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Generate impression based on findings. | History of altered mental status. There is no evidence of intracranial hemorrhage or mass. There is a subcentimeter defect in the left basal ganglia compatible with a chronic appearing lacunar infarct. There is also mild patchy periventricular hypoattenuation that may represent age-indeterminate small vessel ischemic d... | Chronic appearing left basal ganglia infarct, but no evidence of intracranial hemorrhage or mass. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Reason: hx of COPD/asthma and recurring infx. comment on emphysema and fissure integrity History: cough LUNGS AND PLEURA: Moderate to severe centrilobular emphysema. Bibasilar subpleural reticulation and scarring. No suspicious pulmonary nodules or masses. No focal consolidation.No pleural effusions. The minor fissure ... | 1.Moderate to severe emphysema.2.No evidence of infection.3.The minor fissure may be incomplete medially. |
Generate impression based on findings. | 41-year-old male. Decreased range of motion left elbow. Evaluate for left elbow osteophyte location. Radiocapitellar and ulnotrochlear bulky osteophytes and joint space narrowing consistent with moderate to severe osteoarthritis. No loose bodies are evident. | Moderate to severe osteoarthritis. |
Generate impression based on findings. | Reason: metastatic colon cancer on chemotherapy holiday since January. Evaluate for interval change History: met colon cancer LUNGS AND PLEURA: Right upper lobe lobulated nodule has increased in size, measuring 10 x 11 mm (series 4 image 36), previously 8 x 8 mm. Scattered additional pulmonary micronodules are unchange... | Interval increase in size of right upper lobe nodule and right hepatic metastasis. |
Generate impression based on findings. | 55-year-old female patient with upper left breast reconstruction pain and tenderness. Status post bilateral mastectomy and expander placement at Northwestern Memorial Hospital. Complicated surgical history with multiple revisions. A targeted left breast reconstruction ultrasound was performed for the palpable area of c... | Postsurgical changes from DIEP flap without fluid collection corresponding to the palpable area of concern. Recommend continued clinical management.BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | 56 years old, Male, right-sided weakness There is a new intraparenchymal hematoma centered in the left superior frontal gyrus measuring 4.1 x 2.5 x 3.4 cm (series 3, image 27). There is mild surrounding hypoattenuation indicating surrounding edema. There is mild surrounding mass effect with minimal rightward shift of t... | New intraparenchymal hematoma centered in the left posterior superior frontal gyrus with mild associated edema and mass effect. Findings were discussed via telephone with Dr. Subeh at 1400 on 5/1/15 |
Generate impression based on findings. | 49-year-old female with history of bilateral greenish nipple discharge presents for bilateral diagnostic mammogram. No new breast related complaints. Family history of breast cancer in maternal aunt Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parench... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 68 year old female nearly 10 years after thymectomy for thymoma. Follow-up lung nodules. LUNGS AND PLEURA: Focal lower lobe bronchiectasis, right greater the left, unchanged. Unchanged right upper lobe micronodule (series 5, image 15), stable since 2006.Previously noted part solid nodules with adjacent ground glass opa... | 1. Interval resolution of the previously noted part solid nodules with adjacent ground glass opacity compatible with an infectious etiology. 2. Indeterminate new punctate micronodules bilaterally, more likely infectious/inflammatory in etiology however continued follow up is recommended. 3. Previously noted asymmetric ... |
Generate impression based on findings. | 18 day old female patient status post gastroschisis repair. Question of lung expansion and evidence of pulmonary edema.VIEW: Chest AP (one view) 5/1/2015 Endotracheal tube tip is at the thoracic inlet. Enteric tube tip is in the stomach with side ports above the GE junction.The cardiothymic silhouette size is normal. L... | No specific evidence of pulmonary edema. |
Generate impression based on findings. | There is an unchanged old right middle, inferior frontal and anterior portion of the superior temporal gyrus infarct with involvement of the right basal ganglia, and insula with encephalomalacia, ex vacuo dilatation of the right lateral ventricle and midline shift to the right due to volume loss. There is mild chronic... | Chronic right frontal and anterior temporal lobe infarct with encephalomalacia, but no acute intracranial hemorrhage or mass-effect. CT is insensitive for detection of early nonhemorrhagic stroke. If there is high clinical suspicion for acute ischemia, consider further evaluation with MRI if there are no contraindicati... |
Generate impression based on findings. | Chromosome abnormality.VIEWS: Antecolic, thoracic and lumbar spine AP and lateral on 5/1/15 (6 views) Cervical spine: Vertebral body heights and disk spaces are maintained. No segmentation or fusion defect. No evidence of prevertebral soft tissue thickening or airway compression or deviation.Thoracic spine: Vertebral b... | Normal examination. |
Generate impression based on findings. | 9-year-old male patient with hip pain. Question of SCFE.VIEWS: Pelvis AP and frog leg lateral (2 views) 5/1/2015 The proximal femoral physes are not widened. The femoral heads are normally positioned relative to the femoral necks. The bones of the pelvis appear normal. No acute fracture is evident. | Normal examination. |
