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Generate impression based on findings. | Cerebral palsy. Developmental delay. Seizure after fall onto floor. There is no evidence of intracranial hemorrhage or mass. No fracture or soft tissue swelling. There is a persistent cavum septum pellucidum and cavum vergae. The ventricles are normal in size and configuration. There are scattered periventricular calci... | 1. No evidence of intracranial abnormality.2. There are scattered periventricular calcifications which may represent sequela of prior TORCH infection or other dystrophic calcification. 3. Overall paucity of white matter with hypoattenuation which may relate to diffuse areas of gliosis. Posterior corpus callosum is not ... |
Generate impression based on findings. | 72 years old, Female, Not currently on blood thinners presenting with hypertensive urgency and confusion. There is no evidence of intracranial hemorrhage or mass. Mild periventricular white matter hypoattenuation is nonspecific although may represent age indeterminate small vessel ischemic disease. There is dense calci... | 1. No evidence of intracranial hemorrhage or cerebral edema. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct.2. Mild periventricular white matter hypoattenuation is nonspecific although may represent age indeterminate small vessel ischemic disease.3. Focal dural based calcific... |
Generate impression based on findings. | 68 years old, Male, altered mental status There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. There is mild hypoattenuation within the periventricular white matter which is nonspecific although may represent age indeterminate small vessel ischemic disease... | 1. No evidence of intracranial hemorrhage or cerebral edema. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct.2. Findings suggestive of mild age indeterminate small vessel ischemic disease.3. Fluid within the paranasal sinuses is in a similar pattern compared to the prior exam ... |
Generate impression based on findings. | Status post ACDF. Evaluation of the cervicothoracic junction on the lateral view is limited by overlying anatomy. There is a new anterior fixation device at C3/4 with density in the intervertebral disk space that I presume represents bone graft. There is a grade 2 anterolisthesis of C3 relative to C4. Severe degenerati... | Postoperative changes of ACDF and degenerative arthritic changes as described above. |
Generate impression based on findings. | Please note that there is little if any contrast opacification despite lack of any note regarding extravasation.There is no evidence of fracture. The vertebral column alignment is within normal limits. The vertebral body heights are preserved. There are scattered mild degenerative changes of the cervical spine. There ... | 1. Mild degenerative changes of the cervical spine without fracture or soft tissue swelling.2. Scattered calcified lymph nodes may be related to prior granulomatous disease or possibly treated malignancy if clinically appropriate.3. There is an incidentally noted 4-mm right upper lobe pulmonary nodule. Recent guideline... |
Generate impression based on findings. | NECK: There is no evidence of mass lesions or significant cervical lymphadenopathy. Fossa of Rosenmueller on the left is not well seen as compared to the last exam which may be due to post treatment change. There is mild persistent fat stranding in the left masticator and buccal space. There are erosive changes with l... | 1.Stable exam with findings suggesting persistent left-sided perineural tumor involvement. Please refer to accompanying MRI orbits for further details.2.Persistent osseous erosive changes minor left pterygoid plates and sclerotic changes of the clivus.3.No evidence of intracranial metastases. |
Generate impression based on findings. | 84 years old, Female, History: left mca occlusion There is no evidence of intracranial hemorrhage or mass. There is bilateral periventricular hypoattenuation compatible with chronic microvascular ischemic disease. There is subtle ill-defined asymmetrically increased hypoattenuation corresponding to known acute ischemic... | 1. Subtle ill-defined asymmetrically increased hypoattenuation corresponding to the known recent ischemic lesions in the left corona radiata and left basal ganglia are not significantly changed from the prior exam.2. No evidence of intracranial hemorrhage. |
Generate impression based on findings. | There is no significant cervical lymphadenopathy. Previously noted left level 4 lymph node measures 4 mm in short axis, previously 6 mm (series 6, image 41). Previously referenced (8/30/2014) right level 4 lymph node measures 5 x 6 mm (series 5, image 137). The more recently referenced left level 5b lymph node is not ... | No evidence of recurrent metastatic cervical lymphadenopathy. |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with mild to moderate age-related volume loss. The basal cisterns remain patent. There is no midline shift or mass effect. Prominent patchy abnormal signal is seen within the pons, which is nonspecific but may represent chronic small vessel ischemic changes. There is ... | No acute abnormality or evidence of intracranial metastatic disease. Probable mild patchy pontine chronic small vessel ischemic changes. |
Generate impression based on findings. | 64 years old, Male, Reason: thyroid cancer. Head: 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 scattered mucosal thickening of the ethmoid sinuse... | 1. No new metastatic lesions within the head or neck.2. Stable to minimally smaller soft tissue mass in the right thyroidectomy bed.3. Stable to minimally smaller right paratracheal lymph node.4. Osseous metastatic disease to the left scapula with pathologic fracture is again seen. Heterogeneous appearance of the clavi... |
