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Generate impression based on findings. | 60 year-old female with history of right breast cysts. Family history of breast cancer in two sisters, 2 paternal aunts, maternal grandmother, and maternal aunt. No current breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is ... | Waxing and waning of cysts. 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. | Reason: mets lung cancer. ALK +, on Crizotinib. Pls c/w previous study and evaluate tx response. History: lung ca LUNGS AND PLEURA: Left pleural and fissural nodularity and loculated pleural effusion, not significantly changed. Reference measurements as follows:1.Pleural thickening at the level of the AP window measuri... | 1.Stable left hemithorax disease and mediastinal and hilar lymphadenopathy.2.No new sites of disease.3.Please see separately dictated CT abdomen and pelvis performed on the same day. |
Generate impression based on findings. | 36-year-old female with history of right flank pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Large staghor... | Enlarged right kidney with large staghorn calculus with surrounding inflammatory changes compatible with pyelonephritis. Round focus of hypoattenuation within the right upper pole at the level of an obstructed calyx is concerning for abscess. |
Generate impression based on findings. | There is diffuse osteopenia. There is mild rightward convexity of the lumbar spine. The scout lateral view and the sagittal reformatted images demonstrate the lumbar spine to be in normal alignment, with straightening of the normal lumbar lordosis. There is redemonstration of moderate compression deformity of the supe... | 1. Redemonstration of moderate compression deformity involving L4, with additional mild chronic compression deformities of L1, and possibly at L3. Trace retropulsion of the superior endplate of L4 with lateral extension of fracture fragments along the disk space, with moderate central spinal canal stenosis.2. Redemonst... |
Generate impression based on findings. | Female, 63 years old. Reason: of liver, HCV, evaluate for cirrhosis LIVER: The liver measures 16.0 cm, with coarse, heterogeneous echotexture and nodular contour. A simple cystic lesion located centrally in the right hepatic lobe measures 0.8 x 0.9 x 0.9 cm. No other focal lesion.The main portal vein is patent, with no... | 1.Mild extrahepatic biliary ductal dilatation. This finding may be within normal limits for the patient given the lack of associated findings.2.Cirrhotic liver morphology without suspicious focal lesion identified. |
Generate impression based on findings. | Fell and struck head, evaluate for bleed There are multiple areas of hypoattenuation involving the bilateral cerebral hemispheres including the right frontal lobe, left posterior frontal lobe, left inferior frontal lobe, as well as the left temporal lobe. These may all be vascular in etiology and age indeterminate, wit... | 1. No evidence of acute intracranial hemorrhage.2. Multifocal areas of hypoattenuation in the bilateral cerebral hemispheres as described above. These may all be vascular in etiology and represent age-indeterminate ischemia, with subacute infarcts not excluded. No clear mass-effect with any of these lesions. Suggest co... |
Generate impression based on findings. | Male 17 years old Reason: r/o fracture, pain in right wrist History: painVIEWS: Right elbow and wrist AP, lateral and oblique 5/1/15 (6 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | 70-year-old male patient with pain and swelling of the left breast while on prostate cancer medications. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. Flame shaped densities in the bilateral retroareolar area, left greater than right, compatible with gynecomastia... | Bilateral gynecomastia, left greater than right, likely secondary to anti-estrogen medications. Recommend continued clinical management.BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Reason: patient with severe tbm amd multiple stents History: severe dyspnea LUNGS AND PLEURA: Status post right pneumonectomy with marked mediastinal shift to the right side.Focal areas of right pleural calcification and calcific material within the pleural space of uncertain significance.Mild focal reticulonodular opa... | 1.Status post right pneumonectomy with multiple tracheal and left bronchial stents.2.Large hiatal hernia and patulous esophagus with findings suggestive of aspiration. |
Generate impression based on findings. | Left knee painVIEWS: Left knee AP, lateral and oblique 5/1/15 (3 views) Increasing in joint effusion with no evidence of fracture or malalignment. | Worsening in joint effusion with no fracture or malalignment. |
Generate impression based on findings. | Male 11 years old Reason: off-therapy ALL. Progressing right ankle pain April 2015: evaluate for bone changes History: pain at posterior right ankle x 2-3 weeks (no apparent antecedent trauma)VIEWS: Right ankle AP and lateral 5/1/15 (two views) Soft tissue swelling with no fracture, joint effusion or malalignment. | Soft tissue swelling with no fracture. |
Generate impression based on findings. | Movement disorder. Evaluate for Parkinson's disease versus essential tremor. Normal symmetric activity is seen in the basal ganglia. | Normal examination. No evidence of nigrostriatal dopaminergic dysfunction to indicate Parkinson's disease. |
Generate impression based on findings. | Female 3 years old Reason: please evaluate History: 3 y/o girl with firm nodule of left chestVIEWS: Chest AP/lateral (two views) 5/1/15 The aortic arch, cardiac apex and stomach are left-sided.Cardiac silhouette is normal in size and shape. No focal lung opacities. No effusions or pneumothorax.Visualized osseous struct... | Normal examination. |
