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Generate impression based on findings. | Ms. Jefferson submitted outside mammograms dated 10/08/2013 and 09/19/2012, from Terre Haute Regional Hospital in Indiana. Submitted outside studies were compared to the current mammogram dated 11/25/2014. The breast parenchyma is heterogeneously dense. There are multiple bilateral circumscribed masses seen of varying ... | Bilateral circumscribed masses of decreasing size, compatible with involuting cysts. No mammographic evidence of malignancy. Palpable concern should be managed clinically. As long as the patient's clinical examination is unremarkable, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMM... |
Generate impression based on findings. | 57-year-old male with NHL, status post mobilization.RADIOPHARMACEUTICAL: 12.9 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 82 mg/dL. Today's CT portion grossly demonstrates a right chest port, which is coiled within the right internal jugular vein with its tip in the SVC. No lymphadenopathy throughout the... | 1.No FDG avid tumor identified.2.Atherosclerotic calcification and aneurysmal dilatation of the left common iliac artery at the level of the bifurcation. 3.Right chest port coiled within the right internal jugular vein with tip in the SVC. |
Generate impression based on findings. | Ms. Jefferson submitted outside mammograms dated 10/08/2013 and 09/19/2012, from Terre Haute Regional Hospital in Indiana. Submitted outside studies were compared to the current mammogram dated 11/25/2014. The breast parenchyma is heterogeneously dense. There are multiple bilateral circumscribed masses seen of varying ... | Bilateral circumscribed masses of decreasing size, compatible with involuting cysts. No mammographic evidence of malignancy. Palpable concern should be managed clinically. As long as the patient's clinical examination is unremarkable, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMM... |
Generate impression based on findings. | AORTOGRAM: Normal caliber aorta with no evidence of stenosis or aneurysm. Normal appearing single bilateral renal arteries. PELVIC ANGIOGRAM: Common, internal and external iliac arteries are widely patent. LEFT LOWER EXTREMITY: The common femoral artery is widely patent. The profunda femoris is patent and robust. The ... | Successful angioplasty of the left superficial femoral artery with findings as noted above.PLAN: The patient will follow-up with repeat surveillance duplex ultrasound in one month. |
Generate impression based on findings. | 10 month old male with 5 days fever and wet coughVIEWS: Chest AP/lateral (two views) 11/14/15 Moderate peribronchial cuffing suggestive of reactive airway disease/bronchiolitis pattern. Focal opacity in the right lower lobe may represent atelectasis. Cardiothymic silhouette is normal. No pneumothorax or pleural effusio... | Reactive airway disease/bronchiolitis pattern. Right lower lung atelectasis. |
Generate impression based on findings. | Ms. Mason submitted outside mammogram dated 12/05/2013, from Ingalls Memorial Hospital, from Harvey, IL. Submitted outside study was compared to the current mammogram dated 01/02/2015. The breast parenchyma is composed of scattered fibroglandular density. Benign calcifications, including arterial calcifications, are pr... | 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. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Ms. Mason submitted outside mammogram dated 12/05/2013, from Ingalls Memorial Hospital, from Harvey, IL. Submitted outside study was compared to the current mammogram dated 01/02/2015. The breast parenchyma is composed of scattered fibroglandular density. Benign calcifications, including arterial calcifications, are pr... | 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. | 71 year-old female with history of hepatocellular carcinoma. Therasphere mapping. Lack of contrast enhancement limits evaluation, specifically for HCC.CHEST:LUNGS AND PLEURA: Reference nonspecific subpleural nodule in the left lower lobe measures 7 cm (series 5, image 65), stable. Scattered micronodules are not signifi... | Evaluation for HCC is significantly limited given lack of IV contrast enhancement.1.Unchanged segment 8 hypoattenuating lesion previously characterized as HCC. 2.Previously referenced segment 6 HCC is not conspicuous on the current examination and attention on subsequent examinations is recommended.3.Unchanged cirrhoti... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 7 month old male with cough and fevers x 2 daysVIEWS: Chest AP/lateral (two views) 11/14/15 Cardiothymic silhouette is normal. No focal pulmonary opacities. No pleural effusion or pneumothorax. Mild to moderate peribronchial cuffing suggestive of reactive airway disease/bronchiolitis pattern. | Reactive airway disease/bronchiolitis pattern. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed with tomosynthesis and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 48 years old; Reason: eval for progression History: metastatic RCC CHEST:LUNGS AND PLEURA: Reference left lower lobe pulmonary nodule measures 2.9 x 2.2 cm (image 81/series 5) previously, 1.9 x 1.8 cm.The remainder of the pulmonary nodules have also increased in size. No pleural effusions have developed.MEDIASTINU... | 1.Increase in the size of the reference right hilar lymph nodes, pulmonary nodule and left renal bed mass. |
