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Generate impression based on findings. | 60 year-old female with history of metastatic breast cancer. CHEST:LUNGS AND PLEURA: Large loculated right pleural effusion has slightly decreased in size. Bibasilar ground glass opacities and interlobular septal thickening possibly due to phase of respiration/motion or less likely aspiration.Right anterior pleural bas... | 1. Interval increase in size and number of osseous metastatic lesions throughout the axial skeleton. Correlate with nuclear medicine bone scan as clinically warranted.2. Likely malignant large loculated right pleural effusion has slightly decreased in size.3. Reference anterior right upper lobe pleural based nodule is ... |
Generate impression based on findings. | Family history of breast carcinoma in her mother and maternal cousin. History of ovarian cancer in maternal aunt, half-sister and maternal cousin. No current 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 heterogeneousl... | No mammographic evidence of malignancy. 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: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Female 68 years old Reason: follow up. Posterior stabilization rods with screws entering the T10 through S1 vertebral bodies. We see no hardware complications. There are intervertebral spacers at L1-L2, L2-L3, L3-L4, L4-L5 which appear similar to prior study. Amorphous bone graft material is again seen at the posterola... | Postoperative changes of spinal fusion as described above. |
Generate impression based on findings. | Redemonstrated are bilateral anterior parietal bone burr holes through which traverse linear electrodes, with tips in the region of the subthalamic nuclei. There is expected pneumocephalus, slightly decreased, as well as scattered subcutaneous emphysema. The ventricles and sulci are within normal limits for age except... | No acute intracranial abnormality. Expected postprocedural changes. |
Generate impression based on findings. | Female, 42 years old.Status post liver transplant. Instrument count correct. Rule out radiopaque foreign body. Nonobstructive bowel gas pattern. NG tube tip projects at the level of the antrum of the stomach. Right-sided surgical drain tip terminates near the midline of the upper abdomen. Surgical clips and staples ref... | No unexpected radiopaque foreign bodies. These findings were discussed with Dr. Millis, the attending surgeon, by phone at 11:35 a.m. on 4/29/15. |
Generate impression based on findings. | Abdominal distentionVIEW: Abdomen AP NG tube tip in the stomach. Disorganized nonobstructive bowel gas pattern. Mild gaseous distention of the bowel loops at the right lower quadrant. No pneumatosis or pneumoperitoneum. | Mild gaseous distention of bowel loops at the right lower quadrant. |
Generate impression based on findings. | 47 year old female with history of right upper quadrant pain. Evaluate for gallbladder pathology. LIVER: No significant abnormalities noted. The liver measures 13.6 cm.BILIARY TRACT: No significant abnormalities noted. Cholelithiasis, without biliary dilatation. No gallbladder wall thickening or pericholecystic fluid. ... | Cholelithiasis, without findings of cholecystitis or other significant abnormality. |
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. There are no areas of abnormal attenuation or pathological enhancement. There is focal prominence of the extra-axial space along the left posterior lateral posterior fossa with mild mass ef... | 1. Unremarkable CTA of the head and neck. No acute intracranial abnormality.2. No significant soft tissue neck abnormality within limitations of technique. Prominence of Waldeyer's ring structures, likely reactive in a patient of this age. These correlate with direct inspection.3. Left maxillary and mandibular molar de... |
Generate impression based on findings. | Reason: eval for esophageal motility disorder History: acid reflux Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Double contrast evaluation of the esophagus revealed transient feline esophagus otherwise, no mucosal or marrow abnormalities. No hiatal her... | Mild motor abnormality with associated retention of contrast, which clears when the patient is erect. No significant gastroesophageal reflux. |
Generate impression based on findings. | Male 65 years old Reason: pain. Right knee: Four views of the right knee show moderate/severe osteoarthritis particularly affecting the patellofemoral and medial joint compartments. Ossification at the proximal tibiofibular syndesmosis is incompletely imaged and presumably relates to old trauma.Left knee: Severe tricom... | Osteoarthritis as described above. |
Generate impression based on findings. | Hirschsprung's disease status-post surgery with increasing abdominal discomfortVIEW: Abdomen AP Moderate amount of fecal burden at the left upper quadrant. No abnormal bowel dilation. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | There is ill-defined hypodensity present within the posteromedial left temporal lobe which appears to involve both gray and white matter, without significant mass effect upon the adjacent basilar cisterns.The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no eviden... | 1.There is ill-defined hypodensity present within the posteromedial left temporal lobe which appears to involve both gray and white matter, without significant mass effect upon the adjacent basilar cisterns. This appearance and location does not conform to expected vascular territories, thus the differential diagnosis ... |