Generate impression based on findings. | 72-year-old female with history of pre-kidney transplant evaluation. Lack of intravenous contrast enhancement limits the evaluation of solid organ parenchyma and vascular structures. Given these limitations, the following observations can be made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT:... | Atherosclerotic calcifications as above with relative sparing of the external iliac arteries bilaterally. |
Generate impression based on findings. | 49 year old female with left lower quadrant abdominal pain. ABDOMEN:LUNG BASES: No pleural or pericardial effusions. Normal cardiac size.LIVER, BILIARY TRACT: No focal suspicious hepatic lesion, biliary ductal dilatation or vascular abnormality.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormalit... | 1. No specific findings to account for the patient's left lower quadrant pain.2. The stomach is moderately distended with fluid and debris, which may reflect gastric outlet obstruction and/or delayed emptying. |
Generate impression based on findings. | 77-year-old male with prostate cancer. For disease progression. CHEST:LUNGS AND PLEURA: Severe upper lobe paraseptal and centrilobular emphysema. Scattered, nonspecific micronodules. No suspicious pulmonary nodules or masses. No significant pleural effusions, focal consolidation or pneumothorax.MEDIASTINUM AND HILA: No... | No new sites of disease. Stable non-specific small volume pelvic ascites. |
Generate impression based on findings. | History of thyroid cancer pT3 N1b, status post RAI with 150mCi in 2009, now with new positive TG Ab, and new uptake in neck and upper mediastinum. There are post-treatment findings related to total thyroidectomy and neck dissection. There is mild ill-defined nonspecific soft tissue within the right thyroidectomy bed wi... | 1. Mild nonspecific soft tissue within the right thyroidectomy bed, which most likely represents scar tissue rather than tumor. However, further evaluation via ultrasound may be useful if clinically warranted.2. No evidence of significant lymphadenopathy in the neck. |
Generate impression based on findings. | Reason: r/o mets History: h/o follicular thyroid cancer LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No focal consolidation, pleural effusion, or pneumothorax.MEDIASTINUM AND HILA: Postsurgical changes of a thyroidectomy. No mediastinal or hilar lymphadenopathy. Heart size is normal with no pericardial ... | No evidence of metastases. |
Generate impression based on findings. | Patient fell, check for fracture Thoracic spine: Mild scoliosis without evidence of superimposed acute osseous abnormality. Specifically no fracture or malalignment. Disk spaces and vertebral body heights are preserved.Lumbar spine: No acute and or nonacute radiographic abnormalities. Mild straightening of the lumbar s... | Mild degenerative changes without evidence of superimposed acute abnormality. |
Generate impression based on findings. | There are ill-defined areas of intrinsic T1 hyperintensity within the bilateral cerebral subcortical white matter, which are somewhat more conspicuous on the fat saturated postcontrast images. There is no definite superimposed enhancement for maybe the left frontal lesion on 1301/12. There is a single focus of stabili... | 1. Right frontal horn tiny subependymal nodule, with questioned additional more subtle nodules along the lateral ventricular margins.2. Scattered subcortical tubers present, with questionable superimposed enhancement of the left frontal lobe finding. 3. No definite abnormality at the foramina of Monro at this time. |
Generate impression based on findings. | 69-year-old female. Right shoulder pain. Evaluate degree of arthritis. No fracture or dislocation. Minimal glenohumeral joint osteoarthritis with tiny humeral head osteophytes. Mild acromioclavicular joint osteoarthritis. | Minimal to mild osteoarthritis, as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Benign circumscribed masses in the up... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 85-year-old male. Right-sided chronic low back pain in the mornings. Evaluate for fracture and bone density. Alignment is anatomic. Vertebral body heights are maintained without evidence of a compression fracture. Mild multilevel degenerative disk disease with tiny anterior osteophytes. Mild to moderate lower lumbar sp... | Mild degenerative disk disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 58 year old man presents with hypertension, hyperlipidemia, hypertension, syncope, atypical chest pain, and early repolarization on EKG. CPT Code: 75574 Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of Valsalva and bifurcates into the left anterior descending and left circumfl... | 1. There are no significant coronary artery stenoses present. 2. Minimal coronary atherosclerosis is noted.This portion of the report pertains to the heart and great vessels only. The remaining soft tissues of the thorax and upper abdomen will be interpreted by the attending chest radiologist and included as an addendu... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. A Port-A-Cath is projected over the r... