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Generate impression based on findings. | Female, 60 years old, with headache. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid is seen. There is no evidence of mass effect or parenchymal edema. The ventricular system is normal in size and morphology. The vi... | No acute intracranial abnormality. |
Generate impression based on findings. | Reason: evaluate for intracranial abnormality History: altered mental status The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a moderate degree are present.No abnormal mass lesions are appreciated intracranially. No intracra... | 1.No evidence for acute intracranial hemorrhage mass effect or edema. CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction.2.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. |
Generate impression based on findings. | History: headache, neck stiffness. considering lumbar puncture The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized portions ... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Reason: Is there a mass? Need to do LP History: Headache and myalgias. The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a mild degree are present. This is stableNo abnormal mass lesions are appreciated intracranially. No int... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Periventricular and subcortical white matter changes of a mild degree are nonspecific. They are most likely vascular related. |
Generate impression based on findings. | Reason: eval for acute changes History: visual hallucinations The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a moderate degree are present.Small hypodense foci are redemonstrated in the basal ganglia.No abnormal mass lesio... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Lesions in the basal ganglia are most likely old lacunar infarcts. They have not changed since the prior exam.3.Periventricular and subcortical white matter changes of a moderate degree are nonspecific. At this age they are most likely vascular rela... |
Generate impression based on findings. | Reason: eval for infarct History: dizziness, palpitations, memory loss, headache The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The vi... | No evidence for acute intracranial hemorrhage, mass effect or edema. CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction. |
Generate impression based on findings. | Reason: evaluate for intracranial injury History: fell on concrete, forehead swelling, headache The CSF spaces are appropriate for the patient's stated age with no midline shift. There is soft tissue swelling along the left frontal scalp.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhag... | 1.No evidence for acute intracranial hemorrhage mass effect or edema. There is a left frontal scalp hematoma present. |
Generate impression based on findings. | Reason: circle of willis aneurysm History: L sided headache and L field of vision cut Brain CTA: There is a 2mm aneurysm along the medial wall of the left cavernous ICA.There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral a... | 1.There is a 2mm aneurysm along the medial wall of the left cavernous ICA.2.No evidence for cerebral vascular occlusive disease3.No evidence for acute intracranial hemorrhage mass effect or edema. CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction. |
Generate impression based on findings. | Reason: eval for vascular abnormality History: eval for vascular abnormality Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. No aneurysms or intracranial stenosis is appreciated. Lenticulostriate a... | 1.No evidence for aneurysm or arteriovenous malformation.2.No evidence for cerebral vascular occlusive disease.3.There is redemonstration of a large hematoma centered in the left basal ganglia and right thalamus associated with intraventricular blood and mild enlargement of the lateral ventricles4.The patient is status... |
Generate impression based on findings. | Reason: evaluate for ICH History: sz? AMS There is a hematoma centered in the right thalamus measuring 39 x 26 mm axial dimensions Another hematoma is present in the left basal ganglia and anterior limb of internal capsule measuring 28 x 27 mm axial dimensions. There is marked intraventricular blood bilaterally involvi... | 1.There is a large hematoma centered in the right thalamus hematoma.2.There is a large hematoma centered in the left basal ganglia .3.There is associated intraventricular blood. Periventricular hypodensities associated with this could in part be related to so-called transependymal migration of CSF.4.There is mild enlar... |
Generate impression based on findings. | Reason: r/o mass History: h/o CVA w/ new onset seizure The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a moderate degree are present. Hypodense foci are present in the right caudate nucleus and adjacent to the left caudate ... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction.2.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related.3.lacunar infarcts are pre... |
Generate impression based on findings. | Reason: New R temporal/occipital stroke with recent MI (1 wk ago), please evaluate for vessel occlusion or stenosis for possible surgical lesion or dissection or other etiology. History: Left arm and leg 'numbness' with mild incoordination Neck CTA: There is opacification of the aortic arch, great vessels from the aort... | 1.Findings are compatible with subacute infarction involving posterior temporal branch of the right posterior cerebral artery territory centered in the fusiform gyrus.2.No cerebrovascular occlusion can be identified on the current exam.3.There is no significant vertebral artery and carotid artery stenosis appreciated |
