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Generate impression based on findings. | Male 82 years old. Reason: left hip pain s/p fall. History: left hip pain s/p fall We see no fracture. Mild osteoarthritis affects the left hip. Mild degenerative arthritic changes affect the left sacroiliac joint and pubic symphysis. There are small foci of calcification along the base of the greater trochanter, which... | Mild degenerative arthritic changes as described above. No fracture. |
Generate impression based on findings. | Female 33 years old. Reason: r/o fx/dislocation. History: pain after twisting injury Four non-weightbearing views of the left knee are provided. We see no malalignment or joint effusion. There is, however, a focal defect of the articular surface of the lateral aspect of the medial femoral condyle with underlying sclero... | Focal defect of the articular surface of the lateral aspect of the medial femoral condyle compatible with an osteochondral defect, but may be chronic in etiology as we see no joint effusion on this study. This can be further evaluated with MRI, if clinically warranted. |
Generate impression based on findings. | Head trauma. Loss of consciousness. There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. There is age indeterminate deformity involving bilateral anterior nasal b... | 1. No intracranial hemorrhage or calvarial fracture. Small left frontotemporal subgaleal hematoma.2. Deformity of the bilateral nasal bones as well as the bony nasal septum likely sequela of prior trauma.3. Deformity of the left mandibular condyle which is anteriorly positioned and may also be sequela of prior trauma. |
Generate impression based on findings. | Reason: posterior dissection History: left sided numbness/weakness, occipital headache Neck CTA: There is opacification of the carotid arteries and vertebral arteries. On the basis of NASCET criteria there is no significant stenosis at the carotid bifurcations. There is no significant stenosis along the course of the v... | 1.There is no evidence for carotid or vertebral dissection.2.No evidence for aneurysm.3.No evidence for cervicocerebral occlusive disease |
Generate impression based on findings. | Female; 55 years old. Reason: further characterization of heterogenous hepatic lesion demonstrated on CT scan from OSH; Concern for abscess vs malignancy History: 55f S/P OLT in 2011 p/w Abdominal pain, septic shock and FTH heterogenous hepatic lesion on non-con CT ABDOMEN:LUNG BASES: Small left pleural effusion. Moder... | 1. Findings most compatible with multiple left hepatic lobe microabscesses with confluent abscess in the posterior left hepatic lobe, status post percutaneous drainage. Probable additional perihepatic abscesses. 2. Marked right cardiophrenic, porta hepatis, and gastrohepatic lymphadenopathy, likely reactive in the sett... |
Generate impression based on findings. | 32 year old female. Right foot pain. Evaluate for fracture. There is a transverse fracture of the base of the fifth metatarsal extending to the tarsometatarsal joint. Alignment is near anatomic. | Fifth metatarsal base fracture.Findings were communicated over the phone to the clinical service, Dr. Cobb, at time of dictation. |
Generate impression based on findings. | Reason: Nearly 8 yrs after LLL for T1N0 Stage IA adenosquamous cell carcinoma, 3 yrs after redo L thoracotomy LUL wedge for T1aN0 Stage IA squamous cell carcinoma History: 5 mo f/u LUNGS AND PLEURA: Postsurgical changes of a right lower lobe wedge resection. Soft tissue surrounding the staple line seen on the previous ... | 1.Postsurgical changes bilaterally. Nodule along the left apical chest wall suture from previous left upper lobe wedge resection continues to increase in size, now measuring 14 mm, suspicious for recurrence. 2.Bronchial wall thickening, bronchiolectasis, tree in bud / ground glass opacities, and subpleural nodularity p... |
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 midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. | No acute intracranial hemorrhage or mass-effect. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion. |
Generate impression based on findings. | Female 80 years old. Reason: eval distal fibula. History: distal fibula avulsion fx 3/29 Three weight-bearing views of the right ankle demonstrate a small, minimally displaced avulsion fracture along the tip of the distal fibula. Portions of the fracture line appear slightly indistinct which may indicate healing, altho... | Distal fibular avulsion fracture as above. |
Generate impression based on findings. | Male 52 years old. Reason: eval fx. History: h/o Charcot arthropathy, base of 2/3rd MT Three weight-bearing views of the left foot demonstrate fractures through the proximal diaphyses of the second, third, and fourth metatarsals. Fracture lines appear slightly less distinct compared to the prior study with increased ca... | Healing metatarsal fractures as above. |
Generate impression based on findings. | 25-year-old man with history of chest pain and new onset hypertension. ANGIOGRAM: No evidence of aortic dissection. There is a normal configuration of the aortic arch. No vascular stenosis or aneurysm.CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: The heart size is normal without pericard... | No evidence of aortic dissection is clinical queried. No findings to account for the patient's symptoms. |