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 79-year-old female with history of multiple benign bilateral breast biopsies for calcifications. No new breast complaints. History of ovarian cancer in maternal niece. Three standard views of both breasts and additional left MLO view were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchym... | 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. | Asymptomatic female presents for routine screening mammography. Two standard and pushback views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular elements. Retropectoral silicone implant appears intact in both breasts. No sus... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of archite... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 61-year-old female with history of metastatic lung cancer. UTERUS, ADNEXA: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: Multiple blastic lesions are identified in the imaged ax... | Multiple blastic lesions in the imaged axial skeleton compatible with metastatic disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. Developing asymmetry ... | 1. Developing asymmetry with pleomorphic calcifications at posterior upper aspect on left MLO view. Magnification view and exaggerated CC view of the left breast with possible ultrasound study is recommended.2. Architectural distortions at posterior lateral aspect in the left breast on left CC view. Spot compression vi... |
Generate impression based on findings. | 56 year old male with shortness of breath, evaluate for pulmonary embolism PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery caliber within normal limits. No evidence of right heart strain.LUNGS AND PLEURA: Dependent atelectasis. No suspicious pulmonary nodules or masses. No pleural effusion ... | 1. No evidence of pulmonary embolism. 2. Probable moderate left ventricular enlargement. PULMONARY EMBOLISM: PE: NegativeChronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Overall, there has been significant improvement in appearance of the neck, with previously heterogeneously enhancing necrotic nodes resolved. However, there are subtle areas of lymphadenopathy on the left, one of which may be necrotic in the left parotid gland on 6/24, measuring 1.1 x 0.9 cm. in addition, more cranial... | 1. Although significantly improved in appearance since prior exam where there was severe and partially necrotic cervical lymphadenopathy, a few necrotic node suggested in the left parotid region as well as large left level 4 lymph node, concerning for recurrence of known Rosai-Dorfman disease.2. Dental carie in ADA num... |
Generate impression based on findings. | Reason: pt w h/o thyroid cancer pT3 N1b, s/p RAI 150mCi in 2009, now with new positive TG Ab, and new uptake in neck and upper mediastinum.. Please assess for possible mass that correlated with uptake location History: thyroid cancer LUNGS AND PLEURA: Scattered nonspecific pulmonary micronodules bilaterally, some which... | 1.No evidence of metastases. No findings to correlate with increased uptake in the left hemithorax. 2.Please see separately dictated soft tissue neck CT performed on the same day. |
Generate impression based on findings. | Age: 92 years. Sex : Female. Reason for study: Reason: r.o aspiration History: clearing throat with oral intake. Fluoroscopic guidance was provided for an oropharyngeal motility study performed by the Speech Pathology section of the ENT service. The examination was recorded on videotape. No static or hard copy films we... | The exam was positive for penetration and negative for aspiration. Please refer to concomitant speech pathology report for further details and feeding recommendations. |
Generate impression based on findings. | 69-year-old female with a history of abdominal pain and known right inguinal hernia. ABDOMEN:LUNG BASES: Right lower lobe septated thin walled cystic lesion with adjacent scarring without interval change.LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No significant a... | Stable right inferior ventral wall hernia without evidence of complication. No CT findings to account for the patient's pain. |
Generate impression based on findings. | Left elbow painVIEWS: Left elbow AP, lateral and oblique 5/1/15 (3 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | 20 year-old male patient with history of Rosai-Dorfman disease, concern for disease recurrence. Shortness of breath and dysphasia for 4 months. CHEST:LUNGS AND PLEURA: No focal lung consolidation, pleural effusion, or pneumothorax. No suspicious pulmonary nodules are identified. Minimal biapical scarring is noted.MEDIA... | No specific findings to account for the patient's symptoms or evidence of disease recurrence in the chest, abdomen, or pelvis. |
Generate impression based on findings. | 87-year-old female with a history of left mastectomy in 1990 and benign right breast biopsies. No current breast complaints. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in patt... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 61-year-old male with a history of dysphagia. Unable to pass scope on endoscopy. Planning for urgent. Esophageal stent. Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Note is made of a long segment of narrowing of the mid to distal thoracic esophagus, wh... | Long segment of narrowing of the distal thoracic esophagus, likely related to the patient's known history of metastatic disease, with reference measurements provided above. |
