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Generate impression based on findings. | Within the right submandibular space there is a 1.6 x 1.5 x 1.3 cm fluid collection with surrounding thick irregular rim and extensive soft tissue shadowing in the adjacent subcutaneous fat (series 5, image 90) compatible with a phlegmon or early developing abscess. The skin thickening and subcutaneous fat stranding e... | 1. Right submandibular phlegmon with early developing abscess and surrounding inflammatory changes.2. Rounded, expansile, CSF density lesion in the left temporal horn may represent an arachnoid cyst, however is incompletely characterized on noncontrast CT. MRI of the brain with contrast is recommended for further chara... |
Generate impression based on findings. | PainVIEWS: Right knee AP, oblique lateral No acute fracture or dislocation. | Normal examination. |
Generate impression based on findings. | History of left lumpectomy in 2000 for IDC followed by radiation. History of right lumpectomy in 2011 for DCIS followed by radiation. Patient received Tamoxifen. Bilateral breast prostheses. No current breast complaints. History of breast cancer in maternal great aunt diagnosed at the age of 70 and paternal aunt diagno... | 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. | 86-year-old female. Left scapula fracture. Evaluate for interval displacement. Two views of the left scapula again show a comminuted fracture of the scapular body. The position of the fracture fragments is in similar fashion to those seen on the prior study. There is interval development of callus formation along the l... | Scapular fracture, as above. |
Generate impression based on findings. | Facial pain. Evaluate for possible orbital cellulitis, sinusitis or mastoiditis. There is left superior periorbital soft tissue swelling without associated fluid collection or osseous changes. The intraconal fat is preserved. The paranasal sinuses are clear. The nasal cavity is also clear. The nasal septum is deviated ... | 1. Findings most suggestive of left preseptal cellulitis. 2. Left mandibular lucency surrounding the root of ADA tooth #22, which may represent a periradicular cyst from prior dental disease versus other benign odontogenic cyst.3. Known findings associated with tuberous sclerosis are better seen on prior MRI's of the b... |
Generate impression based on findings. | Asthma exacerbationVIEW: Chest AP Cardiothymic silhouette at the upper limits of normal. Minimal peribronchial wall thickening with subsegmental atelectasis left lower lobe. No pleural effusion or pneumothorax. | Reactive airway disease without pneumonia. |
Generate impression based on findings. | 64 year old female with hypoxia, evaluate for PE. PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary caliber within normal limits. No evidence of right heart strain.LUNGS AND PLEURA: Small right pleural effusion slightly decreased from prior CT abdomen and pelvis 4/2/2015 with likely adjacent atelect... | 1. No evidence of pulmonary embolism. 2. Severe centrilobular predominantly upper lobe emphysema. Small right pleural effusion. PULMONARY EMBOLISM: PE: NegativeChronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Evaluate NGVIEW: Abdomen left lateral decubitus NG tube tip in the stomach within the omphalocele sac not significantly changed. Disorganized nonobstructive bowel gas within the omphalocele sac. | NG tube tip in the stomach within the omphalocele sac. |
Generate impression based on findings. | 52-year-old male. History of multiple myeloma. Pre-auto SCT evaluation. SKULL: No definite myelomatous lesions. Suture material is noted along the lateral aspect of the left orbit.CERVICAL SPINE: Minimal facet joint osteoarthritis but otherwise the cervical spine appears normal.THORACIC SPINE: Mild multilevel degenerat... | T9 compression fracture of indeterminate age and healing/healed right rib fractures. Small scattered lucencies as described above may represent myelomatous deposits but this is equivocal. |
Generate impression based on findings. | Male, 33 years old. Reason: Acute cholecystitis History: RUQ pain LIVER: The liver measures 14.8 cm, with coarse, echogenic appearance, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic or extrahepatic biliary ductal dilatation. Cholelithiasis. ... | 1. Cholelithiasis without evidence of acute inflammation or biliary ductal dilatation.2. Coarse, echogenic liver consistent with fatty infiltration/parenchymal dysfunction. |
Generate impression based on findings. | Reason: r.o abscess, empyema History: f/c/right pleurex drain CHEST:LUNGS AND PLEURA: Large right partially loculated pleural effusion with drainage catheter tip in the posterior right cardiophrenic angle. Pleural effusion and overlying compressive atelectasis is slightly decreased compared to prior. Mild nonspecific p... | 1.Large partially loculated right and small left pleural effusions, slightly decreased in size compared to prior. No specific findings for empyema.2.Stable right upper lobe mass, mediastinal and right hilar lymphadenopathy, and right chest wall lesion. 3.Chronic vascular abnormalities. |
Generate impression based on findings. | ARDSVIEW: Chest AP ET tube tip below thoracic inlet and above the carina. G-tube in place. Right upper extremity PICC with tip in the right atrium. Cardiothymic silhouette normal. Patchy atelectasis in the right upper lobe, right lower lobe and left lower lobe. Bilateral small pleural effusions not significantly change... | Minimal improvement in the right upper lobe atelectasis when compared to the prior study. |
