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Generate impression based on findings. | 67-year-old female. Status post left THA. Six weeks postop. Left hip: Hardware components of a left total hip arthroplasty device in near anatomic alignment. No radiographic evidence of hardware complication. There is interval resolution of gas in the soft tissues and removal of the surgical drain.Pelvis: Aforementione... | Left total hip arthroplasty. Right femoral head avascular necrosis, similar to prior study. |
Generate impression based on findings. | Reason: lung cancer History: s/p major lung resection for Stage IA NSCLC LUNGS AND PLEURA: Postsurgical changes of a right upper lobectomy. Right basilar scarring/linear atelectasis, unchanged. Moderate apical predominant paraseptal emphysema. No new or suspicious pulmonary nodule or mass.MEDIASTINUM AND HILA: Small me... | Post surgical changes of a right upper lobectomy with no evidence of recurrence or metastatic disease. |
Generate impression based on findings. | 76 year old female who was recalled from screening mammogram for bilateral asymmetries. No family history of breast cancer. Personal history of cervical cancer in 1985. Patient is currently on estrogen therapy. MAMMOGRAM: An ML view and two spot compression views of the right breast and three spot compression views of ... | High probability simple cysts within the upper outer aspects of both breasts. Follow-up imaging is recommended in 6 months to assess stability. Results and recommendations were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months). |
Generate impression based on findings. | 76-year-old male status post right hemicolectomy with persistent ileus. Evaluate for small bowel obstruction. Scout radiograph demonstrates multiple dilated loops of bowel. Corkscrew staples project over the midline of the upper abdomen. NG tube is coiled within the stomach with the tip projecting at the level of the b... | Findings suggestive of a partial small bowel obstruction. Follow-up abdominal radiographs are recommended to evaluate for progression of administered enteric contrast. |
Generate impression based on findings. | Reason: lung cancer screening. 50 pack year history. former smoker History: none LUNGS AND PLEURA: Mild upper lobe predominant centrilobular emphysema. Mild bronchial wall thickening, unchanged. No new or suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: No mediastinal or hilar lymphade... | 1.No new or suspicious pulmonary nodules or masses. Annual low-dose CT screening is recommended.2.Mild emphysema with bronchitis, unchanged.Lung-RADS: Category: 1 (Negative: No nodules and definitely benign nodules)RECOMMENDATION: Continue annual screening with LDCT in 12 months. |
Generate impression based on findings. | Left tonsillectomy and chemoradiation for tonsillar squamous cell carcinoma, HPV+. There are post-treatment findings in the neck, including left tonsillectomy, left lymph node dissection, and the effects of radiation therapy. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based ... | 1. Post-treatment findings in the neck without definite evidence of locoregional measurable recurrent tumor or significant lymphadenopathy in the neck. 2. Partially-imaged pulmonary nodules, right pleural effusion, and enlarged upper mediastinal lymph nodes, which likely represent metastatic disease. Please refer to th... |
Generate impression based on findings. | 51-year-old female. Left ankle fracture. Distal fibular fracture in near-anatomic alignment. The fracture line is more indistinct than on prior study indicating some interval healing. Mild soft tissue swelling, similar to prior study. | Healing distal fibular fracture. |
Generate impression based on findings. | Reason: advanced squamous cell lung cancer History: none CHEST:LUNGS AND PLEURA: Postsurgical changes of a right upper lobectomy. Bibasilar scarring/atelectasis.Bilateral pulmonary nodules are stable to slightly increased compared to prior. No new pulmonary nodules or masses. Reference measurements as follows:1.Right l... | Stable to slightly increased bilateral pulmonary nodules compatible with metastatic disease. No new nodules or masses.1.Slight interval increase in size of right supraclavicular lymph node with biopsy results of metastatic squamous cell carcinoma. |
Generate impression based on findings. | Female, 60 years old. Reason: ?abnormal masses, nodes History: thyroid cancer RIGHT LOBE: Status post thyroidectomy, without focal lesion in the thyroid bed.LEFT LOBE: Status post thyroidectomy, without focal lesion in the thyroid bed.ISTHMUS: Status post thyroidectomy, without focal lesion in the thyroid bed.PARATHYRO... | Status post thyroidectomy, without sonographic evidence of recurrent or metastatic disease. The previously described cervical lymphadenopathy is no longer identified, presumably secondary to interval lymph node dissection. |
Generate impression based on findings. | Reason: HNSCC. Compare to previous. History: as above CHEST:LUNGS AND PLEURA: Right pleural effusion and loculated left pleural effusion unchanged from the prior exam.Left upper lobe paraspinal nodule (image 31 series 4) slightly increased from the prior exam now measuring 17 mm x 13 mm previously measuring 16 mm x 11 ... | 1.Stable right and loculated left pleural effusions..2.Stable to increasing size of reference pulmonary nodules.3.Increasing size of mediastinal lymphadenopathy with reference right hilar lymph node decreasing in size. |