Generate impression based on findings. | Gunshot wound.VIEWS: Right femur AP/lateral (two views), right knee AP/lateral/oblique (3 views) 04/29/15 Skin markers are identified along the anteromedial and lateral aspects of the distal thigh. No retained projectile fragment is present. A small amount of subcutaneous emphysema is noted. A fracture of the cortex of... | Fracture of the distal femur due to gunshot. |
Generate impression based on findings. | 48 year-old male with history of NSCLC (adeno), hypercalcemia evaluate for evidence of progression LUNGS AND PLEURA: Severe apical predominant paraseptal emphysema with prominent bullae. Subpleural extension to the right apex by the right paraspinal mass unchanged. Scattered calcified micronodules. No pleural effusion ... | No significant interval change in right paraspinal mass. Progression of adrenal masses, see separate A/P report. |
Generate impression based on findings. | Knee pain. Rule-out fracture.VIEWS: Left knee AP/lateral/oblique (3 views) 04/29/15 A joint effusion is not present. No fracture is identified. The bones are normal in appearance. | Normal examination. |
Generate impression based on findings. | Reason: right pleural effusion v bronchial plugging History: above LUNGS AND PLEURA: Large right pleural effusion with overlying compressive atelectasis. No specific evidence of loculation. Patchy airspace opacity throughout the left lung and in the right base.MEDIASTINUM AND HILA: Right jugular catheter with tip in SV... | 1.Large right pleural effusion with overlying compressive atelectasis.2.Patchy airspace opacity, greater on the left, which may represent infection or aspiration. |
Generate impression based on findings. | 17 year-old male patient with right lower quadrant pain. Question of appendicitis or other acute intra-abdominal pathology. ABDOMEN:LUNG BASES: The lung bases are without consolidation.LIVER, BILIARY TRACT: Diffuse hypoattenuation of the hepatic parenchyma is compatible with hepatic steatosis. No focal hepatic lesion i... | 1. Hepatic steatosis.2. Normal appendix. |
Generate impression based on findings. | 24-year-old male. Pain. Evaluate for fracture. Mild soft tissue swelling about the ankle. No fracture or malalignment. Ankle mortise is intact. There is suggestion of a pes planus deformity, though evaluation is limited on this non weight-bearing view. | Mild soft tissue swelling without fracture. |
Generate impression based on findings. | Reason: Is there a PE? History: SOB PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus.LUNGS AND PLEURA: Mild apical predominant paraseptal emphysema. Bibasilar atelectasis and scarring. Mild basilar predominant bronchial wall thickening compatible with bronchitis. No suspicious pulmonary nodules or m... | 1.No pulmonary embolus.2.Mild basilar predominant bronchial wall thickening compatible bronchitis.3.Mild emphysema. 4.Nonspecific mildly enlarged right hilar and subcarinal lymph nodes.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not a... |
Generate impression based on findings. | Evaluate the lung fields, increasing respiratory distress; increasing O2 requirement, full term gestationVIEW: Chest and abdomen AP (two views), 4/30/15 5:21 The aortic arch, cardiac apex and stomach are left-sided. Cardiothymic silhouette is normal. Bilateral upper lobe opacity noted. No pleural effusion or pneumothor... | Opacity of bilateral upper lobes. Disorganized bowel gas pattern. |
Generate impression based on findings. | Female 40 years old. Reason: eval for acute process. History: atraumatic LBP Vertebral body heights, disk spaces, and alignment are preserved. Posterior elements are unremarkable. No fracture is evident. | No abnormality. |
Generate impression based on findings. | Female, 32 years old. Reason: eval for cholecystitis History: RUQ/epigastric pain, n/v, leukocytosis LIVER: The liver measures 15.8 cm, with homogeneous echotexture, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic or extrahepatic biliary ducta... | Cholelithiasis with gallbladder distention and mild wall thickening. In the appropriate clinical setting, these findings can be seen in acute cholecystitis. |
Generate impression based on findings. | 1-day-old 33 to 34 week gestational age patient with line placement. History of skeletal dysplasia.VIEWS: Chest and abdomen AP (two views) 04/29/15, 1724 Umbilical arterial line has been removed. Umbilical venous line tip is at junction of inferior vena cava and right atrium.Cardiothymic silhouette is normal. No focal ... | No focal lung opacity. Disorganized bowel gas pattern. |
Generate impression based on findings. | Male 58 years old. Reason: Post-reduction. History: Dislocated L Hip There has been interval reduction of the left hip arthroplasty which is now in anatomic alignment. There is no fracture evident. | Reduction of the posterior dislocation of the left hip arthroplasty. |
Generate impression based on findings. | 53-year-old female. Tenderness. Evaluate for fracture. No fracture or malalignment. | No evidence of a fracture. |
Generate impression based on findings. | 59-year-old female. Pain. Evaluate for RA. Right hand: Slight negative ulnar variance. Mild osteoarthritis affects the interphalangeal joints and basilar joint. Ossific density adjacent to the 1st IP joint may reflect old trauma. No erosions are evident.Left hand: Slight negative ulnar variance. Mild osteoarthritis aff... | Osteoarthritis. No radiographic evidence of rheumatoid arthritis. Healing right proximal fibular fracture. |
Generate impression based on findings. | 3-year-old male patient with left hemidiaphragmatic paresis, TAPVR with cough, diminished left lung sounds. VIEWS: Chest AP/lateral (two views) 4/30/2015 The cardiac silhouette size is upper limits of normal, unchanged. Left retrocardiac and perihilar streaky opacities likely represent atelectasis. Peribronchial thicke... | Bronchiolitis/reactive airways disease pattern. |
