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Generate impression based on findings. | Female 38 years old Reason: Why abdominal pain? History: Abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Mild central biliary prominence without definite obstruction.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant... | No evidence of obstruction. Mild central biliary prominence of doubtful significance. Right adnexal cyst. Small left adnexal dermoid. |
Generate impression based on findings. | Male 35 years old; Reason: appy History: n/v, RLQ tender ABDOMEN:LUNG BASES: Subsegmental basilar atelectasis.LIVER, BILIARY TRACT: Diffuse fatty infiltration of the liver. No definite focal lesions. Hepatic vasculature enhances normally.No evidence of biliary dilatation. High density bile is seen in a non-hydropic gal... | Findings consistent with severe acute pancreatitis with extensive peripancreatic fluid and a small amount of ascites. No evidence of pancreatic necrosis, venous thrombosis or pseudoaneurysm formation.Diffuse hepatic steatosis.Bibasilar atelectasis or consolidation. |
Generate impression based on findings. | 72 years old, Female, Reason: DJD, Stenosis, vertebrobasilar insufficiency There is no evidence of fracture. The vertebral column alignment is within normal limits. The vertebral body heights are preserved. There is degenerative spondylosis of the cervical spine that is most pronounced at the C5-6 and C6-7 levels, with... | Degenerative spondylosis of the cervical spine that is most pronounced at the C5-6 and C6-7 levels. |
Generate impression based on findings. | Male 73 years old; Reason: necrotic pancreatitis, obstruction History: pancreatitis, xr with ileus but with severe abd distention and no bm x multiple days ABDOMEN:LUNGS BASES: Granuloma right infrahilar area. Basilar atelectasis.LIVER, BILIARY TRACT: Expected. No focal liver lesions. Hepatic vasculature enhances norma... | 1.Peripancreatic fat stranding consistent with uncomplicated pancreatitis.2.Biliary stent in place expected pneumobilia. |
Generate impression based on findings. | Female 41 years old Reason: r/o kidney stones History: R sided flank pain The exam is not sensitive detecting lesions in the bowel, solid organs of vasculature due to the lack of oral intravenous contrast. Given those limitations, the following observations are made:ABDOMEN:LUNG BASES: No significant abnormality notedL... | Punctate non-obstructing nephrolithiasis right kidney. |
Generate impression based on findings. | History of pT3N2b squamous cell carcinoma of the left tonsil treated with CRT in 2013, then developed left neck soft tissue recurrence in 11/2014 treated with surgical resection on 12/26/14 (margins uncertain). There has been interval administration of induction chemotherapy. There are post-treatment findings in the le... | The multiple foci of recurrent tumor in the left neck appear similar in size overall compared to February 2015. |
Generate impression based on findings. | Recurrent/metastatic squamous cell carcinoma of the head and neck (parotid primary with pulmonary metastases) on IRB 140212 clinical trial. Neck: There are post-treatment findings related to left parotidectomy. There is no evidence of measurable mass lesions in the face or neck. Likewise, there is no significant cervic... | 1. No evidence of recurrent tumor in the left parotid treatment bed or in the left cheek.2. Subcentimeter nodules in the partially imaged lungs and upper mediastinal lymphadenopathy have increased in size and are compatible with metastases. Please refer to the separate chest CT report for additional details.3. No evide... |
Generate impression based on findings. | 71-year-old male with history of esophageal cancer status post J-tube placement now with vomiting and inability to tolerate tube feeds. ABDOMEN:LUNG BASES: Small bilateral pleural effusions.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality... | 1. Scattered amount of free air is likely postsurgical in etiology given recent history of percutaneous J-tube placement, although if there is clinical concern for perforation a repeat CT can be performed in 3-4 days.2. Distal esophageal wall thickening compatible patients known esophageal carcinoma with metastatic mea... |
Generate impression based on findings. | There is a two vessel configuration of the aortic arch. There is dense calcification of the aortic arch consistent with atherosclerotic disease. At the origin of the left subclavian artery, there is dense calcification with moderate stenosis. There is mild plaque at the carotid bifurcations and left vertebral artery o... | 1. Atherosclerotic vascular disease of the aortic arch and great vessels, as described in the findings section. Please refer to the prior chest CT report for additional details.2. Aside from mild tortuosity, the proximal portions of the superficial temporal and occipital arteries appear grossly unremarkable, although t... |
Generate impression based on findings. | 33-year-old male with history of down trending hemoglobin with intermittent small bowel bleed detected on prior tagged RBC scan. Limited study to evaluate for GI bleed due to residual contrast material in the bowel.ABDOMEN:LUNG BASES: Moderate right greater than left pleural effusions with associated atelectasis/consol... | 1. Limited study to evaluate for GI bleed due to residual oral contrast. Given this limitation, there is no evidence of large active GI bleed. Consider repeat tagged RBC scan or CTA once oral contrast clears.2. Distal colonic wall edema is nonspecific but may be secondary to ischemia, infection, or inflammatory conditi... |
