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Generate impression based on findings. | 56-year-old female. Pain. Evaluate right small finger out of splint. A side plate and screw affixes the PIP joint in volar angulation. No radiographic evidence of hardware complication. Narrowing of the PIP joint space is noted. Moderate soft tissue swelling. Small ossific density volar to the PIP joint may represent a... | Orthopedic fixation of the right 5th PIP joint. |
Generate impression based on findings. | Reason: lung cancer History: lung cancer s/p left pneumonectomy CHEST:LUNGS AND PLEURA: Postsurgical changes of a left pneumonectomy. Small loculated left pleural effusion, slightly decreased compared to prior. Right lung again demonstrates mild upper lobe predominant centrilobular and paraseptal emphysema. No new or s... | Postsurgical changes of a left pneumonectomy with no evidence of recurrence or metastases. |
Generate impression based on findings. | Female 31 years old Reason: metastatic breast cancer - evaluate response to treatment with bidimensional measurements per recist 1.1 History: chest wall and pulmonary lesions CHEST:LUNGS AND PLEURA: Fibrotic changes and architectural distortion underlying the lung parenchyma with the left breast is unchanged, likely se... | Slight decrease in the size of the left axillary fluid collection, otherwise no significant change from previous study. |
Generate impression based on findings. | There are bilateral cochlear implants without evidence of discontinuity or kinking. The left lead terminates closer to the apex than the right.The bilateral external auditory canals, middle ear cavities and mastoid air cells are clear. There is no evidence for congenital atresia of the external auditory canals or midd... | There are bilateral cochlear implants without evidence of discontinuity or kinking. The left lead terminates closer to the apex than the right. |
Generate impression based on findings. | 74-year-old with history of right breast DCIS status post lumpectomy and radiation therapy in 2007. Three standard views of both breasts with repeat bilateral CC views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pa... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Elbow pain. Possible fracture. Two views of the left elbow and two views of the left humerus are provided. The bones appear demineralized suggesting osteopenia/osteopetrosis. There is a comminuted but predominantly oblique fracture of the distal humeral diaphysis extending distally to just above the level of the latera... | Distal humerus fracture and other findings as above. |
Generate impression based on findings. | 50 year-old male with history of nephrolithiasis. Evaluate for nephrolithiasis. RIGHT KIDNEY: Small right lower pole hyperechoic focus with posterior shadowing and twinkle artifact, consistent with a nonobstructing stone measuring 0.3 cm. The right kidney measures 11 cm. No hydronephrosis or hydroureter.LEFT KIDNEY: Th... | Small right kidney nonobstructing stone, and left lower pole cyst as above. |
Generate impression based on findings. | Reason: s/p AVM embolization and resection, known carotid stenosis History: symptomatic L carotid stenosis w stroke Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic ar... | 1.There is no evidence for acute internal hemorrhage mass effect or edema .2.A basilar small tip region aneurysm remains stable when compared to the prior exam.3.There is 70% stenosis at the origin of the left internal artery which is stable.4.there is 50% stenosis of the proximal portions of the superior and inferior ... |
Generate impression based on findings. | Status post fracture.VIEWS: Right dictated AP and lateral 4/27/15 (two views) External fixator device on soft tissue drain as well as skin staples are again noted. Healing fracture of the distal tibia and fibula are unchanged in alignment. | Healing fractures, unchanged in alignment, no evidence of hardware complications. |
Generate impression based on findings. | 72 years, Female. Reason: lower middle abd pain, h/o hysterectomy. eval for stool burden and gas pattern History: abd pain Moderate stool burden possibly slightly greater than average. No excessive stool in the rectum or rectosigmoid. Gas pattern normal. Osseous and soft tissue structures unremarkable except for minima... | Moderate stool burden. |
Generate impression based on findings. | Female 10 years old Reason: limp History: limpVIEWS: Pelvis AP and frog leg and right ankle AP, lateral and oblique 4/27/15 (5 views) Pelvis: Both, round, smooth and well formed femoral head are well directed to a normally developed acetabulum. No fracture or malalignment.Right ankle: There is no evidence of fracture, ... | Normal examination. |
Generate impression based on findings. | As demonstrated previously, the sella is expanded secondary to the patient's known pituitary mass. Other than scattered foci of sporadic minimal mucosal thickening, the paranasal sinuses are clear as are the bilateral mastoid air cells and middle ear cavities and there are no air-fluid levels. The bilateral maxillary ... | 1.As demonstrated previously, the sella is expanded secondary to the patient's known pituitary mass. 2.Other than scattered foci of sporadic minimal mucosal thickening, the paranasal sinuses are clear as are the bilateral mastoid air cells and middle ear cavities and there are no air-fluid levels. 3.The nasal septum is... |