Generate impression based on findings. | Worsening pain on the plantar footVIEWS: Left foot AP, oblique and lateral No acute fracture or dislocation. There is irregular ossification at the base of the fifth metatarsal bone. | No acute fracture or dislocation. |
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 is persistent minimal low density in the right lateral frontal subcortical white matter on 5/20-21. There are no new areas of abno... | No acute intracranial abnormality. Stable area of nonspecific minimal low density in the right lateral frontal subcortical white matter which could represent chronic small vessel ischemic changes. |
Generate impression based on findings. | PHARYNX/LARYNX: There is slight asymmetric enlargement of the right piriform sinus and right laryngeal ventricle with medialization and slight thickening of the right aryepiglottic fold consistent with the patient's known right vocal cord paralysis. There is slight medialization of the right true vocal cord with rotat... | 1. No significant abnormality along the expected course of the right recurrent laryngeal nerve although pleural fluid does extend into the right tracheoesophageal groove. Evidence of known right vocal cord paralysis.2. incidental note made of a dural based presumably enhancing mass with probable mineralization along th... |
Generate impression based on findings. | Pain in hand, wrist, and elbow after fall. Evaluate for fracture. Three views of the right hand and 3 views of the right wrist are provided. There is a comminuted fracture of the proximal and mid-diaphysis of the second metacarpal with a longitudinal component that cleaves the proximal half of the bone into mildly disp... | Second metacarpal fracture as above. |
Generate impression based on findings. | Esophageal cancer, follow-up CHEST:LUNGS AND PLEURA: Mild basilar scarring without suspicious intrapulmonary abnormality. Specifically no nodules or masses. No effusions. Mild emphysematous changesMEDIASTINUM AND HILA: No discrete lymphadenopathy.The cardiac and pericardium are within limits.Esophageal thickening is ob... | Mid to distal esophageal wall thickening correlating with patient's history of esophageal cancer and recent prior PET scan. No associated intrapulmonary acute abnormality |
Generate impression based on findings. | Hypodensities are present within the white matter without associated mass effect. There is diffuse volume loss without a specific lobar predominant atrophy pattern. There are no findings of ventricular hydrocephalus. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or... | 1.Small vessel ischemic disease of indeterminate ages. If there is continued clinical concern for acute ischemia, MRI would be recommended.2.There is diffuse volume loss without a specific lobar predominant atrophy pattern. |
Generate impression based on findings. | 65-year-old female with history of MDS, pre-allo SCT evaluation LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural effusion or pneumothorax.MEDIASTINUM AND HILA: Normal sized heart with no pericardial effusion. Small mediastinal lymph nodes. Mild atherosclerotic calcification of the thoracic aorta.... | No acute cardiopulmonary abnormalities. |
Generate impression based on findings. | Respiratory distressVIEW: Chest AP Cardiothymic silhouette at the upper limits of normal. Patchy atelectasis in the right lower lobe, left upper lobe and left lower lobe. No pleural effusion or pneumothorax. | Bilateral patchy atelectasis as described above. |
Generate impression based on findings. | Right renal mass; history of lymphoma ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Stable right hemangiomas.SPLEEN: Stable subcentimeter low-attenuation focus.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant change in... | Stable enhancing right superior pole mass again worrisome for renal cell carcinoma.No evidence for adenopathy or metastatic process. |
Generate impression based on findings. | Reason: Evaluate Left Empyema - loculated versus non-loculated History: SOB LUNGS AND PLEURA: Moderate upper zone centrilobular emphysema.Partially loculated moderate right pleural effusion, located posteriorly.Small left pleural effusion with pleural thickening and enhancement consistent with empyema with multiple sma... | Small residual left pleural collection consistent with empyema with pleural enhancement and small air collections but no specific evidence of loculation. |
Generate impression based on findings. | Right shoulder pain status post fall. Rule out fracture. I see no fracture or malalignment. I see no findings to account for the patient's shoulder pain. | No fracture or other findings to account for the patient's shoulder pain are evident. |
Generate impression based on findings. | Abdominal pain and vomiting ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Nonobstructing subcentimeter left rena... | Negative for acute, inflammatory, or neoplastic process. |
