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Generate impression based on findings. | 73 years, Male. Reason: h/o ileus, evaluate for interval change History: see above Gaseous distention of multiple loops of bowel without evidence of obstruction. Residual contrast is noted throughout the colon. Gaseous distention of the stomach. Biliary stent in place, unchanged in position. Expected pneumobilia. No ev... | Resolving ileus pattern. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional bilateral MLO views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Right breast... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are left diagnostic mammogram and ultrasound dated 3/31/2015 performed at Holy Cross Hospital. For comparison, screening mammogram dated 7/24/2013 is available. Patient has history of right mastectomy in 2010 and benign left breast biopsy in 2011. Exam ... | 1. No mammographic or sonographic abnormality corresponding to the area of palpable concern in the left retroareolar region. If the palpable concern persists, repeat left breast ultrasound may be performed.2. Sebaceous cyst corresponding to the area of palpable concern near the left axilla. BIRADS: 2 - Benign finding.R... |
Generate impression based on findings. | 70 year-old female. Rheumatoid arthritis. Looking for cervical spine instability for preop. "Crunching" with neck extension. Severe degenerative disk disease affects C5-6. There is perhaps mild degenerative disk disease at C6-7. Minimal retrolisthesis of C5 relative to C6 that is stable between flexion, extension, and ... | Degenerative disk disease, as described above. |
Generate impression based on findings. | 68 years, Female. Reason: evaluate for causes of abdominal pain, diarrhea, nausea History: abdominal pain, diarrhea, nausea, Hx of pancreatic adenocarcinoma Note is made of multiple dilated loops of small and large bowel. No evidence of pneumatosis intestinalis or portal venous gas. Gaseous distention of the stomach. B... | Multiple dilated loops of small and large bowel, suggestive of an adynamic ileus, although follow-up examination is recommended to evaluate for the possibility of a developing small bowel obstruction. |
Generate impression based on findings. | 28 year-old male with history of facial trauma from fight, left sided maxillary pain, left facial numbness. Evaluate orbits, nasal septum and maxillary sinus. Patient was told he had sustained orbital, sinus and nasal fractures. The maxilla, sphenoid bone, nasal bones, zygoma, hard palates, pterygoid plates, visualized... | Mild to moderate rightward nasal septal deviation without definite evidence of acute or remote facial fractures. |
Generate impression based on findings. | Female 51 years old. Reason: Multiple myeloma, history of drainage from right hip after IM rod placed. History: above Two views of the right femur are provided. Again seen is an intramedullary rod and screw device affixing a femoral neck fracture in near-anatomic alignment appearing similar to prior study. We see no ha... | Multiple myeloma and post-operative/post-traumatic changes as described above. |
Generate impression based on findings. | Female 43 years old Reason: 43yo female s/p TAH/LSO/R salpigectomy on 3/16/15, with vaginal cuff abscess, s/p EUA and vaginal cuff drain placement on 4/2/15. Reassess vaginal cuff . Assess right ovary and blood supply History: pelvic pain, fever/chills ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY ... | Interval resolution of previously described vaginal cuff abscess. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No significant interval change in round density in the left inner infr... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Female 79 years old Reason: 79F with recent DDRT now with decreased UOP and increased Cr. History: decreased UOP and increased Cr RENAL TRANSPLANT: LOCATION: Right iliac fossaPERITRANSPLANT TISSUES: Small right lower quadrant fluid collection.KIDNEY: 11.7 cm in length. Morphologically normal.COLLECTING SYSTEM/URETER: N... | Findings suggestive of stenosis near the anastomosis. Findings reported to clinical service by radiology resident on call the time of the examination. |
Generate impression based on findings. | 5 year old female patient status post left cochlear implant.VIEWS: Skull AP and lateral (2 views) 4/28/2015 A left-sided cochlear implant is present. The lead is in the expected distribution of the cochlea. A right ventriculostomy tube is present with tip adjacent to midline. The tubing traverses the right head and nec... | Unchanged appearance of the left-sided cochlear implant. |
Generate impression based on findings. | Clinical hyperparathyroidism. Assess for adenomas. There is physiologic distribution of the radiopharmaceutical. There is slightly asymmetrical increased activity extending from the interior aspect of the left thyroid lobe. The right thyroid lobe appears to measure 5 cm and the left lobe 4 cm in length. | Suggestion of a parathyroid adenoma adjacent to the inferior left lobe of the thyroid. Correlation with ultrasound recommended. |
Generate impression based on findings. | Female, 48 years old. Reason: history of subtotal thyroidectomy with finding of papillary microcarcinoma (3mm) on the right, please evaluate for interval change in thyroid bed structures RIGHT LOBE: Status post laryngectomy, with residual right thyroid tissue measuring 1.0 x 0.9 x 2.5 cm, mildly heterogeneous, without ... | Stable subcentimeter hypoechoic focus in the left thyroid bed. Unchanged benign appearing cervical lymph nodes. |
Generate impression based on findings. | Female 59 years old Reason: possible frontotemporal dementia History: language and executive dysfunction There is symmetric prominent decreased activity in the bilateral frontal lobes. In addition there is more mild decreased activity in the anteromedial temporal lobes bilaterally. Normal activity is present in the par... | Findings compatible with frontotemporal dementia as described. |