Generate impression based on findings. | 3 year-old male patient who fell from roof with back pain. Question of fracture.VIEWS: Thoracic spine AP and lateral (two views) 4/30/2015 No acute fracture is evident. Alignment is anatomic. Vertebral body heights are maintained. Contrast is noted in the proximal pelvicaliceal systems and ureters which are delicate. | No acute fracture is evident. |
Generate impression based on findings. | Facial weakness, post craniotomy for acoustic neuroma. Interval postsurgical changes of resection of left cerebellopontine angle and internal auditory canal mass are seen via left translabyrinthine approach. Fat graft is noted at the mastoidectomy site. There is small amount of pneumocephalus. No large hemorrhage or ma... | Expected postsurgical changes of translabyrinthine approach resection of left cerebellopontine angle and internal auditory canal mass. No significant hemorrhage or intracranial mass effect. MRI can better assess for residual tumor. |
Generate impression based on findings. | 61-year-old male with history of metastatic mesothelioma, constipation, epigastric pain and dysphagia. Evaluate for esophageal obstruction. The study is somewhat limited by patient motion.ABDOMEN:LUNG BASES: Nodular pleural and fissural thickening at the left lung base is compatible with the patient's history of mesoth... | 1. No evidence of esophageal obstruction as clinically questioned.2. Large volume fecal burden in the right hemi-colon.3. Long-segment small bowel dilatation with a gradual transition point and contrast seen more distally. Findings suggest adhesive disease with early obstruction versus ileus. Mild pelvic small bowel di... |
Generate impression based on findings. | PHARYNX/LARYNX: The nasopharynx, oropharynx, and hypopharynx are unremarkable. The larynx is unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass or pathological enhancement.GLANDS: The contrast-enhanced appearance of the submandibular, sublingual, and parotid glands bi... | Minimal scattered cervical lymphadenopathy which is nonspecific and most likely reactive in a patient of this age. A few small normal appearing nonenlarged lymph nodes along the left angle of the mandible which may correlate with the patient's area of palpable concern, although several are also seen on the right. |
Generate impression based on findings. | 3-year-old male patient with fall from roof and wrist deformity. Question of left wrist fracture.VIEWS: Left wrist PA, oblique, lateral (3 views), left elbow AP, oblique, lateral (3 views), left forearm AP and lateral (two views) 4/30/2015 The lateral radiograph of the elbow is obliqued, repeat radiograph is recommende... | 1. Displaced distal radius and ulna fractures.2. Inadequate lateral elbow radiograph; recommended repeat radiograph. |
Generate impression based on findings. | 81-year-old female with history of tubular adenoma post colectomy in 2005. Now with antral ulcerations and compressing mass. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Hiatal hernia.CORONARY ARTERY CALCIFICATION: Mild to moderate.CHEST WALL: No significant abnormality noted.ABDOMEN:L... | Mass involving the gastric antrum. By shape and location, this may represent a GIST tumor.Enlarging left adnexal mass/ovary. |
Generate impression based on findings. | 56-year-old male with history of leukocytosis and abdominal distention status post aortobifemoral bypass. ABDOMEN:LUNG BASES: Small bilateral pleural effusions with associated atelectasis. No suspicious nodules or masses in the imaged bases.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant ab... | 1. Postoperative changes of aortobifemoral bypass with low attenuation fluid collection surrounding the proximal graft which likely represents a postoperative seroma.2. Large proximal left quadriceps intramuscular hematoma.3. Diffuse bowel dilation without discrete transition point favoring ileus over small bowel obstr... |
Generate impression based on findings. | Male 20 days old Reason: is the dilation improved History: possible pneumatosisVIEW: Abdomen AP (one view) 5/1/15 at 549 hours. NG tube terminates at the stomach. Bibasilar haziness and left lower lobe atelectasis.Minimally distended, normal abdominal gas pattern. No evidence of obstruction, free air, pneumatosis intes... | Interval improvement in bowel organization and pattern. |
Generate impression based on findings. | Reason: status epilepticus, r/o bleed and venous thrombus History: status There is redemonstration of some skin thickening with thinning of the subcutaneous fat adjacent to the left parietal bone. This was present on the prior exam and is unchanged.The CSF spaces are appropriate for the patient's stated age with no mid... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Male 20 days old Reason: is the dilation improved History: possible pneumatosisVIEW: Abdomen AP (one view) 4/30/15 at 1823 hrs. Bibasilar haziness noted. NG tube remains at the stomach. Disorganized, mildly distended and nonspecific abdominal gas pattern. No evidence of obstruction, free air, pneumatosis intestinalis o... | Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | 56 year old with history of right breast cancer status post mastectomy. Family history of breast cancer in maternal aunt and sister. 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 density, unchanged ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Headaches, post craniotomy for acoustic neuroma. Again seen are postsurgical changes of resection of left cerebellopontine angle and internal auditory canal mass via left translabyrinthine approach. Fat graft is noted at the mastoidectomy site. There is small amount of pneumocephalus. Fluid and blood products are noted... | Again seen are expected postsurgical changes of translabyrinthine approach resection of left cerebellopontine angle and internal auditory canal mass. Blood products again seen at the cerebellopontine angle. Unchanged deformity of the fourth ventricular contour without hydrocephalus. No large hemorrhage or intracranial ... |