Generate impression based on findings. | Male 58 years old. Reason: shoot-through L Lateral hip. History: L hip pain. Posterior dislocation of the femoral component of the left hip arthroplasty in relation to the acetabular component. Bilateral hip arthroplasties are incompletely imaged, however, no fracture is evident. | Posterior dislocation of the femoral component of the left hip arthroplasty. |
Generate impression based on findings. | Reason: eval nodule in lungs History: cxr shows scattered nodules in lungs LUNGS AND PLEURA: Innumerable bilateral pulmonary nodules suspicious for metastatic disease. For reference largest left lower lobe subpleural nodule measures 15 x 15 mm (series 9 image 50). Bilateral focal pleural nodularity. No pleural effusion... | 1.Innumerable bilateral pulmonary nodules measuring up to 15 mm compatible with metastatic disease.2.Sclerotic and lytic foci within the spine, ribs, and manubrium, suspicious for metastatic disease.3.For abdominal findings, see separately dictated CT urogram performed on the same day. |
Generate impression based on findings. | 17 year old female patient with pain and swelling to thumb with limited mobility. Question of thumb fracture versus sprain.VIEWS: Right hand PA, oblique, lateral (3 views) 4/30/2015 No acute fracture is evident. The bones of the hand appear normal. Alignment is anatomic. There is fullness of the hypothenar eminence. | No acute fracture is evident. |
Generate impression based on findings. | 53-year-old male presents with epigastric pain. Evaluate for pancreatitis or other etiology. ABDOMEN:LUNG BASES: Mild dependent atelectasis. No significant pleural effusions. Normal cardiac size without pericardial effusion.LIVER, BILIARY TRACT: Geographic regions of hepatic hypoattenuation with traversing vascular str... | 1. Findings of chronic pancreatitis with an 8.2 cm peri-pancreatic fluid collection and adjacent smaller 1.4 cm collection. Chronic splenic vein conclusion.2. Healing left lateral rib fracture.3. Probable focal fatty infiltration of the liver. |
Generate impression based on findings. | Reason: line placement, pt removed ND after imaging took place. History: nausea, vomiting 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. Previously described high-grade bowel obstruction is not well appreciated o... | Enteric tube tip projects in the prepyloric antrum. |
Generate impression based on findings. | Male 41 years old. Reason: foot injury. History: pain Mild soft tissue swelling along the dorsal aspect of the midfoot. There is no fracture or malalignment. Minimal osteoarthritis affects the first MTP joint. Small plantar calcaneal spur is again noted. | No fracture or malalignment evident. Follow up radiographs may be considered if clinical suspicion remains high. |
Generate impression based on findings. | Male 71 years old Reason: cause of knee pain. History: intense pain. Right knee: The distal quadriceps tendon appears indistinct with questionable thickening at its insertion raising the possibility of tendinosis. There is perhaps a small joint effusion. The joint spaces are relatively preserved. Vascular calcification... | The distal quadriceps tendon appears indistinct with questionable thickening at its insertion raising the possibility of tendinosis. This could be further evaluated with MRI if clinically warranted. |
Generate impression based on findings. | 20 oh female with tachycardia, hypoxia, positive smoker. Rule out pulmonary embolism PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary caliber within normal limits. No evidence of right heart strain.LUNGS AND PLEURA: Right middle lobe, lingula and left lower lobe patchy consolidation. Diffuse bilate... | 1. No evidence of pulmonary embolism. 2. Right middle lobe, lingula and left lower lobe patchy consolidation most consistent with pneumonia. Associated diffuse tree in bud opacities and centrilobular nodules most consistent with bronchiolitis most likely infectious, consider atypical mycobacterial infection. Given the ... |
Generate impression based on findings. | 58 years, Female. Reason: dht re-confirmation of placement History: dht re-confirmation of placement Dobbhoff tube tip is either in the proximal jejunum, distal to the ligament of Treitz, or curled upon itself with the tip directed to the right within the third portion of the duodenum. Multiple surgical clips again pro... | Dobbhoff tube tip is favored to lie in the proximal jejunum, distal to the ligament of Treitz. However, this may be confirmed with lateral view, as clinically indicated. |
Generate impression based on findings. | 63-year-old female with known fat containing left breast mass, presenting for follow-up. No current breast complaints. Family history of mother with breast cancer, diagnosed at the age of 78. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is ... | 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. | Reason: r/o obstruction and follow up ARDS, History: abdominal distension, immunodeficiency (ADA def v SCID), cardiofacial cutaneous syndrome, admitted for status epilepticus VIEW: Abdomen AP (one view), Chest AP (one view) 4/30/15 7:37 Chest: Right PICC tip in the atrium. ET tube tip below the thoracic inlet and above... | 1.Round air collection in the left central abdomen as above. Recommend lateral decubitus or cross table lateral view for further characterization. 2.Stable atelectasis.Findings discussed with Dr. Adam on 4/30/15 9AM. |
Generate impression based on findings. | Female 41 years old. Reason: r/o fx. History: pain and swelling There is soft tissue swelling along the lateral malleolus without a large joint effusion. There is a nondisplaced, oblique fracture through the distal fibula without evidence of posterior or medial component abnormality. | Nondisplaced fracture of the distal fibula. |
