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Generate impression based on findings. | Scoliosis, acute dislocation.VIEWS: Pelvis AP and frog leg and thoracic and lumbar spine AP lateral 4/27/15 (4 view/s) Pelvis: Bilateral coxa valga deformity and right hip dislocation.Thoracic and lumbar spine: 18 degrees thoracolumbar levoscoliosis with no segmentation or fusion defects. Gastrostomy tube is noted. | Right hip dislocation and 18 degrees thoracolumbar levoscoliosis. |
Generate impression based on findings. | 40 year-old female. Left leg pain and swelling with bruise. We see no fracture or malalignment. Moderate osteoarthritis affects the knee. Mild reticulation of the subcutaneous fat is present laterally, which may represent the site of the patient's bruise. Mild osteoarthritis also affects the foot and ankle. | Mild nonspecific reticulation of the lateral subcutaneous fat as well as osteoarthritis of the knee, ankle, and foot. |
Generate impression based on findings. | Female 61 years old. Reason: r/o fracture (hx of MM). History: R leg weakness. Two views of the right hip and three views of the pelvis demonstrate diffuse bone demineralization with multiple small lucent lesions compatible with the stated history of multiple myeloma. Portions of the pelvis are obscured by contrast in ... | No acute fracture of the pelvis or proximal femur. Loss of height of the L3 vertebral body, which could be better evaluated with dedicated lumbar spine radiographs if clinically warranted. Findings compatible with the stated history of multiple myeloma. |
Generate impression based on findings. | Reason: R/O Fracture History: Pediatric TraumaVIEWS: Cervical spine AP lateral (two views), chest AP (one view), abdomen AP (one view) 4/27/15 23:08 Cervical spine: C1 to C5 cervical spine is visualized. No pre-vertebral soft tissue swelling. No fracture or malalignment is identified. Airway is patent.Chest: The aortic... | Normal examination. |
Generate impression based on findings. | 57 year old female with history of dissection, stent placement and decreased hemoglobin. Evaluate for aortic stent abnormality. Remote history of lung cancer. VASCULATURE: Overlapping thoracic aortic stent grafts are seen extending distally from the level of the left subclavian artery origin to the origin of the celiac... | 1.Thoracic aortic aneurysm stent graft, with interval increased size of aneurysm sac as above. Type II endo- leaks are identified.2.Infrarenal abdominal aortic aneurysmal dilation (15/107), increased in size to 6.7 x 4.9 cm, previously 3.3 x 2.5 cm.3.Right gluteal intramuscular hematoma/hemorrhage with findings suggest... |
Generate impression based on findings. | 39 year old female. Appears to be a dental abscess. Evaluate for a dental abscess. A Panorex of the mandible shows that multiple teeth are absent and there are multiple dental fillings and dental caries. There is also loss of bone along the mandibular and maxillary alveolar ridge indicating periodontal disease. Periapi... | Poor dentition, as described above. Periapical lucencies within the maxilla better seen on the subsequent CT; please refer to that report. |
Generate impression based on findings. | 11 year old female patient with swelling pain of left wrist. Question of fracture.VIEWS: Left wrist PA, oblique, lateral (3 views) 4/27/2015 There is a minimally displaced, impacted transverse fracture of the distal radial metaphysis with slight dorsal angulation of the distal fracture fragment. A buckle fracture is al... | Fracture of the distal radius and ulna. |
Generate impression based on findings. | Reason: head and neck cancer post induction History: as above CHEST:LUNGS AND PLEURA: Persistent predominantly groundglass opacities throughout the right lung have slightly decreased. Mild associated bronchial wall thickening. These favorsequela of aspiration. No interval suspicious pulmonary nodule or pleural effusion... | Resolving ground glass opacities within the right lung compatible with aspiration.No interval appearance metastases. |
Generate impression based on findings. | There are scattered foci of hypoattenuation within the white matter without associated mass effect. 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 extraaxi... | Small vessel ischemic disease of indeterminate ages. If there is continued clinical concern for acute ischemia, MRI would be recommended. |
Generate impression based on findings. | Male 56 years old. Reason: post op. History: post op. Two views of the thoracic spine are provided. There are posterior rods with screws entering the T7, T8, T9, T12, and L1 vertebral bodies. We see no hardware complication. Skin staples posteriorly and foci of gas density in the posterior soft tissues reflect recent s... | Postoperative changes of thoracolumbar stabilization as described above. |
Generate impression based on findings. | 52 year old female with chest pain, hx of acute chest. PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery caliber within normal limits. No evidence of right heart strain. LUNGS AND PLEURA: Scattered punctate micronodules, some of which are calcified compatible with prior granulomatous disease ... | 1. No evidence of pulmonary embolism. 2. Bilateral small pleural effusions, left greater than right with adjacent compressive atelectasis/consolidation which may be due to aspiration or infection. PULMONARY EMBOLISM: PE: NegativeChronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV St... |
Generate impression based on findings. | 8 year-old male patient with occipital hematoma, no deformity noted, not able to vocalize complaints. Question of head injury and C-spine injury.VIEWS: Cervical spine AP and lateral (two views) 4/27/2015 No acute fracture is evident. There is straightening of the normal cervical lordosis which may be due to muscle spas... | No acute fracture is evident. |
