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Generate impression based on findings. | 71-year-old female patient with metastatic breast cancer, compared to prior. No new symptoms. CHEST:LUNGS AND PLEURA: A subpleural micronodule along the right major fissure (image 45, series 5), is stable from the prior study and likely represents a lymph node.No suspicious pulmonary nodules are identified. Mild upper ... | 1. No specific evidence of metastatic disease or significant interval change. 2. Degenerative changes of the spine and pelvis as described above.3. Cholelithiasis. |
Generate impression based on findings. | 25-year-old female with pain to foot and swelling. Evaluate for cause. 3 nonweightbearing views of the left foot reveal no joint effusion, fracture or dislocation. | No fracture or dislocation. |
Generate impression based on findings. | 67-year-old female with hip pain. Evaluate for OA. 2 views of the left hip reveal bony protrusion of the acetabulum compatible with mild osteoarthritis. No joint space narrowing is noted. No fracture or dislocation. | Mild osteoarthritis of the left acetabulum. |
Generate impression based on findings. | Reason: Longstanding chest discomfort and SOB, etiology unclear. Cardiac evaluation unremarkable. Please evaluate for pulmonary cause. History: As above. Also history of esophageal dysmotility. LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CORONARY ARTERY CALC... | Moderate coronary calcification. No specific pulmonary abnormality. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of right breast benign biopsy. Family history of breast cancer in her mother and paternal grandmother. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered... | Left upper quadrant focal asymmetry for which spot compression views and possibly ultrasound is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 58-year-old female status post right lumpectomy followed by radiation and chemotherapy presents for annual bilateral diagnostic mammogram. History of right breast MRI guided benign biopsy. Three standard views of both breasts and spot magnification views of right breast were performed digitally and reviewed with the ai... | 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. | 20-year-old male experiencing headache with abnormality identified on the clivus with previous imaging. Redemonstrated is an area that contains fat attenuation components within the clivus posterolateral to the left sphenoid sinus that measures up to 10 mm. This lesion demonstrates a narrow zone of transition and intac... | 1.Stable lesion containing fat attenuation components in the clivus posterolateral to the left sphenoid sinus that measures up to 10 mm is compatible with arrested pneumatization of the skull base variant. 2.There is a new small lobular focus of mucosal thickening within the inferomedial right frontal sinus, although t... |
Generate impression based on findings. | Male 59 years old; Reason: hydrocele History: hydrocele RIGHT TESTIS: Mild to moderate right-sided hydrocele. Echogenicity of the testis is normal. Normal color Doppler flow.LEFT TESTIS: Echogenicity of the testis is normal. Normal color Doppler flow.RIGHT EPIDIDYMIS: Simple right epididymal head cyst. LEFT EPIDIDYMIS:... | 1. Mild to moderate right sided hydrocele.2. Complex septated epididymal head cyst without internal vascularity. |
Generate impression based on findings. | 16-year-old male with history of synovial sarcoma of the neck/spine. Left upper extremity tumor/thrombus. LUNGS AND PLEURA: Interval resolution of previously seen pleural effusions. No focal opacities.MEDIASTINUM AND HILA: Postoperative findings are again noted within the mediastinum and chest wall. The left brachiocep... | Redemonstration of postoperative findings and soft tissue tumor in the left neck as above. |
Generate impression based on findings. | 79-year-old female with diarrhea, early satiety. Visually there was significant and progressive gastric emptying. Using anterior and posterior geometric means, residual gastric activity at the following postprandial intervals was calculated as follows:30 mins: 62 % of peak activity (normal >70 %)1 hour: 52 % of peak ac... | Gastric emptying within normal limits. |
Generate impression based on findings. | 52 years, Female. Reason: NG tube placement History: As above Interval placement of enteric tube with tip in the distribution of the pyloric region. Incompletely imaged bowel gas pattern without definite evidence of obstruction. Right upper quadrant surgical clips and multiple additional abdominal clips appear similar ... | NG tube with tip overlying the pylorus. |
Generate impression based on findings. | 11-year-old male with severe blood loss/anemia, status post transfusion. The angiographic phase images are unremarkable. On sequential imaging, no abnormal radiotracer accumulation is identified to indicate a Meckel's diverticulum. Physiologic tracer activity is noted in the stomach and small bowel. | No evidence of Meckel diverticulum. |
Generate impression based on findings. | Frontal sinus: The frontal sinus is not pneumatized.Anterior ethmoids: There are scattered trace mucosal thickening in several anterior ethmoid air cells.Maxillary sinuses: There is a tiny mucosal retention cyst along the right maxillary sinus roof. The maxillary sinuses are otherwise clear. The ostiomeatal units are ... | Paranasal sinuses remain essentially clear except for scattered mucosal thickening in the ethmoids bilaterally. |