Generate impression based on findings. | Motion limits fine detail on some sequences. There is a multiloculated cystic mass with enhancing septations measuring approximately 17 x 15 mm in the axial plane (series 3, image 18) and 19 x 10 mm in the sagittal plane (series 3101, image 163). There is associated mass effect on the proximal cerebral aqueduct and do... | 1. Multilobulated cystic mass in the pineal region with mass effect on the proximal cerebral aqueduct and dorsal tectum is statistically favored to represent a pineal cyst, however a pineocytoma is also considered and could have similar imaging findings. The cerebral aqueduct remains patent. Given size and mass effect ... |
Generate impression based on findings. | 46 years old, Female, Reason: Right ICH Motion artifact severely degrades detail of parenchymal hemorrhage. There is redemonstration of a parenchymal hemorrhage measuring approximately 42 x 41 mm and axial dimensions (series 4, image 20). Hypoattenuation suggests surrounding edema although this is not well delineated d... | Near nondiagnostic exam, with redemonstration of intraparenchymal hematoma dissecting into the ventricular system and right sylvian fissure, favored to be stable in size although measures slightly larger on this exam which may be secondary to significant motion artifact. Consider repeat imaging when able and if clinica... |
Generate impression based on findings. | 57 years old, Female, Reason: r/o acute infarct or bleed History: dysarthria and right sided weakness. History of 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 ... | No evidence of intracranial hemorrhage or mass. Please note non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct. |
Generate impression based on findings. | 52 years old, Female, History: right sided facial droop, headache There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. There is nonspecific prominence of the lateral ventricles with normal third and fourth ventricles. There is no midline shift or herniatio... | 1. No evidence of intracranial hemorrhage or cerebral edema. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct.2. Nonspecific prominence of the lateral ventricles |
Generate impression based on findings. | Postoperative history again seen from previous right T1-2 intradural-extramedullary mass resection with right laminectomy at T1 and T2. Previously seen fluid collection in the posterior soft tissue operative bed is completely resolved, with nonspecific enhancing soft tissue along the surgical tract abutting the dura, ... | Continued stable postoperative appearance of the upper thoracic spine without evidence of recurrent mass. |
Generate impression based on findings. | Streak artifact from dental amalgam limits evaluation of regional structures and the oral cavity. Given this limitation, there is no evidence of mass lesions or significant cervical lymphadenopathy; particularly, there is no enlarged lymph node by the left submandibular gland, and the left submandibular gland appears ... | 1.No cervical mass. Particularly, there is no enlargement of the left submandibular gland regional lymphadenopathy. Small nonenlarged bilateral submandibular lymph nodes which are benign given their fatty hila.2.Tiny left thyroid hypoattenuating nodule.3.Suspected periodontal disease of posterior left maxillary molar t... |
Generate impression based on findings. | Productive coughVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Cardiac apex, aortic arch and stomach left-sided. Peribronchial wall thickening with subsegmental atelectasis left lower lobe. The lung volumes are increased. No pleural effusion or pneumothorax. | Reactive airway disease without pneumonia. |
Generate impression based on findings. | Cardiac arrestVIEW: Chest AP Tracheostomy tube in place. There is a G-tube in place. Cardiothymic silhouette normal. Right upper lobe atelectasis not significantly changed. Minimal patchy atelectasis left lower lobe. No pleural effusion or pneumothorax. | Right upper lobe atelectasis not significantly changed. |
Generate impression based on findings. | HypoxiaVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Peribronchial wall thickening with subsegmental atelectasis left lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | Asthma exacerbationVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Right lower lobe opacity noted. Peribronchial wall thickening with subsegmental atelectasis right lower lobe and left lower lobe. No pleural effusion or pneumothorax. | Right lower lobe pneumonia in a background of reactive airway disease. |
Generate impression based on findings. | Abdominal distentionVIEW: Chest AP and abdomen AP Tracheostomy tube in place. NG tube tip in the stomach. Gastrostomy tube in place. Right lower extremity PICC with tip in the right atrium. Cardiomegaly unchanged. Patchy atelectasis in the right upper lobe and left lower lobe. No pleural effusion or pneumothorax. Minim... | Paucity of bowel gas within the abdomen. |
Generate impression based on findings. | Increased oxygen requirementVIEW: Chest AP NG tube tip in the stomach. 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. | Abdominal distentionVIEW: Abdomen AP NG tube tip in the stomach. There is abnormal bowel dilation not significantly change. No pneumatosis or pneumoperitoneum. Patchy atelectasis in the right lower lobe. | Abnormal bowel dilation without pneumoperitoneum not significantly changed. |
Generate impression based on findings. | Increased oxygen requirementVIEW: Chest AP NG tube tip in the midesophagus. Cardiothymic silhouette normal. Minimal patchy atelectasis in the right lower lobe and left lower lobe. No pleural effusion or pneumothorax. Right lower extremity central line with tip in the intrahepatic IVC again noted. | Patchy atelectasis in the right lower lobe and left lower lobe. Malpositioned NG tube. |