Generate impression based on findings. | Female 62 years old; Reason: Hx of SCC neck cancer, weight loss, eval for recurrence, also eval for abdominal abscess (has cellulitis near G tube site) History: see above CHEST:LUNGS AND PLEURA: Left apical scarring. Small bibasilar consolidation and atelectasis. Improved aeration compared to prior study. Mild bronchia... | 1. Stable from prior study is ill-defined heterogeneity near hepatic dome, may reflect site of focal hepatic steatosis or prior infection/inflammation but indeterminate, would be better characterized with dedicated contrast enhanced MRI or CT. 2. Unchanged prominence of pancreatic duct, measuring up to 6 mm with gradua... |
Generate impression based on findings. | Reason: spits up bloody saliva; ENT exam normal History: spits up bloody saliva; ENT exam normal Scout radiograph of the chest demonstrate cardiomegaly, left subclavian pacemaker with leads in expected position, prosthetic mitral valve, right pleural thickening and basilar atelectasis, healed inflated right rib fractur... | 1.Prominent cricopharyngeal muscle, with a posteriorly projecting diverticulum inferior to the cricopharyngeus.2.Large gastric fundal diverticulum.3.Moderate/marked esophageal dysmotility, as above.4.No specific findings to account for patient's symptoms. |
Generate impression based on findings. | Female, 83 years old. Reason: r/o recurrence History: h/o thyroid cancer RIGHT LOBE: Status post thyroidectomy, without focal lesion in the thyroid bed.LEFT LOBE: Status post thyroidectomy, without focal lesion in the thyroid bed.ISTHMUS: Status post thyroidectomy, without focal lesion in the thyroid bed.PARATHYROID GL... | Status post thyroidectomy, without evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Female, 62 years old. Reason: Assess for metastasis, recurrence, known BHD syndrome, history of right partial nephrectomy that revealed chromophobe RCC History: see above RIGHT KIDNEY: Status post partial nephrectomy. 7.8 cm in length. Redemonstration mild cortical atrophy and dilation of the renal pelvis, unchanged fr... | Status-post partial right nephrectomy, with persistent right hydronephrosis. No sonographic evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 37-year-old male with history of chronic diarrhea. 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: Mild bibasilar scarring.LIVER, BILIARY TRACT: No significant abnormalit... | Limited exam due to technique and lack of IV/PO contrast.1. The bowel is fluid-filled with mild diffuse wall thickening.2. Migrated nephroureteral stent with proximal pigtail in the distal ureter. Mild left hydronephrosis. |
Generate impression based on findings. | Reason: evaluate for abdominal distension in ex 33 w with poor po intake History: increased abdominal distensionVIEW: Abdomen AP (one view) 4/30/15 10:20 UVC tip at junction of inferior vena cava and right atrium.Disorganized bowel gas pattern. Mildly dilated bowel loops are present. No evidence of bowel obstruction. N... | Disorganized bowel gas pattern. Mildly dilated bowel loops are present. |
Generate impression based on findings. | Postoperative changes are again seen related to right parieto-occipital craniotomy. There is further decreased size of the heterogeneously enhancing mass in the pineal gland, which now demonstrates less enhancement centrally. It now measures 2.1-cm AP by 1.4 cm CC (12/13), compared to previous 2.3 x 1.6 cm, respective... | 1. Further decreased size of heterogeneous pineal mass with decreased central enhancement.2. Stable scattered blood products mild ventricles consistent with previous intraventricular hemorrhage.3. Stable ventricular size with right frontal ventriculostomy catheter.4. Stable left occipital subcutaneous enhancing nodule ... |
Generate impression based on findings. | Age: 51 years. Sex : Male. Reason for study: Reason: 51 y/o left oropharyngeal cancer patient need baseline OPM History: Head and neck cancer. 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. N... | The exam was positive for penetration and positive for trace aspiration. Please refer to concomitant speech pathology report for further details and feeding recommendations. |
Generate impression based on findings. | 60 year old female with occasional pain in the right axilla. With physical exam, no discrete mass was palpated in the right axilla. Focused ultrasound does not detect any abnormalities at the area of palpable concern. Only normal lymph nodes are seen. | No sonographic evidence of malignancy. BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 83 years, Female. Reason: obstruction History: distention, abdominal pain, nausea/vomiting Average stool burden, with large amount of inspissated stool present within the rectum. Nonobstructive bowel gas pattern. No radio graphic evidence of obstruction. Gastrostomy tube projects in expected location. No evidence of pn... | Average stool burden, with large amount of inspissated stool present within the rectum. No radiographic evidence of obstruction. |
Generate impression based on findings. | 2 day old male patient with hypoxia. VIEW: Chest AP (one view) 4/30/2015 UAC tip is at the level of T7-T8. Enteric tube tip is in the stomach. The cardiothymic silhouette size is normal. Streaky left opacity silhouetting the left heart border likely represents atelectasis. No pneumothorax or pleural effusion. | Lingular atelectasis. |
Generate impression based on findings. | Male 73 years old. Reason: pain. History: pain Large left-sided pneumothorax without significant midline shift.The acuity of the rib fracture are difficult to evaluate due to bone demineralization.Right ribs: Fractures of the posterior seventh, eighth, ninth ribs with some callus formation which may be subacute in etio... | Large left pneumothorax with acute fracture of the ninth left posterior rib and multiple other likely subacute fractures. Acuity of the fractures is difficult to evaluate due to bone mineralization. Please confirm with the timing of the patient's injuries. |
