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Generate impression based on findings. | There are stable posttreatment findings with no mass lesions or significant cervical lymphadenopathy. Reference lymph nodes in the left submandibular space are unchanged measuring 6 mm and 4 mm respectively. The right submandibular gland is surgically absent. The thyroid and other major salivary glands are unremarkabl... | 1.Stable posttreatment findings with no evidence of disease recurrence.2.Finding suggesting acute left maxillary sinusitis, please correlate clinically. |
Generate impression based on findings. | 74 year-old female with chronic dysphagia. Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions. Low lung volumes. Cardiomegaly. Calcified, granulomas project over the left hilum. Dobbhoff tube tip projects at the level of the mid thoracic esophagus. Surgical ... | 1. Limited examination demonstrates a 2.7 cm submucosal mass at the level of the cervical esophagus. Further evaluation with endoscopy is recommended.2. Dobbhoff tube tip terminates at the level of the mid thoracic esophagus.3. Minor motor abnormality of the esophagus.These finding were discussed with Dr. Lodhia by pho... |
Generate impression based on findings. | Reason: head and neck cancer evaluate for treatment. History: as above CHEST:LUNGS AND PLEURA: Scattered punctate micronodules, many of which are calcified, stable. No suspicious pulmonary nodule or interval pleural effusion.MEDIASTINUM AND HILA: Heart size is normal. No interval pericardial effusion. There are adhesio... | No evidence of metastases. |
Generate impression based on findings. | Esophageal cancer CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCORONARY ARTERY CALCIFICATION: None.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: ... | Stable examination without evidence for new metastatic focus. |
Generate impression based on findings. | 40 year-old female with history of duodenal neuroendocrine tumor. ABDOMEN:LUNG BASES: No suspicious pulmonary nodules or masses.LIVER, BILIARY TRACT: No suspicious hepatic lesions.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, U... | No evidence of metastatic disease or other significant abnormality. |
Generate impression based on findings. | 59 years old, Male, history of esophageal cancer with esophagectomy and jejunal interposition. Now with draining neck skin wound. Again seen are postoperative findings related to esophagectomy with jejunal interposition and resection of the left clavicular head. Again seen is a loculated fluid collection containing gas... | 1. Postoperative findings related to esophagectomy and jejunal interposition with persistent fluid and gas collection anterior to the jejunal interposition and posterior to the dehiscent median sternotomy incision which extends below the caudal margin of this exam. Please see CT chest abdomen and pelvis performed the s... |
Generate impression based on findings. | Reason: cerebral edema, eval midline shift History: midline shift, GBM There is redemonstration of a status-post right-sided craniotomy for right temporal lobe surgery. There is a mass present in the right temporal lobe associated with a vasogenic pattern edema. The extent of the edema appears to have increased compare... | 1.Compared to the previous examination the patient's mass effect and associated edema appear to have increased. There is redemonstration of uncal herniation , transtentorial herniation and subfalcine herniation. Midline shift has worsened. MRI may be helpful for a more detailed evaluation. |
Generate impression based on findings. | Foot painVIEWS: Right foot AP oblique lateral (3 views), left foot AP oblique lateral (3 views) 4/28/15 10:13 Right foot: No fracture or dislocation. Mild soft tissue swelling.Left foot: No fracture or dislocation. Mild soft tissue swelling. | No fracture or dislocation. Mild soft tissue swelling. |
Generate impression based on findings. | Female, 79 years old. History: stones RIGHT KIDNEY: The right kidney measures 9.6 cm in length, with atrophic echogenic parenchyma again noted. Subcentimeter shadowing renal stones are unchanged. A simple cyst at the lower pole measures 2.3 x 2.6 x 2.1 cm, unchanged. Minimal hydronephrosis, decreased from prior.LEFT KI... | Stable right renal stones. Improved minimal right hydronephrosis. Echogenic renal parenchyma again seen, consistent with parenchymal dysfunction. |
Generate impression based on findings. | 46-year-old female. Low back pain with radicular pain RLE. Moderate degenerative disk disease affects L5-S1 and mild degenerative disk disease affects L4-5 and L2-3. Moderate facet joint osteoarthritis affects the lower lumbar spine. Alignment is within normal limits. There is no instability between flexion, extension,... | Degenerative disk disease and facet joint osteoarthritis without evidence of instability. |
Generate impression based on findings. | Male 35 years old. Reason: eval for fx. History: pain in neck after altercation and fall on steps yesterday Six views of the cervical spine are provided. We see no fracture. There is loss of the normal cervical lordosis, otherwise alignment is within normal limits.There are small anterior and posterior osteophytes at C... | Minimal degenerative arthritic changes without fracture evident. |
Generate impression based on findings. | 86-year-old male. Status post left reverse TSA. Evaluation of the shoulder is slightly limited by overlying artifact. Again seen are hardware components of a reverse total shoulder arthroplasty device situated in near anatomic alignment without radiographic evidence of hardware complication. Foci of gas density and a d... | Post-operative changes of a left total shoulder arthroplasty. |