Generate impression based on findings. | Male 72 years old Reason: metastatic prostate cancer, evaluation of disease after 4 cycles of investigational therapy. Please complete PCWG2 form History: metastatic prostate cancer Redemonstrated abnormal radiotracer activity in the left acromion, right lateral ninth rib, right scapular wing, and L5 vertebral body. Co... | Interval progression of osseous metastatic disease with both new and enlarging osseous lesions. |
Generate impression based on findings. | Female, 52 years old. Reason: Please evaluate the sizes of the kidneys and evaluate for liver cysts History: H/O ADPKD and stage IV CKD LIVER: The liver measures 15.5 cm, with homogeneous echotexture. Multiple simple and complex cystic lesions of varying size throughout the liver.The main portal vein is patent, with no... | Bilateral enlarged kidneys with numerous simple and complex cystic lesions of varying sizes throughout the kidneys and liver, compatible with a known diagnosis of autosomal dominant polycystic kidney disease. No gross solid lesions are identified. |
Generate impression based on findings. | Male 5 years old Reason: Prior to performing radiation for neuroblastoma Per phone conversation with the clinical service, evaluation of split function is requested. The posterior abdominal radionuclide angiogram demonstrates prompt, symmetrical perfusion of the kidneys. Sequential renal images show the kidneys to be o... | Normal symmetric renal perfusion, function, and morphology. |
Generate impression based on findings. | Female 62 years old. Reason: h/o myeloma. History: bone pain SKULL: No discrete myelomatous lesions. There is a 1 cm ovoid ossification overlying the sphenoid sinus which may represent an osteoma.CERVICAL SPINE: No discrete lucent lesions. Moderate degenerative disease affects C5/6 and C6/7.THORACIC SPINE: No discrete ... | Degenerative arthritic changes and other findings as described above. No discrete myelomatous lesions. |
Generate impression based on findings. | Male 63 years old Reason: recurrent prostate cancer with rising PSA History: prostate cancer Stable mildly asymmetric radiotracer activity in the left T11 vertebral body is likely degenerative. No suspicious foci of abnormal radiotracer activity. | No suspicious focus to indicate bone metastases. |
Generate impression based on findings. | Male 56 years old Reason: 56 yo male wtih acute pancreatitis c/b peripancreatic fluid collection in January 2015-February 2015. Repeat CT with contrast to reassess fluid collection History: history of acute pancreatitis ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Small fluid collection at ... | Interval development of a large pseudocyst around the pancreas. Thrombosis of the splenic vein. This pseudocyst extends inferiorly bilaterally to the level of the pelvis in the retroperitoneum. |
Generate impression based on findings. | 15 years old, Male, Reason: r/o intracranial bleed, hit head and vomited x2 History: headache and vomiting 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. Th... | No evidence of intracranial hemorrhage or calvarial fracture. |
Generate impression based on findings. | 74-year-old female with a history of ulcerative colitis status post colectomy with end ileostomy with multiple revisions. Presents with abdominal pain and history of small bowel obstruction. Evaluate for new obstruction. Scout radiograph showed a nonobstructive bowel gas pattern. Transit time to the left lower quadrant... | 1. Small bowel diverticulosis, as described above.2. Probable mild nonobstructive adhesive disease in the region of the patient's ostomy in the left lower quadrant. No evidence to suggest obstruction. |
Generate impression based on findings. | Female 67 years old Reason: Pancreas cancer stage IV please assess and make direct comparison to OSH imaging on 2/13/15 and provide index lesion measurements for both scans for comparison History: As above CHEST:LUNGS AND PLEURA: Bilateral new parenchymal nodules consistent with metastatic disease. Existing metastatic ... | Interval progression of disease with interval increase in the size and number of liver and lung metastases.Interim increase in the size of the locally invasive pancreatic head mass. Now the mass invades third portion of the duodenum and there is air within the mass which may represent necrosis of the mass versus a wall... |
Generate impression based on findings. | Female 50 years old. Reason: eval for scoliosis. History: eval for scoliosis There is approximately 11 degrees of leftward curvature of the thoracolumbar spine as measured from the superior endplate of T10 to the inferior endplate of L4.The coronal balance is within normal limits.There is approximately 3 cm of negative... | Minimal scoliosis with negative sagittal balance as above. |
Generate impression based on findings. | History of thyroid cancer with multiple recurrences, with possible exposure after Chernobyl accident. There are post-treatment findings in the neck, including thyroidectomy and neck dissection. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. However, there... | 1. Post-treatment findings in the neck, including thyroidectomy and neck dissection without evidence of measurable mass lesions or significant cervical lymphadenopathy.2. Mildly prominent upper mediastinal lymphadenopathy. Please refer to the separate chest CT report for additional details.3. Apparent severe long segme... |