Generate impression based on findings. | Female 34 years old; Reason: ? acute cholecystitis History: RUQ pain, rising bili and WBC Angiographic images are unremarkable. Prompt clearance of radiotracer from the blood pool and uniform accumulation of the tracer by the liver is present. There is normal excretion of tracer into the intrahepatic ducts, common bile... | Normal hepatobiliary imaging. No evidence of acute cholecystitis. GI activity was not visualized although there is no evidence of biliary obstruction. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast biopsy. Family history of breast carcinoma in her mother at age 55. Two standard digital views of both breasts were performed with tomosynthesis and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 56-year-old female with history recent fall with eye laceration. Evaluate for subdural hematoma. No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No mass, midline shift or uncal herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits ... | No evidence of acute intracranial abnormality. Patchy abnormal low density in the white matter, likely representing sequelae of prior methotrexate toxicity. |
Generate impression based on findings. | Male 8 years old Reason: s/p fx clavicle History: s/p fx clavicleVIEWS: Right clavicle AP and axial (two views) 1/14/2015 The previously seen clavicular fracture line is no longer identified compatible with healing. | Healed right clavicular fracture. |
Generate impression based on findings. | Ileus Suboptimal exam secondary to patient motion artifact. No significant change, including enteric tube with tip in region of gastric antrum and colonic gaseous distention. Stable rectal tube.Please refer to concomitant chest radiography from same day for additional findings. | No significant change as above. |
Generate impression based on findings. | 25 year-old female with pain, 500-pound bed rolled over the patient's foot. Three views of the left foot show no fracture or malalignment. | No fracture evident. |
Generate impression based on findings. | 18 year old male for constipationVIEW: Abdomen AP (one view) 11/14/2015 Right femoral head is superior and laterally dislocated, unchanged from prior examination. Leftward curvature of the thoracolumbar spine. Disorganized bowel gas pattern. No evidence of obstruction. Gastrostomy tube is unchanged. | Disorganized bowel gas pattern. No evidence of obstruction. |
Generate impression based on findings. | Dobbhoff tube placement Dobbhoff tube seen with tip in gastric body. Incompletely imaged mildly dilated small bowel, measuring up to 4 cm. Residual contrast suggested in bowel located in pelvis. Remainder of exam without significant change from prior abdominal radiography. Pleural effusions and left retrocardiac consol... | Enteric tube as above. |
Generate impression based on findings. | 35-year-old male with toe deformity, crossed toes. Four views of the right foot show a slight hallux valgus deformity. The second toe is extended at the metatarsophalangeal joint with medial deviation such that it lies on top of the first toe. There is no fracture or dislocation.Four views of the left foot show a sligh... | Mild hallux valgus deformities with medial deviation of the second toes bilaterally as described above. |
Generate impression based on findings. | Fall. 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. There is moderate mucosal thickening in the left maxillary sinus and mild mucosal thickening in the rig... | No evidence of acute intracranial hemorrhage or skull fracture. |
Generate impression based on findings. | Assess stool burden, heavy narcotic analgesic use, abdominal pain, reported history of diarrhea/constipation Large stool burden, particularly in the ascending colon and portions of transverse colon, including incompletely imaged splenic flexure. Nonobstructive bowel gas pattern. Multiple surgical clips seen in right ab... | Stool burden as described. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Enteric tube placement Enteric tube seen with side-port in gastric body. Incompletely imaged airdistended bowel, air seen at least to the level of the distal descending colon, findings may reflect ileus in the appropriate clinical setting and correlation with the patient's history recommended. Please refer to concomita... | Enteric tube as above. |
Generate impression based on findings. | 10 year old male with hip subluxationVIEW: Pelvis AP (one view) 01/13/15 There is lateral uncovering of bilateral femoral heads, about 40% on the right side and 20% on the left side. The right acetabulum is slightly dysplastic owing to increased uncovering of the right femoral head. Bilateral coxa valga. No fractures i... | Bilateral coxa valga and dysplastic right acetabulum with lateral uncovering of bilateral femoral heads, right greater than left. |
Generate impression based on findings. | 44-year-old male with history of ankle fracture, stress view to evaluate for medial clear space widening. A single AP weight-bearing mortise view of the left ankle again shows an obliquely oriented fracture of the distal fibula with slight lateral displacement appearing similar to prior study. The rest of the ankle is ... | Distal fibular fracture appearing similar to the prior study. |
Generate impression based on findings. | Left lower quadrant abdominal pain ABDOMEN:LUNG BASES: Right basilar micronoduleLIVER, BILIARY TRACT: Gallbladder absent.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LY... | Focal fluid focus inseparable from the sigmoid colon. Not associated with significant surrounding acute inflammatory changes. This focal fluid collection is atypical for acute diverticulitis but may represent sequela of chronic inflammation.Fat containing supraumbilical ventral hernia |