Generate impression based on findings. | 60 years, Male. Reason: h/o c diff infection, r/o megacolon History: see above Nonobstructive bowel gas pattern. Surgical clips and surgical suture material are noted. IVC filter projects in expected location. Degenerative changes affect the lumbar spine and hips. The lung bases appear clear. No specific evidence of me... | Nonobstructive bowel gas pattern. No specific evidence of megacolon. |
Generate impression based on findings. | 75-year-old female. Chronic neck and low back pain. History of prior intervention and prior compression fracture. Evaluate for compression fracture. Anterior plate and screw device in the lower cervical spine. Bilateral total hip arthroplasty devices, incompletely imaged.Bones are demineralized. Mild multilevel degener... | Degenerative disk disease. No evidence of a compression fracture. |
Generate impression based on findings. | Female 92 years old Reason: fall , L shoulder. History: fall. Left shoulder: The study is limited with only two projections however we see no fracture or malalignment. Moderate osteoarthritis affects the left glenohumeral joint and acromioclavicular joint. Left elbow: Severe osteoarthritis affects the elbow joint with ... | 1. Within the limitations of the study we see no fracture or malalignment. If there is ongoing or high clinical concern follow-up radiographs are recommended. 2. Osteoarthritis as described above with loose bodies within the elbow joint. 3. Gas density tracking within the anterolateral soft tissues for which clinical c... |
Generate impression based on findings. | Reason: 24yo with newly dx lung CA with R PTX with 2 chest tubes placed at OSH. Underwent 1-way valve placement. Pulm requesting chest CT for further eval History: chest tubes LUNGS AND PLEURA: Moderate right pneumothorax. Anterior right chest pigtail catheter with tip in the anterior upper chest. Additional posterior ... | 1.Multiple right pulmonary, pleural, and pericardial nodules/masses compatible with patient's history of lung cancer. 2.Right moderate pneumothorax and right chest wall subcutaneous emphysema. Two right pigtail catheters in place. Findings may represent a bronchopleural fistula.3.Mildly enlarged right hilar and subcari... |
Generate impression based on findings. | 63-year-old female with history of recent ureteral stent placement and hematuria. Evaluate for retroperitoneal bleed or vascular abnormality. ABDOMEN:LUNG BASES: Basilar predominant honeycombing traction bronchiectasis, and architectural distortion compatible with chronic interstitial lung disease in a UIP pattern.LIVE... | 1. No evidence of retroperitoneal bleed or vascular abnormality as clinically queried.2. Stable reference distal left ureter lesion. Additional high attenuating foci within the left ureter are present, for example on images 91 and 75 of series 3 with interposed stretches of normal ureter. Although enhancement cannot be... |
Generate impression based on findings. | Reason: Assess progression of pneumothorax History: Asymptomatic, breathing comfortably on RAVIEW: Chest AP (one view) 4/30/15 5:32 Interval UVC tip advancement to RA/SVC junction. Cardiothymic silhouette is normal. Small right-sided pneumothorax. No focal pulmonary opacity or pleural effusions. | Residual small right-sided pneumothorax. Interval UVC tip advancement to RA/SVC junction. |
Generate impression based on findings. | Female 21 years old. Reason: r/o fx. History: pain and swelling Diffuse soft tissue swelling particularly along the medial aspect without underlying osseous abnormality. The mortise is intact. | Soft tissue swelling without fracture or malalignment. |
Generate impression based on findings. | 62 year old male with s/p EGD assess DHT placement. Note is made of multiple dilated loops of small bowel consistent with the patient's known history of small bowel obstruction, appearing similar to the prior study. There is apparent wall thickening of the loops of bowel in the midabdomen. No evidence of pneumatosis in... | Persistent dilated loops of bowel, consistent with a continued small bowel obstruction. There is wall thickening of loops of small bowel in the midabdomen which may reflect the sequela of hypoperfusion/prior anoxic event, although this could also reflect bowel ischemia related to the patient's continued small bowel obs... |
Generate impression based on findings. | The lumbar spine is in normal alignment, with a normal lumbar lordosis. There is mild disk narrowing at L3-L4 and moderate disk narrowing L4-L5 and L5-S1, The vertebral body and disk heights are otherwise well-maintained. There is disk desiccation at T11-T12, L4-L5 and L5-S1. There is a mildly heterogeneous appearance... | 1. Mild developmental narrowing of the lumbar spinal canal with superimposed minimal spondylotic changes most conspicuous at L5-S1 where there is a central disk protrusion which abuts the descending left greater than right S1 nerve roots. Moderate left foraminal narrowing with abutment of the exiting left greater than ... |
Generate impression based on findings. | Female 45 years old. Reason: eval for fracture. History: limping, right hip pain Small osteophytes represent mild osteoarthritis. No fracture or malalignment is evident. | No fracture or malalignment evident. |
Generate impression based on findings. | 35 years, Female. Reason: 35 y.o. female with ? Crohn's colitis. Please r/u colonic dilation. History: diarrhea, weight loss, pain The pelvis is not included in the field of view. Note is made of wall thickening affecting the transverse and descending colon consistent with the findings on recent CT examination of a dif... | Findings consistent with the patient's known history of colitis without dilated loops of bowel, as clinically questioned. |
Generate impression based on findings. | Mammogram: Three standard views of both breasts and two spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. Lobulated focal asymmetry in in the left upper outer quadrant demonstrates ... | 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.Patient indicates she will try to obtain prior mammograms from Loyola Hospital, which if obtained, a co... |
