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Generate impression based on findings. | There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. Dense periventricular and subcortical white matter hypoattenuation is nonspecific but likely related to the sequela of small vessel ischemic disease. The ventricles and sulci are normal in size. There are no masses, m... | 1.No evidence of acute intracranial hemorrhage or other acute intracranial abnormalities.2.Marked small vessel ischemic disease. |
Generate impression based on findings. | 57-year-old female with history of pain. Evaluate for shoulder dislocation. The bones are demineralized suggesting osteopenia/osteoporosis. There is no evidence of fracture or dislocation. The glenohumeral joint is grossly anatomic. There is widening of the AC joint. There is a chronic appearing deformity of the poster... | No evidence of shoulder dislocation. Other findings as above. |
Generate impression based on findings. | Female 23 years old Reason: rule out post op complications, perc chole drain History: abdominal pain RUQ. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Percutaneous cholecystostomy tube in place. No fluid collections in the pericholecystic or perihepatic areas.Hepatic parenchyma is normal wi... | No findings to explain right upper quadrant pain other than the expected percutaneous cholecystostomy tube.No change in multifocal hypoattenuating areas in the right kidney as described, favor infection or infarction. |
Generate impression based on findings. | Chronic sinusitis after tooth extraction with tooth pain. There has been interval extraction of tooth # 13 with a residual fragment of metallic implant in the extraction cavity. There has also been interval extraction of tooth # 4 with a residual fragment of metallic implant in the extraction cavity. There is new compl... | 1. Interval extraction of tooth # 13 with a residual fragment of metallic implant in the extraction cavity and development of left ostiomeatal unit opacification.2. Apparent partially-empty sella, which is nonspecific. |
Generate impression based on findings. | 26-year-old male with history gunshot wound. No acute fracture or malalignment. Lucency projecting over the left proximal humeral metaphysis may represents subcutaneous gas or a soft tissue defect, although a lytic bone lesion cannot be excluded. There is no evidence of retained radiopaque foreign objects. | 1.No acute fracture or retained radiopaque foreign object.2.Lucency projecting over the left proximal humeral metaphysis may represents subcutaneous gas or a soft tissue defect, although a lytic bone lesion cannot be excluded. Follow radiographs may be obtained in 2 to 4 weeks. |
Generate impression based on findings. | 66 years, Male. Reason: 66M w/ ureteral stent placement for ureteral obstruction, now with decreased UOP and back pain; please assess stent placement History: assess stent placement Interval removal of enteric tube and placement of bilateral nephrostomy tubes. Nephrostomy pigtails project over the expected location of ... | Nephrostomy pigtails appear to overlie expected location of bilateral kidneys and bladder. Postoperative changes. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 4-year-old female with altered mental status, leukocytosis. Rule-out abscess, appendicitis, pancreatitis, etc. Within the limits of non-IV contrast enhanced examination which limits the ability to evaluate solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: Bibas... | 1. Bibasilar pulmonary atelectasis. 2. Probable gallstones. 3. Ventral hernia containing colon without evident complication. 4. No other significant abnormality seen and no abnormality seen to account for patient's symptomatology. |
Generate impression based on findings. | 65-year-old female status post right TKA Hardware components of a total right knee arthroplasty device are situated in near-anatomic alignment without evidence of complication. Foci of gas, surgical staples and drain in the soft tissues reflect recent surgery. | Status post right TKA in near anatomic alignment. |
Generate impression based on findings. | 21-year-old male with history of pain. Evaluate for fracture. Right wrist: There is mild soft tissue swelling about the dorsal aspect of the wrist. There is no acute fracture or dislocation. Alignment is anatomic.Right forearm: No acute fracture or dislocation. Alignment is anatomic. | Soft tissue swelling about the dorsal aspect of the wrist without underlying fracture. |
Generate impression based on findings. | Reason: SBO History: abd distension and pain Evaluation of solid organ pathology is limited without intravenous contrast.ABDOMEN:LUNG BASES: Groundglass opacity in the inferior right lung incompletely imaged, likely representing basilar scarring/atelectasis but nonspecific. No pleural effusions. Coronary calcifications... | 1.Status post kidney/pancreas transplant, evaluation of which is limited without intravenous contrast. A focally dilated small bowel loop in the midabdomen and subtle mesenteric haziness is nonspecific, and could possibly represent either a focal enteritis or pancreatitis.2.Status post subtotal gastrectomy. Nonobstruct... |
Generate impression based on findings. | No evidence of acute intracranial hemorrhage. There is moderate periventricular and subcortical white matter hypoattenuation which is nonspecific but may be the sequela of small vessel ischemic disease. The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There are no extraax... | 1.No evidence of acute intracranial hemorrhage or other acute intracranial abnormalities.2.Moderate small vessel ischemic disease. |