Generate impression based on findings. | Male 2 years old Reason: follow up History: intubated and Rt UL collapseVIEW: Chest AP (one view) 4/28/15 at 324 hours. ET tube terminates below thoracic inlet. Central line tip is at the right atrium. Gastrostomy tube noted. Skeletal deformities unchanged. Cardiac silhouette size is normal. Persistent right upper lobe... | No change in right upper lobe atelectasis |
Generate impression based on findings. | 13-year-old female patient with a hand fracture. Question of metacarpal fracture.VIEWS: Right hand PA, oblique, lateral (3 views) 4/27/2015 There is angulation of the fifth metacarpal neck with discontinuity of the cortex compatible with a minimally displaced fracture. There is soft tissue swelling about this region. | Fifth metacarpal neck fracture. |
Generate impression based on findings. | Reason: pneumonia History: fever, increased secretionsVIEWS: Chest AP/lateral (two views) 4/28/15 0:20 Tracheostomy tube tip below thoracic inlet and above the carina. G-tube in place. Cardiothymic silhouette normal. Low lung volume noted. Focal opacity of the RLL, which may represent early infection. Gaseous distentio... | Focal opacity of the RLL, which may represent early infection. |
Generate impression based on findings. | Reason: 71F with significant smoking history, undergoing heart transplant/LVAD eval History: 71F with significant smoking history, undergoing heart transplant/LVAD eval LUNGS AND PLEURA: Subsegmental atelectasis within the left lower lobe and lingula.Mild centrilobular emphysema. Pulmonary nodule measuring 4 mm occupie... | Left lower lobe pulmonary nodule measures 4 mm. with the provided history of smoking, follow up in one year to ensure stability is recommended. Mild centrilobular emphysema.Cardiomegaly with left ventricular and biatrial enlargement. The right atrium abuts the inferior posterior cortex of the sternum with mild pectus d... |
Generate impression based on findings. | A left parietal approach ventriculostomy catheter is unchanged in position. The ventricles and sulci are unchanged in size with the temporal horn of the left lateral ventricle measuring approximately 12 mm in greatest dimension. Extensive encephalomalacia of the right hemisphere is unchanged compared to the prior exam... | Unchanged ventricular size/morphology with ventriculostomy catheter in unchanged position. |
Generate impression based on findings. | 43 years old, Female, History: neck pain, headace Head CT: There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells... | 1. No evidence of intracranial hemorrhage or mass effect.2. No intracranial arterial stenoses, occlusions or aneurysms identified. 3. No cervical arterial stenoses or evidence of dissection. |
Generate impression based on findings. | Reason: pneumonia History: wheezing, coughVIEW: Chest AP (one view) 4/28/15 1:37 The aortic arch, cardiac apex and stomach are left-sided. Cardiothymic silhouette is normal. Mild peribronchial thickening. Streaky opacity in the RUL, LUL, LLL, representing subsegmental atelectasis. No pleural effusion or pneumothorax is... | Bronchiolitis/reactive airway disease pattern. |
Generate impression based on findings. | 13-year-old female patient with pain and swelling. Fracture noted of right wrist one week ago. Assess for degree of fracture.VIEWS: Right wrist PA, oblique, lateral (3 views) 4/27/2015 Deformity of the fifth metacarpal neck likely represents a non-displaced fracture. Soft tissue swelling is noted. The bones of the wris... | Fifth metacarpal neck fracture. |
Generate impression based on findings. | Male 0 days old Reason: ex 34 wga twin on CPAP, r/o focal findings History: no lines - increasing respiratory distress; increasing O2 requirementVIEW: Chest and abdomen AP (two views) 4/28/15 at 800 hours. The aortic arch, cardiac apex and stomach are left-sided.Cardiac silhouette is normal in size and shape. Diffuse l... | Diffuse lung haziness, likely TTN versus RDS. |
Generate impression based on findings. | 13-year-old male patient fall onto flexed wrist with dorsal radial pain. Evaluate for fracture.VIEWS: Right wrist PA, oblique, lateral (3 views), left wrist PA, oblique, lateral (3 views) 4/27/2015 No acute fracture of the left wrist is evident. There is osseous coalition of the lunate and triquetrum, normal variant an... | No acute fracture is evident. |
Generate impression based on findings. | 54-year-old female with history of right upper quadrant pain. ABDOMEN:LUNG BASES: Moderate to severe emphysema. Scattered pulmonary micronodules.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: Pancreatic body hypoattenuating lesion measures 1.0 x 1.0 cm (38 of ser... | 1. Colonic interposition, but otherwise no findings to account for the patient's pain.2. Hypoattenuating pancreatic body lesion is nonspecific and should be further evaluated with MRI. |
Generate impression based on findings. | Male 0 days old Reason: ex 34 weeker with respiratory distress History: respiratory distressVIEW: Chest AP (one view) 4/28/15 at 805 hours. The aortic arch, cardiac apex and stomach are left-sided.Cardiac silhouette is normal in size and shape. Diffuse lung haziness and ill-defined right upper lobe atelectasis.. No eff... | Diffuse lung haziness (TTN versus RDS) and ill-defined right upper lobe atelectases |
Generate impression based on findings. | Status post fracture.VIEWS: Right forearm AP and lateral 4/28/15 (two views) Cast material obscures fine bone detail. Interval lateral displacement of right radius transverse healing fracture. | Interval worsening in alignment of right radius transverse healing fracture as described. |