Generate impression based on findings. | 52-year-old male. Pain. Moderate to severe degenerative disk disease affects C6-7 and mild to moderate degenerative disk disease affects C5-6. There is minimal 1 mm anterolisthesis of C4 that is elicited on flexion, not necessarily of any clinical significance. Carotid artery calcifications are noted. | Degenerative disk disease. |
Generate impression based on findings. | 73-year-old male. Status post intramedullary rod a subtrochanteric fracture on 2/3/2015. Two views of the right femur show an intramedullary rod and screw device affixing a comminuted subtrochanteric fracture in near anatomic alignment. We see no hardware complication. There has been further maturation of callus along ... | Orthopedic fixation of a healing subtrochanteric fracture. |
Generate impression based on findings. | Right buccal squamous cell carcinoma status post chemoradiation completed in 2013 and HbS-beta+thalassemia admitted for evaluation of right facial swelling and anemia. Head: There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in ... | 1. Post-treatment findings in the right oral cavity region with continued decrease in size of the lesion along the right buccal mucosa and retromolar trigone. Although no discrete fluid collection is identified to suggest abscess, superimposed infection in this region cannot be excluded. Furthermore, diffuse stranding ... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer diagnosed in mother at the age of 74. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. ... | No 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. | 58 year old male with abdominal pain, evaluate for disease state/progression. CHEST:LUNGS AND PLEURA: Right upper and middle lobe volume loss with consolidation of fibrosis most consistent with radiation reaction. There is more inferior extension of this process to the retro hilar region where there is an additional ar... | 1. Findings most consistent with radiation reaction in the right upper and middle lobe. Additional area of consolidation more inferiorly in the retro hilar region may also reflect radiation reaction or residual tumor, however this is not significantly changed. Additional discrete nodules are unchanged with mediastinal ... |
Generate impression based on findings. | 51-year-old female. Lower back pain. History of disk herniation in the lumbar spine. Moderate degenerative disk disease affects L3-4 and mild degenerative disk disease affects L4-5. The vertebral body heights are preserved. Alignment is within normal limits. | Degenerative disk disease. |
Generate impression based on findings. | Reason: Pt with bronchiectasis and ? infection noted on XR from 4/27. would like to further evaluate with CT chest as recommended History: fevers, cough, elevated ESR LUNGS AND PLEURA: Bilateral lower lobe, right much greater than left, ground glass and airspace opacities with bronchial/bronchiolar wall thickening. Sma... | 1.Bilateral lower lobe, right much greater than left, ground glass and air space opacities compatible with pneumonia. 2.Enlarged right hilar lymph node, likely reactive in etiology. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in distribution. No suspicious masses, microcalcifications... | 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. | 48-year-old female with history of left lower quadrant pain. Evaluate for ovarian abscess/pathology. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant ... | Tubular low attenuating structure in the area of the left adnexa has significantly decreased in size when compared to prior. Differential includes hydro/pyosalpinx or residual tuboovarian abscess. A pelvic ultrasound may be useful for further characterization when clinically feasible. |
Generate impression based on findings. | 34-year-old male with right CVA tenderness and hematuria. Please note that lack of intravenous and oral contrast limits evaluation for solid organ, bowel, and vascular pathology.ABDOMEN:LUNG BASES: No pleural effusions, suspicious nodules or masses. Normal cardiac size without pericardial effusion.LIVER, BILIARY TRACT:... | Findings suggesting cystitis without renal stone or hydroureteronephrosis. |
Generate impression based on findings. | There is a subtle small area of susceptibility with blooming artifact and conspicuous T2 hypointensity along the left hypothalamus with mild localized mass effect upon the inferior third ventricle. This is located just posterior to the optic chiasm as best seen on 1401/12 where it measures 4 x 5 mm. There is slightly ... | Small focus of susceptibility along the left hypothalamus with mild localized mass effect upon the inferior third ventricle and splaying of the upper aspect of infundibulum. Although nonspecific, this could represent a cavernoma in this location especially given its heterogeneous T1 appearance, although other hemorrhag... |