Generate impression based on findings. | Lung cancer right upper lobe. CHEST:LUNGS AND PLEURA: Necrotic mass obstructing the right upper lobe apical segment bronchus measures 5.8 x 4.3 cm in in greatest transaxial dimensions, inseparable the mediastinal pleural surface and cranial aspect of the hilum and producing spiculations extending to nearly the lung ape... | 5.8-cm right upper lobe mass obstructing the apical segmental bronchus extends from the right hilum to nearly the apex and the lateral margin of the distal thoracic trachea. The mass is difficult to separate from ipsilateral hilar lymph nodes with reference lesions provided in the body of the report. Irregularly margin... |
Generate impression based on findings. | 56-year-old female with history of orthopedic fixation, follow-up examination. Four views of the right foot again show orthopedic fixation of the first tarsometatarsal joint and first intercuneiform joint in near-anatomic alignment appearing similar to the prior study, although there may be early bony bridging along th... | Postoperative changes of orthopedic fixation of the first metatarsal and cuneiforms with removal of K wires. |
Generate impression based on findings. | Abdominal distention, evaluate enteric tube and assess for SBO Enteric tube seen with tip just beyond gastroesophageal junction and further advancing by approximately 8 cm recommended. Right upper quadrant surgical clips, may be related to prior cholecystectomy. Incompletely imaged dilated small bowel, measuring up to ... | Advancing of enteric tube recommended.Findings suspicious for small bowel obstruction. |
Generate impression based on findings. | 62-year-old female with history of non-small cell lung cancer status post chemoradiation therapy. Evaluate for metastatic disease. LUNG BASES: Please refer to dedicated concurrent CT chest report for details regarding the thoracic findings. Small right pleural effusion partially visualized atelectasis.ABDOMEN:LIVER, BI... | 1.No evidence of metastatic disease in the abdomen or pelvis. 2.Please refer to concurrent CT chest report for details regarding thoracic disease. Small right pleural effusion.3.Moderate to severe degenerative changes affect the lumbar spine. |
Generate impression based on findings. | Male 64 years old; Reason: staging CLL History: early satiety, liver and spleen enlarged CHEST:LUNGS AND PLEURA: No dominant lung lesion. There is diffuse pleural thickening. There small bilateral effusions.MEDIASTINUM AND HILA: Heart size is normal. Extensive mediastinal lymphadenopathy. Reference precarinal lymph nod... | 1.Extensive lymphadenopathy in the chest, abdomen and pelvis. |
Generate impression based on findings. | Abdominal distention Relative paucity of bowel gas, no definitive evidence of bowel obstruction. | Paucity of bowel gas. No definitive evidence of bowel obstruction. |
Generate impression based on findings. | The vertebral column alignment is within normal limits. There is a normal relationship of the dens with the arch of C1. There is no acute fracture or pre-vertebral soft tissue swelling. There is no significant spinal canal stenosis. Minimal scattered spondylotic changes, mainly at C2/C3.For more complete findings rega... | No evidence of acute fracture or subluxation. |
Generate impression based on findings. | 27-year-old male hurt wrist playing frisbee 12/26. Evaluate for fracture. Three views of the right wrist show no fracture, malalignment, or other specific findings to account for the patient's pain. | No fracture evident. |
Generate impression based on findings. | Evaluate stool burden, history diarrhea Moderate to large stool burden seen throughout colon. Nonobstructive bowel gas pattern. Right upper and mid abdominal postsurgical sequela. Lower lumber spine postoperative hardware seen. | Stool burden as above, no bowel obstruction. |
Generate impression based on findings. | Newborn male with respiratory distress and increasing O2 requirement.VIEW: Chest and abdomen AP (two views) 1/14/2015, 14:50 UAC tip at the T9/T10 level. UVC tip in the right atrium, close to the SVC ostium. Mild diffuse hazy lung opacities. No pleural effusions or pneumothorax is seen. The aortic arch, cardiac apex an... | Mild diffuse hazy lung opacities without focal opacity. |
Generate impression based on findings. | Dobbhoff tube placement Dobbhoff tube seen with tip in gastric body, with retained guidewire. Incompletely imaged moderate stool burden. Multiple bilateral healing rib fractures. Lower lumber spine laminectomy changes suggested. | Enteric tube as above. |
Generate impression based on findings. | 11 year old female whose boyfriend hit her wrist on the wall now with swelling and decreased movement, evaluate for fracture.VIEWS: Left wrist AP, oblique, lateral (3 views) 01/14/15 No acute fracture or malalignment is evident. | No acute fracture or malalignment is evident. |
Generate impression based on findings. | Evaluate for capsule placed on January 7, 2015 Radiopaque capsule seen in right hemipelvis, may be located in distal ileum. Nonobstructive bowel gas pattern. Moderate stool seen throughout colon. Right upper quadrant surgical clips. | Capsule seen in right hemipelvis.Please refer to concomitant chest radiography from same day for additional findings. |
Generate impression based on findings. | 59-year-old female with pain. Four views of the left foot show a moderate hallux valgus deformity and mild osteoarthritis affecting the first MTP joint. The bones appear slightly demineralized.Four views of the right foot show a moderate hallux valgus deformity with a small ossicle along the medial aspect of the first ... | Bilateral hallux valgus deformities. |
