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Generate impression based on findings. | 36 year old female with history of liver transplant. Patient with enlarging uterine fibroids. ABDOMEN:LUNG BASES: No pleural effusions. No suspicious pulmonary nodules or masses. No pericardial effusion.LIVER, BILIARY TRACT: Postsurgical changes from a hepatic transplant. No focal suspicious hepatic lesion, biliary duc... | 1. Massively enlarged heterogeneous uterus with multiple heterogeneously enhancing masses, presumably representing fibroids with regional mass effect on the colon, small bowel, inferior vena cava and uterine bladder, without definite evidence of fibroid necrosis or bowel obstruction. 2. Peripancreatic fluid raising the... |
Generate impression based on findings. | 79 year-old female with mass in the liver and colon. Evaluate. No abnormal osseous foci are identified to indicate metastatic disease. Increased activity in the shoulders, knees, left sacroiliac joint, and left hip; findings most likely degenerative in etiology. | No evidence of bone metastases. |
Generate impression based on findings. | Stage IV tonsil squamous cell carcinoma treated with CRT completed in 2/2012, salvage right neck dissection in 7/2012, with biopsy-proven lung oligometastasis in 6/2014, status post RT to left lung nodules completed in 8/2014, and an asymptomatic left inferior temporal gyrus metastasis, status post craniotomy with rese... | 1. Stable post-treatment findings in the neck without evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. 2. Postoperative findings in the left temporal lobe related to resection of a metastasis without measurable residual tumor in the treatment bed. |
Generate impression based on findings. | 68 years, Male. Reason: assess for OGT placement History: assess for OGT placement The pelvis and including the field-of-view. Interval repositioning of NG tube with the tip projecting at the level of the antrum of the stomach. Nonobstructive ileus pattern. No evidence of pneumatosis intestinalis or portal venous gas. ... | Interval repositioning of NG tube with the tip projecting at the level of the antrum of the stomach. |
Generate impression based on findings. | 6-year-old male patient with right wrist Salter-Harris II fracture. Evaluate healing and placement for right wrist fracture.VIEWS: Right wrist PA, lateral (two views) 4/30/2015 Cast material obscures fine bone detail. Redemonstration of a Salter-Harris type II fracture of the distal radius with periosteal reaction. The... | Healing Salter-Harris type II fracture of the distal radius. |
Generate impression based on findings. | Reason: lung cancer screening. 66 y.o with 50 pack year history of smoking; current smoker. lungRADS protocol. this is a covered exam for medicare patients. History: none LUNGS AND PLEURA: Moderate upper lobe predominant centrilobular and paraseptal emphysema. Right middle lobe scar like opacity has decreased in size. ... | Interval resolution or near resolution of previously seen pulmonary nodules. No new or suspicious pulmonary nodules or masses. Annual low dose CT screening is recommended.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. | 58 year old female with end-stage renal disease on dialysis presenting with GI bleed. Evaluate for source of bleed. ABDOMEN:LUNG BASES: Basilar interstitial opacity and subsegmental atelectasis. Cardiomegaly. Tricuspid valve replacement. Post-sternotomy changes. Hypoattenuating blood pool compatible with anemia.LIVER, ... | 1. No site of hemorrhage is identified.2. Distended gallbladder with punctate cholelithiasis without evidence of acute gallbladder inflammation.3. Moderate volume ascites and body wall edema.4. Markedly atrophic kidneys with a hyperdense minimally-complex left upper pole cyst.5. Findings of renal osteodystrophy. |
Generate impression based on findings. | Male 88 years old. Reason: left hip pain. History: left hip pain Patchy sclerosis represents mild osteonecrosis of the femoral head appearing similar to prior study. The femoral head contours are preserved. Mild osteoarthritis affects both hips. Moderate degenerative disease affect the visualized lower lumbar spine. | Osteonecrosis and degenerative arthritic changes appear similar to prior study. |
Generate impression based on findings. | 65-year-old male with history of prostate cancer presents for staging examination No abnormal osseous foci are identified to indicate metastatic disease. Mildly increased activity in the acromioclavicular joints bilaterally and in the cervical spine, most likely degenerative in etiology. | No evidence of bone metastases. |
Generate impression based on findings. | 64-year-old male with history of malignant mesothelioma who presents for evaluation The comparison chest radiograph performed on 4/30/2015 demonstrates moderate-sized right pleural effusion. There is a mild matched defect in the left lower lobe. Additionally, there is decreased activity along the right major/minor fiss... | Ventilation and perfusion quantitation as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast carcinoma in a maternal aunt diagnosed at the age of 50. 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 distribut... | 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.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this re... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of ovarian cancer in paternal aunt and grandmother. Two standard digital views of both breasts, an additional right MLO view, and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scat... | Focal asymmetry in the left upper outer breast at mid depth. Recommend comparison with outside mammogram. If prior mammograms cannot be obtained, recommend spot compression view.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISONI personally reviewed the Images and/or ... |