Generate impression based on findings. | 9 week old female patient with polydactyly. Evaluate for bony deformity.VIEWS: Left hand PA, oblique, lateral (3 views), Right hand PA, oblique, lateral (3 views) 5/1/2015 A soft tissue nodule is noted along the ulnar aspect of the fifth digits bilaterally. No bone is identified within it. The bones of the hands appear... | Post-axial polydactyly without duplicated phalanges. |
Generate impression based on findings. | Female 58 years old. Reason: back pain. History: back pain Again seen are posterior stabilization rods with screws entering the L3, L4, and L5 vertebrae. We see no hardware complication. Bone graft is seen along the posterolateral aspect of the lower lumbar spine. There is an intervertebral spacer device at L4/5.There ... | Scoliosis, postsurgical changes, and degenerative disk disease as described above. |
Generate impression based on findings. | 56-year-old male with a history of metastatic lung cancer on chemotherapy, presenting for restaging. ABDOMEN:LUNG BASES: Loculated left pleural effusion with heterogeneous collapse left lower lobe. Moderate pericardial effusion. Normal cardiac size. Please see the separately dictated report of the dedicated CT of the c... | 1. Mild interval increase in upper abdominal retroperitoneal lymph node size. Metastatic disease cannot be excluded.2. No additional new sites of disease. |
Generate impression based on findings. | Male 56 years old Reason: 56 M with rectal cancer s/p laparoscopic robotic assisted LAR, colorectal anastomosis, DLI on 2/10/15; found to have 10x5x6 cm fluid collection posterior to anastomosis on barium enema 3/13/15; s/p IR drainage. CT to re-evaluated fluid collection History: fluid collection posterior to colorect... | Slight interval increase in the size of the presacral fluid collection. A percutaneous drain is present within the collection. |
Generate impression based on findings. | Male 57 years old Reason: eval for acute intra-abdominal pathology History: diffuse abdominal tenderness ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffuse fatty infiltration of the liver. Mild hepatomegaly. No focal liver lesions.SPLEEN: No significant abnormality notedPANCREAS: No signi... | No CT findings to explain patient's diffuse abdominal tenderness. |
Generate impression based on findings. | CT Head: The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation or pathological enhancement. There is no extraaxial fluid collection. There are atherosclerotic calcifications of the cavernous portion o... | 1. No acute intracranial hemorrhage or mass effect.2. 1-2 mm medially directed likely atherosclerotic aneurysm at the cavernous right internal carotid artery. 3. Atherosclerotic narrowing of the intracranial and extracranial internal carotid arteries with high-grade stenosis near the left carotid bifurcation (at least ... |
Generate impression based on findings. | Male, 49 years old. Reason: kidney stone History: stone RIGHT KIDNEY: The right kidney measures 9.8 cm in length, with normal cortical echogenicity. Multiple echogenic foci are identified. A 0.7 x 0.7 x 0.3 cm shadowing echogenic focus in the inferior pole and a 0.8 x 0.3 x 0.8 cm echogenic focus in the midpole without... | A 0.7 centimeter right lower pole stone and possible 0.8 cm right mid pole stone are identified. The previously described right renal pelvis stone is not visualized. No hydronephrosis. |
Generate impression based on findings. | Open reduction and internal fixation of fracture.VIEWS: Right middle finger PA/lateral (two views) 05/01/15 A splint obscures bone detail. Two K wires are noted in the middle phalanx. The fracture is in anatomic alignment. | Postoperative changes of the middle phalanx fracture. |
Generate impression based on findings. | There is no significant interval change in the supratentorial ventriculomegaly. There is partial absence of the septum pellucidum. The corpus callosum is thinned. The cerebral aqueduct appears to be grossly patent. There is diffuse loss of white matter bulk, particularly in the posterior cerebral hemisphere periventri... | 1. No significant interval change in supratentorial ventriculomegaly, likely ex vacuo in nature. For future followup, consideration can be made for a limited hydrocephalus screening MRI protocol, which can sometimes be performed without sedation.2. Interval development of diffuse paranasal sinus mucosal thickening. Bil... |
Generate impression based on findings. | 60-year-old female patient with history of left breast cyst and benign calcifications. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Scattered benign cal... | 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. | 10-year-old male patient with fevers, abdominal pain, distention status post acute liver failure and cadaveric liver transplant. Evaluate for abscess, fever source. ABDOMEN:LUNG BASES: A moderate right pleural effusion is noted with overlying compressive atelectasis. A small pericardial effusion is present.LIVER, BILIA... | 1. Moderate right pleural effusion with overlying atelectasis.2. Mildly dilated loops of small bowel in the right lower quadrant.3. Small amount of ascites. 4. Splenic infarct. |
Generate impression based on findings. | 63 year old presents for restaging of colorectal cancer. CHEST:LUNGS AND PLEURA: There are a few upper lobe solid nodules. An index nodule measures 5 mm (series 5 image 36). These have slightly increased in size compared to previous study. The same nodule was measuring 3 mm on image number 42, series number 5 on the pr... | 1. Mild interval decrease in size of the large hepatic metastatic lesions. No new sites of disease are identified.2. Non-specific pulmonary micronodules, some of which are slightly increased in size.3. minimal interval increase in the size of the left upper quadrant peritoneal nodule which may represent peritoneal carc... |
