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Generate impression based on findings. | Reason: mets lung cancer, s/p 6 cycles of Docetaxel and Ramucirumab. Pls c/w previous study and evaluate tx response. History: lung ca CHEST:LUNGS AND PLEURA: Postoperative changes of right lower lobe wedge resection. Air-fluid level in the operative bed unchanged. Right lower lobe consolidation, nodular, and groundgla... | Increased mostly peripheral interstitial, ground glass and nodular opacities with traction bronchiectasis bilaterally in both upper and lower lung zones. The findings are nonspecific but much more typical of drug reaction than progression of metastatic disease. |
Generate impression based on findings. | 80 year-old male with history of metastatic duodenal cancer. Asymptomatic, evaluate disease status. CHEST:LUNGS AND PLEURA: Previously identified reference spiculated nodule in the right upper lobe (6/36) has decreased in size and is now no longer measurable.MEDIASTINUM AND HILA: Scattered small mediastinal and hilar l... | 1.Previously seen hepatic metastases are again noted, similar to prior in size.2.Previously identified right lung spiculated nodules have decreased in size over the interval.3.Left gluteal resolving hematoma. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Chronic nipple inversion. History of right breast cyst removed at age 18. 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 den... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 13 years old Reason: 1st phalanx fracture History: PAINVIEWS: Left AP, lateral and oblique 4/27/15 (3 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | 40 year old with right breast pain and lump. Three standard views of both breasts and a right spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No dominant mass, suspicious microcalcifications o... | No suspicious findings at the patient's site of palpable concern or elsewhere in either breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Additionally, the findings of these exams should be correlated with... |
Generate impression based on findings. | Female, 54 years old.Status post hysterectomy. Elevated BMI. Enteric tube tip overlies the gastric antrum. Surgical clips in the right upper quadrant. Drainage catheter overlying the right inguinal region. Elevated right hemi-diaphragm with compressive atelectasis.Non-obstructive bowel gas pattern. No unexpected retain... | No unexpected retained foreign body is evident.Discussed with Dr. Yamada at 1442 on 04/27/2015. |
Generate impression based on findings. | 50 year old female. Left hip pain, no trauma. Evaluate for a fracture. Two views of the left hip show amorphous calcification along the superior aspect of the greater trochanter that likely resides in one of the gluteal tendons at its insertion or in a peritrochanteric bursa. It does not have a typical appearance of a ... | Calcification along the greater trochanter may reflect calcific tendinosis or bursitis but we see no fracture. |
Generate impression based on findings. | 71-year-old female. Left arm numbness distal to elbow. Left shoulder pain. Evaluate DJD, fracture. Evaluate for cervical DDD. Six views of the cervical spine shows degenerative disk disease affecting C5-6 and mild degenerative disk disease affecting C6-7 with anterior and posterior vertebral body osteophytes. Mild mult... | Degenerative arthritis of the cervical spine, as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of bilateral breast reduction in 2007. Two standard digital views of both breasts and additional left MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, u... | Postsurgical changes bilaterally and fat necrosis/oil cyst in the right breast. 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. | 2-year-old male with history of medulloblastoma status post chemotherapy and stem cell transplant x 2. Baseline evaluation prior to transplant. The patient’s weight of 12 kg and height of 91 cm were used for all calculations.Raw GFR = 34 mL/minBSA = 0.57506 m2Estimated GFR/m2 = 60 mL/min/m2Estimated GFR/m2 * 1.73 m2 (a... | GFR measurements as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of basal cell carcinoma. Two standard digital views of both breasts , additional left MLO view, and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure sma... | 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. | Lung cancer initial treatment strategy. Spiculated right upper lobe mass with innumerable bilateral pulmonary nodules, mediastinal adenopathy. Also thyroid mass.RADIOPHARMACEUTICAL: 7.4 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 101 mg/dL. Today's CT portion grossly demonstrates a suggestion of areas of... | 1.Markedly hypermetabolic spiculated right upper lobe mass, compatible with malignancy, likely primary lung cancer.2.Hypermetabolic right thyroid nodule, suspicious for primary thyroid cancer although may also represent a benign thyroid nodule.3.Multifocal hypermetabolic lymph nodes in the lower neck and mediastinum bi... |