Generate impression based on findings. | Surveillance imaging for T2N0 left retromolar trigone squamous cell carcinoma status post radiation. There are post-treatment findings in the left neck and oral cavity region. There is no evidence of measurable mass lesions. There are scattered small cervical lymph nodes, which are not enlarged based on size criteria. ... | Interval post-treatment findings without evidence of measurable locoregional mass lesions or significant cervical lymphadenopathy. |
Generate impression based on findings. | Reason: Hx lung CA, pls compare to previous and measure History: none CHEST:LUNGS AND PLEURA: Extensive posttreatment changes in the left hemithorax from left lower lobectomy and XRT.Stable appearance of the left upper lobe and scarring. Small left pleural effusion stable.Emphysema. Scar like superior segment right low... | Stable reference measurements as above. |
Generate impression based on findings. | Male, 59 years old. Reason: eval ngt placement History: s/p new ngt placement Nasogastric tube tip overlying the gastric fundus.Dilated loops of small bowel in the right mid abdomen. Likely areas of colonic gas are identified. The lower pelvis is excluded from the field-of-view.Status post median sternotomy. | Findings suggestive of ileus versus early/incomplete small bowel obstruction. NG tube tip overlying the gastric fundus. |
Generate impression based on findings. | Reason: 75 yo with MVA yesterday and headache/ neck pain History: neck pain, headache s/p MVA No intracranial hemorrhage is identified. No intracranial mass, evidence of mass-effect or significant midline shift is present. The gray-white differentiation is maintained. No extra-axial collections are identified. There is... | 1.No evidence of acute intracranial hemorrhage or mass effect. 2.No acute fracture is identified in the cervical spine.3.Degenerative changes of the cervical spine as detailed above, most significant at C3-C4 and C5-C6. |
Generate impression based on findings. | 44-year-old male with SCD, open draining wound medial ankle, local ankle swelling. No history of trauma. Evaluate for evidence of bony infection. Open wound, ulcer medial aspect along medial malleolus, off and on for many years. 4 nonweight bearing views of the ankle reveal shallow ulceration along the medial aspect of... | Shallow ulceration along the medial aspect of the left ankle with chronic periosteal reaction and focal infarct of the distal tibia with no evidence of bone destruction or findings to suggest acute osteomyelitis. |
Generate impression based on findings. | 24 years old Male. Reason: 24 yo with newly dx NSCLC at OSH, needing initial PET for staging. History: right pleural effusion with pigtail Chest tube. No SOB or chest pain. RADIOPHARMACEUTICAL: 12.2 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 83 mg/dL. Today's CT portion grossly demonstrates multiple rig... | 1.Multiple hypermetabolic masses in the right middle and lower lobes, consistent with the patient's diagnosis of lung cancer.2.Diffuse and nodular FDG uptake in the right chest pleural and pericardial surfaces, consistent with metastasis.3.Nodal metastasis in the mediastinum.4.Focus of increased activity in the right s... |
Generate impression based on findings. | 26-year-old female with postprandial abdominal pain and nausea, concern for MALS ABDOMEN:LUNG BASES: The lung bases are clear. Focal regions of reduced perfusion in the lung bases seen in the arterial phase exhalation images are not present on the venous phase inhalation images, and most likely represent air trapping. ... | 1. The celiac axis is widely patent without evidence of MALS.2. Moderate stool burden. |
Generate impression based on findings. | There is an 18 mm focus of restricted diffusion involving the left thalamus, especially posteriorly involving the pulvinar, with matching ADC hypointensity. It appears T1 hypointense and T2 hyperintense, without associated susceptibility abnormality.There are foci of T2 hyperintensity within the subcortical and perive... | 1.Acute to subacute infarction involving the left thalamus as described in detail above.2.Chronic small vessel ischemic disease. |
Generate impression based on findings. | Images are slightly limited by patient motion artifact. There are multiple scattered areas of T2/FLAIR hyperintensity within the subcortical white matter, with the largest confluent area in the left paramedian inferior frontal lobe. Smaller areas are seen in the right posterior occipital lobe peripherally, within the ... | No acute infarct. Multiple scattered areas of subcortical abnormal signal without significant associated volume loss or sulcal effacement. Although findings are nonspecific especially with limited evaluation due to lack of intravenous contrast on this exam, they are suspicious for metastatic disease. Other consideratio... |
Generate impression based on findings. | 68-year-old male former smoker with 10 pounds of weight loss in the last 3 months and cough. LUNGS AND PLEURA: Note is made of moderate/marked centrilobular emphysema with an upper lobe predominance. Incidental note is made of intrapulmonary lymph nodes. Significant bronchial wall thickening with marked impaction in th... | Significant bronchial wall thickening with marked impaction in the right lower lobe bronchus probably representing aspirated secretions.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 83-year-old female with right elbow pain status post fall Transverse fracture of the olecranon process with approximately 2 cm separation between the fracture fragments. Displacement of the anterior and posterior fat pads. | Displaced transverse fracture through the olecranon process. Findings discussed with Dr. Bukari at 1413 on 5/4/15. |
