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Generate impression based on findings. | Male 13 years old Reason: fracture History: painVIEWS: Right hand AP, lateral and oblique 5/4/2015 (3 views) Healing Salter-Harris II healing fracture of the base of the proximal phalanx of the right first finger is in near-anatomic alignment. | Healing fracture, in near anatomic alignment. |
Generate impression based on findings. | Female 3 months old Reason: REPEAT LATERAL VIEW History: REPEAT LATERAL VIEWVIEWS: Cervical spine lateral view 5/4/2015 1522 hours. (1 view/s) Normal, visualized paranasal sinuses pneumatization. Normal alignment of the cervical spine with no prevertebral soft tissue thickening. No evidence of tracheal compression or d... | Normal examination. |
Generate impression based on findings. | Male 15 years old Reason: medial mal tenderness History: supination injuryVIEWS: Left ankle and left foot AP, lateral and oblique 5/4/2015 (6 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | 15-year-old male with history of left hip osteomyelitis. PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: The bladder is mildly distended and contains a Foley catheter. Layering calculi are again seen within the dependent aspect of the bladder.LYMPH NODES: Mildly prominent retroperitoneal and... | 1.Progression of bony destruction in the acetabulum, femoral head, and femoral neck now associated with pathologic fracture through the femoral neck.2.Interval increase in size of abscess adjacent to the femoral head as described above. |
Generate impression based on findings. | 19-year-old male with exquisite ttp distal medial malleolus after rolling ankle. Evaluate for avulsion fracture of the medial malleolus. 3 views of the left ankle reveal no joint effusion, fracture or dislocation. | No fracture or dislocation. |
Generate impression based on findings. | Female 2 days old Reason: evaluate lung fields History: 25 weeker with hypercapniaVIEW: Chest AP (one view) 5/4/2015 at 1627 hours. ET tube tip is below thoracic inlet. NG tube terminates at the stomach. The UVC tip is at the right atrium. Cardiac silhouette size is top normal. Bilateral diffuse lung haziness with bila... | Multifocal opacities on a background of diffuse lung haziness with pattern of PIE.Interval repositioning of ET tube. |
Generate impression based on findings. | There is redemonstration of an area of T1 and T2 hypointense signal with blooming artifact in the right para median inferior cerebellum consistent with a cavernoma. This measures 8 x 8 mm in greatest axial dimensions, not significantly changed compared to prior measurement of 7 x 8 mm. There is an adjacent enhancing d... | 1. No significant interval change in right inferior cerebellar cavernoma with adjacent develop mental venous anomaly. No evidence of recent hemorrhage. No new lesions identified.2. Unremarkable but motion limited MRI of the cervical spine. |
Generate impression based on findings. | 34-year-old male patient with spasms and pain in abdomen, back, legs. Evaluate for structural abnormality. CHEST:LUNGS AND PLEURA: A punctate left lower lobe subpleural nodule is likely benign in etiology. There is a calcified right lower lobe granulomata. No suspicious pulmonary nodules are identified.MEDIASTINUM AND ... | No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | 65-year-old female with osteoarthritis Pelvis: Severe degenerative disease affects the right hip with deformity of the femoral head without significant interval change. No acute fracture or malalignment is evident. Moderate osteoarthritis affects the contralateral hip.Right knee: Mild osteoarthritis affects the right k... | Degenerative changes as described above. |
Generate impression based on findings. | Evaluate for fracture views of the left humerus reveal diffuse sclerosis, patchy lucencies and endosteal scalloping throughout the left humerus all consistent with fibrous dysplasia. There is a small step-off in the cortex in the distal metadiaphysis consistent with a healing fracture. The bones are anatomic alignment. | Healing fracture in fibrous dysplasia. |
Generate impression based on findings. | 63-year-old male with concern for pocket infection of LVAD. CHEST:LUNGS AND PLEURA: Groundglass and tree-in-bud nodular opacities in the upper lobes may represent infectious or aspiration bronchiolitis. Atelectasis and consolidation lung bases. High density right pleural fluid collection; infection not excluded.MEDIAST... | 1.Marked pneumatosis of the cecum and ascending colon with surrounding free fluid. Findings are suggestive of colitis, favoring ischemia. Perforation not excluded.2.Findings suggestive of aspiration; infection not excluded.Findings relayed via telephone to the clinical service at approximately 4:48 PM on 5/4/2015. |