Generate impression based on findings. | 37-year-old male with history of metastatic testicular germ cell tumor. CHEST:LUNGS AND PLEURA: Right lower lobe reference metastatic nodule has significantly decreased in size and density now measuring 5 x 4 mm, previously 12 x 10 mm (image 73 of series 4). No new nodules or masses are identified. Left upper lobe ante... | 1. Interval decrease in metastatic tumor burden with reference measurements as above.2. Significant bladder wall thickening with intraluminal air which is favored to be infectious in etiology as this would be an unusual presentation of metastatic disease and in addition, disease volume is decreasing.3. Stable left hydr... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts (a total of 8 images) and additional cleavage view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. There are bilateral benign calcifications. Multiple bilate... | 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. | Male 80 years old Reason: 80 yo m with epigastric pain and elevated lipase, concerning for pancreatitis. please eval for biliary stone disease History: as above LIVER: 17.3 cm length. Normal echogenicity. No focal lesions.Flow in the portal venous hepatopedal with a peak velocity of .2 m/sec.GALLBLADDER, BILIARY TRACT:... | Normal exam. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in two sisters at age 44 and 63. 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 i... | 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. | RIGHT: There is marked narrowing of the medial internal auditory canal, measuring up to 1 to 2 mm in craniocaudal dimension associated with a prominent bony excrescence superiorly. There is a defect in the pars tensa portion of the tympanic membrane measuring up to 4 mm in width with retraction of the remaining membra... | 1. Right tympanic membrane perforation.2. Bilateral osseous stenosis of the medial internal auditory canals in the craniocaudal dimensions, right more than left, associated with what may represent an osteoma or exostosis versus a developmental variant. A dedicated MRI is recommended in order to evaluate the status of t... |
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 almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural di... | 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. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in sister. 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 almost entirely fatty, unchanged in pattern and distribution. Small, ci... | 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. | 85 year old female status post left mastectomy 2001 for IDC, medullary type, presents today for routine follow up. History of benign right breast biopsy in 1964. No current breast complaints. Family history of breast carcinoma in her mother. Three standard views of the right breast were performed digitally and reviewed... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 80 years, Female. Reason: eval ngt History: ngt NG tube tip overlies the gastric antrum. Relatively collapsed colon with faint contrast from the prior CT scan. Left lower lung opacity.Stable mildly dilated left lower quadrant small bowel loop.Given limited supine view no evidence of intramural or free air. | NG tube tip overlies the gastric antrum.Left lower lung consolidation/atelectasis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in her paternal grandmother. 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. The c... | 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. | 36-year-old female with reduced incarcerated ventral hernia, now with continued abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnor... | 1. Interval reduction of small bowel hernia into superior of two ventral abdominal wall hernias without evidence of intrinsic bowel abnormality or intra-abdominal abnormality. 2. Peritoneal fat extends into the both anterior abdominal wall hernias with inflammatory changes without abnormal fluid collection in the super... |
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. Bilateral benign calcifications are noted. No suspicious masses, mic... | 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. | Asymptomatic female presents for routine screening mammography. History of breast cancer in maternal grandmother diagnosed at age of 50. 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 obscure ... | 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. | Reason: Lung cancer restaging prior to surgery. History: pre-op CT CHEST:LUNGS AND PLEURA: Emphysema. Reference irregular right upper lobe nodule measures 26 x 26 mm on image 34/101 (25 x 24 mm on prior).A 4-mm anterior right upper lobe nodule (series 4, image 38) is unchanged. Punctate nodules in the left lower lobe (... | Marginal interval increase in multiple small micronodules which may be secondary to metastatic disease. Index nodule is stable to marginally increased. |
Generate impression based on findings. | 42 year old female presents for 6 month follow up of left breast calcifications. No current breast complaints. Family history of breast carcinoma in her paternal grandmother. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously d... | High probability benign calcifications in the left breast. Bilateral diagnostic mammogram is recommended in 12 months to document stability. Results and recommendations were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months). |
Generate impression based on findings. | 35-year-old male with history of amuria. Evaluate for hydronephrosis or obstructive etiology. Limited evaluation due to low signal-to-noise ratio.RIGHT KIDNEY: No hydronephrosis, abnormal perinephric fluid collections or other significant abnormalities noted. The right kidney measures 10.9 cm.LEFT KIDNEY: The left kidn... | Limited exam, without hydronephrosis or other findings of post renal AKI. Cannot exclude parenchymal abnormalities of the left kidney, however no hydronephrosis was seen. |