Generate impression based on findings. | Reason: is there any evidence of pneumothorax/effusion History: s/p TEF repairVIEW: Chest AP (one view) abdomen AP (one view) 4/28/15 13:06 There is a right-sided chest tube with one of the sidehole in the subcutaneous tissue. NG tube tip in the GE junction. Interval removal of umbilical artery catheter. Umbilical vein... | NG tube tip is in the GE junction, recommend advancement. No evidence of pneumothorax or pleural effusion as clinically questioned. |
Generate impression based on findings. | 40 year old female presents for routine screening mammography. Patient complains of stabbing pain. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. Focal asymmetries in the... | Focal asymmetries in the right breast. Recommend diagnostic mammogram with spot compression views.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 35 year old female with history of peritoneal mesothelioma. CHEST:LUNGS AND PLEURA: Slightly increased left small pleural effusion. Additionally, there is nonspecific pleural thickening in the left upper lobe (coronal image number 35) which is unchanged compared to prior scans.MEDIASTINUM AND HILA: No significant abnor... | 1.Stable nodular pleural thickening as above.2.Minimal interval increased left pleural effusion and abdominal ascites.3.Left upper lung pleural thickening is unchanged in comparison to old exams, which is nonspecific but could be due to mesothelioma involvement. |
Generate impression based on findings. | 5 year old male patient with a wrist fracture.VIEWS: Left wrist PA and lateral (2 views) 4/28/2015 Cast material obscures fine bone detail. Again seen are fractures of the distal radius and ulnar with sclerosis and periosteal reaction suggestive of healing. Alignment is near anatomic. | Healing distal radial and ulnar fractures. |
Generate impression based on findings. | Reason: 2mm lung nodule identified on XR esophagram, following up with dedicated chest imaging, lifelong nonsmoker with no additional RF for lung CA and no infectious symptoms currently History: chest pain LUNGS AND PLEURA: Demonstration of a calcified granuloma in the left apex.No suspicious pulmonary nodules or masse... | Small calcified granuloma in the left apex. No suspicious pulmonary nodules or masses. No acute cardiopulmonary abnormalities noted. |
Generate impression based on findings. | 13 year old male patient unable to flex metacarpals 2 weeks status post fight/punching another person. Question of fracture.VIEWS: Left hand PA, oblique, lateral (3 views) 4/28/2015 There are buckle fractures of the base of the proximal phalanges of the second and third digits with surrounding soft tissue swelling. Oss... | Buckle fractures of the second and third digit proximal phalanges. |
Generate impression based on findings. | Abdominal pain. 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 duct, gallbladder and duodenum, indicating patent common bile and cystic ... | Normal hepatobiliary imaging. No evidence of acute or chronic cholecystitis. The excreted radiotracer is noted to promptly drain into the duodenum. |
Generate impression based on findings. | FractureVIEWS: Left femur AP lateral (two views) 4/28/15 13:21 Redemonstration of compression plate and screw device affixing the diaphyseal fracture of the femur. No evidence of hardware failure. Alignment is near-anatomic. Callus formation and periosteal reaction around the fracture line. | Healing femoral fracture. |
Generate impression based on findings. | 68 year-old female with history of ESRD on HD and severe aortic stenosis. Abdomen:LUNG BASES: Please see separately dictated cardiac CT report from same day for chest findings.VESSELS: There is very heavy atherosclerotic calcification of the aorta. The iliac arteries as well as the major aortic branch vessels demonstra... | 1.Severe atherosclerotic calcification of the abdominal aorta, iliac arteries, and branch vessels, with unchanged aortic aneurysm. Please see measurements above. 2.Mild nonspecific rectosigmoid wall thickening.3.Moderate ascites and diffuse anasarca. |
Generate impression based on findings. | Reason: Follow-up lung nodule seen on CT January 2015 History: lung nodule LUNGS AND PLEURA: Stable scattered micronodules.Superior segment left lower lobe mixed groundglass and solid nodule (image 98 series 4 ) is unchanged measuring 18 mm x 11 mm. This is suspicious of a minimally invasive adenocarcinoma. Continued f... | Mixed groundglass and solid nodule in the superior segment of the left lower lobe unchanged in size or appearance since the prior exam. This is suspicious of a minimally invasive adenocarcinoma. Follow up examination in 3 to 6 months is recommended if histologic correlation is not obtained. |
Generate impression based on findings. | 18 day old female patient with apnea/bradycardia. Question of evidence of atelectasis and gas pattern improvement.VIEW: Chest and abdomen AP (two views) 4/28/2015 Enteric tube tip is in the stomach. The cardiothymic silhouette size is normal. There is diffuse lung haziness, unchanged. No focal lung opacity, pleural eff... | Unchanged diffuse lung haziness and bowel gas pattern. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional right CC view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. There is a focal asymmetry and associated calcifications ... | Focal asymmetry with calcifications in the left upper outer breast at mid depth. Recommend comparison with outside mammogram.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISON |
Generate impression based on findings. | Male 30 years old; Reason: identify left-sided epididymal mass History: palpable mass at base of testicle on left RIGHT TESTIS: The right testis measures 3.9 x 1.9 x 2.8 cm, with normal echotexture and no focal lesion.LEFT TESTIS: The left testis measures 3.0 x 4.0 x 1.8 cm, with normal echotexture and no focal lesion.... | A moderate sized left varicocele is identified, corresponding with the patient's site of reported palpable abnormality. No intratesticular abnormality is noted. |