Generate impression based on findings. | 42-year-old male with chronic neck pain There is straightening of the usual cervical lordosis. The vertebral body heights, disc spaces, and alignment are preserved. The neural foramina are patent. No acute fracture or traumatic subluxation is evident. | No acute fracture or traumatic subluxation is evident. The neural foramina are patent. |
Generate impression based on findings. | 42-year-old female with pain Narrowing of the medial tibiofemoral compartment compatible with mild osteoarthritis. The extensor mechanism is intact. No joint effusion. Normal variant fabella is noted. | Mild osteoarthritis affects the right knee. |
Generate impression based on findings. | 37-year-old male with history of tonsil tumor of right distal femur, evaluate for local recurrence Methacrylate cement is packed into the lateral femoral condyle bone formation along the lateral aspect of the cement appearing similar to the prior exam. There is a small amount of lucency surrounding the cement which app... | No significant change in postoperative appearance of giant cell tumor curettage. No evidence of tumor recurrence. |
Generate impression based on findings. | 8-year-old male with history of jammed right fifth digitVIEWS: Right pinky finger AP, lateral and oblique (3 views) 1653 There is a predominantly oblique fracture of the pinky/fifth digit proximal phalanx head with minimal impaction and minimal palmar angulation of the distal fracture fragment. Overlying soft tissue sw... | Fifth digit proximal phalanx fracture as above. |
Generate impression based on findings. | Comparing all 3 views, the colon is adequately distended and cleansed. There is a small amount of mobile stool. No significant sized polyps or masses are seen anywhere in the colon. Rare occasional colonic diverticulum.Note: CT colonography is not intended for the detection of diminutive colonic polyps (i.e., tiny pol... | No significant sized polyps or masses in the colon.Extracolonic findings as above.*OPTIONAL C-RADS CLASSIFICATION:C-1E-2*(see full definitions in: Zalis et al. CT Colonography reporting and data system: a consensus proposal. Radiology 2005;236:3-9)C1: Normal or benign lesions (no polyps > 6mm). Continue routine screeni... |
Generate impression based on findings. | Colon is adequately distended and adequately cleansed. A small amount of mobile stool is seen. Residual fluid is well tagged with oral contrast. Diverticulosis and muscular hypertrophy sigmoid colon.No significant sized polyps or masses is seen anywhere in the colon.Note: CT colonography is not intended for the detect... | No significant sized polyps or masses. Diverticulosis sigmoid colon.Extracolonic findings as above.*OPTIONAL C-RADS CLASSIFICATION:C-1E-1*(see full definitions in: Zalis et al. CT Colonography reporting and data system: a consensus proposal. Radiology 2005;236:3-9)C1: Normal or benign lesions (no polyps > 6mm). Continu... |
Generate impression based on findings. | Unspecified intracranial hemorrhageClinical question: eval for progression of ICHSigns and Symptoms: eval for progression of ICH Since the prior exam a left medial frontal lobe hematoma has not significantly enlarged. It extends to the medial left parietal lobe. It currently measures 73x32mm axial dimension and 72x59mm... | 1.Since the prior exam from yesterday the patient's left frontal hematoma has not significantly expanded. There is associated midline shift, subarachnoid hemorrhage and intraventricular hemorrhage.2.A ventriculostomy tube is stable. 3.The ventricles are stable. |
Generate impression based on findings. | Gait change, urinary frequencySigns and Symptoms: Gait change 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 subco... | 1.No evidence for acute intracranial hemorrhage mass effect or edema. CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction.2.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. |
Generate impression based on findings. | Unspecified transient cerebral ischemia. Clinical question: weakness, confusion - assess for ischemia? The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a moderate degree are present. These have progressed since 2003 but not ... | 1.No evidence for acute intracranial hemorrhage mass effect or edema. CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction.2.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. They were also present o... |