Generate impression based on findings. | 64-year-old male with renal lesion seen on ultrasound examination. Evaluate. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Two hypoattenuating foci in segment 4a consistent with cysts. An additional punctate segment 2 hypoattenuating lesion is too small to characterize. Diffuse fatty infiltr... | 1.Right lower pole hypoattenuating lesion without convincing evidence of enhancement. Given small size, evaluation is unreliable and although we favor benign complex cyst, continued surveillance under ultrasound to document temporal stability is recommended.2.Diffuse fatty liver. |
Generate impression based on findings. | Evaluate stool burden and assess for possible obstruction, history of abdominal pain Small to moderate stool burden. Colonic intraluminal increased radiodensity presumably related to residual contrast, correlate with patient's clinical history. Scattered sitzmarkers seen, 3 are seen in the mid to distal transverse colo... | Stool burden as described, nonobstructive bowel gas pattern. |
Generate impression based on findings. | Reason: chronic constipation w/ rectal fullness History: constipation There is prompt opacification of the rectum. Mild rectal prolapse was seen at rest, which was significantly exacerbated with Valsalva maneuver and with evacuation, when degree of prolapse became moderate to severe. Formal straining and evacuation sho... | Findings compatible with rectal prolapse as above. |
Generate impression based on findings. | 59-year-old male status post fall with hip pain Right hip: We see no fracture. Mild osteoarthritis affects the hip.Left hip: Mild osteoarthritis affects the hip. No fracture is evident.Pelvis: No fracture is noted. Lytic lesion in the right iliac wing appears similar to the prior exam, corresponding to a metastatic les... | No acute fracture. Findings compatible with metastatic melanoma as described above, appearing similar to the prior exam. |
Generate impression based on findings. | 75-year-old female with history of breast cancer Femur: A poorly defined sclerotic lesion involving the left femoral neck corresponds to the lesion seen on recent CT, likely representing metastatic disease. We see no fracture. The distal femur is intact.Hip: The aforementioned poorly defined lesion involving the left f... | Poor defined sclerotic lesion involving the left femoral neck, presumably representing metastatic disease. No fracture is evident. |
Generate impression based on findings. | Upper abdominal pain, history of squamous cell carcinoma of the mouth Large stool burden seen throughout colon. No evidence of bowel obstruction. Incompletely imaged bilateral posterior spinal stabilization rods and screws. Mild dextroscoliosis. Subcentimeter radiodensity seen in right supraacetabular area may be a bon... | Stool burden as described, no evidence of bowel obstruction. |
Generate impression based on findings. | 33 years, Female. Reason: 33F s/p RYGB in 2010 with chronic constipation History: retained barium Pelvis is excluded from the field of view. There is persistent large amount of residual contrast material in the colon, presumably from recent upper GI examination. Nonobstructive bowel gas pattern. Scattered postsurgical ... | Persistent large amount of residual contrast in the colon. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 20 year-old male with pain and swelling, evaluate for fracture Mild soft tissue swelling is present along the dorsum of the toe. No fracture is evident. | No fracture or malalignment. |
Generate impression based on findings. | Lung cancer, follow-up LUNGS AND PLEURA: Left upper lobe wedge resection without new abnormality or findings to suggest recurrence. The right thoracic scattered scar like nodules and changes greater in the apex are also unchanged in appearance. No suspicious new findings or effusions. Scattered moderate emphysematous c... | No suspicious findings to suggest recurrent or metastatic disease |
Generate impression based on findings. | Postoperative changes are seen from previous bilateral antrostomies and partial ethmoidectomies. Middle turbinectomies are also noted bilaterally. There also appears to be bilateral sphenoidotomies, which are patent.Frontal sinus: The frontal sinuses are clear. There is trace mucosal thickening in the frontoethmoidal ... | Extensive postoperative changes. Scattered trace mucosal thickening. Patent bilateral antrostomies. |
Generate impression based on findings. | 83 year old woman s/p bioprosthetic aortic valve replacement now with recurrent severe aortic valve stenosis. She is referred for evaluation of cardiovascular anatomy prior to possible TAVR procedure.CPT: 75572 Aortic and Aortic Root. There is a left sided aortic arch with normal brachiocephalic branching pattern. No t... | 1. 19mm bioprosthetic valve noted in aortic position. 2. Aortic root anatomy as described above. 3. Moderate left ventricular hypertrophy with severely reduced systolic function (LVEF 24%). 4. Moderate biatrial dilation. 5. Mild coronary calcification noted.This portion of the report pertains to the heart and great ves... |
Generate impression based on findings. | History of fall one week ago. Swelling and tender to palpation lateral malleolus. Concern for poor circulation of the toes. Three views of the left ankle are provided. There is an oblique fracture of the distal fibula extending to the level of the tibiotalar joint. Alignment is near-anatomic. There is diffuse soft tiss... | Distal fibular fracture. |