Generate impression based on findings. | Reason: h/o parotid acinic cell ca and CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Prior left lower lobe wedge resection.No evidence of metastases.MEDIASTINUM AND HILA: There is no mediastinal or hilar lymphadenopathy.The heart and pericardium appear normal.CORONARY ARTERY CALCIFICA... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | There is slight decreased conspicuity of several small foci of diffusion restriction along the left corona radiata, with corresponding T2/FLAIR hyperintensity. There is a focus of new susceptibility along the posterior left corona radiata area of abnormality, as well as symmetric increased conspicuity of susceptibilit... | 1. Interval decreased prominence of previously seen intracranial findings along the left corona radiata extending towards the left basal ganglia, with persistent but now mild diffusion restriction and minimal residual enhancement as well as underlying intrinsic T1/FLAIR hyperintensity.2. Stable punctate focus of leptom... |
Generate impression based on findings. | Redemonstrated is a surgical defect involving the right parietal bone for resection of the previous osseous lesion at this location. There is no evidence of abnormal enhancement in the surgical bed. No new areas of enhancement are seen within the calvarium.The ventricles and sulci are stable. The cisterns remain paten... | No abnormal enhancement along surgical bed to suggest recurrent tumor. No new abnormalities are appreciated. |
Generate impression based on findings. | Urethral carcinoma status post cystectomy ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Stable subcentimeter hypoechoic foci.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Stable bilateral re... | No evidence for metastatic process. Parastomal hernia involving ileal diversion with small bowel involvement. This herniated loop of small bowel is associated with upstream mild dilatation and evidence for stasis; cannot exclude some element of obstruction. |
Generate impression based on findings. | Reason: evaluate for cause of hoarseness of voice and R vocal cord paralysis History: hoarseness of voice; R vocal cord paralysis LUNGS AND PLEURA: Diffuse thickening of upper lobe interlobular septa suggestive of edema with moderate bilateral symmetrical pleural effusions and compressive atelectasis.Small nonspecific ... | 1.Moderately large bilateral pleural effusions with adjacent compressive atelectasis.2. No specific evidence of metastatic disease in the chest.3. Small thrombus adherent to the tip of the port catheter in the right atrium.A text page was sent to Dr.Foertsch at the time of reporting. |
Generate impression based on findings. | 14 year old male patient with history of cervical osteoblastoma. Evaluate for changes. VIEWS: Cervical spine AP and lateral in neutral, flexion, and extension positions (4 views) 4/29/2015 Embolization cols in the cervical portion of the left vertebral artery are again visualized.There is amorphous ossification abuttin... | Increased size of the left cervical ossified mass. |
Generate impression based on findings. | Female 51 years old Reason: 51 yo F with predominant or lower extremity symptoms, including back and ankle pain with a family history of psoriasis. Also valgus deformities of knees and b/l ankle pain right greater than left. Sacroiliac joints: Mild degenerative changes affecting the sacroiliac joints but no specific fi... | Osteoarthritic changes as described above. |
Generate impression based on findings. | Carcinoid tumor, follow-up CHEST:LUNGS AND PLEURA: Numerous bilateral pulmonary nodules and masses appear unchanged. The reference left upper lobe mass (image 29 series 5) remains 3.4 x 3.2 cm. and the reference right upper lobe mass (image 30 series 5) measuring 3.3 x 2.6 cm. Scattered additional nodules including sub... | No interval change in large pulmonary nodules and masses with associated postobstructive atelectasis. See reference measurements provided |
Generate impression based on findings. | Male 72 years old. Reason: pre-op. History: pain Two views of the right hip are provided. Hardware components of a right total hip arthroplasty are situated in near anatomic alignment. Small lucent foci in the acetabular dome appear similar to prior study and may represent particle wear osteolysis, pre-existing subchon... | Right total hip arthroplasty as above. |
Generate impression based on findings. | Line placementVIEW: Chest AP and abdomen AP ET tube tip below thoracic inlet and above the carina. UVC tip in the right atrium. The umbilical arterial catheter is at T8. Cardiothymic silhouette normal. Diffuse lung haziness bilaterally without pleural effusion or pneumothorax. Disorganized nonobstructive bowel gas patt... | UVC tip in the right atrium. |
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 extremely dense, which lowers the sensitivity of mammography, unchanged in pattern and distribution. No suspicious masses, microcalc... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.The sensitivity of mammography for detecting breast cancer is decreased in patients with dense breasts such as this patient. Physical exam assumes a more important ro... |
Generate impression based on findings. | History of tonsil cancer and CRT, compare to previous measurements please. CHEST:LUNGS AND PLEURA: Nodule along the right major fissure likely represents an intrapulmonary lymph node and is unchanged. No new or suspicious pulmonary nodule or mass. Bibasilar atelectasis. No pleural effusion.MEDIASTINUM AND HILA: No medi... | No evidence of metastases. |
Generate impression based on findings. | CoughVIEWS: Chest AP and lateral Right-sided chest port with tip in the SVC. Cardiothymic silhouette normal. Bilateral bronchiectasis again noted. Patchy opacities at the right lower lobe. No pleural effusion or pneumothorax. | Patchy opacities in the right lower lobe in the differential diagnosis includes chronic scarring or early infection. |