Generate impression based on findings. | 65 year old female with history of increasing pain, concern for disease progression. Uterine cancer. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules, similar to prior. Scattered small, thin walled pneumatoceles. No consolidation, pleural effusion or masses.MEDIASTINUM AND HILA: Left chest AICD and pacer wires ... | Interval increased size of metastatic lesions, and abdominal / pelvic carcinomatosis as above. |
Generate impression based on findings. | 64 year old female with history of possible relapsing chondritis, evaluate for etiology of suspected paraneoplastic syndrome. History of vulvar carcinoma. CHEST:LUNGS AND PLEURA: Moderate centrilobular predominant emphysema. Increased bibasilar opacities, suggestive of atelectasis.MEDIASTINUM AND HILA: Right chest Port... | No specific findings to explain the patient's symptoms. Body wall edema/anasarca and other findings as above. |
Generate impression based on findings. | Clinical question: Hemorrhage? Signs and symptoms: Blown left pupil Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white... | 1.No acute intracranial process.2.Patchy opacification of left mastoid air cells and partial opacification of left middle ear cavity concerning for otitis. |
Generate impression based on findings. | Clinical question: Rule out intracranial increase pressure. Signs and symptoms: Declining exam. Nonenhanced head CT:There is no evidence of acute intracranial hemorrhage, significant mass-effect, midline shift or hydrocephalus. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.There... | 1.No acute intracranial hemorrhage or significant mass effect.2.Subtle multiple foci of cortical low-attenuation with resultant effacement of adjacent cortical sulci consistent with regions of acute ischemic stroke seen on prior brain MRI. |
Generate impression based on findings. | headache No evidence of acute ischemic or hemorrhagic lesion on this scan.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures ar... | No evidence of acute ischemic or hemorrhagic lesion on this scan. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in distribution. There is a stable benign mass in the retr... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | speech disturbances No evidence of acute ischemic or hemorrhagic lesion on this scan.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous st... | No evidence of acute ischemic or hemorrhagic lesion on this scan. |
Generate impression based on findings. | expressive aphasia, fluctuating NONCONTRAST CT HEADNo evidence of acute ischemic or hemorrhagic lesion on this scan.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/a... | No evidence of acute ischemic or hemorrhagic lesion on this scan.Minimal luminal narrowing on the left internal carotid artery cervical segment, otherwise unremarkable. |
Generate impression based on findings. | Male 68 years old; Reason: eval for obstruction or other lesion History: lower abdominal pain, vomiting.Additional history is done personal discussion with ER physician: No bowel movement for 5 days. Clinically obstructed. ABDOMEN:LUNGS BASES: Extensive right basilar atelectasis and possible fibrosis, partly related to... | 1.Distended right and transverse colon. Benign and malignant stricture in the region of the splenic flexure cannot be excluded and should be evaluated further with endoscopy or a water-soluble enema in this clinical context. Small amount of intraperitoneal fluid is nonspecific and while ischemia cannot be excluded as a... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of right benign biopsy in 3/2010 (fibrotic tissue with sclerosing adenosis). Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, u... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, additional bilateral MLO views, and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcific... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this r... |
Generate impression based on findings. | Female 30 years old. Reason: is there a fracture? History: heel pain, bottom of foot sp jumped over fence Three views of the right foot and two views of the right heel show no fracture or malalignment. We see no finding to account for the patient's pain. | We see no fracture or other finding to account for the patient's pain. |
Generate impression based on findings. | Female 8 years old Reason: lung infiltrate History: SOB; wheezingVIEW: Chest AP (one view) 4/26/15 at 1135 hrs. The aortic arch, cardiac apex and stomach are left-sided.Cardiac silhouette is normal in size and shape. Peribronchial thickening and ill-defined right middle lobe opacity, likely subsegmental atelectasis. No... | Peribronchial thickening and subsegmental atelectasis of the right middle lobe. |
Generate impression based on findings. | Seizure. ET tube placement.VIEW: Chest AP (one view) 4/27/15 at 715 hours. Gastrostomy tube and central line unchanged. ET tube terminates below the thoracic inlet. Cardiac silhouette size is normal. Right upper lobe subsegmental atelectasis. | ET tube placement as described.Right upper lobe subsegmental atelectasis. |
Generate impression based on findings. | Reason: h/o nasopharyngeal ca and CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Right lower lobe granuloma, unchanged. Scattered punctate micronodules, unchanged, compatible with postinfectious/postinflammatory etiology. No new or suspicious a nodule or mass. No pleural effusion.MEDIA... | No evidence of metastases. |
