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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. | 55-year-old female patient called back from screening for possible left retroareolar mass. Family history of breast cancer in maternal cousin. LEFT DIAGNOSTIC MAMMOGRAM: An ML view and two spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scatt... | Benign duct dilation and two subcentimeter cysts in the left retroareolar region. 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 fin... |
Generate impression based on findings. | 26 year old male patient with back pain mid to lower back and family history of degenerative disease of the spine. Evaluate for scheurrmann's disease.VIEWS: Thoracolumbar spine PA and lateral (2 views) 4/29/2015 No acute fracture is evident. Vertebral body heights are maintained. There is a slight leftward curve of the... | No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 68 years old Reason: s/p left clavicle fracture. Again seen is a comminuted fracture of the distal end of the clavicle with elevation appearing similar compared to prior study. The bones are demineralized. Severe osteoarthritis of the glenohumeral joint is noted. There is mild deformity of the lateral aspect of so... | Distal clavicle fracture and other findings as described above appearing similar to prior study. |
Generate impression based on findings. | 38-year-old female with history of pulmonary embolus/DVT and sickle cell with pulmonary hypertension with hypoxia. Evaluate. The comparison chest radiograph performed on 4/29/2015 demonstrates no focal pulmonary opacities or pleural fluid. The ventilation and perfusion images demonstrate two moderate sized mismatched d... | Intermediate probability scan for pulmonary embolism. |
Generate impression based on findings. | Reason: eval ascites and VOD Gray scale findings:LIVER: Liver measures 14 cm. No evidence of intrahepatic or extrahepatic biliary ductal dilatation.GALLBLADDER, BILIARY TRACT: No gallbladder wall thickening. Decrease in the amount of sludge in the gallbladder. Common bile duct measures 2-mm.PANCREAS: Normal echogenicit... | Patent portal veins with hepatopetal flow. Gallbladder sludge decreased. No ascites. |
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. | 46-year-old male with history of renal cell carcinoma. Evaluate for recurrence or metastatic disease. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Stable to slightly smaller right hepatic lobe subcentimeter hypoattenuating lesion.SPLEEN: No significant abnormality notedPANCREAS: No signific... | 1. Postoperative changes of partial left nephrectomy with improving perinephric inflammatory changes.2. Two suspicious lesions in the right kidney are relatively stable in size and appearance. Continued follow up is recommended with CT or MRI. |
Generate impression based on findings. | Male 64 years old. Reason: left hip pain. History: difficulty walking Two views of the left hip are provided. Severe osteoarthritis affects the left hip. Ossification along the inferior aspect of the joint may represent intra-articular loose bodies or heterotopic ossification of the adjacent soft tissues.Degenerative a... | Severe osteoarthritis. |
Generate impression based on findings. | Female 82 years old. Reason: eval for OA of spine. History: LE weakness Five views of the lumbar spine demonstrate severe degenerative disk disease affecting the levels from L2/3 to L5/S1, which appear similar to prior study. Multilevel facet joint osteoarthritis mainly affects the lower lumbar levels, also appearing s... | Severe degenerative arthritic changes as above. |
Generate impression based on findings. | Female 35 years old Reason: pain History: pain Left ankle: Three views of the left ankle show intramedullary rod and screw device which is incompletely imaged on this study. Otherwise we see no findings to account for patient's pain.Left foot: Mild deformity of the heads of the fourth and fifth metatarsals may reflect ... | Postoperative changes and possible old traumatic changes as described above. Otherwise no findings to account for patient's pain. |
Generate impression based on findings. | Male, 39 years old. Reason: 39M s/p LVAD readmitted with severe transaminitis (thousands), eval hepatic blood flow History: transaminitis, respiratory failure DOPPLER:Color and spectral Doppler were performed on inflow and outflow vessels. PORTAL VENOUS: The portal veins are patent, with normal hepatopetal flow. Main p... | 1. Normal directional portal venous flow. The hepatic arterial waveforms are not visualized due to technical factors.2. Hepatomegaly and coarse echogenic liver appearance, consistent with fatty infiltration/parenchymal dysfunction. |
Generate impression based on findings. | Female 77 years old. Reason: eval for OA. History: groin pain. Two views of the right hip are provided. Severe osteoarthritis affects the right hip. | Severe osteoarthritis. |
Generate impression based on findings. | 84-year-old male with rising PSA, evaluate for bony progression. No abnormal osseous foci are identified to indicate metastatic disease. Multifocal increased radiotracer uptake in the thoracolumbar spine which is stable compared to the CT examination and typical of degenerative changes. This findings was confirmed on C... | No evidence of bone metastases. |
Generate impression based on findings. | Age: 58 years. Sex : Female. Reason for study: Reason: aspiration History: dysphagia after cva with reported aspiration events. 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 static or har... | The exam was positive for penetration and positive for aspiration. Please refer to concomitant speech pathology report for further details and feeding recommendations. |