Generate impression based on findings. | Female 83 years old Reason: 81yo F with abnormal TFTs History: abnormal thyroid function test RIGHT LOBE MEASUREMENTS: 3.9 x 1.8 x 2 cm.LEFT LOBE MEASUREMENTS: 4.7 x 2.1 x 1.9 cm.ISTHMUS MEASUREMENTS: .2 cm in thickness.RIGHT LOBE: Heterogeneous texture gland with numerous small nodules some possibly cystic. Extensive ... | Pattern consistent with multinodular goiter. One small nodule in the right side is predominantly cystic with an eccentric mural nodule. |
Generate impression based on findings. | Female 12 years old Reason: Please evaluate stool burden History: Constipation and abdominal distensionVIEW: Abdomen AP (one view) 4/27/15 Stable to slightly decrease amount of fecal accumulation with no evidence of obstruction or free air. | Stable to slightly decreased amount of fecal accumulation. |
Generate impression based on findings. | Female 76 years old Reason: Follow up ultrasound for large colloid thyroid nodule, evaluating for changes History: none RIGHT LOBE MEASUREMENTS: 4.2 x 1.1 x 1.4 cm, previously 4.4 x 1.1 x 1.4 cm.LEFT LOBE MEASUREMENTS: 0.3 x 1.3 x 1.3 cm. previously 4.4 x 1.5 x 1.3 cm.ISTHMUS MEASUREMENTS: .1 cm in thickness unchangedR... | Large hypervascular nodule in the isthmus is increased in size. Other nodules as described above. |
Generate impression based on findings. | 68-year-old female with right lower quadrant, epigastric, periumbilical pain for 3 to 4 days. Assess for obstruction versus diverticulitis. ABDOMEN:LUNG BASES: Bibasilar atelectasis appearing inLIVER, BILIARY TRACT: No significant abnormality noted in the liver. Patient is status post cholecystectomy without other bili... | 1. Marked wall thickening of the terminal ileum with adjacent probable inflammatory change. This most likely represents a nonspecific inflammatory process that cannot be further characterized imaging. 2. Normal appendix and no evidence for diverticulitis. 3. Distal lumbar aortic aneurysm with extension of aneurysm into... |
Generate impression based on findings. | 59-year-old male with known stone, right flank pain, hematuria. Rule-out nephrolithiasis. Within the limits of a non-IV contrast enhanced examination which limits the ability to evaluate solid parenchymal organs vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: Status post cholecystectomy ... | 1. Solitary punctate nonobstructing calyceal right kidney stone. 2. No evidence of hydronephrosis or dilated ureters to suggest urinary obstruction. 3. No other significant changes since prior 4/1/15 CT examination. |
Generate impression based on findings. | Female 58 years old Reason: R/O mass History: Hep C. LIVER: Prominent sized liver 21.7 cm in length. Echogenic, suggestive of fatty infiltration however on the CT scan of to/Lynne/15 the liver is not fatty. No focal lesions.Flow in the portal vein is hepatopedal, peak velocity .2 m/secGALLBLADDER, BILIARY TRACT: Normal... | Nonspecific splenomegaly. Fatty liver. No focal lesions. |
Generate impression based on findings. | Female 57 years old Reason: evaluate for signs of acute on chronic pancreatitis. Known h/o pancreatitis, no diagnosis of chronic pancreatitis History: abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS... | Findings as above consistent with chronic pancreatitis. I favor the small cystic lesion with rim-like calcification intrapancreatic rather than extrapancreatic. It is stable or slightly decreased in size. |
Generate impression based on findings. | Diabetic ulcer Diffuse demineralization limits sensitivity.Diffuse moderate soft tissue swelling is again observed largely unchanged and without a discrete focal ulceration. Mild tissue disruption cannot entirely be excluded along the medial posterior heel and correlation with physical exam is requested. Specifically t... | Degenerative changes mildly progressed since 2010 and no discrete findings to support osteomyelitis or distinct ulceration. Close serial imaging and/or possibly advanced imaging should be considered if suspicion remains high |
Generate impression based on findings. | Low back pain Wedge deformity of L1 with loss of the anterior high with more mild to moderate degenerative changes involving the lumbar spine with exception of L4-5. Suspected partial segmentation of L5-S1, however and grade 1 antral listhesis is observed without evidence of instability.Cholecystectomy clips and mild s... | L1 partial compression fracture with a grade 1 stable appearing antero-listhesis of L5 and S1 |
Generate impression based on findings. | Reason: r/o PE History: SOB PULMONARY ARTERIES: Is no evidence of a pulmonary embolus. The pulmonary artery is mildly dilated compatible with pulmonary arterial hypertension.LUNGS AND PLEURA: There are mild bilateral pleural effusions with prominent basilar atelectasis/consolidation.Patchy airspace opacities suggestive... | No evidence of a pulmonary embolus. Pleural effusions and basilar atelectasis/consolidationPULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 65-year-old male with a history of bladder cancer status post radical cystectomy with ileal conduit. Evaluate for metastatic disease. ABDOMEN:LUNG BASES: Left basilar atelectasis or air space disease is seen -- this may reflect atelectasis or interval aspiration or inflammation since 10/22/14. This does not have appear... | 1. Left lower lung base atelectasis or air space disease new since 10/22/14. This is nonspecific but has appearance more consistent with inflammation or aspiration. 2. Status post cystoprostatectomy with right lower quadrant ileal loop urinary conduit diversion. New since prior examination is a peristomal hernia contai... |