Generate impression based on findings. | Male 61 years old; Reason: evaluate for progression of disease of HCC on sorafanib History: HCC 2/2 HCV ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Cirrhotic morphology with evidence of portal hypertension. Patency of the portal venous system and hepatic veins. Stable ablation defect in s... | 1.Cirrhotic liver with portal hypertension. Index lesion in segment 8 is small in size, and appears more necrotic in the interval, further described above, likely secondary to interval therapy. Similarly, an enhancing periportal lymph node is smaller in size, also further described above.2.Stable horseshoe kidney with ... |
Generate impression based on findings. | Male, 46 years old. Reason: r/o recurrence History: h/o thyroid cancer RIGHT LOBE: Status post thyroidectomy. No discrete nodular mass identified in the thyroid bed.LEFT LOBE: Status post thyroidectomy, with redemonstration of mildly heterogeneous appearance of the left thyroid bed. The previously described approximate... | Stable postoperative changes of a thyroidectomy. An inferior left thyroid bed nodule is less conspicuous on this exam, and not increased in size. No cervical lymphadenopathy. |
Generate impression based on findings. | Female 72 years old Reason: suspicious right renal nodules seen on recent CT chest, recommended this study to characterize them further History: none ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant... | Right renal scarring and small cysts. No solid lesions are noted in the right kidney. Simple left renal cyst. |
Generate impression based on findings. | Clavicle fracture.VIEWS: Left clavicle AP/axial (two views) 05/01/15 Callus formation has developed around the fracture of the left midclavicle. Alignment is near anatomic. | Healing left clavicle fracture. |
Generate impression based on findings. | Male, 51 years old. Reason: kidney stone(s) s/p removal RIGHT KIDNEY: The right kidney measures 11.2 cm in length, with normal cortical echogenicity. No shadowing calculi or hydronephrosis.LEFT KIDNEY: The left kidney measures 11.1 cm in length, with normal cortical echogenicity. No shadowing calculi or hydronephrosis.... | 1. No shadowing renal stones identified. No hydronephrosis. 2. Echogenic liver suggests fatty infiltration/parenchymal dysfunction. |
Generate impression based on findings. | Female, 98 years old. Reason: ?obstructive uropathy-history of Kaposi' sarcoma of rectum. no new symptoms except rising Cr and potassium RIGHT KIDNEY: Right kidney measures 9.3 cm in length, with markedly increased cortical echogenicity, more prominent than prior. An exophytic upper pole simple cyst measures 0.9 x 0.9 ... | Increased renal cortical echogenicity compatible with medical renal disease/parenchymal dysfunction. No hydronephrosis. |
Generate impression based on findings. | History of subdural hematoma, evaluate if resolved Prior imaging is not available, however, no residual subdural hematoma is identified. No new intracranial hemorrhage. No intracranial mass or evidence of mass-effect. No midline shift or herniation. There is advanced global parenchymal volume loss and moderate degree o... | Prior imaging is not available, however, no residual subdural hematoma is identified. No new intracranial hemorrhage. No intracranial mass or evidence of mass-effect. |
Generate impression based on findings. | 44-year-old female with history of bilateral breast calcifications and a left breast benign biopsy showing FEA. Three standard views of both breasts were performed digitally 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 ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Male 72 years old Reason: metastatic prostate cancer, evaluation of disease after 4 cycles of investigational therapy. Please provide Bi-dementional therapy measurements per RECIST 1.1 History: metastatic prostate cancer CHEST:LUNGS AND PLEURA: Bilateral minimal pleural thickening, unchanged.MEDIASTINUM AND HILA: Bulky... | Significant interval increase in the size of the metastatic adenopathy. New bilateral metastatic adrenal nodules and borderline enlarged pelvic lymph nodes. |
Generate impression based on findings. | Male 28 years old Reason: stones History: stones RIGHT KIDNEY: Right kidney measures 10.5 cm. Normal echogenicity. No focal lesions. No evidence of stones or hydronephrosis.LEFT KIDNEY: Left kidney measures 10.8 cm. There are two punctate stones in the lower pole of the left kidney. No evidence of hydronephrosis. Norma... | Left lower pole nephrolithiasis. No evidence of hydronephrosis. |
Generate impression based on findings. | Reason: evaluate for acute intracranial process History: fall, + questionable LOC The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The v... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Fibular fracture follow-up Persistent oblique distal left fibular fracture without evidence of significant displacement or malalignment. Overlying moderate soft tissue swelling essentially unchanged. Ankle mortise remains intact | Subacute left distal fibular fracture which remains in gross anatomic alignment |
Generate impression based on findings. | Closed fracture follow-up Continued healing of the humeral neck fracture with continued decreased visualization of the fracture plane representing continued healing. No change in alignment and mild impaction. Underlying degenerative changes remain similar | Healing humeral neck fracture |