Generate impression based on findings. | 26 years old female with a history of NHL status post bone marrow transplant. Please evaluate and restage disease.RADIOPHARMACEUTICAL: 11 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 79 mg/dL. Today's CT portion grossly demonstrates symmetric soft tissue thickening of the nasopharyngeal wall and symmetric... | 1.Interval progression of hypermetabolic lymph nodes in the neck and chest, with new hypermetabolic lymph nodes in the neck and mediastinum.2.The nasopharyngeal with thickening and enlargement of the bilateral palatine tonsils with increased in activity, which can be due to tumor or inflammatory change.3.New increased ... |
Generate impression based on findings. | 59 year-old female with history of left flank pain. Evaluate for kidney stone. ABDOMEN:LUNG BASES: Scarlike opacity in the anterior left base appear similar to prior.LIVER, BILIARY TRACT: Hepatic steatosis.SPLEEN: Splenic calcifications.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormalit... | 1. No evidence of hydronephrosis or nephrolithiasis as clinically queried. 2. Multiple compression deformities with severe spinal canal stenosis appears similar to prior. |
Generate impression based on findings. | Reason: Chronic abd pain. Reported to have severe RLQ adhesion involving cecum and ovary during her recent hysterectomy. Please evaluate History: Abd pain ABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No sign... | 1.No MRI findings to explain patients abdominal pain. |
Generate impression based on findings. | 62-year-old male who presents for evaluation for potential lung resection. The comparison chest radiograph performed on 4/30/2015 demonstrates elevation of the right hemidiaphragm with mild right basilar atelectasis. The ventilation and perfusion images demonstrate matched decreased activity in the right lung base. Add... | Ventilation and perfusion quantitation as above. |
Generate impression based on findings. | Male, 58 years old. Reason: Cirrhosis, ascites, evaluate liver (known cirrhosis), AKI (r/u hydronephrosis) DOPPLER | 1.Prominence of the common bile duct and pancreatic duct. No cholelithiasis or evidence of acute cholecystitis. Recommend MRCP for further evaluation.2.Heterogeneous liver echotexture may relate to a known diagnosis of cirrhosis. Trace ascites.3.Increased renal cortical echogenicity compatible with medical renal diseas... |
Generate impression based on findings. | Reason: Rule out PE History: Rule out PE PULMONARY ARTERIES: Technically adequate. No pulmonary embolus.LUNGS AND PLEURA: Bilateral dependent ground glass opacity and bilateral lower lobe consolidation/atelectasis. Trace pleural effusions.MEDIASTINUM AND HILA: Left jugular catheter with tip in the proximal SVC. Promine... | 1.No pulmonary embolus,2.Dependent ground glass opacities and bilateral lower lobe consolidation/atelectasis possibly related to aspiration. Endotracheal tube in place with moderate amount of debris within the trachea.3.Prominent mediastinal lymph nodes, likely reactive.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not ... |
Generate impression based on findings. | Male 27 years old; Reason: hx of testicular cancer (classic seminoma), evaluate for metastatic disease History: see above ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADREN... | 1. No evidence of metastatic disease. |
Generate impression based on findings. | 69-year-old female with a history of ovarian cancer. Patient with presacral and vaginal cuff soft tissue mass noted on CT examinationRADIOPHARMACEUTICAL: 13.7 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 90 mg/dL. Today's CT portion grossly demonstrates interval increase in size of multiple mediastinal ly... | 1.Markedly hypermetabolic vaginal cuff soft tissue mass highly suspicious for disease recurrence.2.Markedly hypermetabolic supraclavicular, mediastinal, retroperitoneal, peritoneal, mesenteric, and pelvic lymph nodes highly suspicious for widespread metastatic disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of vaginal cancer. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in distribution. Benig... | 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.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Male 19 years old. Reason: r hip fai History: same Prominence of the anterosuperior aspect of the right femoral head/neck junction representing a CAM deformity. There is a cortically based, geographic heterogenous focus inferomedial aspect of the left femoral neck which is nonspecific and may represent fibrous dysplasi... | CAM deformity of the right hip. Nonspecific, heterogenous lesion in the right femoral neck which may represent fibrous dysplasia or liposclerosing myxofibrous tumor. |
Generate impression based on findings. | Age: 54 years. Sex : Male. Reason for study: Reason: dysphagia History: dysphagia solid. Fluoroscopic guidance was provided for an oropharyngeal motility study performed by the Speech Pathology section of the ENT service. The examination was recorded on videotape. No static or hard copy films were obtained. The exam wa... | 1.The exam was negative for penetration and negative for aspiration. Please refer to concomitant speech pathology report for further details and feeding recommendations.2.Esophageal stasis was noted with patient in erect position, recommend esophagram for further characterization. |