Generate impression based on findings. | Reason: s/p DHT placement History: asx Dobbhoff tube tip is partially folded on itself overlying the prepyloric antrum. The pelvis is excluded from the field-of-view. Nonobstructive bowel gas pattern. Interval improvement of dilated loops of small bowel. Please refer to concomitant chest radiograph for detailed thoraci... | Dobbhoff tube tip in the distribution of the gastric antrum, likely folded upon itself and may be partially kinked. |
Generate impression based on findings. | 52-year-old male with history of metastatic renal cell carcinoma who presents for restaging scan status post 24 weeks of oral TKI treatment Nuclear medicine bone scan has decreased sensitivity for evaluation of lytic lesions from renal cell carcinoma. There is re-demonstration of increased radiotracer uptake within the... | Interval improvement in osseous metastatic disease. No new osseous lesions. |
Generate impression based on findings. | Male 51 years old. Reason: right shoulder pain. History: R shoulder pain Three views of the right shoulder show an irregular lucency through the body of the scapula from just below the scapular neck laterally to the medial border more inferiorly indicating a mildly displaced scapular body fracture. The glenohumeral joi... | Minimally displaced scapular body fracture which can be better evaluated with CT if clinically warranted. |
Generate impression based on findings. | 54-year-old male with history of hematuria. Evaluate for right renal calculus. 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: No significant abnormality notedLIVER, BILI... | No evidence of hydronephrosis or nephrolithiasis as clinically queried. |
Generate impression based on findings. | The previously identified partially enhancing left post central gyrus metastasis has significantly decreased in size, with minimal residual associated FLAIR hyperintensity and trace residual vasogenic edema. It now measures 0.9 x 0.5 cm in greatest axial dimensions by 1.0-cm CC (1001/21, 1202/141), compared to previou... | 1. New punctate focus of enhancement in the right postcentral gyrus, consistent with new metastasis.2. Significant improvement in appearance of left post central gyrus with significant decreased vasogenic edema. |
Generate impression based on findings. | Squamous cell carcinoma of the forehead with bone erosion, status post treatment. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid appears unchanged, with subcentimeter hypoattenuating nodule in the right lobe. There are punctate calcifications ... | No evidence of measurable mass lesions or significant lymphadenopathy in the neck. |
Generate impression based on findings. | Right heel painVIEWS: Right foot AP, oblique and lateral No acute fracture or dislocation. There is a small exostosis at the medial aspect of the distal phalanx of the great toe. | No acute fracture or dislocation. |
Generate impression based on findings. | 84-year-old male with history of prostate cancer. Evaluate for progression of disease. CHEST:LUNGS AND PLEURA: There is significant bilateral basilar predominant interlobular septal thickening, bronchiectasis, and subpleural honeycombing in a UIP pattern which has progressed when compared to prior. No suspicious masses... | 1. No evidence of metastatic disease.2. Progressive chronic interstitial lung disease in a UIP pattern. |
Generate impression based on findings. | Reason: r/o PE History: pleuritic chest pain, history of pe PULMONARY ARTERIES: Technically adequate. No pulmonary embolus.LUNGS AND PLEURA: Bibasilar dependent atelectasis. No suspicious pulmonary nodules or masses. No focal consolidation, pleural effusion, or pneumothorax.MEDIASTINUM AND HILA: Soft tissue in the ante... | 1.No pulmonary embolus.2.Hypoattenuating lesion within the left breast, for which mammography is recommended if not already obtained by outside hospital.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Female 67 years old Reason: ankle pain History: right ankle pain swelling The bones appear slightly demineralized. There is a transverse fracture through the base of the fifth metatarsal. The fracture fragments are in near anatomic alignment however this would be better evaluated with a dedicated foot radiograph. Poste... | Fracture at the base of the fifth metatarsal bone. |
Generate impression based on findings. | Per EPIC, 73-year-old female with history of SLE, hypothyroidism with recurring left parotid mass. Biopsy in 2010 was suspicious but not diagnostic for MZL. Biopsy of parotid mass on July 5, 2011 was diagnostic for MALT lymphoma. Significant interval weight loss has occurred, which changes the relative position of the ... | 1. Post-operative findings related to a left partial parotidectomy without evidence of definite or significant disease progression. The soft tissue thickening in the operative bed appears less conspicuous.2. Slight interval increase in size of several lymph nodes in the neck, which are nonspecific. |
Generate impression based on findings. | Follow-up of stage IV mucosal melanoma with large infiltrating mass in the maxillary sinus as well as metastatic disease status post radiation therapy to the sinus mass now on Ipilimumab. There is an intermediate attenuation mass in the medial left maxillary sinus with protrusion into the infundibulum and left maxillar... | 1. A lesion centered in the left maxillary sinus with extension into surrounding spaces is compatible with the known treated residual melanoma. Previous studies are currently unavailable in the University of Chicago PACS, which precludes comparison to prior disease status.2. Nonspecific subcentimeter left nasal ala les... |