Generate impression based on findings. | TachycardiaVIEWS: Chest AP and lateral ET tube, NG tube and left PICC have been removed. Right-sided chest port with tip in the SVC. Cardiothymic silhouette normal. Peribronchial wall thickening with subsegmental atelectasis right lower lobe and left lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | 69-year-old male with history of tonsillar squamous cell carcinoma status post chemoradiation therapy, compare to previous improvise measurements. There is no measurable residual left palatine tonsil mass. There is no evidence of residual significant lymphadenopathy in the neck. For example, the reference left level II... | No evidence of measurable residual left palatine tonsil mass or residual significant lymphadenopathy in the neck. |
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. No suspicious masses, microcalcifications or areas of architectural distortion are pre... | 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. | 66 year old male with left apical lung lesion seen on CT scan, positive smoker LUNGS AND PLEURA: Left apical lobulated subpleural nodule measures 19 mm x 18 mm (series 4, image 26). There appears to be internal foci of fat density suggesting this is benign. Additional punctate micronodules are noted. Likely a benign in... | 1. Left apical loculated nodule with internal foci of fat density suggesting this is benign. However follow up is recommended in 3 month to ensure stability.2. Focal clustered micronodules with a tree in bud component may represent mild focal aspiration |
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. No suspicious masses, microca... | 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. | Lung cancer, follow-up LUNGS AND PLEURA: Interval resolution of the small pleural effusions with associated diminishment of basilar atelectasis. Minimal allopathic changes persist without new additional superimposed air space abnormality. Specifically no nodules or masses in addition to the scattered bilateral micronod... | Borderline to mild cardiomegaly with interval improving pulmonary appearance representing suspected result mild CHF observed 2/15/15. |
Generate impression based on findings. | Male 65 years old Reason: Hx AC joint separation with pain. Lumber spine radiograph to evaluate for osteoarthritis. Left shoulder: Mild deformity of the distal clavicle may represent an old healed fracture or post operative changes. The acromioclavicular joint alignment is within normal limits. The glenohumeral joint a... | 1. Mild deformity of the distal clavicle may represent an old healed fracture or post operative changes. 2. Acromioclavicular joint alignment is within normal limits.3. Degenerative disk disease of the lumbar spine as described above. |
Generate impression based on findings. | 61-year-old female. Chronic bilateral back and hip pain which now has worsened with ambulation. History of right foot fracture. Two views of the right hip show narrowing of the hip joint with subchondral cyst formation indicating moderate osteoarthritis. The lateral aspect of the femoral head appears to be uncovered su... | Osteoarthritis, right greater than left. |
Generate impression based on findings. | 27-year-old male. Injury 10 days ago. Swelling of elbow. Four views of the left elbow show mild soft tissue swelling particularly along the posterior aspect of the olecranon, which may represent a mild bursitis or a hematoma. No fracture or joint effusion is evident. Alignment is within normal limits. | Mild posterior soft tissue swelling, perhaps representing bursitis or a hematoma. |
Generate impression based on findings. | Female 52 years old Reason: eval for inflammatory or erosive changes History: pain. Left hand: Mild osteoarthritis affects the distal radioulnar joint. The remainder of the hand is within normal limits for age.Right foot: Moderate osteoarthritis affects the first metatarsophalangeal joint, perhaps progressed slightly c... | Osteoarthritis as described above. |
Generate impression based on findings. | 68-year-old male with history of nasopharyngeal carcinoma status post chemoradiation therapy. Head: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. Emerging left parietal subcortical hypo... | 1.Hypoattenuation in the right anterior temporal lobe is unchanged and likely reflects posttreatment changes.2.Treatment related effects are also seen in the nasopharyngeal mucosa without specific evidence of recurrent or metastatic disease in the neck.3.Slight interval progression in degenerative disk disease of the c... |
Generate impression based on findings. | Reason: urothelial cancer, evaluate for metastases History: urothelial cancer, evaluate for metastases LUNGS AND PLEURA: New large loculated right pleural effusion with overlying compressive atelectasis, which obscures some of the previously identified nodules. New small left pleural effusion with overlying compressive... | 1.New large loculated right pleural effusion and small left pleural effusion. New bronchial wall thickening, interlobular septal thickening, centrilobular nodularity, and pleural nodularity, greater on the right, suspicious for metastatic disease.2.Increasing mediastinal and hilar lymphadenopathy. |
