings. | Sickle cell disease with left upper quadrant pain Extensive stool throughout the colon without obstruction. No free air | Extensive stool throughout the colon without obstruction. No free air. |
Generate impression based on findings. | Reason: fell when running on wood floor, refusing to bear weight History: leg painVIEWS: Right tibia/fibula AP and lateral (2 views) left tibia/fibula AP and lateral (2 views) No fracture or dislocation. | No fracture or dislocation. |
Generate impression based on findings. | NG tube placement Distal end of the feeding tube within gastric antrum. No bowel obstruction. | Distal end of the feeding tube within gastric antrum. No bowel obstruction. |
Generate impression based on findings. | NG tube placement Distal end of the feeding tube within stomach. No bowel obstruction | Distal end of feeding tube within stomach. No bowel obstruction |
Generate impression based on findings. | DesaturationVIEW: Chest AP There is a vagal stimulator device in place. Cardiothymic silhouette normal. Minimal patchy atelectasis in the left lower lobe. No pleural effusion or pneumothorax. | Minimal patchy atelectasis left lower lobe. |
Generate impression based on findings. | Nausea emesis No bowel obstruction. | No bowel obstruction. |
Generate impression based on findings. | Evaluate pleural effusionVIEW: Chest AP Left central line in place. Right upper extremity PICC in the right axillary vein. Right-sided chest port in place. Multiple surgical clips in the right upper quadrant. Again noted residual contrast in the retroperitoneal lymph nodes not significantly changed. Cardiothymic silhou... | Moderate right pleural effusion minimally increased from prior study. |
Generate impression based on findings. | Abdominal pain constipation No bowel obstruction | No bowel obstruction |
Generate impression based on findings. | NG tube placement Distal end of the NG tube within gastric cardia. No bowel obstruction | Distal end of the NG tube within gastric cardia. No bowel obstruction |
Generate impression based on findings. | Lasix administrationVIEW: Chest AP ET tube tip at the level of the thoracic inlet. NG tube tip in the stomach. Cardiothymic silhouette normal. Patchy atelectasis in the left lower lobe. No pleural effusion or pneumothorax. | Left lower lobe atelectasis new from prior study. |
Generate impression based on findings. | Abdominal pain Moderately dilated centrally located small bowel loops out of proportion with respect to the distal small bowel and colon. No free air. | Moderately dilated centrally located small bowel loops out of proportion with respect to the distal small bowel and colon suggestive for partial small bowel obstruction. No free air |
Generate impression based on findings. | Left hip painVIEWS: Pelvis AP and frog leg No acute fracture or dislocation. Both the femoral heads are seated within the acetabula. | Normal examination. |
Generate impression based on findings. | Check capsule placement Radiopaque focus consistent with capsule projecting within the proximal stomach. No bowel obstruction. | Radiopaque focus consistent with capsule projecting within the proximal stomach. No bowel obstruction. |
Generate impression based on findings. | Bilious vomiting Moderate gaseous distention of the stomach. Distal end of feeding tube within the gastric antrum. No bowel obstruction. | Moderate gaseous distention of the stomach. Distal end of feeding tube within the gastric antrum. No bowel obstruction. |
Generate impression based on findings. | NG tube placement Distal end of the NG tube in the region of the pylorus. Persistent mild ileus pattern again noted | Distal end of the NG tube in the region of the pylorus. Persistent mild ileus pattern again noted. |
Generate impression based on findings. | 80 year-old male with history of acute onset back pain. Evaluate for pancreatitis or diverticulitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Mild hepatic steatosis.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormali... | No evidence of pancreatitis or diverticulitis as clinically queried. Severe degenerative disc disease without acute intra-abdominal pathology. |
Generate impression based on findings. | NG tube placement Distal end of the NG tube within second portion of duodenum. Mild ileus pattern. | Distal end of the NG tube within second portion of duodenum. Mild ileus pattern |
Generate impression based on findings. | Abdominal distention Mild ileus pattern. Resection of right femoral head. Sclerotic findings involving the right hip consistent with chronic osteomyelitis again noted. | Mild ileus pattern. Interval resection of right femoral head. |
Generate impression based on findings. | Abdominal pain Distal end of enteral tube within proximal jejunum. No bowel obstruction. No excessive stool burden observed. | Distal end of enteral tube within proximal jejunum. No bowel obstruction. No excessive stool burden observed. |
Generate impression based on findings. | Acute pancreatitis ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Minimal bilobar intrahepatic ductal dilatation associated with mild extrahepatic ductal dilatation. Maximal AP diameter distal common bile duct 9 mm. No obvious distal obstructing lesion appreciated.SPLEEN: No significant abnor... | Minimal bilobar intrahepatic ductal dilatation associated with mild dilatation of extrahepatic bile duct without obvious distal obstructing mass. Unremarkable pancreas without evidence for pancreatic ductal dilatation. |
Generate impression based on findings. | 22 year-old female with history of VP shunt revision and abdominal pain. Lack of intravenous contrast enhancement limits the evaluation of solid organ parenchyma and vascular structures. Given these limitations, the following observations can be made:ABDOMEN:LUNG BASES: Mild bibasilar atelectasis.LIVER, BILIARY TRACT: ... | Loculated perihepatic and mesenteric fluid collections as above presumably postoperative in etiology. |
Generate impression based on findings. | Left lower quadrant abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRET... | Negative for acute, inflammatory, or neoplastic process. |
Generate impression based on findings. | 54-year-old female with history of epigastric pain. Evaluate for gallbladder or liver pathology. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is gallbladder wall thickening and hyperemia. Mild prominence of the extrahepatic bile ducts.SPLEEN: No significant abnormality notedPANCREAS: ... | Findings compatible with acute cholecystitis. Please note that a subsequent ultrasound was performed. |