Generate impression based on findings. | 57-year-old female patient status post left lumpectomy in 1985, chemotherapy and radiation therapy presents for follow-up. Patient notes enlarging of the right breast. 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 fi... | 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. | Status post chemoradiation completed in May of 2014 for T4N2b right tonsil squamous cell carcinoma. There are post-treatment findings in the upper aerodigestive track region related to radiation therapy and right neck dissection. There evidence of measurable locoregional upper aerodigestive track tumor recurrence of ev... | 1. Post-treatment findings in the neck without evidence of measurable locoregional upper aerodigestive track tumor recurrence of evidence of recurrent significant lymphadenopathy in the neck.2. New nodules in the partially-imaged right lung may represent metastatic disease. Please refer to the separate chest CT report ... |
Generate impression based on findings. | Reason: History of Lymphoma History: History of Lymphoma LUNGS AND PLEURA: Basilar predominant reticulation, traction bronchiectasis, greater on the left, not significantly changed. No new or suspicious primary nodules or masses. No pleural effusion.MEDIASTINUM AND HILA: Mildly enlarged mediastinal and bilateral hilar ... | 1.Slight interval increase in mediastinal and hilar lymphadenopathy of uncertain etiology. Continued follow-up is advised.2.Pulmonary fibrosis, unchanged. |
Generate impression based on findings. | 63-year-old female with history of possible aortoenteric fistula. Evaluate for aortic thrombus/pancreatic fluid collection. ABDOMEN:LUNG BASES: Small right pleural effusion is again seen.LIVER, BILIARY TRACT: Persistent pneumobilia, likely related to sphincterotomy. Previously seen right portal vein anterior branch thr... | 1.Interval resolution of aortic thrombi, and no findings of aortoenteric fistula.2.Interval decreased size of pancreatic fluid collection as above.3.Right lower pole renal infarct again noted, with recanalization of the duplicated lower right renal artery.4.Persistent right portal vein branch thrombus. |
Generate impression based on findings. | Age: 88 years. Sex : Male. Reason for study: Reason: Dysphagia with stroke (R-sided weakness) History: Dysphagia and R-sided weakness from stroke. Fluoroscopic guidance was provided for an oropharyngeal motility study performed by the Speech Pathology section of the ENT service. The examination was recorded on videotap... | The exam was negative for penetration and negative for aspiration. Please refer to concomitant speech pathology report for further details and feeding recommendations. |
Generate impression based on findings. | Preoperative evaluation, right middle lobe abnormality, unspecified. CHEST:LUNGS AND PLEURA: Redemonstration of the inferior peripheral right middle lobe is an irregular lobulated peripheral nodule. This lesion again measures 2.2 x 1.7 cm (image 60 series 5) and abuts the pleural surface with new questionable minimal t... | Stable suspicious large nodule in the right middle lobe again concerning for primary malignancy |
Generate impression based on findings. | 53 years old, Male, History: mental status changes Images are somewhat degraded by motion. 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 a mucus r... | No evidence of intracranial hemorrhage or mass. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct. |
Generate impression based on findings. | Reason: please assess for evidence of biliary obstruction History: RUQ abd pain s/p cholecystectomy ABDOMEN:LUNG BASES: Cardiomegaly.LIVER, BILIARY TRACT: Mild hepatomegaly. Status post cholecystectomy. A couple subcentimeter T2 bright lesions, likely cysts, but too small to accurately characterize. No obvious intrahep... | Given limitations described above:1.Due to patient's early termination of scan, no MRCP images were performed. Limited study utilizing performed sequences shows no obvious biliary dilation.2.Cardiomegaly.3.Atrophic kidneys. |
Generate impression based on findings. | Abdominal pain liver transplantVIEW: Abdomen AP NG tube tip at the antral pyloric region of the stomach. Multiple skin staples are present. The surgical drains at the right upper quadrant have been removed. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. Patchy atelectasis left lower ... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 17 year old male patient with history of desmoplastic small round cell tumor status post chemotherapy, HIPEC, radiation, and auto-SCT. Now 100 days post transplant. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules in the right upper lobe and left lower lobe are noted (image is 102, 105, 179, 184, series 5), unc... | 1. Slight decrease in size of the upper abdominal mass. 2. Continued diffuse small bowel wall thickening.3. Small amount of ascites.4. G-tube appears to be straddling the anterior abdominal and stomach walls. The balloon appears underinflated. Finding discussed with H. Hecktman, the service has already removed the G-tu... |
Generate impression based on findings. | 35 year-old female with infertility. Scout AP film of the pelvis was normal. Opacification of the uterine cavity revealed a normally oriented uterine cavity without mucosal irregularity or filling defects in the uterine cavity. Both tubes were freely opacified with spillage on both sides into the pelvis, indicating tub... | Normal uterine cavity without free spillage into the peritoneal cavity raising the question of peritubular adhesive disease. |
Generate impression based on findings. | 2 year old male patient with acute limp, slight swelling of the lateral malleolus. Question of fracture.VIEWS: Left ankle AP, oblique, lateral (3 views) 4/29/2015 There is soft tissue swelling about the ankle and a joint effusion. Probable mild periosteal reaction is noted about the distal fibula. Alignment is normal. | Soft tissue swelling and ankle joint effusion with probable distal fibular periosteal reaction; if there is concern for infection, MRI may be considered for further evaluation. Findings communicated via phone by Dr Ong to Dr Roman prior to dictation. |