Generate impression based on findings. | 63-year-old female. Lateral foot pain status post fall. Three views of the right foot show an oblique fracture of the diaphysis of the fifth metatarsal with minimal dorsal displacement and medial angulation of the distal fracture fragment. A small amount of callus adjacent to the fracture indicates an attempt at healin... | Fifth metatarsal fracture. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in mother, aunt, and second cousin. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in patte... | 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. | 30-year-old male. Pain. Evaluate position. Three views of the left hand show an orthopedic pin affixing the distal phalanx to the middle phalanx of the index finger. There is fragmentation of the base of the distal phalanx, new compared to the prior study. There is irregularity of the surrounding soft tissues, presumab... | Orthopedic fixation of the index finger, as described above. |
Generate impression based on findings. | 10 day old male with micrognathia, please add 3-D airway views. There is micrognathia of mandibular hypoplasia. The remaining osseous structures are unremarkable. Sutures remain patent. Mastoid air cells and middle ear cavities are clear. Intracranial contents are unremarkable. An enteric tube is present via the left n... | There is micrognathia of mandibular hypoplasia. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of sebaceous cyst in the left axilla. 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 obscure small masses, unchanged in ... | 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. | 65-year-old female who and endometrial cancer post two cycles of therapy. CHEST:LUNGS AND PLEURA: No significant change since the prior examinations. Again seen are bilateral subsegmental atelectasis/scarring in a similar pattern. No suspicious pulmonary nodules or masses are seen. No pleural disease seen.MEDIASTINUM A... | 1. Stable appearance to small bore slightly prominent retroperitoneal and pelvic lymph nodes. Please see reference measurements above. 2. No new sites of potential metastatic disease identified. 3. Stable appearance to anterior ventral hernia containing small bowel without complication. 4. No other significant abnormal... |
Generate impression based on findings. | Reason: h/o tongue cancer and new lung lesion on recent CT, compare to CTs and eval disease, measurements pls History: none LUNGS AND PLEURA: Patchy ground glass opacity in the right lower lobe is nonspecific but more typical of aspirate or infection than metastatic disease.Previously noted mixed solid and ground glass... | No definitive evidence of metastatic disease. Previously noted irregular nodule on the left has nearly completely resolved and was likely due to aspirate or infection. Patchy ground glass opacity in the right lower lobe is nonspecific but more typical of aspirate or infection than metastatic disease, continued follow u... |
Generate impression based on findings. | Cancer status post chemoradiation completed 2014. Restaging exam. Recent CT demonstrated new lung lesion.RADIOPHARMACEUTICAL: 8.3 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 105 mg/dL. Today's CT portion of the neck, abdomen, and pelvis demonstrates posttherapy changes within the neck. A gastrostomy tube... | 1.No convincing FDG avid tumor currently.2.Patchy right lower lobe ground glass activity is compatible with inflammation.3.Likely lower sacral insufficiency fracture, new from prior PET.Diagnostic CTs of the chest also performed at today's visit will be reported separately. |
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 almost entirely fatty, unchanged in pattern and distribution. Focal asymmetry in the left lower inner breast with ... | Focal asymmetry in the left lower inner breast. Recommend spot compression views.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EA - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 30 year-old female with history of duodenal lesion endoscopic resection now with new onset back pain. Evaluate for perforation. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRE... | Small foci of paraduodenal free air compatible with perforation which has likely sealed off as there are no adjacent fluid collections or evidence of leaking oral contrast.Findings discussed with Dr. Waxman at 1515 on 4/27/15. |
Generate impression based on findings. | 38 years old, Male, Reason: s/p shunt VPs Redemonstration of a right parietal approach ventriculostomy catheter with tip in the left lateral ventricle. There has been interval resolution of ventriculomegaly of the lateral and third ventricles. The ventricles are now collapsed. Interval resolution of postoperative pneum... | 1. Interval collapse of the recently shunted ventricles.2.Unchanged hyperattenuating left infratentorial focus may represent granulomatous reaction secondary to prior surgery.3.Small focus of encephalomalacia in the right frontal lobe subjacent to the right frontal burr hole. 4.Unchanged encephalomalacia of the medial ... |
Generate impression based on findings. | 74-year-old male with history of bacteremia, end-stage renal disease, vascular disease, evaluate for mesenteric ischemia. Vasculature: Mild atherosclerotic narrowing of the aortic branch vessels. There is approximately 50% narrowing of the right renal artery origin due to atherosclerotic plaque. The superior mesenteric... | 1.No evidence of bowel ischemia, and the aortic branch vessels are widely patent.2.Approximately 50% narrowing of the right renal artery.3.Stable adrenal nodular thickening.4.Severe fatty atrophy of the pancreas again seen. |