Generate impression based on findings. | Interval postsurgical changes of resection of previously seen large cerebellopontine angle mass via retrosigmoid approach. Small foci of restricted diffusion along the lateral aspect of the pons on the left as well as along the lateral surface of the left cerebellar hemisphere. No large infarct or large hemorrhage is ... | 1. Expected postsurgical changes of resection of left cerebellopontine angle mass via retrosigmoid approach with significant improvement in mass effect on the brainstem, cerebellum, and left middle cerebellar peduncle. There has been near total resection with minimal residual tumor noted within the left internal audito... |
Generate impression based on findings. | Male; 55 years old. Reason: sp open gastric bypass revision History: febrile ABDOMEN:LUNG BASES: Small right pleural effusion with underlying mild nonspecific right lower lobe atelectasis/consolidation. Mild subsegmental atelectasis is seen elsewhere in both lung bases. Moderate coronary artery calcifications.LIVER, BI... | 1. Expected postsurgical changes from Roux-en-Y gastric bypass revision. No evidence of abdominal abscess.2. Nonspecific right lower lobe atelectasis/consolidation, for which underlying infection cannot be excluded.3. Interval dilation of the biliary tree without evidence of obstructing lesion. If there is concern for ... |
Generate impression based on findings. | Fall from roof, uncertain loss of consciousness. There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. There is moderate nonspecific opacification of the paranasal... | No intracranial hemorrhage or calvarial fracture. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in her mother at 65 and cousin at 35. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density... | No 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. | 8-month-old with omphalocele. Elevated alkaline phosphatase. Rule-out fracture.VIEWS: Right femur AP/lateral (two views), left femur AP/lateral (two views), right tibia-fibula AP/lateral (two views), left tibia-fibula AP/lateral (two views) 05/01/15 Left lower extremity PICC has been removed. No metaphyseal cupping or ... | No fracture or signs of rickets. |
Generate impression based on findings. | 62-year-old male with abdominal pain. Status post nephrectomy 4/27/2015. Evaluate for fluid collection or abscess. Please note that lack of intravenous contrast limits evaluation for solid organ, bowel, and vascular pathology.ABDOMEN:LUNG BASES: Moderate right lung base atelectasis with a small effusion. Calcified left... | 1. Small bowel obstruction, likely due to adhesive disease. No specific evidence of bowel ischemia within the limitations of a non-enhanced study.2. Small right pleural effusion with atelectasis. |
Generate impression based on findings. | 62 year-old female with history of multiple episodes of pancreatitis status post debridement. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: The heart size is normal without pericardial effusion.CORONARY ARTERY CALCIFICATION: Mild.CHEST WALL: No significant abnormality noted.ABD... | 1. Interval decrease in size of large peripancreatic fluid collection.2. New small thick-walled fluid collection anterior to the proximal left iliacus muscle.3. Diffuse colonic wall thickening likely represents a nonspecific colitis; inflammatory or infectious. |
Generate impression based on findings. | 9-month-old with history of status epilepticus and respiratory failure.VIEW: Chest AP (one view) 05/01/15, 0355 Endotracheal tube tip is above the carina. Left neck central line tip is at junction of brachiocephalic veins. Left central line has its tip at junction of superior vena cava and right atrium. Gastrostomy tub... | No focal lung opacity.. |
Generate impression based on findings. | 3 -year-old male patient with left wrist fracture. Post reduction films.VIEWS: Left wrist PA and lateral (two views) 4/30/2015 at 2220 hrs Cast material obscures fine bone detail. The distal radius and ulnar fractures are in near anatomic alignment. | Distal radius and ulna fractures in near-anatomic alignment. |
Generate impression based on findings. | Female; 65 years old. Reason: source of LGIB History: LGIB ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Stable subcentimeter hepatic hypodensity in the left hepatic lobe, too small to characterize but likely cysts. High density material within the gallbladder, most likely due to biliary sl... | 1. Mild active hemorrhage in the descending portion of the duodenum.2. Enteric tube tip in distal esophagus; recommend advancing.Findings were discussed by the radiology resident on call with the clinical services at 5:45 a.m. on 5/1/15. |
Generate impression based on findings. | Female 55 years old Reason: evaluate for pulmonary embolus History: tachycardia The comparison chest radiograph performed on 2/9/15 demonstrates no focal pulmonary opacities or pleural fluid. There is mild elevation of the right hemidiaphragm. The ventilation images show a uniform distribution of activity on single-bre... | Very low probability exam for pulmonary embolism. |
Generate impression based on findings. | 13-year-old male patient with worsening cellulitis with significant swelling of the right hand. Assess for fluid collection in right hand, upper and lower arm. Soft tissue thickening and fat stranding of the right hand, right wrist, and proximal right forearm are seen. This is most predominate along the dorsum of the r... | Soft tissue thickening/edema of the right hand, right wrist, and proximal right forearm which can be seen in the setting of cellulitis. No discrete, drainable fluid collection. |