Generate impression based on findings. | ORIF Continued healing and deformity of the distal femur fracture fixed with an IM rod and side plate. No interval hardware complications yet persistent increased callus formation is observed. Alignment unchanged | Continued healing of multiple distal femoral fractures without change in alignment or hardware complication |
Generate impression based on findings. | Reason: altered mental status History: altered mental status The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a mild degree are present. Atherosclerotic calcifications are present along the distal internal carotid arteries. ... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. 3.CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction. |
Generate impression based on findings. | Healing fracture Persistent mild deformity of the left humeral head and tuberosity compatible of old healed prior fracture from 2013. Alignment unchanged along with moderate degenerative changes. Increasing rotator cuff calcifications an changes compatible with old tendinopathy | Moderate degenerative and old fracture deformity |
Generate impression based on findings. | Lateral right fifth metatarsal tenderness.VIEWS: Right foot AP/lateral/oblique (3 views) 05/01/15 Soft tissue swelling overlies the base of the fifth metatarsal. A transverse fracture about 1 cm from the tip of the base of the fifth metatarsal is noted. The fracture is minimally displaced. The rest of the bones are nor... | Fracture of the base of the fifth metatarsal. |
Generate impression based on findings. | Reason: confusion after fall History: confusion after fall, eval for ICH The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a mild degree are present.No abnormal mass lesions are appreciated intracranially. No intracranial hem... | No evidence for acute intracranial hemorrhage mass effect or edema. CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction. |
Generate impression based on findings. | Pain Interval decreased visualization of the medial malleolar fracture augmented by diffuse demineralization, likely secondary to disuse. Underlying degenerative changes appear similar. Underlying stable moderate degenerative changes of the midfoot the mildly high arch, mild pes cavus deformity cannot be excluded | Healing medial malleolar fracture |
Generate impression based on findings. | Bunion and hammertoe. Pain Interval progressing and enlargement of the hallux valgus angulation and large bunion. Underlying moderate degenerative changes are otherwise similar. Distinct hammertoe deformities are again observed largely involving the second and third toes. | Increasing hallux out his deformity, bunion and hammertoes |
Generate impression based on findings. | Pain Distal fibular and medial malleolar fixation are unchanged without evidence of interval new complication. Fracture planes and/or growth plates are less well visualized compatible with continued fusion. No change in alignment. Mortise intact. Soft tissues unremarkable | Continued healing and uncomplicated hardware fixation |
Generate impression based on findings. | Scoliosis and pain Mild thoracolumbar scoliosis is observed with no evidence of sagittal balance abnormality, however the coronal balance is mildly negative.Straightening of the cervical and upper thoracic spine is observed with reverse lordosis. Disk spaces and vertebral bodies are otherwise low in alignment. Soft tis... | Mild to moderate scoliosis with a mild coronal balance abnormality. See detail provided |
Generate impression based on findings. | Male 77 years old Reason: gastric carcinoid with carcninoid protocol History: gastric carcnoid with liver mets, do carcinoid protocol please ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Again noted multiple metastatic bilobar lesions. Index segment 8 lesion now measures 4.1 by 4.5 cm on ima... | No significant change from previous study. |
Generate impression based on findings. | Reason: RML atelectasis History: cough LUNGS AND PLEURA: No significant abnormality noted. Specifically, no evidence of atelectasis. Minimal scarring is present in the lingula and right middle lobe.MEDIASTINUM AND HILA: Mild mediastinal lipomatosis with prominent epicardial fat deposition.Mild lipomatous hypertrophy of... | Moderate hiatal hernia. No other abnormality identified. |
Generate impression based on findings. | Pain Continued healing of a distal oblique fibular fracture with out change of interval alignment. Callus formation is observed. Decreased soft tissue swelling | Continued healing of the distal fibular fracture without and interval change in alignment |
Generate impression based on findings. | Bilateral hip pain with known metastases. There is a destructive lytic lesion of the supra-acetabular right ilium with extension into the soft tissues laterally. The margins of the lesion are poorly defined but I suspect that the lesion measures at least 6 cm in greatest dimension. The margin of the acetabular dome rem... | Metastatic disease as described above. |
Generate impression based on findings. | Pain, mass Please note exam is limited with retained barium in the distal colonic segments. The lateral projection does not demonstrate any overt osseous abnormalities, however follow up serial imaging may be indicated if suspicion remains high, specifically CT evaluation should be considered and recently aborted given... | No gross abnormality within limitations described |
Generate impression based on findings. | Pain Interval unchanged patellar and tibial plateau fixations with otherwise interval decreased visualization of the comminuted fracture tibial planes and the transverse patellar fracture. Appearance suggests marked continued healing without significant or visualized change in alignment. Small effusion. | Continued healing of the patellar and tibial fractures |