Generate impression based on findings. | Reason: Patient s/p right nephroureterectomy with bladder cuff at U-V junction. Has Foley catheter, please perform retrograde cystogram to eval for leak History: As above A cystogram was performed in standard fashion using the patient's existing Foley Catheter. Scout film demonstrates innumerable surgical clips and deg... | No evidence of vesicoureteral reflux or extravasation of contrast. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left biopsy. Two standard digital views of both breasts and additional left MLO view 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 d... | Stable postsurgical changes in the left breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: Pt having difficulty swallowing. please evaluate for pathology. History: difficulty swallowing/choking Scout radiograph of the chest demonstrate significant tortuosity of the thoracic aorta, similar in appearance recent chest radiograph.Double contrast evaluation of the esophagus revealed deviation of the esoph... | 1.Mild esophageal dysmotility, as above.2.Small, likely pulsion, diverticula of the mid esophagus. |
Generate impression based on findings. | 76 year old female with history of lung cancer, compared to previous CHEST:LUNGS AND PLEURA: Interval increase in coarse reticular opacities which are predominantly subpleural and peripheral in location with associated traction bronchiectasis and mild honeycombing.Right upper nodule not significantly changed measuring ... | 1. Interval increase in right hilar mass and associated mediastinal and hilar adenopathy. 2. Interval increase in interstitial findings in the lungs suggestive of progression of fibrosis. |
Generate impression based on findings. | 79-year-old female history of unexplained weight loss, night sweats, and fatigue. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: There are small bilateral pulmonary emboli within the lobar arteries. Calcified hilar and mediastinal lymph nodes. Small hiatal hernia.CORONARY ARTERY... | 1. Bilateral pulmonary emboli.2. Hypoattenuating left inferior thyroid lesion is nonspecific. This can be further evaluated with dedicated ultrasound as clinically warranted.Findings discussed with Dr. Levine at 1530 on 4/30/15. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Breast tenderness always. Left breast scar. Family history of maternal sister and grandmother, maternal great aunts and mother diagnosed with breast cancer at ages unspecified. Two standard digital views of both breasts, additional bilateral MLO views, and... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 28-year-old female. Patient has increasing swelling about the area of the supraclavicular region. Patient also has scapular winging also on the left. A marker was placed over the patient's palpable abnormality in the medial supraclavicular area. Images are very motion degraded and no conclusive diagnostic findings can ... | Very limited motion degraded incomplete examination, which had to be prematurely terminated due to the patient experiencing pain. Patient will return at a later time for additional imaging with a different field of view targeted to assess her supraclavicular mass. |
Generate impression based on findings. | 82-year-old male with a history of microscopic hematuria. Evaluate for disease with delayed imaging. ABDOMEN:Lack of enteric contrast limits evaluation of bowel.LUNG BASES: Scattered bilateral pulmonary micronodules, some of which are calcified, suggestive of prior granulomatous disease. Right basilar scarring/atelecta... | 1. Mesenteric fat stranding and prominent lymph nodes in the left upper quadrant is nonspecific, but may represent mesenteric panniculitis. Follow up examination is recommended to exclude the possibility of other etiologies, such as a lymphoproliferative disorder/lymphoma. Evaluation of bowel in the surrounding area is... |
Generate impression based on findings. | 50-year-old male. Osteoarthrosis. Unspecified whether generalized or localized. Ankle and foot. A plate and screw device affixes the 1st proximal phalanx and distal metatarsal. No radiographic evidence of hardware complication. Foci of air in the adjacent soft tissues reflect recent surgery. | Orthopedic fixation of the first MTP joint. |
Generate impression based on findings. | Female 66 years old. Reason: eval for cause of Rt leg pain. History: Rt leg pain, h/o RCC s/p resection Knee: Medial joint space narrowing and small osteophytes represent moderate osteoarthritis.Ankle: Soft tissue swelling without underlying osseous abnormality. The ankle mortise is intact. Plantar calcaneal spur is no... | Osteoarthritis of the knee and soft tissue swelling of the ankle. No acute fracture is evident. |
Generate impression based on findings. | Bladder cancer status post cystectomy, evaluate for metastatic disease ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: Intrinsic T1 signal of pancreas maintained. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Renal T2 hyperintense fo... | 1. Status post cystoprostatectomy with orthotopic neobladder formation. Neobladder remains distended (degree of distention mildly increased from earlier study), appearance similar to prior study. Mild bilateral hydronephroureter, may reflect neovesicoureteral reflux. No evidence of local tumor recurrence or metastatic ... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts (a total of 8 images) and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcal... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | There is an oval CSF signal intensity structure which is intra-axial in location but likely external to the confines of the left lateral ventricle, just lateral to the left atrium. This measures 1.2 x 1.5 cm in greatest axial dimensions, by 1.3 cm CC. There is mass effect upon the adjacent ventricular lumen with likel... | 1. Nonenhancing CSF signal intensity structure lateral to the left atrium with localized mass effect, including resultant trapping of the left temporal horn. This is favored to represent an ependymal cyst, with differential including other benign entity such as a neuroglial cyst if truly extraventricular in location, o... |