Generate impression based on findings. | Female, 76 years old. Scattered surgical sutures are seen in the right upper quadrant and in the right lower quadrant. Bowel gas pattern is normal. No abnormal calcifications are seen.No abnormal findings seen to suggest radiopaque foreign object. | Expected intraoperative closing examination.These findings were discussed by telephone with Dr. Lengyl, the attending surgeon, April 27, 12:34 p.m. |
Generate impression based on findings. | Male 65 years old Reason: Pt is a 65 y/o male with prostate cancer, increased edema in left upper extremity and scrotum, evaluate for progression of disease vs thrombosis in pelvis History: edema, prostate cancer CHEST:LUNGS AND PLEURA: Stable micronodules.MEDIASTINUM AND HILA: Subcentimeter mediastinal nodes are stabl... | Diffuse bone metastases, not significantly changed from previous study. Retroperitoneal lymph nodes are minimally decreased to stable in size. Pelvic adenopathy, stable. |
Generate impression based on findings. | Dedicated images through the sella demonstrate a normal size of the pituitary gland. No focal abnormal signal intensity or mass is seen within the pituitary gland. There is a 6 mm area of low T1 and low T2 signal with hypoenhancement along the right inferolateral aspect of the sella/medial cavernous sinus. The pituita... | 1. There is a 6 mm area of hypoenhancement involving the inferolateral aspect of the right sella/medial aspect of the cavernous sinus; finding is of uncertain significance but microadenoma is not entirely excluded. Suggest comparison with priors if available. Pituitary gland is otherwise normal in size without mass eff... |
Generate impression based on findings. | Female 74 years old Reason: Metastatic breast cancer needs re-evaluation and compare to prior scans. Per RECIST 1:1 bi-dimensional measurements where applicable. History: Metastatic breast cancer needs re-evaluation and compare to prior scans. Per RECIST 1:1 bi-dimensional measurements where applicable. CHEST:LUNGS AND... | No significant change from previous study. |
Generate impression based on findings. | Left shoulder painVIEWS: The shoulder AP in internal and external rotation 4/27/15 (two views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Male 4 years old Reason: eval for fb History: swallowed a coinVIEW: Abdomen and chest AP (two views) 4/27/15 Cardiac silhouette is normal in size and shape. No focal lung opacities. No effusions or pneumothorax.Oval radiopaque foreign body (likely a coin) is overlying D. left upper abdominal quadrant. Normal abdomen an... | Swallowed foreign body as described. |
Generate impression based on findings. | Male 50 years old Reason: appendiceal cancer restaging History: appendiceal cancer restaging CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Small mediastinal lymph nodes are unchanged.CORONARY ARTERY CALCIFICATION: None.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TR... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | History of sinus tumor, myxoma, with free flap reconstruction. Evaluate for new lesions. There are sinonasal postoperative findings, including partial septectomy, right maxillectomy, and palatectomy with flap reconstruction. There is interval removal of the previously identified lobulated mass in the region of the nasa... | Postsurgical changes with interval removal of the previously identified lobulated lesion in the region of the nasal vestibule without evidence of local tumor recurrence. |
Generate impression based on findings. | Male 65 years old Reason: Pancreas cancer s/p neoadjuvant chemo and pancreatic resection surgery please assess disease status History: As above CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCORONARY ARTERY CALCIFICATION: Severe.CHEST WALL: No significant a... | Interval resection of patient's known pancreatic mass. Multiple collections in the pancreatectomy bed as described above. No evidence of metastatic disease. |
Generate impression based on findings. | Male 68 years old Reason: h/o DLBCL, please restage History: prior masses CHEST:LUNGS AND PLEURA: Bilateral apical pleural thickening, unchanged. Stable right middle lobe micronodular and left subpleural micronodules. There is stable.MEDIASTINUM AND HILA: No significant abnormality notedCORONARY ARTERY CALCIFICATION: M... | Stable examination. |
Generate impression based on findings. | Female 52 years old Reason: metastatic L acetabular lesion . Three views of the pelvis again show a destructive lytic lesion of the supra-acetabular left ilium appearing similar to the prior study. Additional lytic lesions seen within the superomedial left iliac wing, right iliac wing and sacrum appear similar to prior... | Metastatic disease to the pelvis as described above appearing similar to prior study. |
Generate impression based on findings. | Clinical question: History of DLBCL, restaging. Signs and symptoms: Prior mass. Enhanced CT of soft tissues of neck:Visualized intracranial space demonstrate a small left anterior temporal arachnoid cyst similar to prior exam and unremarkable otherwise. Images through the skull base including cavernous sinuses and Meck... | 1.Very irregular and ill-defined soft tissue density in the left neck at level 4/5 demonstrates further interval decreased size and measuring approximately 1.1 x 1.9-cm.2.No detectable pathologic lymph nodes. Few tiny nonpathologic scattered nodes demonstrate no significant change since prior study. |