Generate impression based on findings. | Reason: evaluate know mets and effusion History: sob, cough (history of lung cancer recently diagnosed) LUNGS AND PLEURA: Left upper lobe mass abutting the left major fissure measures 23 x 40 mm (series 4 image 33). Large left pleural effusion with overlying compressive atelectasis/consolidation, additional tumor may b... | Extensive left sided opacities and pleural effusion highly suggestive of malignancy with mediastinal invasion.Bilateral hilar lymphadenopathy. |
Generate impression based on findings. | Male 11 years old Reason: Concern for fracture 5th digit History: Base of 5th digit swelling, TTP, pain over 5th metacarpalVIEWS: Left hand AP, lateral and oblique 4/27/15 (3 views) Proximal fall on of the left fifth finger buckle fracture with mild soft tissue swelling alignment is anatomic. | Proximal phalanx of the left fifth finger buckle fracture as described. |
Generate impression based on findings. | 49 year old male with severe mitral regurgitation referred to cardiac CT for evaluation of cardiac and coronary anatomy before surgery.CPT: 75572 CARDIAC: Aortic and Aortic Root. There is a left sided aortic arch with normal brachiocephalic branching pattern. No thoracic aortic dissection, tortuosity or aneurysm is not... | 1. Normal left and right heart size.2. Thickened mitral valve leaflets.3. Normal coronary arteries. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Male 58 years old Reason: hx of metastatic prostate cancer, bone mets, and abdominal mass History: abdominal mass This study is limited due to lack of intravenous contrastABDOMEN:LUNG BASES: Extensive posterior mediastinal adenopathy. Index left posterior mediastinal lymph node measures 5.4 x 2.7 cm on image number 30,... | Limited study to lack of intravenous contrast.Extensive posterior mediastinal and retroperitoneal adenopathy as described above. Bilateral hydronephrosis.Asymmetric enlargement of rectus muscle on the right side extending into the subcutaneous tissues of the anterior abdominal wall may represent an old hematoma versus ... |
Generate impression based on findings. | Female 64 years old Reason: Knee pain. Evaluate for osteoarthritis. Severe osteoarthritis with near bone on bone apposition in the medial joint compartment. Tricompartmental osteophytes and mild varus deformity are noted. We see no large joint effusion. Mild osteoarthritis affects the right knee as seen on the frontal ... | Osteoarthritis. |
Generate impression based on findings. | Male 19 years old Reason: status post IM rod placement for left tibia fracture, evaluate for healing/hardware breakage. Again seen is an intramedullary rod and screw device affixing a healing/healed fracture of the distal tibial diaphysis in near anatomic alignment. No hardware complication is evident. Again seen is a ... | Orthopedic fixation of a healing/healed tibial fracture as above. |
Generate impression based on findings. | 21-year-old male. Status post ORIF. Evaluate finger fracture healing. Three views of the right fifth finger show 3 orthopedic screws affixing an oblique fracture of the proximal phalanx in near anatomic alignment. We see no hardware complications. The fracture line is slightly less distinct on the current exam indicati... | Orthopedic fixation of a healing finger fracture. |
Generate impression based on findings. | Female, 50 years old. Reason: 50 yo female with AKI RIGHT KIDNEY: The right kidney measures 10.3 cm, with normal cortical echogenicity. No shadowing calculi or hydronephrosis.LEFT KIDNEY: The left kidney measures 10.2 cm, with normal cortical echogenicity. No shadowing calculi or hydronephrosis.URINARY BLADDER: The bla... | No hydronephrosis. |
Generate impression based on findings. | Female 80 years old Reason: substernal thyroid with nodule in her right thyroid lobe that was unable to be biopsied at OSH because of location. Pls eval for other nodules and possibility of FNA of R nodule History: difficulty swallowing RIGHT LOBE MEASUREMENTS: 6.1 x 1.5 x 3.6 cm. full extent may not be seen as the rig... | Solid nodule extending off the right lower pole extending dorsal to the clavicle. Although difficult but might be amenable to percutaneous needle aspiration. |
Generate impression based on findings. | 19 day old female experiencing obstructive events during sleep, infant with recessed jaw, workup for mandibular distraction. There is micrognathia of mandibular hypoplasia. The remaining osseous structures are unremarkable. Sutures remain patent. Fluid is present within bilateral mastoid air cells and middle ear caviti... | 1.There is micrognathia of mandibular hypoplasia. 2.Fluid is present within bilateral mastoid air cells and middle ear cavities. |
Generate impression based on findings. | Female 63 years old. Reason: S/p R TKA. History: S/p R TKA Two portable views of the right knee are provided. Hardware components of a right total knee arthroplasty are situated in near-anatomic alignment without evidence of hardware complication. Surgical drain, skin staples, and foci of gas density in the soft tissue... | Postoperative changes of a right total knee arthroplasty. |
Generate impression based on findings. | Reason: new diagnosis of sarcoid based on lymph node biopsy - evaluate for parencyhmal abnormalities History: neurological, dyspnea LUNGS AND PLEURA: Linear scarring or atelectasis in the right upper lobe but no specific findings of pulmonary parenchymal sarcoidosis.MEDIASTINUM AND HILA: Relatively homogeneous small pa... | Mild lymphadenopathy but no specific findings of pulmonary parenchymal sarcoidosis. |
Generate impression based on findings. | 72 year-old female with concern for anorectal-vaginal fistula There is prompt opacification of the rectum and distal sigmoid with barium. The mural contour of the rectum is normal without evidence of fistulization. The rectum was manually insufflated with room air. The patient was asked to bear down and rotate on the t... | No fistula tract was demonstrated. |