Generate impression based on findings. | Male 62 years old; Reason: none History: new dx anaplastic thyroid, eval for distant diseaseRADIOPHARMACEUTICAL: 12.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 115 mg/dL. Today's CT portion grossly demonstrates scattered bilateral pulmonary micronodules, some of which have increased in size since prior... | 1.Diffuse activity in the left neck extending to the superior aspect of left mediastinum likely reflects postsurgical change, although cannot exclude residual tumor.2.Focus of increased activity in the superior mediastinum slightly to the left and anterior to the brachiocephalic artery within the resection bed suspicio... |
Generate impression based on findings. | Right wrist pain status post fall. Rule out fracture. I see no fracture or malalignment. Mild osteoarthritis affects the first carpometacarpal joint and the trapezioscaphoid articulation. There is perhaps mild soft tissue swelling. | Mild soft tissue swelling and osteoarthritic changes without fracture evident. |
Generate impression based on findings. | Hip pain. Prior hip replacement. Two views of the left hip reveal components of a total hip arthroplasty device situated in near anatomic alignment without radiographic evidence of complication. A small amount of heterotopic ossification is seen within the soft tissues adjacent to the lesser trochanter, of doubtful cli... | Bilateral total hip arthroplasty devices appearing similar to those seen on the prior study. Degenerative disk disease of the visualized lower lumbar spine. |
Generate impression based on findings. | Metastatic lung cancer, status post one line of therapy. There is 4x6 mm extra-axial enhancing lesion along the left frontal convexity, best seen on coronal image 63/100. Otherwise no intracranial mass or evidence of mass-effect. No abnormal parenchymal enhancement is seen. No intracranial hemorrhage. Mild hypoplasia o... | No definite CT evidence of intracranial metastatic disease. 4 mm x 6 mm extra-axial lesion along the left frontal convexity is favored to represent an incidental meningioma and less likely dural-based metastasis. Consider comparison with prior studies if available or close follow-up evaluation. Please note MRI would be... |
Generate impression based on findings. | Female 38 years old Reason: rule out pancreatitis vs vasculitis w/ hx of SLE History: Abdominal pain, epigastric. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality noted. No evidence of p... | No specific findings to explain abdominal epigastric pain. Postsurgical changes as described possibly related to SMA syndrome surgery. Correlate clinically as to the need for further evaluation with upper GI and small bowel series.Stable left periaortic lymph node.Duplicated collecting system and the left kidney. |
Generate impression based on findings. | 14-year-old female, assess for obstruction. Abdominal pain with prior blood per rectum, status post colectomy.VIEW: Abdomen AP (one view) 1/14/2015, 17:17 Nasogastric tube with tip in the fundus of the stomach, side port at the GE junction. Increased dilatation of multiple small bowel loops measuring up to 3.0 cm in ma... | Increased small bowel dilatation, concerning for at least partial small bowel obstruction. |
Generate impression based on findings. | 31 years, Male. Reason: DHT placement History: assess if in stomach or beyond Pelvis is excluded from field of view. Enteric tube tip is projected over gastric fundus. Nonobstructive bowel gas pattern. | Enteric tube tip is projected over gastric fundus. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 18 year old female status post Dobbhoff placement.VIEW: Abdomen AP (one view) 1/14/2015, 17:06 Interval placement of an enteric feeding tube tip terminating in the prepyloric antrum. The liver is enlarged. The bowel gas pattern is nonobstructive. The pelvis is excluded from the field of view. Partially imaged bibasilar... | Enteric feeding tube tip terminating in the prepyloric antrum. |
Generate impression based on findings. | 29-day-old male ex-premie, evaluate pneumothorax.VIEW: Chest AP (one view) 1/15/2015, 05:01 The nasogastric tube has been removed. Left upper extremity PICC with tip in the superior vena cava. Endotracheal tube tip below the thoracic inlet and above the carina. Two right-sided chest tubes in place, position unchanged.P... | Large right anterior pneumothorax, improved in the apex. |
Generate impression based on findings. | 2-year-old male for assessment of ET tube, lines, lung fieldsVIEW: Chest AP (one view) 01/15/15 ET tube tip is below thoracic inlet and above the carina. Right internal jugular central venous catheter tip is in the SVC. Left upper extremity PICC terminates at the right atrium. Nasogastric tube is unchanged.Cardiothymic... | Enlarged pulmonary vasculature and persistent left lower lobe atelectasis. |
Generate impression based on findings. | No evidence of acute intracranial hemorrhage. Left temporoparietal encephalomalacia with ex vacuo dilatation of the occipital horn of the left lateral ventricle appears similar to prior exam. The ventricles are otherwise not significantly changed compared to the prior exam. Dense basal ganglia calcifications are again... | 1.No evidence of acute intracranial hemorrhage or other acute intracranial abnormality. 2.Left temporoparietal encephalomalacia and moderate small vessel ischemic disease appears similar to prior the exam.3.Focal region of hypoattenuation within the posterior pons is likely related to artifact but clinical correlation ... |