Generate impression based on findings. | Reason: lung cancer History: 4 years s/p RUL for management of T2N0M0 stage IB adenocarcinoma and 2 years s/p RML for management of T2aN2 adenocarcinoma followed by adjuvant radiation therapy and incomplete course of chemotherapy LUNGS AND PLEURA: Postsurgical changes of the right upper and lower lobes. Paramediastinal... | Postsurgical changes with no evidence of recurrence or metastatic disease. |
Generate impression based on findings. | 38-year-old female patient with abnormal asymmetry in the left upper outer breast on screening mammogram. Family history of breast cancer in multiple relatives including her in her mother, grandmother and great grandmother. LEFT BREAST DIAGNOSTIC MAMMOGRAM: An ML view and two spot compression views of the left breast w... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually after age 40 or 10 years before the youngest age of cancer diagnosis in first relative. Results and recommendation were discussed with the patient.BIRADS: 1 - Negat... |
Generate impression based on findings. | SnoringVIEWS: Soft tissue neck lateral Minimal enlargement of the adenoids without obstruction to the nasopharyngeal airway. No prevertebral soft tissue swelling. The subglottic airway is patent. | Minimal enlargement of the adenoids without obstruction. |
Generate impression based on findings. | Placenta changes from previous right parotidectomy are again partially visualized. The enhancement pattern of the persistent ill-defined heterogeneously enhancing mass involving the right lateral skull base centered along the petrous ridge posteriorly and right mastoid is overall unchanged. Again, compared back to the... | Similar appearance of the heterogeneously enhancing necrotic mass at the right lateral skull base pancreas cervical junction consistent with treated acinic cell carcinoma metastasis.Future follow-up imaging should include a dedicated skull base images for a more detailed evaluation. |
Generate impression based on findings. | Head and neck cancer, compared to prior CHEST:LUNGS AND PLEURA: Scattered benign appearing pulmonary micronodules and small calcified subcentimeter nodules. No suspicious new nodules or masses or effusions. There is however two bilateral groundglass foci, the larger noted in the right middle lobe measuring under 2 cm i... | No discrete findings to suggest metastatic disease, however multifocal bilateral ground glass areas may represent aspiration or less likely infection. If there is concern for a more emergent infectious process, serial imaging is needed to ensure clearance |
Generate impression based on findings. | Female, 43 years old. Reason: Multinodular goiter; concern pt had thyroiditis History: Multinodular goiter; concern pt had thyroiditis RIGHT LOBE MEASUREMENTS: 7.4 x 2.2 x 2.5LEFT LOBE MEASUREMENTS: 6.7 x 2.3 x 2.5ISTHMUS MEASUREMENTS: 0.6RIGHT LOBE: Heterogeneous echotexture. An inferior pole nodule measures 3.4 x 2.3... | Enlarged heterogeneous thyroid with multiple nodules bilaterally which are stable. |
Generate impression based on findings. | 51-year-old female. Pain in joints. Evaluate for inflammatory arthritis. Right hand: There is absence of the majority of the distal phalanx of the index finger, presumably due to prior trauma. Mild osteoarthritis affects the DIP joints. The MCP joints appear slightly narrowed. Small lucencies in the head of the third m... | Arthritic changes, as described above, appear predominantly degenerative in etiology. There is slight narrowing of the MCP joints, but we otherwise see no convincing radiographic features of inflammatory arthritis. |
Generate impression based on findings. | Reason: 6 month f/u after LUL History: 6 month f/u after LUL LUNGS AND PLEURA: Interval postsurgical changes of a left upper lobectomy. Nodule along the right major fissure likely represents an intrapulmonary lymph node and is unchanged. Left lower lobe granuloma, unchanged. New small nodular opacity in the right upper... | Interval postsurgical changes of a left upper lobectomy. No evidence of recurrence or metastatic disease. |
Generate impression based on findings. | 45 year old female with history of necrotizing pancreatitis/pseudocyst status post drainage. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Focal fatty infiltration at the ligamentum teres, unchanged. No biliary dilatation or additional significant abnormality.SPLEEN: The spleen is upper norm... | 1.Previously seen peripancreatic fluid collections are no longer well-visualized, consistent with interval near complete resolution.2.Interval resolution of pleural effusions.3.Multiloculated left adnexal/uterine structure that could be a necrotic exophytic fibroid, pelvic pseudocyst, or other adnexal process. This may... |
Generate impression based on findings. | 45 old female with worsening shortness of breath, family history of PCD LUNGS AND PLEURA: Lower zone predominant bronchiectatic changes with a varicoid appearance including a cystic component in the right lung. There are associated large bullae in the lower lung zones. No suspicious pulmonary nodules or masses. Bilater... | 1. Lower zone predominant bronchiectatic changes with large bullae. Findings are nonspecific, however this can be seen with primary ciliary dyskinesia given the family history. 2. Bilateral tree in bud opacities likely due to aspiration. |
Generate impression based on findings. | Reason: New diagnosis of R malignant pleural mesothelioma and CLL. Please eval extent of disease History: as above CHEST:LUNGS AND PLEURA: Mild right pleural effusions.Pleural nodularity with focal pleural thickening of the right upper mediastinal pleura measuring 7 mm in the region of increased FDG uptake on the previ... | 1.Small right pleural effusion and mild diffuse right pleural nodularity compatible with diagnosis of mesothelioma. No evidence of extrathoracic, peritoneal, or contralateral pleural involvement.2.Prominent mediastinal lymph nodes without interval change.3.Stable interstitial fibrosis possibly representing UIP or less ... |