Generate impression based on findings. | Female 58 years old. Reason: Multiple myeloma, hx of lesion in right femoral neck, evaluate for progression. History: above Two views of the right femur are provided. Multiple lucent lesions in the proximal femur are compatible with the stated history of multiple myeloma. The largest in the base of the femoral neck res... | Findings compatible with multiple myeloma which appear similar to prior study. |
Generate impression based on findings. | Reason: 79 yo M intubated 4/27 with AMS + progressive shock. Known MRSA PNA/bacteremia. History: see above LUNGS AND PLEURA: Bilateral lower lobe predominant extensive consolidation with small areas of cavitation, slightly improved in the right lower lobe. Right upper lobe ground glass opacities similar to prior. Previ... | Bilateral lower lobe predominant consolidation with cavitation, stable to marginally improved. Slight interval decrease in bilateral pleural effusions. |
Generate impression based on findings. | 68 year-old male with acute respiratory failure. Evaluate NGT placement. AICD/PM leads and central venous catheter partially visualized. The proximal side-port of the enteric tube is at the gastroesophageal junction, slight advancement is recommended.The lung bases are clear. The lower abdomen is not included in the fi... | 3-5 cm advancement of the enteric tube is recommended. |
Generate impression based on findings. | Female 62 years old. Reason: neck pain, ?radiculopathy; s/p C-spine fusion - eval hardware changes History: as above Four views of the cervical spine are provided. Again seen is an anterior plate with screws entering the C4 and C5 vertebral bodies. There may be mild lucency about the screw in C4, but this is equivocal ... | Postsurgical changes of C4/5 fusion and degenerative arthritic changes as described above which appear similar to prior study. |
Generate impression based on findings. | Reason: mets lung cancer, s/p resection and adjuvant chemo. EGFR mutation, s/p both Tarceva and Afatinib, now with PD. Pls c/w previous study and evaluate dx status. History: lung ca LUNGS AND PLEURA: Bilateral pulmonary nodules consistent with metastatic disease. For continued reference a right lower lobe nodule measu... | Metastatic lung cancer with reference measurements as above. The abdomen/pelvis CT will be reported separately. |
Generate impression based on findings. | 55 year-old female with abdominal pain and concern for obstruction. Presumed cystectomy clips are noted. Pelvic surgical suture material. The lung bases are clear. There is gas throughout the left hemi-colon and rectum and a non-dilated air filled small bowel loop in the right lower quadrant. No gross pneumoperitoneum ... | Non-obstructive bowel gas pattern. |
Generate impression based on findings. | Extensive postsurgical changes are seen involving the paranasal sinuses including bilateral uncinectomies, ethmoidectomies, as well as frontal and sphenoid sinusotomies. Minimal mucosal thickening is seen along the inferior aspect of the left frontal sinus. Minimal focal opacification of a right anterior ethmoid air c... | Minimal paranasal sinus disease as described above. |
Generate impression based on findings. | Restaging metastatic anal cancer status post 4 cycles of chemotherapy.RADIOPHARMACEUTICAL: 11.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 96 mg/dL. Today's CT portion grossly demonstrates chronic appearing right maxillary sinusitis. Right jugular central line with tip in the SVC. Biliary stent is noted... | 1.Partial decrease in previously noted pelvic hypermetabolic tumor, indicating a partial but incomplete metabolic response to therapy with residual active tumor metabolism within the pelvis.2.Additional findings equivocal but suspicious for slight progression of metastatic disease within retroperitoneal abdominal lymph... |
Generate impression based on findings. | 58 year-old female with inability to access Baclofen pump. Baclofen pump situated in the right lower quadrant without evidence of tube fracture/discontinuity. The pump appears to be mobile as it changes orientation between the radiographs.Scoliosis. Posterior spinal fusion hardware of the lower lumbar spine.Non-obstruc... | Apparently mobile Baclofen pump changes orientation between radiographs. No evidence of tube discontinuity. |
Generate impression based on findings. | Reason: pulmonary embolism History: sob PULMONARY ARTERIES: Slightly limited due to motion. No acute pulmonary embolus to the segmental level.LUNGS AND PLEURA: Evaluation of fine parenchymal detail is limited by motion. Biapical parenchymal-pleural scarring. Diffuse midlung centrilobular ground glass opacity with some ... | 1.No acute pulmonary embolus.2.Diffuse, midlung predominant, ground glass with subpleural sparing. These findings are nonspecific but could be seen with edema, aspirate or atypical infection. 3.No evidence of pulmonary fibrosis.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Mos... |
Generate impression based on findings. | Evaluate for organic cause of headache. There is no evidence of acute intracranial hemorrhage, abnormal enhancement or large mass. The ventricles and basal cisterns are normal in size and configuration. There are scattered foci of abnormal low attenuation in the periventricular and subcortical white matter, particularl... | 1.No evidence of acute intracranial hemorrhage, mass or edema.2.Age-indeterminate periventricular lesions of a mild degree. At this age they are most likely vascular related.3.Please note that CT is insensitive for the early detection of non-hemorrhagic acute cerebral infarction. |