Generate impression based on findings. | Postcraniotomy follow-up About 39 x 61 mm sized suboccipital soft tissue lesion just overlying right occipital craniotomy site is seen. The shape and size of the lesion have been changed since prior MRI scan. Again this lesion could represent tumorous condition, therefore clinical correlation is indicated.The ventricle... | About 39 x 61 mm sized suboccipital soft tissue mass like lesion as described above which showed changes in size and configuration since prior exam. Clinical correlation is indicated. |
Generate impression based on findings. | Clinical question: Evaluate for acute intracranial hemorrhage. Signs and symptoms: Patient is intoxicated, found by paramedian on front porch. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.No detectable acute... | 1.No acute posttraumatic findings.2.Unremarkable intracranial contents. |
Generate impression based on findings. | Male 16 years old Reason: fracture History: traumaVIEWS: Right foot AP, lateral and oblique 5/4/2015 (3 views) There is a soft tissue defect of the distal phalanx of the third toe. Amorphous density over the soft tissues of the distal phalanx of the second toe may represent either foreign body or avulsion fracture, alt... | Soft tissue laceration and possible, either foreign body or avulsion fracture as described. |
Generate impression based on findings. | Recent fall, right-sided weakness No evidence of acute ischemic or hemorrhagic lesion on this scan.Bilateral scattered patch low attenuation lesions on periventricular white matter indicating nonspecific small vessel disease.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter diffe... | No evidence of acute ischemic or hemorrhagic lesion.Mild to moderate nonspecific small vessel disease. |
Generate impression based on findings. | Clinical question: Rule out ICH. Signs and symptoms: Slurred speech. Nonenhanced head CT:Examination demonstrates no evidence of an acute intracranial process. CT however is insensitive for early detection of nonhemorrhagic acute ischemic strokes.Patchy periventricular and subcortical low-attenuation white matter consi... | No acute intracranial process. Mild age-indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Female 5 years old Reason: infiltrate History: cough, feverVIEWS: Chest AP/lateral (two views) 5/4/2015 at 1938 hours. Cardiac silhouette size is normal. Peribronchial thickening, large lung volumes and subsegmental atelectasis of the right middle and left lower lobe. No effusions or pneumothorax. | Peribronchial thickening, with multifocal lung opacities. Reactive airway disease versus viral infection are considerations. |
Generate impression based on findings. | 77-year-old female patient with headache. Evaluate for acute abnormality. There is no evidence of intracranial hemorrhage. There is mild periventricular white matter hypoattenuation, which is nonspecific and likely represents small vessel ischemic disease. There is mild associated ex vacuo dilatation of the ventricles.... | 1.No evidence of intracranial hemorrhage or mass effect. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion.2.Findings compatible with mild small vessel ischemic disease. |
Generate impression based on findings. | Headache for 3 weeks No evidence of acute ischemic or hemorrhagic lesion on the scan.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous st... | No evidence of acute ischemic or hemorrhagic lesion on the scan. |
Generate impression based on findings. | Clinical question: Rule out CVA. Signs and symptoms: AMS. Nonenhanced head CT:There is no detectable acute intracranial process. CT is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system and the CSF spaces. Minute periventricular and ... | 1.No acute intracranial process.2.Findings of age-indeterminate small vessel ischemic stroke of mild degree. |
Generate impression based on findings. | Headache, prior lumbar puncture No evidence of acute ischemic or hemorrhagic lesion on the scan.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The... | No evidence of acute ischemic or hemorrhagic lesion on the scan. |
Generate impression based on findings. | Male 23 months old Reason: Evaluate Lung Fields History: Suspected SepsisVIEW: Chest AP (one view) 5/4/2015 at 2151 hours. Cardiac silhouette size is normal. Left lower lobe opacity, likely subsegmental atelectasis. No effusions or pneumothorax. | Left lower lobe subsegmental atelectasis. |