Generate impression based on findings. | 38 year-old female. FAI. Evaluate for a labral tear and cam lesion. Moderate osteoarthritis affects the left hip. On the large field of view images, evaluation of the right hip is limited due to metal artifact resulting from a hip resurfacing procedure. Severe degenerative disk disease affects the lower lumber spine. M... | Mild to moderate osteoarthritis affects the left hip with acetabular osteophytes resulting in femoral head overcoverage with measurements as above. There is also a mild anterior CAM deformity. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, a total of 17 images, were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Several scattered benign-appearing calcificatio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Female 53 years old. Reason: osteo? FB? Three views of the right third digit are provided. There is diffuse soft tissue swelling about the third digit. There is a 1 mm linear density in the soft tissue dorsal to the base of the distal phalanx which could represent old trauma or a foreign body, but we see no underlying ... | Density in the soft tissue dorsal to the base of the distal phalanx of the third digit which could represent old trauma or foreign body, but we see no evidence of acute fracture. We see no radiographic evidence of osteomyelitis. If further imaging is clinically warranted, MRI can be considered. |
Generate impression based on findings. | Reason: pancreas abnormality History: epigastric and LUQ pain ABDOMEN:LUNG BASES: Lung bases are well aerated.LIVER, BILIARY TRACT: No focal hepatic lesion. No evidence of intrahepatic or extrahepatic biliary ductal dilatation. Gallbladder is normal.SPLEEN: Spleen is within normal limits.PANCREAS: Pancreas is within no... | No specific findings to account for patient's symptoms. No pancreatic abnormality identified as clinically questioned. |
Generate impression based on findings. | Reason: infection? 64M CML blast phase with fevers, cough; pneumonia? History: fevers, cough LUNGS AND PLEURA: Right lower lobe posterior segment patchy consolidation, nonspecific. Mild basilar bronchial wall thickening without bronchiectasis.No substantial pleural effusions.Right upper lobe calcified granuloma.MEDIAST... | Right lower lobe patchy opacity, consistent with early infection or aspiration. |
Generate impression based on findings. | Female 70 years old. Reason: eval for oa. History: oa hip pain. Two views of the left hip demonstrate severe osteoarthritis appearing similar to prior study. Two views of the right hip demonstrate moderate osteoarthritis.The single AP view of the pelvis demonstrates the aforementioned bilateral hip osteoarthritis. Mild... | Osteoarthritis as described above. |
Generate impression based on findings. | Female 57 years old Reason: fx? History: fall Right shoulder: Mild osteoarthritis affects the acromioclavicular joint and glenohumeral joint. No fracture or malalignment.Right humerus: No fracture.Right elbow: Mild osteoarthritis affects the elbow joint but we see no fracture or malalignment.Right forearm: No fracture.... | Degenerative arthritic changes as described above but no acute fracture. |
Generate impression based on findings. | 47-year-old female presents for routine screening mammography. Patient complains of bilateral breast tenderness along the lateral breasts. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscur... | Cluster of calcifications in the left lower inner breast. Recommend spot compression views.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 91 years old, Male, History: Neck pain, headache, nausea with history of multiple cancers. Head CT: There is no evidence of intracranial hemorrhage or mass. Mild periventricular hypoattenuation anteriorly and posteriorly is nonspecific although is most likely vascular related at patient's age. There is asymmetric hypod... | 1.No evidence of intracranial hemorrhage, mass, or mass effect. Please note that noncontrast CT is less sensitive for the detection of brain metastasis (relative to contrast enhanced MIRI or CT) as clinically questioned. No osseous metastatic lesions are detected in the head or cervical spine. 2.Unchanged mild volume l... |
Generate impression based on findings. | Male 15 years old Reason: Interval changes History: L pleural effusionVIEW: Chest AP (one view) 4/26/15 at 925 hours. Intact and broken sternal wires, mediastinal clips and coils, and intact and broken pacer leads are again noted. Cardiac silhouette size is stable. Persistent bilateral pleural effusions left greater th... | No change in bilateral pleural effusions. |
Generate impression based on findings. | Reason: hx of head and neck cancer, compare to previous with measurements. History: as above CHEST:LUNGS AND PLEURA: Multiple pulmonary metastases are not significantly changed. Reference right lower lobe 8 x 8mm nodule is unchanged (series 6 image 72). No new pulmonary nodules or masses.Mild bibasilar atelectasis and ... | 1.Interval decrease in mediastinal lymphadenopathy.2.Stable pulmonary nodules, hilar lymphadenopathy, and extensive bony metastases.3.Right neck mass, incompletely imaged. See separately dictated CT head and neck performed on the same day. |
Generate impression based on findings. | Clinical question: Evaluate for petechial hemorrhage. Signs and symptoms: Stroke, hemorrhage, now transitioned to Lovenox. Nonenhanced head CT:There is evidence of minimal interval decreased hemorrhage of the left MCA territory ischemic stroke in the left anterior temporal and left basal ganglia since prior exam. Resid... | 1.Subtle interval decreased hemorrhage of the left hemispheric stroke. 2.Residual hemorrhage however is still present in the left hemispheric subacute ischemic stroke.3.Stable exam otherwise. |