Generate impression based on findings. | fall No evidence of acute ischemic or hemorrhagic lesion on this scan.The ventricles, sulci, and cisterns are symmetric and unremarkable. Minimal patchy low attenuations on bilateral periventricular white matter indicate non specific small vessel disease.There is no mass effect, edema, midline shift, intra- or extra-ax... | No evidence of acute ischemic or hemorrhagic lesion on this scan.Minimal non specific small vessel disease. |
Generate impression based on findings. | 29-day-old male with pneumothorax, status post chest tube placement.VIEW: Chest AP (one view) 1/15/2015, 1:43 The nasogastric tube terminates out of the field-of-view with side-port above the GE junction. Left upper extremity PICC with tip in the superior vena cava. Endotracheal tube tip below the thoracic inlet and ab... | Interval placement of a second right chest tube with the large right anterior pneumothorax increased in the apex. |
Generate impression based on findings. | 7-month-old male intubatedVIEW: Chest AP (one view) 01/15/15 ET tube tip is below thoracic inlet and above the carina. Nasogastric tube tip is at the gastric body. Cardiothymic silhouette is normal. No pleural effusion or pneumothorax. Atelectasis of the right and left lower lobe. Patchy opacities in bilateral upper lo... | Right and left lower lobe atelectasis. |
Generate impression based on findings. | 29 day old male with pneumothorax.VIEW: Chest AP (one view) 1/15/2015, 00:51 The nasogastric tube terminates out of the field-of-view with side-port above the GE junction. Left upper extremity PICC with tip in the superior vena cava. Endotracheal tube tip below the thoracic inlet and above the carina. Interval removal ... | Interval removal of two of the three chest tubes, with interval increase in size of the right anterior pneumothorax. |
Generate impression based on findings. | numbness No evidence of acute ischemic or hemorrhagic lesion on this scan.Patchy low attenuations on bilateral periventricular white matter and centrum semiovale indicate non specific small vessel disease, no change since prior exam.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass ef... | No evidence of acute ischemic or hemorrhagic lesion on this scan.Non specific small vessel disease, no change since prior exam. |
Generate impression based on findings. | 29 day old male with pneumothorax.VIEWS: Chest AP/lateral (two views) 1/14/2015, 19:44 The nasogastric tube terminates out of the field-of-view with the side-port above the GE junction. Left upper extremity PICC with tip in the superior vena cava. Endotracheal tube tip below the thoracic inlet and above the carina. Int... | Interval placement of a third right chest tube with the side-port at the level of the skin, with a persistent unchanged large right anterior pneumothorax. |
Generate impression based on findings. | 12 year-old female intubatedVIEW: Chest AP (one view) 01/15/15 ET tube tip is below thoracic inlet and above the carina. Enteric tube courses below the field-of-view. Right upper extremity PICC terminates at the superior cavoatrial junction.Cardiothymic silhouette is enlarged. Bibasilar streaky opacities may represent ... | Persistent bibasilar streaky opacities. |
Generate impression based on findings. | headache No evidence of acute ischemic or hemorrhagic lesion on this scan.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid... | No evidence of acute ischemic or hemorrhagic lesion on this scan. |
Generate impression based on findings. | Again noted is diffuse bone marrow signal abnormality within the vertebral bodies and pedicles with associated enhancement on postcontrast images compatible with diffuse osseous metastases. There is normal lumbar lordosis. The spine alignment is anatomic. There are no fractures or subluxations. The visualized intra-ab... | 1.Diffuse osseous metastases of the lumbosacral spine involving many of the vertebral bodies and pedicles with extra osseous soft tissue spread of tumor into the epidural space at the S1 level causing moderate spinal canal stenosis. Correlate clinically for the possibility of bowel and/or bladder function abnormalities... |
Generate impression based on findings. | headache, episodes of blurry vision. No evidence of acute ischemic or hemorrhagic lesion on this scan.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The p... | No evidence of acute ischemic or hemorrhagic lesion on this scan. |
Generate impression based on findings. | 29 day old male with pneumothorax.VIEW: Chest AP (one view) 1/14/2015, 16:56 The nasogastric tube terminates out of the field-of-view with the side-port above the GE junction. Left upper extremity PICC with tip in the superior vena cava. Endotracheal tube tip below the thoracic inlet and above the carina. Interval remo... | Interval removal of one of the three right chest tubes with the large right anterior pneumothorax unchanged. |
Generate impression based on findings. | Female, 52 years old.XR PORT ABDOMEN 1V - RFO Enteric tube is coiled with tip projected over the gastric body. Rectal tube and left upper quadrant and pelvic catheters are noted. No definite RFO is identified.There is mildly prominent central bowel loops, likely related to generalized ileus from recent surgery. | Postsurgical changes and catheters as above. No RFO is identified. Suggestion of a mild ileus. |