Generate impression based on findings. | 76 years old, Female, Reason: assess laminectomy Image quality is slightly degraded by streak artifact from surgical instrumentation. Posterior fusion has been performed with laminar/pedicle screws and rods affixing C6 through T2 levels bilaterally. The right C6 screw is laterally positioned and abuts the lateral corte... | 1. Postoperative findings including recent C7 laminectomy and C6 to T2 posterior spinal fusion. Cervical spinal canal is well decompressed. Right C6, T1, and T2 screws are laterally positioned as described above. Hardware is intact and unchanged in position since 12/13/2014.2. Increase in size of a posterior paraspinou... |
Generate impression based on findings. | 2-day-old male, term infant with bradycardia/desaturation. Evaluate for bleed or fracture. There is no evidence of intracranial hemorrhage, mass effect or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. The basal ganglia are not optimally delineated, which is felt to be related t... | 1.No intracranial hemorrhage or cerebral edema.2.Basal ganglia are not well delineated, but favored to be related to technique. If there is clinical suspicion for hypoxic injury, MRI would be indicated for further evaluation. |
Generate impression based on findings. | Reason: pt jammed r index finger playing basketball yesterday r/o fx History: swellingVIEWS: Right hand PA oblique lateral (3 views) 4/28/15 13:35 No fracture or dislocation. Mild soft tissue swelling around the PIP joint. | No fracture or dislocation. Mild soft tissue swelling around the PIP joint. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, bilateral MLO views, and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Scattered bilateral benign calcifications.No s... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this r... |
Generate impression based on findings. | 51-year-old male with history of pancreatic cancer. Please note that this study is limited due to technical differences from dose reduction.CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Heart size normal without pericardial effusion.CORONARY ARTERY CALCIFICATION: None. CHEST WA... | 1. Mild soft tissue attenuation around the proper hepatic artery may represent noise/artifact from CT radiation dose reduction. 2. Stable segment 7 hypoattenuating lesion which is indeterminate, however warrants careful attention on subsequent scans.3. Stable pancreatic head mass with local lymphadenopathy. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules demonstrating increased in size and number since the prior exam.Reference left upper lobe nodule (image 18 series 4) now measuring 10 mm x 12 mm previously measuring 8 mm x 10 mm.Reference right up... | Interval increase in size and number of multiple bilateral pulmonary nodules compatible with progression of metastatic disease. |
Generate impression based on findings. | Reason: r/o fracture History: swelling s/p dropping glass bottle on footVIEWS: left foot AP lateral oblique (3 views) 4/28/15 13:44 No fracture or dislocation. Mild dorsum soft tissue swelling. | No fracture or dislocation. Mild dorsum soft tissue swelling. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in distribution. Again seen is a stable mass in the 12 o'clock position of t... | 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. | 55 year old female with history of abdominal pain. Evaluate for renal stone. 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... | Limited exam without intravenous contrast, however no obstructing stone is seen. Nonobstructing native kidney nephrolithiasis appear similar to prior. |
Generate impression based on findings. | PHARYNX/LARYNX: The right piriform sinus and laryngeal ventricle remain larger than the left. The nasopharynx, oropharynx, hypopharynx, and larynx are otherwise unremarkable. There is a small area of air density along the posterior lateral aspect of the trachea just below the level apparently in represent a small trac... | 1. Increasing conspicuity and size of a small hypoenhancing anterior right superficial parotid lesion, possibly cystic, with slight convexity into the overlying subcutaneous fat. This does not have the CT appearance of a lymph node although given its superficial location, ultrasound could be attempted to evaluate furth... |
Generate impression based on findings. | 12-year-old male with headache, photophobia, clonus, history of indwelling ventricular shunt and hydrocephalus. There has been no interval change in size of a midline supra-vermian cyst containing a content slightly greater than that of CSF (Hounsfield unit 18, previously 18). Redemonstrated are left transparietal and ... | 1.The ventricular system is unchanged in morphology, although when measuring the greatest transaxial dimension of the monoventricle there has been enlargement from approximately 67 mm 73 mm. 2. Left transparietal and right transtemporal ventricular shunt catheters are unchanged in position. 3.There has been no interval... |
Generate impression based on findings. | 54-year-old male with history of metastatic head and neck cancer status post chemotherapy. Evaluate response. Additional history per EMR: Cutaneous squamous cell carcinoma of the left scalp, right neck. Right posterior neck SCC excision 5/2014 (presumably just the skin?), as well as left scalp lesion excision and left ... | 1.Limited exam due to noncontrast technique2.Extensive post operative findings of the left neck redemonstrated, with likely evolving changes just caudal to the resection bed.3.Deep left lower cervical cystic structure has slightly decreased in size, as has a right mediastinal lymph node.4.No evidence of new sites of di... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of thyroid cancer diagnosed in 2010. Family history of breast cancer in maternal aunt at 70. Two standard digital views of both breasts and tomosynthesis and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchym... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female, 41 years old. Reason: thyroid abnormality on cardiac MRI, incidental finding. H/o autoimmune disease RIGHT LOBE MEASUREMENTS: 2.1 x 1.7 by 5.9 cmLEFT LOBE MEASUREMENTS: 2.4 x 1.6 by 5.5 cmISTHMUS MEASUREMENTS: 0.3 centimetersRIGHT LOBE: Heterogeneous echotexture. A dominant mixed cystic and solid lesion in the ... | Bilateral mixed cystic and solid thyroid nodules. |