Generate impression based on findings. | Female, 54 years old. Reason: elevated creatinine History: evaluate for AKI v. CKD RIGHT KIDNEY: The right kidney measures 11.4 cm, with normal cortical echotexture. No perinephric fluid collections, shadowing calculi, or hydronephrosis.LEFT KIDNEY: The left kidney measures 10.4 cm, with normal cortical echotexture. No... | No hydronephrosis, renal stones, or perinephric fluid collection. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Pulmonary nodules in the right greater than left lung have increased in size and number compared to prior. For reference, right lower lobe nodule measures 9 x 9 mm (series 5 image 55).Mild upper lobe predominant centrilobula... | Multiple new and increasing pulmonary nodules measuring up to 9 mm, suspicious for metastatic disease. |
Generate impression based on findings. | Nine months following completion of induction chemotherapy and radiation therapy. Esophageal cancer and dysphasia CHEST:LUNGS AND PLEURA: Persistent and extensive tree in bud abnormality involving both lungs greater in the bases and again greater on the right. New moderate layered pleural effusions obscuring previously... | 1. New bilateral pleural effusions and extensive changes most suggestive of aspiration. Borderline lymphadenopathy. Please correlate with the patient history.2. Interval gastric pull up3. Cholelithiasis |
Generate impression based on findings. | Male, 49 years old. Reason: hx BOT ca sp C RT and L neck dissection. now with left level two node on physical exam Nonenlarged, benign-appearing lymph nodes identified. A left level 2 lymph node measures 0.6 x 0.4 x 2.0 cm, with a normal fatty hilum.Mildly prominent vascular structures in the left neck. | No cervical lymphadenopathy identified. |
Generate impression based on findings. | Female 65 years old. Reason: r/o osteo. History: Drainage from wound. Three views of the left foot are provided. There is diffuse soft tissue swelling with irregularity of the plantar skin surface which may reflect a wound.There is marked destruction of nearly all the bones of the midfoot and hindfoot particularly the ... | Destructive changes of the hindfoot and midfoot are most consistent with a severe neuropathic arthropathy, although it is impossible to exclude superimposed infection on the basis of these radiographs. If further imaging evaluation is clinically warranted, MRI may be considered to evaluate for a sinus or abscess leadin... |
Generate impression based on findings. | 84-year-old male with history of metastatic prostate cancer. Evaluate for metastases, stroke. There is no evidence of intracranial hemorrhage, mass effect or cerebral edema. Stable periventricular and subcortical white matter hypoattenuation, nonspecific but suggestive of small vessel ischemic disease. Prominence of th... | 1.No intracranial hemorrhage or cerebral edema.2.Please note that CT is insensitive for detection of early ischemia and of metastatic lesions. If these entities are suspected clinically, MRI would be recommended for further evaluation. |
Generate impression based on findings. | Male 25 years old. Reason: Crohn's with h/o severe BLE joint pains. Please eval for fracture or etiology. History: severe joint pains. Two views of the left hip are provided. We see no fracture. The acetabular dome appears slightly flattened and the posterior acetabular wall is perhaps slightly hypoplastic in relation ... | Possible mild left hip dysplasia but we see no acute finding to account for the patient's pain. |
Generate impression based on findings. | 31-year-old female patient with abnormality in the breast on prior CT scan. History of thyroid cancer. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses.No dominant mass, suspicious microc... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually after the age of 40. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Female 61 years old. Chronic back and hip pain and now has weakness with ambulation. History of right foot fracture. Five views of the lumbar spine are provided. Moderate degenerative disk disease affects L4/5. Mild facet joint osteoarthritis affects the lower lumbar spine particularly the left L5/S1 facet joint. There... | Degenerative disk disease and other findings as described above. |
Generate impression based on findings. | 60 year-old female with newly diagnosed cervical cancer who presents for planning radiation treatment. Assess for lymphadenopathyRADIOPHARMACEUTICAL: 12.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 108 mg/dL. Today's CT portion grossly demonstrates masslike enlargement of the cervix. There is borderline... | 1.Markedly hypermetabolic cervical mass consistent with the history of cervical carcinoma.2.Bilateral small pelvic sidewall lymph nodes very suspicious for regional metastatic disease.3.Mildly hypermetabolic left para-aortic lymph node more superiorly in the abdominal retroperitoneum is of some suspicion although equiv... |
Generate impression based on findings. | Frontal sinus: The frontal sinus and frontoethmoidal recesses are clear.Anterior ethmoids: The anterior ethmoid air cells are clear.Maxillary sinuses: There is mild mucosal thickening in the maxillary sinuses, with a focal mucosal retention cyst or polyp in the intra-left maxillary sinus. The ostiomeatal units are cle... | Nasal cavity debris bilaterally with only very scattered trace mucosal thickening in the paranasal sinuses. Patent bilateral ostiomeatal units. |