Generate impression based on findings. | Female 63 years old Reason: STAGE III MELANOMA ON BACK History: STAGE III MELANOMA ON BACK - RESTAGING CHEST:LUNGS AND PLEURA: Previously described right lower lobe punctate nodule is unchanged on image number 89, series number 5. No new lung nodules.MEDIASTINUM AND HILA: No significant abnormality noted.CORONARY ARTER... | New hepatic metastases. |
Generate impression based on findings. | Pain Knee: Moderate osteoarthritic changes with tricompartmental findings greater the medial aspects including narrowing, sclerosis and osteophytes. Particular note is made of enthesopathy like changes observed at the insertion of the left joint knee capsule. Small knee effusionAnkle: Interval removal of the cast mater... | Healed distal right ankle fracture with unchanged and uncomplicated hardware. Moderate knee arthritis |
Generate impression based on findings. | Male 63 years old; Reason: recurrent prostate cancer with rising psa. History: prostate cancer CHEST:LUNGS AND PLEURA: Unchanged bilateral calcified pleural plaques.MEDIASTINUM AND HILA: Atrophic left thyroid lobe and indeterminant subcentimeter hypodensity in the right lobe.CHEST WALL: No significant abnormality noted... | 1.Stable examination. No definite evidence of metastatic disease. |
Generate impression based on findings. | History of cervical degenerative changes Marked severe degenerative changes extending from C4 through C6 with more moderate changes involving the C6-7 level. Straightening of the cervical spine with otherwise preserved vertebral body heights. Mild retrolisthesis of C3 on 4 without evidence of instability on flexion and... | Marked mid cervical spine degenerative changes with minimal fixed retrolisthesis of C3 on 4 |
Generate impression based on findings. | Female 58 years old Reason: 58yo female with stage IIIA ovarian cancer, s/p TAH/BSO/debulking on 4/13/15. CT to assess residual disease before chemotherapy. Per clinical trial protocol. History: None ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis, unchanged. No focal liver lesi... | Interval resection of patient's known ovarian cancer. Likely postsurgical changes in the pelvis. Follow-up imaging is recommended to exclude recurrence in the pelvis.Soft tissue density nodules in the hepatogastric ligament suspicious for carcinomatosis. |
Generate impression based on findings. | Male 49 years old Reason: hx of prostate cancer, surgery to follow History: see above PROSTATE, SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant a... | This study is performed per the study protocol. |
Generate impression based on findings. | Elbow pain rule out fracture.VIEWS: Right elbow AP/lateral/oblique (3 views) 05/01/15 No joint effusion is present. The bones are normal in appearance. No fracture is identified. | Normal examination. |
Generate impression based on findings. | Female 30 years old Reason: r/o appendicitis History: abdominal pain for 1 day ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNE... | CT findings compatible with likely perforated acute appendicitis. |
Generate impression based on findings. | There are new postoperative findings related to C3-C7 laminoplasties and multilevel spinous process resection with expected postsurgical gas, soft tissue infiltration and edema/fluid. The bone graft material bridging the hemilaminectomies are well positioned. There is no focal discrete fluid collection on this noncont... | Expected postoperative findings related to cervical laminoplasty. Spinal canal is well decompressed. |
Generate impression based on findings. | Restaging lymphoma following chemotherapy last 3/17/15.RADIOPHARMACEUTICAL: 13.6 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 98 mg/dL. Today's CT portion grossly demonstrates mild mucoperiosteal of both maxillary sinuses suggesting mild chronic sinusitis. Scattered atherosclerotic calcifications are pres... | Near complete interval resolution of previous extensive hypermetabolic tumor activity and no new FDG avid focus. However, several upper abdominal lymph nodes demonstrate some residual significant uptake and are some suspicion for current metabolically active tumor. Alternatively, these could also represent unusually pr... |
Generate impression based on findings. | Pain.VIEWS: Right wrist PA/lateral/oblique (3 views) 05/01/15 A joint effusion is present. A small amount of soft tissue swelling is noted anteriorly. No fracture is identified. The bones are normal in appearance. | Joint effusion and no fracture. |
Generate impression based on findings. | 45-year-old female with history of left breast carcinoma status post excision in September 2014 with positive margins, and subsequent reexcision, now presents for biopsy of left breast mass at the site of prior surgery, and MRI detected enlarged left interpectoral and internal mammary chain lymph nodes. Left ultrasound... | Successful ultrasound-guided core biopsies of three left sided lesions and clip placements. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Male 2 years old Reason: follow up for foreign body in abdomen History: foreign body in abdomen by XR 6 days ago and not come out.VIEW: Abdomen AP (one view) 5/1/15 at 1249 hrs. Disorganized, nonspecific abdominal gas pattern. No evidence of obstruction, free air or ascites. No radiopaque foreign body. | No radiopaque foreign body. |