Generate impression based on findings. | Female; 32 years old. Reason: r/o PE History: tachycardia, SOB, increased D-dimer PULMONARY ARTERIES: Evaluation of the pulmonary arteries is adequate except beyond the proximal bilateral upper lobar arteries, given limitation described above. Acute pulmonary embolus in a left lower lobe subsegmental branch (image 68, ... | Limited evaluation with superior thorax off the field-of-view demonstrating acute left lower lobe subsegmental pulmonary embolus. PULMONARY EMBOLISM: PE: Positive.Chronicity: Acute.Multiplicity: Single.Most Proximal: Subsegmental.RV Strain: Negative. |
Generate impression based on findings. | 61 year-old female with right shoulder pain, rule out fracture or dislocation Right shoulder: There is marked joint space narrowing and osteophyte formation compatible with severe osteoarthritis appearing similar to the prior exam. Relatively mild osteoarthritis affects the acromioclavicular joint.Humerus: The humerus ... | Severe osteoarthritis appearing similar to the prior exam. |
Generate impression based on findings. | 12 year old female status post fight, now with edematous nose.VIEWS: Nasal bones lateral and Waters (two views) 1/14/2015 A nondisplaced nasal bone fracture is evident, best seen on the lateral view. The imaged paranasal sinuses are unopacified. | Non-displaced nasal bone fracture. |
Generate impression based on findings. | 60 year-old female, evaluate for psoriatic arthritis Vacuum phenomena in bilateral SI joints indicates degenerative changes without sacroiliitis. Degenerative changes also affect the lower lumbar spine. | Degenerative changes at the SI joints without sacroiliitis. |
Generate impression based on findings. | Seven month old female, assess PICC placement.VIEW: Chest AP (one view) 1/14/2015, 18:45 Right upper extremity PICC terminates in the right atrium near the ostium of the tricuspid valve. Gastrostomy tube in place. Amplatzer occlusion devices project over the heart. PDA clip in place, position unchanged.Bibasilar opacit... | Right upper extremity PICC with the tip terminating in the right atrium near the ostium of the tricuspid valve. |
Generate impression based on findings. | 37 years, Female. Reason: 37yo F severe c. diff colitis, now with increased pain History: eval for ileus, perforation Redemonstration of severe rotoscoliosis. G-tube and VP shunt catheter are again noted. Right hip dysplasia and gracile pelvis are again noted.Interval decrease in pleural effusions.There is interval exc... | Generalized ileus but developing obstruction cannot be excluded. Evaluation of free air is limited on this supine image, please obtain erect or decubitus views if indicated. No gross pneumoperitoneum. |
Generate impression based on findings. | 64-year-old male with abdominal pain. Rule-out infection, status post new nephrostomy tubes. ABDOMEN:LUNG BASES: No significant change left basilar atelectasis and pleural effusion. Resolution of the prior noted right pleural effusion and atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted in the liver p... | 1. Chronic posterior sacro- and ischio osteomyelitis with decubiti ulcer -- while much of this is unchanged in appearance comment increased soft tissue phlegmon changes about the inferior left ischio are seen with punctate foci of air suggesting necrosis but without liquefaction. 2. Diffuse subcutaneous edema. 3. Diste... |
Generate impression based on findings. | 34-year-old female with headache and bradycardia, history of sickle cell crisis. Motion somewhat degrades sensitivity, as does difficulty in patient positioning.High-density is present within the suprasellar, interpeduncular, perimesencephalic, ambient, and quadrigeminal plate cisterns, compatible with subarachnoid hem... | 1. Subarachnoid hemorrhage is identified within multiple basal cisterns and likely the fourth ventricle. No intraparenchymal blood is identified. Questioned rounded filling defect in the interpeduncular cistern which appears to correspond to a basilar tip aneurysm on subsequent CTA head.2. Mild temporal horn dilatation... |
Generate impression based on findings. | There is slight straightening (loss of normal cervical lordosis) of the cervical spine which may be related to position or cervical collar. There are no fractures or subluxations. No abnormalities are noted of the spinous process alignment and interspinous process distance appear to be within normal range. The visuali... | 1.No evidence of an acute fracture or subluxation.2.Degenerative changes about the cervical spine most severe at the atlantoaxial joint and C6-7 levels as described above. |
Generate impression based on findings. | 12-year-old male with thumb pain.VIEWS: Left thumb PA and lateral (two views) 1/14/2015 Cortical irregularity seen at the level of the physis proximal first phalanges on the lateral view, likely represents a physeal projection artifact. There is moderate soft tissue swelling about the thumb. | Soft tissue swelling about the thumb without definite fracture identified. |
Generate impression based on findings. | 66 years, Female. Reason: NGT pulled back - previously kinked History: NGT Very limited view of the abdomen with exclusion of the pelvis from field of view.Enteric tube tip appears to overlie the GE junction with side-port in the esophagus. There are right upper quadrant catheters. | Enteric tube tip overlying the GE junction with side-port in the esophagus. Advancing the tube is recommended. |
Generate impression based on findings. | 9-year-old male with chest trauma.VIEWS: Chest AP/lateral (two views) 1/15/2015 No pleural effusion or pneumothorax is seen. No displaced rib fractures are evident. The aortic arch, cardiac apex and stomach left-sided. The cardiothymic silhouette is normal. | No radiographic evidence of chest trauma, specifically no evidence of pneumothorax or displaced rib fracture. |