Generate impression based on findings. | Necrotizing pneumoniaVIEW: Chest AP Left upper extremity PICC unchanged. Right-sided chest tube again noted. Cardiothymic silhouette normal. The small right hydropneumothorax is not significantly changed. Necrotizing pneumonia involving the right lung not significantly changed. Minimal patchy atelectasis left lower lob... | Right hydropneumothorax and right lung opacities not significantly changed. |
Generate impression based on findings. | Female 36 years old Reason: eval acute process History: h/o UC, p/w abd distention, pain, nausea, bloody diarrhea ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No... | Postsurgical changes consistent with total colectomy. No findings to explain acute symptoms. Correlate clinically for pouchitis, but no CT evidence. |
Generate impression based on findings. | TEF repairVIEW: Chest AP NG tube tip in the stomach. Umbilical lines unchanged. There is a right-sided chest tube with one of the sideholes in the subcutaneous tissue. Cardiothymic silhouette normal. Minimal patchy atelectasis right upper lobe. No pleural effusion or pneumothorax. | Minimal patchy atelectasis right upper lobe |
Generate impression based on findings. | DesaturationVIEW: Chest AP Cardiomegaly unchanged. PDA clip in place. Minimal patchy atelectasis left lower lobe. No pleural effusion or pneumothorax. | Minimal atelectasis left lower lobe. |
Generate impression based on findings. | Increased oxygen requirementVIEW: Chest AP and abdomen AP Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Minimal patchy atelectasis right lower lobe. No pleural effusion or pneumothorax. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. | Minimal patchy atelectasis right lower lobe. |
Generate impression based on findings. | Male 49 years old; Reason: obstruction History: constipation Exam is not sensitive detecting lesions in the solid organs of vasculature due to lack of intravenous contrast. Given those limitations, the following observations are made:ABDOMEN:LUNGS BASES: Cardiomegaly. Pacer. Small right pleural effusion.LIVER, BILIARY ... | 1.No findings to explain symptoms. Trace right pleural effusion. Other chest findings. |
Generate impression based on findings. | Chest painVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Peribronchial wall thickening with subsegmental atelectasis in the right upper lobe. No pleural effusion or pneumothorax. | Reactive airway disease without evidence of acute chest. |
Generate impression based on findings. | Female 80 years old Reason: 80yo female with history of HTN and new onset ascites, rule out portal vein thrombosis and RUQ pathology. History: abdominal distention ABDOMEN:LUNG BASES: Basilar atelectasis.LIVER, BILIARY TRACT: One small hypodense lesion in the dome of the left lobe presumably a cyst. No other liver lesi... | Enlarged kidneys with numerous large cysts. Significant mass effect on abdominal and retroperitoneal structures. No cysts seen in other organs.Postsurgical changes abdominal wall and left hip. |
Generate impression based on findings. | PainVIEWS: Left ankle AP, oblique and lateral No acute fracture or dislocation. | Normal examination. |
Generate impression based on findings. | Injury to the ring fingerVIEWS: Left hand AP, left fourth digit oblique and lateral No acute fracture or dislocation. There is soft tissue injury at the tip of the ring finger. | No acute fracture or dislocation. |
Generate impression based on findings. | Cough tachypneaVIEW: Chest AP Cardiothymic silhouette normal. Peribronchial wall thickening with subsegmental atelectasis in the right lower lobe and left lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | Evaluate foreign bodyVIEW: Abdomen AP There is a radiopaque foreign body projected to the right of midline at the right lower quadrant likely to represent the ingested foreign body. The radiopaque foreign body is likely within the small bowel. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperit... | Radiopaque foreign body likely within the small bowel as described above. |
Generate impression based on findings. | Evaluate foreign bodyVIEW: Chest AP Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Minimal patchy atelectasis right lower lobe. No pleural effusion or pneumothorax. No evidence of radiopaque foreign body. | No evidence of radiopaque foreign body. |
Generate impression based on findings. | Cough feverVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Peribronchial wall thickening with subsegmental atelectasis left lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | Male 33 years old; Reason: 33M w jejunostomy takedown,creation of descending colostomy now with distended abdomen, dropping hgb History: distended abdomen, dropping hgb. ABDOMEN:LUNGS BASES: Moderate to large right pleural effusion. Small to moderate left pleural effusion. Extensive bibasilar atelectasis or consolidati... | 1.Increase in generalized ascites. Although there is no hematocrit effect in the ascites, simple fluid is nonspecific and of component of blood cannot be excluded by CT.2. Increased pleural effusion on the left. Extensive bibasilar atelectasis or consolidation rule out infection. 3.No evidence of bowel perforation. Per... |
Generate impression based on findings. | Reduction of fractureVIEWS: Right hand AP, oblique and lateral The fracture involving the fifth proximal phalanx is poorly visualized secondary to the overlying splint. The alignment is not significantly changed. | Fracture of fifth proximal phalanx poorly visualized secondary to the splint in place. |