Generate impression based on findings. | ScoliosisVIEWS: Thoracic and lumbar spine AP and lateral 4/27/15 (2 view/s) 10 Degrees thoracolumbar dextrocurvature with no segmentation or fusion defects. | No evidence of scoliosis. |
Generate impression based on findings. | Reason: concern for metastatic breast cancer, eval for pulmonary metastases History: see above LUNGS AND PLEURA: Right lower lobe 9-mm nodule (image 58 series 4).Mild basilar scarring/atelectasis.Postsurgical changes in left hemithorax with mild residual pleural thickening.No pleural effusions.MEDIASTINUM AND HILA: Pro... | 1.Large infiltrating left chest wall mass compatible with recurrent breast cancer.2.Solitary right lower lobe nodule suspicious of a pulmonary metastasis.3.Probable mediastinal lymphadenopathy.4.Multiple hepatic metastases. See current CT report for abdomen and pelvis. |
Generate impression based on findings. | Reason: Pt has loss of memory during which she had 2nd degree burn one right forearm--assess for evidence of seizure History: loss of memory The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a small left parafalcine calcification which is of little clinical significance. The ri... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | 80 year-old female with worsening left jaw pain. Known breast cancer metastases. Evaluate for jaw metastasis. Head:There is no evidence of intracranial hemorrhage, mass effect or cerebral edema. Prominence of the ventricles and sulci is compatible with age-related cerebral volume loss. The basal cisterns are normal in ... | 1.Diffuse osseous metastases in the visualized cervical spine, skull base and mandible. There is a bone lesion suspicious for metastasis along the left mandibular condyle which may account for the patient's reported jaw pain. Please correlate with clinical symptoms and history.2.There is no CT evidence for brain metast... |
Generate impression based on findings. | 68-year-old male with altered mental status. There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. Patchy subcortical and periventricular white matter hypoattenuation is nonspecific although may represent... | 1. No evidence of intracranial hemorrhage or mass.2. Focal hypoattenuation within the right frontal centrum semiovale and periventricular white matter is likely secondary to age indeterminate small vessel ischemic disease. If there is continued concern for acute ischemic event, MRI of the brain would be recommended if ... |
Generate impression based on findings. | 45 year old female with known breast cysts, who has a complaint of enlarging left breast lump. Family history of breast carcinoma in her mother in her 30s, and maternal cousin at age 48. MAMMOGRAM: Three standard views of both breasts, two spot compression views of the left breast, and two spot compression views of the... | 1. Dense parenchymal tissue within the upper outer left breast, without sonographic abnormality, likely accounting for the patient's area of palpable concern. Correlation with physical exam to ensure that this imaging result is concordant with physical exam is recommended. As long as that is the case, a routine 12 mont... |
Generate impression based on findings. | 14-year-old female. Patellar dislocation. Please measure TT-TG and for trochlear dysplasia. The tibial tuberosity-trochlear groove distance measures approximately 18 mm, which is borderline. There is asymmetry of the trochlear facets with the width of the lateral facet measuring nearly 2 to 3 times larger than the medi... | Borderline elevated TT-TG distance and other findings, as described above. |
Generate impression based on findings. | PainVIEWS: Left hand AP oblique lateral (3 views) 4/27/15 No fracture or dislocation. | No fracture or dislocation. |
Generate impression based on findings. | Male 33 years old. Reason: assess for fx. History: Neck pain and back pain. Six views of the cervical spine are provided. The cervical spine is slightly kyphotic but we see no fracture. The C2/3 disk space appears slightly narrowed. The right neural foramina appear patent. There is apparent narrowing of the left neural... | Slight kyphosis of the cervical spine but no acute fracture evident. If strong clinical concern for a fracture remains, then CT may be considered. |
Generate impression based on findings. | Female 66 years old Reason: mets lung cancer, s/p 2 line of therapy, EGFR mutation. Pls c/w previous outside study and evaluate dx status. History: lung cancer ABDOMEN:LUNG BASES: Chest CT was dictated separately. Bilateral lung nodules are noted compatible with metastatic disease.LIVER, BILIARY TRACT: Round, subcentim... | Cholelithiasis versus subcentimeter polyp in the gallbladder. Ultrasound is recommended for further evaluation. |
Generate impression based on findings. | 56 years old, Female, Reason: Pt fell and struck head, on aggrenox therapy. History: dizzy and forgetful Cervical spine: There is no evidence of fracture. There are two subtle lucencies on either side the odontoid process extending in a craniocaudal direction from the superior surface of the C2 body which are nonlinear... | 1. No evidence of intracranial hemorrhage or mass.2. Stable postsurgical and degenerative changes of the cervical spine without evidence of fracture. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Male, 74 years old. Reason: Fever, lactic acidosis, rising bili, eval for biliary obstruction, please do dopplers to assess portal vessels History: see above DOPPLER:PORTAL VENOUS: The portal veins are patent, with normal hepatopetal flow. Main portal vein flow velocity of 0.2 m/sec.HEPATIC ARTERIES: The hepatic arteri... | 1. No biliary ductal dilatation. No cholelithiasis.2. Limited evaluation of the hepatic vasculature shows normal directional flow of the portal veins. |