Generate impression based on findings. | Male, 35 years old. Pancreatitis concern for gb pathology, eval liver given acute liver injury History: abd pain, n/v/d LIVER: The liver measures 20.4 cm, with diffusely increased echogenicity, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic o... | 1. No cholelithiasis or evidence of acute cholecystitis.2. Diffusely increased hepatic echogenicity, compatible with fatty infiltration or parenchymal dysfunction. |
Generate impression based on findings. | Female 53 years old. Reason: fracture? History: pain to bear weight. Three views of the left ankle demonstrate diffuse soft tissue swelling but no evidence of fracture. Mild osteoarthritis affects the ankle. Plantar and posterior calcaneal spurs are noted. | Soft tissue swelling and mild osteoarthritis without evidence of fracture. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of bilateral benign breast biopsies. History of burn on the left breast. Two standard digital views of both breasts, a total of 12 images, were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, uncha... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Female 6 months old Reason: confirm NG placement History: resp distressVIEW: Chest AP (one view) 4/36/15 at 1451 hrs. Central line unchanged. NG tube terminates in the stomach. Cardiac silhouette size is top normal. Right upper and middle lobe opacity, likely atelectasis. | Multifocal opacities as described. |
Generate impression based on findings. | Reason: fracture History: fell on shoulder from 6 ftVIEWS: Right clavicle AP and axial (2 views) 4/26/15 12:02 Fracture of the distal clavicle with superior displacement of the distal fragment. | Fracture of distal clavicle with superior displacement of the distal fragment. |
Generate impression based on findings. | Male 4 months old Reason: Evaluate bowel gas pattern History: increased output, short gut syndrome.VIEW: Abdomen AP (one view) 4/6/15 at 1840 hrs. Disorganized, slightly distended and nonspecific abdominal gas pattern, with central distribution. No evidence of obstruction, free air, pneumatosis intestinalis or portal v... | Disorganized, slightly distended and nonspecific abdominal gas pattern. |
Generate impression based on findings. | Chin subcutaneous swelling, night sweats, weight loss, significant smoking history concerning for malignancy. There is focal non-specific soft tissue thickening of the subcutaneous fat in the soft tissues at the chin, left of the midline.There are no abnormal masses or evidence of pathologic enhancement. There are scat... | 1. No suspicious masses within the neck. 2. No significant cervical lymphadenopathy. 3. Focal subcutaneous thickening involving the chin to the left of the midline which is nonspecific and may be related to a superficial inflammatory/infectious process or prior trauma. |
Generate impression based on findings. | Foreign body ingestion.VIEWS: Soft tissue neck AP and lateral, abdomen and chest AP 4/26/15 (3 view/s) Mild adenoid hypertrophy. Normal, visualized paranasal sinuses pneumatization. Normal alignment of the cervical spine with no prevertebral soft tissue thickening. No evidence of tracheal compression or deviation.The a... | Foreign body ingestion as described. |
Generate impression based on findings. | Female 11 days old Reason: Evaluate for atelectasis History: increasing FiO2 requirementVIEW: Chest AP (one view) 4/26/15 at 2343 hrs. ET tube terminates at the carina. Esophageal catheter tip is at the thoracic inlet. Umbilical lines unchanged. Vertebral body malformation again noted.Cardiac silhouette size is normal.... | ET tube tip is at the carina.Persistent multifocal opacities. |
Generate impression based on findings. | Male 25 years old; Reason: torsion vs hematoma vs testicular rupture History: trauma to testicle, expanding hematoma, increasing pain RIGHT TESTIS: Right testis measures 4.8 x 1.8 x 2.5 cm, with normal echotexture.LEFT TESTIS: The left testis measures 4.7 x 2.5 x 2.7 cm, with normal echotexture. Posterior and inferior ... | 1. A large hematoma posterior to the left testis has scattered areas of internal vascularity, which may indicate active bleeding. 2. No evidence of testicular rupture or torsion. |
Generate impression based on findings. | 62-year-old male with history of abdominal pain. Evaluate for ischemia. Vasculature: The celiac axis, SMA, renal arteries and IMA are all widely patent. The abdominal aorta is patent.ABDOMEN:LUNG BASES: Right lower lung pleural thickening and mild atelectasis/scarring is again noted.LIVER, BILIARY TRACT: No significant... | 1.No significant vascular stenosis or occlusion to suggest ischemia.2.Persistent mesenteric stranding about the distal small intestine/ileum, nonspecific, with findings suggestive of slow transit of stool. |
Generate impression based on findings. | Female 17 days old Reason: is there pneumatosis or free air. History: history of abdominal distentionVIEW: Abdomen AP (one view) 4/27/15 at 420 hours. NG tube terminates in the stomach. Disorganized, nonspecific abdominal gas pattern. No evidence of obstruction, free air, pneumatosis intestinalis or portal venous gas. | Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | 46-year-old female with ICH, evaluate for potential vascular malformation as etiology. CT head:A large right frontal lobe intraparenchymal hemorrhage is not significantly changed from the previous two exams. Area of hemorrhage measures approximately 42 mm in maximal dimension, measured coronally, previously 43 mm. Ther... | 1.Right basal ganglia intraparenchymal hemorrhage with mild intraventricular extension not significantly changed.2.No evidence for aneurysms or vascular malformation. No enhancing lesions. Consider follow-up MRI as clinically indicated.3.No evidence for cervicocerebral occlusive disease |