Generate impression based on findings. | 58 years, Male. Reason: eval bowel gas pattern History: ileus Paucity of bowel gas. There is essentially no bowel gas present. Dobbhoff tube coiled in proximal gastric body. NG tube coiled in stomach with tip in body antral junction. Bilateral iliac catheters. Temperature probe coiled over pubic symphysis. | Paucity bowel gas makes exam nonspecific for ileus or obstruction. |
Generate impression based on findings. | DesaturationVIEW: Chest AP Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Minimal patchy atelectasis left lower lobe. No pleural effusion or pneumothorax. | Minimal patchy atelectasis left lower lobe. |
Generate impression based on findings. | There is anterior and posterior periventricular hypoattenuation with focal more substantial hypoattenuation in the left greater than right centrum semiovale, likely representing age indeterminate small vessel ischemic changes. There are age indeterminate bilateral thalamic lacunar infarcts again seen. There appears to... | 1. No acute intracranial hemorrhage. Interval apparent increased asymmetric hypoattenuation along the right subinsular white matter although gray-white matter differentiation is preserved and better delineated. This may in part be artifactual in etiology given the appearance on sagittal images, although the possibility... |
Generate impression based on findings. | PainVIEWS: Right knee AP, oblique and lateral No acute fracture or dislocation. There is a small knee joint effusion. | No acute fracture or dislocation. |
Generate impression based on findings. | 35 years, Male. Reason: eval for signs of obstruction History: abdominal pain Nonobstructive bowel gas pattern. Small native kidneys consistent with chronic medical renal disease.. Lung bases clear. Osseous and soft tissue structures otherwise unremarkable. | No evidence of obstruction. |
Generate impression based on findings. | 47 years, Male. Reason: evaluate placement of OG tube History: placement of OG tube Pelvis excluded from field of view.NG tube coiled in gastric body.Dilated small bowel and colon. Obstruction cannot be excluded. No obvious intramural or free air. Drainage tubes overlie the midline chest and right abdomen and lower che... | Limited exam. NG tube coiled in gastric body. |
Generate impression based on findings. | 82 years, Male. Reason: eval bowel gas pattern History: ileus Midline surgical staples. A right-sided multisite hole drainage catheter is seen.Markedly dilated loops of jejunum but no ileal or colonic gas. The pattern is one of obstruction. Clinical context of recent surgery favors ileus however CT scan shows a transit... | Markedly dilated loops of jejunum. Given findings a transition zone on the CT scan of 4/23/15 this likely represents persistent obstruction. |
Generate impression based on findings. | There is a mildly prominent left palatine tonsil with mild hypoattenuation and heterogeneous enhancement noted laterally with relative hypo-enhancement on the delayed angle contrast images. This oval area measures 1.2 x 1.1 cm on these images with questioned mild mass effect on the tonsillar tissue. This may represent... | 1.Left palatine tonsillitis with concern for tonsillar versus peritonsillar phlegmon and/or early abscess, with associate mild mass effect on the airway which remains patent.2.Inflammatory changes within the left paracentral fat extending towards the deep left parotid space. Questioned asymmetric prominence of the left... |
Generate impression based on findings. | FallVIEWS: Left knee AP and lateral There is a splint material posteriorly which limits fine bony detail. No definite fracture noted. No evidence of knee joint effusion. | Within the limitation described above no acute fracture. |
Generate impression based on findings. | 58 years, Female. Reason: NGT placement History: NGT placement Inferior portion pelvis excluded from field of view.NG tube tip in the distribution of the gastric pylorus.Mild ileus pattern left mid abdomen. No evidence of obstruction. Other findings unchanged compared to prior exams. Surgical clips, bilateral renal nep... | NG tube overlies gastric pyloric region. |
Generate impression based on findings. | 35 years, Female. Reason: gas pattern, stool burden History: abdominal pain Normal bowel gas pattern. Surgical clips, corkscrew staples in left upper quadrant. Gastric suture lines.Less than average stool burden. | Less than average stool burden. No findings to explain pain. |
Generate impression based on findings. | FallVIEWS: Left femur AP and lateral There is an acute fracture involving the mid diaphysis of the left femur with the distal fracture fragment displaced laterally. There is an overlap of approximately 4 cm. There is an overlying splint in place. The femoral head is seated within the acetabulum. | Fracture of the left femur as described above. |
Generate impression based on findings. | 77 years, Female. Reason: Dobbhoff placement History: Dobbhoff placement. Low pelvis excluded from field of view.Dobbhoff tube tip projects over the distal antrum. Radiopaque object lateral to liver unchanged from CT scan of uncertain significance.Atherosclerotic calcifications.Degenerative changes lumbar spine. Basila... | Dobbhoff tube projects over distal gastric antrum. |
Generate impression based on findings. | FallVIEWS: Pelvis AP No acute fracture or dislocation. Both the femoral heads are seated within the acetabula. | Normal examination. |
Generate impression based on findings. | 64 years, Female. Reason: Evaluate for obstruction History: Abdominal Distension Nonobstructive bowel gas pattern. NG tube coiled overlying gastric body. No obvious intramural air or free air given limitation supine view. Pelvic calcifications consistent with uterine leiomyomata. Bilateral pleural effusions and lung op... | No evidence of bowel obstruction. |