Generate impression based on findings. | Hepatocellular carcinoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCORONARY ARTERY CALCIFICATION: Mild.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant change in mildly enhancing segment 6 hepatic mass with washo... | Stable examination. |
Generate impression based on findings. | 85-year-old male with history of obstructive colon mass. CHEST:LUNGS AND PLEURA: There is a spiculated part solid nodule in the right lower lobe measuring 2.5 x 1.4 cm (image 78 of series 5).. Scattered pulmonary cysts are present.MEDIASTINUM AND HILA: The heart size is normal without pericardial effusion. There is bul... | 1. Focal rectal wall thickening with regional lymph nodes compatible with patient's known colorectal carcinoma.2. Right lower lobe pulmonary part solid nodule concerning for synchronous primary carcinoma.3. Metastatic mediastinal lymphadenopathy may be secondary to synchronous lung primary or known colorectal carcinoma... |
Generate impression based on findings. | 78-year-old female with history of rheumatoid arthritis. Evaluate for rheumatoid arthritis. Left hand: Three views of the left hand demonstrate findings consistent with severe rheumatoid arthritis particularly affecting the wrist with erosion, joint narrowing, and ankylosis. Fusion of the first metacarpal phalangeal jo... | Findings consistent with combined rheumatoid and osteoarthritis as above. |
Generate impression based on findings. | 49-year-old female with history of left lower quadrant pain. Evaluate for diverticulitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Mild hepatic steatosis.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKID... | 1. No evidence of diverticulitis as clinically queried. 2. Air in the vagina and uterus is nonspecific.3. Mild thickening of the bladder wall may be due to underdistention, although correlation with urinalysis is recommended. |
Generate impression based on findings. | NONCONTRAST: There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is minimal periventricular white matter hypoattenuation which is nonspecific, likely representing minimal age indeterminate microvascular ischemic changes. The ventricles and basal cisterns are normal in size and configuration... | 1.No acute intracranial hemorrhage or mass-effect. CT is insensitive for detection of early nonhemorrhagic stroke.2.Mild intracranial atherosclerosis as described above with no flow limiting stenosis or intracranial aneurysm.3.Mild atherosclerotic calcification in the aortic arch and mild to moderate narrowing of the l... |
Generate impression based on findings. | FractureVIEWS: Right tibia and fibula AP and lateral The external fixator with screws in the mid and distal tibia again noted. There are comminuted fractures involving the distal tibia and fibula. There is a surgical drain immediately adjacent to the fibula. There is marked soft tissue swelling. | Postsurgical changes with alignment not significantly changed. |
Generate impression based on findings. | Evaluate pleural effusionVIEWS: Chest AP and lateral Left central line in place. Right upper extremity PICC with tip in the right axillary vein. Right chest port in place. Multiple surgical clips in the right upper quadrant. The moderate right pleural effusion has decreased. Right lung volume is small in comparison to ... | Moderate right pleural effusion decreased from prior study. |
Generate impression based on findings. | There are postsurgical changes related to right parietal burr hole placement for right hemispheric subdural collection evacuation. There is persistent moderate subdural air in air-fluid level with increasing conspicuity of layering hyperdensity along the right lateral cerebral convexity measuring up to 25 mm, unchange... | No significant interval change in size of prominent right-sided subdural collection, mass effect and midline shift. Slight increase conspicuity of layering high-density blood products likely related to redistribution within the collection, although continued surveillance is recommended to exclude possibility of new blo... |
Generate impression based on findings. | Shoulder pain with movement. Tiny lucencies in the humeral head likely represent small cysts that could be degenerative in etiology, but are not necessarily of any current clinical significance. The acromiohumeral interval is preserved, although this does not confirm or exclude a rotator cuff tear. I see no findings to... | Possible tiny cysts in the humeral head which could be degenerative in etiology, but not necessarily of any current clinical significance. If further imaging evaluation of the rotator cuff clinically is warranted, MRI may be considered. |
Generate impression based on findings. | Abdominal painVIEW: Abdomen AP Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. No abnormal dilated loops of bowel. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Swelling, trauma There is diffuse soft tissue swelling. There is a small ossicle immediately distal to the medial malleolus that appears corticated and I suspect may represent old trauma, but I see no acute fracture. Small ankle joint osteophytes indicate mild osteoarthritis. There are posterior and plantar calcaneal s... | Soft tissue swelling without acute fracture evident. |
Generate impression based on findings. | 60 years old, Male, Reason: CVA History: Sudden onset of worsened left-sided muscle weakness beyond baseline, which has resolved. Hx of AICD, atrial arrhythmia c/w atrial flutter on ASA and coumadin. There is anterior and posterior periventricular hypoattenuation with focal more substantial hypoattenuation in the left ... | 1. Patchy periventricular hypoattenuation with more focal hypoattenuation in the left and right frontal centrum semiovale likely secondary to age indeterminate small vessel ischemic disease. Questioned decreased delineation of right insular grey-white matter differentiation, with possibility of acute ischemic change no... |
Generate impression based on findings. | 81 years old, Female, intraparenchymal hemorrhage There is decreased density consistent with expected evolution of the hematoma centered in the left anterior temporal lobe extending along the insular cortex and left inferior frontal cortical white matter. Hematoma is stable in size compared to the prior exam.Redemonstr... | 1. Expected evolution of hematoma centered in the left temporal which is unchanged in size. No foci of new hemorrhage.2. Continued evolution of infarctions involving the left temporal and occipital lobes with unchanged focus of high attenuation which likely represents evolving blood product. |
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