Generate impression based on findings. | Male 4 years old Reason: fracture VIEWS: Left forearm AP and lateral 4/28/15 (two views) Cast has been removed. Healing fracture of the proximal women with palmar angulation, periosteal reaction and callus formation is noted. | Healing when are fracture unchanged in alignment as the right. |
Generate impression based on findings. | History of right lumpectomy in 2009 for IDC. Patient received radiation therapy. History of breast carcinoma in mother's half-sister. No new breast complaints. Three standard views of both breasts, additional right MLO view and exaggerated CC lateral view were performed digitally and reviewed with the aid of R2 CAD 9.3... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Reason: Evaluate for progression of disease; compare to previous scan History: None CHEST:LUNGS AND PLEURA: Bilateral perihilar scarring with architectural distortion and bronchiectasis unchanged. Surgical staples within the left lower lobe with associated scar like densities also stable. No new suspicious pulmonary no... | Perihilar scarring with architectural distortion and bronchiectasis, unchanged. No interval suspicious pulmonary nodule, mass or pleural effusion. |
Generate impression based on findings. | 38 years, Female. Reason: Abdominal Pain, N/V; evaluate for obstruction History: as above 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. | Female, 39 years old, with cellulitis. Assess for abscess. Marked edema of the mucosa of the left hard palate is seen. The tissue is hypoattenuating throughout, but it does not approach the attenuation level of fluid and there is no evidence of any discreet or loculated collection at this time.Extensive dental and peri... | 1.Cellulitis involving the mucosa of the left hard palate. No discrete or loculated fluid collection is seen at this time.2.The above finding may reflect extension of infection from extensive dental and periodontal disease as discussed above. |
Generate impression based on findings. | Female 92 years old. Reason: worsening arthritis, fracture. History: pain Evaluation is slightly limited due to inability to optimally position the patient. Two views of the right hip are provided. Severe osteoarthritis affects the hip along with a protrusio deformity, but we see no fracture.Two views of the left hip a... | Severe osteoarthritis. We see no fracture. |
Generate impression based on findings. | 77 years, Male. Reason: Patient with abdominal distension and no flatus now 6 days postop from radical cystectomy and ileal conduit urinary diversion. History: As above There is free intraperitoneal air. Note is made of multiple dilated loops of small and large bowel with associated differential air-fluid levels. No ev... | 1. Multiple dilated loops of small and large bowel, suggestive of adynamic ileus, however, follow-up examination is recommended to exclude the possibility of a developing small bowel obstruction.2. Small amount of free intraperitoneal air is presumably post surgical and clinical correlation is indicated. |
Generate impression based on findings. | FractureVIEWS: Right foot AP lateral (2 views) 4/28/15 10:32 Overlying cast limits evaluation of fine bone details. Fracture of the distal fifth metatarsal with callous formation. | Healing distal fifth metatarsal fracture. |
Generate impression based on findings. | 79-year-old female. Rule out pneumoperitoneum. Air seen on recent chest radiograph. The pelvis is not included in the field of view. There is gaseous distention of the stomach. An enteric tube coiled within the stomach with the tip projecting at the level of the body of the stomach. No evidence of free intraperitoneal ... | Gaseous distention of the stomach without evidence of free intraperitoneal air. Enteric tube coiled within the stomach with the tip projecting at the level of the body of the stomach. |
Generate impression based on findings. | Male 62 years old Reason: 62M with metastatic melanoma. surveillance scans History: surveillance scans CHEST:LUNGS AND PLEURA: 4-mm left upper lobe nodule is unchanged, best seen on image number 34, series number 5. Other small right lower lobe pulmonary nodule is also unchanged.MEDIASTINUM AND HILA: No significant abn... | No significant change from previous study.Prostate MR may be helpful for further evaluation of the right peripheral zone enhancing lesion in the prostate. |
Generate impression based on findings. | 68 year old male former smoker, 10 lb weight loss in last three month, cough. LUNGS AND PLEURA: Limited evaluation due to extensive motion artifact. There is soft tissue density which is tubular in configuration and appears to follow a right lower lobe bronchus. This bronchus appears distended to a sub-pleural location... | 1. Right lower lobe soft tissue density in a tubular configuration suspected to represent a mucocele. Due to extensive motion artifact, the patient will return for repeat imaging, as a nodule in this location cannot be excluded. 2. Fluid noted to the midesophagus with right lower lobe bronchial wall thickening and nono... |
Generate impression based on findings. | Female 87 years old. Reason: right shoulder pain, probable DJD. History: as above Three views of the right shoulder are provided. The bones appear demineralized. Mild osteoarthritis affects the glenohumeral joint. Mild enthesopathic changes are seen along the greater tuberosity at the expected site of the rotator cuff ... | Degenerative arthritic changes of the right shoulder appear similar to those seen on prior study. |
Generate impression based on findings. | Female 54 years old Reason: r/o Charcot History: h/o DM, foot pain Right foot: Mild soft tissue swelling on the dorsum of the foot but no evidence of Charcot arthropathy. Mild hallux valgus deformity with mild osteoarthritis at the first metatarsophalangeal joint. Small dorsal mid foot osteophytes are noted.Left foot: ... | No specific radiographic features of Charcot arthropathy. Other findings as described above. |