Generate impression based on findings. | 77 year-old female with history of ex-lap with lysis of adhesions and small bowel resection on 4/16 now with wound infection and leukocytosis. ABDOMEN:LUNG BASES: Small right pleural effusion with associated compressive atelectasis.LIVER, BILIARY TRACT: Subcentimeter right hepatic lobe hypodensity is incompletely chara... | 1. Open midline abdominal wound with packing material and surrounding inflammatory changes. There is a small amount of loculated fluid with rim enhancement along the anterior abdominal wall.2. Interval postsurgical changes with resolution of small bowel obstruction |
Generate impression based on findings. | 81-year-old female. Right foot swelling, pain, erythema. Two views of the right foot show that the bones appear demineralized suggestive of osteopenia. There is mild soft tissue swelling of the dorsum of the foot. Mild osteoarthritis affects the 1st MTP joint. | Soft tissue swelling and mild osteoarthritis without specific radiographic features of gout. |
Generate impression based on findings. | Female 10 years old Reason: eval for compression fx History: L1 point tendernessVIEWS: Thoracic spine AP, lateral and swimmers view. Lumbar spine AP and lateral. Sacrum lateral view 4/27/15 (6 views) Vertebral body heights and disk spaces are maintained. No evidence of fracture or malalignment. No spondylolyses. | Normal examination. |
Generate impression based on findings. | 64 year old female. Possible relapsing chondritis. Evaluate for degenerative changes. Evaluation is limited due to inability to optimally position the patient's hands and feet.Left hand: There is erosion of the distal articular surface of the radius and ulna as well as the bones of the proximal carpal row. There is als... | Erosive polyarthritis that has progressed substantially since the prior studies. Although relapsing polychondritis is not typically associated with an erosive arthritis, a few case reports have been described. A seronegative spondyloarthropathy such as reactive arthritis should also be considered. |
Generate impression based on findings. | Female 79 years old Reason: abdominal pain s/p recent DDRT History: as above This study is limited due to lack of intravenous contrast.ABDOMEN:LUNG BASES: Bilateral small pleural effusions and atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No signific... | Large right-sided retroperitoneal hematoma. Limited study due to lack of intravenous contrast.Dr. Beterman was notified and acknowledged about the above findings at the time of the dictation. |
Generate impression based on findings. | Reason: evaluate for pe History: tachycardia PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus.LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No focal consolidation or pneumothorax. No pleural effusions.MEDIASTINUM AND HILA: Small mediastinal lymph nodes, unchanged. No significant media... | 1.No acute pulmonary embolus.2.Patulous esophagus with debris seen to the level of the aortic arch, which increases the patient's risk for aspiration.3.New trace pericardial effusion.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not app... |
Generate impression based on findings. | Female 25 days old Reason: r/p pneumonia History: fever in neonateVIEWS: Chest AP/lateral (two views) 4/27/15 The aortic arch, cardiac apex and stomach are left-sided.Cardiac silhouette is normal in size and shape. Left lower lobe opacity, either atelectasis or pneumonia. No effusions or pneumothorax. | Left lower lobe opacity as described. |
Generate impression based on findings. | 68-year-old male with proximal muscle weakness, concern for dermatomyositis/polymyositis. CHEST:LUNGS AND PLEURA: Nonspecific 4-mm superior segment left lower lobe nodule (series 5, image 39). Second smaller micronodule right middle lobe (series 5, image 58) is most likely calcified and represent prior inflammatory dis... | 1. No evidence of acute thoracic, abdominal or pelvic disease seen. 2. Nonspecific micronodules in chest, some of which are calcified. These may relate to prior inflammatory disease and are unlikely to represent neoplastic disease. 3. No other abnormality seen. |
Generate impression based on findings. | Male 2 years old Reason: evaluate for fecal burden/mass History: increased abdominal girthVIEW: Abdomen AP (one view) 4/27/15 Radiopaque structures or resembling links of chain are visualized in the right flank and mid lower pelvis and may represent swallowed foreign body. Normal abdominal gas pattern with no evidence ... | Question of foreign body ingestion as described. |
Generate impression based on findings. | 61 year old with history of right breast cancer status post mastectomy. Left breast reduction surgery. History of left breast LCIS. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged i... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 84 year old female. Pain and swelling. Evaluate for capitate neck fracture. We see no fracture. There are moderate to severe arthritic changes of the wrist that appear predominantly degenerative in etiology with narrowing of the capitoscaphoid, capitolunate, lunatohamate, trapezioscaphoid, and scaphoid-trapezium articu... | Arthritic changes of the wrist that appear predominantly degenerative in etiology. We see no fracture. |