Generate impression based on findings. | Subarachnoid hemorrhage MRA brain:Antegrade flow is present in the distal internal carotid arteries, the distal vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries.There is no evidence for intracranial aneurysm or cerebrovascular occlusion.The anterior communicating ... | 1.No evidence for intracranial aneurysm.2.Small subdural hematomas are present bilaterally.3.Findings raise the question of some vasospasm at the right posterior cerebral artery proximally. |
Generate impression based on findings. | 62-year-old female with right shoulder pain No acute fracture is evident. Alignment is anatomic. Sclerosis of the glenoid with subchondral cysts compatible with moderate osteoarthritis. | No acute fracture or malalignment is evident. Moderate osteoarthritis affects the right shoulder. |
Generate impression based on findings. | 19-year-old male with pain and swelling, right foot injury. Evaluate for fracture 3 nonweightbearing views of the right foot reveal no joint effusion, fracture or dislocation. | No fracture or dislocation. |
Generate impression based on findings. | 5-year-old male with history of immunocompromised state, evaluate for occult fungal infection. Elevated fungitell, asymptomatic. CHEST:LUNGS AND PLEURA: Azygos normal variant pseudolobe is noted. No pleural effusions or pneumothorax.MEDIASTINUM AND HILA: No pericardial effusion. Right IJ venous catheter tip in the righ... | Postoperative findings of left adrenalectomy, without additional acute significant abnormality. Specifically, regarding the clinical query, there is no evidence of fungal infection. |
Generate impression based on findings. | 11-year-old female status post left distal femur curettage/indentation, ORIF, evaluate for recurrence of GCT Again seen is a plate and screw device along the lateral aspect of the distal femur with methacrylate cement packed into the distal femoral metaphyseal lesion not significantly changed since the prior exam. Bone... | 1.Postsurgical changes of giant cell tumor curettage/packing and distal femur fixation without significant interval change. 2.Bone length measurements as provided above. |
Generate impression based on findings. | 75-year-old male with metastatic prostate cancer, evaluation of disease during therapy with investigational treatment. Faint radiotracer uptake in the thoracolumbar spine, sacrum and pelvis consistent with known osseous metastatic disease is not significantly changed since the prior study. No new discrete sites of dise... | No significant interval change in osseous metastases. |
Generate impression based on findings. | Female, 53 years old.Nasal reconstruction surgery. Missing one sponge. No unexpected radiopaque foreign object is identified.Nonobstructive bowel gas pattern. Average stool burden. | No unexpected radiopaque foreign object.Findings discussed via telephone with Dr. Gottlieb, the attending surgeon, at 2:26 PM. |
Generate impression based on findings. | 53-year-old female with missing chondroid Nasopharyngeal airway, multiple surgical clips in bilateral soft tissues of the neck, and ET tube are noted. Linear radiodensity in the right nasopharynx is unaccounted for and likely represents a retained foreign object. | Linear radiodensity in the right nasopharynx is unaccounted for and likely represents a retained foreign object. This was confirmed and removed by the clinical service.Findings discussed with the OR at 1425 and Dr. Gottlieb at 1432 on 5/4/2015. |
Generate impression based on findings. | 56 year old female who is status post left lumpectomy for invasive ductal carcinoma grade 2, followed by radiation treatment, presents for annual mammogram. No current breast complaints. Three standard views of both breasts and spot magnification views of left breast were performed digitally and reviewed with the aid o... | 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: lung CA, s/p RT and chemo. Followup scan. History: none CHEST:LUNGS AND PLEURA: Biapical scarring with emphysema.Spiculated right upper lobe nodule marginally decreased in size now measuring 5 x4 mm on image 25/99 (series 4 image 25), previously 6 x 10 mm. Surrounding ground glass opacities and XRT change which... | Reference right upper lobe nodule marginally decreased. Other findings stable. |
Generate impression based on findings. | Reason: Pleural mesothelioma please provide bi-dimensional measurements per RECIST 1.1 criteria and compare to prior exam. CHEST:LUNGS AND PLEURA: Redemonstration of left lung volume loss with circumferential nodular pleural thickening extending into the fissure. Reference lesions on 3/23/2015 study was remeasured to b... | 1.Left pleural thickening and nodularity compatible with known mesothelioma without significant change.2.Nonspecific subcentimeter hypoattenuation of the right hepatic lobe is incompletely evaluated. |
Generate impression based on findings. | 59 years old male. History: Hodgkin's lymphoma s/p HSCT. This study was performed for restaging. RADIOPHARMACEUTICAL: 9.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 103 mg/dL. Today's CT portion of the neck demonstrates no significant pathology. Please see diagnostic CT reports for details of the chest,... | 1.Several new patchy opacities in the right lung with increased metabolic activity, consistent with infection.2.Interval increased metabolic activity in the right atrial appendage or its adjacent soft tissue density, which is nonspecific. However, tumor cannot be excluded. Suggest follow-up.Diagnostic CTs of the chest,... |