Generate impression based on findings. | Male, 81 years old, with dizziness and ataxia. Patchy, nearly confluent periventricular hypoattenuation is again seen similar to the prior CT examination, and likely related to age indeterminate microvascular ischemic disease. Numerous scattered focal lucencies are also seen within the bilateral basal ganglia and the c... | 1.Fairly extensive but stable periventricular hypoattenuation may reflect age indeterminate microvascular ischemic disease.2.Numerous scattered small lacunar infarcts are also largely unchanged.3.Encephalomalacia involving the left cerebellum has progressed from the prior CT likely indicating interval accumulation of f... |
Generate impression based on findings. | Male; 68 years old. Reason: evaluate for etiology of worsened LLQ pain in the setting of known multiple intraabdominal pathologies History: abdominal pain, epigastric and LLQ Lack of intravenous contrast limits sensitivity for solid organ pathology.ABDOMEN:LUNG BASES: Low density of the cardiac blood pool, suggestive o... | 1. Mild upper abdominal pneumoperitoneum, highly suspicious for perforated viscus, though the exact site of perforation is not clear.2. Nonspecific dilated, thick-walled proximal jejunal loops with adjacent free fluid, which may be related to ischemia. Moreover, this finding raises the suspicion that the site of perfor... |
Generate impression based on findings. | Images are limited secondary to streak artifact from the surrounding head frame. Within these limitations, the ventricles and sulci are within normal limits for age except for perhaps slight exaggerated prominence of the lateral ventricles. There is no midline shift or mass effect. There is no intracranial hemorrhage.... | No acute intracranial abnormality within limitations of streak artifact. Expected postoperative changes. |
Generate impression based on findings. | Headache status post fall. CT head: There is no evidence of acute intracranial hemorrhage or mass effect. There is a prominent tubular hyperdensity in the right parietal lobe coursing towards the ventricular margin. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or her... | 1. Tubular hyperdensity in the right parietal lobe coursing towards the ventricular margin, which may represent a developmental venous anomaly. MRI may be considered for further evaluation if there are no contraindications.2. No evidence of acute intracranial hemorrhage or mass effect. No evidence of acute calvarial or... |
Generate impression based on findings. | Female, 59 years old, with persistent headache and bilateral lower extremity pain and weakness. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid is seen. There is no evidence of mass effect or parenchymal edema. The ... | No acute intracranial abnormality. |
Generate impression based on findings. | 65-year-old male with history of right lower abdominal pain. Evaluate for hernia or other etiology. ABDOMEN:LUNG BASES: Focal pulmonary opacity adjacent to the descending aorta likely represents atelectasis.LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: Mild fullness... | No evidence of appendicitis or hernia as clinically queried. Severe multilevel degenerative disc disease affects the imaged spine with multiple compression deformities, stable since 1/14/15. |
Generate impression based on findings. | 66 years old, Male, History: dizziness while walking, history of gastric cancer There is no evidence of intracranial hemorrhage or mass. There is confluent periventricular and deep white matter hypoattenuation compatible with age indeterminate small vessel ischemic disease. The grey-white matter differentiation appears... | 1.No evidence of intracranial hemorrhage or CT evidence of cortical infarction. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct.2.Periventricular and deep white matter hypoattenuation is nonspecific although may be related to age indeterminate small vessel ischemic disease.3.I... |
Generate impression based on findings. | Female, 54 years old, history of panhypopituitarism, diplopia and hypotension. Assess for pituitary mass. The sella is expanded and appears to contain a heterogeneous, perhaps partly calcified mass-like lesion which measures up to 22 x 18 mm in the sagittal plane.Minimal periventricular hypoattenuation is seen, a nonsp... | 1.The sella is expanded and appears to contain a heterogeneous mass-like lesion which would be better assessed on dedicated MRI pituitary imaging.2.No other acute intracranial abnormality. |
Generate impression based on findings. | 72-year-old female. Left small finger. Deformed finger. Three views of the left fifth finger show a boutonniere deformity with nearly 90 degrees of flexion at the PIP joint. We see no fracture fragment. A small round chronic appearing density along the radial aspect of the fifth MCP joint appears similar to the prior s... | Boutonniere deformity. |
Generate impression based on findings. | There has been interval decreased extent of T2/FLAIR hyperintensity present along the right paramedian occipital and parietal lobes, with decreased gyral expansion and sulcal effacement in this area. The previous abnormality in the left cutaneous has essentially resolved. There is mild increase number of foci of susce... | 1. Improved appearance of areas of abnormal signal within the right greater than left paramedian occipital and parietal lobes, with slight increase number foci of associated susceptibility suggestive of petechial blood products. Findings are most suggestive of evolving PRES, without evidence of infarct.2. Resolution of... |
Generate impression based on findings. | 75 years, Male. Reason: Dobbhoff placement History: Advanced Dobbhoff 15cm from prior radiograph. The pelvis is not included in the field of view. Dobbhoff tube tip projects at the level of the GE junction and needs to be advanced. Left-sided chest tube in place, unchanged. Nonobstructive bowel gas pattern. Degenerativ... | Dobbhoff tube tip projects at the level of the GE junction and needs to be advanced. |