Generate impression based on findings. | Female 66 years old; Reason: patient with history of renal cell cancer, please assess for disease progression History: RCC CHEST:LUNGS AND PLEURA: Reference metastatic lesions are essentially stable. The left upper lobe reference lesion measures 1.3 x 1.0 cm (5:21), stable. The reference right lower lobe pulmonary nodu... | 1.Stable examination. |
Generate impression based on findings. | 56 year old female who was recalled from screening mammogram for partially visualized posterior left breast mass seen on the CC view in June 2014 presents for bilateral diagnostic mammogram after 10 months. Family history of breast cancer in an aunt. Three standard views of both breasts and medially exaggerated CC medi... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Reason: assess OG tube placement History: vent dependent Enteric tube tip overlies the gastric body. Relative paucity of bowel gas, without radiographic evidence of obstruction. Amorphous calcification in the pelvis likely represents calcified uterine fibroids. Degenerative changes affect the lumbar spine. Mild basilar... | Enteric tube overlies the gastric body. |
Generate impression based on findings. | Reason: mycobacterium abscessus-chelonae s/p VATS History: pleural effusion LUNGS AND PLEURA: Interval clearing of the large left-sided pleural effusion noted on the prior exam with mild residual pleural thickening and scattered areas of scarring left lower lobe.Postsurgical changes are noted at posteriorly at the left... | Interval resolution of the previously noted large left pleural effusion with very minimal residual pleural thickening in left basilar scarring. No acute cardiopulmonary abnormalities identified. |
Generate impression based on findings. | Female 65 years old. Reason: knee and back pain. History: knee and back pain Lumbar spine: Grade 2 anterolisthesis of L4 on L5. Severe degenerative disk disease affects L4/5 and L5/S1. Near severe degenerative disease affects L3/4. The remainder of the lumbar spine is relatively spared.Right hip: Joint space narrowing ... | Degenerative arthritic changes as described above. |
Generate impression based on findings. | Hydronephrosis History: UTI w fever BLADDER Wall Thickness: Nondistended bladder. Contents: Nondistended bladder. Distal Ureter -- SFU Grade** Right: 0 Left: 0 Ureteral Jets Right: Not observed Left: Not observedKIDNEYS Cortical Echogenicity: Normal Medullary Echogenicity: Normal Pelvicaliceal System -- SF... | No hydronephrosis. Bladder empties to completion. *SFU grading system: Grade 0: No hydronephrosis. Grade 1: The renal pelvis is visualized. Grade 2: A few but not all of the calices are identified in addition to the renal pelvis. Grade 3: Virtually all the calices are seen. Grade 4: Grade 3 and parenchymal thinning. **... |
Generate impression based on findings. | Left shoulder injury.VIEWS: Left shoulder AP/Y (two views) 04/30/15 A lateral humeral head compression fracture is present. Bone fragments are noted within the wedge defect. The glenoid fossa appears intact. | Hill-Sachs lesion most likely due to anterior shoulder dislocation. |
Generate impression based on findings. | Altered mental status. There is no evidence of acute intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are unchanged in size and configuration. There is an unchanged partially-empty sella. There is no midline shift or herniation. There are mild cerebrovascular c... | 1. No evidence of acute intracranial hemorrhage or mass.2. A small amount of fluid within the left sphenoid sinus may represent acute sinusitis in the appropriate setting. |
Generate impression based on findings. | 67-year-old with history of right lumpectomy in February 2013 for Paget's disease. No current breast complaints. Three standard views of both breasts and two spot magnification views of the right breast and two spot compression views of left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The ... | 1. New focal asymmetry in the left breast, likely fat necrosis. Short interval follow up with left breast ultrasound study is recommended in one month.2. No mammographic evidence for malignancy in the right breast. Results and recommendations were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMEND... |
Generate impression based on findings. | 10-year-old male patient with pain and swelling lateral ankle injured playing basketball. Evaluate for fracture.VIEWS: Left ankle AP, oblique, lateral (3 views) 4/30/2015 Soft tissue swelling is noted about the ankle. An ankle joint effusion is present. No acute fracture is evident. The ankle mortise is intact. | Soft tissue swelling and ankle joint effusion without fracture. |
Generate impression based on findings. | Female 46 years old; Reason: 46F w/ hx UC and history of J-pouch, now with Crohn's disease status post ex lap, J-pouch excision and creation of end ileostomy on 4/22; persistent leukocytosis, perineal pain History: leukocytosis, eval for abscess ABDOMEN:LUNGS BASES: Small dependent atelectasis.LIVER, BILIARY TRACT: No ... | 1. Presacral fluid collection with gaseous focus, likely postoperative in etiology, superimposed infection not excluded.2. Perianal/perineal fluid containing structure, measuring 3.5 x 2.1 cm alongside gluteal folds, may reflect reported packing material but perianal fistula/abscess formation not entirely excluded, som... |