Generate impression based on findings. | 77-year-old male with a palpable right marble size breast lump for 6 weeks. No family history of breast cancer. Three standard views of both breasts and spot compression views of right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. Triangular mar... | Right-sided gynecomastia, corresponding to patient's palpable abnormality, most likely an adverse effect to a long standing medication. Clinical correlation is recommended.BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Reason: surveillance of pulmonary lymphadenopathy, benign on biopsy History: none LUNGS AND PLEURA: Right lower lobe 8 x 8 mm slightly lobulated pulmonary nodule with benign biopsy results is unchanged. No new or suspicious pulmonary nodules or masses. Bibasilar atelectasis. No pleural effusions.MEDIASTINUM AND HILA: P... | 1.Stable 8 mm right lower lobe slightly lobulated nodule with benign biopsy results. Recommend one more follow-up in 12 months to confirm stability. No new or suspicious pulmonary nodules or masses.2.No mediastinal lymphadenopathy. |
Generate impression based on findings. | 58 year old male with diagnosis of GPA vasculitis and history of ARDS, shortness of breath/dyspnea exertion. Evaluate for ILD? LUNGS AND PLEURA: There are areas of scarring at the lung bases and lung periphery. No evidence of diffuse interstitial lung disease. No suspicious pulmonary nodules or masses. No pleural effus... | Few areas of scarring in the lungs with no evidence of diffuse interstitial lung disease. |
Generate impression based on findings. | Vertigo and nystagmus. Evaluate for brainstem lesion. The ventricles and sulci are within normal limits. The basal cisterns remain patent. There is no midline shift or mass effect. There are scattered punctate foci and confluent areas of abnormal T2/FLAIR hyperintensity within the periventricular and subcortical white ... | 1. No evidence of intracranial hemorrhage, mass, or acute infarct. No brainstem lesions, as questioned.2. Scattered foci of abnormal T2 hyperintensity within the periventricular and subcortical white matter, which may are nonspecific and may be related to prior inflammation, ischemia, or less likely demyelination. |
Generate impression based on findings. | Reason: Metastatic thyroid cancer; follow up; please include measurements History: as above CHEST:LUNGS AND PLEURA: Innumerable bilateral pulmonary nodules compatible with metastases have not significantly changed. No new nodules. Reference measurements as follows:1.Right lower lobe nodule measures 13 x 20 mm (series 6... | Innumerable pulmonary metastases have not significantly changed. Stable mediastinal and hilar lymphadenopathy. No new sites of disease. |
Generate impression based on findings. | 7-year-old female patient with stage IV high-risk neuroblastoma. Assess for progression of disease. CHEST:LUNGS AND PLEURA: There is dependent atelectasis. No suspicious pulmonary nodules are identified. No pleural effusion or pneumothorax.MEDIASTINUM AND HILA: Common origin of the innominate artery and left common car... | Nonspecific, subcentimeter lymph nodes in the right lower quadrant may be reactive in etiology though tumor is not entirely excluded. Otherwise, no specific evidence of disease recurrence. |
Generate impression based on findings. | 45-year-old female with history of left sided breast cancer. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. MEDIASTINUM AND HILA: The heart size is normal without pericardial effusion. No mediastinal or hilar lymphadenopathy.CORONARY ARTERY CALCIFICATION: Mild.CHEST WALL: Enhancing mass in the lower... | Left breast mass highly suspicious for recurrent carcinoma with enhancing subpectoral lymph node compatible with metastatic disease. |
Generate impression based on findings. | Reason: ILD, need inspiratory/expiratory views History: cough, DOE LUNGS AND PLEURA: Mild bronchial wall thickening. No evidence of fibrosis. No air trapping. No suspicious pulmonary nodules or masses. No pleural effusions. MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart size is normal with no peri... | 1.Mild bronchial wall thickening, which may correlate with bronchitis or reactive airways disease. 2.No evidence of fibrosis. |
Generate impression based on findings. | Interval post-operative changes are noted from bilateral laminectomies at L3 and L4. The lumbar spine is in normal alignment, with straightening of the normal lumbar lordosis. The vertebral body and disk heights are well-maintained. No worrisome focal marrow signal abnormality is appreciated. There is no pathological ... | 1. Interval postoperative changes from L3-L4 laminectomies with decompression of the cervical spine canal, although there is mild residual central spinal this is L4-L5. Persistent thickening and redundancy of the cauda equina nerve roots although slightly improved since prior exam.2. New right paracentral to far latera... |
Generate impression based on findings. | 47 year old female with a renal transplant. Presents with uncontrolled hypertension. RENAL TRANSPLANT: LOCATION: Right iliac fossa.PERITRANSPLANT TISSUES: The peritransplant tissues are normal in appearance without a perirenal fluid collection.KIDNEY: No hydronephrosis, shadowing nephrolithiasis, or discrete lesion. Th... | Normal ultrasound of the renal transplant. |
Generate impression based on findings. | Male 19 years old; Reason: 18 y/o M with HL needs initial staging please History: night sweats ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant ab... | 1.No abnormal abdominal or pelvic CT findings. |
Generate impression based on findings. | 80 year-old female. Fall. Hip pain. Elbow pain. Fall 4 days ago. Right hip: Mild osteoarthritis of the right hip, unchanged. Right hemipelvis calcified fibroid.Right elbow: No fracture or malalignment. No elbow joint effusion. Subcutaneous reticulation at the posterior aspect of the proximal forearm of unclear clinical... | Mild osteoarthritis. |