Generate impression based on findings. | Reason: is there a cva History: dizzy last night, vison loss, resolved. history cva, history afib There is redemonstration of encephalomalacia involving the left parietal lobe as well as a small portions of the adjacent temporal lobe and adjacent occipital lobe. There is associated exact effect along the trigone of the... | 1.No evidence for acute intracranial hemorrhage mass effect or edema. 2.CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction.3.Periventricular and subcortical white matter changes of a moderate degree are nonspecific. At this age they are most likely vascular related. 4.Encephalomalacia... |
Generate impression based on findings. | Lymphoma status post chemoradiation and related allograft stem cell transplantation. 30 day restaging exam.RADIOPHARMACEUTICAL: 11.6 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 124 mg/dL. Today's CT portion grossly demonstrates a metallic device at the midline skull base. Right maxillary mucus retention ... | No FDG avid tumor currently in the neck, chest, abdomen or pelvis. |
Generate impression based on findings. | Prolonged declined neurologic status. There is a right parieto-occipital subgaleal collection that measures up to 8 mm in thickness. The skull appears to be intact. There is no evidence of acute intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in siz... | 1. A right parieto-occipital subgaleal collection may represent a contusion, but no evidence of acute intracranial hemorrhage or skull fracture.2. Fluid within the bilateral mastoid air cells may represent mastoiditis or may be related to intubation. |
Generate impression based on findings. | 55 year-old male with melanoma with pancreatic mass and lung and liver metastases. Prechemotherapy measurements using the RECIST criteria. CHEST:LUNGS AND PLEURA: Lingula nodule (series 4, image 50) measures 1.2 x 1.2 cm. No other foci of measurable disease is seen. No pleural disease is seen.MEDIASTINUM AND HILA: No p... | 1. Left lingula lung nodules measured above without other measurable lung nodules or masses seen. 2. Multiple masses within or abutting the pancreas -- these are better demonstrated on the MR examination. Measurable disease estimated and measured in pancreas section above. 3. Multiple liver masses which are slightly in... |
Generate impression based on findings. | Reason: 73 y/o with large vessel vasculitis of subclavian/axillary arteries, evaluate changes History: vasculitis Neck CTA: Contrast bolus is somewhat delayed. As a result opacification of the arterial structures of the neck there is suboptimal.There is opacification of the aortic arch, great vessels from the aortic ar... | 1.No evidence for cervical cerebrovascular occlusive disease.2.Findings raise the question of wall thickening in the proximal left common carotid artery for example at the level of the thyroid gland and the subclavian arteries bilaterally. This is a rather borderline finding. Please correlate clinical symptoms and hist... |
Generate impression based on findings. | Reason: sarcoid, ild History: sob CHEST:LUNGS AND PLEURA: Redemonstration of upper lobe predominant fibrosis and architectural distortion with stable scarlike nodular opacity in the left lung.No new suspicious pulmonary nodules or masses.No pleural effusions. MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopath... | 1.Stable upper lobe predominant pulmonary fibrosis compatible with history of sarcoidosis. No new suspicious pulmonary nodules or masses.2.Marked diffuse demineralization of all visualized bony structures limiting evaluation for underlying myeloma. |
Generate impression based on findings. | 65-year-old male with rising PSA. Evaluate for progression of prostate cancer Re-demonstration of widespread multifocal increased radiotracer uptake involving the right scapula, cervical, thoracic and lumbar spine as well as bilateral ribs, sacrum and pelvis, consistent with osseous metastases. Although the activity in... | Overall, there has been mild interval worsening of disease as detailed above. |
Generate impression based on findings. | Female, 55 years old. Reason: Evaluate for cholelithiasis History: Abdominal pain LIVER: The liver measures 18.1 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 c... | No evidence of cholelithiasis, acute cholecystitis, or other acute abnormality to account for the patient's symptoms. |
Generate impression based on findings. | Reason: multiple reintubations, desats History: asx PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus.LUNGS AND PLEURA: Endotracheal tube tube in place. No suspicious pulmonary nodules or masses. Moderate right and small left pleural effusions with overlying compressive atelectasis.MEDIASTINUM AND HI... | 1.No acute pulmonary embolus.2.Moderate right and small left pleural effusion with overlying compressive atelectasis.3.Mediastinal and hilar lymphadenopathy, likely reactive.4.Enlarged and heterogeneous left lobe of the thyroid. Please see separately dictated CT soft tissue neck for further details.PULMONARY EMBOLISM: ... |
Generate impression based on findings. | 72-year-old female with history of left common femoral artery and abdominal aortic aneurysm. Lack of intravenous contrast enhancement limits the evaluation of solid organ parenchyma and vascular structures. Given these limitations, the following observations can be made:ABDOMEN:LUNG BASES: Right basilar subpleural pulm... | 1. Limited exam secondary due to lack of IV contrast secondary to extravasation.2. Infrarenal abdominal aortic aneurysm is stable in size.3. Increase in size of left common femoral aneurysm as above.Findings discussed with Nastassia Gurganus at 1430 on 4/27/15. |