Generate impression based on findings. | 27 year-old female with history of bilateral abdominal pain radiating to the back. CHEST:LUNGS AND PLEURA: No significant pulmonary parenchymal or pleural abnormality. No suspicious pulmonary masses or nodules.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Normal cardiac size without pericardial effusio... | Significantly dilated long-segment u-shaped small bowel loop with an abrupt transition point in the mid-abdomen proximal to anastomosis. The transition point bowel loop demonstrates moderate mural thickening. The findings are concerning for a small bowel obstruction. The configuration raises the concern for an internal... |
Generate impression based on findings. | 46 year old female status post J-pouch excision on 4/22 now with persistent oxygen requirement leukocytosis. Evaluate for pulmonary embolism. PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery caliber within normal limits. No evidence of right heart strain.LUNGS AND PLEURA: No suspicious pulmo... | 1. No evidence of pulmonary embolism. 2. Mild bibasilar mucous plugging with associated atelectasis. Trace left pleural effusion.3. incidental finding of right bronchopulmonary sequestration.PULMONARY EMBOLISM: PE: NegativeChronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: ... |
Generate impression based on findings. | 12-year-old female patient with swelling and pain to movement of the thumb after caught in heavy wooden front door of school. Question of thumb fracture.VIEWS: Left hand PA, oblique, lateral (3 views) 4/30/2015 There is a Salter-Harris type IV fracture of the lateral base of the thumb proximal phalanx. Swelling is note... | Salter Harris type IV fracture of the thumb proximal phalanx; recommend thumb radiographs for follow up. |
Generate impression based on findings. | 77-year-old male status post Dobbhoff tube placement. The pelvis is not included in the field-of-view. Enteric tube is coiled within the stomach with the tip projecting towards the fundus. Gaseous distention of the stomach. Multiple dilated loops of small bowel, suggestive of an adynamic ileus, although follow-up exami... | 1. Enteric tube is coiled within the stomach with the tip projecting towards the fundus. 2. Multiple dilated loops of small bowel, suggestive of an adynamic ileus, although follow-up examination is recommended to evaluate for developing small bowel obstruction. |
Generate impression based on findings. | Male 58 years old Reason: Evaluate for possible new metastasis History: pain in scapula. No fracture or malalignment. No evidence of metastatic disease to bone. A central venous catheter is noted with tip projected over the cavoatrial junction. | No evidence of metastatic disease to bone. |
Generate impression based on findings. | Female 73 years old; Reason: pt with metastatic melanoma s/p Ipilimumab please eval disease status and compare to previous treatment History: metastatic melanoma CHEST:LUNGS AND PLEURA: Biapical scarring.MEDIASTINUM AND HILA: A few scattered subcentimeter cardiomediastinal lymph nodes, the largest retrocaval pretrachea... | 1.Indeterminate 1.9-cm left enhancing adrenal nodule. No priors are available for comparison. If outside studies are available, these can be compared. Otherwise, PET scan may be useful to further characterize this lesion. |
Generate impression based on findings. | 46-year-old male status post NG tube placement. Interval placement of NG tube with the tip projecting at the level of the body of the stomach. Focally dilated loops of small bowel in the left hemiabdomen. Gaseous distention of the colon. Surgical drain projects over the right hemiabdomen. Surgical staples project over ... | 1. NG tube tip projects at the level of the body of the stomach.2. Focally dilated loops of small bowel, suggestive of a focal adynamic ileus. |
Generate impression based on findings. | 23-year-old female with history of abdominal pain. Evaluate for abscess/IBD. 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... | 1. No evidence of IBD or intraabdominal abscess. No specific findings to account for the patient's pain.2. Left ovarian cyst, likely physiologic.3. Cluster of small mesenteric lymph nodes in the right lower quadrant, nonspecific. |
Generate impression based on findings. | 46 years, Male. Reason: Patient with nausea/vomiting s/p partial nephrectomy of horseshoe kidney History: as above Focally dilated loops of small bowel in the left hemiabdomen. Gaseous distention of the colon. Air-fluid level within the stomach. Surgical drain projects over the right hemiabdomen. Surgical staples proje... | Focally dilated loops of small bowel, may reflect focal adynamic ileus. |
Generate impression based on findings. | 90 -year-old female with shortness of breath, persistent tachycardia with atrial fibrillation. Evaluate for pulmonary embolism. PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery caliber within normal limits. No evidence of right heart strain.LUNGS AND PLEURA: Groundglass and tree in bud opaci... | 1. No evidence of pulmonary embolism. 2. Right upper and middle lobe ground glass opacities with tree in bud component most consistent with resolving infection or aspiration. PULMONARY EMBOLISM: PE: NegativeChronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 12-year-old male patient with hip and thigh pain on right post fall now unable to bear weight.VIEWS: Pelvis AP and frog leg (two views), right femur AP and lateral (two views) 4/30/2015 There is an avulsion fracture of the right lesser trochanter with approximately 1.5 cm of superior displacement of the fracture fragme... | Avulsion fracture of the right lesser trochanter. |