Generate impression based on findings. | Reason: 69 y/o F with dysphagia to solids > liquids, esophagram History: Dysphagia Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Double contrast evaluation of the esophagus revealed no mucosal or mural abnormalities. A small, intermittent hiatal hernia ... | Mild motor abnormality and small intermittent hiatal hernia. Otherwise, unremarkable esophagram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of two benign left breast biopsies. Family history of breast cancer in two maternal aunts. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this r... |
Generate impression based on findings. | 61-year-old asymptomatic female presents for annual diagnostic examination. History of brownish discharge from the right nipple. Patient had ductogram 4/23/2014 showing a frond-like filling defect in a right breast duct with subsequent duct excision on 6/17/2014 joint duct ectasia but no papilloma. No family history of... | 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. | Female, 55 years old. Reason: is there evidence of impaired hepatic blood flow? History: Hepatitic abscess in a 2011 post-OLT patient DOPPLER | 1.Heterogeneous appearance of the left hepatic lobe, with foci of gas. Findings likely correspond with a known diagnosis of hepatic abscess. If diagnosis is not certain, MRI is recommended for further evaluation.2.Normal directional flow of the portal venous system, with normal hepatic arterial waveforms and patent hep... |
Generate impression based on findings. | Reason: evaluate healing of fracture History: left wrist injury - fracture - surgeryVIEWS: Left wrist AP lateral (2 views) 4/30/15 13:50 Overlying cast limits fine bone details. Distal radial fracture with periosteal reaction. Widening of the ulnar physis, likely representing Salter fracture. Alignment is near anatomic... | Healing fracture as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in two maternal aunts and grandmother. Two standard digital views of both breasts, additional bilateral CC views, and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 24 years old. Reason: h/o renal cell carcinoma with ileum involvement, eval for fracture. History: see above Mixed sclerotic and lytic focus measuring up to 2.5 cm in the right iliac wing.Additional predominantly lytic focus superior to the acetabulum measuring up to 2.4 cm. These correspond to the lesions seen on... | Right pelvic lesions without evidence of fracture. |
Generate impression based on findings. | Motor vehicle versus pedestrian accident.VIEWS: Cervical spine AP/lateral (two views) 04/30/15 Adenoids are moderately to markedly enlarged and the nasopharyngeal airway is narrowed.Vertebral body heights and disk spaces are maintained. No fracture is present. No retropharyngeal soft tissue swelling is seen. | Normal cervical spine. Enlarged adenoids. |
Generate impression based on findings. | Reason: OG placement History: as above Enteric tube tip is proximal to the gastroesophageal junction, recommend advancing at least 10-12 cm. Significant gaseous distention of the stomach is noted. The pelvis is excluded from the field-of-view. Bowel gas pattern appears unobstructed. Please refer to concomitant chest ra... | Enteric tube tip is proximal to the gastroesophageal junction, recommend advancing at least 10-12 cm. |
Generate impression based on findings. | 45-year-old of with outside MRI detected mass in the right breast. 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 dense, unchanged in pattern and distribution. An ill-def... | Suspicious mass in the right 12 o'clock position, for which ultrasound-guided biopsy is recommended. Results and recommendations were discussed with the patient.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal aunt. Two standard digital views of both breasts and additional left MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | History of mucosal melanoma of the head and neck status post resection with positive margins, presenting for radiation planning. Neck: There are postoperative findings related to right sinonasal tumor resection. There are several areas of nonspecific soft tissue along the margins of the surgical cavity that measures up... | 1. Findings related to right sinonasal tumor resection with nonspecific soft tissue along the margins of the surgical cavity and within pterygopalatine fossa region, which may represent at least in part residual tumor, given the history of positive margins. Follow up via MRI or PET may be useful to more precisely delin... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. She has a history of bilateral breast cysts, with previous bilateral aspirations. She also has a history of benign right breast biopsy in 2007. Her family history is positive for breast cancer diagnosed in her mother at age 52. Two standard digital views o... | 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. | 10 year old female patient with left wrist fracture. Evaluate healing of fracture.VIEWS: Left wrist PA, lateral, oblique (3 views) 4/30/2015 Cast material obscures fine bone detail. Redemonstration of fractures of the distal radius and ulna diaphyses in near-anatomic alignment. Sclerosis and periosteal reaction are sug... | Healing distal radius and ulna fractures. |
Generate impression based on findings. | 62-year-old female. Injury with IP pain. Evaluate for IP DJD. Marked osteoarthritis affects the basilar joint. Moderate osteoarthritis affects the first interphalangeal joint. Slight widening of the scapholunate interval suggestive of ligamentous injury/laxity. | Osteoarthritis. |