Generate impression based on findings. | Post op fractureVIEWS: right knee AP lateral (2 views) 4/28/15 14:01 Overlying cast limits evaluation of fine bone detail. Three cancellous screws seen fixing the proximal tibial fracture. Alignment alignment is near anatomic. No evidence of hardware failure. | Fixation of proximal tibial fracture. No evidence of hardware failure. |
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. Scattered benign calcifications. Scattered bila... | 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. | 49-year-old male with history of submandibular gland mucoepidermoid cancer and CRT, compare to previous CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural effusion or pneumothorax.MEDIASTINUM AND HILA: Normal size heart no pericardial effusion. No mediastinal hilar adenopathy. Calcified small... | No evidence of metastatic disease. |
Generate impression based on findings. | Reason: h/o met thyroid ca, on sorafenib, eval response, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Demonstration of the numerous bilateral pulmonary nodules which are stable to to slightly decreased in size compared to (image 32 series 5) .Reference left upper lobe nodule (image 27 ser... | 1.Multiple pulmonary nodules demonstrating interval decrease in size.2.Stable mildly prominent mediastinal lymph nodes.3.No new sites of disease identified. |
Generate impression based on findings. | Hypodensity is present within the white matter, confluent in some locations, without associated mass effect. The ventricles and sulci are unremarkable for age. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There ... | Hypodensity is present within the white matter, confluent in some locations, without associated mass effect. For a patient of age 70 years this is most likely advanced chronic small vessel ischemic disease. However, noncontrast CT is insensitive for the detection of metastases, and if there is clinical suspicion for th... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Scattered bilateral benign ca... | 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. | 22 day old male patient with VSD, poor feeding. Question of pulmonary edema.VIEW: Chest AP (one view) 4/28/2015 Enteric tube tip is in the stomach with side-port near the GE junction.The cardiothymic silhouette size is normal. No focal lung opacity, pleural effusion, or pneumothorax. Possible mild eventration of the ri... | No specific evidence of edema. |
Generate impression based on findings. | 64 year old female status post right lumpectomy in for breast carcinoma in 1993 followed by radiation and chemotherapy. History of left lumpectomy in 2004 for DCIS with focal microinvasion followed by radiation. No current breast complaints. No family history of breast cancer. Three standard views of both breasts were ... | Stable postsurgical changes in both breasts. 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... |
Generate impression based on findings. | 56 year old female, stem cell transplant patient with cough. Would like chest reimaged to assess progression or improvement. LUNGS AND PLEURA: Right lower lobe patchy airspace opacities appear less dense compared to prior study. Area of consolidation in the right posterior costophrenic angle has resolved. Lingular cons... | 1. Right lower lobe patchy airspace opacities slightly decreased in density consistent with improving infectious process. 2. Lingular consolidation appears slightly worse may be due to a component of atelectasis with possible chest wall invasion and epicardial involvement similar to prior study. 3. Left upper and lower... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. There are bilateral ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 19 year-old male. Knee pain, wrestling last night. Not certain of mechanism. There is a large joint effusion. We do not see a fracture line; however, there is slight depression of the articular surface of the lateral femoral condyle which could represent a mild impaction fracture in patients who have sustained an ACL t... | Large joint effusion. Although we see no fracture line, there is slight depression in the articular surface of the lateral femoral condyle, which can be seen in patients who have sustained an ACL injury. If further imaging is clinically warranted, MRI of the knee may be considered. |
Generate impression based on findings. | 12 year old male patient with headache and photophobia. Question of shunt malfunction.VIEWS: Shunt series: Skull AP/lateral (two views), chest AP/lateral (two views), abdomen AP/lateral (two views) 4/28/2015 Redemonstration of bilateral ventriculoperitoneal shunt catheters with tips near midline. The strata valves appe... | No specific radiographic evidence of VP shunt malfunction. |
Generate impression based on findings. | Minimal mucosal thickening is present within the superior aspect of the right maxillary sinus. The left maxillary sinus and bilateral ostiomeatal units are patent. Note is made of bilateral Haller cells.Mild mucosal thickening is noted in the left sphenoid sinus and minimal on the right. The left sphenoethmoidal reces... | 1.Scattered mucosal thickening is present throughout the paranasal sinuses without superimposed air-fluid levels as described in detail above.2.The nasal septum is deviated leftward with a shallow left septal spur. |