Generate impression based on findings. | Nocturnal vomiting. Concern for increased intracranial pressure. There is a stable right parietal approach ventriculostomy catheter with the tip across midline. The septum pellucidum is not visualized. There is stable severe dilatation of the lateral and third, and to lesser degree fourth ventricle. The bilateral choro... | 1. Stable ventriculostomy catheter position and degree of ventricular dilatation.2. Prominent anterior fontanelle measuring up to17 mm in transverse dimension, especially for patient's age. |
Generate impression based on findings. | Reason: follow up; was dx with LLL NSCLC but treatment delayed 2/2 patient having an MI. evaluate for progression History: dyspnea LUNGS AND PLEURA: Left lower lobe mass abutting the major fissure measures 40 x 57 mm (series 5 image 20), previously 45 x 59 mm (series 5 image 30). The mass abuts and probably invades the... | 1.Interval slight decrease in size of left lower lobe mass compatible with history of lung cancer, which may reflect increased necrosis in the setting of no interval treatment. 2.Nonspecific pulmonary nodules/micronodules measuring up to 5 mm in the left upper lobe are unchanged. 3.No lymphadenopathy. |
Generate impression based on findings. | ConstipationVIEW: Abdomen AP (one view) 5/1/15 Moderate amount of fecal accumulation in the rectal ampulla with no evidence of obstruction or free air. | Moderate fecal accumulation, as described. |
Generate impression based on findings. | Male 21 months old Reason: Concern for increased ICP, shunt malfunction History: Nocturnal vomitingVIEWS: Shunt series: Skull AP/lateral (two views), chest AP/lateral (two views), abdomen AP/lateral (two views) 5/1/15 Unchanged position of intracranial VP shunt portion. Extracranial VP shunt catheter follows a non inte... | No evidence of VP shunt malfunction. |
Generate impression based on findings. | 80 year-old male with metastatic prostate cancer. CHEST:LUNGS AND PLEURA: Redemonstrated chronic lung disease, including subpleural reticulation and traction bronchiectasis. Stable calcified and noncalcified pulmonary micronodules. No new suspicious mass or nodule. No focal consolidation or pleural effusions.MEDIASTINU... | No new sites of disease. Stable appearance of the known prostatic carcinoma. No significant change in the size of the left internal iliac lymph node. |
Generate impression based on findings. | 55 years, Female. Reason: Tube placement. Pt in CCD 5th floor, GI room 1. History: As above Dobbhoff tube tip in the distribution of the gastric body. Relative paucity of bowel gas, without radiographic evidence of obstruction. The lower pelvis is excluded from the field of view. Bilateral pleural effusions, right grea... | Dobbhoff tube tip in the distribution of the gastric body. |
Generate impression based on findings. | Age: 57 years. Sex : Female. Reason for study: Reason: Aspiration? History: Pontine stroke. Fluoroscopic guidance was provided for an oropharyngeal motility study performed by the Speech Pathology section of the ENT service. The examination was recorded on videotape. No static or hard copy films were obtained. The exam... | The exam was positive for penetration and negative for aspiration. Please refer to concomitant speech pathology report for further details and feeding recommendations. |
Generate impression based on findings. | There is minimal anterolisthesis of L3 on L4. The vertebral body heights are well-maintained. There is mild loss of disc height and disc dessication at L3-4, L4-5 and L5-S1. No worrisome focal marrow signal abnormality is appreciated. The distal spinal cord and conus are within normal limits with the conus terminating... | 1. Prominent enhancement surrounding the degenerated facet joints at L3-4, which may be related to a degenerative or inflammatory process. Associated abnormal dorsal epidural enhancing small focal collection, which may represent an abscess in the epidural space or an infected synovial cyst. Recommend comparison with pr... |
Generate impression based on findings. | 46 year old female. Left foot pain heel/arch. Small calcaneal heel spur. No fracture is evident. | Small calcaneal spur. |
Generate impression based on findings. | 26-year-old female. Left knee pain. Post-surgical findings of ACL repair with femoral and tibial tunnels and a surgical button along the lateral femoral condyle. Knee joint alignment is anatomic. Mild osteoarthritis affects the knee with medial tibiofemoral compartment joint space narrowing. | Mild osteoarthritis and post-surgical findings of ACL repair. |
Generate impression based on findings. | Female, 54 years old. Reason: left neck hematoma A heterogeneous hypoechoic masslike collection in the left neck, which corresponds with the area of swelling, measures 4.6 x 6.1 x 1.5 cm, without significant internal vascularity.No other focal lesions identified. | A heterogeneous hypoechoic mass in the left neck may represent a dissecting intramuscular hematoma. |
Generate impression based on findings. | There is unchanged right frontal convexity subdural low attenuating collection measuring up to 7 mm in maximal thickness with minimal, if any, mass effect on the adjacent gyri. There is no new intracranial hemorrhage, mass effect, or cerebral edema. There is mild periventricular and subcortical white matter hypoattenu... | No significant interval change in small right frontal convexity subdural collection with minimal, if any, mass effect. No new intracranial hemorrhage. MRI may be helpful to identify a potential alternate etiology of seizures if clinically indicated. |