Generate impression based on findings. | 82-year-old female. Right hip dislocation status post reduction. Interval reduction of the previously dislocated right total hip arthroplasty with hardware components now in anatomic alignment. Again seen is a deformity of the left obturator ring and sacrum suggesting old healed fractures. Moderate osteoarthritis affec... | Interval reduction of right total hip arthroplasty. |
Generate impression based on findings. | Reason: Patient SOB with right sided pleural effusion and possible right chest mass on x-ray. Has history of urothelial cell carcinoma. eval for malignant, infectious, other acute process. History: As above LUNGS AND PLEURA: Large right and small left pleural effusions with overlying compressive atelectasis new compare... | 1.Large right and small left pleural effusions with overlying compressive atelectasis.2.No mediastinal/hilar mass or evidence of metastases.3.Recent postsurgical findings in the upper abdomen.4.Left hydronephrosis and nephroureteral catheter, incompletely imaged. |
Generate impression based on findings. | Female 52 years old Reason: evaluate for chronic pulmonary emboli History: low DLCO The comparison chest radiograph performed on 5/1/15 demonstrates no focal pulmonary opacities or pleural fluid. The ventilation images show a uniform distribution of activity on single-breath and wash-in images. There is no abnormal Xe-... | Normal ventilation and perfusion images. Very low probability of pulmonary embolism. |
Generate impression based on findings. | Shoulder and ankle pain Shoulder: Moderate osteoarthritic changes with narrowing, sclerosis and small osteophytes with simple small cysts. Small punctate calcification observed along the inferior margin of the glenoid possibly related to a labor injury and or partial degeneration. No discrete donor site or fracture obs... | Multiple findings compatible old remote degenerative disease and post trauma, involving both the shoulder and ankle. |
Generate impression based on findings. | Metastatic prostate cancer. Evaluate for progression. Single focus of abnormal radiotracer activity in the right ischium is slightly decreased compared to prior compatible with an osseous metastasis. No new suspicious osseous lesions.Multiple left lateral rib lesions in a roughly linear configuration are less prominent... | Stable examination with right pelvic osseous metastasis. No new suspicious osseous lesion. |
Generate impression based on findings. | Female 58 years old Reason: right hydronehrosis History: right hydronephrosis The posterior abdominal radionuclide angiogram demonstrates prompt, symmetrical perfusion of the kidneys. Sequential renal images show the kidneys to be of normal size and morphology. There is prompt uptake and excretion of the radiopharmaceu... | 1. Dilated proximal right renal collecting system but with rapid washout after administration of a diuretic indicating no current obstruction.2. Symmetric renal parenchymal function. |
Generate impression based on findings. | Female 4 years old Reason: Evaluate neo Aortic root. History: None Cardiac Morphology:Left Ventricle:EDV: N/A ml ESV: N/A ml EF: N/A % LV mass: N/A gmWall motion assessment: N/A.Right Ventricle:EDV: N/A ml ESV:N/A ml EF: N/A % Left Atrium: Enlarged left atrium , but stable. There are 4 pulmonary veins which drain norm... | 1.Right coronary artery bypass likely thrombosed.2.Enlarged right and left atrium and left atrial appendage.3. Interval prosthetic Mitral valve placement. 4. Left pleural thickening the little of the lung base. Right lung base atelectases. Increase in selective pulmonary blood flow to the left lower lobe.The report was... |
Generate impression based on findings. | 45 year old with interstitial lung disease and developing right lower lobe lesion seen on CT. Evaluate for malignancy.RADIOPHARMACEUTICAL: 14.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 114 mg/dL. Today's CT portion grossly demonstrates multiple bilateral pulmonary opacities with a peripheral and sligh... | Extensive bilateral pulmonary and mediastinal abnormally hypermetabolic foci as described above. These are most likely inflammatory in etiology, however malignancy is not entirely excluded. |
Generate impression based on findings. | 48-year-old female patient complaining of right breast lump x 3 days. History of benign right breast biopsy in 2007. BILATERAL DIAGNOSTIC MAMMOGRAM: Three standard views of both breasts, additional right XCCL view, and two spot compression views of the right breast were performed digitally and reviewed with the aid of ... | Benign bilateral cysts. Palpable abnormality in right breast corresponds to a simple cyst. 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 - ... |
Generate impression based on findings. | Reason: follow up left lower lobe nodule History: nodule LUNGS AND PLEURA: Left upper lobe 5 x 5 pulmonary nodule is unchanged (series 5 image 23). Left lower lobe 6 x 3 mm pulmonary nodule is unchanged (series 5 image 66). Additional scattered calcified and noncalcified pulmonary micronodules, unchanged. Scattered int... | Stable pulmonary nodules and micronodules measuring up to 6 mm compatible with benign etiology. No further CT follow-up is recommended at this time. No new or suspicious pulmonary nodule or mass. |
Generate impression based on findings. | 81 years, Male. Reason: history of rectal cancer s/p ostomy with no bowel movements x 1 week. evaluate for ileus or air fluid levels History: abdominal pain Please note the left lateral abdomen is incompletely visualized. Left lateral ventral hernia containing loops of small bowel, and colon. Greater than average stool... | Greater than average stool burden, and relative paucity of small bowel gas, without radiographic evidence of obstruction. |