Generate impression based on findings. | Low grade MIPST of the thigh. LUNGS AND PLEURA: No significant abnormality noted. Specifically no findings to suggest nodules or masses. No effusionsMEDIASTINUM AND HILA: Minimal retained thymus tissue without suspicious mediastinal soft tissue abnormality, specifically no lymphadenopathy.The cardiac and pericardium ar... | No findings to support metastatic malignancy |
Generate impression based on findings. | 62-year-old female. Pain. Preop. Severe osteoarthritis affects the left knee with near bone on bone apposition of the medial tibiofemoral compartment. There is minimal (2 degrees) varus alignment of the knee with respect to the neutral mechanical axis. Moderate osteoarthritis affects the hip joint. | Knee osteoarthritis and minimal varus deformity. |
Generate impression based on findings. | Lung cancer, follow-up following bronchoscopy CHEST:LUNGS AND PLEURA: See description of the right paratracheal mass under mediastinum. Mild adjacent atelectasis and minimal paraseptal emphysema with apical bullous changes. Minimal bronchiectasis unchanged. No new superimposed focal masses or nodules. No effusions.MEDI... | Interval marked decrease in size of the right paratracheal mass with questionable invasion of associated adjacent structures. See description and reference measurements, provided above |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in her mother in her 30s as well as her grandmother. 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 fibrogl... | 1. Potential skin lesion in the inferior medial left breast. This area should be evaluated with a repeat mammogram with any visible skin lesion at this site marked by the technologist before the mammogram. 2. Given her family history of breast cancer, especially with her mother having breast cancer in her 30s, please c... |
Generate impression based on findings. | Hashimoto's encephalopathy. Follow up progression. The ventricles and sulci are mildly prominent, greater than expected for age. The basal cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal or pathological enhancement. There is no diffusion abnormality. No extra-axia... | 1. Mild parenchymal volume loss, greater than expected for age. 2. No evidence of acute intracranial hemorrhage, mass, or acute infarct. |
Generate impression based on findings. | 60 year-old male. Ankle pain. Three views of the left ankle and two views of the left heel show a plate and screw device affixing a comminuted fracture of the calcaneus in near-anatomic alignment. The most superior screw is fractured. The fracture line appears slightly less distinct on the current than on the prior stu... | Orthopedic fixation of a healing calcaneal fracture, as above. |
Generate impression based on findings. | Male 63 years old. Reason: L shoulder pain. History: see above Four views of the left shoulder demonstrate mild to moderate osteoarthritis affecting the glenohumeral joint. Mild osteoarthritis affects the acromioclavicular joint. The glenohumeral joint alignment is within normal limits. | Osteoarthritis. |
Generate impression based on findings. | Female 52 years old. Reason: hip osteoarthritis. History: right hip pain. Two views of the right hip are provided. Perhaps there is small osteophyte formation at the superior portion of the acetabulum, but overall, the right hip is within normal limits for age. Mild degenerative arthritic changes affect the pubic symph... | Mild degenerative arthritic changes as above. |
Generate impression based on findings. | 59-year-old female. Right shoulder pain. Evaluate for arthritis/impingement. We see no frank osteoarthritic changes. There is a small ossicle along the lateral aspect of the acromion process perhaps representing post-traumatic heterotopic ossification of the deltoid origin. The acromiohumeral interval is preserved. | No radiographic evidence of impingement or arthritis. Small ossification of the deltoid origin, as above. |
Generate impression based on findings. | 60 year-old female with history of intraparenchymal hemorrhage and left craniotomy for evacuation, evaluate for resolution of swelling and planning for cranioplasty Redemonstrated are calvarial changes from prior left-sided craniectomy. Underlying hematoma centered in the left sylvian fissural region has nearly resolve... | Redemonstrated are calvarial changes from prior left-sided craniectomy. Underlying hematoma centered in the left sylvian fissural region has nearly resolved leaving residual hypodensity within the associated brain parenchyma. There is no longer brain transcalvarial herniation through the craniectomy defect. |
Generate impression based on findings. | 21-year-old male. Pain and swelling. Evaluate for fracture. There is soft tissue swelling along the anterior aspect of the patella and patellar tendon but we see no underlying fracture. A tiny excrescence projecting from the medial aspect of the distal femoral metaphysis may represent a site of muscle attachment. | Soft tissue swelling without evidence of a fracture. |
Generate impression based on findings. | 79-year-old female. Left proximal humerus fracture. Evaluate healing. Three views of the left shoulder show a comminuted fracture of the proximal humerus predominantly involving the surgical neck with the fracture fragments in near-anatomic alignment. There has been interval development of callus along the lateral aspe... | Healing proximal humerus fracture. |