Generate impression based on findings. | Reason: evaluate RUL consolidation for resolution. History: cough LUNGS AND PLEURA: Right upper lobe ground glass and air space opacity appears similar to prior. Associated focal traction bronchiectasis and retraction of the right major fissure also is unchanged. No new pulmonary findings. No pleural effusions.MEDIASTI... | Unchanged right upper lobe ground glass and airspace opacity with associated focal traction bronchiectasis and fissural retraction, which remains suspicious for an indolent primary adenocarcinoma, or possibly, but less likely focal fibrosis secondary to infection. |
Generate impression based on findings. | Female, 65 years old. Reason: Increase creatinine from baseline History: as above RIGHT KIDNEY: The right kidney measures 10.2 cm in length, with increased cortical echogenicity. No shadowing calculi or hydronephrosis.LEFT KIDNEY: The left kidney measures 8.9 cm in length, with increased cortical echogenicity. No shado... | Increased renal cortical echogenicity compatible with medical renal disease/parenchymal dysfunction. No renal stones or hydronephrosis. |
Generate impression based on findings. | History of bilateral breast cysts. No new breast complaints. Patient has a skin lesion/sebaceous cyst over the left areola for a month. 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, u... | 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. | Female 57 years old; Reason: pt c/o abd pain History: abd pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No ... | 1.No bowel obstruction or other cause of abdominal pain on this noncontrast CT exam. |
Generate impression based on findings. | Male, 73 years old. Reason: 73 y/o male with decreased urine outpt and recent right hydronephrosis(mild) on CT scan. RIGHT KIDNEY: The right kidney measures 11.9 cm in length, with normal cortical echogenicity. Mild hydronephrosis. No shadowing calculi.LEFT KIDNEY: The left kidney measures 11.2 cm in length, with norma... | 1.Mild right hydronephrosis, similar to recent CT exam dated 4/17/2015 accounting for differences in modality. No left hydronephrosis.2.A large rounded mass medial to the left kidney is compatible with lymphadenopathy and a known history of lymphoma. Mild ascites. |
Generate impression based on findings. | 57-year-old male with history of multiple enterocutaneous fistulas. Evaluate anatomy. 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 not... | 1. Large left enterocutaneous fistula.2. Extensive postoperative changes with suggestion of stenosis at the enterocolic anastomosis. Possible second stricture in proximal small bowel in the left upper quadrant.3. Large midline anterior soft tissue defect with a very thin rind of tissue overlying the peritoneal contents... |
Generate impression based on findings. | Female, 58 years old. Reason: Increased pain \T\ tenderness to right neck. Neutropenic, concern for infection vs problem with central line A complex fluid collection measuring up to 9 mm is identified in the right and neck lateral to the vasculature and immediately deep to the neck musculature, heterogeneous and hypoec... | A subcentimeter complex fluid collection is identified in the right neck as detailed above, without large collection or significant soft tissue infiltration. |
Generate impression based on findings. | Restaging stage IV high-risk non-MIBG avid neuroblastoma.RADIOPHARMACEUTICAL: 3.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 111 mg/dL. Today's CT portions of the neck and extremities demonstrate no gross pathology. Please see diagnostic CT reports for details of the chest, abdomen, and pelvis.Today's P... | 1.New small hypermetabolic lymph nodes in the right lower abdominal mesentery are of some suspicion for recurrent tumor.Diagnostic CTs of the chest, abdomen, and pelvis also performed at today's visit will be reported separately. |
Generate impression based on findings. | Female 45 years old Reason: Left breast cancer, s/p lumpectomy AND 2/11 positive LN, need to assess for mets History: Left breast cancer Mildly prominent radiotracer activity in the mid to upper cervical spine as well as additional more poorly defined increased radiotracer activity in the lower cervical spine. These ar... | 1.No definitive osseous metastatic disease. Increased radiotracer activity within the cervical spine is likely degenerative in etiology however CT or FDG PET can be considered for further evaluation if there is strong clinical concern for metastases.2.Additional increased radiotracer activity in the skull likely relate... |
Generate impression based on findings. | 12 year old female patient with relapsed ALL day 161 status post SCT with fever. Evaluate for fungal infection. CHEST:LUNGS AND PLEURA: Small right and trace left pleural effusions. There is patchy atelectasis/consolidation within the right lower lobe. Minimal atelectasis is noted in the left lower lobe. No pneumothora... | 1. Small right and trace left pleural effusions with atelectasis/consolidation in the right lower lobe.2. Distal colonic wall thickening and mucosal enhancement may represent a colitis, possibly secondary to an infectious or inflammatory etiology.3. Increased anterior mediastinal soft tissue density and lymphadenopathy... |
Generate impression based on findings. | Degenerative changes and pain Moderate degenerative changes largely involving the lower cervical spine or relative sparing of C1 through C3 and C4 and C5. Antero-listhesis of C7-T1, grade 1. Multiple small posterior osteophytes are observed involving the right C3 4 and C4-5 foramina and bilaterally involving C6-7. No e... | Moderate degenerative changes with alignment abnormality involving C7 T1. No evidence of instability. |