Generate impression based on findings. | 5-year-old female with wheezing, cough and fever. Rule out pneumonia.VIEWS: Chest AP/lateral (two views) 1/15/2015 Peribronchial thickening and large lung volumes as well as right middle lobe segmental atelectasis is evident. The aortic arch, cardiac apex and stomach are left-sided. The cardiothymic silhouette is norma... | Bronchiolitis/reactive airways disease pattern. |
Generate impression based on findings. | 56 day old female status post chest tube placement, with respiratory distress.VIEW: Chest AP (one view) 1/15/2015, 05:10 Endotracheal tube tip is above the carina and below the thoracic inlet. Enteric feeding tube tip projects out of the field of view. Left upper extremity PICC tip is in left brachiocephalic vein. Left... | Improved bibasilar opacities suggestive of pleural effusions. |
Generate impression based on findings. | 3 year old male with blunt head trauma followed by seizures. There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no mass effect or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissu... | No evidence of intracranial hemorrhage or skull fracture. |
Generate impression based on findings. | 5-year-old male with right-sided pleuritic chest pain.VIEWS: Chest AP/lateral (two views) 1/15/2015 Increased lung volumes and mild peribronchial thickening. No focal air space opacity is seen. The aortic arch, cardiac apex and stomach a left-sided. The cardiothymic silhouette is normal. No pneumothorax or displaced ri... | Reactive airways disease versus bronchiolitis pattern. |
Generate impression based on findings. | Female; 69 years old. Reason: r/o PE History: SOB PULMONARY ARTERIES: No acute pulmonary embolus. Stable mild dilation of the main pulmonary artery measuring up to 3.3-cm, which again is suggestive of pulmonary arterial hypertension. No evidence of right heart strain.LUNGS AND PLEURA: Stable scattered nonspecific micro... | 1. No acute pulmonary embolus.2. Stable dilated ascending aorta and main pulmonary artery, the latter of which is again suggestive of pulmonary arterial hypertension.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 3-year-old female status post foreign body ingestion.VIEW: Abdomen AP (one view) 1/15/2015 A 2.2 x 2.1 cm metallic foreign body is seen just above the diaphragm, presumably residing within the distal thoracic esophagus. The bowel gas pattern is nonobstructive. A moderate stool burden is distributed throughout the left ... | Metallic foreign body presumably residing within the distal thoracic esophagus. |
Generate impression based on findings. | There is no evidence of acute intracranial hemorrhage. No intracranial mass or mass effect. The grey-white matter differentiation appears to be intact. The ventricles are unchanged in size and configuration. There is no midline shift or herniation. The imaged mastoid air cells are clear. Chronic left maxillary sinusit... | No evidence for acute intracranial hemorrhage. |
Generate impression based on findings. | 54-year-old female with history of pain. Right ankle: There is a 3-mm linear ossific density adjacent to the superior aspect of the talus which likely represents an avulsion fracture off the anterior process of the calcaneus. Mild degenerative disease affects the midfoot. There is mild soft tissue swelling about the me... | Fracture fragment superior to the talus likely represents an avulsion fracture off the anterior process of the calcaneus. |
Generate impression based on findings. | 58 year old female with a personal history of right excisional biopsy in 09/2013 for bloody nipple discharge with histology demonstrating intraductal papilloma. She then had a left breast terminal duct excision in 03/2014 for bloody nipple discharge with histology demonstrating intraductal papilloma, which was complica... | 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: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Female 39 years old Reason: r/o aortic dissection History: r/o aortic dissection. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No evidence of an aortic aneurysm or dissection. The lung no evidence of adenopathy.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: ... | No evidence of findings to explain chest pain. No evidence of aneurysm or dissection in the aorta. Small nonspecific uterine mass.Small calcified right adrenal lesion. Differential diagnostic considerations as above. |
Generate impression based on findings. | 2-year-old male with germline APC mutation, high risk for hepatoblastoma. LIVER: The liver measures 9.3 cm in length and demonstrates appropriate parenchymal echogenicity, without evidence of focal mass lesion. The main portal vein is patent demonstrating hepatopetal flow with a velocity of 0.3 m/sec.GALLBLADDER, BILIA... | Normal examination. |
Generate impression based on findings. | 8-year-old male with left wrist fractureVIEWS: Left wrist AP/lateral (two views) 01/15/15 Interval removal of cast material. Mild sclerosis at the site of prior fracture. No fracture is identified. No malalignment is evident. | Healing radial torus fracture. |
Generate impression based on findings. | 71 year old female with multifocal right breast invasive ductal carcinoma status post neoadjuvant chemotherapy with excellent imaging response, presents for presurgical needle wire localization. On review of the prior studies, a wing clip is noted within the far posterior medial slightly inferior right breast. Addition... | Successful needle localization of the right breast Hydromark clip.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 45 year old female with history of fall and left rib pain. No evidence of displaced rib fracture. No significant pneumothorax. | No displaced rib fracture. |
Generate impression based on findings. | 38-year-old male with history of left shoulder pain. No acute fracture or dislocation. Alignment is anatomic. The soft tissues are unremarkable. | No radiographic findings to account for the patient's pain. |