Generate impression based on findings. | Reason: Assess new NG placement History: New NG tube thank you Enteric tube tip projects in the prepyloric antrum. The lower abdomen and pelvis are excluded from the field-of-view. Right upper quadrant surgical clips. For more detailed evaluation of the known high grade small bowel obstruction, please refer to recent C... | Enteric tube tip projects in the prepyloric antrum. |
Generate impression based on findings. | Persistent headaches. There is mild mucosal thickening in the right frontoethmoid recess and left maxillary sinus. The other paranasal sinuses are clear. The left frontal sinus has not pneumatized. The nasal cavity is also clear. The nasal septum is essentially midline. The lamina papyracea and ethmoid roofs are intact... | Mild mucosal thickening in the right frontoethmoid recess and left maxillary sinus. |
Generate impression based on findings. | History of diverticulosis now with abdominal 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, URETERS: Stable right ren... | Stable examination without evidence for acute, inflammatory, or neoplastic process. |
Generate impression based on findings. | PainVIEWS: Left humerus AP and lateral, left elbow AP, oblique and lateral There is a supracondylar fracture with the distal fracture fragment displaced posteriorly. There is associated moderate size elbow joint effusion. The proximal radius and ulna are normal. | Acute supracondylar fracture as described above. |
Generate impression based on findings. | 28-year-old male with history of renal stone in the right kidney. RIGHT KIDNEY: No hydronephrosis or hydroureter. The right kidney measures 10.5 cm. There is a 1.2 x 1.3 x 0.7 cm intraparenchymal nephrolith.LEFT KIDNEY: No significant abnormalities noted, and the left kidney measures 11.7 cm.URINARY BLADDER: No signifi... | Right renal parenchymal nephrolith as above; no obstruction. |
Generate impression based on findings. | 62-year-old female patient with small mass in the right inner breast at mid depth on screening mammogram. Family history breast cancer in her sister and grandmother. RIGHT DIAGNOSTIC MAMMOGRAM: An ML view and two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3... | Right breast cyst. 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. | PainVIEWS: Right foot AP and lateral No acute fracture or dislocation. | Normal examination. |
Generate impression based on findings. | PainVIEWS: Left foot AP and lateral There are two K wires traversing the first metatarsal. There is sclerosis involving the first metatarsal reflecting interval healing. The first metatarsal including the great toe are foreshorten. The previously noted K wire traversing the proximal and distal phalanges of the great to... | Postsurgical changes to the left first metatarsal. |
Generate impression based on findings. | Female, 35 years old, history of breast cancer with brain metastases, compare to prior exam. Several parenchymal metastatic lesions are again visualized as rim enhancing masses, all of which have increased in size along with increased edema. This includes lesions within the right anterior temporal lobe, the right basal... | Progression of metastatic disease with significant interval growth of previously seen lesions along with the development of several apparently new lesions.Associated edema and mass-effect have also substantially increased with generalized leftward midline shift and subfalcine herniation.Findings were discussed with Lin... |
Generate impression based on findings. | Male 74 years old. Reason: Eval for Fx. History: S/p mechanical fall Two views of the right hip are provided. There is an ossific density along the superior aspect of the greater trochanter which may represent a minimally displaced fracture of indeterminate age.Mild osteoarthritis affects the right hip. | Findings suggesting a minimally displaced fracture of the greater trochanter of indeterminate age. This can be further evaluated with cross-sectional imaging if clinically warranted. |
Generate impression based on findings. | Foot pain, pes planus.VIEWS: Right foot AP, oblique, lateral with weight bearing (3 views), left foot AP, oblique, lateral with weight bearing. No acute fracture is evident. Alignment is normal bilaterally. No soft tissue swelling is seen. | Normal examination. |
Generate impression based on findings. | History of squamous cell carcinoma of the larynx related with radiation in 1990. More recently angiosarcoma of vocal cords treated with chemotherapy with clinical response and on chemotherapy now. There are post-treatment findings in the laryngeal region without convincing evidence of measurable mass lesions or signifi... | Post-treatment findings in the upper aerodigestive track region, without convincing evidence of measurable locoregional tumor recurrence or significant lymphadenopathy in the neck. However, follow up via PET or MRI may be useful, given the originally infiltrative nature of the neoplasm. |
Generate impression based on findings. | 88-year-old male with history of cholangiocarcinoma. Evaluate for progression. CHEST:LUNGS AND PLEURA: 4-mm nodule along the right horizontal fissure likely represents an intrapulmonary lymph node. Right middle lobe nodule measures 5 mm, previously 5 mm (image 56 of series 5). Small right pleural effusion has slightly ... | Overall stable appearing infiltrative hepatic mass, likely representing cholangiocarcinoma. |
Generate impression based on findings. | 13-year-old male. Status post left lateral entry IMN. Two views of the left femur again show an intramedullary rod and screw device affixing a subtrochanteric femoral fracture in near anatomic alignment. We see no hardware complication. There has been further callus maturation along the fracture indicating some interva... | Orthopedic fixation of a healing proximal femur fracture. |