Generate impression based on findings. | 37-year-old female patient with bilateral clear nipple discharge x 15 years, recently increasing in the past 2- 3 months. BILATERAL DIAGNOSTIC MAMMOGRAM: Three standard views of both breasts and three spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast ... | Benign bilateral calcifications and mildly dilated right retroareolar duct without mass lesion seen. No mammographic evidence of malignancy. Recommend continued clinical management of nipple discharge. As long as the patient's physical examination remains stable, bilateral screening mammogram is recommended annually af... |
Generate impression based on findings. | Male, 64 years old. HCV. HCC screening LIVER: The liver measures 14.2 cm, with coarse, nodular appearance, and no focal lesion.The main portal vein is patent, somewhat tortuous, with hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic or extrahepatic biliary ductal dilatation. The common bile duct measures 0.7... | 1. Cirrhotic liver morphology without focal lesion or biliary ductal dilatation. Moderate ascites.2. Stable nonobstructing nephrolithiasis. |
Generate impression based on findings. | Lymphoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Stable reference pretracheal lymph node best seen on image 31 of series 4 measuring 0.6 x 0.8 cm. Prevascular soft tissue unchanged.CORONARY ARTERY CALCIFICATION: None.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIAR... | Stable examination. No new adenopathy. |
Generate impression based on findings. | 75-year-old male status post proctocolectomy. Evaluate for fluid collection. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No suspicious hepatic lesions.SPLEEN: No significant abnormality notedPANCREAS: The pancreas is atrophic.ADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS... | 1. Moderate amount of non-loculated fluid in the proctocolectomy bed with foci of gas density thought to be postsurgical in etiology.2. Interval proctocolectomy with right lower quadrant colostomy. Small amount of pneumoperitoneum is favored to be postoperative in etiology, although if there is clinical concern for acu... |
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. 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: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: Obstructing SVC mass History: swelling in face LUNGS AND PLEURA: Bibasilar dependent atelectasis. No focal consolidation, pleural effusion, or pneumothorax.MEDIASTINUM AND HILA: Anterior mediastinal soft tissue likely residual thymic tissue. Small mediastinal and hilar lymph nodes. Heart size is normal with no ... | 1.Central vasculature widely patent without evidence of vascular obstruction.2.Extensive bilateral axillary, subpectoral, supraclavicular, and upper abdominal lymphadenopathy. These findings may represent infection, sarcoid or less likely lymphoma. |
Generate impression based on findings. | Female, 67 years old. Reason: Hep C, eval for lesions LIVER: The liver measures 15.8 cm, with mildly coarse, heterogeneous appearance, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic or extrahepatic biliary ductal dilatation. The common bile d... | 1. Mildly heterogeneous liver parenchyma without focal lesion.2. Mildly prominent common bile duct status post cholecystectomy. Favor chronic finding. |
Generate impression based on findings. | 40-year-old female tachycardia, shortness of breath. Evaluate for pulmonary embolism. Limited study due to patient body habitus.PULMONARY ARTERIES: Limited study due to patient body habitus which limits evaluation for distal pulmonary emboli. Within these limitations, no evidence of pulmonary embolism to the level of t... | No evidence of pulmonary embolism within the limits of the study.PULMONARY EMBOLISM: PE: NegativeChronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 40 year-old male with history of non-small cell lung carcinoma, hypercalcemia, evaluate for progression. ABDOMEN:LUNG BASES: No significant pericardial effusion. No pleural effusion. Please refer to CT of the chest report for additional evaluation of the thorax.LIVER, BILIARY TRACT: Unchanged right hepatic cyst. No bil... | Interval increased size of adrenal metastases, as above. |
Generate impression based on findings. | Acute leukemia with abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Subcentimeter too small to characterize low-attenuation foci within segment 7 of the right lobe of the liver.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No s... | Acute appendicitis associated with appendicolith. No evidence for associated abscess or bowel obstruction at this time. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural di... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 43 years old, Male, s/p MVA, persistent L temporal HA and elevated BP. r/o hemorrhage 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 opacification ... | 1. No evidence of intracranial hemorrhage.2. Opacification of the right ethmoid air cells and right sphenoid sinus with centrally dense material which most likely represents chronically inspissated secretions and less likely fungal sinusitis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural di... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Female 12 years old. Reason: s/p right femur diaphyseal resection for osteosarcoma followed by intercalary allograft reconstruction, please evaluate for recurrence/hardware complications. History: above.VIEWS: Two views of the left femur. Two views of the left femur are provided. The mid to distal femoral diaphysis has... | Postoperative changes of left femoral reconstruction as described above. |