Generate impression based on findings. | 75-year-old female with history of left knee pain. There are tricompartmental osteophytes and joint space narrowing, worse in the medial compartment where there is near bone-on-bone apposition. There are scattered arterial calcifications. No acute fracture or dislocation. Small joint knee joint effusion. | Moderate to severe osteoarthritis without acute fracture. |
Generate impression based on findings. | Female; 78 years old. Reason: rule out PE History: chest pain and SOB PULMONARY ARTERIES: No evidence of acute pulmonary embolus. Normal caliber of the main pulmonary artery. No evidence of right heart strain.LUNGS AND PLEURA: Severe diffuse emphysema and a lower zone bronchiectasis, not significantly changed. Mild rig... | 1. No acute pulmonary embolus.2. Severe diffuse emphysema and basilar predominant bronchiectasis, similar to prior study.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 37-year-old male with history of fall and pain. Evaluate for fracture. No acute fracture or dislocation. Alignment is anatomic. No joint effusion. There is an incompletely imaged intra-medullary nail with distal stabilization screws without radiographic evidence of hardware complication. | No evidence of acute fracture. |
Generate impression based on findings. | 50 year-old female with history of multiple myeloma, status post stem cell transplant SKULL: Numerous lytic lesions involving the calvarium appear similar to the prior exam.CERVICAL SPINE: Mild degenerative disk disease affects C5/6. No discrete lytic lesions.THORACIC SPINE: Compression fractures of T6 and to a lesser ... | Findings consistent with multiple myeloma appearing similar to the prior exam. |
Generate impression based on findings. | 57 years Female with history of subarachnoid hemorrhage. Evaluate for edema or fluid collection along the external ventricular drain tract. Please note, extensive streak artifact from coils limits the exam.Redemonstration of endovascular coil embolization of large basilar tip aneurysm and right frontal approach ventric... | 1. Hypodensity surrounding the external ventricular drain tract has mildly improved when compared to prior exam, and may represent resolving edema along the catheter. No focal fluid collection along the catheter is identified.2. Interval increase in the size of the lateral ventricles is concerning for developing/worsen... |
Generate impression based on findings. | Male 86 years old Reason: cholelithiasis History: RUQ pain LIVER: Diffuse fatty infiltration. This is also confirmed on the CT scan.19.4 cm in length as measured today but on the CT scan which is more accurate for measuring size, the liver does not appear enlarged. No focal lesions.Flow in the portal vein is normal hep... | Diffuse fatty infiltration of the liver. Single punctate focus in the gallbladder may represent cholesterol stone, less likely focal adenomyosis.Bilateral renal cysts, unchanged some large. |
Generate impression based on findings. | T1N0 squamous cell carcinoma of the left oral tongue status post wide local excision with positive margin at the main specimen and perineural invasion. Post-procedure CT with enlargement of left level 2 node. Now status post panendoscopy, re-excision of left oral tongue lesion, and left selective neck dissection on Sep... | Post-treatment findings in the neck without convincing evidence of measurable locoregional tumor recurrence or residual significant cervical lymphadenopathy. |
Generate impression based on findings. | 65-year-old male with pain Postoperative changes of triple arthrodesis with orthopedic screws affixing the talocalcaneal, subtalar, and calcaneocuboid joints appears similar to the prior exam. There is osseous bridging at all 3 articulations. No evidence of hardware complications. Severe osteoarthritic changes affect t... | Postoperative and arthritic changes as described above, without evidence of complication. |
Generate impression based on findings. | Female 74 years old Reason: evaluate for OA History: pain. discomfort Right knee: Bone mineralization is decreased. Alignment is near anatomic. There is moderate medial compartment joint space loss with subchondral cystic change in the femoral condyle and tricompartmental osteophytes. No joint effusion.Left knee: Bone ... | Moderate right knee and mild to moderate left knee osteoarthritis. |
Generate impression based on findings. | 55-year-old female with pain Alignment is within normal limits. The osseous and soft tissue structures appear unremarkable. | No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | 63-year-old male with right knee pain Mild to moderate joint space narrowing and small osteophytes consistent with osteoarthritis. Mild deformity of the distal lateral femur may reflect old trauma. Ossification along the medial femoral condyle likely represents old injury to the MCL. | Mild to moderate osteoarthritis. |
Generate impression based on findings. | 54-year-old female status post IM rod placement A cast obscures underlying osseous detail. A sideplate with screws affixes the distal fibula fracture. The distal aspect of the sideplate and fibula have been resected. An intramedullary nail with screws affixes the tibia and tibiotalar joint with distal fixation screws w... | Orthopedic fixation as described above without evidence of hardware complication. |
Generate impression based on findings. | 31 year old female, evaluate healing of second and third metatarsals Marked callus formation about the second metatarsal diaphysis is consistent with a healing fracture. No new fractures are identified. | Healing second metatarsal fracture. |