Generate impression based on findings. | 12-year-old female patient with stage IV neuroblastoma. Evaluate disease burden. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules are identified. No focal consolidation, pleural effusion, or pneumothorax.MEDIASTINUM AND HILA: Interval significant decrease in size of a left neck mass now measuring approximately 2... | 1. Interval decrease in size of the left neck, anterior mediastinal, and retroperitoneal soft tissue masses. 2. New wall thickening of the ascending colon likely represents a colitis secondary to an infectious or inflammatory etiology. Small amount of ascites. |
Generate impression based on findings. | Reason: eval for complications of Crohn's, compare with prior study History: 17 year-old female with history of Crohn's, with emesis diarrheaEXAMINATION: MR enterography without and with IV contrast date ABDOMEN:LIVER, BILIARY TRACT: No focal liver lesions. No intrahepatic or extrahepatic biliary dilatation. The gallbl... | 1.Active inflammation of the terminal ileum.2.No mesenteric or interloop fistula is identified. No drainable fluid collection.3.Interval improvement of left jejunal inflammatory changes. |
Generate impression based on findings. | Female 85 years old Reason: restaging, requested by primary oncologist History: see above, compare to prior CHEST:LUNGS AND PLEURA: Again noted are scattered micronodules. Index nodule in the right upper lobe measures 5-mm in diameter on image number 36 on series number 5, not significantly changed in size. Other micro... | Right lower quadrant necrotic mass/abscess and surrounding adenopathy inflammatory changes, not significantly changed from previous study. Left common iliac lymph node is slightly smaller. Otherwise no other significant change from previous study. |
Generate impression based on findings. | Reason: evaluate pneumocephalus History: ams There is redemonstration of a burr hole placement along the right parietal bone for right subdural collection evacuation. There is redemonstration of subdural air and air-fluid level. At the level of the burr hole, the thickness of the subdural is approximately 27 mm on the ... | 1.Since the previous exam the patient's right-sided subdural collection and midline shift has remained the same in thickness. There is subfalcine herniation present. Midline shift is unchanged. |
Generate impression based on findings. | Reason: evaluate for erosions and joint space narrowing History: wrist pain and swellingVIEWS: Left wrist PA oblique lateral (3 views) 4/27/15 16:45 No fracture or malalignment. Mild demineralization of the bones. No bony erosions or degenerative changes. | No fracture or malalignment. Mild demineralization of the bones. No bony erosions or degenerative changes. |
Generate impression based on findings. | Female, 49 years old, history of cerebral aneurysm with seizure and headache. Evaluate for hemorrhage or new aneurysm. Non-angiographic findings:Redemonstrated is evidence of bilateral anterior craniotomies. Multiple surgical clips are evident within the left paraclinoid region. An endovascular coil is evident in the r... | 1.Redemonstration of sequelae of prior surgery with aneurysm clips and endovascular embolic material in stable position.2.No acute intracranial abnormality.3.Stable apparent vascular protrusion at the communicating segment of the right ICA which may represent an infundibulum or aneurysm.4.No new vascular lesions are se... |
Generate impression based on findings. | 57-year-old female. History of lumbar fusion. Evaluate hardware, fusion, and stability. Surveillance. Posterior rods and screws enter L4 and L5. We see no hardware complication. An intervertebral spacer device is seen at L4-5 with amorphous density, presumably representing bone graft, similar to the prior study. We see... | Postoperative changes of lower lumbar fusion appear similar to prior study. |
Generate impression based on findings. | 74 year old male with head and neck cancer/post induction scans CHEST:LUNGS AND PLEURA: Bilateral areas of ground glass opacities with tree in bud component, greater on the right, are new from prior study likely due to aspiration. Left perifissural intrapulmonary lymph node unchanged. Biapical subpleural opacity likely... | 1. No evidence of metastatic disease. 2. New bilateral areas of ground glass opacity with tree in bud component, right greater than left, most likely due to aspiration. |
Generate impression based on findings. | Reason: Screening. 64 y.o smoker; 30 plus pack year; still smoking. Lung RADS History: none LUNGS AND PLEURA: A 2-mm pulmonary micronodule occupies the right upper lobe (5/33). Mild centrilobular emphysema and central bronchial wall thickening.Subsegmental atelectasis within the lower lobes. No pleural effusion.MEDIAST... | Pulmonary micronodule measuring 2 mm occupies right upper lobe. No suspicious pulmonary nodule identified. Mild emphysema.Lung-RADS: Category: 2 (Benign Appearance or Behavior: Nodule with a very low likelihood of becoming a clinically active cancer due to size or lack of growth)RECOMMENDATION: Continue annual screenin... |
Generate impression based on findings. | Male 59 years old Reason: s/p esophagectomy, skin wound swelling History: s/p esophagectomy, skin wound swelling CHEST:LUNGS AND PLEURA: Bilateral small pleural effusions and dependent atelectasis, minimally increased in size compared to previous study. Scattered micronodules and emphysema, unchanged.MEDIASTINUM AND HI... | Air-containing mediastinal collection extending throughout the thorax retrosternally. There is oral contrast in the superior aspect of the collection likely representing a communication with the proximal pharynx. Moderate pericardial effusion. Inflammatory changes surround the sternum. |