Generate impression based on findings. | Male 13 years old Reason: cardiomegaly, fracture History: left chest painVIEWS: Chest PA/lateral (two views) 5/5/2015 at 0010 hours. Cardiac silhouette size is normal. No focal opacities, effusions or pneumothorax. Visualized osseous structures are intact. | Normal examination. |
Generate impression based on findings. | Altered mental status There is a 51 x 43 x (10x5mm thickness) mm sized right frontal ICH with mass effects associated with minimal IVH.Midline shift toward left side was also demonstrated.The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. | Large right frontal ICH with mass effect and associated IVH. |
Generate impression based on findings. | Clinical question: Evaluate for ICH, status post fall. Signs and symptoms: Fall on anticoagulation. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic strokes. Examination however demonstrates fairly extensive periventricular and ... | 1.No acute intracranial process.2.Findings of age indeterminate small vessel ischemic strokes of moderate to advanced degree. |
Generate impression based on findings. | Reason: 70M s/p fall with AMS History: ams HEAD: No intracranial hemorrhage is identified. No intracranial mass, evidence of mass-effect or significant midline shift is present. The gray-white differentiation is maintained. The ventricles and sulci are prominent, consistent with mild age-related volume loss; disproport... | 1.No evidence of intracranial hemorrhage or mass effect. 2.Multilevel degenerative spondylosis without acute fracture or subluxation. 3.Interval enlargement of partially calcified left thyroid mass. A thyroid ultrasound and tissue sampling may be useful for further characterization.4.Scout image demonstrates apparent d... |
Generate impression based on findings. | Frontal ICH with intraventricular extension, NONCONTRAST CT HEADNo evidence of interval change of right frontal ICH with the ventricular examination since prior exam. Mass effect including midline shift towards left side does not show any significant interval change.The paranasal sinuses and mastoid air cells are clear... | 1. Right frontal lobar ICH with extension into the right lateral ventricle, no change since prior exam.2. Normal head CTA.Comment: considering the patient age and the lobar pattern of the ICH, diagnostic cerebral catheter angiography need to be considered for further evaluation. |
Generate impression based on findings. | 58-year-old female with history of nausea and vomiting. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Large expansile lesion nearly replacing the right hepatic lobe the right hepatic lobe measures approximately 11 x 16 x 21 cm (ML x AP x CC). It is primarily hypoattenuating, measuring approx... | 1.Left distal ureteral stone and mild left hydroureteronephrosis.2.Large expansile lesion nearly replacing the right hepatic lobe likely represents giant hemangioma. |
Generate impression based on findings. | 53 years, Female. Reason: check Dobbhoff and NGT History: none Dobbhoff tube with tip in the distribution of the proximal jejunum. Additional enteric tube with tip in the distribution of the gastric body. Nonobstructive bowel gas pattern.Multiple surgical clips are noted in the upper abdomen along with two surgical dra... | Dobbhoff tube with tip overlying the proximal jejunum. |
Generate impression based on findings. | 64-year-old male with nonhealing sore with drainage. Evaluate for osteomyelitis 3 nonweightbearing views of the left foot reveal no joint effusion, fracture or dislocation. No radiographic findings to suggest osteomyelitis. Hallux valgus deformity is noted. | No radiographic evidence of osteomyelitis. |
Generate impression based on findings. | 35-year-old male patient with visual disturbances. Evaluate for CVA. There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no mass effect or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial so... | No evidence of intracranial hemorrhage or mass effect. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion. |
Generate impression based on findings. | 31-year-old male with CAM lesion Grade 1 anterolisthesis of L5 over S1 with degenerative spondylosis.MEASUREMENTS: CAM location : At the 2 o'clock position.Alpha angle : 88Coronal center-edge angle : 28Sagittal center-edge angle : 57Femoral neck-shaft angle : 128Acetabular version (1 o’clock) : 18Acetabular version (2 ... | 1.CAM deformity with measurement provided above.2.Grade 1 anterolisthesis of L5 and spondylosis of visualized lumbar spine. |