Generate impression based on findings. | 23-year-old male status post ORIF Sideplates and screws affix distal radius and ulna fractures in near-anatomic alignment without evidence of hardware complication. A small amount of callus formation about the fractures indicates an attempt at healing. An ossicle adjacent to the ulnar styloid likely represents old trau... | Orthopedic fixation of distal radius and ulnar fractures without evidence of complication. |
Generate impression based on findings. | Reason: eval for progression History: metastatic RCC CHEST:LUNGS AND PLEURA: Calcified nodules consistent with granulomatous disease are unchanged. No new nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: Scattered small mediastinal lymph nodes unchanged with calcified mediastinal and hilar nodes consistent... | 1.No significant change in left supraclavicular and retroperitoneal lymphadenopathy allowing for differences in orientation since June 2014.2.No new areas of disease allowing for limitations of a non-contrast enhanced examination. 3.Other chronic findings as described above. |
Generate impression based on findings. | 42 year old female with biopsy proven fibroadenoma presents for 6-month follow-up examination. No family history of breast cancer. Left Breast Diagnostic 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 heterogeneously dense, w... | Stable biopsy proven fibroadenoma at the 3 o'clock position of the left breast. Stable hypoechoic lesion at the two o'clock position of the left breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended in April 2015. Resu... |
Generate impression based on findings. | Headache, fall, evaluate for subdural hematoma No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits for age without evidence of hydrocephalus. No extra-axia... | 1. No evidence of intracranial hemorrhage or mass effect. 2. Mild chronic small vessel ischemic changes. |
Generate impression based on findings. | Clinical Male 91 years old Reason: eval for progression History: papillary RCC on bevacizumab. The exam is not sensitive detecting lesions in the solid organs or vasculature due to the lack of intravenous contrast. Given that limitation, observations are made:CHEST:LUNGS AND PLEURA: Stable micronodules some which are c... | Stable exam. Postsurgical changes right kidney. Small stable node in chest and lung micronodules. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal great aunt diagnosed at the age of 55. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. Tomosynthesis was performed. The breast parenchyma is heterogeneously dens... | 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: NSC - Screening Mammogram. |
Generate impression based on findings. | 11-year-old male with hip painVIEWS: Pelvis AP/frog leg (two views) 01/15/15 Bilateral coxa valga deformities. No evidence of slipped capital femoral epiphysis. Osseous structures within normal limits. | Bilateral coxa valga deformities. |
Generate impression based on findings. | There is a left frontal parenchymal hematoma measuring 3.7 x 2.6 x 3.3 cm (oblique AP x TR x CC) with increasing edema and local mass effect compared to 1/13/2015. There is 5 mm of rightward subfalcine herniation measured at the level of the foramen of Monro. Within this hematoma there is a round low attenuation focus... | 1.Left frontal hematoma as described above with increasing mass effect and edema compared to 1/13/2015. 2.Round low-attenuation nodule within left frontal hematoma; malignancy is not excluded. Correlate with outside MRI. |
Generate impression based on findings. | Female presents for routine screening mammography. History of left breast cyst surgical removal. States left breast pain. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and dis... | 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. | 35 years old, Female, Reason: Left flank pain with sxs extending anteriorly. Pt has bilirubin uria also - Please vs liver and biliary heel, as well as kidneys. History: Left Flank Pain. LIVER: Increased echogenicity of the liver suggests fatty infiltration. No focal mass lesions. The liver measures 16.5 cm in length. T... | 1.Increased echogenicity of the liver suggest fatty infiltration.2.No evidence of biliary ductal dilatation, cholelithiasis or cholecystitis. No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | 4-year-old female with history of cloaca repair and constipation, evaluate degree of stool burden/colonic distentionVIEW: Abdomen AP (one view) 01/15/15 Surgical clips are noted the mid left hemiabdomen.Moderate to large amount of stool within the rectum, descending colon, and transverse colon. Nonobstructive bowel gas... | Moderate to large stool burden. |
Generate impression based on findings. | 2-year-old female with stage IV neuroblastoma, 12 months off therapy, surveillance evaluation CHEST:LUNGS AND PLEURA: No significant abnormality noted. No pleural effusion.MEDIASTINUM AND HILA: The heart size is normal. No pericardial effusion. No significant mediastinal or hilar lymphadenopathy.CHEST WALL: No axillary... | Unchanged hepatic metastatic lesions. No evidence of new metastatic disease. |
Generate impression based on findings. | 67-year-old female with chest pain, evaluate for pulmonary embolism. The lateral left and right chest wall are excluded from the field-of-view.PULMONARY ARTERIES: No evidence of pulmonary embolism. The pulmonary artery measures up to 39 mm suggestive of pulmonary arterial hypertension without right heart strain.LUNGS A... | 1.No evidence of acute pulmonary embolus. 2.Diffuse mosaic attenuation pattern which can be seen in the setting of chronic pulmonary embolism or other pulmonary perfusion abnormality of other causes. These findings can also be seen in hypersensitivity pneumonitis in the correct clinical setting.PULMONARY EMBOLISM: PE: ... |