Generate impression based on findings. | T1N1 oral tongue squamous cell carcinoma initially treated in 2008 followed by recurrence with lung metastases and left chest wall mass in May 2014 treated with chemotherapy. Neck: There are stable post-treatment findings, including absence of the right submandibular gland. There is no evidence of mass lesions or signi... | 1.No evidence of locoregional tumor recurrence or significant lymphadenopathy in the neck.2.No evidence of brain metastases.3. A lytic lesion in the right frontal calvarium may represent a metastasis. 4. Partially imaged left posterior pleural thickening and effusion. Please refer to the separate chest CT report for ad... |
Generate impression based on findings. | Reason: abdominal distension History: abdominal distension, immunodeficiency (ADA def v SCID), cardiofacial cutaneous syndrome, admitted for status epilepticusVIEW: Abdomen cross table lateral (one view) 4/30/15 10:50 G-tube and surgical clips again seen. Multiple air-fluid levels in the bowel loops, bowel obstruction ... | 1.Lucency in the lower abdomen which may represent distended loop of bowel or loculated pneumoperitoneum. Recommend left lateral decubitus view for further evaluation. 2.Multiple air-fluid levels in the bowel loops, bowel obstruction cannot be excluded. 3.Findings discussed with Dr. Abe on 4/30/15, 11:10AM. |
Generate impression based on findings. | 80-year-old with history of right breast cancer status post lumpectomy and sentinel node biopsy, subsequent reexcision and then chemotherapy and radiation now presents for annual diagnostic mammogram. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast paren... | 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. | 75 year old female with history of small right renal mass and complex cystic mass of the left kidney on surveillance. Evaluate for change. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormalit... | 1. Increase in size of complex left renal cystic lesion concerning for renal cell carcinoma.2. Right medial renal lesion is not well visualized. |
Generate impression based on findings. | Female 47 years old. Reason: eval proximal tibia pain. History: pain Soft tissues are unremarkable without underlying acute fracture or malalignment. Chronic deformity of the distal tibia and fibula with sideplate and screw device affixing a healed fracture. No hardware complications. Alignment is anatomical.Vascular c... | No acute fracture or malalignment. |
Generate impression based on findings. | Images are limited by patient motion. The right parietal ventriculostomy reservoir results in significant image distortion. The right frontal approach ventriculostomy catheter remains in stable position with its tip at approximately the level of the right foramen of Monro. The lateral ventricles have increased in size... | 1. Interval increased size of ventricles with stable right frontal approach ventriculostomy catheter and fourth ventricular catheter.2. Worsened caudal extent of mildly enlarging cervical syringohydromyelia.3. Persistent crowding of the neo-foramen magnum with no significant CSF flow dorsally at this level.4. Stable ap... |
Generate impression based on findings. | 18 year old female. Pain. Status post hip arthroscopy. Alignment is within normal limits on this single view. No fracture is evident. | No specific findings to explain the patient's symptoms. |
Generate impression based on findings. | 53 year old with right breast lump for 5 months. Family history of breast carcinoma in her mother and two paternal aunts. Three standard views of both breasts with two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is heterogeneously d... | A palpable lump in the right breast is consistent with sebaceous cyst. No mammographic or sonographic evidence of malignancy. Clinical follow up is recommended. Results and recommendations were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Female 76 years old; Reason: Patient with duodenal perforation s/p EGD. Please evaluate for fluid collection. History: Abdominal pain ABDOMEN:LUNGS BASES: Incompletely imaged small left greater than right pleural effusions and patchy air space disease, particularly in left lower lobe and right middle lobe. Evaluation o... | 1. 2.3 x 1.8 cm fluid and air containing focus seen alongside right lateral aspect of gastric pylorus, superimposed infection/a small abscess a consideration. Mild to moderate wall thickening seen in antropyloric and proximal duodenal region, likely related to site of reported duodenal perforation. |
Generate impression based on findings. | 60-year-old male. Dorsal wrist pain with deformity. Limited ROM and TTP after heavy lifting and hearing pop. Evaluate for fracture. No fracture or dislocation. Small lucencies in the scaphoid and lunate are most likely degenerative cysts. Mild soft tissue swelling along the dorsum of the wrist. | Mild soft tissue swelling. No evidence of a fracture. |
Generate impression based on findings. | 72-year-old female. Fall. Pain. Interval avulsive fracture of the lesser trochanter. Right total hip arthroplasty device in near anatomic alignment. There is mild increased lucency at the superior aspect of the acetabular component, which may be an artifact of differences in patient positioning; however, early particle... | Avulsive fracture of the lesser trochanter. Mild lucency at the superior aspect of the acetabular component of the right hip arthroplasty may be artifactual; however, early particle wear osteolysis cannot be excluded. |