Generate impression based on findings. | 84-year-old female patient with left breast lump that has been enlarging for 4 to 5 years. Previous nondiagnostic FNA of the lump in 2012. Personal history of benign left breast biopsy at 25 years of age. Family history of breast cancer in two sisters. BILATERAL DIAGNOSTIC MAMMOGRAM: Three standard views of both 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: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Reason: pe History: cp, elev ddimer PULMONARY ARTERIES: Technically adequate. No pulmonary embolus. Main pulmonary artery measures upper limits normal, 28 mm.LUNGS AND PLEURA: Subpleural reticulation and architectural distortion, progressed compared to prior. Minimal basilar and right upper lobe honeycombing. New nonsp... | 1.No pulmonary embolus.2.Subpleural reticulation compatible with pulmonary fibrosis most consistent with UIP, progressed compared to 2009 exam. PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | BPDVIEW: Chest AP Tracheostomy tube in place. NG tube tip in the stomach. Cardiothymic silhouette at the upper limits of normal. Right upper lobe opacity has improved from prior study. Patchy atelectasis in the right lower lobe and left lower lobe. Likely bilateral small pleural effusions not significantly changed. | Right upper lobe opacity has improved from prior study. |
Generate impression based on findings. | Male 25 years old. Reason: Fx radius? History: FOOSH Four views of the left elbow are provided. There is an intra-articular fracture of the lateral aspect of the capitellum of the distal humerus with the fracture fragment measuring approximately 1.5 cm with approximately 3 mm of lateral displacement.There is also mild ... | Intra-articular fracture of the lateral aspect of the capitellum of the distal humerus and probable articular surface fracture of the radial head. |
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: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of uterine cancer. Family history of breast cancer in her maternal aunt. 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 densi... | 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. | 12 year old female patient with knee pain, relapsed ALL. Question of fracture.VIEWS: Right knee AP, oblique, lateral (3 views), Left knee AP, oblique, lateral (3 views) 4/29/2015 There is subtle sclerosis involving the metaphysis of the distal femur and proximal tibia bilaterally, which may represent bony infarcts or o... | Subtle sclerosis in the distal femurs and proximal tibias may represent bony infarcts or other bone pathology; MRI is recommended for further evaluation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Three standard digital views of both breasts and tomosynthesis in two 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. No suspicious ... | 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. | 59-year-old male. Pain/swelling. Evaluate for inflammatory changes/CPPD. Three views of the right hand show slight negative ulnar variance. There is congenital coalition of the lunate and triquetrum with subchondral cyst formation in the proximal aspect of the bone. There is slight widening of the scapholunate interval... | Arthritic changes, as described above, appear predominantly degenerative in etiology with severe osteoarthritis affecting the right hip and additional degenerative arthritic changes affecting the hands with involvement of the first, second, and third MCP joints bilaterally. The distribution of arthritis in the hands ca... |
Generate impression based on findings. | Reason: r/o PE History: hypoxia PULMONARY ARTERIES: Technically adequate. No pulmonary embolus. Main pulmonary artery is enlarged measuring 37 mm compatible with pulmonary arterial hypertension. LUNGS AND PLEURA: Right upper lobe subpleural scarlike opacity likely related to prior infection. Small bilateral pleural eff... | 1.No pulmonary embolus.2.Small bilateral pleural effusions, new compared to prior CT abdomen and pelvis.3.Enlarged main pulmonary artery compatible with pulmonary arterial hypertension.4.Incompletely evaluated, known pancreatic head mass, cholecystotomy tube, biliary stent, and periportal lymphadenopathy.PULMONARY EMBO... |
Generate impression based on findings. | 77-year-old female. New onset pain and burning to the left forefoot. No trauma. Evaluate for fracture 2-3-4-5 MTPJ left foot vs DJD. Three views of the left foot show that the bones are demineralized. There are mild deformities of the proximal phalanges of the second, third, and fourth toes which may represent old heal... | Soft tissue swelling and other findings, as described above, without acute fracture or frank osteoarthritis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with 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. No suspicio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. 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. No suspicious masses... | 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. | Male 68 years old; Reason: s/p partial nephrectomy 12/2014 History: none CHEST:LUNGS AND PLEURA: Likely atelectasis at the right lung base.MEDIASTINUM AND HILA: Coronary artery calcifications. Left thyroid gland not visualized.CHEST WALL: No significant abnormality notedOTHER: ABDOMEN:LIVER, BILIARY TRACT: Redemonstrat... | 1.Status post partial nephrectomy of a complex mid left cystic renal lesion. No evidence of recurrence. 2.Stable complex left renal cyst as above, and other stable bilateral renal cysts. |
Generate impression based on findings. | 65 year old female status post left lumpectomy in 2007 for invasive mammary carcinoma, presents today for routine follow up. The patient received radiation and chemotherapy. She had a benign core biopsy of the left breast in 2007. The patient has bilateral breast implants replaced in 2011. No current breast complaints.... | Stable postsurgical findings of the left breast. 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 - Diagno... |