Generate impression based on findings. | 8 year-old female patient with scoliosis.VIEWS: Thoracolumbar spine AP and lateral (two views), pelvis AP and frog leg lateral (two views) 4/28/2015 There is a 28 degree right curve from T3 to L3. No segmentation anomalies are seen. There is approximately 50 percent lateral uncovering of the right femoral head which do... | Lateral uncovering of the bilateral femoral heads. Scoliosis as above. |
Generate impression based on findings. | Female 28 years old. Reason: pain f/x. History: pain. Four views of the left elbow are provided. Again seen is prominence of the coronoid process compatible with a healing fracture which appears similar to that seen on prior study. Mild deformity of the distal humerus may reflect old trauma, but appears similar to prio... | Healing coronoid process fracture. |
Generate impression based on findings. | 33-year-old male. Status post left ankle ORIF. Three views of the left ankle show diffuse soft tissue swelling. Again seen are two trans-syndesmotic screws, the more proximal of which has fractured at the syndesmosis. There is associated widening of the distal tibiofibular syndesmosis to approximately 5 mm. | Fracture of a trans-syndesmotic screw and slight interval widening of the distal tibiofibular syndesmosis. |
Generate impression based on findings. | Nasopharyngeal cancer, follow-up CHEST:LUNGS AND PLEURA: Postsurgical changes including a left upper lobectomy with underlying scarring and mild to moderate volume loss and scarring. Scattered punctate micronodules are all unchanged, many calcified. No new suspicious nodules or masses. No effusionsMEDIASTINUM AND HILA:... | No evidence of metastatic disease and persistent cholelithiasis |
Generate impression based on findings. | Unwitnessed fall. Evaluate for intracranial hemorrhage. The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There is an apparent focus of hypoattenuation in the pons on the sagittal images only, which is likely artifactual. This appears more ... | 1. No evidence of acute intracranial hemorrhage or mass effect.2. Apparent hypoattenuation of the pons on the sagittal images only, which is likely artifactual. |
Generate impression based on findings. | Reason: hx of lung CA, pls compare to previous and measure. History: none CHEST:LUNGS AND PLEURA: Postsurgical changes of a right middle lobectomy. Reference necrotic tumor in the right upper lobe (series 3 image 31) measures 76 x 52 mm, unchanged. The mass again is contiguous with the right mediastinum and pleura and ... | 1.Stable right upper lobe necrotic mass.2.Interval increase in size and necrosis of mediastinal and right hilar lymphadenopathy. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, repeat left MLO view 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. No susp... | 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. | 13-year-old female patient with pain isolated to anterior of left knee, no other pain. Struck by auto. Evaluate for fracture/dislocation.VIEWS: Left knee AP, oblique, lateral (3 views) 4/29/2015 No acute fracture is evident. Alignment is anatomic. No knee joint effusion is seen. | No fracture is evident. |
Generate impression based on findings. | Urethral cancer, follow-up LUNGS AND PLEURA: Minimal scattered basilar scarring without suspicious new abnormality, specifically no nodules or masses. No effusions. Mild to moderate emphysematous changesMEDIASTINUM AND HILA: No lymphadenopathy. Previously identified lymph nodes appear similar with discrete fatty center... | No findings to suggest metastatic pulmonary disease, see detail provided above |
Generate impression based on findings. | HypoxiaVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Peribronchial wall thickening with subsegmental atelectasis right lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | 45-year-old female patient with history of right breast calcifications status post short-term follow-up. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Su... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 78-year-old male with history of chronic lymphoid leukemia who presents for preoperative evaluation for EPD. The comparison chest radiograph performed on 4/29/2015 demonstrates persistent small to moderate right pleural effusion.The ventilation images show a uniform distribution of activity on single-breath and wash-in... | Symmetric perfusion although mildly decreased ventilation of the right lung as quantified above. |
Generate impression based on findings. | PainVIEWS: Left wrist AP, oblique and lateral No acute fracture or dislocation. | Normal examination. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with repeat bilateral CC views 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, microcalcificatio... | 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. | 55-year-old female with history of right tonsillar cancer status post chemoradiation therapy, ipsilateral carotid blow out and free flap reconstruction. Recent left neck infection treated at outside hospital with antibiotics, now resolved?. Assess for recurrence. Postoperative findings related to a segmental right mand... | 1.New soft tissue thickening, enhancement and inflammatory changes of the left neck, as well as underlying increased extent of irregular fluid collection extending laterally and inferiorly from the the left base of tongue to the submandibular space and to the level of the thyroid gland with now a thick rind of enhancem... |