Generate impression based on findings. | 52-year-old female with seronegative rheumatoid arthritis with pain Right hand: 3 views of the right hand show no evidence of bone erosion. No fracture is evident. Alignment is anatomic.Left hand: 3 views of the left hand show no evidence of bone erosion. Equivocal cyst in the third metacarpal head is likely of no clin... | No evidence of bone erosion. Chronic left Lisfranc injury appears unchanged. |
Generate impression based on findings. | Chest pain with tachycardia PULMONARY ARTERIES: Technically adequate study. No pulmonary embolus.LUNGS AND PLEURA: Nonspecific scattered ill defined nodules probably inflammatory/infectious in origin. No pleural effusions. No pneumothorax.MEDIASTINUM AND HILA: Cardiac size is normal. No pericardial effusions. Debris-fi... | 1.No pulmonary embolus.2.Nonspecific scattered ill defined nodules, favor inflammatory/infectious origin less likely aspiration. 3.Debris-filled mildly distended esophagus.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Female 69 years old Reason: r/o diverticulitis, abscess, SBO History: LLQ pain/tenderness, emesis ABDOMEN:LUNG BASES: Basilar atelectasis.LIVER, BILIARY TRACT: Mild biliary prominence centrally and prominent common hepatic duct. Normal diameter common bile duct. This is likely related to changes described in the pancre... | Peripancreatic fat stranding concerning for acute pancreatitis. Dilatation of the pancreatic duct in the body and tail with a transition zone in the proximal body. Although no underlying mass is seen that should be evaluated after resolution of the pancreatitis.The biliary prominence likely related to the pancreatic pr... |
Generate impression based on findings. | 8-year-old male with history of hand pain. Status post reduction of fifth digit fractureVIEWS: Left hand PA, lateral and little finger lateral (3 views) 1918 Overlying cast obscures fine bone detail, however the previously seen fifth digit proximal phalanx fracture is in near anatomic alignment. | Interval casting and reduction of fifth digit fracture. |
Generate impression based on findings. | Female, 64 years old.RFO trigger: Urgent change in planned procedure. Robotic surgery converted to open. Suspected RFO location: abdomen Name of suspected RFO: No unexpected RFO per service.Attending Surgeon name/pager: Dr Valaitis. Body Mass Index (BMI): 20.45 No unexpected radiopaque foreign objects are noted. Inters... | No unexpected radiopaque foreign object.These findings were discussed by telephone with the resident Dr. Bosse at 1833 and the attending surgeon Dr. Valaitis, the attending surgeon, on 5/4/2015 at 1837. |
Generate impression based on findings. | 48-year-old male with pain. Rule out fracture. Patient fell on wrist 5/3/2015 and heard a crack sound, generalized wrist pain. 3 views of the left wrist reveal no joint effusion, fracture or dislocation. Alignment is within normal limits. | No fracture or dislocation. |
Generate impression based on findings. | 65-year-old male patient with altered mental status and seizure. Evaluate for acute change. Patient with personal history of biopsy of left medial temporal lobe with pathology of diffuse astrocytoma WHO grade 2. There is no evidence of intracranial hemorrhage. Subtle hypoattenuation within the mid to posterior temporal... | 1.No evidence of intracranial hemorrhage. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion.2.Improved hypoattenuation compatible with edema in the left temporal lobe compatible with patient's known astrocytoma. Recom... |
Generate impression based on findings. | 53-year-old female with nodule on chest x-ray in the right lower lobe. Suboptimal examination secondary to respiratory motion.LUNGS AND PLEURA: Moderate centrilobular and paraseptal emphysema within upper lobe predominance. Large lung volumes suggestive of COPD. Note is made of bronchial wall thickening. No focal conso... | 1. Moderate emphysematous changes with an upper lobe predominance and findings suggestive of COPD.2. Bronchial wall thickening can be seen in bronchitis/bronchiolitis. 3. No definite right-sided pulmonary nodule, as clinically questioned.4. Nonspecific mediastinal lymphadenopathy may be reactive in etiology. |
Generate impression based on findings. | Follow-up, right frontal ICH and IVH Redemonstration of right frontal lobe lobe ICH extension into the right lateral ventricle, no significant interval change of the size as well as mass effect since prior exam.The paranasal sinuses and mastoid air cells are clear. | No change of the size and mass effect of right frontal ICH since prior exam. |