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. Stable subcentimeter focal asymmetry in the right lower, inner quadran... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Female 69 years old Reason: pre-op History: pain Left leg: There is 6 degrees of varus angulation at the knee. Minimal osteoarthritis affects the left hip and ankle joint.Left knee: Severe tricompartmental osteoarthritis with medial subluxation of the femur relative to the tibia and bone-on-bone apposition in the media... | 1. There is 6 degrees of varus angulation of the left knee.2. Severe osteoarthritis affects the left knee.3. There is persistent mild diffuse periosteal reaction in the proximal tibia which is noted on the prior study and is possibly related to stress reaction. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Chest: Evaluation is limited by patient motion. LUNGS AND PLEURA: Large bilateral loculated pleural effusions with overlying compressive atelectasis of the lower lobes, mildly increased since previous. Mild interlobular septal thickening which may reflect mild interstitial edema. Scattered calcified granulomas. Scarri... | 1.Limited exam demonstrates large loculated bilateral pleural effusions with overlying compressive atelectasis and mild interstitial edema.2.Diffuse chest wall edema. |
Generate impression based on findings. | Chronic vertigo. Right: The external auditory canal is patent. The middle ear and mastoid air cells are well-pneumatized and clear. The ossicular chain is intact. The inner ear structures are unremarkable. The facial nerve describes a normal course. The jugular bulb and carotid canal are intact. Left: The external audi... | No evidence of semicircular canal dehiscence. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural distortion are pre... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 50 years old Reason: pre-op History: pain Right leg: There is one degree of varus deformity at the knee joint. Minimal osteoarthritis affects the right hip and ankle joint.Right knee: Severe osteoarthritis affects the right knee with near bone-on-bone apposition in the medial compartment which has progressed com... | 1. No significant varus deformity at the knee joint. 2. Severe osteoarthritis affects the right knee. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Interval resolution of left lower lobe ground glass likely related to aspiration. Right middle lobe opacity adjacent to the major fissure has sightly decreased compared to prior. No new or suspicious pulmonary nodules or mas... | 1.No evidence of metastatic disease.2.Interval resolution of left lower lobe ground glass likely related to aspiration. Focal opacity along the right major fissure has decreased in size, also related to inflammation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of right breast FNA and left breast benign biopsy. 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 di... | New 2-cm focal asymmetry is identified in the left central medial breast, best seen on the CC view that needs further evaluation with spot compression views and possible ultrasound. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | T2N2b left base of tongue squamous cell carcinoma status post completion of CRT. There are post-treatment findings in the neck, including edema in the upper aerodigestive tissues. However, there is no measurable tumor in the tongue base mass. There is no significant cervical lymphadenopathy. For example, a left level 1... | 1. Post-treatment effects without evidence of locoregional tumor recurrence or significant lymphadenopathy in the neck.2. Persistence of secretions within the lower trachea, which may indicate aspiration, but interval improvement of ground-glass opacities in the right lung apex. Please refer to the separate chest CT re... |
Generate impression based on findings. | 69-year-old with history of right breast cancer status post lumpectomy in 2010. No current breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribut... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 59-year-old male with a history of prostate cancer. PELVIS:PROSTATE:Prostate Size: 3.7 x 5.8 x 5.3 cmPeripheral Zone: 1.1 x 0.9 cm low ADC, low T2 and early arterial enhancing focus in the posterior apex (series 1101, image 7) is suspicious for neoplasm.Within the anterior apex there is a 1.9 x 1.1-cm low ADC, low T2, ... | 1. 1.9 cm anterior and 1.1 cm posterior apex lesions suspicious for neoplasm, with suspected posterior extracapsular extension. 2. No pelvic lymphadenopathy.3. Non-specific sub-centimeter left iliac bone focus of enhancement. |
Generate impression based on findings. | 53-year-old female. Knee pain. Ankle pain. Status post fall. Left knee: Hardware components of a total knee arthroplasty device in near anatomic alignment without radiographic evidence of hardware complication. Two screws also traverse the medial tibial plateau, unchanged. Possible small joint effusion.Left ankle: Calc... | Left knee arthroplasty device and osteoarthritis. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are digital mammographic images (4/13/15), ultrasound images of left breast (4/16/15), post-procedural left mammographic images (4/16/15) performed at DuPage Medical group. For comparison, digital mammographic images (9/16/13, 2/13/13, 2/8/13), ultrasou... | Biopsy proven DCIS at posterior at 3 o'clock position in the left breast.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Right clavicle fracture.VIEWS: Right clavicle AP/axial (two views) 04/30/15 Callus formation surrounds the mid clavicle fracture. Alignment appears anatomic. | Healing fracture of the midclavicle. |
Generate impression based on findings. | 58-year-old male. Follow-up fractures. Again seen is a fracture of the tibial spines and medial femoral condyle, similar in appearance to prior study. The fracture lines are slightly less distinct suggesting some healing. New callus formation along the proximal fibular fracture consistent with interval healing. Moderat... | Healing fibula, tibial spine, and medial femoral condyle fractures. |