Generate impression based on findings. | 57-year-old female with unintentional weight loss. ABDOMEN:LUNG BASES: Moderate dependent subsegmental atelectasis. No pleural effusions. Normal cardiac size without pericardial effusion.LIVER, BILIARY TRACT: No focal hepatic lesion or vascular abnormality. Status post cholecystectomy. No significant biliary ductal dil... | Mildly dilated second portion of the duodenum with narrowing of the aortomesenteric distance which may be seen in the setting of SMA syndrome. The first jejunal vein branch courses posterior to the superior mesenteric artery, a normal variant.The remaining small and large bowel are normal in appearance. |
Generate impression based on findings. | 51 year old male with AMS, tachycardia, hypothermic. Evaluate for infection aspiration LUNGS AND PLEURA: Moderate left pleural effusion increased from prior study with adjacent compressive atelectasis and near complete collapse of the left lower lobe. Minimal right pleural effusion or thickening. No pneumothorax. Eleva... | 1. Interval increase in moderate left pleural effusions with near complete collapse of the left lower lobe. No specific evidence of pneumonia. Minimal right pleural effusion or thickening. 2. Mesenteric soft tissue stranding and free fluid similar to prior study. |
Generate impression based on findings. | 63 years old, Female, History: chronic symptoms of nasal congestion, sinusitis There are small mucus retention cysts in the maxillary sinuses bilaterally with mild mucosal thickening and minimal mucosal thickening along the anterior ethmoid air cells. The paranasal sinuses are otherwise clear. There is concha bullosa b... | Minimal mucosal thickening of the paranasal sinus. Paranasal sinuses are otherwise clear. |
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, version 9.3. The breast parenchyma is heterogeneously dense. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Mammogram works best when searching for changes. Submission of prior mammogram is, therefore, recommended for future reference. If the patient submits her old mamm... |
Generate impression based on findings. | Reason: Evaluate for esophageal motility disorder or severe GERD. History: Nausea and vomiting of undigested symptoms. Scout radiograph of the chest demonstrate low lung volumes, without mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Double contrast evaluation of the esophagus revealed no muco... | 1.Severe spontaneous gastroesophageal reflux, to the level of the thoracic inlet, which clears relatively rapidly when patient is erect.2.Small transient sliding hiatal hernia.3.Mild esophageal dysmotility as above. |
Generate impression based on findings. | 20 year-old male patient with acute onset chest pain at 1200 hrs today, history of pulmonary atresia status post multiple cardiac surgeries and pacemaker. Question of cardiomegaly, widened mediastinum.VIEWS: Chest PA/lateral (two views) 4/30/2015 The cardiac silhouette size is enlarged, unchanged. Calcified aorta, new ... | Unchanged cardiac silhouette size. |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements. No suspicious masses, microcalcifica... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 79 years old. Reason: R proximal humerus fx. History: see above Again seen is a fracture of the surgical neck of the humerus with fracture fragments in near-anatomic alignment. The fracture line appears less distinct on the current study as compared to the prior study suggesting some interval healing. Mild osteo... | Healing proximal humerus fracture. |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 12-year-old female patient with constipation. Evaluate stool burden status post disimpaction and placement of Dobbhoff.VIEW: Abdomen AP (one view) 4/30/2015 A large amount stool is noted within the rectosigmoid and descending colon, decreased from the prior study. No evidence of free intraperitoneal air, pneumatosis, o... | Large amount of stool in the colon, slightly decreased from prior study. |
Generate impression based on findings. | Lung cancer. Evaluation prior to lung resection. The ventilation images show abnormally slow Xe-133 wash in and retention in the lung apices, right greater than left. The perfusion images show decreased perfusion in the lung apices corresponding to the regions of abnormal ventilation on the ventilation scan and bullous... | 1.No significant ventilation perfusion mismatches.2.Relatively symmetric ventilation and perfusion scans as quantified above. Decreased ventilation and perfusion of the lung apices bilaterally compatible with bullous emphysema seen on prior CT. |
Generate impression based on findings. | 26 years, Female. Reason: assess stool burden History: constipation Relative paucity of small bowel gas without evidence of obstruction. Above average stool burden noted throughout the colon. No evidence of pneumatosis intestinalis or portal venous gas. The lung bases appear clear. | Nonobstructive bowel gas pattern. Above average stool burden. |