Generate impression based on findings. | Male 27 years old; Reason: bilateral orchalgia; h/o cryptorchidism History: none RIGHT TESTIS: The right testis measures 3.0 x 1.9 x 3 .7 cm, overall homogeneous echotexture. There is some deformity noted in the mid to upper pole, with a slightly hypoechoic region adjacent.LEFT TESTIS: The left testis measures 3.1 x 2.... | Mild deformity in the right testicular mid to upper pole, with an adjacent slightly hypoechoic region, thought to represent scarring. |
Generate impression based on findings. | There is mild mucosal thickening of the ethmoid air cells with mucus retention cysts in the sphenoid sinuses bilaterally. There are small mucus retention cysts in the right maxillary sinus. There is mild opacification of the right mastoid air cells. The middle ears are clear. The left mastoid air cells are clear. Lymp... | 1. Minimal paranasal sinus opacification is similar in appearance to the prior exam. No findings to suggest aggressive sinonasal infection.2. Compared to CT neck from 5/17/2014, previously seen enlarged right level IIA lymph node has resolved. Lymphoid tonsillar tissue prominence is also improved. There are several mil... |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. Focal low density is again seen along the right frontal centrum semiovale in the area of known chronic infarct. There is also focal low density in the left pons and left thalamus consistent... | 1. No acute intracranial hemorrhage. Chronic right frontal centrum semiovale infarct with left thalamic and pontine chronic lacunar infarcts. If there remains clinical concern for an acute ischemic event, MRI of the brain is recommended.2. Severe narrowing suggested at the origin of the right vertebral artery with exte... |
Generate impression based on findings. | 35 year old female with abdominal 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: No significant abnormality... | No specific findings to account for the patient's abdominal pain. |
Generate impression based on findings. | Female, 27 years old. Reason: eval for cholelithiasis/cystitis History: RUQ pain, Hx gallstones LIVER: The liver measures 16.2 cm, with mildly echogenic appearance, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic or extrahepatic biliary ductal... | 1. Cholelithiasis without evidence of acute cholecystitis or biliary ductal dilatation.2. Mildly echogenic liver compatible with fatty infiltration/parenchymal dysfunction. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is minimal periventricular and subcortical white matter hypoattenuation which is nonspecific but unchanged. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranas... | Minimal small vessel ischemic changes with no acute intracranial hemorrhage or mass-effect. CT is insensitive for detection of early nonhemorrhagic stroke. If there is high clinical suspicion for acute ischemia, consider MRI brain for further evaluation if not contraindicated. |
Generate impression based on findings. | 58-year-old male with a history of hematuria. ABDOMEN:LUNG BASES: Subcentimeter too small to characterize hepatic hypodensity. No focal suspicious hepatic lesion, biliary ductal dilatation or vascular abnormality.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No ... | Enlarged heterogeneous prostate. No other source of hematuria is evident. |
Generate impression based on findings. | Male, 49 years old. Reason: elevated transaminases History: dyspepsia LIVER: The liver measures 15.2 cm, with coarse, echogenic appearance, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic or extrahepatic biliary ductal dilatation. The common b... | Increased liver echogenicity compatible with fatty infiltration/parenchymal dysfunction. No biliary ductal dilatation or evidence of acute cholecystitis. |
Generate impression based on findings. | Male 11 years old Reason: Concern index finger fracture, foreign body History: Pain at PIP, laceration,VIEWS: Left hand PA and left second finger lateral and oblique 5/1/15 (3 views) Soft tissue swelling with no fracture or malalignment. No radiopaque foreign bodies. | Soft tissue swelling with no fracture or malalignment. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There are bilateral cavernous carotid atherosclerotic calcifications. There is minimal left sphenoid sinus mucosal thickening. The i... | No acute intracranial hemorrhage or mass effect. CT is insensitive for detection of early nonhemorrhagic stroke. If there is continued suspicion for acute ischemia, consider further evaluation with MRI if not contraindicated. |
Generate impression based on findings. | Male 47 years old; Reason: 47M with known right renal stone, now with worsening flank pain. Please perform noncontrast CT scan History: flank pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant... | 1.6mm obstructing stone in the distal right ureter with proximal mild hydronephrosis and hydroureter. |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with mild and moderate age-related volume loss. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are scattered punctate and confluent areas of abnormal low density in the periventricular and subcortical white matter, consistent with... | 1. No acute intracranial hemorrhage. Very minimal age-indeterminate small vessel ischemic changes. If there remains clinical concern for an acute ischemic event, MRI of the brain is recommended.2. Chronic left lamina papyracea and probable bilateral nasal bone fractures. |