Generate impression based on findings. | 40 year-old male with history of non-small cell lung carcinoma, hypercalcemia, evaluate for progression. ABDOMEN:LUNG BASES: No significant pericardial effusion. No pleural effusion. Please refer to CT of the chest report for additional evaluation of the thorax.LIVER, BILIARY TRACT: Unchanged right hepatic cyst. No bil... | Interval increased size of adrenal metastases, as above. Please see separate report for CT Chest under accession#14986308 for thoracic findings. |
Generate impression based on findings. | 60-year-old male status-post NG tube placement. The lower abdomen and pelvis are not included in the field-of-view. Interval repositioning of the NG tube with the tip projecting at the level of the fundus of the stomach. Enteric tube tip projects at the level of the proximal jejunum. Multiple percutaneous biliary drain... | Interval repositioning of the NG tube which is coiled within the stomach with the tip projecting towards the fundus of the stomach. |
Generate impression based on findings. | Reason: evolution of right hemisphere changes History: as above The patient is status post right temporal lobe surgery. There is redemonstration of a right-sided craniotomy and a right-sided subdural effusion is also collection underneath the dura at the craniotomy site. The combined thickness of these extra-axial coll... | 1.The patient is status-post recent right-sided craniotomy. There is redemonstration of subdural and epidural extra-axial collections which are stable compared to the previous exam. There is associated midline shift which remains stable since the prior exam.2.There is redemonstration of hypodense lesions in the right t... |
Generate impression based on findings. | 66 years, Female. Reason: evaluate for obstruction or intra-abdominal abnormalities History: recent g-tube exchange, drainage at g-tube site Gastrostomy tube projects in expected location. Nonobstructive bowel gas pattern. Average stool burden. No intra-abdominal findings to explain patient's symptoms. | Gastrostomy tube projects in expected location. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Reason: eval esophagus/disease progression History: eval esophagus (history metastatic breast cancer) CHEST:LUNGS AND PLEURA: Reference right apical nodule is unchanged, measuring 11 x 10 mm (series 4 image 7). Adjacent smaller nodule is also unchanged.Postsurgical changes in the right upper lobe including adjacent sca... | 1.Interval increase in hepatic metastasis.2.Interval increase in size of small right basilar pulmonary nodule, which may represent a new metastasis.3.Previously identified subpleural nodular opacity in the right base now has air bronchograms and may represent resolving infection or infarction given patient's history of... |
Generate impression based on findings. | 20 year-old female. Left elbow fracture status post fall. Overlying cast obscures fine bone detail. Radial head intra-articular fracture with 2 mm of articular surface depression. Small elbow joint effusion. | Radial head fracture. |
Generate impression based on findings. | vision change No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unrema... | No evidence of acute ischemic or hemorrhagic lesion.If clinically indicated, brain MRI can be considered for further evaluation. |
Generate impression based on findings. | 65-year-old female. Status post fall distal radius fracture two weeks ago in Dominican Republic. Distal radius comminuted, predominantly transverse fracture with mild impaction. Evaluation for intra-articular extension is not possible due to obscuration of fine bone detail by overlying cast. | Distal radius fracture. |
Generate impression based on findings. | 46 year old female with epigastric, left lower quadrant and periumbilical pain. History of bypass surgery and pancreatitis. ABDOMEN:LUNG BASES: Minimal dependent atelectasis without pleural effusions. No pericardial effusion.LIVER, BILIARY TRACT: No suspicious focal hepatic lesion, biliary ductal dilatation or vascular... | Findings of acute pancreatitis without a drainable fluid collection or other complication. |
Generate impression based on findings. | Female, 24 years old. Reason: evaluate for cholecystitis, pyelonephritis History: RUQ pain and guarding positive UA hx of pyelo LIVER: The liver measures 22.3 cm, with homogeneous echotexture, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic or... | No evidence of acute cholecystitis or other acute abnormality to account for the patient's symptoms. |
Generate impression based on findings. | Male 58 years old. Reason: right hip pain. History: right hip pain Right hip and pelvis: Joint space narrowing and sclerosis representing mild to moderate osteoarthritis bilaterally. There is questionable flattening of the femoral heads bilaterally, and early osteonecrosis cannot be excluded.Knee: Postsurgical changes ... | Osteoarthritis as described above. Questionable flattening of the femoral heads bilaterally and early osteonecrosis cannot be excluded. |
Generate impression based on findings. | Male 3 years old Reason: evaluate healing of fracture History: fall - right leg injuryVIEWS: Right tibia and fibula AP and lateral 4/30/15 (two views) Cast material obscures fine bone detail. Healing distal tibial fracture is in anatomic alignment. | Healing fracture, in anatomic alignment. |
Generate impression based on findings. | 68-year-old with history of right breast IDC in 2009 status post lumpectomy and radiation presents for routine follow-up. Three standard views of both breasts and additional right ML and exaggerated CC lateral view were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of sc... | 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. | 66 year-old female with right lower quadrant tenderness and positive psoas sign. Evaluate for appendicitis. ABDOMEN:LUNG BASES: Moderate dependent atelectasis. No pleural effusions. No pericardial effusion.LIVER, BILIARY TRACT: No focal suspicious hepatic lesion, biliary ductal dilatation or vascular abnormality. Parti... | Large right adnexal soft tissue mass. The right ovary is not identified. Differential considerations include a large pedunculated subserosal uterine fibroid or an ovarian mass. Ovarian torsion cannot be entirely excluded but is less favored given the lack of adjacent inflammatory changes. A pelvic ultrasound or MRI is ... |