Generate impression based on findings. | 60 year-old female patient with focal asymmetry in the right retroareolar region. Family history of breast cancer in paternal aunt. An ML view and two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandula... | 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. | Male 72 years old. Reason: 72yr old male with history of MM; post-auto sct evaluation. History: evaluate SKULL: Multiple punched out lesions appear similar to prior study compatible with multiple myeloma. CERVICAL SPINE: Vertebral body heights and intervertebral disk spaces are preserved. The bones appear demineralized... | Findings compatible with widespread multiple myeloma appearing similar to prior study. |
Generate impression based on findings. | Male 11 years old Reason: fracture History: pain in great toeVIEWS: Right foot AP, lateral and oblique 5/1/15 (3 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Status post fractureVIEWS: Left tibia-fibula AP and lateral 4/30/15 at 2035 hrs. (Two views) Cast material obscures bone details. Oblique fracture of the distal diaphyses of the left tibia with minimal lateral displacement is unchanged in alignment. | Oblique fracture of the distal tibia unchanged in alignment. |
Generate impression based on findings. | Nine month old female patient with vomiting, possibly swallowed string. Evaluate for foreign body.VIEWS: Chest AP/lateral (two views) 4/30/2015 The aortic arch, cardiac apex, and stomach are on the left. The cardiothymic silhouette size is normal. No focal lung opacity, pleural effusion, or pneumothorax is identified. ... | No radiopaque foreign object is identified. |
Generate impression based on findings. | PHARYNX/LARYNX: The nasopharynx, oropharynx, hypopharynx, and larynx are unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass or pathological enhancement.GLANDS: The postcontrast appearance of the salivary glands is unremarkable. The thyroid gland is unremarkable. ORAL ... | Essentially unremarkable CT of the neck without evidence of cervical lymphadenopathy. |
Generate impression based on findings. | 4-year-old female patient with suspected sepsis. Evaluate lung fields.VIEWS: Chest AP/lateral (two views) 4/30/2015 Left chest port catheter tip terminates at the superior atriocaval junction, unchanged.The cardiac silhouette size is normal, unchanged. A left retrocardiac focal opacity is noted. No pleural effusion or ... | Left retrocardiac opacity may represent pneumonia. |
Generate impression based on findings. | 65-year-old male with a abdominal pain and history of pancreatic pseudocyst. ABDOMEN:LUNG BASES: Small left pleural effusion with compressive atelectasis. Calcified left lung base, probably granulomata. Minimal right lung base dependent atelectasis. No pericardial effusion. Coronary artery calcifications.LIVER, BILIARY... | 1. Multiple peripancreatic and upper abdominal loculated fluid collections, compatible with pancreatic pseudocysts with the history of pancreatitis. Marked effacement of the superior mesenteric vein and splenic vein confluence, occlusion cannot be entirely excluded. 2. Mild peripancreatic inflammatory changes suggest e... |
Generate impression based on findings. | Reason: evaluate for possible metastatic lesions in the chest in pt w/new diagnosis of cholangiocarcinoma History: mild abdominal discomfort LUNGS AND PLEURA: Moderate upper lobe centrilobular emphysema.No evidence of pulmonary or pleural metastases.Scattered benign appearing punctate micronodules and right hemidiaphra... | No evidence of thoracic metastases from the patient's known cholangiocarcinoma. |
Generate impression based on findings. | 57-year-old male with history of kidney failure. Evaluate aorta and iliac vessels. Lack of intravenous contrast enhancement limits the evaluation of solid organ parenchyma and vascular structures. Given these limitations, the following observations can be made:ABDOMEN:LUNG BASES: No suspicious pulmonary nodules or mass... | Minimal right external iliac vascular calcifications. Unremarkable left external iliac artery. |
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, version 9.3. The breast parenchyma is mostly fatty replaced. Cluster of coarse calcifications is present at 12 o'clock position in the right breast.No suspicious... | Cluster of coarse calcifications is present at 12 o'clock position in the right breast. Comparison to old mammogram is recommended to check the stability. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EA - Additional Mammo/Ultrasound Workup Required. |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 82 years old. Reason: right hip pain History: right hip pain Right total hip arthroplasty with the femoral component dislocated superolaterally in relation to the acetabular component. The bones appear demineralized suggesting osteoporosis/osteopenia. There is deformity of the left obturator ring and sacrum sugg... | Dislocation of the right total hip arthroplasty. |
Generate impression based on findings. | 67-year-old male with history of bladder cancer. CHEST:LUNGS AND PLEURA: Left upper lobe metastatic nodule measures 14 x 9 mm, previously 14 x 10 mm (image 33 of series 5). No new masses or nodules identified. Stable right middle lobe scarring.MEDIASTINUM AND HILA: The heart size is enlarged with no pericardial effusio... | Limited evaluation of the liver due to technical limitations. As such, the reference right inferior hepatic lobe lesion is not well visualized. Unchanged left upper lobe metastatic pulmonary nodule. Increase in size of right paratracheal lymph node.Small amount of free fluid in the pelvis without clear etiology. |