Generate impression based on findings. | Female 63 years old. Reason: pain. History: pain Review of the patient's medical record indicates a history of neurofibromatosis.Four views of the right foot are provided. Again seen is soft tissue prominence along the lower leg and ankle, which extends posteriorly and beneath the calcaneus, perhaps representing a diff... | Findings compatible with neurofibromatosis with interval lobulation and irregularity of the soft tissues posterior to the heel which could represent ulceration. Other findings as described above. |
Generate impression based on findings. | 24-year-old female with history of hematuria and vomiting. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No sign... | No findings to account for the patient's pain. |
Generate impression based on findings. | Male, 64 years old. HCV. Cirrhosis screen for HCC and assess for ascites LIVER: The liver measures 14.9 cm, with mildly increased echogenicity. A hypoechoic lesion in the peripheral right hepatic lobe measures 1.7 x 1.1 x 1.2 cm, somewhat ill-defined, without significant increased vascularity.The main portal vein is pa... | 1. A 1 - 2 cm hypoechoic focus in the peripheral right hepatic lobe is incompletely characterized. Correlation with dedicated cross-sectional imaging would be helpful for further characterization.2. Mildly echogenic liver suggests fatty infiltration or parenchymal dysfunction. No ascites. |
Generate impression based on findings. | Female 47 years old Reason: r/o bone spur History: pain Mild osteoarthritis affects the first tarsometatarsal joint with small dorsal osteophytes. We see no calcaneal spurs. | Mild osteoarthritis affects the first tarsometatarsal joint with small dorsal osteophytes. We see no calcaneal spurs. |
Generate impression based on findings. | The internal auditory canals are symmetrical and normal in size and signal intensity. The inner ears are normal, with normal T2 signal and no pathological enhancement. No abnormal mass or abnormal enhancement is seen within the cerebellopontine angle, cisterns bilaterally or within the internal auditory canals.No rest... | No cerebellar or brainstem lesions. No masses or abnormal enhancement or masses at the cerebellopontine angles or internal auditory canals. |
Generate impression based on findings. | Male 73 years old Reason: s/p ventral hernia repair and nephroureterectomy; now with bilious drain output from L abd JP; please eval for abdominal leak History: bilious output from L abdominal JP ABDOMEN:LUNG BASES: Bilateral moderate pleural effusions and atelectasis, new from previous study.LIVER, BILIARY TRACT: No s... | New loculated ascites in the right upper quadrant. Small bowel loops in the right upper and lower quadrant demonstrate mild wall thickening. Ischemia cannot be excluded. Small amount of air in the fluid. This may be secondary to recent surgery, however, bowel likely, perforation cannot be excluded. Clinical correlation... |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Stable biapical pleural thickening, greater on the right. Posterior right pleural thickening at the superior segment right lower lobe, stable. Scattered pulmonary punctate micronodules unchanged.No new pulmonary nodules or i... | No specific evidence of metastases.Stable size and character of left renal hypodensities with nonobstructing renal calculi. |
Generate impression based on findings. | 52-year-old female with history of abdominal pain. Evaluate for appendicitis or small bowel obstruction. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Mild hepatic steatosis.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnor... | No evidence of bowel obstruction or appendicitis as clinically queried. No findings to account for the patient's pain. |
Generate impression based on findings. | Male; 63 years old. Reason: mets lung cancer, ALK +, PD from Crizotiinib, but developed profound neutropenia from Ceritinib. pls c/w previous study and evaluate dz status. History: lung ca ABDOMEN:LUNGS BASES: Small pleural effusions. See report from dedicated CT chest performed concomitantly.LIVER, BILIARY TRACT: Stab... | No significant interval change. Stable osseous metastatic disease the abdomen and pelvis. No new sites of disease. See report from dedicated CT chest performed concomitantly. |
Generate impression based on findings. | 61 years old, Female, History: R sided weakness, multiple myeloma Motion degrades fine detail. There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. The imaged par... | 1. No evidence of intracranial hemorrhage or mass. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct.2. Diffuse mottled appearance of the calvarium compatible with patient's history of multiple myeloma. Relatively larger lytic lesion in the right posterior inferior frontal calva... |
Generate impression based on findings. | 37-year-old female with history of right hip and thigh pain. UTERUS, ADNEXA: The endometrial cavity is dilated, however this can be normal in a menstruating female. Small bilateral adnexal cysts, likely physiologic. Uterine fibroids.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedB... | 1. No findings to account for the patient's pain.2. Dilated endometrial cavity may be normal in a menstruating female. Correlate with pelvic ultrasound as clinically warranted. |
Generate impression based on findings. | Metastatic carcinoid ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Stable hepatic cysts.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Stable right adrenal nodule best seen on image 34 series 7 measuring 1.3 x 1.1 cm.KIDNEYS, URETERS: Stable... | Interval increase in size of retrocrural and retroperitoneal metastatic adenopathy associated with mild increase in mesenteric mass. |