Generate impression based on findings. | 25 years, Male. Reason: obstruction History: inflammatory disease flare, h/o Crohn's disease. Nonobstructive bowel gas pattern. No evidence of free intraperitoneal air, pneumatosis intestinalis or portal venous gas. Average stool burden. The lung bases appear clear. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 59 year-old female. Pain, stenosis. Two views of the lumbar spine show moderate to severe facet joint osteoarthritis affecting the lower lumber spine. There is grade 1 anterolisthesis of L4. There is also mild degenerative disk disease affecting particularly the lower lumbar spine. The vertebral body heights are preser... | Degenerative arthritic changes, as described above. |
Generate impression based on findings. | Female 37 years old. Reason: follow up. History: follow up Two views of the lumbar spine are provided. Again seen are posterior rods with screws entering the L4 and L5 vertebral bodies appearing similar to prior study. We see no hardware complication. Amorphus bone graft is noted along the lateral aspects of the lumbar... | Postoperative changes appearing similar to prior study. |
Generate impression based on findings. | There has been further evolution of left temporal occipital encephalomalacia with significantly increased C5-ex vacuo dilatation of the left atrium and occipital horn. There is redemonstration of prominent coarse dystrophic tentorial calcifications. Other scattered supratentorial dystrophic dural based calcifications ... | 1. No acute intracranial hemorrhage. Progressed mild to moderate chronic small vessel ischemic changes with expected evolution of left temporal occipital encephalomalacia.2. Severe intracranial atherosclerotic calcification.3. Paranasal sinus opacification as detailed above. Please correlate clinically. |
Generate impression based on findings. | 52-year-old with history of left breast cancer status post lumpectomy in 2010. Status post radiation therapy and chemotherapy. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in distri... | 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. | Male 53 years old. Reason: 3rd digit. History: trauma. Pain in finger Three views of the left middle finger are provided. We see no fracture or malalignment. | No fracture or other finding to account for the patient's pain. |
Generate impression based on findings. | Postoperative changes are again seen from previous right parietal craniotomy, with an irregularly shaped fluid density resection cavity with similar configuration to the prior MRI. This resection cavity previously contained intrinsic T1 hyperintensity consistent with blood products, and now is increased in size measur... | 1. Redemonstration of right posterior temporal lobe resection cavity which is slightly increased in size, with surrounding areas of nodular enhancement especially inferiorly consistent with known residual tumor. Direct comparison is difficult across the different modalities, although grossly the residual nodular enhanc... |
Generate impression based on findings. | Expected postoperative changes are noted without CT evidence of postprocedural complication or hematoma formation. Extraparenchymal hemorrhage mixed with fluid and air is noted as well as are calvarial and scalp changes from craniotomy. Mass effect upon the midbrain, pons, left cerebellum, and fourth ventricle have de... | 1.Expected postoperative changes are noted without CT evidence of postprocedural complication or hematoma formation.2.Extraparenchymal hemorrhage mixed with fluid and air is noted as well as are calvarial and scalp changes from craniotomy.3.Mass effect upon the midbrain, pons, left cerebellum, and fourth ventricle have... |
Generate impression based on findings. | Reason: dysphagia, reflux, ? aspiration causing asthma flares History: reflux Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Double contrast evaluation of the esophagus revealed no mucosal or mural abnormalities. No hiatal hernia was identified. There is... | 1.Mild motor abnormality, as above.2.Prominent areae gastricae, which can be seen in the setting of gastritis. |
Generate impression based on findings. | Reason: 62F with PMH of GERD and asthma History: hiatal hernia, GERD Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Double contrast evaluation of the esophagus revealed no mucosal or mural abnormalities. A large hiatal hernia was identified. Limited eval... | 1.Suggestion of multiple small gastric polyps, which may be hyperplastic or adenomatous in etiology, recommend endoscopy for further characterization.2.Large hiatal hernia.3.Spontaneous gastroesophageal reflux, and a widely patent lower esophageal sphincter.4.Moderate esophageal dysmotility, as above. |
Generate impression based on findings. | Female; 48 years old. Reason: r/o cholecystitis History: abdominal pain, vomiting Lack of intravenous contrast limits sensitivity of solid organ pathology. Moreover, extensive streak artifact from LVAD device limits evaluation of the left lower chest and left upper quadrant.ABDOMEN: LUNG BASES: Marked cardiomegaly with... | Mildly distended gallbladder, as seen on preceding ultrasound. No CT evidence of cholecystitis, though evaluation for such is limited by CT, particularly for gallbladder wall thickening. If there is ongoing clinical concern for acute cholecystitis, HIDA scan can be obtained. |
Generate impression based on findings. | 54-year-old male with history of bladder cancer. Evaluate for metastatic disease. 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 notedKI... | No evidence of metastatic disease as clinically queried. |