Generate impression based on findings. | Male, 89 years old, history of squamous cell carcinoma of the floor of mouth, presenting with pain, swelling and discharge from a small nodule in the left submental area. Anatomic distortion of the right tongue, floor of mouth and submental space is again seen, appearing similar to the prior examination and likely seco... | Tumor related findings are seen within the soft tissues of the anterior neck. No evidence of tumor recurrence is seen. No discrete fluid collections are detected. |
Generate impression based on findings. | Male, 68 years old. Reason: 76 yo M s/p CABG, with 10 cm AAA, now with acute deterioration, r/o AAA rupture History: hypotension, bradycardia, on multiple vasoactives Examination is markedly limited by recent surgery and bandages in place.A very large abdominal aortic aneurysm is identified, with AP diameter of 9.2 cm.... | Limited exam showing a very large abdominal aortic aneurysm with extensive mural thrombus. A sliver of fluid posterior to the thrombus is nonspecific, and dissection or bleed, including mural hemorrhage, is not excluded. Also, this study should not be considered a comprehensive evaluation of the surrounding retroperito... |
Generate impression based on findings. | Female 31 years old Reason: 3 cm mass anterior to lateral malleolus; look for bone origin vs ganglion cyst History: mass We see no mass. There is a small spur along the dorsal aspect of the navicular which may reflect old trauma but otherwise the bones appear normal. | No mass is evident. If further imaging is clinically warranted ultrasound or MRI may be considered. |
Generate impression based on findings. | Extensive artifact from dental amalgam limits evaluation of the oral cavity. Given this limitation, there is mild asymmetric prominence of the left tongue base without detectable mass. The thyroid and major salivary glands are unremarkable. There are unchanged moderate bilateral carotid bifurcation atherosclerotic cal... | Interval decrease with no detectable tumor at the left tongue base, or significant cervical lymphadenopathy. |
Generate impression based on findings. | 62 year old female. Surveillance imaging. Evaluate C1-C2 fusion. TSA follow-up. Left shoulder: Hardware components of a reverse total shoulder arthroplasty are situated in near anatomic alignment without radiographic evidence of hardware complication. A small amount of heterotopic mineralization is seen along the proxi... | Postoperative changes and other findings as described above. |
Generate impression based on findings. | History of left lumpectomy in 2005 for invasive ductal carcinoma and DCIS. Patient received radiation, chemotherapy and hormonal therapy. No new breast complaints. History of benign right breast biopsy in 1987. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The br... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 14 year old female patient with injury.VIEWS: Right ankle AP, oblique, lateral (3 views) 4/28/2015 No acute fracture is evident. No ankle joint effusion. Soft tissue swelling is noted about the lateral malleolus. | Soft tissue swelling without fracture. |
Generate impression based on findings. | 56-year-old female patient with newly diagnosed right breast IDC with metastases to the right axilla. Targeted right breast ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a hypoechoic microlobulated mass measuring 22 x 19 mm at the 10 o’clock position with increased vascularity, 3 c... | Successful ultrasound-guided core biopsy of the right breast lesion for research purposes.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 63-year-old male with history of metastatic lung cancer, ALK+, disease progression from Crizotinib, and developed neuropenia from ceritinib. Please evaluate CNS status. No evidence of metastatic disease. Stable minimal periventricular and punctate subcortical white matter T2/FLAIR hyperintensities, suggestive of mild c... | No evidence of metastatic disease in the brain. |
Generate impression based on findings. | 58-year-old female. Pain. Mild to moderate hallux valgus deformity with orthopedic screws in the first metatarsal head and base of the first proximal phalanx. Mild osteoarthritis affects the first MTP joint. There are second and third toe PIP joint deformities, either due to prior old trauma or surgery. | Postoperative changes and hallux valgus deformity, as described above. |
Generate impression based on findings. | Reason: h/o oral tongue ca and s/p CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Stable paraseptal and central lobular emphysema.Persistent left-sided volume loss with left lower lobe subsegmental atelectasis and pleural thickening. No evidence of suspicious pulmonary nodule or new pl... | No pulmonary metastases. |
Generate impression based on findings. | Reason: 3 mo female, trauma admission, rule out NAT , occult fractures History: trauma admissionEXAMINATION: Skull AP/lateral, cervical spine AP/lateral, thoracolumbar spine AP/lateral, right humerus AP, left humerus AP, right forearm AP, left forearm AP, right hand PA, left hand PA, chest AP, ribs right oblique/left o... | No fracture or dislocation noted. |
Generate impression based on findings. | Reason: eval for acute intracranial process History: AMS, ride side weakness last normal last night The CSF spaces are appropriate for the patient's stated age with no midline shift. Atherosclerotic calcifications are present along the distal internal carotid arteries.No abnormal mass lesions are appreciated intracrani... | No evidence for acute intracranial hemorrhage mass effect or edema. CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction. |