Generate impression based on findings. | Female 43 years old Reason: 43 year-old female with bloating, rule out delayed gastric emptying History: as above Visually there was progressive gastric emptying with excessive residual gastric activity. Using anterior and posterior geometric means, residual gastric activity at the following postprandial intervals was ... | Delayed gastric emptying. |
Generate impression based on findings. | Reason: NJ placement History: NJ placement Enteric tube tip lies in the distribution of the mid jejunum, distal to the ligament of Treitz. Surgical clips project in the right upper quadrant. The lung bases are clear. Nonobstructive bowel gas pattern. | Enteric tube tip lies in the distribution of the mid jejunum, distal to the ligament of Treitz. |
Generate impression based on findings. | Female, 44 years old. Reason: eval for hepatobiliary or pancreatic abnormality History: RUQ pain LIVER: The liver measures 16.2 cm, with homogeneous echotexture. Simple cysts along the hepatic dome, with the largest measuring 3.8 x 2.5 x 3.9 cm, requiring no further evaluation. No other focal lesion.The main portal vei... | No cholelithiasis, evidence of acute cholecystitis, or other acute abnormality to account for the patient's symptoms. |
Generate impression based on findings. | 17 month old male patient with absent radius.VIEWS: Left hand AP and lateral (2 views), left forearm AP and lateral (2 views) 5/1/2015 Redemonstration of a radial club hand. The radius is hypoplastic with the small proximal portion measuring approximately 1.5 cm in length, previously 1 cm. The ulna is thickened and cur... | Radial dysplasia with deformities of the forearm and thumb. |
Generate impression based on findings. | 57-year-old male. Right shoulder pain, previous surgery. No acute fracture or dislocation. Small humeral head and glenoid osteophytes consistent with mild ostearthritis. Geographic tubular lucency in the proximal humeral diaphysis with mildly sclerotic margins likely reflects prior biceps tendonesis. The AC joint is mi... | Osteoarthritis and post-surgical changes. |
Generate impression based on findings. | Reason: s/p 6 years s/p thoracoscopic right upper lobe apical and posterior segmentectomies for management of a T1N0M0 stage Ia adenocarcinoma History: annual f/u CHEST:LUNGS AND PLEURA: Post surgical changes of a partial right upper lobectomy. Bilateral pulmonary micronodules are unchanged. No new or suspicious pulmon... | No evidence of metastases.Lung-RADS: Category: 1/C (Negative: No nodules and definitely benign nodules/Prior Lung Cancer)RECOMMENDATION: Continue annual screening with LDCT in 12 months. |
Generate impression based on findings. | History of thyroid cancer with metastases. Head: There is no evidence of intracranial mass lesions. 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 scalp soft tissues are unremark... | 1. No evidence of intracranial metastases.2. No evidence of locoregional thyroid cancer recurrence or significant lymphadenopathy in the neck. 3. Numerous metastases in the partially imaged lungs appear to have continued to increase in size. Please refer to CT chest report for additional details. |
Generate impression based on findings. | 46-year-old female. Swelling of left hand. Left hand: Mild sclerosis and small lucencies in the lunate, likely reflect a combination of degenerative changes and post-surgical findings of bone graft done for avascular necrosis. No fracture or dislocation. The joint spaces are preserved. Moderate diffuse swelling about t... | Moderate soft tissue swelling and post-surgical findings in the lunate. |
Generate impression based on findings. | Follow-up of T3N0 squamous cell carcinoma of the larynx treated with chemoradiation. The contrast bolus is relatively weak, which may limit the conspicuity of tumor. Within this constraint, there are post-treatment findings in the upper aerodigestive track manifesting as diffuse edema centered in the supraglottic regio... | 1. No evidence of supraglottic tumor progression amidst post-treatment effects, although assessment is limited by the weak contrast dose. 2. No evidence of significant cervical lymphadenopathy. |
Generate impression based on findings. | Reason: r/o mets History: h/o thyroid cancer with prior multiple recurrences, though has been stable recently LUNGS AND PLEURA: A few new or increasing pulmonary nonspecific micronodules and nodules in the right lung, the largest in the right lower lobe measures 5 mm (series 6 image 84), which is increase from 3 mm pre... | 1.Nonspecific increasing right lower lobe 5 mm nodule and a few new right micronodules. Additional nodules/micronodules are stable. 2.New mildly enlarged prevascular lymph node, also nonspecific. |
Generate impression based on findings. | 64-year-old male with metastatic lung cancer status post another 6th doses of Gemzar, compare to previous CHEST:LUNGS AND PLEURA: No significant interval change in diffuse ground glass opacity with nodular thickening of the fissures and septa most consistent with lymphangitic spread of tumor and possibly edema. Moderat... | Slightly increasing right pleural effusion and otherwise stable disease. |
Generate impression based on findings. | Reason: re-staging History: t3n0 larynx cancer s/p XRT CHEST:LUNGS AND PLEURA: Emphysema, basilar scarring and prior granulomatous disease.No evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: Except for calcified lymph nodes from old granulomatous disease, there is no evidence of lymphadenopathy.The hea... | No evidence of metastases, or other significant abnormality. |
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