Generate impression based on findings. | FallVIEWS: Left femur lateral There is a transverse fracture of the mid diaphysis of the left femur with overlap of the fracture fragments of approximately 4 cm. There is soft tissue swelling about the fracture site. | Fracture of the left femur as described above. |
Generate impression based on findings. | HEAD: There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is mucosal thickening with bubbly secretions in the left maxillary sinus. There is scattered opacification of a few bila... | No acute intracranial hemorrhage, skull or cervical spine fracture.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Female 58 years old. Reason: eval PE. History: SOB, elev dimer PULMONARY ARTERIES: No evidence of acute pulmonary embolus to the segmental level. The pulmonary arteries are normal in caliber. There is no evidence of right heart strain.LUNGS AND PLEURA: Scattered ground glass opacities and nodularity which is new since ... | 1.No acute pulmonary embolus.2.Scattered ground glass opacities with lymphadenopathy, which is nonspecific, but can be seen in sarcoidosis. Other etiologies such as viral or atypical infection cannot be entirely excluded. PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Prox... |
Generate impression based on findings. | Femur fractureVIEWS: Pelvis AP No acute fracture or dislocation. There is mild widening of the right sacroiliac joint and this may be related to positioning. Both the femoral heads are seated within the acetabula. | Apparent widening of the right sacroiliac joint and may be related to positioning. If clinically indicated repeat radiographs could be obtained. |
Generate impression based on findings. | 54 years, Female. Reason: concern for signs of chronic pancreatitis v. obstruction History: abdominal pain Nonobstructive bowel gas pattern. No interval air or free air. No evidence of ileus to suggest pancreatitis - if there is strong clinical concern CT may be obtained.Scattered surgical clips. Spinal hardware. Lung ... | No evidence of obstruction or free air. |
Generate impression based on findings. | Trauma fallVIEWS: Cervical spine AP and lateral The cervical spine is visualized from C1 to C7 in the lateral projection. There is no acute fracture or subluxation. The alignment is normal. There is no prevertebral soft tissue swelling. The adenoids is minimally enlarged. | Normal examination. |
Generate impression based on findings. | 83 years, Female. Reason: assess for obstruction or stool burden; 83F esophageal ca; just started tube feeds this week History: no bowel movement x 1 week Extensive debris in the stomach. Percutaneous gastrostomy tube overlies gastric body. Nonobstructive bowel gas pattern with average stool burden. Some faint contrast... | Average stool burden. No evidence of obstruction of small or large bowel, although debris is seen in the stomach. |
Generate impression based on findings. | MAXILLOFACIAL: There are minimally displaced comminuted left nasal bone fractures with overlying soft tissue swelling. There are no other acute facial fractures. There is soft tissue swelling in the left frontal scalp, preseptal and periorbital soft tissues. The globes are intact. The intraconal fat is normal in appea... | 1.Minimally displaced comminuted left nasal bone fractures with overlying soft tissue swelling.2.No acute intracranial hemorrhage or skull fracture.3.Chronic appearing infarct in the left internal capsule anterior limb. CT is insensitive for detection of early nonhemorrhagic stroke.4.Finding suggesting acute left sphen... |
Generate impression based on findings. | 57 years, Female. Reason: NGT History: NGT NG tube tip overlies pyloric region. Nonobstructive bowel gas pattern. Vascular stents iliac region. Please refer to CT. | NG tube tip overlies pyloric region. |
Generate impression based on findings. | 76 years, Female. Reason: NGT placed, verify History: same Pelvis excluded from field of view.NG tube tip overlies pyloric region.Nonobstructive bowel gas pattern with residual contrast seen in the right and proximal transverse colon.Caval filter. Probable bowel clip overlies duodenum.Extensive vascular calcification. ... | NG tube tip overlies pyloric region. |
Generate impression based on findings. | Male 47 years old Reason: eval for leakage around the PEG track or other area which could be leaking free air into abdomen History: free air, 1 day post PEG, fever, otherwise stable, no pain Exam is limited by inability to maneuver patient position. Overhead and spot films were obtained.Scout view shows expected free i... | Limited exam. No evidence of active leak. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. A tiny area of low density along the lateral aspect of the right basal ganglia likely represents a prominent perivascular space. Minimal low-dens... | 1. No acute intracranial abnormality.2. No acute fracture or traumatic subluxation. Minimal degenerative anterolisthesis of C2 on C3.3. Slight prominence of prevertebral soft tissues along the upper cervical spine, in part felt to relate to retropharyngeal course of the right internal carotid as well as more likely thi... |