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: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Bladder carcinoma ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Stable cholelithiasis.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NOD... | No evidence for metastatic focus. Interval resolution of small bowel obstruction. Focal wall thickening and extensive surrounding inflammatory changes involving distal small bowel segment with mild dilatation and evidence for stasis; cannot exclude some element of obstruction. |
Generate impression based on findings. | Thyroid cancer, follow-up CHEST:LUNGS AND PLEURA: Mild interval change in the size of the numerous bilateral nodular metastatic disease. The reference left upper lobe lesion currently measures 11 mm (image 31 series 4) or prior measurement of 13 mm. A second reference left upper lobe nodule is less bulky (image 33 seri... | 1. Continued interval improvement with decreasing size of the diffuse bilateral pulmonary metastatic foci. No new lesions2. Nonspecific well defined the lucency in T12, unchanged |
Generate impression based on findings. | 10-year-old female patient with knee pain with sports left greater than right. Evaluate for Sinding-Larson- Johansson knees.VIEWS: Left knee AP and PA weightbearing, sunrise, lateral (4 views), right knee AP and PA with weight bearing, sunrise, lateral (4 views) 4/29/2015 No acute fracture is evident. Alignment is norm... | No specific findings to account for the patient's symptoms.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Reason: f/u pulmonary rhizopus, s/p renal transplant History: pneumonia LUNGS AND PLEURA: Upper lobe predominant reticulonodular opacities, not significantly changed. Left lower lobe large masklike subpleural opacity with central necrosis has slightly increased in cavitary component. Dependent subpleural atelectasis in... | Left lower lobe subpleural masslike opacity with central necrosis has increased slightly in cavitary component. No significant interval change in upper lobe predominant reticulonodular opacities or left pleural effusion. Findings compatible with history of Rhizopus infection. |
Generate impression based on findings. | History of left lumpectomy in 2009 for IDC and ILC. Patient received radiation and is currently on Arimidex. No new breast complaints. History of breast cancer in sister, maternal aunt, maternal cousin and paternal grandmother. Three standard views of both breasts were performed digitally and reviewed with the aid of R... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | There is normal flow related signal within the distal bilateral vertebral arteries, within the basilar artery, distal bilateral internal carotid arteries and carotid siphons and bilateral anterior, middle and posterior cerebral arteries. No significant stenosis or occlusion is seen. A 3-mm left supraclinoid internal c... | Stable 3-mm left paraclinoid aneurysm directed into the pituitary fossa. |
Generate impression based on findings. | 81-year-old male with cough, follow-up M Kansasii infection LUNGS AND PLEURA: Left upper lobe paramediastinal consolidation with narrowing of the upper lobe bronchi unchanged measuring 7.2 cm x 5.3 cm (series 4, image 34) when compared in a similar manner. Two separate areas of bronchiectasis in the right lower lobe un... | 1. Left upper lobe paramediastinal consolidation unchanged. Mediastinal lymphadenopathy with mixed interval response.2. Areas of bronchiectasis in the right lower lobe unchanged likely residual changes from prior infection. |
Generate impression based on findings. | Check for restaging. Kidney cancer CHEST: Motion degrades sensitivityLUNGS AND PLEURA: Within limitations, bilateral basilar atelectasis without additional suspicious nodules or masses. No effusions. Stable appearing scattered subcentimeter nodules, some are calcified.MEDIASTINUM AND HILA: No lymphadenopathy Small hiat... | Right postsurgical kidney changes without suspicious new pulmonary abnormalities |
Generate impression based on findings. | Reason: evaluate nodules previously noted on CT History: nodules LUNGS AND PLEURA: Extensive bilateral and basilar predominant the right changes including honeycombing are reticulation, and traction bronchiectasis compatible with a UIP pattern, unchanged. Postsurgical changes of a right lower lobe wedge resection. No a... | Pulmonary fibrosis compatible with a UIP pattern, not significantly changed. Mediastinal and hilar lymphadenopathy, likely reactive, unchanged. No new findings. |
Generate impression based on findings. | 59-year-old male, follow-up T3N2b adenoid cyst carcinoma of parotid gland status post TFHX on 1/26/14 and parotidectomy, compare to previous and provide measurements. Redemonstrated are postoperative findings related to left parotidectomy and neck dissection with persistent diffuse ill-defined soft tissue at the operat... | Postoperative findings related to left parotidectomy without definite evidence of residual or recurrent tumor. |
Generate impression based on findings. | 76 years, Male. Reason: assess bowel gas pattern History: ileus Enteric tube tip overlies the prepyloric antrum. Again seen are multiple distended loops of small and large bowel with differential air-fluid levels, compatible with adynamic ileus. No evidence of pneumoperitoneum. Surgical suture material projects in the ... | Multiple dilated loops of small and large bowel with differential air-fluid levels; given the clinical history, persistent adynamic ileus is favored. |