Generate impression based on findings. | Reason: head and neck cancer post induction scans. History: as above There is a 33 x 61 mm axial dimension mass located in the left floor of the mouth within the sublingual space it involves the left half of the tongue. It is visually contiguous with the left mylohyoid muscle posteriorly.There is a 15 x 16 mm heterogen... | 1.There is a left base of the tongue mass present associated with left-sided level 1, level 2 and level 3 lymphadenopathy as detailed above. |
Generate impression based on findings. | FractureVIEWS: Left foot AP oblique lateral (3 views) 4/28/15 10:57 No fracture or dislocation. | No fracture or dislocation. |
Generate impression based on findings. | Female, 60 years old, unexplained weight loss with a family history of esophageal and pancreatic cancer. Head:The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. No ... | 1. No evidence to suggest neoplastic disease in the neck. Please note, however, that the esophagus is only partially visualized on this examination, and in any event, CT would be insensitive for the detection of small mucosal lesions. If clinical concern for esophageal disease persists, EGD or barium esophagography wou... |
Generate impression based on findings. | Male 56 years old. Reason: r/o DJD. History: radiculopathy Six views of the cervical spine are provided. The bones appear slightly demineralized. There is straightening of the cervical spine, otherwise alignment is within normal limits. There is very mild degenerative disk disease at C5/6 and C6/7. The neural foramina ... | Mild degenerative disk disease. If further imaging evaluation is clinically warranted, MRI can be considered. |
Generate impression based on findings. | 61-year-old female with history of lumbar fusion. Five lumbar type vertebral bodies are present, overall appropriate in height. Interval postoperative findings related to small decompressive laminectomies and partial facetectomies at L4-5 with graft and interspinous fixation device. There is no evidence of hardware com... | 1.Postoperative changes of L4-5 posterior fusion with interspinous fixation device and graft. No solid osseous fusion is yet demonstrated. 2.Grade 2 anterolisthesis of L4 on L5. There is narrowing of the spinal canal at this level with interval decompressive laminectomies. 3.Facet arthropathy throughout the lumbar spin... |
Generate impression based on findings. | Male 59 years old. Reason: fracture. History: pain to distal metatarsals, 1-3 after trauma. Three views of the right foot are provided. No fracture is evident. Severe osteoarthritis affects the first metatarsophalangeal joint. Mild osteoarthritis affects the first tarsometatarsal joint. Note is made of a mild Haglund d... | Osteoarthritis without evidence of fracture. |
Generate impression based on findings. | 69-year-old male with history of bladder cancer status post cystectomy and ileal conduit. Evaluate for recurrent/metastatic disease. ABDOMEN:LUNG BASES: Unchanged right lower lobe pulmonary micronodule. No suspicious nodules or masses.LIVER, BILIARY TRACT: Hepatic steatosis.SPLEEN: No significant abnormality notedPANCR... | Postsurgical changes of cystoprostatectomy and ileal conduit without evidence of recurrence or metastatic disease. |
Generate impression based on findings. | 72-year-old female was called back from screening mammogram dated 1/15/14 for a focal asymmetry in the right upper outer quadrant, however patient defaulted and presents for bilateral diagnostic mammogram. Three standard views of both breasts, exaggerated right CC view, and two spot compression views right breast were ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Female 65 years old. Reason: r/o tuft fx. History: lac with crushing injury. Three views of the left third digit are provided. There is mild soft tissue swelling about the tip of the third digit, but no fracture of the distal phalanx. There is a thin density dorsal to the neck of the middle phalanx which may reflect ol... | Soft tissue swelling and other findings as above without evidence of acute fracture. |
Generate impression based on findings. | Female, 47 years old. Reason: evaluate for any suspicious lesions/advanced fibrosis History: HCV LIVER: The liver measures 18.3 cm, with a coarse, echogenic appearance, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic or extrahepatic biliary du... | 1. Coarse, echogenic appearance of the liver, consistent with fatty infiltration/parenchymal dysfunction. No focal hepatic lesion, biliary ductal dilatation, or ascites.2. A 4-mm gallbladder polyp, unchanged. |
Generate impression based on findings. | 65-year-old male with history of melanoma. Evaluate disease status following completion of adjuvant chemotherapy. CHEST:LUNGS AND PLEURA: Stable scattered pulmonary micronodules, some of which are calcified. No pleural effusion or other significant abnormality.MEDIASTINUM AND HILA: Stable calcified mediastinal and hila... | Stable exam, without findings of recurrent or metastatic disease. |
Generate impression based on findings. | Female, 50 years old. Reason: pancreatic mass History: poss paraneoplastic syndrome LIVER: The liver measures 15.3 cm, with homogeneous echotexture, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic or extrahepatic biliary ductal dilatation. The... | 1. Mild prominence of the pancreatic head, with normal echotexture and no discrete lesion identified.2. Cholelithiasis without evidence of acute inflammation. |