Generate impression based on findings. | Female 32 years old Reason: Pt with free fluid on US, eval for intraabdominal path History: RUQ/epigastric pain. ABDOMEN:LUNG BASES: Bibasilar atelectasis. Small pleural effusions. No discrete nodules.LIVER, BILIARY TRACT: Cholelithiasis. No evidence of biliary dilatation. No focal liver masses. The pericholecystic flu... | Ascites and carcinomatosis. Etiology could be a colon neoplasm given the circumferential narrowing and thickening of the distal transverse colon or unrecognized GYN primary.Cholelithiasis. |
Generate impression based on findings. | Reason: s/p resection and adjuvant chemotherapy for stage I small cell lung cancer in 2007 for routine surveillance History: none CHEST:LUNGS AND PLEURA: Mild upper lobe predominant centrilobular emphysema.Stable volume loss from left lower lobectomy with basilar scarring.A few calcified and noncalcified micronodules a... | No evidence of metastatic disease. |
Generate impression based on findings. | Female, 56 years old. Reason: Decreased UOP s/p LRRT History: as above RENAL TRANSPLANT: LOCATION: Right iliac fossaPERITRANSPLANT TISSUES: No significant perinephric collection.KIDNEY: The transplant kidney measures 13.0 cm, with normal echotexture. A simple cyst in the superior pole measures 1.4 x 1.2 x 1.2 cm.COLLEC... | Patent transplant vessels and anastomosis, without evidence of stricture or thrombosis. |
Generate impression based on findings. | Reason: pe? aortic dissection? History: chest pain/ back pain, h/o cml, cxr with paucity of lung markings RUL and tortuous aorta PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus.LUNGS AND PLEURA: Mild biapical pleural-parenchymal scarring. Mild upper lobe predominant centrilobular emphysema. Bibasil... | 1.No acute pulmonary embolus.2.Severe coronary artery calcification.3.Cardiomegaly with biapical enlargement.4.Incompletely imaged soft tissue nodule adjacent to the right kidney may represent a renal mass. Recommend dedicated renal CT or MRI if clinically indicated. PULMONARY EMBOLISM: PE: Negative.Chronicity: Not app... |
Generate impression based on findings. | Neck: There are unchanged posttreatment findings in the neck with no evidence of tumor recurrence or significant lymphadenopathy. There is an unchanged nonspecific soft tissue nodule/tiny lymph node on series 7 image 47 in the right upper back measuring 6 mm. The left parotid gland appears atrophic but unchanged from ... | 1. No evidence of locoregional tumor recurrence in the neck or significant cervical lymphadenopathy. Please refer to dedicated accompanying CT chest report for further details regarding pulmonary metastases.2. 5 mm enhancing nodule involving the left frontal lobe pericallosal white matter which is new since prior CT he... |
Generate impression based on findings. | Male 2 years old Reason: 2 yo ex-31 wk M craniofacial cutaneous syndrome, Noonan's syndrome, prolonged intubation. Evaluate ETT position and lung fields. VIEW: Chest AP (one view) 4/27/15 at 348 hours. Skeletal deformity, gastrostomy tube, central line and ET tube are again noted and unchanged. Cardiac silhouette size ... | Interval worsening in right upper lobe atelectasis. |
Generate impression based on findings. | Reason: appendicitis History: RLQ pain x 2 days; nausea ABDOMEN:LUNG BASES: Lung bases are well aerated.LIVER, BILIARY TRACT: No focal hepatic lesion is identified. No intrahepatic or extrahepatic biliary ductal dilatation. Gallbladder is normal.SPLEEN: Spleen is normal.PANCREAS: No significant abnormality notedADRENAL... | Featureless, thickened terminal ileum; possible ileitis or inflammatory bowel disease.Findings discussed with Dr. Emily Dawson. |
Generate impression based on findings. | Reason: Right upper lobe nodule reassessment of size History: none LUNGS AND PLEURA: Reference right upper lobe pulmonary nodule with dense central calcification is unchanged measuring 23 x 16 mm. The stability and imaging appearance are highly suggestive of a benign granuloma or hamartoma.Subsegmental scarring or line... | Reference right upper lobe pulmonary nodule with dense central calcification is unchanged in size. The stability and imaging appearance are highly suggestive of a benign granuloma or hamartoma. |
Generate impression based on findings. | Female 27 days old Reason: F/U RUL atelectasis; lines \T\ tubes History: Left CDH; S/P repairVIEW: Chest AP (one view) 4/37/15 at 4 24 hours. ET tube terminates below thoracic inlet. NG tube and central line unchanged. Cardiac silhouette size is normal. Worsening pain left-sided pleural effusion. Stable right sided ple... | Interval worsening in left sided pleural effusion. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of lung adenocarcinoma diagnosed in 2012. Patient had a percutaneous biopsy of a focal asymmetry in the right upper outer quadrant on 1/15/2013 with benign results. No current breast complaints. Two standard digital views of both breasts were perfo... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Clinical question: Assess for new stroke/hemorrhage. Patient with Alzheimer's disease with significant behavioral change and worsening aphasia. Signs and symptoms: Change in behavior. Unenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrha... | 1.No acute intracranial process.2.Subtle interval increase size of supratentorial ventricular system since prior exam 2010. |