Generate impression based on findings. | Female, 81 years old. Reason: 81F with microscopic hematuria, assess for renal mass or stone RIGHT KIDNEY: The right kidney measures 10.4 cm, with normal cortical echotexture and appearance for age. No perinephric collection, shadowing calculi, or hydronephrosis. No focal renal lesion identified.LEFT KIDNEY: The left k... | No renal mass or stone identified. No hydronephrosis. |
Generate impression based on findings. | Reason: Follow-up lung nodule History: Lung nodule LUNGS AND PLEURA: Right upper lobe ground glass has significantly decreased in size/resolved compared to prior likely with post inflammatory/infectious in etiology. Mild lower lung zone bronchiectasis is unchanged. Subpleural focus of fibrosis in the right lower lobe a... | Right upper lobe ground glass has significantly decreased in size or resolved, compatible with a postinflammatory or postinfectious etiology. No new findings. |
Generate impression based on findings. | Tonsil cancer LUNGS AND PLEURA: Mild scattered largely dependent tree in bud changes small suggestive of aspiration. No discrete focal nodules or masses. No effusions. Superimposed moderate centrilobular emphysematous changes with stable appearing left upper lobe bronchiectasis and cyst formationMEDIASTINUM AND HILA: S... | Chronic pulmonary changes without evidence of superimposed metastatic disease |
Generate impression based on findings. | 60 year old female. History of distal femur fracture. Pain and stiffness. Two views of the left femur show a plate and screw device affixing a comminuted fracture of the distal femoral metaphysis in near anatomic alignment. We see no hardware complications. Although portions of the fracture remain visible, there is mat... | Orthopedic fixation of a distal femur fracture. |
Generate impression based on findings. | 65-year-old female patient with screen detected coarse calcifications in the left upper outer quadrant at anterior depth. Personal history of kidney cancer diagnosed at the age of the age of 55. Three standard views of the left breast and spot magnification views were performed digitally and reviewed with the aid of R2... | Cluster of calcifications in the left breast are favored benign. Recommend 6 month follow up left diagnostic mammogram to ensure benign morphology. As annual mammogram is due in January 2016, right diagnostic mammogram can be performed at the same time.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup a... |
Generate impression based on findings. | 66 years, Male. Reason: abdominal distention History: see above Multiple mildly dilated loops of small bowel with some gas present within the colon, most suggestive of ileus. Biliary stent and cholecystostomy tube projects in the right upper quadrant. Bilateral pleural effusions and basilar consolidation/atelectasis ar... | Bowel gas pattern is suggestive of adynamic ileus. No definite evidence of bowel obstruction. |
Generate impression based on findings. | Reason: Characterize lung nodule seen on chest x-ray at ED visit in November. History: lung nodule incidentally found at ED visit in November. LUNGS AND PLEURA: Mild upper lobe predominant centrilobular and paraseptal emphysema. Scattered bronchial impaction in the upper lobes and right middle lobe with nodular and tre... | Scattered foci of bronchial impaction with nodular and tree in bud opacities compatible with aspiration and mucus plugging. One of which may represent the nodular opacity seen on prior radiograph. Findings can also be seen ABPA. In absence of clinical history to support these etiologies, recommend short term 6 month fo... |
Generate impression based on findings. | Female, 39 years old. Reason: 39 yo female with R sided stone (left nephrectomy) History: nephrolithiasis RIGHT KIDNEY: The right kidney measures 11.7 cm, with normal cortical echotexture. A 0.5 x 0.5 x 0.3 cm echogenic focus is identified in the lower pole, compatible with a subcentimeter stone. No perinephric fluid c... | Redemonstration of a subcentimeter nonobstructing right lower pole stone. |
Generate impression based on findings. | 56-year-old female with history of buttock abscess. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Bilateral rena... | 1. Findings most compatible with left gluteal abscess which approaches the left ischium and hip joint without definitive evidence of underlying osseous involvement. If there is clinical concern for underlying osteomyelitis, an MRI may be obtained.2. Numerous compression deformities of the visualized spine, worse at T8.... |
Generate impression based on findings. | PainVIEWS: Thoracic spine three views No acute fracture or subluxation. | Normal examination. |
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.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 re... |
Generate impression based on findings. | Solitary pulmonary nodule in a patient with smoking history and emphysema.RADIOPHARMACEUTICAL: 12.2 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 99 mg/dL. Today's CT portion grossly demonstrates pronounced right posterior cerebral porencephaly in a pattern suggesting chronic right posterior cerebral infar... | 1.Markedly hypermetabolic left apical lung mass compatible with malignancy, likely primary lung cancer.2.Markedly hypermetabolic posterior right upper lobe cavitary mass also compatible with malignancy, likely a second primary lung cancer or possibly intrapulmonary metastasis.3.Weakly FDG avid part-solid right middle l... |
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