Generate impression based on findings. | The scout lateral view and the sagittal reformatted images demonstrate normal alignment of the cervical spine, with a normal cervical lordosis. The vertebral body heights are well-maintained. There is multilevel disk space narrowing, up to moderate in degree at C2-C3 and C3-C4 with mineralization of the C3-C4 disk spa... | 1. Findings most suggestive of DISH most conspicuous along the cervical spine. Moderate-severe bilateral foraminal narrowing at C5-C6 due to spondylotic changes.2. Thin flowing ventral osteophytes with more bulky lateral osteophytes along the lower thoracic spine, with moderate left T11-12 foraminal narrowing. Otherwis... |
Generate impression based on findings. | Male 67 years old Reason: Evaluation of right basilar joint pain for arthritis changes. History: Right thumb pain and decreased grip. Moderate to pronounced osteoarthritis most prominent in the basilar and triscaphe joint and less marked in the metacarpophalangeal joint and interphalangeal joint of the thumb as well as... | Osteoarthritis as described above. |
Generate impression based on findings. | Female 18 years old. Reason: ? ankle pain History: ? fracture Moderate diffuse soft tissue swelling and a small joint effusion without underlying osseous abnormality. The mortise is intact. | Soft tissue swelling without fracture or malalignment. |
Generate impression based on findings. | Male, 71 years old. Reason: screen for HCC -- known cirrhosis History: none LIVER: The liver measures 14.7 cm, with coarse, echogenic appearance, and no definite focal lesion. Note that fatty infiltration limits the sensitivity for the detection of focal lesions.The main portal vein is patent, with normal hepatopetal f... | Coarse, echogenic liver without focal lesion. Mild splenomegaly and no ascites. |
Generate impression based on findings. | 42-year-old female with history of constipation. Evaluate for SBO. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Left hepatic lobe hypoattenuating lesion likely represents a cyst.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant ... | 1. No evidence of bowel obstruction as clinically queried.2. Small hiatal hernia.3. Punctate nonobstructing calyceal calculus.4. High retrocolic appendix, a normal variant.5. Nonspecific mildly enlarged pelvic lymph nodes. |
Generate impression based on findings. | Male 68 years old; Reason: r/o kidney or bladder mass/ stones History: decreased appetite, hematuria, difficulty urinating, masses on CXR ABDOMEN:Suboptimal exam secondary to patient motion artifact.LUNGS BASES: Please refer to CT chest exam from same day for additional findings.LIVER, BILIARY TRACT: Small perihepatic ... | 1. Constellation of findings suspicious for metastatic renal cell carcinoma.2. Markedly mottled appearance of right kidney, particularly in mid anterior and midpole, suspicious for infiltrative renal cell carcinoma. At level of renal mass there is dilatation and intraluminal heterogeneity of right renal vein and IVC, t... |
Generate impression based on findings. | Male, 39 years old. Thirty-Nine year old female with persistent elevation both dir and ind bilirubin. LIVER: The liver measures 14.8 cm, with homogeneous echotexture, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic or extrahepatic biliary duct... | No cholelithiasis, acute cholecystitis, or ductal dilatation. |
Generate impression based on findings. | Female 56 years old Reason: pain History: pain. Minimal joint space narrowing of the medial joint compartment with slight pointing of the tibial spines consistent with osteoarthritis. No fracture, malalignment or joint effusion. Minimal joint space narrowing in the medial joint compartment of the right knee as identifi... | Minimal osteoarthritis. |
Generate impression based on findings. | Male 2 years old Reason: evaluate hips History: spina bifidaVIEWS: Pelvis AP and frog leg 4/30/15 (two views) Mild to moderate amount of feces. Posterior fusion defect of the sacrum again noted. Shallow bilateral acetabula with no evidence of hip dislocation. | Shallow bilateral acetabula with no evidence of hip dislocation. |
Generate impression based on findings. | Reason: evaluate lung fields, increasing respiratory distress; increasing O2 requirement, full term gestationVIEW: Chest AP (one view) 4/30/15 6:41 The aortic arch, cardiac apex and stomach are left-sided. Cardiothymic silhouette is normal. Bilateral lung base streaky opacities, compatible with atelectasis. No pleural ... | Lung base atelectasis and disorganized bowel gas pattern. |
Generate impression based on findings. | History of left breast biopsy demonstrating non-necrotizing granulomas in 2010. History of benign left breast biopsy in 1960. Personal history of sarcoidosis and thyroid cancer. History of breast cancer in mother diagnosed at age 51 and ovarian cancer in sister diagnosed at the age of 72. No breast related complaint. T... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 63 year-old female with a history of abdominal pain and back pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Right pelvocalie... | 1. Significant increase in proximal colonic dilation and mild distal colonic wall thickening without evidence of mechanical obstruction. These findings are nonspecific but likely represent a colitis. Infectious etiologies are considered more likely than ischemic.2. Increase in right sided hydronephrosis, likely the seq... |