Generate impression based on findings. | 81-year-old female with history of AMS, leukocytosis, and abdominal tenderness. ABDOMEN:LUNG BASES: Bibasilar atelectasis.LIVER, BILIARY TRACT: Right hepatic lobe hypoattenuating lesion likely represents a cyst.Cholelithiasis. The gallbladder wall is hyperattenuating with a mild amount of pericholecystic fluid.SPLEEN: ... | Cholelithiasis with slight gallbladder wall hyperattenuation and small amount of pericholecystic fluid. Differential diagnosis includes acute cholecystitis and adenomyomatosis. Correlation with dedicated right upper quadrant ultrasound is recommended. |
Generate impression based on findings. | HEAD: There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is mild periventricular and subcortical white matter hypoattenuation which is nonspecific, likely representing age indeterminate small vessel ischemic changes. The ventricles and basal cisterns are normal in size and configuration. T... | 1.Mild age indeterminate small vessel ischemic changes with no acute intracranial hemorrhage or skull fracture.2.No acute cervical spine fracture or subluxation. |
Generate impression based on findings. | Female 86 years old Reason: evaluate for rib fracture s/p fall History: pleuritic pain, tenderness to palpation of 5th rib medially. We see no fracture. Degenerative arthritic changes affect the spine. | No rib fracture evident. Degenerative arthritic changes of the spine. |
Generate impression based on findings. | Female, 9 years old, with possible thyroglossal duct cyst. A skin marker has been placed along the anterior neck at the level of the upper thyroid gland. Subjacent to the skin marker, a hypoattenuating and mildly rim enhancing collection is evident measuring up to 14 mm in the transverse plane, 7 mm in the AP plane and... | A cystic lesion is evident within the infrahyoid neck, embedded within the strap muscles at the level of the upper thyroid gland. The location and morphology are fairly characteristic for a thyroglossal duct cyst.Given the mild enhancement of this lesion, and the presence of infiltration of the overlying subcutaneous t... |
Generate impression based on findings. | 62 year old male with right nodule; super D protocol LUNGS AND PLEURA: Right upper lobe lobulated nodule measures 27 mm x 26 minimal mm (see series 5, image 82). Right lower lobe subpleural nodule measures 9 mm x 8 mm (series 6, image 49). Scattered punctate micronodules are also noted.Atelectasis in the right middle l... | 1. Two pulmonary nodules in the right lung are suspicious for neoplasm, metastases are favored over primary lung cancer. Additional punctate micronodules are nonspecific. Continued follow up is recommended. 2. Findings raise suspicion for metastatic disease to the liver although these are incompletely evaluated without... |
Generate impression based on findings. | There are no fractures. The marrow signal is benign. The conus is normal in signal and morphology and terminates at an appropriate level. The visualized intra-abdominal and paraspinal contents are unremarkable.Disc desiccation and mild disc loss are present at L4/5.T12/L1: UnremarkableL1/2: UnremarkableL2/3: Mild disc... | 1.L3/4: Mild bilateral neural foraminal stenosis.2.L4/5: Grade 1 anterolisthesis L4 on L5, moderate bilateral facet hypertrophy, and bilateral facet effusions. There is mild bilateral neural foraminal stenosis. |
Generate impression based on findings. | Female 42 years old. Reason: knee pain. History: pain Four weight-bearing views of the right knee demonstrate mild medial compartment narrowing with small osteophytes which may have slightly progressed since the prior study. There are also small patellofemoral osteophytes appearing similar to the prior study indicating... | Mild osteoarthritis as above. |
Generate impression based on findings. | Osseous irregularities noted involving the bilateral anterior maxillary sinus walls compatible with prior fractures. These osseous irregularities are just inferior to the infraorbital foramina. Subtle osseous irregularity involving the left posterior maxillary sinus wall also seen and compatible with prior fracture.Th... | 1. Mild mucosal thickening in the bilateral maxillary sinuses. Paranasal sinuses are otherwise clear.2. Prior maxillofacial fractures involving the bilateral maxillary sinuses as described above and osteotomies involving the inferior maxillary sinus/Caldwell-Luc procedure. Preoperative imaging can better assess the ext... |
Generate impression based on findings. | 45-year-old female with known septated and complicated cyst in the left breast, presents for bilateral diagnostic mammogram. Mammogram: Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, u... | Stable complex cyst in the left breast. 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: ND - Diagnostic Mammo... |
Generate impression based on findings. | 78 year old female with history of pelvic leiomyosarcoma. CHEST:LUNGS AND PLEURA: Reference right lower lobe pulmonary nodule (5/65) currently measures 1.8 x 1 cm, previously 1.3 x 0.7 cm.Interval enlargement of non-reference pulmonary nodules is also noted.Left lower lung scarring is similar to prior, and there are sc... | 1. Interval enlargement of reference lesions as above, consistent with progression of disease.2. Left lung base pulmonary scarring, with patchy groundglass opacities that are nonspecific but could be related to aspiration events. |
Generate impression based on findings. | 3 year-old female patient with history of a supracondylar fracture.VIEWS: Left elbow AP and lateral (two views) 4/28/2015 Cast material obscures fine bone detail. Redemonstration of a supracondylar fracture in near-anatomic alignment. An elbow joint effusion is present. | Healing supracondylar fracture. |