Generate impression based on findings. | Female, 59 years old. Reason: splenomegaly and thrombocytopenia, eval for hepatic/portal vein thrombosis and evidence of portal HTN, also eval gall bladder for distension/thickening History: LFT increase, low plts DOPPLER:PORTAL VENOUS: The portal veins are patent, with normal hepatopetal flow. Main portal vein flow ve... | 1. Coarse, echogenic liver, with mild ascites and splenomegaly. The portal veins have normal directional flow, and hepatic arterial resistive indices are normal.2. Sludge within the gallbladder without evidence of acute inflammation or ductal dilatation. |
Generate impression based on findings. | Male 39 years old. Reason: scaphoid fracture. History: scaphoid ttp post injury 4/19/15. Three views of the right wrist are provided. Evaluation of fine detail is limited by overlying cast. We see no fracture or malalignment. | No fracture evident. |
Generate impression based on findings. | Female, 25 years old. Reason: renal disease, h/o HF History: elevated Cr RIGHT KIDNEY: The right kidney measures 10.4 cm, with increased cortical echogenicity. No shadowing calculi or hydronephrosis. No perinephric fluid collection.LEFT KIDNEY: The left kidney measures 9.6 cm, with increased cortical echogenicity. Poss... | Increased renal cortical echogenicity, consistent with parenchymal dysfunction. Possible subcentimeter nonobstructing left renal stone. No hydronephrosis. |
Generate impression based on findings. | Alignment is anatomic. There are no fractures or subluxations. The conus is normal in signal and morphology and terminates at an appropriate level. The visualized intra-abdominal and paraspinal contents are unremarkable.Marrow signal is diffusely abnormal without corresponding T2 hyperintensity noted on STIR imaging o... | 1.Marrow signal is diffusely abnormal without corresponding T2 hyperintensity noted on STIR imaging or enhancement. These findings are most likely secondary to the patient's abnormal marrow status including recent stem cell transplant.2.L5/S1: There is significant disc height loss and disc T2 hyperintensity however wit... |
Generate impression based on findings. | Line placementVIEW: Chest AP and abdomen AP Cardiothymic silhouette normal. Minimal patchy atelectasis right lower lobe. No pleural effusion or pneumothorax. The umbilical arterial catheter tip at T7. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. | The umbilical arterial catheter tip at T7. |
Generate impression based on findings. | Male, 56 years old. Reason: r/o hydronephrosis History: elevated Cr, fluid overload RIGHT KIDNEY: The right kidney measures 10.3 cm, with normal echotexture. No focal lesion or hydronephrosis. No perinephric collection.LEFT KIDNEY: The left kidney measures 11.3 cm, with normal echotexture. No focal lesion or hydronephr... | No hydronephrosis, renal stones, or perinephric fluid collection. |
Generate impression based on findings. | 79-year-old female history of bladder cancer status post radical cystectomy. Evaluate for metastatic disease. Lack of intravenous contrast enhancement limits the evaluation of solid organ parenchyma and vascular structures. Given these limitations, the following observations can be made:ABDOMEN:LUNG BASES: Bibasilar fi... | Limited exam due to lack of intravenous contrast, however no evidence of metastatic disease or tumor recurrence. |
Generate impression based on findings. | 84 year old with history of left lumpectomy for breast cancer with sentinel lymph node biopsy and radiation therapy in April 2005. No new breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandul... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Age: 54 years. Sex : Male. Reason for study: Reason: h/o cervical esophageal cancer, getting C1 CRT 4/26/14, baseline OPM History: none. Fluoroscopic guidance was provided for an oropharyngeal motility study performed by the Speech Pathology section of the ENT service. The examination was recorded on videotape. No stat... | The exam was negative for penetration and negative for aspiration. Significant delay/obstruction in passage of contrast past patient's known cervical esophageal squamous cell carcinoma, for which the exam was prematurely terminated. Please refer to concomitant speech pathology report for further details and feeding rec... |
Generate impression based on findings. | 56 year old with long standing palpable lump in the left breast. Three standard views of both breasts with two spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and dis... | No mammographic or sonographic evidence of malignancy. Multiple benign masses in the left breast. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: N... |
Generate impression based on findings. | Reason: history of lung cancer currently on therapy, re-evaluate status of disease History: none CHEST:LUNGS AND PLEURA: Left upper lobe nodule with associated postobstructive atelectasis is slightly decreased compared to prior, measuring 20 x 22 mm (series 4 image 43), previously 30 x 25 mm (series 3 image 195).Left l... | 1.Slight interval decrease in biopsy proven left upper lobe adenocarcinoma with associated postobstructive atelectasis. 2.Left lower lobe semisolid nodule suspicious for a synchronous primary lung malignancy, not significantly changed. 3.Stable right retrocrural lymphadenopathy.4.New small pericardial effusion.5.Postsu... |
Generate impression based on findings. | 59-year-old male with history of bladder reconstruction and right to left ureter-ureteric anastomosis. Evaluate for urine leak, or any obvious fluid collections, or hydronephrosis. ABDOMEN:LUNG BASES: Small left pleural effusion with associated atelectasis/consolidation. Mild subsegmental right lung base atelectasis.LI... | 1.Moderate amount of abdominal/pelvic ascites, cannot exclude urine leak contributing to this collection.2.Findings consistent with some amount of blood products within the abdominal fluid.3.Ureter-ureteric anastomosis with right nephroureteral stent terminating in the distal left ureter as above. |