Generate impression based on findings. | Male, 63 years old, history of lip cancer and tongue cancer (pT2N2b right oral tongue squamous cell carcinoma), status post surgery and chemo-radiation. Assess for recurrence. Limited intracranial views demonstrate periventricular hypoattenuation, a nonspecific finding. Bubbly secretions within the right maxillary sinu... | 1.Within the limitations of a noncontrast examination, no evidence of recurrent or progressive disease is seen. Findings related to prior surgery and treatment are unchanged.2.Bubbly secretions within the right maxillary sinus have increased. The bony floor of the right maxillary sinus remains deficient, similar to pri... |
Generate impression based on findings. | There are stable posttreatment findings in the left neck with no evidence of mass lesions or significant cervical lymphadenopathy. There is ill-defined soft tissue in the left submandibular space likely representing postoperative change. The thyroid and remaining major salivary glands are unremarkable. The major cervi... | Stable posttreatment findings with no evidence of recurrent tumor or significant cervical lymphadenopathy. |
Generate impression based on findings. | Female, 55 years old. Reason: eval for hepatobiliary, pancreatic pathology History: abdominal pain, renal transplant LIVER: The liver measures 15.8 cm, with homogeneous echotexture, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic or extrahepat... | 1. Gallbladder wall polyp or adherent sludge, without evidence of acute inflammation.2. Stable appearance of the atrophic native kidneys and the right iliac fossa transplant kidney. |
Generate impression based on findings. | Female 24 years old 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. Redemonstration of increased radiotracer ... | Stable exam with multiple metastatic lesions as described. Note that there are additional lytic metastases noted on the CT scan which are poorly visualized on nuclear medicine bone scan. |
Generate impression based on findings. | History of breast cancer with leptomeningeal spread now status post placement of an Ommaya reservoir. After intrathecal administration of In-111-DTPA, planar views in multiple projections were acquired at 4 and 24 hours. Planar images at 4 hours demonstrated ventricular reflux. Imaging at 24 hours demonstrated flow thr... | No evidence of obstruction to CSF following Ommaya reservoir injection. |
Generate impression based on findings. | Male 83 years old Reason: metastatic Prostate cancer, evaluation of disease during treatment w/investigational therapy. History: metastatic Prostate cancer New foci of increased radiotracer activity in the left lateral sixth rib, right aspect of the L3 vertebral body, C7, T6, T10, L3 vertebral bodies and right sacroili... | Progression of disease with new osseous metastases as described above. |
Generate impression based on findings. | Male 70 years old Reason: Right hip pain History: Right hip pain Right knee: Moderate narrowing of the medial joint compartment as well as small osteophytes indicating mild/moderate osteoarthritis. There is a small bony excrescence on the lateral aspect of the distal femoral diaphysis consistent with an exostosis. We s... | Osteoarthritis as described above. |
Generate impression based on findings. | Metastatic renal cell carcinoma CHEST:LUNGS AND PLEURA: Interval increase in size of many of the previously noted bilateral pulmonary metastatic nodules. Reference left upper lobe nodule best seen on image 50 of series 4 measures 2.3 x 2 cm; this is in comparison to 1.5 x 1.3 cm on 3/5/2015. Reference right lower lobe ... | Interval increase in size of many of the previously noted bilateral pulmonary metastatic nodules. |
Generate impression based on findings. | History of right mastectomy in 1992 for breast cancer. Patient received tamoxifen. History of left cyst aspiration. No new breast complaints. History of breast cancer in mother and sister. Three standard views of the left breast were performed digitally 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, left 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. | Male, 38 years old. Reason: pancreatitis, severe hypertriglyceridemia, eval for biliary obstruction or cholecystitis LIVER: The liver measures 22.0 cm, with markedly echogenic appearance, and no definite focal lesion. Evaluation for focal hepatic lesions is limited in the presence of severe fatty infiltration.The main ... | 1. No cholelithiasis, biliary ductal dilatation, or evidence of acute cholecystitis.2. Severe fatty infiltration of the liver is again noted. |
Generate impression based on findings. | Male 79 years old Reason: lateral views in neutral, flex, extension History: back pain Severe degenerative disk disease affects the L5-S1 level and moderate degenerative disk disease affects the L4-L5 level with anterior vertebral body osteophytes at multiple levels. Facet joint osteoarthritis affects the lower lumbar ... | Degenerative disk disease, facet joint osteoarthritis and L4 anterolisthesis that increases slightly with flexion. |
Generate impression based on findings. | Female 64 years old Reason: locally recurrent rectal cancer remains on chemotherapy holiday History: rectal cancer CHEST:LUNGS AND PLEURA: Interval increase in the size of the right lower lobe nodule. This nodule now measures 1 cm in diameter image number 61, series number 4. It was previously measuring 4-mm in diamete... | Interval increase in the size of the some of the pelvic lymph nodes and left inguinal soft tissue density as described above.Interval increase in the size of the right lower lobe lung nodule. |
Generate impression based on findings. | Female 56 years old Reason: recent right shoulder injury/ History: pain, weakness. The bones are demineralized. The shoulder otherwise appears normal for age. No fracture or malalignment. | No specific findings to account for patient's symptoms. |