Generate impression based on findings. | 15-year-old female. Status post left knee TTT and MPFL reconstruction. Posterior findings of tibial tubercle osteotomy with two orthopedic screws in the proximal tibial diaphysis. No radiographic evidence of hardware complication. The osteotomy lines are indistinct, indicating some interval incorporation into the adjac... | Post-surgical findings of tibial tubercle osteotomy. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional bilateral CC and left MLO views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Reason: history of mucosal melanoma of the head and neck s/p resection History: none CHEST:LUNGS AND PLEURA: Dependent right upper lobe ground glass and focal airspace opacity, likely related to aspiration or infection, new compared to prior outside examination. Scattered nonspecific pulmonary micronodules. The largest... | 1.Scattered mesenteric and peritoneal nodules suspicious for metastatic deposits, which were outside the field of view of the prior outside CT.2.No definite evidence of intrathoracic metastases. New 4 mm nodule, possibly an intrapulmonary lymph node along the right minor fissure. Recommend special attention paid on fol... |
Generate impression based on findings. | 13-year-old female patient with Crohn's. Question of small bowel disease.EXAMINATION: MR enterography without and with IV contrast 4/30/2015 ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic lesion.SPLEEN: The spleen is normal in appearance.PANCREAS: The pancreas is normal in appearance.ADRENAL GLANDS: No significant abno... | Long segment wall thickening and stenosis of the terminal ileum with enhancement is compatible with active inflammation of Crohn's disease. Additional short segment narrowing with enhancement is noted. |
Generate impression based on findings. | Male 82 years old. Reason: eval fx History: eval fx Bone demineralization and overlying bowel gas and stool limit evaluation.Left hip: Mild joint space and osteophyte formation represents mild osteoarthritis without underlying fracture or dislocation.Pelvis: Mild osteoarthritis of the right hip without underlying fract... | Degenerative arthritic changes as above. Slight anterior wedging of the T12 vertebral body which may represent a mild compression fracture of indeterminate age. |
Generate impression based on findings. | Extensive streak artifact limits evaluation of the oral cavity. Given this limitation, there is mild asymmetric enlargement of the left palatine tonsil with a subcentimeter area of hypoattenuation with partial peripheral enhancement that is most conspicuous on angled images. There is mild mass effect on the pharyngeal... | Left palatine tonsillitis with a subcentimeter left peritonsillar early abscess or phlegmon with mild mass effect on the airway, but no significant airway compromise. |
Generate impression based on findings. | Pedestrian versus motor vehicle collision. Distal tibial fracture.VIEW: Pelvis AP (one view) 04/30/15 The round, smooth femoral heads are well directed into normally formed acetabula. The left femur is abducted and externally rotated most likely due to the distal tibial fracture. No fracture is identified. | Normal examination. |
Generate impression based on findings. | 80 year old female with history of type B aortic dissection. ANGIOGRAM: There is a type B aortic dissection extending from the level of the mid descending thoracic aorta extending caudally to the level of the right common iliac artery bifurcation. The dissection also involves the proximal right renal artery, however th... | 1. Type B dissection as above with more active filling of the false lumen with contrast.2. RIght adnexal cystic lesion with nodular component should be further evaluated with pelvic ultrasound when clinically feasible.3. Resolving small right groin hematoma. |
Generate impression based on findings. | 85-year-old male. Preop. Pain. Severe osteoarthritis affects the right knee. There is approximately 16 degrees of genu varus deformity. Mild osteoarthritis affects the hip. The incompletely imaged talus appears diffusely increased in density; if there is clinical concern for avascular necrosis, dedicated ankle radiogra... | Severe knee osteoarthritis and genu varus deformity. The talus appears diffusely increased in density; if there is clinical concern for avascular necrosis, dedicated ankle imaging may be obtained. |
Generate impression based on findings. | 59 year-old female with history of metastatic tonsillar cancer, compare to previous CHEST:LUNGS AND PLEURA: Biapical fibrosis unchanged. Left upper lung consolidation with volume loss and fibrosis suggestive of evolving radiation reaction. Previously referenced left upper lobe nodule is no longer visible and maybe obsc... | Findings most consistent with evolving radiation reaction in the left upper lung. Previously referenced left upper lobe nodule is not visible and maybe obscured by overlying radiation reaction. No new measurable disease. |
Generate impression based on findings. | Female 47 years old. Reason: Eval for OA. History: pain Tricompartmental joint space narrowing and osteophyte formation represent near severe osteoarthritis. Chondrocalcinosis is noted and likely age-related. Moderate osteoarthritis affects the right knee as seen on the frontal views. | Near severe osteoarthritis. |
Generate impression based on findings. | 87-year-old female. Six weeks postop. Status post right THA. Right hip: Hardware components of a total hip arthroplasty device in near-anatomic alignment without radiographic evidence of hardware complication. There is interval resolution of soft tissue gas and removal of the surgical drain. Pelvis: Aforementioned righ... | Right hip arthroplasty device. |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with mild-moderate age-related volume loss. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are scattered punctate and confluent areas of abnormal low density in the periventricular and subcortical white matter, consistent with sta... | No acute intracranial abnormality. Stable moderate chronic small vessel ischemic changes and scattered chronic lacunar infarcts. |