Generate impression based on findings. | 67 year old female status post left lumpectomy for carcinoma in 2002, presents today for routine follow up. History of additional benign left breast biopsy. Patient received radiation and chemotherapy. No current breast complaints. Family history of breast carcinoma in her maternal aunt and sister. Three standard views... | Stable postsurgical changes of the left breast. 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 - Diagnos... |
Generate impression based on findings. | 67 years, Female. Reason: NGT location and checking for air fluid levels History: abdominal pain Enteric tube tip is noted at in the gastric antrum. Common bile duct stent and percutaneous biliary stent are seen.There is dilated loops of small bowel measuring up to 3.5 cm, which appears new from recent prior CT, which ... | 1. Enteric tube tip is noted at in the gastric antrum. 2. Developing generalized ileus. 3. No definite evidence of free air on erect view. If there is high clinical suspicion of perforation, please obtain decubitus view. |
Generate impression based on findings. | 78-year-old female with history of meningioma, status post recent resection/craniotomy. Redemonstration of findings related to recent left parietal craniotomy and partial resection of the parietal calvarium. Interval decrease in the amount of pneumocephalus, as well as the degree of hypoattenuation within the adjacent ... | 1. Postoperative findings related to recent left parietal craniotomy and partial resection of the parietal calvarium.2. Mild improvement of left cerebral hemisphere vasogenic edema; persistent partial effacement of the left lateral ventricle, without significant midline shift.3. No evidence of acute intracranial hemorr... |
Generate impression based on findings. | 57 year old female with history of renal cell carcinoma with metastases. CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary nodules consistent with history of metastases. Left upper lobe referenced nodule (4/17) measures 2 x 1.9 centimeters, not significantly changed from previous measurement of 1.9 x 1.7 cm.Ill-defi... | 1.Multiple bilateral pulmonary nodules, and a right parahilar soft tissue mass, consistent with metastases are not significantly changed.2.Mildly enlarged left retroperitoneal, para-aortic lymph nodes, and soft tissue within the left nephrectomy bed are unchanged.3.Left posterior T6 lytic rib lesion most likely metasta... |
Generate impression based on findings. | TFXH for T1N2c floor of mouth squamous cell carcinoma. There are stable post-treatment findings in the neck. There is no evidence of mass lesions or significant cervical lymphadenopathy. For example, a left level 1A lymph node measures 4 mm in short axis and a left level 1B lymph node also measures 4 mm in short axis. ... | 1. Post-treatment findings in the neck without evidence of measurable locoregional tumor recurrence or significant cervical lymphadenopathy.2. At least moderate right and mild left carotid bifurcation stenosis secondary to atherosclerotic plaque. |
Generate impression based on findings. | Male 20 years old; Reason: r/o testicular torsion and evaluation of tender R testicular mass History: R testicular mass RIGHT TESTIS: Normal echogenicity and normal vascular flow within the right testicle. No discrete mass or evidence of torsion. The right testicle measures 4 x 3.2 x 2 cm.LEFT TESTIS: Normal echogenici... | 1.Complex changes of right epididymis suggesting epididymitis. 2.Normal vascular flow in bilateral testes. No evidence of torsion. |
Generate impression based on findings. | 79 years, Female. Reason: evaluate for cause of lower abdominal pain in Pt with multiple abd surgeries, concern for stricture History: RLQ pain Vertebroplasty of L1, 3, and 5 lumbar vertebral bodies are again noted. Multiple surgical clips are noted scattered overlying the abdomen and pelvis. Scoliosis and degenerative... | Nonobstructive bowel gas pattern. Moderate stool burden. |
Generate impression based on findings. | Female; 62 years old. Reason: restaging for NSCLC s/p chemo radiation History: evidence of local regional or distant recurrence LUNGS AND PLEURA: Postsurgical changes from right upper lobe wedge resection. Septal thickening with architectural distortion in the remaining right upper lobe and superior segment of the righ... | 1. Post treatment changes of the right superior lung with small right hydropneumothorax. Patchy nonspecific atelectasis/consolidation is also seen in the right upper lobe and superior segment of the right lower lobe.2. New 5-mm nodule in the right lower lobe. Additional micronodules are stable. |
Generate impression based on findings. | 78-year-old male with renal cell carcinoma status post resection. Rule-out recurrence. CHEST:LUNGS AND PLEURA: No significant abnormality noted-- punctate calcified micronodules unchanged.MEDIASTINUM AND HILA: No lymphadenopathy. Mild coronary artery calcification again seen. No change in the right pericardial benign c... | 1. Status post left nephrectomy without evidence of recurrent or metastatic disease. 2. Stable small unilocular cyst in pancreas. 3. Stable appearance to cystic abnormality near right psoas muscle insertion -- most likely inflammatory. |
Generate impression based on findings. | 20 year old male with history of osteosarcoma, evaluate for metastases. LUNGS AND PLEURA: Unchanged punctate calcified micronodule in the anterior left lower lobe (image 24, series 3), unchanged from the prior examinations consistent with a granuloma.MEDIASTINUM AND HILA: The heart size is normal as is the caliber the ... | No evidence of metastatic disease. |
Generate impression based on findings. | 68 years, Male. Reason: ileus History: as above Enteric tube tip is noted in the gastric antrum. Rectal tube is again noted coiled in the sigmoid colon. Right hip arthroplasty and prostatic calcifications are again noted. Stable to slightly more prominent gaseous dilatation of the bowel loops, favoring ileus. | Stable to slightly more prominent gaseous dilatation of the bowel loops, favoring ileus. Stable appearing tubes. |