Generate impression based on findings. | 26 years, Female. Reason: 26 yo F with h/o cyclic vomiting syndrome presents with abd pain, n/v, no BM in 6 days, r/o obstruction History: abd pain, no BM in 6 days Nonobstructive bowel gas pattern. Moderate stool burden. Multiple round radiopaque densities projecting over the right hemipelvis, presumably representing ... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Female, 56 years old, status post left temporal craniotomy with infected prosthesis. Preoperative evaluation for surgical planning. A large left-sided craniectomy has been performed involving portions of the frontal, parietal and temporal bones. The margins are somewhat irregular, particularly superiorly where there is... | 1.Findings compatible with left sided craniectomy. Residual plate and screw devices remain in place along the craniectomy margins.2.Patchy encephalomalacia is evident through the left cerebral hemisphere, part of which herniates through the craniectomy defect. |
Generate impression based on findings. | 78 years old female with pelvic leiomyosarcoma on a clinical trial, cycle 1 day 11. RADIOPHARMACEUTICAL: 12.3 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 89 mg/dL. Today's CT portion of the neck demonstrates stable near complete opacification of the left maxillary sinus. Please see diagnostic CT reports ... | 1.Interval mixed response to the clinical trial therapy, with increased size but decreased metabolic activity of the lesions in the abdominal cavity and pelvis, and interval decreased size and metabolic activity of the multiple lung lesions.2.Stable hypermetabolic lesion in the T10/11 neuroforamina.3. Distal paraspinal... |
Generate impression based on findings. | 16 year old female patient fell down stairs and hit her head. Tenderness over left frontal and maxillary area. Also has left foot injury with continued pain. Evaluate for fracture.VIEWS: Facial bones AP, lateral, Waters (3 views), left foot AP, oblique, lateral (3 views) 4/28/2015 No definite acute fracture of the visu... | No acute fracture is evident. |
Generate impression based on findings. | Reason: History of metastatic breast cancer on treatment. Please compare to prior imaging, evaluate for response and extent of disease. History: History of metastatic breast cancer on treatment. Please compare to prior imaging, evaluate for response and extent of disease. CHEST:LUNGS AND PLEURA: Tracheostomy tube in pl... | Stable exam with right chest wall mass and right-sided cystic pleural based metastases unchanged. No new sites of disease identified. |
Generate impression based on findings. | 53-year-old male with history of metastatic colon cancer. CHEST:LUNGS AND PLEURA: Left upper lobe nodule has slightly increased in size now measuring 1.4 x 1.3 cm, previously 1.3 x 1.1 cm (image 56 of series 4). Right upper lobe nodule adjacent to the horizontal fissure is stable in size measuring 5 mm, previously 5 mm... | 1. Left upper lobe likely metastatic nodule has minimally increased in size.2. Slightly increased proximal colonic dilation without evidence of mechanical obstruction with a widely patent anastomosis. Findings may represent worsening ileus.3. Left inguinal hernia without evidence of complication. |
Generate impression based on findings. | Female 80 years old. Reason: is there bony destruction or air ? History: surgery on 4/14 at Mercy, now swelling and discoloration. Three views of the right index finger are provided. There is soft tissue swelling of the first digit particularly along the volar aspect of the distal phalanx. We see no gas density or fran... | Soft tissue swelling without radiographic evidence of osteomyelitis. If further imaging is clinically warranted, MRI may be considered. |
Generate impression based on findings. | Female, 19 years old. Reason: 19 yo female with AKI and hx of hydro in February History: AKI RIGHT KIDNEY: The native right kidney is echogenic, atrophic, measuring 5.6 cm in length, compatible with a history of endstage renal disease.LEFT KIDNEY: The native left kidney is echogenic, atrophic, measuring 5.5 cm in lengt... | Moderate hydronephrosis of the transplant kidney, increased from prior. |
Generate impression based on findings. | Female 20 years old Reason: rule out metastatic disease History: hx of mucoepidermoid ca, now with recurrence at surgical stumpRADIOPHARMACEUTICAL: 10.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 89 mg/dL. Today's CT portion grossly demonstrates scattered non-enlarged bilateral level 5 lymph nodes in th... | 1.Small right infrahilar focus of increased metabolic activity when compared to the blood pool suspicious for tumor as described.2.No additional sites of abnormal hypermetabolic activity suspicious for tumor. |
Generate impression based on findings. | 56 year old female who was recalled from screening mammogram for right retroareolar mass. Family history of breast carcinoma in her mother. MAMMOGRAM: An ML view and two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scat... | Clustered cyst within the right retroareolar breast. Follow up right mammogram, and possible ultrasound, is recommended in 6 months to assess stability. Results and recommendations were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months). |
Generate impression based on findings. | 44-year-old male with history of tonsillar/base of tongue cancer. Brain:The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Small mucous re... | 1.Enhancing right palatine tonsil/base of tongue mass, compatible with known tonsillar cancer.2.Conglomerate, necrotic right level 2a cervical lymphadenopathy is concerning for regional lymph node metastases.3.No intracranial metastases identified. |