Generate impression based on findings. | Female 28 years old. Reason: right knee pain and lumbar radiculopathy. Lumbar spine: Vertebral body height and alignment are preserved. Minimal sclerosis and disk space narrowing in the lower lumbar spine. No fracture evident. No evidence of instability on flexion and extension views. Mild osteoarthritis of the sacroil... | Mild osteoarthritis as described above. |
Generate impression based on findings. | Female 41 years old; Reason: Diffuse abdominal pain, decreased bowel movements, r/o obstruction or ileus History: Abdominal pain ABDOMEN:LUNGS BASES: Portion of central venous catheter seen near cavoatrial junction.LIVER, BILIARY TRACT: Prominent liver and liver demonstrates micronodular contour, similar in appearance ... | 1. Stable to mild interval improvement in large bowel wall thickening. Mild/moderate small bowel wall thickening also seen. Findings may be reactive in setting of ascites but superimposed coloenteritis a consideration. 2. Persistent abdominopelvic ascites.3. Hepatosplenomegaly.4. Moderate left and small right pleural e... |
Generate impression based on findings. | Female 36 years old Reason: left knee pain History: left knee pain Mild/moderate osteoarthritis affects the left knee with joint space narrowing most marked in the lateral joint compartment and tricompartmental osteophytes. There is no joint effusion. | Osteoarthritis as described above. |
Generate impression based on findings. | 51-year-old male with difficulty swallowing. Dysphagia to solids. Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Note is made of a cervical esophageal web at the level of the thoracic inlet, measuring approximately 3 mm in the transverse dimension (key i... | Cervical esophageal web at the level of the thoracic inlet, as described above. |
Generate impression based on findings. | Female 65 years old. Reason: OA. History: OA Joint space narrowing and osteophyte formation representing moderate osteoarthritis. No fracture or malalignment. | Moderate osteoarthritis. |
Generate impression based on findings. | Pain Severe tricompartmental osteoarthritis greater in the medial compartment with bone-on-bone narrowing, sclerosis subchondral cysts and osteophytes. Small knee effusion. Mild varus angulation suspected at incompletely visualized | Severe osteoarthritis |
Generate impression based on findings. | 66-year-old female presents for a 6 month follow up of left breast mass and calcifications. Family history of breast carcinoma in her sister, maternal grandmother, two maternal aunts, and maternal and paternal first cousin's. Family history of ovarian carcinoma in her paternal grandmother and niece. Three standard view... | High-probability benign mass with calcifications in the lower inner left breast, unchanged from prior examination. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended in 6 months. Results and recommendation were discussed wi... |
Generate impression based on findings. | Female 66 years old Reason: Right knee pain, eval OA History: right knee pain. Right hip pain. Query osteoarthritis? Right knee: Severe osteoarthritis affects the right knee with bone-on-bone apposition involving the medial joint compartment. Moderate/severe osteoarthritis affects the extensor compartment. Again seen i... | 1. Osteoarthritis as described above. |
Generate impression based on findings. | Male 54 years old; Reason: h/o met HNC, eval response to chemo, compare to previous, measurements pls CHEST:LUNGS AND PLEURA: Reference posteriorly situated pleural-based cavitary mass (located in superior segment left lower lobe) demonstrates mild increase in size, measuring 4.6 x 2.6 cm, image 26 series 4, previously... | 1. Essentially stable exam as described, see details above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of basal cell carcinoma in remission. 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 distri... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 71 years old Reason: RA History: Pain Right foot: Again seen is narrowing of the fourth and fifth metatarsophalangeal joints with chronic erosive remodeling compatible with provided history of rheumatoid arthritis. Small defects in the head of the metatarsal and proximal phalanx of the first digit likely represe... | Findings compatible with rheumatoid arthritis appearing similar to prior study. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of bilateral breast reduction in 1986 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. T... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 15 years old Reason: eval shunt setting and continuity History: occasion headachesVIEWS: Shunt series: Skull AP/lateral (two views), chest AP/lateral (two views), abdomen AP/lateral (two views) 4/30/15 Strata valve PL is 0.5 and it is unchanged. Intracranial portion of VP shunt is unchanged. Extracranial VP shun... | No evidence of VP shunt malfunction. |
Generate impression based on findings. | Female 42 years old Reason: pre-op History: pain Right leg: There is approximately 13 degrees of valgus deformity of the knee. The posterior the cervix the right hip joint however this is poorly visualized due to overlapping structures. Mild osteoarthritis affects the right ankle.Right knee: Severe tricompartmental ost... | 1. Approximately 13 degrees of valgus deformity of the knee.2. Severe osteoarthritis affects the right knee, slightly progressed compared to prior study. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in her sister and a maternal aunt. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in patter... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 20 years old Reason: Eval for Fx healing. Nondisplaced oblique fracture of the body of the metatarsal of the great toe. Comminuted oblique intra-articular fracture of the proximal phalanx of the second digit. Transverse fracture of the middle phalanx of the second digit. Nondisplaced oblique fracture of the thir... | Fractures of the first and second digits as described above. The fracture lines are somewhat indistinct suggestive of subacute fractures however we have no prior studies for comparison. |