Generate impression based on findings. | 48-year-old male. Purulence from the second toe, diabetic foot ulcer. Evaluate for osteomyelitis. Three views of the left foot show absence of the first toe, which is presumably due to amputation. There is pronounced osteolysis of the distal and middle phalanges of the second toe as well as erosions/osteolysis of the s... | Osteomyelitis of the second and third toes, as above. |
Generate impression based on findings. | 74 year-old male with reflux, esophageal pain and spasm. Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions. The thoracic aorta is mildly tortuous. Single contrast AP and lateral views of the hypopharynx demonstrated no gross abnormality.Double contrast eval... | 1. No gastroesophageal reflux was witnessed during today's examination.2. Moderate to severe esophageal dysmotility as described above.3. Small hiatal hernia. |
Generate impression based on findings. | 50 year-old male with history of diabetes mellitus type II episodes of vomiting. Evaluate for gastroparesis Visually there was significant and progressive gastric emptying. Using anterior and posterior geometric means, residual gastric activity at the following postprandial intervals was calculated as follows:30 mins: ... | Gastric emptying within normal limits. |
Generate impression based on findings. | Female 51 years old. Reason: left hip pain. History: left hip pain Three views of the left hip show severe osteoarthritis which appears similar to prior study.A single AP view of the pelvis is provided. Very mild osteoarthritis affects the right hip. Again seen is incomplete fusion of the posterior elements of L5. | Osteoarthritis as described above. |
Generate impression based on findings. | 79 year-old male status post recent buccal mucosal urethroplasty by urology. Evaluate for leak. An initial spot fluoroscopy image demonstrated a urinary bladder catheter in place, hardware components of a penile prosthesis and numerous surgical clips overlying the lower pelvis. Atherosclerotic vascular calcifications a... | 4.1 x 1.7 cm well delineated oval-shaped communicating collection ventral to the penile urethra at the site of urethroplasty. These findings were discussed with Dr. Bales (Urology) at 1000 on 04/27/2015. Otherwise, unremarkable urethra. |
Generate impression based on findings. | Male 66 years old Reason: hx of prostate cancer, scheduled for RALP History: see above PROSTATE, SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: Chronic degener... | Research study. |
Generate impression based on findings. | Female 79 years old Reason: evaluate surgical site for recurrence History: hx of renal cell ca, sp partial nephrectomy ABDOMEN:LUNG BASES: Descending thoracic aorta aneurysm, again noted.LIVER, BILIARY TRACT: Hepatic hypodense lesions are unchanged.SPLEEN: No significant abnormality notedPANCREAS: No significant abnorm... | Postsurgical changes involving the left kidney. Otherwise no significant change from previous study. |
Generate impression based on findings. | Female 53 years old. Reason: s/p fall. History: same Three views of the left thumb are provided. Again seen is a side plate and screw device affixing the first metacarpophalangeal joint in near-anatomic alignment. There is thin lucency about each of the the screws within the proximal phalanx which is slightly more pron... | Orthopedic fixation of the thumb as described above. No acute fracture. |
Generate impression based on findings. | Male 67 years old Reason: evaluate vasculature to support kidney transplant History: absent distal pulses Limited study to lack of intravenous contrast.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Pneumobilia.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality noted... | Limited study due to lack of intravenous contrast. Severe atherosclerotic changes.Right lower quadrant fluid density lesion which may represent penile reservoir. Lack of correlation is recommended.Bilateral atrophic kidneys with hypo-and hyperdense lesions. These cannot be optimally characterized due to lack of intrave... |
Generate impression based on findings. | Reason: breast ca s?p 3 mops taxol, eval disease status History: breast ca CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary nodules compatible with metastases are stable to slightly decreased in size compared to prior. Reference left lower lobe nodule measures 16 x 20 mm (series 5 image to 30), previously 20 x 20 m... | 1.Pulmonary metastases and mediastinal lymphadenopathy have mixed response with some decreasing in size and some increasing in size.2.Chest wall mass has decreased in size. |
Generate impression based on findings. | 55-year-old male with a history of prostate cancer, status post prostatectomy with anastomotic leak at the level of the prostatic urethra. Evaluate for leak. An initial spot fluoroscopy image demonstrated a urinary bladder catheter in place and a pelvic phlebolith. A 6-french angiocatheter was inserted 2-3 cm into the ... | No evidence of leak/contrast extravasation was demonstrated on today's examination. |
Generate impression based on findings. | Female, 56 years old.RFO evaluation per protocol, given patient's BMI. Patient is status post hysterectomy. No unexpected radiopaque foreign body. Non-obstructive bowel gas pattern. Expected post-operative small volume pneumoperitoneum. | No unexpected radiopaque foreign body is evident.Discussed with Dr. Goodall at 1333 on 04/27/2015. |