Generate impression based on findings. | 20-year-old male. Right toe pain/swelling. Evaluate for right toe infection. Diffuse soft tissue swelling of the great toe with subungual foci of air. No destructive osteolytic changes in the underlying bone to suggest osteomyelitis. | Diffuse soft tissue swelling with subungual air. No evidence of osteomyelitis. |
Generate impression based on findings. | 55-year-old patient with a history of right lower quadrant pain. Prior left lower quadrant tumor resection. Presenting with nausea and vomiting. ABDOMEN:LUNG BASES: Moderate dependent subsegmental atelectasis. No significant pleural effusions. Minimal pericardial fluid/thickening. Bilateral breast augmentation.LIVER, B... | Acute appendicitis without evidence of perforation, abscess or bowel obstruction. |
Generate impression based on findings. | 11-month-old female with meningitic signs on examination, requiring lumbar puncture. Incidentally seen left temporal horn round expansile lesion of CSF density on yesterday's neck CT. Again seen is isolated dilation of the temporal horn of the left lateral ventricle with an apparent focal round 16 x 13 mm expansile les... | 1.Isolated dilation of the temporal horn of left lateral ventricle likely relates to the CSF-density lesion in its posterior aspect, which may represent an arachnoid cyst. MRI is recommended for better characterization. 2.Please note that noncontrast CT is insensitive for inflammatory changes in the brain, and MRI with... |
Generate impression based on findings. | 42-year-old male. Right distal radius fracture. Pain. Overlying cast obscures fine bone detail. There is a comminuted predominantly longitudinal intra-articular fracture of the distal radius with radial and dorsal displacement of the distal fracture fragments. Mild widening of the scapholunate interval suggests ligamen... | Distal radius fracture. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The gray-white differentiation is normal. The ventricles and basal cisterns are normal in size and configuration. There is no hydrocephalus. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. T... | No acute intracranial hemorrhage or mass effect. CT is insensitive for detection of early nonhemorrhagic stroke. |
Generate impression based on findings. | Male 61 years old; Reason: metastatic prostate cancer, bone mets, surveillance, compare to prior History: bone pain ABDOMEN: LUNG BASES: Unchanged elevation of the right hemidiaphragm. Basilar atelectasis or scarring. Redemonstrated metastatic disease to the posterior right 9th rib. Partially visualized metastatic dise... | 1.Diffuse skeletal metastatic lesions again are noted, and bone scan is more sensitive to an indicator of the activity of the disease. Overall, the distribution and appearance of the skeletal lesions is similar, however, there are new pathologic fractures and progression of compressive vertebral body changes as above.2... |
Generate impression based on findings. | Male, 58 years old. Alcohol abuse, elevated transaminase. LIVER: The liver measures 18.3 cm, with diffusely increased echogenicity, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic or extrahepatic biliary ductal dilatation. The common bile duct... | Diffusely increased liver echogenicity, compatible with fatty infiltration/parenchymal dysfunction. |
Generate impression based on findings. | 14-year-old male patient with Down's syndrome and known C2/3 subluxation, yearly follow-up. Evaluate for changes.VIEWS: Cervical spine AP and lateral (two views) 4/30/2015 Tracheostomy tube is noted. Multiple fractured sternotomy wires are again seen.Absence of the C2 pedicles is again noted. Straightening of the norma... | 1. Stable separation between the posterior masses and vertebral body of C2.2. Grade 1 anterolisthesis of C2 on C3, unchanged. |
Generate impression based on findings. | 58-year-old male. Status-post ORIF. A sideplate and screws affix a distal fibular fracture in gross anatomic alignment. No radiographic evidence of hardware complication. The fracture line is less distinct than on prior study indicating some interval healing. Mild soft tissue swelling about the ankle. Mild osteoarthrit... | Orthopedic fixation of a healing distal fibular fracture. |
Generate impression based on findings. | Reason: r/o infection, malignancy, fibrosis History: SOB, heart failure exacerbation LUNGS AND PLEURA: Coarse interstitial and groundglass opacities in the right lung with subpleural sparing most severe in the upper and middle lobes new from the prior exam. There is associated mild bronchiectasis and bronchial wall thi... | 1.Development of unilateral air space and interstitial opacity in the right lung primarily in the right upper and middle lobes with subpleural sparing and withouta pleural effusion or septal lines. This would be very atypical for edema. The differential diagnosis would include atypical hypersensitivity pneumonitis incl... |
Generate impression based on findings. | 66 years old, Male, Reason: evaluate for surgical planning History: normal pressure hydrocephalus There is no evidence of intracranial hemorrhage or mass. There are moderate periventricular and subcortical white matter hypoattenuating areas consistent with age indeterminate small vessel ischemic disease. The grey-white... | 1. No acute intracranial abnormality.2. Stable enlarged supratentorial ventricular system out of proportion to sulci, consistent with normal pressure hydrocephalus in the correct clinical context.3. Findings suggestive of age indeterminate small vessel ischemic disease. |
Generate impression based on findings. | 65-year-old female. Right knee revision. Hardware components of a long stem total right knee arthroplasty in near anatomic alignment without radiographic evidence of hardware complication. Severe osteoarthritis affects the left knee as seen on the frontal views. | Total right knee arthroplasty. |
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