Generate impression based on findings. | Male 66 years old; Reason: H/o DLBCL, please restage History: pelvic pain CHEST:LUNGS AND PLEURA: Right apical pleuroparenchymal scarring/nodularity, stable in appearance, may reflect postsurgical sequela and correlation with patient's clinical history recommended. MEDIASTINUM AND HILA: Mild calcified coronary artery d... | 1. Enlarged heterogeneous prostate with TURP defect. Thickwalled bladder and bilateral mild to moderate hydronephroureter, likely reflecting sequela of bladder outlet obstruction and vesicoureteral reflux. 2. Stable exam otherwise, including lytic sacral mass and sacral insufficiency fractures and heterogeneity of bila... |
Generate impression based on findings. | headache 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 unremarkabl... | No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | Male 7 years old Reason: evaluate healing of fracture History: left wrist fractureVIEWS: Left wrist AP and lateral 4/30/15 (two views) Cast material obscures fine bone detail. Healing distal radial fracture which periosteal reaction and callus formation and dorsal angulation is unchanged in alignment. | Healing fracture, unchanged in alignment. |
Generate impression based on findings. | Female 91 years old Reason: 91 yo f w/ past medical history of dm, htn, glaucoma who presents w/ L finger swelling, pain following trauma History: swelling, pain. Soft tissue swelling over the fifth but we see no fracture or malalignment. Amorphous density on the radial aspect of the interphalangeal joint is only seen ... | Soft tissue swelling over the fifth digit but we see no fracture or malalignment. |
Generate impression based on findings. | Frontal sinus: The frontal sinus and frontoethmoidal recesses are clear.Anterior ethmoids: There is scattered mild mucosal thickening of the anterior ethmoid air cells.Maxillary sinuses: There is mild mucosal thickening of the bilateral maxillary sinuses. There are adhesions of the bilateral ostiomeatal units.Posterio... | 1. Grossly unremarkable, minimal paranasal sinus disease.2. Chronic left orbital blowout fracture. |
Generate impression based on findings. | Male 25 years old; Reason: 25 year male, please complete CT with PO contrast to rule out ventral hernia History: incisional hernia ABDOMEN:LUNGS BASES: Small basilar atelectasis/scarring.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality ... | 1. Mid ventral abdominal hernia seen containing nonobstructed redundant sigmoid colon. |
Generate impression based on findings. | Reason: Hx of SCC neck cancer, weight loss, evaluate for recurrence, also evaluate for abdominal abscess (has cellulitis near G tube site) History: see above The patient is status post tracheostomy tube placement and left mandibular surgery as well as bilateral neck dissection and a myocutaneous flap on the left side .... | 1.Infiltration of the planes in the left neck has increased since the prior exam. This is a nonspecific finding which could relate to cellulitis, postradiation change or edema. Please correlate with clinical findings.2.Since the prior exam the erosion at the floor posterior aspect of the left maxillary sinus and along ... |
Generate impression based on findings. | Ex-26 to 28 weeker with history of Pierre Robin sequence, mandibular hypoplasia and obstructive sleep apnea status post mandibular distraction osteotomy in 2011 who now presents due to worsening and recurrent obstructive sleep apnea. The patient is status post remote mandibular distraction osteotomy. There is a larynge... | 1. Status post remote mandibular distraction osteotomy with residual mandibular hypoplasia and suspected persistent retrognathia. Evaluation especially of the airway is somewhat limited due to laryngeal mask airway.2. Partial opacification of the left mastoid air cells and middle ear, which is nonspecific; please corre... |
Generate impression based on findings. | 44 years old male with a history seminoma status chemotherapy and surgery. This study was performed for restaging.RADIOPHARMACEUTICAL: 10.6 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 96 mg/dL. Today's CT portion grossly demonstrates lymph nodes in the left retroperitoneal cavity at level of the lower po... | 1.Metabolic improvement of the FDG avid lymphadenopathy in the retroperitoneal cavity and right side of the pelvis.2.New soft tissue density with mildly increased FDG uptake in the left anterior pelvic wall/inguinal region is most likely due to post procedural change. Suggest clinical correlation. |
Generate impression based on findings. | Slight motion artifact is present through the level of the mandible. Within these limitations, no acute facial bone fracture is identified. The temporomandibular joints are intact.There is extensive dental disease, with multiple residual roots, some of which demonstrate periapical periradicular lucency within the maxi... | 1. Motion limited imaging especially through the level of the mandible, although no definite facial bone fracture is identified.2. Dental disease involving the maxilla. Please correlate with dental exam. |
Generate impression based on findings. | Reason: hx of stage I seminoma, evaluate for metastatic disease History: see above ABDOMEN:LIVER, BILIARY TRACT: Hepatic steatosis.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Simple cysts and probable simple cysts... | 1.No evidence of metastatic disease.2.Hepatic steatosis. |