Generate impression based on findings. | Male 86 years old. Reason: s/p L reverse TSA. History: see above Evaluation of fine detail is limited by overlying artifact. A single portable view of the left shoulder is provided. Hardware components of a left reverse total shoulder arthroplasty are situated in near-anatomic alignment without evidence of hardware com... | Postoperative changes of reverse total shoulder arthroplasty as described above. |
Generate impression based on findings. | 80 year old female with history of aortic dissection seen on TTE in O. R. Vascular:Mural thrombus is noted within the distal aortic arch. There is a new type B aortic dissection that originates just distal to left subclavian artery origin and extends through the bifurcation of the right common iliac artery. The celiac ... | 1.Type B aortic dissection which extends into the right renal artery and ends near the bifurcation of the right common iliac artery.2.Approximately 1 cm left hepatic artery aneurysm.3.Right adnexal cystic lesion, should be correlated with ultrasound. |
Generate impression based on findings. | 60 year-old female with unexplained weight loss. Significant family history of esophageal and pancreatic cancer. CHEST:LUNGS AND PLEURA: No abnormal masses, nodules or airspace disease. No pleural disease. MEDIASTINUM AND HILA: No significant abnormality noted. No evidence for esophageal wall thickening.CORONARY ARTERY... | 1. No abnormalities seen in the chest. 2. No diagnostic abnormality seen in the abdomen or pelvis. Slightly enlarged left ovary seen which most likely is not of significance, but if physical examination and/or clinical concern over a left ovarian mass exists, dedicated ultrasound would be recommended. |
Generate impression based on findings. | Female 51 years old. Reason: pain in the right posterior ribs about 3 weeks ago when she fell against hard chair. R/o fx ribs. History: pain in the post ribs after fall. Three views of the ribs are provided. We see no fracture or other specific finding to account for the patient's pain. | No fracture or other finding to account for the patient's pain. |
Generate impression based on findings. | Cervical cancer initial staging.RADIOPHARMACEUTICAL: 9.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 105 mg/dL. Today's CT portion grossly demonstrates soft tissue density mass like enlargement in the region of the cervix. Subtle pleural-based soft tissue foci are seen in both anterior inferior lungs.Tod... | 1.Small but markedly hypermetabolic left thyroid lobe lesion, suspicious for primary thyroid cancer. Further evaluation can be made with thyroid ultrasound.2.Hypermetabolic cervical lesion, compatible with the patient's diagnosis of cervical cancer. No FDG avid abdominopelvic metastatic disease.3.Multiple hypermetaboli... |
Generate impression based on findings. | Swollen. Rule out fracture. There is soft tissue swelling, particularly along the lateral aspect of the distal fibula. I see no underlying fracture, however. Alignment is within normal limits. | Soft tissue swelling without fracture evident. |
Generate impression based on findings. | Patient with swelling of right index finger, middle finger and small finger. Did have remote trauma to hand March 15, 2015, fell on hands with pots landing on hand. No joint pain, but still with swelling of fingers mentioned. Evaluating for underlying joint degeneration, occult fracture. The soft tissues of the index, ... | Mild soft tissue swelling without fracture or osteoarthritis. |
Generate impression based on findings. | Evaluate for rheumatoid arthritis progression Three views of the right hand are provided. The bones appear slightly demineralized suggesting osteopenia. There are small foci of chondrocalcinosis in the vicinity of the triangular fibrocartilage. There appears to be slight volar rotary subluxation of the scaphoid, appear... | Arthritic changes as described above appear predominantly degenerative in etiology, with chondrocalcinosis noted in the expected location of the right triangular fibrocartilage. I see no specific radiographic features of rheumatoid arthritis. |
Generate impression based on findings. | Fall on floor. Lower T-spine tenderness. The patient has undergone multilevel laminectomy of the lower thoracic spine. There is severe multilevel degenerative disk disease affecting the mid and lower thoracic spine. I see no fracture. There is an anterior plate with screws entering the C4 through C7 vertebrae with inte... | Postoperative and degenerative changes as described above. I see no fracture. |
Generate impression based on findings. | Knee pain. Evaluate for osteoarthritis. Four views of the right knee are provided. There is perhaps a tiny osteophyte along the inferior aspect of the patella, but this appears similar to that seen on the prior study. I see no joint effusion or other specific findings to account for the patient's knee pain.Four views o... | Findings suggestive of mild osteoarthritis, and possibly a loose body in the posterior aspect of the left knee. |