Generate impression based on findings. | 70 year old with palpable lump in the right breast. History of right lumpectomy in 2001 followed by radiation and tamoxifen. Three standard views 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 dense, unchang... | Palpable lump at two o'clock position in the right breast, corresponding to the irregularly-shaped mass on ultrasound. FNA under palpable guidance is recommended. Results and recommendations were discussed with the patient.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | Female 67 years old. Reason: left total hip. History: left total hip Hardware components of a left total hip arthroplasty are situated in anatomic alignment without radiographic evidence of hardware complication. Skin staples overly the lateral thigh. Interval removal of surgical drain. Mild osteoarthritis affects the ... | Left total hip arthroplasty as above. |
Generate impression based on findings. | 46-year-old female. History of pilonidal abscess. Evaluate for osteomyelitis. Post-surgical findings of midfoot amputation. Diffuse soft tissue swelling. Small plantar heel spur. Mild osteoarthritis affects the ankle and midfoot articulations. Demineralized bones. No evidence of an acute fracture. No destructive osteol... | Diffuse soft tissue swelling. The bones of the foot are not well-assessed due to superimposition of anatomy; if there is clinical concern for osteomyelitis involving the foot, a foot radiograph or MRI may be obtained. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids/middle ears are grossly clear. There is fo... | No acute intracranial abnormality. |
Generate impression based on findings. | Images are moderately limited by motion degradation. There is stable 4-mm grade 1 anterolisthesis of L4 on L5. The lumbar spine is otherwise in normal alignment, with a normal lumbar lordosis. There is multilevel disk narrowing and desiccation most conspicuous at L3-L4 where there is moderate disk height loss. Vacuum ... | 1. Stable grade 1 anterolisthesis of L4 on L5 with prominent left paracentral disk extrusion migrating cranially and an associated sequestered disk fragment at the mid L4 level. This effaces the left lateral recess with moderate left and moderate-severe right foraminal narrowing.2. Moderate-severe right and moderate le... |
Generate impression based on findings. | Male 64 years old; Reason: 63 yo with cirrhosis please screen for HCC History: none ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Cirrhosis with stented and coiled/embolized splenorenal collaterals. Cholecystectomy.SPLEEN: Splenomegaly.PANCREAS: No significant abnormality noted.ADRENAL GLAN... | 1.No suspicious hepatic lesions in this cirrhotic patient. |
Generate impression based on findings. | 40 year old female. Right shoulder pain. No fracture or dislocation. Glenohumeral joint is unremarkable without frank osteoarthritis. Postsurgical findings of right mastectomy. Approximately 1 cm ovoid density projecting below the glenoid seen best on the Grashey view, may represent fat necrosis in the chest wall. | No evidence of fracture or glenohumeral joint osteoarthritis. |
Generate impression based on findings. | Female, 27 years old. Reason: sp DS, now with increased LFTs concern for retained biliary stone vs internal hernia History: RUQ pain LIVER: The liver measures 17.7 cm, with mildly increased echogenicity, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intr... | 1. No cholelithiasis, evidence of acute cholecystitis, or biliary ductal dilatation. 2. Mildly increased liver echogenicity, compatible with fatty infiltration/parenchymal dysfunction. |
Generate impression based on findings. | 70 year old female status post left mastectomy in 1989 for breast carcinoma, presents today for routine follow up. Patient received chemotherapy, radiation and hormonal therapy. No current breast complaints. No family history of breast cancer. Three standard views of the right breast, and an additional right MLO view, ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral 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. | 59 years, Female. Reason: abd pain, r/o free air History: see above Right-sided chest tube terminates beyond the caudal aspect on the film. Nonobstructive bowel gas pattern. No evidence of intraperitoneal air, pneumatosis intestinalis or portal venous gas. Right lateral abdominal wall port tip projects at the level of ... | No evidence of free intraperitoneal air, as clinically questioned. |
Generate impression based on findings. | 69-year-old male with history of diarrhea/steatorrhea. Evaluate for pancreatic insufficiency. ABDOMEN:LUNG BASES: Mild bibasilar atelectasis. Probable intrapulmonary lymph node in the anterior aspect of the right middle lobe. No suspicious pulmonary nodules or masses.LIVER, BILIARY TRACT: No suspicious hepatic lesions.... | 1. Moderate pancreatic atrophy without suspicious lesion or ductal dilatation.2. Right inferior pole exophytic renal lesion suspicious for renal cell carcinoma.Findings discussed with Dr. Bisonnette on 1520 on 4/30/15. |
Generate impression based on findings. | 32-year-old male. Swelling MCP joint right thumb. Pain in right thumb after fall. Right thumb: No fracture or dislocation is evident. Mild soft tissue swelling about the MCP joint.Right hand: No fracture or dislocation is evident. Mild lucency of the juxta-articular bones diffusely, juxta-articular osteoporosis cannot ... | Mild soft tissue swelling without evidence of a fracture. |