Generate impression based on findings. | 34 years old, Female, History: kicked in right eye area multiple times, pain and swelling to eye orbital area There is mild swelling in the right periorbital and pre-malar soft tissues. No fracture is maxillary or orbital fracture. There is a right maxillary mucus retention cyst. The orbits are intact. The globes are i... | 1. Mild swelling of the periorbital and premalar soft tissues without orbital or maxillary fracture.2. Subtle irregularity of the right nasal bone without significant overlying soft tissue swelling likely represents a nondisplaced right nasal fracture and is of indeterminate age.Findings were discussed with Dr. Blumen ... |
Generate impression based on findings. | Male 14 years old Reason: fracture.VIEWS: Left wrist AP and lateral 4/28/15 (two views) Healing fractures of the distal radius and ulna with palmar angulation, periosteal reaction and callus formation are unchanged in alignment. | Healing fractures, unchanged in alignment. |
Generate impression based on findings. | Female 19 years old Reason: Epigastric pain this AM that migrated to entire right side, RLQ and RUQ pain on exam History: RLQ Pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedA... | Nonspecific small amount of fluid in the right lower quadrant. Appendix appears unremarkable. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are diagnostic left breast mammogram dated 2/6/2015; stereotactic left breast biopsy dated 2/19/2015 performed at South Bend Clinic. For comparison, mammograms from 1/22/2014, 1/30/2014 and 8/4/2013 during 6 month follow up periods are available. Diagno... | 4.6 cm cluster of amorphous calcifications in the left upper outer quadrant with biopsy proven ADH and microcalcifications. High risk MRI screening can be considered and surgical consultation is recommended.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | History of left lumpectomy 3/2008 for DCIS. Patient received radiation and hormonal therapy. No new breast complaints. History of breast cancer in paternal aunt. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which m... | 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. | Female 65 years old Reason: 65yr old female with history of MM; pre-auto sct evaluation SKULL: Multiple punched out lesions in the skull consistent with multiple myeloma. Small lucencies within the mandible may represent myelomatous involvement.CERVICAL SPINE: The bones are demineralized which may reflect myelomatous i... | Findings consistent with multiple myeloma as described above. |
Generate impression based on findings. | 44 year old female. Pain. Is mt4 healed? There has been further maturation of callus along the distal diaphysis of the fourth metatarsal and the underlying fracture line is now indistinct indicating healing. The bones overall appear slightly demineralized. | Healing/healed fourth metatarsal fracture. |
Generate impression based on findings. | Male, 59 years old, with history of cT3 N2 Mx base of tongue squamous cell carcinoma. Again seen is thickened and enhancing tissue is centered at the right glossotonsillar sulcus with central ulceration. This lesion extends anteriorly into the floor of mouth, posteriorly into the pharyngeal mucosa, and inferiorly into ... | 1.Again seen is ulcerative lesion with peripheral soft tissue thickening centered in the right glossotonsillar sulcus with extension into the floor of mouth, pharyngeal mucosa, and vallecula with possible involvement of the epiglottis and pre-epiglottic space. Compared to 3/17/2015 there is slight increase in fullness ... |
Generate impression based on findings. | Female, 63 years old.Rule out radiopaque foreign body. Evaluate for missing lap sponge. No unexpected radiopaque foreign bodies. Epidural catheter in place with the tip projecting at the level of the T11 vertebral body. Multiple surgical clips project over the left and right upper quadrant. Nonobstructive bowel gas pat... | No unexpected radiopaque foreign bodies. These findings were discussed with the attending surgeon, Dr. Cannon, by phone at 1838 on 4/27/15 by the radiology resident on call. |
Generate impression based on findings. | 75 years, Male. Reason: Dobbhoff pulled, replaced. Assess placement History: see above The pelvis is not included in the field of view. Interval repositioning of the Dobbhoff tube with the tip projecting at the level of the body of the stomach. Gaseous distention of the colon without evidence of obstruction. Left pleur... | Interval repositioning of the Dobbhoff tube with the tip projecting at the level of the body of the stomach. |
Generate impression based on findings. | Female, 61 years old. Cirrhosis, evaluate for HCC LIVER: The liver measures 10.7 cm, with increased echogenicity and nodular contour. A well-defined echogenic lesion in the left hepatic lobe measures 0.6 x 0.5 x 0.6 cm and was not seen on prior exam.The main portal vein is patent, with normal hepatopetal flow.GALLBLADD... | 1. A new subcentimeter echogenic lesion in the left hepatic lobe is indeterminate. Recommend dedicated cross sectional imaging for further evaluation.2. Cirrhotic liver morphology and splenomegaly, without ascites.3. Stable appearance of bilateral angiomyolipomas. |
Generate impression based on findings. | 71 years, Female. Reason: eval for obstruction in pt with abdominal pain, nausea, and vomiting History: see above Note is made of a single prominent loop of small bowel projecting over the mid abdomen which may represent a focal adynamic ileus. Average stool burden noted throughout the colon. No evidence of pneumatosis... | Single prominent loop of small bowel projecting over the mid abdomen may reflect a focal adynamic ileus. |