Generate impression based on findings. | TachypneaVIEW: Chest AP Cardiothymic silhouette normal. Cardiac apex and stomach are left-sided. Peribronchial wall thickening with subsegmental atelectasis in the right lower lobe and right upper lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | 42-year-old female patient with history of pancreatitis and epigastric/right upper quadrant abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: A left hepatic lobe hypoattenuating lesion measuring approximately 2.5 x 1.9 cm with peripheral, nodular enhancement likely represents a ... | 1. No specific CT evidence of acute pancreatitis or pancreatic mass.2. Stable left hepatic hemangioma. |
Generate impression based on findings. | 41-year-old male post op coracoid transfer. Single portable view of the right shoulder reveals 2 screws in the glenoid with no evidence of fracture or dislocation. | 2 screws in the glenoid with no evidence of fracture or dislocation. |
Generate impression based on findings. | Reason: surviellance imaging, history of T2N0 scc of the L retromolar trigone History: surviellance imaging, history of T2N0 scc of the L retromolar trigone CHEST:LUNGS AND PLEURA:Stable left lower lobe calcified granuloma. No suspicious pulmonary nodule or mass. No consolidation or pleural effusion.MEDIASTINUM AND HIL... | Stable CT with no definitive evidence of metastatic disease. |
Generate impression based on findings. | 72-year-old male with metastatic sarcoma. CHEST:LUNGS AND PLEURA: Several bilateral scattered pulmonary nodules are redemonstrated, some slightly decreased from the previous exam; no nodules have significantly increased in size. The left upper lobe lesion measures 2.0 x 1.2 cm (series 6, image 30), previously remeasure... | 1.Right thigh sarcoma with adjacent bone destruction, better evaluated on concurrent right lower extremity CT, dictated separately.2.Stable to slight decrease in size of multiple pulmonary nodules.3.Decreased size of right lower quadrant peritoneal nodule.4.Nonopacification of a portion of the right iliac vein; thrombo... |
Generate impression based on findings. | PICC placementVIEW: Chest AP and abdomen AP Cardiothymic silhouette normal. Cardiac apex and stomach are left-sided. Patchy atelectasis in the right lower lobe and left lower lobe. No pleural effusion or pneumothorax. Left lower extremity PICC with tip in the intrahepatic IVC. Multiple dilated loops of bowel in the abd... | Left lower extremity PICC with tip in the intrahepatic IVC. Multiple dilated loops of bowel without pneumatosis or pneumoperitoneum. |
Generate impression based on findings. | Reason: eval empyema/effusions, preop History: L effusion/empyema LUNGS AND PLEURA: Persistent large left effusion with multiple loculations and pleural adhesions. Multiple areas of consolidation and atelectasis with only a very small portion of aerated lung visible on the left.Right pleural effusion small bowel slight... | Persistent large left effusion with multiple loculations and pleural adhesions. Multiple areas of consolidation and atelectasis with only a very small portion of aerated lung visible on the left. |
Generate impression based on findings. | The ventricles and sulci are increasingly prominent, consistent with progressed 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, ... | No acute intracranial abnormality. Progressed now moderate likely chronic small vessel ischemic changes. |
Generate impression based on findings. | 58-year-old female patient with metastatic breast cancer. Assess for disease response. CHEST:LUNGS AND PLEURA: A left apical pulmonary nodule measures 4 mm (image 15, series 4), unchanged.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy is noted. No pericardial effusion is seen.CORONARY ARTERY CALCIFICATIO... | Sclerotic osseous disease as described above. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are a mammogram of the right breast (4 views CC, XCCL, ML, MLO). Tomosynthesis as well as mammographic images of the left breast were not submitted. There was also submission of ultrasound images of the right breast. These studies were performed at Lisl... | Area of palpable concern in the right breast at the 9 o'clock position, which was biopsied to yield dense stromal fibrosis. Clip in appropriate location. Repeat right breast ultrasound is recommended to confirm concordance with the pathology results.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATI... |
Generate impression based on findings. | 64-year-old male with history of prostate cancer. Evaluate for metastatic disease. There is a linear increased radiotracer activity in the lumbar spine at the level of the partially fused L2 and L3 vertebrae on CT. There is also faint focal uptake in the midthoracic spine. There is extensive cervical spine uptake. Ther... | 1. Multifocal areas of uptake in the spine are most consistent with a degenerative etiology. No discrete osseous metastases are identified. 2. Other areas of degenerative uptake as described above. |
Generate impression based on findings. | headache s/p fall 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.Periventricular and subcortical white matter hypodensities of a moder... | 1.No evidence for acute intracranial hemorrhage, mass effect or edema. CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction.2.A right lower midbrain lesion is suspected represent a lacunar infarct which is age indeterminant.3.Periventricular and subcortical white matter changes of a mil... |
Generate impression based on findings. | 58 years old female. Reason: on therapy, assessing for disease response vs. Progression History: metastatic breast cancer. RADIOPHARMACEUTICAL: 10.3 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 93 mg/dL. Today's CT portion of the neck demonstrates multiple stable thyroid nodules Please see diagnostic CT r... | 1.Probable mild progression of hypermetabolic lesions in the right acetabulum with new lesions identified.2.Multiple thyroid nodules with increased activity, which can be due to thyroid cancer or adenoma. Suggest follow-up with ultrasound and biopsy if clinically indicated.Diagnostic CTs of the chest, abdomen, and pelv... |