Generate impression based on findings. | 39 day old male with neck mass. Follow-up examination. A 3.0 x 1.0 x 2.5 cm lobulated vascular soft tissue mass is again seen in the left mid neck, previously measuring 3.2 x 1.2 x 2.6. The mass demonstrates mildly heterogeneous echogenicity, without cystic changes, appearing slightly less edematous compared to the pri... | 1.Minimal interval decrease in size of the lobulated vascular soft tissue mass, now appearing slightly less edematous. While nonspecific, this may represent an edematous/infected lymph node/conglomerate of lymph nodes. 2.No drainable fluid collection is evident to suggest abscess formation. |
Generate impression based on findings. | 33 years, Female. Reason: 33F with chronic constipation and retained barium History: retained barium There is interval decrease but persistent contrast material in the colon. Nonobstructive bowel gas pattern. Scattered postsurgical sequelae. | Interval decrease but persistent contrast material in the colon. |
Generate impression based on findings. | 67-year-old female with recent MCA stroke, status post tPA, 24 hour follow-up exam. Minimally increased appearance of hypodensity involving the right frontal lobe pre-central gyrus, consistent with known evolving acute infarct. No intracranial hemorrhage or hemorrhagic transformation is identified. No intracranial mass... | Evolving acute right frontal infarct involving the precentral gyrus. No evidence of hemorrhagic transformation. |
Generate impression based on findings. | There are 5 lumbar-type vertebrae for numbering purposes. Minimal L5-S1 retrolisthesis. Alignment is otherwise anatomic. There are no fractures. The marrow signal is benign. Disk desiccation is noted at the L5-S1 level. Small focal T1 hyperintense lesions are noted in the mid L3 and posterior L5 vertebral bodies likel... | Mild degenerative changes in the lower lumbar spine without significant spinal canal or neural foraminal stenosis. |
Generate impression based on findings. | Female; 78 years old. Reason: Oral tongue cancer s/p RT. Eval for disease. History: Oral tongue cancer s/p RT. Eval for disease. CHEST:LUNGS AND PLEURA: Stable right upper lobe intrapulmonary lymph node measures 4 x 9 mm (image 50/series 5). No suspicious pulmonary nodules or masses. Minimal basilar dependent atelectas... | No evidence of metastatic disease in the chest and abdomen. |
Generate impression based on findings. | Ms. Spencer submitted outside mammogram dated 04/19/2007, from Roseland Community Hospital. Submitted outside study was compared to the current mammogram dated 11/26/2014. The breast parenchyma is composed of scattered fibroglandular elements. Prominent bilateral axillary lymph nodes are unchanged. No suspicious masses... | 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. | Ms. Faulkner submitted outside mammograms dated 10/01/2012 and 10/22/2010, from Mercy Hospital. Submitted outside studies were compared to the current mammogram dated 12/29/2014. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural di... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 87-year-old female with back pain, INR 2.0. Rule-out retroperitoneal bleed. ABDOMEN:LUNG BASES: New small bilateral pleural effusions since 5/7/13 CT examinations. Marked coronary artery calcifications and ICD wires.LIVER, BILIARY TRACT: No significant abnormality noted in the liver parenchyma. Patient is status post c... | 1. No evidence for retroperitoneal bleed. 2. Slightly more prominent intra-and extra hepatic bile ducts with slightly more prominent size to the head of the pancreas dating back to 2012. No definite mass is seen, but if concern exists for biliary/pancreatic obstruction exists, MR examination be recommended, or alternat... |
Generate impression based on findings. | 2-year-old male with suspicion of abuse, history of fibular fracture. Evaluate for old fractures.EXAMINATION: Skull AP/lateral, cervical spine AP/lateral, thoracolumbar spine AP/lateral, right humerus AP, left humerus AP, right forearm AP, left forearm AP, right hand PA, left hand PA, chest AP, ribs right oblique/left ... | 1.No acute or healing fractures evident. 2.Mild soft tissue swelling about both wrists with bandages in place. 3.Subcentimeter lucent lesion with a round sclerotic margin may represent an osteoid osteoma. |
Generate impression based on findings. | 80 year old female with known high probability benign, loose the calcifications in the right upper outer breast presents for routine annual follow-up. No family history of breast cancer. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is compo... | Bilateral calcifications progressing in a benign fashion. 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... |
Generate impression based on findings. | Ms. Faulkner submitted outside mammograms dated 10/01/2012 and 10/18/2012, from Mercy Hospital. Submitted outside studies were compared to the current mammogram dated 12/29/2014. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural di... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Ms. Hearon submitted outside mammograms dated 10/15/2013 and 08/15/2012, from Metrosouth Medical Center. Submitted outside studies were compared to the current mammogram dated 11/04/2014. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of archite... | 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. | Ms. Hearon submitted outside mammograms dated 10/15/2013 and 08/15/2012, from Metrosouth Medical Center. Submitted outside studies were compared to the current mammogram dated 11/04/2014. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of archite... | 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. | No restricted diffusion to suggest recent infarct. There are scattered T2/flair hyperintense foci in the periventricular and subcortical white matter which likely represent the sequela of small vessel ischemic disease. No susceptibility abnormalities to indicate hemorrhage. Brain parenchymal volume appears within norm... | 1.No evidence of acute infarct or intracranial mass. No significant volume loss is seen for age.2.Scattered T2/flair hyperintense foci in the periventricular and subcortical white matter which are nonspecific but compatible with mild chronic small vessel ischemic disease. |