Generate impression based on findings. | Female 52 years old. Reason: Lung cancer. History: lung cancer s/p chemo; re-evaluate, compare to previous imaging. CHEST:LUNGS AND PLEURA: The previously referenced right perihilar nodule is no longer measurable, compatible with treatment response. There are no new hilar or parenchymal lesions. The previously referenc... | Mixed response with resolution of the previously seen right perihilar mass, however, multiple new and enlarging hypoattenuating foci in the liver are suspicious for malignancy. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There are scattered foci periventricular and subcortical hypoattenuation which are nonspecific, likely representing age indeterminate small vessel ischemic changes. The ventricles and basal cisterns are normal in size and configuration. There is... | Age indeterminate small vessel ischemic changes with no acute intracranial hemorrhage or mass effect. CT is insensitive for detection of early nonhemorrhagic stroke.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: 65yo with HTN, DM, CKD, h/o RCC w/partial nephrectomy. worsening renal fxn. Requesting US History: worsening crt RIGHT KIDNEY: 6.7 cm in length. Prior partial right nephrectomy. Cortical thinning but corticomedullary differentiation is seen. Suggestion of mild increased echogenicity with pro... | Postsurgical changes right kidney. Questionable mild increased echogenicity. No hydronephrosis or hydroureter. |
Generate impression based on findings. | NONCONTRAST: There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The lateral ventricles are again mildly prominent with a normal sized third and fourth ventricles. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial sof... | 1.No flow limiting stenosis in the head or neck, or intracranial aneurysm.2.No acute intracranial hemorrhage or mass effect. CT is insensitive for detection of early nonhemorrhagic stroke.3.Stable nonspecific mildly prominent lateral ventricles with normal sized third and fourth ventricles. |
Generate impression based on findings. | 58 years, Female. Reason: rule out perf History: worsening abd exam Generalized ileus pattern. No evidence of intramural air or free air. Position of NG tube, stents and clips unchanged. Cluster calcifications right abdomen unchanged as seen on CT scan. Lung bases clear. | Mild ileus. No intramural or free air. |
Generate impression based on findings. | Female 54 years old Reason: eval for cause of hemoptysis, abdominal pain History: metastatic RCC CHEST:LUNGS AND PLEURA: There is extensive progression of tumor in the right lung with extensive cavitation and air-fluid level occupying the right upper lobe with no visible normal lung tissue seen within. There is also pr... | Progression of disease in the lungs, chest wall and retroperitoneum.Large air-fluid level in the upper right hemithorax. I favor this being necrotic tumor with cavitation.These findings were communicated by telephone to Dr. David Vanderweele at the time of this interpretation. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation or pathological enhancement. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids/middle ears ar... | 1. No flow-limiting stenosis or occlusion within the intracranial or extracranial circulation. Limited evaluation of the proximal right V1 segment segment to surrounding venous contrast.2. Tiny 2 x 2 mm apparent outpouching off the lateral aspect of the right cavernous internal carotid artery directed inferiorly with s... |
Generate impression based on findings. | Fracture check. Trauma and pain Persistent mild to moderate osteoarthritic changes including narrowing, sclerosis and osteophytes. Again no superimposed focal acute or subacute abnormality. Alignment preserved and small enthesopathy observed along the superior aspect of the patella. No effusion. | Moderate osteoarthritis without acute or subacute abnormality. |
Generate impression based on findings. | HypercapniaVIEW: Chest AP ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Right upper extremity PICC and umbilical line not significantly changed. Cardiothymic silhouette normal. Diffuse atelectasis bilaterally increased from prior study. No pleural effusion or pneumothorax. | Diffuse atelectasis increased from prior study. |
Generate impression based on findings. | Male 45 years old Reason: pt with met melanoma please assess response to Temodar and compare to previous imaging History: met melanoma CHEST:LUNGS AND PLEURA: Multifocal bilateral pulmonary metastasis unchanged in number.Index left lower lobe lesion represents conglomerate of lesions, series 5 image 44, 3.1 x 1.6 cm. P... | Increase in size of index lesions. No new sites of disease. |
Generate impression based on findings. | There is redemonstration of asymmetric left pre-maxillary facial soft tissue thickening and fat stranding, only previously partially visualized. This persistence of fat stranding within the left retromaxillary fat, with thickening of the left sided buccal soft tissues, although no focal fluid collection or abscess is ... | Left pre-maxillary facial cellulitis secondary to 9 mm ADA number 14 large dental carie and periodontal/endodontal disease, although no focal fluid collection or abscess at this time. Extensive left sided inflammatory changes extend down to the level of mandible and cranially to the deep fat planes of the neck into the... |
Generate impression based on findings. | Female 70 years old Reason: appendicitis, diverticulitis, History: R LQ abdominal tenderness on exam, suprapubic abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Liver 20.4-cm cephalocaudad. Hypodensity dome series 3 image 14 probably cyst or hemangioma.SPLEEN: Punctate nonspeci... | Mild nonspecific splenomegaly. Punctate hypodensity liver and spleen likely benign. No specific findings to explain suprapubic pain. |
Generate impression based on findings. | Two day history of a fight with persistent pain and swelling throughout the hand Mild diffuse soft tissue swelling is observed largely along the dorsal aspects along with a lucency observed only on the lateral projection. Correlation with patient's specific site of pain is requested and possible follow-up imaging in 3 ... | Questionable base of the third metacarpal lucency preventing exclusion of a nondisplaced subtle fracture. Service contacted (Dr Beiser called) |