Generate impression based on findings. | 56 years, Female. Reason: stool burden History: constipation Nonobstructive bowel gas pattern. Average stool burden. No evidence of pneumatosis intestinalis or portal venous gas. The lung bases appear clear. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 56 years, Male. Reason: abdominal distention History: abdominal pain/distention Note is made of multiple dilated loops of small and large bowel. No evidence of pneumatosis intestinalis or portal venous gas. Surgical staples project over the midline of the abdomen and pelvis and bilateral inguinal regions. Vascular sten... | Multiple dilated loops of small and large bowel may represent adynamic ileus, however, a developing small bowel obstruction is not excluded and continued follow-up examination is recommended. |
Generate impression based on findings. | 12-year-old female patient with severe constipation. Evaluate for obstruction and stool burden.VIEWS: Abdomen AP and erect (two views) 4/28/2015 A large amount of stool is again noted within the rectosigmoid and descending colon. Nonobstructive bowel gas pattern. No evidence of free intraperitoneal air. | Large stool burden, unchanged. |
Generate impression based on findings. | Female 66 years old. Reason: is there evidence effusion, bony abnormality? History: history knee surgery (uncertain type) in Dec, now pain and swelling. no trauma history. Four nonweightbearing views of left knee demonstrate a large joint effusion with small lucent foci likely representing gas within the adjacent anter... | 1.Large joint effusion with foci of gas which are presumably from attempted aspiration, however, we cannot exclude infection.2.Osteoarthritis and possible loose body as described above. |
Generate impression based on findings. | History of left lumpectomy in 2010 for DCIS. Patient received radiation. On adjuvant tamoxifen. No new breast complaints. 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 fibroglandular density, unchanged in pattern and... | 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: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Female 27 years old Reason: evaluate for etiology of abdominal pain, severe epigastric pain History: epigastric pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS:... | Right-sided pyelonephritis. |
Generate impression based on findings. | 48 years, Male. Reason: Patient w nausea, intolerance of TF, eval for heavy fecal burden History: nausea, abd bloating Percutaneous biliary drain projects over the right upper quadrant. Surgical clips project over the right upper quadrant and midabdomen. Gastrostomy tube in place. Gaseous distention of the stomach and ... | Relative positive small bowel gas without evidence of obstruction. Average stool burden. |
Generate impression based on findings. | Male 84 years old. Reason: left foot pain and swelling. History: above. Three views of the left ankle demonstrate mild diffuse soft tissue swelling. Mild periosteal reaction along the medial aspect of the distal tibial metaphysis is nonspecific and may simply reflect vascular insufficiency. There are ossicles distal to... | Soft tissue swelling and mild osteoarthritic changes with other findings as described above. Mild periosteal reaction along the medial tibial metaphysis is nonspecific and may simply represent vascular insufficiency, but if there is clinical concern for osteomyelitis or other marrow related processes, MRI may be consid... |
Generate impression based on findings. | Female 46 years old Reason: pouch perforation History: crohns, abd 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 abnormality notedKIDNEYS, URE... | Slight interval increase in the size of the right perianal abscess/inflammatory changes. |
Generate impression based on findings. | Reason: mets lung cancer, ALK+. disease progession from Crizotinib, but developed neutropenia from Ceritinb. Pls c/w previous study to evaluate dz status. History: lung ca LUNGS AND PLEURA: I lateral pleural effusions with interval decrease in size in the left.Left upper lobe calcified perihilar mass is unchanged (imag... | 1.Bilateral pleural effusions with interval decrease on the left.2.Stable left upper lobe nodule. No new suspicious pulmonary nodules or masses identified.3.Stable osseous metastases and right hilar lymphadenopathy. |
Generate impression based on findings. | Female 32 years old. Reason: r/o fracture near distal ulna. History: pain and bruising s/p fall. Four views of the right wrist are provided. We see no fracture, malalignment, or other specific findings to account for the patient's pain. | No fracture evident. |
Generate impression based on findings. | Female 57 years old Reason: 57F with abnormal ultrasound of abdomen, jaundice, weight loss, panc head mass found on EUS with prelim cytology suspicious for adenocarcinoma History: jaundice ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Simple cyst in the left lobe of the liver. Pneumobilia se... | Isodense pancreatic head mass, difficult to differentiate from the surrounding pancreas consistent with patient's known history of pancreatic adenocarcinoma. Changes secondary to pancreatitis with a fluid collection near the tail of the pancreas.Fat stranding surrounding the celiac trunk and hepatic artery extending to... |