Generate impression based on findings. | 82-year-old female with right hip periprosthetic hip fracture, evaluate for healing. 2 views of the right hip reveal postoperative changes of a right hip bipolar hemiarthroplasty which is in near-anatomic alignment without evidence of hardware complication. There is redemonstration of fractures of the proximal femur at... | Right hip bipolar hemiarthroplasty and healing proximal femur fractures. |
Generate impression based on findings. | Evaluate fracture 4 views of the left shoulder reveal a nondisplaced fracture the greater tuberosity. The fracture lines are indistinct consistent with healing. | Healing fracture greater tuberosity |
Generate impression based on findings. | 62-year-old female with pain for preop evaluation for left total hip arthroplasty MAKO Stryker system. There is patchy sclerosis and articular surface collapse compatible with known diagnosis of advanced avascular necrosis of the left hip with subchondral fracturing. Osteophytes are noted representing osteoarthritis. T... | Avascular necrosis of bilateral femoral heads, advanced on the left as described above. |
Generate impression based on findings. | 61-year-old male patient with right upper quadrant pain. ABDOMEN:LUNG BASES: Bilateral lower lobe atelectasis/scarring. Interval resolution of bilateral pleural effusions. There is a new small pericardial effusion.LIVER, BILIARY TRACT: No focal hepatic lesion is seen. There is no intra- or extra hepatic biliary ductal ... | 1. Progression of left hydronephrosis with transition point at the left UPJ. No obstructing stone is identified. Urographic phase was not performed limiting evaluation of the ureters.2. New small pericardial effusion.3. Resolved bilateral pleural effusions. |
Generate impression based on findings. | 63-year-old male with history of prostate cancer with rising PSA after prostatectomy, rule out metastatic disease. No abnormal areas of radiotracer uptake are identified to specifically suggest metastatic disease.Extensive degenerative uptake in the cervical spine is unchanged. | No evidence of bone metastases. |
Generate impression based on findings. | Female 64 years old; Reason: f/u peri-hepatic abscess and pleural effusion History: abscess ABDOMEN:LUNG BASES: Minimal atelectasis/scarring at the lung base. Small right pleural effusion.LIVER, BILIARY TRACT: Redemonstrated perihepatic fluid collection, one large component of which measures 2.6 x 7.5cm (80288:47), pre... | 1.Interval decrease in size of perihepatic fluid collection. Slight interval increase in presacral fluid. |
Generate impression based on findings. | Evaluate bowel wall thickening abdominal pain ABDOMEN:LUNG BASES: No focal lung opacity.LIVER, BILIARY TRACT: There is a low attenuation area immediately adjacent to the falciform ligament and may represent fatty infiltration.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLAN... | Multiple subcentimeter lymph nodes in the mesentery without abnormal bowel wall thickening. |
Generate impression based on findings. | Left hip and thigh pain. Fall 6 weeks ago 2 views of the left hip reveal marked osteoarthritis with joint space narrowing and osteophyte formation. No acute abnormalities. No fractures.2 views of the left femur again reveal osteoarthritis at the hip joint. There is medial narrowing of the knee joint. No acute fractures... | Degenerative changes in the hip. No acute abnormalities. |
Generate impression based on findings. | 19-year-old male with direct blow to hand with swelling and tenderness. Evaluate for fracture or fourth or fifth metacarpals. 3 views of the left hand demonstrate a fracture along the distal fifth metacarpal which is in near-anatomic alignment. There is adjacent soft tissue swelling. No other fractures or evidence of d... | Left distal fifth metacarpal fracture which is in near-anatomic alignment with adjacent soft tissue swelling. |
Generate impression based on findings. | Examination of the maxillofacial structures as well as the anterior portion of the brain on diffusion and susceptibility weighted imaging are limited by oral metallic artifact. There is a focus of increased T2/FLAIR signal intensity immediately in the white matter anterior and lateral to the left putamen. There is sus... | Limited examination with a few nonspecific foci of white matter T2/FLAIR signal hyperintensity in the left cerebral hemisphere and suspected linear foci in the left cerebellar hemisphere without abnormal enhancement on postcontrast images. |
Generate impression based on findings. | The scout film shows multiple loops of dilated small bowel consistent with at least a partial small bowel obstruction. There is residual contrast from the prior small bowel series from 4/30/2015. An incompletely imaged enteric tube is noted with tip in the distribution of the gastric antrum. Dilute Omnipaque 350 was a... | Air augmented water soluble contrast enema with retrograde flow into a patent ileocolonic anastomosis. |
Generate impression based on findings. | 73-year-old female with right lateral proximal fibula bony prominence, painful 2 views of the right tibia/fibula demonstrate no joint effusion, fracture or dislocation. Alignment is within normal limits. There are diffuse vascular calcifications. | No evidence of joint effusion, fracture or dislocation. |