Generate impression based on findings. | Reason: Pancreatic cystic neoplasm, IPMN surveillance History: IPMN ABDOMEN:LIVER, BILIARY TRACT: No hepatic mass. Moderate dilatation of the intra-and extrahepatic common bile duct, not changed. Common bile duct measures up to 11 mm, stable. No obstructing mass or stone. Patent hepatic vasculature.SPLEEN: Subcentimete... | 1.No significant change from prior exam. Stable cystic pancreatic lesions and biliary dilation. |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with moderate age-related volume loss. The basal cisterns remain patent. There is no midline shift or mass effect. There are scattered punctate foci and confluent areas of abnormal T2/FLAIR hyperintensity within the periventricular and subcortical white matter, which ... | No acute abnormality. Prominent FLAIR hyperintensity within the white matter, which likely represents a combination of moderate chronic small vessel ischemic changes with possibility of underlying sequela of lupus vasculitis not excluded. |
Generate impression based on findings. | 66 year old female with history of stage IV colon cancer status post hepatic resection in September 2014. Recent PET with suggestion of tumor bed activity. CHEST:LUNGS AND PLEURA: Bullous emphysema a bilateral apices, unchanged. Scattered pulmonary micronodules, unchanged.MEDIASTINUM AND HILA: No significant abnormalit... | 1.Postoperative findings of segment 6 wedge resection appear stable, without findings of recurrence at this location.2.Postoperative findings from prior colon resection are stable, however since there was increased PET activity in the left pelvis this will be given special attention on subsequent imaging.3.Unchanged le... |
Generate impression based on findings. | 56-year-old male with history of metastatic neuroendocrine tumor. ABDOMEN:LUNG BASES: No suspicious pulmonary nodules or masses.LIVER, BILIARY TRACT: Diffuse hepatic steatosis. Multiple arterial enhancing lesions are noted. Reference hepatic dome lesion measures 1.6 x 1.3 cm, previously 1.6 x 1.4 cm (image 22 of series... | Progression of metastatic disease with measurements as above. |
Generate impression based on findings. | Cryptic tonsils, left neck pain and throat pain: possible left level V lymphadenopathy. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. The osseous structures ar... | 1. No evidence of mass lesions or significant lymphadenopathy in the neck, include the left level V region.2. Lesions in the right cerebellar hemisphere may represent infarcts. Further evaluation via brain MRI may be useful.Discussed with Maureen Crowley at 4:10 PM on 4/29/15. |
Generate impression based on findings. | 71 year old female with history of bloating and belly pain. History of reflux. Evaluate for ascites and intestinal dilation. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality noted. Cholecystectomy clips are seen.SPLEEN: No significant abnormality notedPANCREAS: No sig... | No ascites or small bowel obstruction. No additional significant abnormality to explain the patient's symptoms. Mildly enlarged presacral lymph node, nonspecific and may be reactive. |
Generate impression based on findings. | 24 years old, Female, History: left leg and arm weakness 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. The imaged paranasal sinuses and mastoid air cells a... | No evidence of intracranial hemorrhage, mass, or cerebral edema. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct. If clinical concern is strong, further evaluation with MRI would be appropriate. |
Generate impression based on findings. | 60 year-old male with history of adenoid cystic lung carcinoma. CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules and masses are noted compatible with metastatic disease. Reference right middle lobe lesion measures 3.8 x 3.4 cm, previously 3.8 x 3.4 cm (image 65 of series 4). Although the aforementioned mass appears s... | Stable reference metastatic pulmonary mass, however other metastatic lesions have decreased in size. Please refer to measurements above. |
Generate impression based on findings. | Head trauma on coumadin. There is no evidence of acute intracranial hemorrhage or mass. There are mild patchy areas of cerebral white matter hypoattenuation. The ventricles are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The sk... | 1. No evidence of acute intracranial hemorrhage or skull fracture.2. Mild patchy areas of cerebral white matter hypoattenuation may represent small vessel ischemic disease of indeterminate age. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct. |
Generate impression based on findings. | Female 67 years old Reason: evaluate for acute process History: ttp /swelling over distal 5th MT s/p twisted foot/ankle Nondisplaced transverse fracture through the base of the fifth metatarsal bone, better seen on recent ankle radiographs. The bones are demineralized. Mild osteoarthritis at the first metatarsophalange... | Nondisplaced fracture through the base of the fifth metatarsal bone. The distal aspect of the fifth metatarsal is intact. |
Generate impression based on findings. | History of otospongiosis and bilateral ossicular prostheses, with possible displacement of the right prosthesis. Audiogram: mild-severe left SNHL, severe-profound right SNHL. Left: There is a metallic left stapes prosthesis that appears to be detached from the incus long process laterally, as evidenced by the minute ai... | 1. The right stapes wire prosthesis extends from the incus to the inferior margin of the oval window. 2. The left stapes prosthesis that appears to be detached from the incus long process laterally, perhaps due to erosion of the incus.3. Bilateral fenestral otospongiosis. |