Generate impression based on findings. | Reason: h/o BOT ca, s/p induction chemo, eval response, compare to previous, measurements pls History: none There is a 17 x 3 millimeter axial dimension lesion at the right sublingual space at the tongue base. On the prior exam the tongue base mass has a more polypoid appearance whereas the current exam it has a more s... | 1.There is a right tongue base mass present associated with bilateral level 2 and right sided level 1 lymphadenopathy also present on the prior exam . The lymphadenoopathy has not substantially changed. On the prior exam the tongue base mass has a more polypoid appearance whereas the current exam it has a more sessile ... |
Generate impression based on findings. | Female 25 years old Reason: follow up. Again seen are postoperative changes of Lapidus procedure with flattening of the medial aspect of the first metatarsal head and two screws affixing the first tarsometatarsal joint in near anatomic alignment. We see no hardware complications. The first tarsometatarsal joint is slig... | Postoperative changes of Lapidus procedure. |
Generate impression based on findings. | Male 43 years old Reason: Patient with a h/o head and neck cancer s/p mandibular resection. Panorex radiograph of the mandible shows much of the mandible on the right has been resected and replaced by a segment of bone graft affixed to the native mandible by a plate and screw device. We see no hardware complication. Al... | Postoperative changes right mandibular reconstruction. |
Generate impression based on findings. | Male 15 years old Reason: eval for fracture of left wrist History: pain and swellingVIEWS: Left wrist AP, lateral and oblique 4/28/15 (3 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Reason: R/o PE: Patient with PMHx of osteosarcoma with intraoperative hypotension and desats c/f PE History: Hypoxia, hypotension PULMONARY ARTERIES: The quality of this examination is adequate for the evaluation of pulmonary embolism to the segmental level due to timing of the contrast bolus. No pulmonary embolus is p... | No pulmonary embolus to the segmental level is present.Multiple pulmonary nodules of various sizes compatible with metastases, the majority of which have increased in size. Several new pulmonary metastases are present, particularly in the lower lobes.PULMONARY EMBOLISM: PE: None Chronicity: Not applicable.Multiplicity:... |
Generate impression based on findings. | Male 18 years old Reason: fell on 4/12/15 onto outstretched arm, eval for fracture History: tendernessVIEWS: Left wrist AP, lateral and oblique 4/28/15 (3 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Male 9 years old Reason: r/o fx of left middle finger History: left finger hit by car door 21 hours ago, swelling and pain; decreased ROM of PIP jointsVIEWS: Left hand PA and left third finger oblique and lateral 4/28/15 (3 views) Question of Salter Harris two fracture of the distal phalanx of the left mid finger. | Question of a Salter-Harris two fracture of the distal phalanx of the left mid finger. |
Generate impression based on findings. | Male 13 years old Reason: post-op for tibia and fibula osteotomyVIEWS: Right tibia-fibula AP and lateral 4/28/15 (two views) External fixator device again noted. Healing osteotomies of the proximal tibia and mid fibula with callus formation and periosteal reaction are in near-anatomic alignment. | Healing fracture or in near-anatomic alignment with no evidence of hardware complications. |
Generate impression based on findings. | Female 12 days old Reason: evaluate for interval change in lung fields, ex late preterm female with known TEF and intubated History: desaturationsVIEW: Chest AP (one view) 4/28/15 at 1129 hrs. Esophageal catheter and UVC unchanged. Interval removal of UAC. ET tube terminates at the carina. Multiple vascular malformatio... | ET tube tip at the carina.Persistent multifocal atelectasis as described. |
Generate impression based on findings. | Male, 72 years old, with history of skin cancer of the left face, metastatic to the neck. Extensive surgical alterations are redemonstrated status post left facial tumor resection including resection of the left aspect of the nose, the left premaxillary soft tissues, and the left anteromedial maxilla with soft tissue f... | Redemonstration of extensive postoperative findings without evidence of disease recurrence. |
Generate impression based on findings. | Female 16 years old Reason: supraclavicular swelling/pain VIEWS: Right clavicle AP and axial 4/28/15 (two views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. No soft tissue mass. | Normal examination. |
Generate impression based on findings. | Male 53 years old Reason: h/o orchiectomy, now with 2 weeks of scrotal swelling, suspect hernia, please evaluate RIGHT TESTIS: Status post right orchiectomyLEFT TESTIS: Left testis measures 4 x 2.8 x 4.9 cm. there are microcalcifications within the left testicle. No focal lesions.RIGHT EPIDIDYMIS: Status post right orc... | Large left-sided hydrocele containing septations and complex fluid.Microcalcifications within the left testicle. |
Generate impression based on findings. | 67 year old female status post right lumpectomy in 2006 for IDC, presents today for routine follow up. Patient received tamoxifen for 1.5 years. History of benign bilateral breast biopsies. No current breast complaints. Family history of breast carcinoma in her mother at age 81. Three standard views of both breasts wer... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 66 -year-old female with history of cervical and colon cancer,restaging scan after hepatic tumor resection and chemotherapy and radiation therapy. RADIOPHARMACEUTICAL: 11.2 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 91 mg/dL. Today's CT portion grossly demonstrates a stable bulla in the left upper lobe.... | 1.Interval resolution of hepatic lesion, consistent with surgical resection of the tumor. However, new focus increased activity in the surgical resection site can be due to tumor or post surgical change.2.Stable linear focus of increased activity in the left hemipelvis, which may represent inflammatory change or tumor.... |