Generate impression based on findings. | Female 79 years old Reason: hx breast ca, now with worsening abd pain, eval for etiology History: abd pain CHEST:LUNGS AND PLEURA: New focal left lower lobe collapse concern endobronchial lesion or plug. Some mild subpleural blebs. Atelectasis and pleural thickening at the right base slightly greater than on prior exam... | New left lower lobe collapse. Etiology uncertain concern for endobronchial tumor or compression bronchus by tumor.New sclerosis lower vertebral body with mild collapse.Mixed response in soft tissue lesions and nodes with some areas of decreased adenopathy and some areas of increased adenopathy or new sites of disease c... |
Generate impression based on findings. | Trend of left posterior hyperdensity. Heparin with ischemic infarct. There is stable appearance of evolving hyperdense parenchymal hematoma centered in the left anterior temporal lobe extending along the insular cortex and left inferior frontal cortical white matter. There has been no significant interval change in app... | 1. Stable appearance of evolving hematoma centered in the left temporal lobe as well as a smaller focus of hyperattenuation in the left occipital lobe. No new acute intracranial hemorrhage.2. Continued expected evolution of left temporal, parietal, and posterior temporal lobe infarcts. |
Generate impression based on findings. | Female 55 years old Reason: eval abscess vs acute process History: upper abd pain, vomiting ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No definite focal lesions.Mild biliary dilatation with no transition zone. The gallbladder is not hydropic. Common duct is not dilated. Thus the biliary d... | Marked mucosal edema stomach consistent with an acute gastritis.Mild and hepatic biliary dilatation of uncertain etiology or significance. Loss of height L1 vertebral body. |
Generate impression based on findings. | Mandible pain. Status post assault. Patient unable to give history Multiple extractions with unerupted third left lower molar. Scattered dental. Is observed in poor dentition throughout. Mandible otherwise free of acute abnormality, specifically no fractures or malalignment. Visualized portions of the sinuses are other... | No acute abnormality |
Generate impression based on findings. | Status post EVD exchange. There is a stable right frontal approach ventriculostomy catheter, with tip in the third ventricle. Ventricular caliber is stable, with diffuse enlargement of the lateral and third ventricles. Minimal rightward midline shift measuring 4-5 mm also unchanged. Sulci remain effaced. There has been... | 1. Continued expected evolution of now slightly smaller left thalamic hemorrhage with localized mass effect and minimal stable midline shift. Further decreased intraventricular hemorrhage. 2. Stable right frontal approach ventriculostomy catheter with unchanged ventricular caliber. |
Generate impression based on findings. | Female 58 years old Reason: h/o of SBO, now w/ worsening abdominal pain, concern for perforation History: h/o SBO, worsening abd pain, concern for perf. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No signific... | Progressive high-grade but incomplete mechanical small bowel obstruction. Transition zone may be at or near the ilio-ileal anastomosis in the right lower quadrant. Minimal free fluid near transition zone. Case reviewed in person with clinical GYN service at the time of this interpretation.Signs of peritoneal carcinomat... |
Generate impression based on findings. | Swelling, check for fracture Ankle: Mild diffuse soft tissue swelling with underlying mild degenerative changes. No superimposed acute abnormality or abnormal alignment. Mortise intact.Hip: Mild osteoarthritic changes with narrowing, sclerosis and small osteophytes. Preserved femoral head shape | Mild osteoarthritic and questionable minimal swelling involving the left ankle, correlate with physical exam |
Generate impression based on findings. | Cellulitis and abscess check of both legs. Rule out calciphylaxis, mass is observed medially Femurs: Marked interval extensive atherosclerotic changes are observed throughout the arterial vascular systems extending into tertiary and quaternary vessels, all progressed since 2003. Superimposed mild to moderate degenerati... | Extensive atherosclerotic changes without superimposed distinct focal abnormality involving the soft tissues of either upper leg. Diffuse mild subcutaneous changes compatible with described cellulitis without focal complication. Imaging studies are however are also relatively insensitive for calciphylaxis |
Generate impression based on findings. | There is continued evolution of the large left MCA territory infarct with similar overall configuration of the area of hemorrhagic transformation, and with slight decreased density in some of the previously seen focal blood products. There has been interval slight decrease mass effect on the left lateral ventricle and... | 1. Continued expected evolution of large left MCA territory infarct with slight decreased density of some areas of hemorrhagic transformation, with no significant interval change in overall configuration. Decreased localized mass effect and improved midline shift.2. Continued expected evolution of right parietal lobe i... |
Generate impression based on findings. | Frontal sinus: The frontal sinus and frontoethmoidal recesses are clear.Anterior ethmoids: There is trace mucosal thickening in a few bilateral anterior ethmoid air cells.Maxillary sinuses: There is trace mucosal thickening in the left and mild mucosal thickening in the right maxillary sinus The ostiomeatal units are ... | 1. Very minimal scattered mucosal thickening within the paranasal sinuses with patent bilateral ostiomeatal units. No CT evidence of acute sinusitis.2. Periodontal and endodontal disease along the right maxilla posteriorly with evidence of areas of cortical loss along the floor of the right maxillary sinus, in area of ... |