Generate impression based on findings. | 66 years, Male. Reason: rlq abd pain, concern for constipation History: rlq pain Gastroduodenal stents project in expected location. Greater than average stool burden. No radiographic evidence of obstruction. No evidence of pneumoperitoneum. Surgical clip projects in the left upper quadrant. The lung bases are clear. D... | Slightly greater than average stool burden without radiographic evidence of obstruction. Gastroduodenal stents project in expected position. |
Generate impression based on findings. | Male 56 years old. Reason: pain. History: pain. Three weight-bearing views of the right ankle are provided. Again seen are healed fractures of the distal tibial and fibular diaphyses with slight medial angulation of the distal fracture fragments, appearing similar to prior study. Three weight-bearing views of the right... | Posttraumatic deformity affecting the distal tibia and fibula, severe pes planovalgus deformity and subacute fractures of the second, third, and fourth metatarsals as described above. |
Generate impression based on findings. | 7 week old male with right duplicated system who presents for evaluation. The right kidney is slightly larger there are left, consistent with the stated history of duplicated system. The right upper moiety has mild diffuse decrease in parenchymal activity. The lower right moiety has uniform activity. No defects are pre... | Mild decrease in parenchymal function of the right upper moiety. Otherwise, uniform and overall symmetric parenchymal function. |
Generate impression based on findings. | 75-year-old male with abnormal previous head CT and brain MRI, follow-up abnormalities, assess for possible intracranial hemorrhage as patient is now therapeutic on anticoagulation. Redemonstrated is hypodensity involving the subcortical and periventricular white matter of the right hemisphere which appears stable when... | 1.No evidence for acute intracranial hemorrhage or mass effect.2.Redemonstrated is hypodensity involving the subcortical and periventricular white matter of the right hemisphere which appears stable when compared to 4/13/15, however improved when compared to the presentation CT dated 3/5/2015. |
Generate impression based on findings. | 52-year-old female patient with history of left breast cancer status post sentinel lymph node dissection presents for repeat biopsy of two breast masses to retest for tumor markers. Targeted left breast ultrasound re-identified the target lesion for biopsy. The lesions to be targeted are two hypoechoic lesions. The ill... | Successful ultrasound-guided core biopsy of two left breast lesions and placement of Hydromark clips. Note that there are 2 percutaneously placed clips in the left upper outer breast from prior outside hospital biopsy. Pathology is pending at this time.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 72 year-old female with dysphagia to solids and liquids. Scout radiograph of the chest showed no mediastinal widening, airspace opacities, or pleural effusions. Linear left basilar opacity most consistent with scarring/atelectasis.Double contrast evaluation of the esophagus and gastric cardia/fundus revealed no morphol... | 1. Severe esophageal motor abnormality with significant retention of contrast within the thoracic esophagus and delayed clearing, as described above.2. Single episode of silent aspiration. Further evaluation with a dedicated swallow evaluation study could be considered if clinically indicated. |
Generate impression based on findings. | 53-year-old male with history of ITP and lymphadenopathy of unclear etiology. Left groin discomfort. Lack of intravenous contrast enhancement limits the evaluation of solid organ parenchyma and vascular structures. Given these limitations, the following observations can be made:CHEST:LUNGS AND PLEURA: No suspicious pul... | Stable lymphadenopathy with measurements as above. |
Generate impression based on findings. | 55-year-old male. Bleeding and pain. Patient cut distal tip of finger off with knife. Assess for bony involvement. Evaluation of the fine detail of the tip of the index finger is limited by the overlying bandage. There is a partial amputation of the soft tissues of the tip of the index finger but the underlying bone ap... | Soft tissue injury without fracture. |
Generate impression based on findings. | Male 50 years old. Reason: Injury MPJ long finger History: pain Three views of the right hand are provided. There is perhaps mild soft tissue swelling dorsal to the third MCP joint, but we see no acute fracture or malalignment. There is a tiny density volar to the middle phalanx of the index finger which may represent ... | Possible mild soft tissue swelling but no fracture evident. |
Generate impression based on findings. | Female 82 years old. Reason: evaluate for OA, hx of mild swelling and pain. History: pain Two views of the right hip demonstrate severe osteoarthritis with near bone-on-bone apposition.Four views of the right knee demonstrate mild medial compartment narrowing and small osteophytes indicating mild osteoarthritis, essent... | Osteoarthritis as described above, most severely affecting the right hip. |
Generate impression based on findings. | Female, 31 years old, with neck pain status post MVC. Mild reversal of the normal cervical lordosis is likely positional. Alignment is otherwise unremarkable. Vertebral body height and morphology are normal. No fracture or destructive osseous lesion is seen.The paraspinal soft tissues are within normal limits. No evide... | No acute cervical spine injury. |