Generate impression based on findings. | Reason: Rule out pulmonary embolism History: Tachycardia (patient with history of tongue cancer, prostate cancer, newly diagnosed esophageal cancer) PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus.LUNGS AND PLEURA: Interval resolution of right pneumothorax. Previously identified right upper lobe sp... | 1.No acute pulmonary embolus.2.Small to moderate bilateral pleural effusions, greater on the right.3.Interval decrease in size and density of right upper lobe nodule with pathology results of granulomatous inflammation.4.Interval resolution of right pneumothorax.5.Mid to distal esophageal wall thickening with esophagea... |
Generate impression based on findings. | 68-year-old female with a history of head and neck cancer and CRT -- compared to previous. CHEST:LUNGS AND PLEURA: Again seen are multiple foci of pulmonary parenchymal metastatic disease in focal pleural thickening consistent with metastatic disease. The extent of disease has minimally changed with no definite new foc... | 1. Pulmonary and pleural metastatic disease with minimal change since prior examination and reference measurements provided above. 2. No other changes since prior examination without other significant abnormality seen. |
Generate impression based on findings. | Female 36 years old Reason: concern for incarcerated hernia History: periumbilical abd pain, known hernia. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Several small nodular densities caudal to the spleen likely represent accessory spleens in unusual ... | Small ventral hernia containing unobstructed small bowel fluid in the hernia sac raising concern for ischemia of the loops in the hernia sac.Large adnexal mass consistent with a dermoid this probably originates from the right ovary.Small second adnexal mass representing a second dermoid probably originating from the le... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of polycythemia. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Benign calcif... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female, 32 years old. Reason: eval for biliary pathology History: RUQ tenderness LIVER: The liver measures 15.3 cm, with homogeneous echotexture, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic or extrahepatic biliary ductal dilatation. The co... | 1. Large amount of ascites, containing echogenic foci/debris, correlates with peritoneal carcinomatosis/omental caking as seen on subsequent CT imaging.2. Gallbladder sludge without cholelithiasis or evidence of acute cholecystitis. |
Generate impression based on findings. | Reason: head and neck cancer/ screening per protocol. History: see above CHEST:LUNGS AND PLEURA: Interval increase in size and number of bilateral pulmonary nodules highly suggestive of metastatic disease. Fur continued reference a left upper lobe nodule measures 13 x 12 mm on image 26/110. This was roughly 6 x 6 mm on... | Interval increase in size and number of bilateral pulmonary metastases. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 67 years old Reason: Research History: Prostate cancer PROSTATE, SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: Inc... | Bilateral hydroceles, more on the right compared to the left, nonspecific. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. Note that CC views are suboptimal and the right nipple is medially displaced. The breast parenchyma is heterogeneously dense, which may obs... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Female 35 years old Reason: pancreatic cancer, s/p clinical trial, prior to chemo, elevated bilirubin, nausea and vomiting History: elevated bilirubin, nausea and vomiting CHEST:LUNGS AND PLEURA: Interval resolution of the previously mentioned left-sided pleural effusion. No new nodules.MEDIASTINUM AND HILA: Small medi... | Slight interval increase in the size of the solid the liver metastases.Pancreatic locally invasive mass is stable. Slight interval increase in the amount of ascites. |
Generate impression based on findings. | Reason: obstruction, ileus History: 3 weeks generalized abdominal pain, intermittent episodes of emesisVIEWS: Abdomen AP and erect (two views) 4/26/15 Nonspecific disorganized bowel gas pattern. Moderate fecal burden. No evidence of bowel obstruction. No pneumatosis, pneumoperitoneum, or portal venous gas. Limited view... | Nonspecific disorganized bowel gas pattern. Moderate fecal burden. |
Generate impression based on findings. | Reason: fracture History: fell from 3.5 ft height, TTP over left radial headVIEWS: Left wrist PA oblique lateral (3 views) 4/26/15 18:32 Buckle fracture of the left distal radial metaphysis. | Buckle fracture of the left distal radial metaphysis. |
Generate impression based on findings. | 67-year-old male. Chronic left shoulder pain, decreased range of motion, arm weakness. Evaluate for OA, erosions, inflammatory joint changes. Three views of the left shoulder show that severe osteoarthritis affects the glenohumeral joint. Mild osteoarthritis affects the acromioclavicular joint. The bones appear slightl... | Osteoarthritis. |
Generate impression based on findings. | Female, 43 years old. Reason: epigastric pain, nausea. Assess for cholelithiasis / other biliary pathology History: epigastric pain, nausea. LIVER: The liver measures 16.1 cm, with diffusely increased echogenicity, with foci of lower hepatic echogenicity adjacent to the gallbladder wall. No focal lesion. A subcentimete... | 1. No evidence of cholelithiasis or acute cholecystitis.2. Diffusely increased hepatic echogenicity compatible with fatty infiltration or parenchymal dysfunction. |