Generate impression based on findings. | 50 year old woman with hypertension and diabetes who presents with resting chest pain (non-exertional). She is referred for coronary evaluation.CPT Code: 75574 Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of Valsalva and bifurcates into the left anterior descending and left c... | 1. There is a large, non-calcified plaque in the mid right coronary artery causing a severe stenosis (~70%). 2. There is a partially calcified plaque in the proximal LAD resulting in a 25-49% stenosis. 3. Mild left ventricular hypertrophy. 4. Moderate left atrial dilation. This portion of the report pertains to the hea... |
Generate impression based on findings. | Neck pain Moderate degenerative changes with diffuse demineralization observed without significant abnormal alignment vertebral body heights. Largely disk space loss and osteophytes and vacuum phenomena observed C4-5. Soft tissues unremarkable. No evidence of instability observed on flexion and extension projections | Moderate scattered degenerative changes without evidence of instability |
Generate impression based on findings. | Fracture follow-up Persistent IM rod involving the left tibia with interval removal of one of the proximal fixation screws. Underlying deformity involving the distal tibia and fibula appear similar and no discrete fracture planes are currently observed. | Interval removal of a fixation screw in the proximal IM rod. Distal fracture otherwise heel demonstrating marked underlying deformity currently |
Generate impression based on findings. | 19 year-old male. Right hip pain acute. Evaluating hip joint for occult fracture, degenerative changes, effusion (favor bursitis). No fracture or dislocation. Mild osteoarthritis of the hips with narrowing of the superolateral joint space. | Mild osteoarthritis. |
Generate impression based on findings. | Left-sided chest pain. Questionable mild demineralization without underlying rib abnormality, specifically no evidence of a fracture or focal lesion. Specific attention was placed underlying the marker overlying the left lower chest | No acute osseous abnormality |
Generate impression based on findings. | 62 year old female with Crohn's disease presents for concern for small bowel obstruction. ABDOMEN:LUNG BASES: Minimal basilar subsegmental atelectasis. No pleural effusions. Normal cardiac size. A pericardial effusion.LIVER, BILIARY TRACT: Gallbladder sludge and multiple small gallstones within a partially distended ga... | 1. Mildly distended small bowel is likely secondary to oral contrast ingestion. There is no transition point and contrast is seen to the level of the ostomy bag. 2. Mild pelviectasis and proximal hydroureter without an obstructing lesion evident, may be secondary to reflux. Mild peri-ureteral stranding; correlate with ... |
Generate impression based on findings. | 62-year-old male with history of HCC. Evaluate new suspicious lesion. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cirrhotic appearing liver. Hypoattenuating segment 7 lesion measures 3.8 x 3.4 cm (image 30 of series 9). Heterogeneous enhancement immediately medial to this lesion is difficu... | Hyperenhancing anterior segment 7 lesion has increased in size and is compatible with HCC. Stable posterior segment 7 treated lesion. |
Generate impression based on findings. | Beam hardening artifact from the shoulders limits detailed evaluation of the lower cervical spine. The scout lateral view and the sagittal reformatted images demonstrate normal alignment of the cervical spine, with mild reversal of the normal cervical lordosis. There is mild disk space narrowing at C5-C6 with ventral ... | No acute fracture or subluxation. Mild scattered spondylotic changes. |
Generate impression based on findings. | Staging newly diagnosed Hodgkin lymphomaRADIOPHARMACEUTICAL: 11.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 75 mg/dL. Today's CT portion of the neck and chest demonstrates enlarged bilateral supraclavicular lymph nodes. Conglomerate enlarged lymph nodes are seen in the anterior mediastinum with enlarge... | 1.Multiple markedly hypermetabolic lymph nodes in the lower neck and thorax extending inferiorly to to the left cardiophrenic location, compatible with history of lymphoma. 2.Hypermetabolic splenic lesion, highly suspicious for splenic tumor involvement. Symmetric inguinal lymph node activity considered more likely inf... |
Generate impression based on findings. | Male 77 years old Reason: met melanoma History: pt with met melanoma please assess disease status and compare to previous imagingRADIOPHARMACEUTICAL: 15.3 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 146 mg/dL. Today's CT portion grossly demonstrates a carotid stent. Extensive atherosclerotic calcificatio... | 1.Stable examination with no suspicious foci of FDG avidity to indicate recurrent tumor. |
Generate impression based on findings. | Female 14 years old Reason: abdominal pain, r/o constipation History: abd pain, RUQ/RLQ, hx constipationVIEW: Abdomen AP (one view) 5/1/15 Normal abdominal gas pattern. No evidence of obstruction, free air, or fecal accumulation. | Normal examination. |
Generate impression based on findings. | Female 12 years old Reason: r/o fracture right knee History: recurrent pain right knee 2 weeksVIEWS: Right knee AP, lateral and oblique 5/1/15 (3 views) Small joint effusion with no evidence of fracture or malalignment. | Small joint effusion with no fracture. |
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