Generate impression based on findings. | Male, 36 years old. Reason: Transplant evaluation History: CHF LIVER: The liver measures 15.7 cm, with mildly heterogeneous echotexture, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow. Hepatic venous congestion compatible with a history of congestive heart failure.GALLBLADDER, BILIARY ... | 1. No cholelithiasis or evidence of acute cholecystitis. No evidence of other active inflammatory/infectious process.2. Hepatic venous congestion compatible with a history of CHF. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage, within the limitations of only postcontrast imaging. There are no areas of abnormal attenuation or pathological enhancement. There is no extraaxial fluid collection. The visualized portions... | 1. Progressive decreased prominence of ill-defined soft tissue along inferior aspect of thyroidectomy bed which likely is postsurgical in nature. No evidence of cervical lymphadenopathy.2. Stable appearance of left parotid cystic lesion, again stable compared to more recent exams but mildly enlarged from the remote exa... |
Generate impression based on findings. | Male 64 years old Reason: SOB History: malignant pleural mesotheliomaRADIOPHARMACEUTICAL: 15.0 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 93 mg/dL. Today's CT portion grossly demonstrates a calcified right thyroid nodule. Post surgical changes are present in the right posterolateral chest wall related t... | 1.Hypermetabolic soft tissue thickening overlying the right posterior 11th rib concerning for extrathoracic spread of tumor as described.2.Hypermetabolic activity in the right chest wall and right pleural space. This may relate to recent surgery and pleurodesis as described, however underlying tumor cannot be excluded.... |
Generate impression based on findings. | Reason: extent of stool burden History: chronic constipationVIEW: Abdomen AP (one view) 4/28/15 14:56 Large fecal burden without evidence of bowel obstruction. No pneumatosis, pneumoperitoneum, or portal venous gas. | Large fecal burden without evidence of bowel obstruction. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is mild periventricular and subcortical white matter hypoattenuation which is nonspecific, likely representing small vessel ischemic changes, progressed from the prior exam. The ventricles and basal cisterns are normal in size and configur... | Interval progression of mild age indeterminate small vessel ischemic changes with no acute intracranial hemorrhage or mass-effect. CT is insensitive for detection of early nonhemorrhagic stroke. |
Generate impression based on findings. | Reason: Pleural mesothelioma Please provide bi-dimensional measurements per RECIST 1.1 criteria and compare to prior exam. History: Pleural mesothelioma CHEST:LUNGS AND PLEURA: Extensive right pleural thickening and nodularity redemonstrated.Reference measurements as follows:Level of the origins of the great vessels (i... | 1.Extensive right pleural involvement of known mesothelioma with mediastinal and extrathoracic involvement unchanged. Reference measurements are stable.2.Pulmonary and perifissural nodules are unchanged. 3.No evidence of intraperitoneal involvement with extrathoracic extension of disease along the lateral aspect of the... |
Generate impression based on findings. | Female 50 years old Reason: concern for paraneoplastic disease, rule out tumor History: ataxia, dysarthria RADIOPHARMACEUTICAL: 9.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 156 mg/dL. Today's CT portion grossly demonstrates is in the neck and chest. Uncomplicated diverticulosis and diastases of the re... | 1.Focal increased radiotracer activity in the rectosigmoid colon. While this may represent focal peristalsis, it is suspicious for primary malignancy and correlation with colonoscopy is recommended. |
Generate impression based on findings. | 36-year-old female with history of bladder cancer. CHEST:LUNGS AND PLEURA: Multiple metastatic pulmonary nodules again noted. Reference right apical nodule measures 11 x 9 mm, previously 9 x 7 mm (image 20 of series 6). Reference left infrahilar mass measures 2.3 x 1.9 cm, previously 3.8 x 2.2 cm (image 56 of series 6)... | 1. New extensive hepatic metastatic disease.2. Mixed response with reference measurements as above. The possibility of synchronous primary tumors should be considered given this significantly mixed response. |
Generate impression based on findings. | Male, 78 years old. Reason: Pt is a 78 yo Male with h/o Crohn's, SBS after 2 SBR, he has a CT scan last year showing GB stone of approximately 2 cm. Now patient is c/o abdominal pain 10-30 minutes after meals, please reassess Gallbladder and liver anatomy. LIVER: The liver measures 16.0 cm, with mildly coarse, echogeni... | 1. Sludge and stones within the gallbladder without evidence of acute inflammation.2. Coarse, echogenic liver consistent with fatty infiltration/parenchymal dysfunction. No biliary ductal dilatation or ascites. |
Generate impression based on findings. | 84 years, Female. Reason: Ileus? History: as above Nonobstructive bowel gas pattern. Average stool burden. Enteric tube tip projects at the level of the antrum of the stomach. No evidence of pneumatosis intestinalis or portal venous gas. Left total hip arthroplasty device, incompletely visualized. Again seen is a fract... | Nonobstructive bowel gas pattern. Enteric tube tip projects at the level of the antrum of the stomach. |
Generate impression based on findings. | There is interval redistribution of right cerebral hemisphere subarachnoid hemorrhage with expected interval evolution. There is decreased right paramedian interhemispheric fissure subarachnoid hemorrhage. There is no evidence of worsening intracranial hemorrhage, or new/separate intracranial hemorrhage. The ventricle... | Interval redistribution of right cerebral subarachnoid hemorrhage with decreased right paramedian interhemispheric fissure subarachnoid hemorrhage, and no evidence of worsened intracranial hemorrhage. |
Generate impression based on findings. | Male 59 years old. Reason: eval mandible, h/o sarcoma of left lower wisdom tooth with extraction and bx + sarcoma History: sarcoma of left lower wisdom tooth mass Panorex radiograph of the mandible is provided. The left third mandibular molar is absent presumably due to extraction. There is a lucent defect within the a... | Left mandibular defect as described above compatible with the stated history of sarcoma. Further evaluation with CT may be considered if clinically warranted. |