Generate impression based on findings. | 67 year old female status post left mastectomy in 2013 for recurrent IDC, presents today for routine follow up. Patient received radiation and is currently on AI. History of right breast biopsy in 2000 resulting "ADH bordering on DCIS", and right sentinel lymph node biopsy. No current breast complaints. Family history ... | 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: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Female 88 years old Reason: is there a fracture History: pain and deformity to left wrist, fell down steps. There is a comminuted predominantly transverse fracture of the distal radial metaphysis with approximately 1 cm of volar displacement of the distal fracture fragment. It is difficult to ascertain on this study wh... | Distal radius fracture as described above. |
Generate impression based on findings. | Female 83 years old Reason: Rule out fracture History: Leg pain, swelling. Left ankle: MIld soft tissue swelling about the ankle but we see no fracture. Streaky calcification in the distal Achilles' tendon suggests tendinosis.Left knee: The bones are demineralized. There is extensive chondrocalcinosis with relatively m... | Soft tissue swelling at the ankle joint and chondrocalcinosis at the knee. We see no fracture. |
Generate impression based on findings. | T4N2cM1 squamous cell carcinoma of the right tonsil, There are extensive post-treatment findings in the neck. There is no definite evidence of measurable mass lesions in the oropharyngeal region, although dental streak artifact somewhat limits the assessment. There is a 1 cm peripherally enhancing nodular area in the r... | 1. No definite evidence of measurable tumor in the oropharyngeal region. 2. Compared to 2/25/2014, there is a new 8x5 ovoid nodule likely representing a necrotic lymph node at right level 6. Otherwise no significant lymphadenopathy in the neck by size criteria.3. There is a 1 cm peripherally enhancing area in the right... |
Generate impression based on findings. | Female 24 years old Reason: fibular avulsion fracture? History: tender lateral mal with edema after turning ankle There is soft tissue swelling along the lateral aspect of the ankle. There is a 2-3-mm curvilinear density within the soft tissues distal to the fibular tip and lateral to the lateral process of the talus. ... | Tiny density distal to the fibular tip could represent a small avulsion fracture fragment, but may be chronic in etiology. I see no donor site or fracture line. This was relayed to Dr. Asbury at the time of dictation.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Pain the fourth finger status post altercation. Limited range of motion. Is there a fracture? There is a transverse fracture through the base of the middle phalanx of the ring finger. I see no definite extension to the articular surface of the PIP joint. There is surrounding soft tissue swelling. | Ring finger fracture as above. |
Generate impression based on findings. | Male 40 years old Reason: R/o stress fracture History: Pain 2nd and 3rd digit. Soft tissue swelling is noted, particularly along the dorsum of the foot but we see no fracture, in particular no stress fracture. Small navicular bone osteophytes as well as plantar and posterior calcaneal spurs are noted. A tiny ossicle is... | Soft tissue swelling and other findings as described above. If further imaging is clinically indicated a repeat radiograph in 10 to 14 days or alternatively MRI may be considered. |
Generate impression based on findings. | 48-year-old female with recurrent sinusitis experiencing nasal congestion and discharge. Previously demonstrated extensive mucosal thickening and fluid within the paranasal sinuses diffusely has significantly improved. Air-fluid levels have resolved. There remains foci of mucosal thickening throughout paranasal sinuses... | Previously demonstrated extensive mucosal thickening and fluid within the paranasal sinuses diffusely has significantly improved. Air-fluid levels have resolved. There remains foci of mucosal thickening throughout paranasal sinuses with the exception of the frontal sinus which are now clear. |
Generate impression based on findings. | Reason: lung CA, s/p chemoRT and resection. Followup, including of micronodule History: shortness of breath on exertion CHEST:LUNGS AND PLEURA: Status post right lower lobectomy with volume loss in the right lung and expected postsurgical changes.Small loculated right pleural effusion and decreased from the prior exam.... | Multiple left lung nodules increasing in size and number compatible with progression of metastatic disease. |
Generate impression based on findings. | Heel pain, was accidentally stepped on. Any fracture? I see no fracture. There is a small posterior calcaneal enthesophyte. There also appear to be small spurs along the anterior aspect of the tibiotalar joint. A 1.5-cm rounded lucent lesion with thin sclerotic margins in the distal tibial diaphysis is likely benign an... | No fracture evident; other findings as above. |
Generate impression based on findings. | Male 79 years old Reason: GIST on imatinib History: liver mets CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Large hiatal hernia containing proximal stomach is unchanged.CORONARY ARTERY CALCIFICATION: Mild.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Multiple... | No significant change from previous study. |