Generate impression based on findings. | 68 years, Male. Reason: c. diff, constipation, eval for obstruction or megacolon History: c diff, constipation Gastrojejunostomy tube in place with the tip projecting at the level of the proximal jejunum. No dilated loops of bowel to suggest obstruction. Average stool burden. Vascular calcifications of the aorta and it... | Relative paucity of small bowel gas without evidence of obstruction. |
Generate impression based on findings. | 87 years, Male. Reason: r/o SBO History: abdominal distension, nausea/vomiting Note is made of multiple dilated loops of small and large bowel. No evidence of pneumatosis intestinalis or portal venous gas. Note is made of a left-sided pleural effusion with associated retrocardiac atelectasis/consolidation, better chara... | Multiple dilated loops of small and large bowel, suggestive of an adynamic ileus, although follow-up examination is recommended to exclude the possibility of a developing small bowel obstruction. |
Generate impression based on findings. | Female, 56 years old. Reason: 56 yo female with a hx of gallbladder polyps; please evaluate for changes and or abnormalities LIVER: The liver measures 13.4 cm, with coarse, echogenic appearance, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic ... | 1. Unchanged appearance of two subcentimeter gallbladder wall polyps. No cholelithiasis or evidence of acute cholecystitis.2. Coarse, echogenic appearance of the liver suggests fatty infiltration/parenchymal dysfunction. |
Generate impression based on findings. | Male, 24 years old, with headache. Subtle subcortical hypoattenuation within the right parietal lobe is seen (see image 20 series 3) correlating with an area of abnormal signal intensity on prior MRI. The other known sites of abnormal signal intensity are not clearly identified on this examination.No evidence of any ne... | 1.No definite new intracranial findings and no obvious change from prior imaging.2.Subtle subcortical hypoattenuation is seen in the right parietal lobe corresponding to a region of known signal abnormality on prior MRI. |
Generate impression based on findings. | Female, 56 years old. Reason: eval for cirrhosis and any acute gallbladder processes History: liver failure LIVER: The liver measures 22.6 cm, with coarse, highly echogenic appearance, and no definite focal lesion. Evaluation for focal parenchymal lesions is limited in the setting of extensive fatty infiltration.The ma... | 1. Enlarged, highly echogenic liver suggestive of fatty infiltration/parenchymal dysfunction.2. Cholelithiasis without evidence of acute cholecystitis. |
Generate impression based on findings. | 78 year old female with sob, evaluate for changes in upper lobe 'mass'. LUNGS AND PLEURA: Right upper lobe spiculated nodule with internal calcification measures 13 mm x 10 mm (series 4, image 85) previously 12 mm x 10 mm when measured in a similar manner. There is surrounding ground glass opacity similar to prior stud... | No significant interval change in right upper lobe spiculated nodule. Lack of IV contrast limits evaluation for lymphadenopathy, however the right hilar lymph nodes appear increased in size compared to prior study. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal cousin. 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 pat... | 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. | 75-year-old male status post Dobbhoff tube placement. The pelvis is not included in the field-of-view. Motion artifact limits examination. Dobbhoff tube tip projects at the level of the body of the stomach. Nonobstructive bowel gas pattern. Left pleural effusion with underlying atelectasis/consolidation. Ossification v... | Dobbhoff tube tip projects at the level of the body of the stomach. |
Generate impression based on findings. | Reason: eval for infectious source (ie. complicated effusion) History: elevated WBC, fever LUNGS AND PLEURA: Large right and small left pleural effusions with underlying atelectasis unchanged from the prior exam.No new air space opacities are focal areas of consolidation.MEDIASTINUM AND HILA: Severe cardiac enlargement... | Bilateral pleural effusions with underlying atelectasis , right greater than left , unchanged. No specific evidence of acute infection. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of two benign right breast biopsies, partial right mastectomy, and benign left breast biopsy. History of breast cancer in maternal aunt and two maternal first cousins. Two standard digital views of both breasts were performed and reviewed ... | 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. Personal history of benign right breast biopsy. Two standard digital views of both breasts and tomosynthesis were performed, additional left MLO view, and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular de... | Focal asymmetry in the right lower outer breast. Recommend comparison with prior mammograms. If priors cannot be obtained, dedicated spot compression views should then be performed.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISON |
Generate impression based on findings. | Male, 48 years old, with non-small cell lung cancer, sepsis and bilateral lower extremity weakness. Thoracic:Findings are redemonstrated related to partial corpectomy on the right at T3 and T4. Loss of bony material on the right at T5 is also seen which may be surgical in nature or related to tumor erosion. Cement has ... | 1.Redemonstration of postoperative findings in the thoracic region including partial corpectomy of T3, T4 and possibly T5. Posterior fusion instruments are also redemonstrated, stable in position.2.Bone loss at T3, T4 and T5 is unchanged, perhaps representing a combination of tumor erosion and postoperative change. No ... |