Generate impression based on findings. | 35 years old female. Reason: S/P 8 cycles of chemotherapy. Please compare to previous studies. History: Breast Cancer. RADIOPHARMACEUTICAL: 11.6 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 93 mg/dL. Today's CT portion grossly demonstrates interval near complete resolution of numerous lung nodules in both... | 1.Interval near complete resolution of FDG avid tumor in the body.2.Mildly FDG avid lymph nodes in the right axillary region, which could be due to inflammatory change or residual tumor. Suggest clinical follow-up. |
Generate impression based on findings. | 76 years, Female. Reason: abd pain History: abd pain Nonobstructive bowel gas pattern with average stool burden. IVC filter is again seen overlying the L3/4 vertebral body level. Lung bases are clear. Scoliosis and degenerative changes in the spine are again noted. Right upper quadrant and pelvic surgical clips, unchan... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Male 59 years old; Reason: kidney stones History: stones ABDOMEN:LUNGS BASES: Small right base linear scarring. Relatively hypoattenuated appearance of intracardiac blood pool suggestive of underlying anemia. LIVER, BILIARY TRACT: Peripheral hepatic cyst, image 33 series 3. Additional subcentimeter hepatic segment 2 hy... | 1. No obstructive uropathy evident. Mild asymmetric prominence of left renal collecting system and ureter without evidence of obstructing radiopaque stone, similar to prior 2011 exam. No perinephric stranding or fluid seen. Punctate nonobstructing right intrarenal stones. 2. Status post ileocolonic resection. Preanasto... |
Generate impression based on findings. | 49-year-old male with pain and decreased range of motion, evaluate for DJD No joint space narrowing or other evidence to suggest osteoarthritis or degenerative disease. No joint effusion, fracture or dislocation. | No evidence of degenerative joint disease. |
Generate impression based on findings. | WheezingVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Cardiac apex and aortic arch left-sided. Peribronchial wall thickening with subsegmental atelectasis in the right lower lobe and left lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | 53 year old with prior history of breast cancer now with two right breast masses on ultrasound. Ultrasound guided biopsy of both is requested. Right ultrasound re-identified the target lesions for biopsy. The first lesion to be targeted is a hypoechoic mass measuring 10 mm at the 2 o’clock position with increased vascu... | Successful ultrasound-guided core biopsy of the two right breast lesions and two clip placements. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 60-year-old female with right hip pain 2 views of the right hip reveal no joint effusion, fracture or dislocation. | No fracture or dislocation. |
Generate impression based on findings. | 80-year-old female with painful PIP L IF. Evaluate cause for L IF swelling 3 views of the left index finger demonstrate sharp cortical erosions of the proximal phalanx with associated soft tissue swelling. No fracture or dislocation is noted. | Radiographic findings are most consistent with gouty arthritis involving the proximal phalanx. |
Generate impression based on findings. | Biopsy proven right breast invasive ductal carcinoma. Presentingfor placement of a radioactive seed for presurgical localization. On review of the prior studies, there is redemonstration of a mass within the upper outer right breast which contains a hydromark clip. This is the target site for today's exam.The procedure... | Successful seed placement of known right breast cancer.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 96-year-old female patient with history of seizure versus stroke. 24 hour follow-up. No significant change in appearance of subacute infarction in the left middle cerebral artery territory with encephalomalacia. There is no evidence of intracranial hemorrhage. Otherwise, there is diffuse parenchymal volume loss. There ... | 1.No significant interval change in encephalomalacia in the left middle cerebral artery territory compatible with recent infarction. No intracranial hemorrhage. CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction.2.Near complete opacification of the sphenoid sinuses, mucosal thickening... |
Generate impression based on findings. | 72-year-old male with liposarcoma. Evaluate for progression. Redemonstration of large heterogeneous soft tissue mass in the medial right thigh with nodular extension in the lateral compartment. There is surrounding extensive subcutaneous edema. There is associated cortical destruction of the right superior pubic ramus ... | Large heterogeneous soft tissue mass in the right thigh with associated cortical destruction of the right superior pubic ramus and anterior acetabular column appears similar to prior study. There is adjacent subcutaneous edema of the thigh. MRI can be obtained for better soft tissue evaluation of the mass if warranted.... |