Generate impression based on findings. | Pain post motor vehicle accident in March. Occasional cracking sensation in the neck. Three views of the right shoulder are provided. The shoulder appears normal, with no specific findings to account for the patient's pain.Six views of the cervical spine are provided. There is moderate narrowing of the C2/3 interverteb... | Moderate narrowing of the C2/3 intervertebral disk space anteriorly, but otherwise no specific findings to account for the patient's pain. |
Generate impression based on findings. | There are findings of laminectomy at the L4 level with fluid present in the operative bed which abuts the dura, however without resulting central stenosis. There is a suggestion of dural defect on image 18, series 8, in a left posterolateral location. This may represent pseudomeningocele, however postoperative seroma ... | There are findings of laminectomy at the L4 level with fluid present in the operative bed which abuts the dura, however without resulting central stenosis. There is a suggestion of dural defect on image 18, series 8, in a left posterolateral location. This may represent pseudomeningocele, however postoperative seroma r... |
Generate impression based on findings. | Male, 48 years old, with metastatic non-small cell lung cancer, sepsis, worsening bilateral lower extremity weakness. Evaluate for mass effect. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid is seen. There is no ev... | Unremarkable evaluation of the brain.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Stem cell transplant patient with MSSA bacteremia. Making sure no abscess in teeth. Multiple teeth are absent. There are multiple fillings and dental caries. A large cavity in the right second mandibular molar is associated with a vertically oriented split of the tooth and lucency about its roots; I cannot exclude the ... | Poor dentition as described above. I cannot exclude the possibility of infection along the roots of the right second mandibular molar. |
Generate impression based on findings. | Heel ulcer. Evaluate chronic osteo-. There is extensive artifact overlying the foot, particularly the heel, on the lateral view. The bones are diffusely demineralized. There is a defect in the soft tissues posterior to the calcaneus. The margins of the calcaneus appear intact, without radiographic evidence of osteomyel... | Heel ulcer without radiographic evidence of osteomyelitis. If further imaging evaluation is clinically warranted, MRI may be considered. |
Generate impression based on findings. | 61 year old female with SOB, LH. Rule out PE PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery caliber within normal limits. No evidence of right heart strain.LUNGS AND PLEURA: Scattered micronodules, largest in the right upper lobe measuring 5 mm (series 10, image 26) and some of which are c... | 1. No evidence of pulmonary embolism. 2. Bilateral small pleural effusions, right greater than left with adjacent atelectasis.3. Osseous findings compatible with multiple myeloma. PULMONARY EMBOLISM: PE: NegativeChronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applica... |
Generate impression based on findings. | The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mas... | Negative unenhanced brain CT. |
Generate impression based on findings. | 13-year-old female patient who fell on outstretched hand, wrist went backwards with pain and swelling. Question of fracture.VIEWS: Left wrist PA, oblique, lateral (3 views) 4/27/2015 No acute fracture is evident. Alignment is anatomic. No significant soft tissue swelling is seen. | Normal examination. |
Generate impression based on findings. | The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mas... | Negative unenhanced brain CT. |
Generate impression based on findings. | Female 56 years old. Reason: r/o fx. History: s/p fall Four nonweightbearing views of the left knee are provided. There is medial joint space narrowing and tricompartmental osteophyte formation indicating moderate osteoarthritis. There may be a small joint effusion. We see no fracture.The single AP view of the pelvis i... | Postoperative and degenerative arthritic changes as described above. We see no fracture. |
Generate impression based on findings. | 29 year old female with chest pain, pregnant, hx VTE PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery caliber within normal limits. No evidence of right heart strain. LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. Mild dependent atelectasis. No pleural effusion or pneumothorax.... | No evidence of pulmonary embolism.PULMONARY EMBOLISM: PE: NegativeChronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Reason: playing basket ball thumb bend backwards r/o fx History: pain swellingVIEWS: Right hand PA oblique lateral (3 views) 4/27/15 22:17 No fracture or malalignment. | No fracture or malalignment. |
Generate impression based on findings. | 7-year-old female patient with head banging. Evaluate VP shunt.VIEWS: Shunt series: Skull AP/lateral (two views), chest AP/lateral (two views), abdomen AP/lateral (two views) 4/27/2015 Right parietal approach ventriculostomy catheter tip is across midline. Catheter tubing is seen traversing down the right neck, along t... | No evidence of shunt complication. |
Generate impression based on findings. | Right parietal V-P shunt catheter enters right parietal burr hole and tip terminates at the level of the foramen of Monroe, unchanged in position. There has been interval increased in size of the left lateral ventricle. Dandy-Walker malformation , CC dysgenesis, band heterotopia is again noted. No CT evidence of acute... | 1. Unchanged right VP shunt tip position at the level of the foramen of Monroe. 2. Interval increase in size of left lateral ventricle. |
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