Generate impression based on findings. | 87 year-old female with lung cancer status post chemo rads and pleural effusion CHEST:LUNGS AND PLEURA: Interval removal of right Pleurx catheter. Large loculated right pleural effusion with pleural thickening with minimal improved aeration of the right lung and resolution of previous loculated areas of gas within the ... | 1. Thrombus within the right main pulmonary artery which based on morphology is suggestive of chronic thrombus, possibly thrombosis in situ, rather than an acute pulmonary embolus. 2. Interval removal of right Pleurx catheter with large loculated right pleural effusion with minimal improved aeration of the right lung. ... |
Generate impression based on findings. | Female, 56 years old, with acute onset headache and left-sided weakness. Assess for stroke or aneurysm, AVM, venous thrombus. Non-angiographic findings:The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid is seen. There ... | 1.No significant vascular abnormalities in the head or neck.2.Incidentally detected 8-mm micronodule in the right lung apex. By size, this lesion qualifies for follow-up as dictated by the patient's risk status per Fleischer society criteria. |
Generate impression based on findings. | Increased oxygen requirementVIEW: Chest AP and abdomen AP Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Diffuse atelectasis bilaterally without pleural effusion or pneumothorax. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. | Diffuse atelectasis bilaterally without pleural effusion or pneumothorax. |
Generate impression based on findings. | Reason: assess ild History: shortness of breath LUNGS AND PLEURA: Basilar predominant subpleural reticulation, architectural distortion, traction bronchiectasis, and groundglass opacities.No evidence of honeycombing.No evidence of air trapping.Surgical sutures identified in the right lung base.No suspicious pulmonary n... | Basilar predominant interstitial fibrosis in a pattern consistent with NSIP. |
Generate impression based on findings. | Reason: osteosarcoma with bilateral pulmonary nodules compare to last Ct \T\ measure 1) medial lingular nodule and 2) right posterior costophrenic angle mass History: post 2 cycles of chemo LUNGS AND PLEURA: Interval slight increase in size of numerous bilateral pulmonary micronodules, nodules, and masses, some of whic... | Interval increase in pulmonary nodules and mediastinal lymphadenopathy. |
Generate impression based on findings. | 34-year-old male with history of jejunal intussusception. Epigastric pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, ... | Interval resolution of the previously seen intussusception, without masses or calcifications seen in the area of prior intussusception. No small bowel obstruction or other acute abnormality. |
Generate impression based on findings. | Reason: History of pulmonary nodules on CT at Northwestern. Follow up advised to assess stability. History: As above LUNGS AND PLEURA: Scattered noncalcified micronodules.6-mm well marginated nodule in the right upper lobe.Mild scarring/subsegmental atelectasis within the lingula.No pleural effusions.MEDIASTINUM AND HI... | Scattered micronodules with a the well-defined 6-mm nodule in the right upper lobe most likely postinflammatory in origin. However, comparison to prior outside exams is strongly recommended. |
Generate impression based on findings. | 27-year-old female with chest pain and positive d-dimer. Evaluate for pulmonary embolism or pericardial effusion PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery caliber within normal limits. No evidence of right heart strain.LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. Mild ... | No evidence of pulmonary embolism. PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Reason: head and neck cancer evaluate for tx, please provide measurements History: as above CHEST:LUNGS AND PLEURA: Scattered calcified and noncalcified pulmonary micronodules. No suspicious pulmonary nodule or mass. No pleural effusion.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart size is normal... | No evidence of metastatic disease. |
Generate impression based on findings. | Reason: sepsis of unclear etiology with CXR findings. please comment of any findings consistent specifically with aspiration or fungal infection in addition to bacterial PNA. hx pulm HTN History: hypoxia, productive cough. LUNGS AND PLEURA: Interval development of the diffuse bronchial and bronchiolar wall thickening w... | 1.Interval development of diffuse bronchiolar wall thickening with scattered centrilobular and groundglass nodules compatible with bronchiolitis. This may represent respiratory bronchiolitis ILD if this patient is a smoker or may be infectious in etiology. No evidence of pneumonia.2.Large pulmonary artery compatible wi... |
Generate impression based on findings. | 48 year old presents for follow up, status post benign right breast stereotactic biopsy in October 2012. Family history breast cancer in her mother diagnosed at the age of 50. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scat... | Benign stable breast asymmetries and postbiopsy changes. 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 ... |
Generate impression based on findings. | 65 years, Female. Reason: Assess for obstipation, ileus (upright view) History: 65 y.o. woman with a history of chronic diarrhea and weight loss Nonobstructive bowel gas pattern. Average stool burden. No evidence of pneumatosis intestinalis or portal venous gas. The lung bases appear clear. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Male 79 years old; Reason: hx of bladder cancer, evaluate for metastatic disease with delayed imaging History: see above ABDOMEN:LUNG BASES: No significant abnormality.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Small splenule spearedPANCREAS: No significant abnormality noted.ADRENAL GLANDS: No signi... | 1.No evidence of recurrence. Stable examination. |
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