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, version 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of archite... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 2-year-old male patient with chemical injury status post laking battery with battery acid on it, drooling. No stridor. Question of foreign body ingestion.VIEWS: Chest AP/lateral (two views) 4/30/2015 The aortic arch, cardiac apex, and stomach are on the left. No focal lung opacity, pleural effusion, or pneumothorax is ... | Normal examination. |
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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | The ventricles and sulci are within normal limits for age. 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. The... | No acute intracranial hemorrhage. If there remains clinical concern for an acute ischemic event, MRI of the brain is recommended. |
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, version 9.3. The breast parenchyma is mostly fatty replaced. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Male 7 months old Reason: eval left leg for deformity History: leg injuryVIEWS: Left tibia-fibula AP and lateral 5/1/15 (two views) Anterior and lateral bowing deformity of the left tibia. No acute fractures. | Bowing deformity as described, likely as a sequelae of previous known history of bone infection. |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is extremely dense, limiting the sensitivity of mammography and increasing the importa... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSD - Screening Mammogram. |
Generate impression based on findings. | Male 11 years old Reason: 11-year-old male with history of bi-phenotypic leukemia, now with left foot and ankle pain History: Lytic lesions reported on L foot X-RayVIEWS: Left foot and ankle AP, lateral and oblique 5/1/15 (6 views) Generalized bone demineralization with no evidence of focal osteolytic lesions. No fract... | Generalized bone demineralization. |
Generate impression based on findings. | History of left lumpectomy in 2005 for DCIS. Patient received radiation and tamoxifen. No new breast complaints. Three standard views of both breasts (a total of 12 images) were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged ... | 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. | Eight month old with omphalocele. Elevated alkaline phosphatase. Rule out fracture.VIEWS: Left humerus AP/lateral (two views), right humerus AP/lateral (two views) 05/01/15 No fracture is identified. The bones are normal in appearance. No cupping or fraying of the metaphyses is seen. A right central line is noted. | Normal examination. |
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, version 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. Benign appearing lymph nodes are projected over both axillae.... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Female 4 years old Reason: eval for joint derangement History: brachial plexus injuryVIEWS: Right shoulder AP, axial, Grashey and Y view 5/1/15 (4 views) Slightly low-lying humeral head with no evidence of dislocation. No fracture or malalignment. | No evidence of right shoulder dislocation. |
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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. There are stable benign popcorn calci... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
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, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. An AICD partially obscures the left a... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 16 year old female patient with elevated bilirubin, ALT, and AST. EBV positive at outside hospital. Common bile duct dilatation on ultrasound. Question of common bile duct dilatation and liver injury.EXAMINATION: MRI/MRCP of the abdomen without and with IV contrast 4/30/2015 ABDOMEN:LIVER, BILIARY TRACT: No focal hepat... | 1. Mild intrahepatic biliary ductal dilatation. 2. Small amount of ascites and small bilateral pleural effusions, right greater than left.3. Splenomegaly. |
Generate impression based on findings. | Reason: ich History: ich There is a hematoma centered in the right thalamus measuring 39 x 26 mm axial dimensions Another hematoma is present in the left basal ganglia and anterior limb of internal capsule measuring 28 x 27 mm axial dimensions. There is marked intraventricular blood bilaterally involving all ventricles... | 1.There is a large hematoma centered in the right thalamus hematoma which is stable.2.There is a large hematoma centered in the left basal ganglia which is stable.3.There is associated intraventricular blood. Periventricular hypodensities associated with this could in part be related to so-called transependymal migrati... |
Generate impression based on findings. | 3-day-old former 33 week gestational age patient with episodes of desaturations and bradycardia.VIEWS: Chest and abdomen AP (two views) 05/01/15, 0447 Feeding tube tip is in gastric body. Umbilical venous line has its tip in the junction of the inferior vena cava and right atrium.Cardiothymic silhouette is normal in si... | No focal lung opacity. Disorganized bowel gas pattern. |
Generate impression based on findings. | CVA There is focus of well-defined hypoattenuation involving the cortex/subcortical white matter of the right precentral gyrus as well as the left aspect of the pons consistent with remote infarcts. The right posterior frontal abnormality is evolved since prior MRI. No intracranial hemorrhage is identified. No intracra... | 1. No evidence of intracranial hemorrhage or mass effect. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion.2. Evolution of right posterior frontal lobe infarct compared to outside MRI from 11/25/2014.3. Chronic left ... |