Generate impression based on findings. | 68 year old with new bilateral breast lesions. Ultrasound guided biopsy of the right breast lesion is requested. The patient is on Plavix. Right ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a hypoechoic measuring 10 mm at the 10 o’clock position with increased vascularity, 1 cm fr... | Successful ultrasound-guided core biopsy of the right breast lesion and clip placement. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Reason: PE? hx of autoimmune disease History: SOB PULMONARY ARTERIES: Technically adequate study. No evidence of pulmonary embolus.LUNGS AND PLEURA: Moderate pleural effusions, right greater than left, with associated atelectasis/consolidation. Left retrocardiac and lingular atelectasis also noted. Diffuse ground glass... | 1.No pulmonary embolus.2.Pulmonary edema and bilateral pleural effusions compatible with congestive heart failure.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 46-year-old female with biopsy-proven left breast invasive mammary carcinoma. Please evaluate for clip placement. No family history of breast cancer. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular de... | 3 cm mass within the lower outer left breast which contains a biopsy marking clip centrally, compatible with the patient's known malignancy.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | Male, 47 years old. Reason: spinal cord injury with alternating constipation and diarrhea, suspected impaction History: spinal cord injury with alternating constipation and diarrhea, bloating and abdominal pain Nonobstructive bowel gas pattern. Below average stool burden.No free air seen on decubitus imaging.Spinal/pel... | Below average stool burden. |
Generate impression based on findings. | 57 year old female. History of dense breasts. 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 composed of scattered fibroglandular density, unchanged in pattern and distribution. No dominant mass, suspicious mi... | 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. | Female 60 years old; Reason: H/O Hodgkin's lymphoma s/p 4 cycles with AVD in need of re evaluation. Please compare History: Hodgkin's lymphoma CHEST:LUNGS AND PLEURA: Mild upper lobe predominant emphysematous changes. No dominant lung lesion. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No p... | 1.Decrease in the size of the lymphadenopathy.2.Left common femoral vein deep venous thrombosis.Findings discussed with Aquino, Jemmilyn the time of the dictation. |
Generate impression based on findings. | Male, 41 years old. Reason: eval for worsening or resolving obstruction History: confirmed SBO, now passing gas The dilated loop in the left upper quadrant persists, with a differential air-fluid level. A small amount of colonic gas is seen in the right and left colon, mildly increased from prior radiograph.NG tube tip... | Persistent incomplete mechanical small bowel obstruction. NG tube sidehole in the distal esophagus and should be advanced. |
Generate impression based on findings. | 72-year-old male with foot pain status post trauma No acute fracture or malalignment is evident. Mild degenerative disease of the talonavicular joint. | No acute fracture or malalignment. |
Generate impression based on findings. | 50-year-old female with shortness of breath. Family history of clothes. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus. The main pulmonary artery measures 1.9 cm in diameter. There is no evidence of right heart strain.LUNGS AND PLEURA: Right apical scarring/atelectasis. Right upper... | No evidence of pulmonary embolus.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | There is dextrorotoscoliosis with its apex centered at approximately L3. There are no fractures. The marrow signal is benign. The conus is normal in signal and morphology and terminates at an appropriate level. The visualized intra-abdominal and paraspinal contents are unremarkable.T12/L1: Mild disc bulge without sten... | 1.L2/3: Mild right lateral recess and mild to moderate right neural foraminal stenosis.2.L3/4: Mild bilateral lateral recess, mild to moderate left neural foraminal, and moderate to severe right neural foraminal stenosis.3.L4/5: Moderate central, moderate left lateral recess, marked right lateral recess, severe left ne... |
Generate impression based on findings. | 97-year-old male with dorsal dislocation right long finger status post reduction 2 views of the right middle finger reveal interval placement of splint along the dorsal aspect of the middle finger. There is persistent dorsal subluxation of the middle phalanx with cortical irregularity along the proximal middle phalanx ... | Interval placement of splint along the dorsal aspect of the middle finger with persistent dorsal subluxation and fracture of the middle phalanx. |
Generate impression based on findings. | Tracheomalacia. Previous left thyroid lobectomy for degenerative nodule. Left substernal nodule excision with pathology consistent with macrofollicular adenomatous thyroid nodule. LUNGS AND PLEURA: Nonspecific scattered pulmonary micronodules, largest measuring 5 mm (series 7 image 39). Scattered calcified pulmonary mi... | 1.Leftward deviation of the trachea with compression from right thyroid. Please refer to same day neck CT for more details. Unable to evaluate tracheomalacia in the absence of dynamic scanning.2.Nonspecific scattered calcified and noncalcified pulmonary micronodules, likely representing prior granulomatous infection or... |
Generate impression based on findings. | Reason: Evaluate for progression of metastatic disease; compare to previous scan, if able. History: None CHEST:LUNGS AND PLEURA: Large right pleural effusion, unchanged from the previous scan but increased since 4/8/2014.An original index nodule in the right lower lobe is largely obscured by adjacent atelectasis and no... | No significant change since the most recent previous scan but progression of disease since 4/8/2014. |
Generate impression based on findings. | 77 years old female. Reason: Restaging exam. Currently on hormone therapy. Evaluate treatment response and extent of disease. History: Metastatic breast cancer with metastases to bone and lymph nodes. RADIOPHARMACEUTICAL: 12.7 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 104 mg/dL. Today's CT portion gros... | 1.Markedly metabolic progression of metastatic lymph nodes in the right hilum and right pelvis.2.Interval resolution of left lingular lesion. |