Generate impression based on findings. | Male 83 years old Reason: metastatic Prostate cancer, evaluation of disease during treatment w/investigational therapy. Please complete PCWG2 form History: metastatic Prostate cancer CHEST:LUNGS AND PLEURA: Biapical scarring. Index right upper lobe nodule measures 7-mm in diameter image number 47, series number 4, not ... | No significant change from previous study. |
Generate impression based on findings. | There are numerous hyperattenuating, most likely enhancing, intracranial masses, the largest of which is in the right posterior fossa abutting the right petrous ridge and right tentorium measuring 3.0 x 2.2 cm. There is an additional left cerebellar mass adjacent to the left tentorium measuring 1.0 x 1.5 cm. There is ... | 1. Multiple intracranial hyperattenuating presently enhancing intra-axial supratentorial and infratentorial masses consistent with metastatic disease. Prominent surrounding vasogenic edema and localized mass effect in the left frontal horn with partial effacement of the fourth ventricle although no evidence of hydrocep... |
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. If there is continued clinical concern for acute ischemia, MRI would be recommended. |
Generate impression based on findings. | Reason: h/o BOT ca, s/p induction chemo, eval response, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses identified.No pleural effusions.MEDIASTINUM AND HILA: Tracheostomy in place.No hilar or mediastinal lymphadenopathy.Cardiac size is normal without... | No evidence of metastatic disease. |
Generate impression based on findings. | 81 years, Female. Reason: constipation History: abdominal pain Gaseous distention of the stomach and colon without evidence of obstruction. Average stool burden. Air is noted throughout the rectum. Marked cardiomegaly. AICD lead, incompletely visualized. Vascular calcifications of the aorta. There is loss of vertebral ... | 1. Nonobstructive bowel gas pattern.2. Age indeterminate vertebral body compression fracture at the level of T11. |
Generate impression based on findings. | 74-year-old male with h/o HNC and CRT, compare to previous CHEST:LUNGS AND PLEURA: Majority of the pulmonary nodules and masses increased in size. Left apical mass measures 6.2 cm x 4.0 cm (series 5, image 25) previously 4.1 cm x 5.8 cm. No associated rib destruction. Reference right upper lobe nodule unchanged (series... | 1. Interval increase in size of the majority of the pulmonary nodules and masses. Right infrahilar lymphadenopathy appears slightly increased, now obstructing the central right middle lobe bronchus. Mild interval enlargement of several mediastinal lymph nodes. 2. Debris in the trachea. Ground glass opacity in the right... |
Generate impression based on findings. | 79 years, Male. Reason: bladder stones History: bladder stone Gaseous distention of loops of small and large bowel. Average stool burden. Scybalous stool within the rectosigmoid colon may reflect constipation. Air is noted within the rectum. Radiopaque density projecting over the stomach may represent ingested material... | 1. Findings suggestive of adynamic ileus. Scybalous stool within the rectosigmoid colon may reflect a component of constipation.2. No definite radiopaque renal or bladder calculus is identified. |
Generate impression based on findings. | Female, 22 months old, with midline cleft lip and palate with mass in the line of the palatal cleft. A large bony deficiency is evident involving the sphenoid and ethmoid portions of the anterior skull base. Deficiency of the hard and soft palate is also seen along with clefting of the upper lip. Through these bony def... | 1.Sphenoethmoid encephalocele which protrudes through a cleft palate into the oral cavity. The degree to which any brain tissue or cerebral vasculature may also protrude through these defects will be better assessed on MRI.2.Clefting of the upper lip.3.Intracranial findings compatible with agenesis of the corpus callos... |
Generate impression based on findings. | 66-year-old male with history of gross hematuria. ABDOMEN:LUNG BASES: No suspicious hepatic lesions. Cholelithiasis without evidence of cholecystitis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abn... | Plaque-like thickening and irregularity of the right posterolateral wall of the bladder demonstrating mild heterogeneous enhancement concerning for malignancy. Direct visual inspection is recommended. |
Generate impression based on findings. | Microscopic hematuria 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: 3-mm nonobstructing stone within the left ki... | 3-mm nonobstructing stone within the left kidney; in retrospect, this stone was present on the prior study in 2010. Otherwise, unremarkable kidneys and collecting system without evidence for worrisome mass, acute inflammation, or obstruction. |
Generate impression based on findings. | Reason: h/o lip cancer History: r/o lung mets LUNGS AND PLEURA: Stable calcified and noncalcified micronodules compatible with a prior granulomatous disease.No new suspicious pulmonary nodules or masses.Redemonstration of a small right upper lobe cysts.Right middle lobe minimal atelectasis and bronchiectasis unchanged.... | Stable exam without evidence of metastatic disease. |
Generate impression based on findings. | 51 years, Female. Reason: poor appetite, constipation History: see above Nonobstructive bowel gas pattern. Average stool burden. No evidence of pneumatosis intestinalis or portal venous gas. Lung bases are clear. Hepatomegaly. | Nonobstructive bowel gas pattern. |
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