Generate impression based on findings. | Male, 49 years old. Reason: hodgkin lymphoma History: elevated LFTs LIVER: The liver measures 22.4 cm, with markedly 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 ... | 1. Diffusely increased liver echogenicity compatible with fatty infiltration/parenchymal dysfunction. No biliary ductal dilatation or evidence of acute cholecystitis.2. Increased renal cortical echogenicity compatible with medical renal disease/parenchymal dysfunction. |
Generate impression based on findings. | 49-year-old male with a history of left partial nephrectomy. Evaluate for metastatic disease. CHEST:LUNGS AND PLEURA: No suspicious pulmonary mass or nodules. No pleural effusions. Minimal dependent atelectasis.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Normal cardiac size without a pericardial effu... | Stable examination without evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 44 year-old female. Cellulitis and significant pain out of proportion. Concerning for deep tissue infection or necrotizing fasciitis. Skin thickening and subcutaneous reticulation in the anterior and lateral aspect of the leg consistent with stated history of cellulitis. The inflammatory infiltration extends to the dee... | Cellulitis with inflammatory infiltration extending to the deep fascia of the anterior and lateral compartment musculature. Mild vague increased enhancement in some muscles suspicious for myositis. No CT findings to support a more advanced process such as necrotizing fasciitis. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no hydrocephalus. There is no midline shift or herniation. There is a mucus retention cyst in the right maxillary sinus. The imaged paranasal sinuses and mastoid ai... | No acute intracranial hemorrhage or mass-effect. CT is insensitive for early detection of acute nonhemorrhagic infarct. |
Generate impression based on findings. | Reason: PCVC inserted; ex 34 wk w CHD, likely TEF History: New PCVCVIEW: Chest AP (one view) Abdomen AP (one view) 4/30/15 13:01 ET tube tip immediately above the carina. Umbilical venous catheter again noted. Interval placement of the right femoral line tip in the common iliac vein. Interval removal of UAC. Cardiothym... | Interval placement of the right femoral line tip in the common iliac vein. Question of pneumoperitoneum. Recommend cross table lateral view. |
Generate impression based on findings. | Female, 64 years old. Reason: eval for gallstones History: RUQ pain, nausea, vomiting LIVER: The liver measures 15.0 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 dila... | 1.Cholelithiasis without evidence of acute cholecystitis or ductal dilatation.2.Diffusely increased liver echogenicity, compatible with fatty infiltration/parenchymal dysfunction.3.A subcentimeter non-shadowing echogenic focus in the left kidney may represent an AML or nonobstructive stone. No hydronephrosis. |
Generate impression based on findings. | 3-year-old male patient with imperforate anus. Evaluate colonic distention.VIEW: Abdomen AP (one view) 4/30/2015 Gastrostomy and cecostomy tubes are in place.A large amount of stool is noted throughout the colon. No evidence of free intraperitoneal air. Nonobstructive bowel gas pattern. A segmentation anomaly of the sa... | Large amount of stool throughout the colon. |
Generate impression based on findings. | There is a minimal extra-axial collection along the left lateral inferior frontal region measuring 3 mm in greatest thickness on 4/17, better visualized on 80265/35. There is been no significant change since the prior MR exam. The collection is essentially isodense to brain parenchyma currently.The ventricles and sulc... | 1. No new acute intracranial hemorrhage. Stable appearance of subacute left inferolateral frontal subacute hematoma.2. Stable minimal chronic small vessel ischemic changes.3. Chronic right orbital gyrus encephalomalacia, which likely is posttraumatic. |
Generate impression based on findings. | 61 year old male with history of metastatic prostate cancer and bone pain. Evaluate. There are multiple foci with increased activity involving the ribs, spine, and pelvis. There are several new lesions involving the right and left ribs as well as the T12 and L1 vertebral bodies. Interval increase in size of the right s... | Interval progression of osseous metastatic disease with multiple new and worsening lesions. |
Generate impression based on findings. | 78 year old female with diagnosis of HHT, SOB, pulmonary hypertension. Evaluate for pulmonary AVM's. LUNGS AND PLEURA: No evidence of pulmonary AVM's. Right upper lobe 4 mm micronodule unchanged most likely a benign intrapulmonary lymph node. Bibasilar scarring. No pleural effusion or pneumothorax. MEDIASTINUM AND HILA... | No evidence of pulmonary arteriovenous malformations. |
Generate impression based on findings. | Reason: 63 yo male with history of AML; pre-allo SCT evaluation History: evaluate LUNGS AND PLEURA: A few scattered nonspecific pulmonary micronodules. Right basilar atelectasis. No suspicious pulmonary nodule or mass. No focal consolidation, pleural effusion, or pneumothorax.MEDIASTINUM AND HILA: Small mediastinal lym... | No specific evidence of infection or significant abnormality. |
Generate impression based on findings. | 36 years, Female. Reason: constipation r/o obstruction History: see above Gaseous distention of the colon without evidence of obstruction. No evidence of free intraperitoneal air, pneumatosis intestinalis or portal venous gas. Multiple surgical clips project over the lower abdomen and pelvis. Surgical suture projects o... | Nonobstructive bowel gas pattern. |
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