Generate impression based on findings. | 78 years old, Male, New headaches post fall There is no evidence of intracranial hemorrhage. Scattered periventricular and subcortical white matter hypoattenuating foci bilaterally which represents small vessel ischemic disease of indeterminate age. More focally hypoattenuating area in the anterior frontal lobe is slig... | 1. Chronic right frontal and right parietal infarcts without acute intracranial abnormality. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct. If there is continued concern for acute infarct MRI is recommended. 2. Partial opacification of paranasal sinuses with maxillary air fl... |
Generate impression based on findings. | Motor vehicle versus pedestrian accident. Outside imaging with fracture of tibia.VIEWS: Left knee AP/lateral/oblique (3 views), left tibia fibula AP/lateral (two views), left ankle AP/lateral/oblique (3 views) 04/30/15 A splint obscures bone detail. An oblique fracture of the distal mid tibial diaphysis is present. The... | Oblique fracture of distal mid-tibia. |
Generate impression based on findings. | Reason: s/p surgically reconstructed bladder with Foley. Please instill 30-40cc of contrast material via Foley catheter slowly and gently. Please eval for any site of leak. Has ureteral stent on left that should allow reflux to ureter. History: As above A cystogram was performed utilizing dilute Omnipaque 350 and steri... | Extravasation of contrast into a contained collection at the level of the ureteroureterostomy, as above. |
Generate impression based on findings. | 39 year old asymptomatic female with history of benign left breast biopsy presents for annual diagnostic examination. Family history of breast carcinoma in her sister at age 40, and a maternal aunt. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parench... | 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. | Clinical question: Evaluate paranasal sinuses. Signs and symptoms: Bilateral nasal congestion, chest congestion and postnasal drip. Med clinic fusion sinus CT:Frontal sinuses are absent which is a normal anatomical variation.Ethmoid sinuses demonstrate minute patchy mucosal thickening and unremarkable otherwise.Sphenoi... | 1.Near complete opacification of left maxillary sinus and occluded left ostiomeatal unit.2.Minute ethmoid sinus disease bilaterally.3.Frontal sinuses are absent which represent an anatomical variation.4.Hypoplastic right maxillary sinus without evidence of disease.5.Hypoplastic 6.sphenoid sinus without evidence of dise... |
Generate impression based on findings. | Motor vehicle versus pedestrian accident.VIEWS: Right tibia-fibula AP/lateral (two views) 04/30/15 A transverse buckling fracture of the distal tibial diametaphysis is present. Minimal soft tissue swelling is noted. The rest of the bones are normal in appearance. | Buckling fracture distal tibia. |
Generate impression based on findings. | 23-year-old male with history of right lower quadrant pain. Evaluate for appendicitis. 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 no... | Uncomplicated acute appendicitis. |
Generate impression based on findings. | 56-year-old female with history of visual loss, Parkinsonianism, L. summers disease variant. Evaluate perfusion There is decreased activity in the temporal and parietal regions bilaterally relative to the frontal lobes and the occipital lobes. Normal activity within the cerebellum is noted. | Decreased bilateral temporal parietal activity suspicious for Alzheimer's disease. |
Generate impression based on findings. | A patient submitted outside study for review. Screening mammogram 2/23/2015, left diagnostic mammogram 3/9/2015, stereotactic biopsy 3/17/2015 of the left breast, needle localization of the left breast dated 3/31/2015. Comparison dated 9/9/2013. Performed at Ingalls Memorial. SCREENING MAMMOGRAM (2/23/2015): Heterogeno... | Known left breast cancer status post biopsy and subsequent lumpectomy. Lumpectomy specimen radiograph with calcifications close to 1 of the surgical margin, however, no positive margins reported on pathology. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended ann... |
Generate impression based on findings. | 51 year old female who has a complaint of left breast pain and erythema x 2 days. History of bilateral reduction mammoplasty in the 1990s. MAMMOGRAM: Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular de... | Isolated skin thickening of the left periareolar region, suggestive of cellulitis. No underlying mass or abscess is identified. These findings were were discussed with Dr. Jaskowiak at the time of the examination. The patient has been instructed to commence antibiotics and follow up with Dr. Jaskowiak in clinic tomorro... |
Generate impression based on findings. | Female, 47 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. A focal 3-mm hypoechoic lesion inferior to left thyroid bed is less clearly visible on this exam, and thought to represent scarrin... | Status post thyroidectomy without evidence of recurrent disease. Unchanged appearance of cervical lymph nodes. |
Generate impression based on findings. | Status post fracture.VIEWS: Left third toe AP, lateral and oblique 4/30/15 (3 views) Healing fracture of the epiphyses of the proximal phalanx of the left third toe with periosteal reaction and dorsal angulation is unchanged in alignment. | Healing fracture, unchanged in alignment. |
Generate impression based on findings. | 57-year-old male. Pain. Evaluate for nonunion. EPIC history: distal tibial fracture happened in 8/2014. A side plate and screws affix a comminuted predominantly transverse fracture of the distal tibia with medial angulation of the distal fracture fragment. There is a complete break in the distal aspect of the plate dev... | Findings most consistent with nonunion of the distal tibial fracture. |