Generate impression based on findings. | 42-year-old female with bilateral breast masses and history of benign left breast biopsy. Family history of breast carcinoma in her mother at age 40. 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 s... | 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, evaluate for fracture healing.EXAMINATION: Right foot radiograph AP, lateral, and oblique views (3 views) 5/4/2015 time 2:39 PM No acute fracture or dislocation is identified. There are apparent mild hallux valgus and flatfoot deformities. | No acute fracture or dislocation. |
Generate impression based on findings. | 59 year old female status post left lumpectomy in 2006 for breast carcinoma, presents today for routine follow up. Patient received radiation and hormonal therapy. No current breast complaints. No family history of breast cancer. Three standard views of both breasts, and a cleavage view, were performed digitally and re... | 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: r/o PE, acute abnormalities History: shortness of breath PULMONARY ARTERIES: Technically adequate study. No evidence of pulmonary embolus. Enlarged pulmonary artery measuring 3.5cm, suggestive of pulmonary hypertension. LUNGS AND PLEURA: Moderately severe centrilobular emphysema, left greater than right. Bilate... | 1.No evidence of pulmonary embolus.2.Centrilobular emphysema, left greater than right. Bilateral lung base scarring/atelectasis.3.Left kidney heterogenous lesion as above. Recommend follow up study.4.Findings discussed with Dr. Vicki Moy on 5/4/15 5:00PMPULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multip... |
Generate impression based on findings. | 13-year-old male with back pain.EXAMINATION: Lumbar spine radiograph AP and lateral views (2 views) 5/4/2015 time 3:01 PM The lateral view is suboptimal due to underpenetration. Within this limitation, no acute fracture or subluxation is identified. | No acute fracture or subluxation is identified within the limitations of this exam. If the patient has persistent pain CT can be considered for further evaluation. |
Generate impression based on findings. | 39-year-old female with left hip pain No acute fracture or malalignment is evident. | No acute fracture or malalignment is evident. |
Generate impression based on findings. | 19-year-old female with right ankle pain 3 views of the right ankle reveal no joint effusion, fracture or dislocation. Alignment is normal. | No fracture or dislocation. |
Generate impression based on findings. | 42-year-old female with pain, evaluate for degenerative disease No acute fracture is evident. Alignment is anatomic. No significant degenerative disease affects the right shoulder joint. | Normal examination. |
Generate impression based on findings. | Altered mental status. Evaluate for bleed. There is redemonstration of an area of encephalomalacia involving the right middle and inferior frontal gyri where there was previously a hematoma. There is no evidence of acute intracranial hemorrhage or mass effect. The ventricles and basal cisterns are unchanged in size and... | 1. No evidence of acute intracranial hemorrhage or mass effect.2. Right frontal lobe encephalomalacia is unchanged. |
Generate impression based on findings. | 53-year-old female with personal history of right breast cancer with chest wall recurrence, assess for metastatic disease. Linear cortical radiotracer uptake is noted along both lateral tibias and to a lesser extent both femurs, slightly greater on the right. Extensive asymmetric uptake in the right ankle is consistent... | 1. No discrete evidence of osseous metastases.2.Linear radiotracer activity in the tibias and femurs bilaterally raises suspicion of hypertrophic osteoarthropathy given the clinical history of recurrent chest wall mass. Alternatively, these findings could be post-traumatic in etiology given its slightly asymmetric dist... |
Generate impression based on findings. | 32-year-old female with breast cancer, worsening bone and joint pain. No abnormal osseous foci are identified to indicate metastatic disease. | No evidence of bone metastases. |
Generate impression based on findings. | There is non-mass like increased T2 hyperintensity in the right lateral tongue base with associated ill-defined enhancement, likely post-treatment in etiology. There is trace retropharyngeal fluid from prior treatment. There is no clinically significant lymphadenopathy. Parotid and submandibular glands are normal in a... | 1.Expected post-treatment changes without evidence of local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy.2.Contrast reaction of hives and itching to gadolinium contrast. |
Generate impression based on findings. | 9-year-old male with history of HLH, pretransplant evaluation. The patient’s weight of 34.8 kg and height of 124 cm were used for all calculations.Raw GFR = 45 mL/minBSA = 1.13 m2Estimated GFR/m2 = 40 mL/min/m2Estimated GFR/m2 * 1.73 m2 (average adult BSA) = 69 mL/min (adult GFR equivalent) | GFR measurements as above. |
Generate impression based on findings. | 59-year-old male patient with history of 3 transplants and atherosclerotic disease of the abdominal arteries. Patient looking to get fourth kidney transplant, needs better evaluation of the vascular system. Study limited without IV contrast. ABDOMEN:LUNG BASES: Bibasilar atelectasis/scarring. LIVER, BILIARY TRACT: No s... | 1. Contrast extravasation as described above limiting evaluation to a non-contrast study.2. Atrophic transplant and native kidneys. 3. Moderate to severe calcific atherosclerotic disease of the abdominal aorta and its branches.4. Bibasilar atelectasis/scarring.5. Degenerative changes of the bilateral hips with probable... |
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