Generate impression based on findings. | Reason: hx of bladder cancer s/p radical cystectomy with neobladder urinary diversion, recent renal scan reveals right mechanical obstruction, evaluate with delayed imaging History: right hydronphrosis Evaluation of solid organ pathology is limited without intravenous contrast.ABDOMEN:LUNG BASES: Basilar atelectasis/sc... | 1. Moderate right hydronephrosis/hydroureter with narrowing and irregularity of the distal 2 cm of the right ureter likely represents a stricture but incompletely evaluated without IV contrast. Correlation with direct visualization may be helpful. 2. Increased left renal atrophy following resolution of left hydronephro... |
Generate impression based on findings. | Ms. Sanders submitted outside mammogram dated 05/16/2011, from Mercy Hospital. Submitted outside study was compared to the current mammogram dated 12/12/2014. The breast parenchyma is heterogeneously dense. No suspicious masses, microcalcifications or areas of architectural distortion are present. There is no significa... | No mammographic evidence of malignancy. Physical examination is of increased importance for a patient with dense breast. 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. | Ms. Sanders submitted outside mammogram dated 05/16/2011, from Mercy Hospital. Submitted outside study was compared to the current mammogram dated 12/12/2014. The breast parenchyma is heterogeneously dense. No suspicious masses, microcalcifications or areas of architectural distortion are present. There is no significa... | No mammographic evidence of malignancy. Physical examination is of increased importance for a patient with dense breast. 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. | 29-day-old male with pneumothorax.VIEWS: Chest AP/lateral (two views) 1/15/2015, 09:43 Interval placement of a nasogastric tube with the tip terminating in the body of the stomach. Left upper extremity PICC with tip in the superior vena cava. Endotracheal tube tip below the thoracic inlet and above the carina. Interval... | Large right anterior pneumothorax, perhaps slightly smaller. New nasogastric tube with tip in the body of the stomach. Interval placement of a new right-sided chest tube, with the remaining two chest tubes unchanged in position. |
Generate impression based on findings. | 56-year-old male with metastatic renal cell carcinoma, on Sunitinib CHEST:LUNGS AND PLEURA: Prior referenced right upper lobe nodule (series 5, image 31) is unchanged measuring 5 mm. No new nodules or air space disease is seen. No pleural disease.MEDIASTINUM AND HILA: Mediastinum and hila shows no evidence of measurabl... | Stable examination with unchanged 1) hepatic presumed metastatic lesions, 2) unchanged 5-mm right apical lung nodule, 3. No enlarged lymph nodes identified or other sites of potential metastatic disease.. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts (with an 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 distribu... | 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. | Male; 57 years old. Reason: s/p 21 mo after RUL for T1aN0 Stage IA Adenocarcinoma History: 6 mo f/u LUNGS AND PLEURA: Postsurgical changes status post right upper lobectomy. Moderate centrilobular emphysema.Previously seen micronodule in the right lower lobe adjacent to a stable area of focal atelectasis/scarring has r... | 1. No evidence of recurrent or metastatic disease. 2. Stable enlargement of superior mediastinal lymph nodes. |
Generate impression based on findings. | 12-year-old male with left humerus fracture.VIEWS: Left humerus AP/lateral (two views) 01/15/15 Predominantly transverse fracture through the proximal humeral metaphysis with mild apex lateral angulation is again seen. There is sclerosis of the fracture line and mild periosteal reaction suggestive of attempted healing. | Healing proximal humeral fracture. |
Generate impression based on findings. | 58 years, Female. Reason: Evaluate for obstruction History: Constipation There are mild gaseous distention of colon with mildly prominent air filled loops of small bowel, which may represent developing ileus. There is ovoid stool density in the RLQ, likely representing stool within the large bowel. No pleural effusions... | Dilated loops of colon with mildly prominent small bowel, may represent developing ileus. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in sister. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, 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: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Male 68 years old Reason: assess for mets History: new brain lesion CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Precarinal node measures 1.8 x 1.1 cm, series 3 image 45. Previously 1.8 by 1 cm.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: A few small hypoden... | Ascites is resolved. Very subtle area of haziness in the omentum in the left paracolic gutter. No measurable solid carcinomatosis.Stable appearance of the left nephrectomy bed and stable right renal lesions likely cysts.Stable precarinal node and bone |
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