Generate impression based on findings. | altered mental status No evidence of acute ischemic or hemorrhagic lesion on this scan.Diffuse brain atrophy is age appropriate.Patchy low attenuations on bilateral periventricular white matter indicate non specific small vessel disease.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mas... | No evidence of acute ischemic or hemorrhagic lesion on this scan.Age appropriate diffuse mild brain atrophy and non specific small vessel disease. |
Generate impression based on findings. | fall No evidence of acute ischemic or hemorrhagic lesion on this scan.Minimal to mild diffuse brain atrophy is age appropriate.Patchy low attenuations on bilateral periventricular white matter indicate non specific small vessel disease.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass... | No evidence of acute ischemic or hemorrhagic lesion on this scan.Non specific small vessel ischemic disease.Age appropriate minimal to mild brain atrophy.Non visualization of bilateral ocular lenses, likely represent post surgical status. |
Generate impression based on findings. | A patient submitted outside study for review for a recent pea-sized palpable abnormality along the lateral margin of the scar along the inferior aspect of the left breast reported by the patient. Submitted for review are left breast mammograms and left breast ultrasound performed at South Bend Clinic. For comparison, m... | Findings compatible with scar tissue. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 29-year-old female with history of left orbital pain status post MVC. There is no evidence of acute fracture. The orbits are unremarkable. There is an upper lip piercing. | No acute fracture. |
Generate impression based on findings. | 7-year-old male with spina bifida, evaluate hipsVIEWS: Pelvis AP (one views) 01/15/15 Large amount of stool within the rectum. Partially visualized VP shunt tubing is noted. Posterior fusion defect of lower lumbar vertebra and sacrum is present.Coxa valga deformities bilaterally are unchanged. No evidence of acute subl... | Unchanged bilateral coxa valga deformities. |
Generate impression based on findings. | 66 year old female with history of sepsis and tachycardia.Additional history per EPIC: "history of stage IA Grade I endometrial cancer, s/p robotic hysterectomy on 11/10 and take-back to OR on 12/2 for vaginal cuff repair; transferred from OSH with imaging concerning for cholecystitis and possible neoplastic process, n... | 1.Small bilateral pleural effusions and associated atelectasis/consolidation. Additional small, patchy consolidated foci may be related to infection/aspiration.2.Perihepatic fluid collections and two perihepatic drains. The inferior drain is coiled within a heterogeneous collection in the gallbladder fossa. Cannot excl... |
Generate impression based on findings. | 80 years, Female. Reason: Dobbhoff placement History: As above Enteric tube side port is projected over the distal esophagus.Pelvis excluded from field of view. Postoperative changes and vascular calcifications are noted. Nonobstructive bowel gas pattern. Centralization of the bowel loops suggest ascites. | Enteric tube side port is projected over the distal esophagus. Advancing 3-5 cm is recommended. |
Generate impression based on findings. | Trauma, rule out acute intracranial process No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. No extra-axial collections. Ventricles are within normal limits without evidence of hydrocephalus.The vis... | No evidence of acute intracranial hemorrhage or mass effect. |
Generate impression based on findings. | 34-year-old female with history of MVC. Evaluate for fracture. There is no evidence of acute fracture or subluxation. Alignment is anatomic. There is mild degenerative disc disease affecting the upper thoracic spine. | No radiographic evidence of fracture. If pain persists, an MRI may be obtained. |
Generate impression based on findings. | 5-day-old male with pneumothorax and pneumopericardium.VIEW: Chest AP (one view) 1/14/2015, 18:05 Endotracheal tube tip just below the thoracic inlet. The umbilical lines are unchanged. Three right-sided chest tubes are in place, position unchanged.Slightly improved right pneumothorax, with a small residual pneumothora... | Slightly improved small right pneumothorax. No evidence of pneumopericardium. |
Generate impression based on findings. | Male; 61 years old. Reason: f/u ground glass opacity; pneumonia, pneumothorax History: Abnormal past chest CT; shortness of breath LUNGS AND PLEURA: Previously seen patchy groundglass opacities in the left upper lobe have resolved, likely post infectious or inflammatory in etiology. Moderate to severe upper lobe predom... | 1. Interval resolution of left upper lobe opacities, likely post infectious or inflammatory in etiology. No evidence of pneumonia on the current exam.2. Moderate to severe emphysema and bronchial wall thickening suggestive of bronchitis, similar to prior.3. Biliary ductal dilation, incompletely visualized but similar t... |
Generate impression based on findings. | Reason: mesenteric ischemia History: abd distension ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hypodensity in the right hepatic lobe surrounding a small metallic clip is nonspecific and incompletely characterized, possibly representing perfusional abnormality or infarct, and does not have... | 1. Postoperative changes of Whipple procedure with infiltrative pancreatic head mass as described above most likely representing recurrent pancreatic malignancy. 2. Encasement of arterial vasculature by tumor as described above but no acute arterial occlusion or hemorrhage. Thrombosed SMV stent reconstituted distally b... |