Generate impression based on findings. | Reason: hx of SLE, dyspnea on exertion, evaluate for any abnormalities History: dyspnea LUNGS AND PLEURA: Scattered punctate micronodules, calcified and noncalcified, are stable and presumably benign two no new pulmonary nodules. Left apical scarring is unchanged. No evidence of significant interstitial lung disease.ME... | Stable CT with no specific findings of interstitial lung disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in distribution. No suspicious masses, microcalcifications or areas of archi... | 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. | Multiple reintubations and desaturations. Motion artifact somewhat limits evaluation. There is no evidence of significant cervical lymphadenopathy. There are mildly prominent right paratracheal lymph nodes. The left thyroid gland/isthmus is markedly enlarged with heterogeneous enhancement containing cystic and solid co... | 1. Enlarged, heterogeneously enhancing left thyroid lobe with cystic and solid components, producing mass effect on the left aspect of the trachea, which could represent a multinodular goiter. However because CT is not accurate at assessing thyroid, thyroid ultrasound and tissue sampling is recommended for further eval... |
Generate impression based on findings. | Male 19 years old Reason: is there a fracture? History: pain medial knee area. We see no fracture or other findings to account for patient's pain. | We see no fracture or other findings to account for patient's pain. |
Generate impression based on findings. | Reason: mets lung cancer, s/p multiple chemo and s/p palliative RT. Pls c/w previous study and evaluate dz status. History: lung ca CHEST:LUNGS AND PLEURA: Reference right lower lobe mass measures 31 x 29 mm on image 56/92 (55 x 51 mm previously). Superior segment right lower lobe nodule measures 6 mm on image 40/92 (1... | Interval decrease in reference measurements as above. |
Generate impression based on findings. | Female 50 years old. Reason: is there a fracture? History: pain lateral ankle/foot Three views of the left ankle are provided. There is a 7-8 mm elongated density seen on the lateral view dorsal to the head of the talus likely representing a minimally displaced avulsion fracture. We suspect there is also a small tibiot... | Minimally displaced avulsion fracture from the dorsal aspect of the talar head. |
Generate impression based on findings. | 30 year-old female with history of gastric bypass in 2012. Patient presents with nausea and abdominal pain. Evaluate for stricture. An initial fluoroscopic spot image of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions. Surgical clips in the left upper quadrant were noted.Sin... | 1. No evidence of stricture as clinically questioned.2. Somewhat atypical bilobed configuration of the gastric remnant with a suspected broad-based communication between the two components. |
Generate impression based on findings. | 58 year old male with systemic hypertension, pulmonary hypertension, end-stage renal disease undergoing dialysis, atrial septal defect coronary sinus type with moderately reduced left ventricular systolic function. Referred to cardiac CT to further evaluate the atrial septal defect anatomy before surgical correction.CP... | 1. Atrial septal defect, coronary sinus type. 2. Cirrhotic liver morphology, with incompletely characterized enhancing arterial lesions, which could represent HCC. Recommend dedicated liver CT or MR for further evaluation. 3. Possible right groin pseudoaneurysm. |
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, unchanged in distribution. No suspi... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: eval ascites and VOD Gray scale findings:LIVER: Liver measures 14 cm. No evidence of intrahepatic or extrahepatic biliary ductal dilatation.GALLBLADDER, BILIARY TRACT: No gallbladder wall thickening. Decrease in the amount of sludge in the gallbladder. Common bile duct measures 2-mm.PANCREAS: Normal echogenicit... | Patent portal veins with hepatopetal flow. Gallbladder sludge decreased. No ascites. |
Generate impression based on findings. | Right sided sciatica and radiographs with stenosis. There is no evidence of fracture. There is mild levocurvature of the lumbar spine. The paravertebral soft tissues are unremarkable. There are hypoplastic T12 ribs.T12-L1: There is no significant spinal stenosis or neuroforaminal narrowing. There is a Schmorl's node of... | 1.Multilevel degenerative changes of the lumbar spine with moderate spinal stenosis at L2-3, L3-4 and L4-5, mild subluxation at L4-5, marked facet hypertrophy at L5-S1 and L4-5 and a levocurvature associated with mild translation at L4-5 and L2-3.2.There is mild chronic superior endplate compressions at T12 and L3.3.Th... |
Generate impression based on findings. | 93 year old with history of left lumpectomy in 2013. Three standard views of both breasts, lumpectomy that magnification views and left lateral exaggerated CC view were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in patter... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 79-year-old female with known microcalcifications in both breasts presents for annual diagnostic mammogram. No current breast complaints. Family history of breast carcinoma in her mother at age 60. Three standard views and a cleavage view of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3.... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 54 year-old male with history of gastric band surgery. The study was limited by the patient's body habitus. Initial fluoroscopic spot image of the upper abdomen demonstrated the faint gastric band. As seen on the prior examination, the position of the gastric band is abnormal, nearly en-face on the AP view, making meas... | Slipped and abnormally positioned gastric band at the level of the mid/distal body of the stomach, overall appearing similar to the prior study. No evidence of stricture.Mild esophageal dysmotility. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Prior benign right breast biopsy in 2006. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and d... | 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 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.Right retroareolar circumscribed mass with inter... | 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: Dementia, aneurysm, stroke, rule out chronic SDH. Signs and symptoms: Dementia. Unenhanced head CT:Examination demonstrates a large enhancing extra-axial mass in the right inferior paramedian location. The mass measures at least 40 x 38 x 33 mm in size. It demonstrates right frontal vasogenic edema. ... | 1.Large extra-axial enhancing mass in right inferior anterior frontal with evidence of a cystic component, invasion of superior sagittal sinus, extension through the right frontal abutting bone with 10 mm thick subgaleal tumor extension, surrounding vasogenic edema and trace deviation of midline to the left. The findin... |
Generate impression based on findings. | Redemonstrated are postoperative changes from prior suboccipital craniotomy with a stable resection cavity along the right paramedian cerebellum. There is stable T2/FLAIR hyperintensity predominantly along the superior margin of the resection cavity, without enhancement.The ventricles and sulci are within normal limit... | Stable postoperative changes without evidence of recurrent tumor. |
Generate impression based on findings. | Female 53 years old Reason: right rib cage - r/o fracture History: rib pain. Radiopaque marker is placed along the lower right rib cage. Again seen are two fractures through the posterior and posterolateral aspects of the right 10th rib as well as the posterior aspect of the right 11th rib, similar to those seen on pri... | Right rib fractures as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses, microcalcificati... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left breast benign biopsy. Personal history of basal cell carcinoma. 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 heterogeneously dense,... | 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 67 years old. Reason: history of metastatic lung cancer with new left hip pain; please evaluate for fracture/metastasis History: left hip pain Two views of the left hip are provided. Mild osteoarthritis affects the left hip. Small spurs are noted along the greater trochanter. There are no focal lesions to sugges... | Mild osteoarthritis. No radiographic evidence of metastatic disease. |
Generate impression based on findings. | 53-year-old male with history of colorectal cancer. Evaluate for metastatic disease. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Heart size is normal without pericardial effusion. No significant mediastinal or hilar lymphadenopathy. Small hiatal hernia.Right chest port with t... | 1. Stable postsurgical changes of partial colectomy and left lower quadrant colostomy without evidence of metastatic disease.2. Stable bilateral right greater than left hydronephrosis. |
Generate impression based on findings. | 74 year old male with T3N2b right tonsillar SCC status post chemoradiation. HEAD: There is no evidence of intracranial hemorrhage or enhancing mass. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is mild left maxillary sinus mucosal thickening. The... | 1.Findings compatible with treatment response with continued decrease in size of the right tonsillar mass and right cervical lymphadenopathy. No measurable residual mass or significant cervical lymphadenopathy by size criteria is appreciated on the current study. 2.No evidence for intracranial metastases.3.Occluded mid... |
Generate impression based on findings. | Reason: r/o appy History: abdominal pain, vomiting Patient did not tolerate oral contrast and refused to rectal contrast, which limits evaluation. ABDOMEN:LUNG BASES: Lung bases are well aerated.LIVER, BILIARY TRACT: No focal hepatic lesion is identified. No intrahepatic or extrahepatic biliary ductal dilatation. Gallb... | Limited evaluation due to lack of oral contrast. Tubular structure just below the terminal ileum measuring 2-cm in diameter in the anatomic location of the appendix but appears to be small bowel. |
Generate impression based on findings. | The parotid and submandibular glands are normal in size and symmetric bilaterally without masses. There are no thyroid masses. There are no nasopharyngeal, oropharyngeal or laryngeal masses identified and there is no airway compromise. The lung apices are clear. There is no clinically significant adenopathy. There are... | There is pansinus opacification, with several foci demonstrating lobular/air interfaces suggestive of polyposis, with evidence of prior sinus surgery. Otherwise negative contrast enhanced neck CT. |
Generate impression based on findings. | Foot injury, rule out fractureVIEWS: Left foot AP oblique lateral (3 views) 4/27/15 13:56 Fracture of the proximal first metatarsal. Widening of the space between the 1st and 2nd metatarsal joint, which may represent Lisfranc dislocation. | Fracture of the proximal first metatarsal with possible Lisfranc dislocation. |