Generate impression based on findings. | 67 year old female with history of pneumatosis. Megacolon. ABDOMEN:LUNG BASES: Interstitial predominant opacities at the lung bases, most consistent with subsegmental atelectasis. Marked coronary artery calcifications.LIVER, BILIARY TRACT: Cholelithiasis again noted.SPLEEN: No significant abnormality notedPANCREAS: No ... | Interval decrease, but persistent, colonic pneumatosis as above. |
Generate impression based on findings. | Female 26 years old with chronic low back pain without weight loss, saddle anesthesia, or loss of bowel/bladder control. Mild leftward curvature of the lumbar spine. Six non-rib bearing lumbar vertebra with partial sacralization of L6 consisting of a hypertrophied transverse process on the left side which articulates w... | Partial sacralization of L6 and perhaps minimal degenerative arthritic changes as described above which could be further evaluated with MRI if clinically indicated. |
Generate impression based on findings. | Male 70 years old; Reason: r/o prostatic abscess History: persistent pyuria dysuria ABDOMEN:LUNG BASES: Stable right lower lobe nodule since 2005 (3:4)LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abno... | 1.No acute abdominal or pelvic pathology. No prostatic abscess. |
Generate impression based on findings. | Reevaluation of right upper lobe cavitary lesion. History of hemoptysis. LUNGS AND PLEURA: Interval decrease in size of right upper lobe cavitary lesion, measuring 21 x 22 mm (series 6 image 29), previously 44 x 34 mm. Bronchial wall thickening, greater on the right. Right upper lobe and bibasilar scarring/atelectasis.... | Significant interval decrease in size of cavitary right upper lobe lesion compatible with infectious etiology. No new findings. |
Generate impression based on findings. | Squamous cell carcinoma of the larynx. Please reevaluate LUNGS AND PLEURA: Scattered benign-appearing pulmonary micronodules, many calcified in all unchanged. No new suspicious nodules or masses. No effusions.MEDIASTINUM AND HILA: Please correlate with concomitant neck CT. Otherwise below the thoracic inlet, no lymphad... | No evidence of metastatic disease. |
Generate impression based on findings. | PainVIEWS: Left tibia and fibula No acute fracture or dislocation. There is questionable periosteal reaction along the distal fibula. | No acute fracture or dislocation. |
Generate impression based on findings. | 45 year old female with history of fallopian tube carcinoma, increasing CA-125, evaluate for progression of disease. CHEST:LUNGS AND PLEURA: No masses, pleural effusion or other significant abnormality noted.MEDIASTINUM AND HILA: No significant lymphadenopathy, pericardial effusion or other significant abnormality note... | Findings compatible with metastatic nodal adenopathy, with two reference lesions having increased slightly in size over the interval, and other reference lesions stable in size. |
Generate impression based on findings. | 17 year old male patient with ankle pain/swelling.VIEWS: Left ankle AP, oblique, lateral (3 views) 4/29/2015 There is soft tissue swelling about the ankle. A questionable small ankle joint effusion is noted. No fracture is evident. The ankle mortise is intact. A spur is noted along the superior aspect of the talus. | Soft tissue swelling without fracture. |
Generate impression based on findings. | Female 49 years old. Reason: left C5/6 radiculopathy. Suspect OA. History: left C5/6 radiculopathy Five views of the cervical spine are provided. Vertebral body heights and intervertebral disk spaces are preserved. Neural foramina appear patent. Alignment is within normal limits. There is a small focus of mineralizatio... | Minimal glenohumeral osteoarthritis. Cervical spine appears essentially normal for age. |
Generate impression based on findings. | Line placementVIEW: Chest AP and abdomen AP Cardiothymic silhouette normal. No focal lung opacity. No pleural effusion or pneumothorax. The umbilical venous catheter tip in the left superior pulmonary vein. The umbilical arterial catheter tip at T7. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneum... | Malpositioned umbilical venous catheter as described above. |
Generate impression based on findings. | 27 year old female with history of right upper quadrant pain and. Umbilical pain. Rule out appendicitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholecystectomy clips are noted. No significant biliary dilatation or other significant hepatic abnormality.SPLEEN: No significant abnormalit... | 1.Appendix is within normal limits. 2.Small fat-containing umbilical hernia. 3.Left corpus luteum and right physiologic cysts are noted, correlate with pelvic ultrasound if further evaluation is indicated. |
Generate impression based on findings. | Male, 70 years old, with stroke. A small right-sided subdural collection is evident along the cerebral hemisphere, slightly hyperattenuating to CSF, measuring 6 to 7 mm in thickness at its widest point. This collection exerts minimal if any mass effect on the adjacent brain.No evidence of parenchymal edema or loss of g... | Small right subdural collection exerting minimal if any mass effect on the brain. By virtue of its relatively low attenuation, this could represent a late subacute or chronic subdural hematoma, though in the context of anticoagulation or coagulopathy, it would be age indeterminate. No definite evidence of any additiona... |
Generate impression based on findings. | There are stable postoperative changes related to right parotidectomy and neck dissection. There is an essentially stable irregular lytic lesion that involves the right basiocciput, petrous and mastoid portions of the temporal bone, squamous occipital bone, and occipital condyle. There is also involvement of the right... | Continued stable appearance of treated acinic cell carcinoma at right lateral skull base with possible superimposed osteoradionecrosis. |
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