Generate impression based on findings. | 61-year-old female status post OG tube placement. The left hemiabdomen and pelvis are not included in the field of view. Enteric tube tip projects at the level of the body of the stomach. Gaseous distention of the stomach. Note is made of a moderate amount of stool throughout the colon. Nonobstructive bowel gas pattern... | Enteric tube tip projects at the level of the body of the stomach. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal grandmother. 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. Symmetric presumed d... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this r... |
Generate impression based on findings. | Female, 20 years old. Reason: eval for gallstones History: history of gallstones, abd pain LIVER: The liver measures 14.5 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 dilatati... | A single subcentimeter gallbladder wall polyp is identified. No cholelithiasis or other hepatobiliary abnormality appreciated. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, two additional right CC views, and one additional left CC view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern a... | 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 left cyst aspiration. Family history of breast cancer and maternal aunt and 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 ... | 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: post psf Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The patient is status post anterior fusion with a disk prosthesis at L5-S1 and posterior fusion at L5-S1 using pedicle screws and interconnecting rods. The patient is status post right-si... | 1.The patient is status-post anterior and posterior fusion at L5-S1 with right-sided facetectomy as well as right-sided laminotomies at L4-5, L3-4, L2-3 and L1-2 . Findings suggestive of some of these surgeries and more recent.2.There is bilateral encroachment of exiting nerve roots at L5-S1 bilaterally as well as at L... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. A few scattered benign calcif... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in two maternal aunts. 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 composed of scattered fibroglandular density, u... | Focal asymmetry in the right upper breast. Recommend diagnostic mammogram with spot compression views and possible ultrasound.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Patient reports greenish nipple discharge. Family history of breast cancer in mother diagnosed at 50 years of age. 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... | 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. | 54-year-old female with history of metastatic cervical cancer on palliative chemotherapy. Evaluate for response. CHEST:LUNGS AND PLEURA: No suspicious nodules or masses.MEDIASTINUM AND HILA: Heart size is normal without pericardial effusion. Right hilar lymph node measures 13 x 12 mm, previously 16 x 14 mm (image 37 of... | Stable metastatic disease with measurements as above. |
Generate impression based on findings. | Female, 41 years old. Reason: recurrent RUQ History: neg ultrasound and hida scan in the past. LIVER: The liver measures 15.9 cm, with homogeneous echotexture. A small cystic lesion centrally within the left hepatic lobe measures 1.3 x 1.4 x 1.0 cm, not definitely seen on the prior exam, although this lesion is in a di... | No cholelithiasis or evidence of acute inflammation. |
Generate impression based on findings. | Reason: History of metastatic breast cancer on treatment. Compare to prior imaging, evaluate for response and extent of disesae. History: History of metastatic breast cancer on treatment. Compare to prior imaging, evaluate for response and extent of disesae. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or ma... | No new sites of disease identified. Mild interval increase in a prominent right hilar lymph node. |
Generate impression based on findings. | 79-year-old female status post Dobbhoff tube placement. The pelvis is not included in the field of view. Dobbhoff tube tip projects at the level of the antrum of the stomach. Interval removal of NG tube. Nonobstructive bowel gas pattern. Sternotomy wires and plates, AVR, and epicardial pacing wires in place, unchanged ... | Dobbhoff tube tip projects at the level of the antrum of the stomach. |
Generate impression based on findings. | There is normal venous flow demonstrated within the internal cerebral veins, vein of Galen, straight sinus, superior sagittal sinus and within the bilateral transverse and sigmoid sinuses. No dural venous sinus thromboses or occlusions are identified. | Negative MR venogram of the brain without contrast. |
Generate impression based on findings. | 68 year old female presents for routine screening mammography. Patient complains of right breast pain on and off. Family history of breast cancer in maternal 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 f... | 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, 58 years old. Reason: Cirrhosis, screen for HCC LIVER: The liver measures 15.3 cm, with nodular, echogenic appearance, 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 common bile duct meas... | Cirrhotic liver morphology with no mass, biliary ductal dilatation, or ascites. |
Generate impression based on findings. | 60 year-old female. Right hip pain, sacral pain. History of multiple myeloma on chemotherapy. Assess for pathologic fracture. We see no fracture. Ossification along the right iliac wing reflects chronic enthesopathy, similar to the 3/6/2015 study. Mild osteoarthritis affects both hips. There is a lytic lesion in the ri... | Degenerative arthritic changes and findings compatible with multiple myeloma, as above. We see no pathologic fracture. |
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