Generate impression based on findings. | Female 80 years old Reason: 80F with polycystic kidneys, ?size and progression compared to prior History: 80F with polycystic kidneys, ?size and progression compared to prior RIGHT KIDNEY: Enlarged with numerous cysts. Estimated length of 19 cm. All cysts look simple; no mural nodules. No hydronephrosis. The residual p... | No significant change in large kidneys and numerous large cysts bilaterally. |
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. Stable benign bilateral calcifications... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 87-year-old female. Left tibial plateau fracture. Evaluate for healing/progressive angulation. Two views of the left knee show that the bones are demineralized. Again seen is a slightly depressed fracture of the medial tibial plateau that appears similar to the prior study. Bandlike sclerosis on the prior study is begi... | Healing tibial plateau fracture. |
Generate impression based on findings. | 64 year old female status post left lumpectomy in 2013 for DCIS, presents today for routine follow up. No current breast complaints. No family history of breast cancer. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered f... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 42-year-old male. Left talus avulsion fracture. Evaluate for healing. Three views of the left ankle show that the previously seen fracture of the lateral process of the talus is no longer visible compatible with interval healing. The remainder of the ankle is unremarkable. | Healing/healed talar process fracture. |
Generate impression based on findings. | Male, 55 years old.History of gastric by-pass revision. Midline surgical staples. Left upper quadrant surgical clips. Gastrostomy tube retention balloon overlies the expected location of the distal stomach. Multiple abdominal and pelvic surgical clips.A left retrocardiac opacity compatible with consolidation/atelectasi... | 1. No unexpected radiopaque foreign body.2. Retrocardiac consolidation/atelectasis.Discussed with Dr. Alverdy at 1445 on 04/27/2015. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast biopsy. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspic... | 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. | Asymptomatic female presents for routine screening mammography. The patient has had a benign right breast biopsy. She is a history of keloid scars on both breasts. She reports bilateral breast pain on and off. History of HIV. Two standard digital views of both breasts and additional left CC view were performed and revi... | 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. History of two benign stereotactic core needle biopsies of the right breast, one in 2005 and one in 2011. 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 heteroge... | Stable benign bilateral calcifications. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Reason: dx: metastatic soft tissue sarcoma History: pain LUNGS AND PLEURA: Post surgical changes. No suspicious pulmonary nodules or masses. MEDIASTINUM AND HILA: Heterogenous thyroid unchanged from prior examination. CORONARY ARTERY CALCIFICATION: Mild.CHEST WALL: Healed left 4th and 5th rib fractures. UPPER ABDOMEN: ... | No evidence of metastatic disease. |
Generate impression based on findings. | 42 year old female status post right mastectomy in 2013 for DCIS, presents today for routine follow up. History of left breast reduction mammoplasty. Patient received hormonal therapy (tamoxifen). No current breast complaints. No family history of breast cancer. Three standard views of the left breast were performed di... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Additionally, given the patient's personal history of breast carcinoma and dense breasts, annual screening MRI should be considered. Results and recommendat... |
Generate impression based on findings. | Male 34 years old Reason: Left tibia adamantinoma, s/p resection and reconstruction with allograft/vascularized fibula, complicated by deep infection, evaluate for failure of the reconstruction Again seen is an intramedullary rod and screw device affixing the tibia in near anatomic alignment. There is fibular bone graf... | Postoperative changes of left tibial reconstruction as described above. There has been an increase in the degree of soft tissue swelling but we see no findings to suggest failure of the reconstruction. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Status post left breast abscess drainage in 2002. 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 distr... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 14 years old right medial finger pain VIEWS: Right hand AP right middle finger lateral and oblique 4/27/15 (3 views) There is a fracture of the lower aspect of the base of the mid phalanx of the right third finger with soft tissue stranding. Alignment is anatomic. | Right third finger intra-articular mid phalanx fracture as described. |
Generate impression based on findings. | Female 54 years old Reason: Left knee: Evaluate for degree of osteoarthritis. Popping of knee with pain and swelling. Right knee: Evaluate for fracture, status post fall two days ago. Pain over the patella and knee. Assess for arthritis. Left knee: Tiny osteophytes are present suggesting minimal osteoarthritis, essenti... | Mild osteoarthritis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of right breast benign biopsy. Family history of breast cancer in aunt. Two standard digital views of both breasts and additional bilateral MLO views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scatt... | 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. |
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