Generate impression based on findings. | Female 4 years old Reason: eval for stool burden History: history constipation, now with profuse diarrhea and concern for encopresisVIEW: Abdomen AP (one view) 1/14/15 at 1813 hrs. Surgical clips gastrostomy tube are again noted. Left lower lobe streaky opacity, likely atelectasis or pneumonia. Disorganized, nonspecifi... | Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | Parkinson's disease, deep brain stimulator placement. Examination is obtained for operative planning and intraoperative navigation. Stereotactic frame is in place. Placement of bilateral DBS leads seen via bifrontal burr holes and terminating in the region of the bilateral subthalamic nuclei. Expected postsurgical chan... | Postoperative changes of bilateral DBS lead placement with tips at the level of the subthalamic nuclei. |
Generate impression based on findings. | Female 4 months old Reason: evaluat bowel gas pattern History: constipation, possible Hirschsprung'sVIEW: Abdomen AP (one view) 1/14/15 at 2248 hrs. Contras material is visualized in bowel loops. Disorganized, nonspecific abdominal gas pattern. No evidence of obstruction, free air, pneumatosis intestinalis or portal ve... | Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. Mild to moderate periventricular and subcortical white matter hypoattenuation, especially in the right parietal subcortical region is nonspecific but may be from sequela of small vessel ischemic disease and is without... | 1.No evidence of acute intracranial hemorrhage or other acute intracranial abnormality.2.Mild to moderate small vessel ischemic changes without significant change from the previous exam |
Generate impression based on findings. | 51-year-old male with chest pain, shortness of breath, and syncope. Previous history of pulmonary embolism. PULMONARY ARTERIES: No evidence of acute pulmonary embolus to the segmental level. There is a small filling defect adherent to the wall of a left lower lobe segmental artery consistent with a pulmonary arterial w... | 1.No evidence of acute pulmonary embolism. 2.Small filling defect adherent to the wall of a left lower lobe segmental artery consistent with pulmonary arterial web or residual of a prior pulmonary embolus. 3.Resolution of previously seen ill-defined right upper lobe nodular opacity which was likely inflammatory in etio... |
Generate impression based on findings. | 22-year-old female with history of pain. Right ankle: There is mild soft tissue swelling about the lateral aspect of the ankle. No acute fracture or malalignment.Right foot: No acute fracture or malalignment. Incidental mode is made of a bipartite os peroneum, a normal variant. There is abnormal ossification between th... | Lateral ankle soft tissue swelling without acute fracture. Other findings as above. |
Generate impression based on findings. | 66 year old female status post right breast lumpectomy in 1994 for DCIS and left breast lumpectomy in 2008 for IDC followed by radiation and chemotherapy treatment.BRCA 1 mutation. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneo... | 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. | There is enlargement of the palatine tonsils bilaterally. There is an irregularly shaped low density left peritonsillar collection which measures approximately 1.8 x 2.3 cm in greatest axial dimensions. There are two foci of nondependent air which appear to be within the collection rather than in the adjacent left glo... | 1. Findings consistent with left worse than right tonsillitis, with left peritonsillar abscess and associated significant inflammatory changes extending predominantly caudally along the left neck, as far down as the clavicular heads. Trace retropharyngeal effusion.2. Smaller suspected forming right palatine tonsillar a... |
Generate impression based on findings. | 65-year-old male with pain and swelling in hands, evaluate for inflammatory arthritis or subluxation Right hand: Mild to moderate osteoarthritis affects the basilar joint and first metacarpophalangeal joint. Deformity of the fifth metatarsal likely represents old trauma. Mild osteoarthritis affects scattered interphala... | Osteoarthritic and post traumatic changes as described above without erosions or other specific evidence of inflammatory osteoarthritis. |
Generate impression based on findings. | 57-year-old female with history of pain. Evaluate for shoulder dislocation. This exam is limited secondary to patient's immobility.The bones are diffusely demineralized suggesting osteopenia/osteoporosis. There is no acute fracture or dislocation. The glenohumeral joint is grossly intact. Deformity of the posterolatera... | No evidence of shoulder dislocation. Other findings as above. |
Generate impression based on findings. | 93-year-old male with bilateral jaw pain, right worse than left, TMJ symptoms The TMJ joint is suboptimally evaluated due to technique. There appear to be moderate osteoarthritic changes affecting the joints. Diffuse small lucencies within the cervical spine and mandible perhaps reflect underlying renal osteodystrophy.... | 1. Suboptimal evaluation of the TMJ joints with moderate osteoarthritic changes noted. A Panorex view with open and closed mouth may be considered for further evaluation of the TMJ joints if clinically warranted.2. Diffuse small lucencies within the cervical spine and mandible may reflect underlying renal osteodystroph... |
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