Generate impression based on findings. | There is a right frontal craniotomy again demonstrated. There is continued evolution with no significant worsening of the resection cavity blood products in the anteromedial right frontal lobe. There may be mildly decreased hyperattenuating blood products, and slightly more prominent hypoattenuation, representing expe... | No new acute intracranial hemorrhage or worsening mass effect, with continued evolution of postsurgical changes. |
Generate impression based on findings. | Swelling following twisting injury. Medial malleolar pain Mild diffuse swelling, most pronounced laterally. Ankle mortise intact and other than diffuse demineralization and minimal atherosclerotic changes, no distinct superimposed osseous or soft tissue abnormality. | Mild diffuse swelling without underlying osseous abnormality |
Generate impression based on findings. | Patient describes tissue rubbing against foot wall walking. Pain and swelling ever since. No acute radiographic abnormality, specifically no acute osseous findings. Alignment preserved. Soft tissues intact, however mild diffuse swelling cannot be excluded, please correlate with opposite foot | Normal |
Generate impression based on findings. | NONCONTRAST: There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is minimal mucosal thickening in the left maxillary sinus. The imaged paranasal sinuses and mastoid air cells are... | 1.Mild cavernous carotid atherosclerotic calcifications with no flow limiting intracranial stenosis or aneurysm.2.No acute intracranial hemorrhage or mass-effect. CT is insensitive for detection of early nonhemorrhagic stroke.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this... |
Generate impression based on findings. | Male 47 years old; Reason: assess for proper g-tube placement History: fever Exam is not sensitive for detecting lesions in the bowel is solid organs due to the lack of oral intravenous contrast. Given those limitations, the following observations made:ABDOMEN:LUNGS BASES: Small bilateral pleural effusions and bibasila... | 1.Pneumoperitoneum likely related to PEG tube placement. Small bilateral pleural effusions and basilar atelectasis. Cholelithiasis.2.Note is made of follow-up water-soluble contrast limited upper GI performed by radiology resident on call. |
Generate impression based on findings. | Female 83 years old Reason: Confirm or exclude hepatic lesions (multi-phase abdominal CT with liver protocol required) History: Recent MIBG scan demonstrating significantly heterogeneous uptake in the liver with areas of increased activity. Recommended follow-up.Also history on chest requisition: Follow up lung mass. C... | Large spiculated left upper lobe mass with satellite nodules concerning for lung cancer primary.Right-sided aortic arch. Atherosclerotic disease. Hepatic cyst.Findings discussed with Dr. Luke Laffin, pager 8957. |
Generate impression based on findings. | There is significant interval improvement in appearance of multiple scattered bilateral cerebral as well as cerebellar metastatic lesions. There is evidence of hemosiderin staining in the areas of the metastases, with decreased extent of blooming on susceptibility weighted images. There is essentially complete resolut... | 1. Significantly improved appearance of multiple intracranial metastases, many of which were hemorrhagic. No significant residual enhancement, and interval complete resolution of previous the seen extensive vasogenic edema and localized mass effect. No new enhancing intracranial lesions identified.2. Persistent area of... |
Generate impression based on findings. | Female 38 years old Reason: acute pathology History: epigatric pain, bilious vomitus, diarrhea s/p R hemicolectomy for appendiceal cancer ABDOMEN:LUNG BASES: No significant abnormality noted. On the uppermost cuts in the sagittal view appears to be a butterfly vertebral body in the mid chest.LIVER, BILIARY TRACT: No si... | Expected postsurgical changes. No evidence of obstruction. Possible nonobstructive adhesions left upper quadrant. Questionable thickening of a loop of jejunum in the left upper quadrant. If symptoms persist consider elective small bowel series to evaluate for effusions. |
Generate impression based on findings. | Male 32 years old; Reason: Why right sided pain and high alk phos? History: pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Two biliary stents in place. There is however lumbar intrahepatic biliary dilatation which is increased compared to the prior exam. This raises question of partial... | Increasing biliary dilatation despite stents correlate for stent patency.Some areas of scarring in the liver likely related to treated lymphoma. |
Generate impression based on findings. | NECK: Artifact from dental amalgam somewhat limits evaluation. There is marked interval enlargement of heterogeneously enhancing soft tissue mass with internal areas of necrosis arising from right base of tongue and involving a large portion of the right neck, measuring up to 7.7 ML x 4.8 AP x 10 CC cm, previously up ... | 1.Marked interval enlargement of soft tissue mass invading a large portion of the right neck as described above.2.Worsened indistinct and irregular appearance of the right cervical internal carotid artery worrisome for possible new direct invasion of the arterial wall. Also, new moderate focal narrowing of the high cer... |
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