Generate impression based on findings. | 60 year-old female with history of breast cancer and large lytic skull lesion. Evaluate for metastatic disease.RADIOPHARMACEUTICAL: 12.2 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 100 mg/dL. Today's CT portion of the neck grossly demonstrates mild linear opacities in the lung bases bilaterally, which li... | 1.Right frontal calvarial lytic lesion and left lesser trochanter sclerotic lesion with moderate hypermetabolic activity as above. These lesions are suspicious for metastatic disease.2.Right anterior pleural based and left lower lobe pleural based linear mild hypermetabolic foci are nonspecific and may be inflammatory ... |
Generate impression based on findings. | Male, 50 years old. Reason: gallstones? liver size? History: elevated AST/ALT abdominal pain eval LIVER: The liver measures 21.1 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... | 1.The gallbladder is contracted, limiting evaluation. No gallstones or biliary ductal dilatation.2.Coarse, echogenic liver, most compatible with fatty infiltration/parenchymal dysfunction. |
Generate impression based on findings. | [ Female 59 years old Reason: Phlegmon vs soft tissue growth - skin nodules on the b/l LE History: Skin nodules - tender ] The study was limited due to the lack/absence of contrast secondary to extravasation.Contrast extravasation description:Supervising radiologist: Dr. J. FinkleMinor or major extravasation: Minor Con... | 1. Contrast extravasation as described above. 2. Multiple nodules within the subcutaneous tissues of both lower extremities of varying densities with surrounding inflammation. These are nonspecific and there is a broad differential for this appearance including but not limited to infectious or inflammatory etiologies. ... |
Generate impression based on findings. | 59 years, Female. Reason: assess for obstipation History: 59 y.o. woman with history of celiac diseae, constipation, diarrhea despite a gluten free diet. Nonobstructive bowel gas pattern. Average stool burden. No evidence of pneumatosis intestinalis or portal venous gas. The lung basis appear clear. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 82-year-old male with history of bladder cancer. Evaluate for metastatic disease. ABDOMEN:LUNG BASES: Moderate left pleural effusion with adjacent compressive atelectasis. Nodular 8 mm right lower lobe subpleural solid nodule.LIVER, BILIARY TRACT: Punctate hepatic calcifications, may reflect prior granulomatous disease... | 1. No definite evidence of metastatic disease. Subcentimeter pelvic and retroperitoneal lymph nodes. Poor evaluation of the bladder wall due to left hip prosthesis streak artifact. The anterior bladder wall is poorly defined which may be artifactual.2. Nonspecific 8mm right lower lobe subpleural solid nodule. Attention... |
Generate impression based on findings. | Headache. Primary hyperparathyroidism. There is no evidence of acute intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. Thre are findings related to left sinus lift surgery with osteoi... | No evidence of acute intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Female 67 years old; Reason: Assess kidney size and assess vasculature prior to kidney transplant History: Pt. with symptomatic PKD (hematuria) ABDOMEN:LUNG BASES: Left lower lobe granuloma.LIVER, BILIARY TRACT: Numerous hepatic hypodensities, most measurable ones of which are of fluid attenuation, and likely cysts rel... | 1.Findings compatible with polycystic kidney disease as described above. No significant vascular calcification in the right common iliac and external iliac vasculature. |
Generate impression based on findings. | There is no abnormal intracranial enhancement, or mass. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. There is mild left maxillary sinus mucosal thickening. The remaining imaged paranasal sinuses and mastoid air cells are clear. The skull and extrac... | 1. No evidence of left mastoiditis or periauricular abscess. 2. No intracranial mass or suspicious enhancement.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Reason: r/o ICH (head trauma) History: no complaints There are patchy hypodensities present in the left centrum semiovale and left parietal lobe associated with volume loss. These are stable compared to the prior exam. There is extra-axial fluid adjacent to the frontal lobes bilaterally.they are higher density than CSF... | 1.extra-axial collections adjacent to the frontal lobes are suspected to represent chronic subdural hygromas. They are stable.2.Encephalomalacia along the left centrum semiovale and left parietal lobe are likely related to prior ischemic events.3.CT is insensitive for the early detection of acute non-hemorrhagic cerebr... |
Generate impression based on findings. | 53 year-old female status post right lumpectomy in 2002 for breast cancer with history of chest wall recurrence in 2007. Patient complains of palpable abnormality in the right retroareolar region. BILATERAL DIAGNOSTIC MAMMOGRAM: Three standard views of both breasts and additional two spot compression views of the right... | New skin thickening with two indeterminate masses seen on ultrasound. Recommend surgical consultation and ultrasound guided biopsy. Patient is scheduled to see Dr. Hoffman (heme-onc) today.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | Male 34 years old. Reason: r/o fx. History: pain s/p fall with outstretched hand. Left: No significant soft tissue swelling or underlying fracture or malalignment.Right: No significant soft tissue swelling or underlying fracture or malalignment. | No fracture or malalignment evident. |
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