Generate impression based on findings. | Trauma, loss of consciousnessVIEW: Chest AP (one view) pelvis AP (one view) 4/26/15 19:23 Chest: The aortic arch, cardiac apex and stomach are left-sided. Apparent cardiomegaly likely due to patient positioning. No pleural effusion, pneumothorax, or focal pulmonary opacity.Pelvis: No fracture or dislocation. Smooth rou... | Normal examination. |
Generate impression based on findings. | Reason: 38F with AML and neutropenia eval for change in lung nodules \T\ spine abnormalities History: neutropenic fevers, diffuse back pain LUNGS AND PLEURA: New basilar predominant reticular and groundglass opacities with some interlobular septal thickening.No significant pleural effusions.MEDIASTINUM AND HILA: Right ... | New basilar groundglass and reticular opacities, not a typical appearance for fungal pneumonia but suggestive of aspiration or edema, or even viral infection. |
Generate impression based on findings. | Female 54 years old Reason: 54 y/o woman with recurrent ovarian cancer on a clinical trial. Evaluate for treatment response and extent of disease. History: No new symptoms. CHEST:LUNGS AND PLEURA: Scattered micronodules and right apical scarring, unchanged.MEDIASTINUM AND HILA: No significant abnormality noted.CORONARY... | No CT evidence of recurrence or metastatic disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal grandmother and paternal aunt. Two standard digital views of both breasts and additional right MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. No s... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 59 years, Male. Reason: Abdominal distention History: Abdominal distention Paucity of bowel gas. No obvious obstruction. Surgical clips, suture lines and skin staples. Multi-sidehole catheter overlies left abdomen unchanged. Previously seen right-sided catheter has been removed. | No specific cause abdominal distention seen. |
Generate impression based on findings. | Reason: eval for pneumonia History: asthma exacerbation, focal RLL wheezingVIEWS: Chest AP/lateral (two views) 4/26/15 The aortic arch, cardiac apex and stomach are left-sided. Cardiothymic silhouette is normal. Mild peribronchial thickening. Subsegmental retrocardiac atelectasis. No pleural effusion or pneumothorax is... | Bronchiolitis/reactive airway disease pattern. |
Generate impression based on findings. | Reason: 77F with CAD, CHF, AFib, and new diagnosis of PHTN, new hypoxia and hypercarbea/hypercapnea, ?ILD contributing to PHTN History: 77F with CAD, CHF, AFib, and new diagnosis of PHTN, new hypoxia and hypercarbea/hypercapnea, ?ILD contributing to PHTN LUNGS AND PLEURA: Hazy bilateral groundglass opacity. No signific... | 1. Hazy bilateral groundglass opacity. Minimal bronchial wall thickening with scattered areas of mucous plugging. These findings are nonspecific but could be seen in edema, bronchitis or infection. It is unlikely a chronic finding which has led to pulmonary hypertension. No significant pleural effusions. No evidence of... |
Generate impression based on findings. | Reason: eval for PNA History: hypoxiaVIEWS: Chest AP/lateral (two views) 4/26/15 22:38 Cardiothymic silhouette is normal. Peribronchial thickening. Retrocardiac subsegmental atelectasis. No pleural effusions or pneumothorax is identified. | Bronchiolitis/Reactive airway disease pattern. |
Generate impression based on findings. | Male, 69 years old. Hematuria RIGHT KIDNEY: The right kidney measures 11.2 cm in length. Normal cortical echogenicity, without focal lesion or shadowing calculi. Small cystic collections near the renal pelvis may represent parapelvic cysts or mild fullness of the collecting system.LEFT KIDNEY: The left kidney measures ... | Small collections near the renal pelvises bilaterally may represent parapelvic cysts or mild fullness of the collecting system. No other focal renal lesion or shadowing stones. If hematuria persists, dedicated CT imaging is recommended. |
Generate impression based on findings. | Reason: lateral and patellar knee pain History: lateral and patellar knee painVIEWS: Left knee AP oblique lateral (3 views) 4/27/15 No fracture or dislocation. Small joint effusion. | No fracture or dislocation. Small joint effusion. |
Generate impression based on findings. | Reason: r/o pe History: left sided chest pain, DOE, SOB PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus.LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No focal consolidation, pleural effusion, or pneumothorax.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart size is... | No acute pulmonary embolus or specific finding to explain the patient's symptoms.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Occasional benign calcifications are n... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Redemonstrated are foci of hypoattenuation in the left greater than right centrum semiovale, without mass effect, likely representing age indeterminate small vessel ischemic changes. There are age indeterminate bilateral thalamic lacunar infarcts again noted. There appears to be no significant loss of gray-white diffe... | Stable appearing small vessel ischemic disease of indeterminate ages. If there is continued clinical concern for acute ischemia, MRI would be recommended if there are no patient contraindications. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Percutaneous clip in the left upper inner breas... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this r... |
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