Generate impression based on findings. | 79-year-old female with history of renal transplant on 4/4/15 with retroperitoneal hematoma and continued downtrending hemoglobin. 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:LUN... | 1. Slight increase in size of right retroperitoneal hematoma.2. Free fluid within the pelvis.2. 5 mm right lower lobe pulmonary nodule. Follow-up with Fleisher Society criteria is recommended. |
Generate impression based on findings. | 54-year-old female patient with history of right axillary abscess status post drainage and packing with gauze in the emergency department. History of left breast lumpectomy in 2000 with radiation and chemotherapy. BILATERAL DIAGNOSTIC MAMMOGRAM: Three standard views of both breasts were performed digitally and reviewed... | No evidence of residual fluid collection in the right axilla given the limitation of shadowing by the packing material. Prominent right axillary lymph node is favored to be reactive. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is r... |
Generate impression based on findings. | Reason: stroke History: stroke. Unspecified cerebral artery occlusion with cerebral infarction The CSF spaces are appropriate for the patient's stated age with no midline shift. There is redemonstration of a hypodense focus involving gray and white matter at the lateral aspect of the left some central lobular at the le... | The examination is stable when compared to the exam from 4/29/15. There is redemonstration of subacute infarction involving the left lentiform nuclei and left corona radiata and along the the left subcentral lobular. The component in the left some central lobular is not appear to have been present on the recent MRI but... |
Generate impression based on findings. | 77 years, Female. Reason: eval for obstruction History: bloating, hx of met cancer High density material throughout the colon likely relates to residual contrast from recent CT. Loop of small bowel in the right upper quadrant with possible mural thickening, without correlate on recent CT. Surgical clips and suture mate... | No radiographic evidence of bowel obstruction. |
Generate impression based on findings. | 4-month-old former 29 to 30 week gestational age patient. E. coli urinary tract infection. Possible enterovesical fistula. Is barium still present?VIEW: Abdomen AP (one view) 05/01/15, 0500 Contrast material is in the stomach, rectum, and distal bowel. There appears to be hepatosplenomegaly. Opacities are noted in both... | Continued contrast material the GI tract. Hepatosplenomegaly. |
Generate impression based on findings. | Male 65 years old Reason: lung cancer History: lung cancer The comparison chest radiograph performed on 5/1/15 demonstrates lower lobe subsegmental atelectasis which is improved compared to 3/31/15 and a residual small left pleural effusion.The ventilation images show diffusely decreased ventilation in the left lung wi... | 1. Multiple small matched ventilation/perfusion defects in the left lung related to the patient's known tumor and associated atelectasis.2. Asymmetrically decreased ventilation and perfusion of the left lung as quantified above. |
Generate impression based on findings. | Increased work of breathingVIEWS: Chest AP 5/1/15 at 916 hours (1 view/s) Thoracolumbar levoscoliosis noted. The aortic arch, cardiac apex and stomach are left-sided. Left lower lobe opacity, likely atelectasis or pneumonia. No effusions or pneumothorax. | Left lower lobe opacity, atelectasis or pneumonia. |
Generate impression based on findings. | 8-year-old female patient with abdominal pain. Question of constipation.VIEWS: Abdomen AP and erect (two views) 5/1/2015 Non-obstructive bowel gas pattern. Loops of bowel in the left upper quadrant contain air-fluid levels. Additionally, there are mildly dilated loops of small bowel in the left upper quadrant. No visib... | Scattered air-fluid levels and focally prominent loops of small bowel in the left upper quadrant. |
Generate impression based on findings. | Concern for right orbital fracture. History of right to low orbital pain with tenderness after being hit while playing football. No orbital or maxillary fracture. No other fractures are identified. The globes, lenses, and extraocular muscles are intact. Orbital fat is clear. No significant soft tissue swelling is noted... | No evidence for orbital fracture or significant soft tissue swelling. |
Generate impression based on findings. | 67 year old female with lung cancer, s/p lobectomy and adjuvant chemo and RT. Compare with previous. CHEST:LUNGS AND PLEURA: Status post left lower lobectomy. Nodular ground glass opacity in the superior segment of the right lower lobe measures 12 mm x 7 mm (series 5, image 119), previously 11 x 7 mm not significantly ... | 1. No interval change in size of the right lower lobe ground glass opacity, however there is questionable increased density since 2011 raising the possibility of indolent adenocarcinoma and continued annual surveillance is recommended. 2. Previously measured right apical subpleural nodule is compatible with subpleural ... |
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