Generate impression based on findings. | Reason: CT myelogram Cervical spine History: CT myelogram Cerival Spine The cervical vertebral bodies are appropriate in overall height. The posterior arch of C1 is mildly distracted anteriorly relative to the posterior arch of C2. This creates an impression on the posterior aspect of the thecal sac. Flexion - extensio... | 1.There multilevel degenerative changes present in the cervical spine with the mild displacement of C1 relative to C2 associated with mild rotation of C1 relative to C2. The posterior arch of C1 impresses on the ventral aspect of the thecal sac as it is displaced more inferiorly relative to the anterior arch of C1. The... |
Generate impression based on findings. | Evaluate for fractureVIEWS: Left 3rd finger PA lateral (2 views) 4/28/15 15:14 Redemonstration of scattered radiopaque foreign bodies around the PIP joint. No callus formation or periosteal reaction. No definite evidence of fracture or dislocation. | Foreign bodies again seen around PIP joint. No callus formation or periosteal reaction. No definite evidence of fracture or dislocation. |
Generate impression based on findings. | Female 88 years old. Reason: post-reduction, recent smith's deformity due to fall. History: post-reduction Three views of the left wrist are provided. Evaluation of fine detail is limited by overlying cast material. The previously seen comminuted fracture of the left distal radius has been reduced into near-anatomic al... | Reduction of distal radius fracture. |
Generate impression based on findings. | Right lower quadrant pain ABDOMEN:LUNG BASES: 4-mm right lower lobe micronoduleLIVER, BILIARY TRACT: Mild periportal edema; favor benign etiology such as fluid resuscitation. Subcentimeter segment 5 low attenuation focus; favor benign etiology.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality... | Periportal edema and trace ascites; favor benign etiology such as hypervolemic state/fluid resuscitation. Otherwise unremarkable examination. |
Generate impression based on findings. | Female 61 years old Reason: r/o mets History: L side rib pain. Patient has history of breast cancer. No focal radiotracer activity suspicious for osseous metastatic disease or occult fracture. Focal activity in the posterior elements of C6 and bilateral feet compatible with degenerative changes.Nonspecific soft tissue ... | 1.No specific evidence of osseous metastatic disease.2.Nonspecific soft tissue activity in the breasts, left greater than right. This can be seen in infectious, inflammatory, or neoplastic conditions. Correlation with mammography is recommended. |
Generate impression based on findings. | Female 61 years old Reason: parkinsonian vs parkinson's History: tremor, gait disorder There is absence of expected activity in the putamen bilaterally. There is also decreased activity in the right caudate nucleus. | Decreased activity within the putamen and caudate nuclei compatible with Parkinson's disease. |
Generate impression based on findings. | 55 year old woman with hypertension, prior tobacco use who presents with atypical chest pain.CPT Code: 75574 Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of Valsalva and bifurcates into the left anterior descending and left circumflex coronary arteries. There are no significa... | 1. There are no significant coronary artery stenoses present. 2. Mild coronary atherosclerosis is noted. 3. Mild aortic atherosclerosis is noted. 4. A small patent foramen ovale is noted. This portion of the report pertains to the heart and great vessels only. The remaining soft tissues of the thorax and upper abdomen ... |
Generate impression based on findings. | Female 3 years old Reason: Evaluate degree of stool burden History: hx imperforate anus and constipationVIEW: Abdomen AP (one view) 4/28/15 at 1539 hrs. Moderate amount of fecal accumulation with no evidence of obstruction or free air. | Increasing in the amount of fecal accumulation. No obstruction |
Generate impression based on findings. | Female, 39 years old, with purulent nasal discharge. The paranasal sinuses are clear with the exception of minimal mucosal thickening along the maxillary sinus floors. The major sinus ostia are unobstructed. The nasal septum is intact, demonstrating an S-shaped deviation. The nasal cavity is clear except for mild mucos... | No evidence of significant sinus mucosal inflammatory disease. |
Generate impression based on findings. | Images are slightly limited by patient motion. The ventricles and sulci are prominent, consistent with mild age-related volume loss. The basal cisterns remain patent. There is no midline shift or mass effect. There are scattered punctate foci as well as minimally confluent areas of abnormal T2/FLAIR hyperintensity wit... | No acute abnormality. Scattered punctate foci of hyperintensity within the white matter and pons which are nonspecific but may represent mild chronic small vessel ischemic changes. |
Generate impression based on findings. | 22-year-old male. Foot pain hiking. Evaluate for stress fracture base fifth metatarsal. We see no fracture, including a stress fracture. We see no specific findings to account for the patient's pain. There is a bipartite medial sesamoid bone underneath the first metatarsal head, representing normal variant anatomy. An ... | No fracture is evident. If there is strong clinical concern for a stress fracture, repeat radiographs may be obtained in 10 to 14 days; alternatively, MRI may be considered. |
Generate impression based on findings. | Fall, not moving armVIEWS: Left forearm AP lateral (2 views) left humerus AP lateral (two views) 4/28/15 15:10 No evidence of fracture or dislocation. | No evidence of fracture or dislocation. |
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