Generate impression based on findings. | Pain with passive movements.VIEWS: Right knee AP, lateral and oblique 5/4/2015 (3 view/s) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | 1 month old infant, ex-preemie with no bowel movements.VIEWS: Abdomen AP 5/4/2015 (1 view/s) Generalized bowel distention with no evidence of obstruction. Question of left hemi abdominal pneumatosis intestinalis. No evidence of free air or portal venous gas. | Findings concerning for NEC. |
Generate impression based on findings. | Frontal sinus: The frontal sinus and frontoethmoidal recesses are clear.Anterior ethmoids: There is opacification of a few anterior ethmoid air cells.Maxillary sinuses: The maxillary sinuses are clear. The ostiomeatal units are clear.Posterior ethmoids: The posterior ethmoid air cells are clear.Sphenoid sinus: There i... | No significant paranasal sinus disease. Patent bilateral ostiomeatal units. |
Generate impression based on findings. | Follow-up, left thalamic ICH with ventriculostomy Right frontal ventriculostomy catheter has been removed, and another ventriculostomy tube inserted through the left parietal lobe. And the tip of the new ventriculostomy tube is located on the right lateral ventricle frontal horn.Interval development of intraventricular... | 1. Interval development of IVH with slightly increased size of ventricular system since prior exam.2. Removed right frontal ventriculostomy tube and newly introduced left parietal ventriculostomy tube.3. No change of evolving left thalamic ICH with surrounding edema. |
Generate impression based on findings. | 54-year-old female with pain, swelling. History of multiple infections, evaluate for signs of osteomyelitis. Unable to stand, no recent acute trauma. History of multiple right knee surgeries and infections. 4 nonweight bearing views of the right knee reveal right knee fusion device with extensive chronic appearing peri... | Note that the right knee fusion device is not visualized in its entirety however there is an area of lucency about the tibial stem of the prosthesis similar to prior study and may represent loosening, infection cannot be excluded. |
Generate impression based on findings. | 67-year-old female. Call back from screening for a cluster of calcifications in the left central slightly lateral breast. Three standard views and two spot magnification views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged i... | High probability benign calcifications in the left breast. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended in 6 months to confirm stability of these calcifications. Patient also reports having had prior mammograms done at Northwestern Hospital, for which... |
Generate impression based on findings. | 93 years, Female. Reason: abdominal discomfort and last BM 5 days ago History: abdominal discomfort. Last BM 5 days ago Nonobstructive bowel gas pattern. Residual oral contrast is present in the ascending and transverse colon.Degenerative changes of the lumbar spine and bilateral hips are noted. Bones appear deminerali... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Female, 57 years old. Reason: constipation, no other abdominal symptoms, neutropenic fever with hypotension, eval colonic dilatiation or obstrution Mildly prominent loops of small and large bowel. Gas and stool seen within the colon and rectum. Average stool burden.3 undissolved pills noted in the left abdomen, possibl... | Nonobstructive bowel gas pattern. Average stool burden. Undissolved pills in the colon raise the question of appropriate medication delivery. |
Generate impression based on findings. | 8-year-old female with history of abdominal pain. Evaluate for appendicitis. Soft tissues posterior to the spine pedicles, and posteriormost sacrum, are not included in the field of view.ABDOMEN:LUNG BASES: The visualized lungs are clear.LIVER, BILIARY TRACT: No biliary dilatation or perihepatic fluid collections.SPLEE... | No evidence of appendicitis. No additional significant abnormality to explain the patient's pain. |
Generate impression based on findings. | 76-year-old male with history of cystectomy 4/20/2015 presenting with abdominal pain. ABDOMEN:LUNG BASES: Mild bibasilar dependent subsegmental atelectasis. Emphysema. Partially visualized calcified mediastinal lymph nodes, likely from prior granulomatous process. Moderate calcifications coronary arteries.LIVER, BILIAR... | 1. Postsurgical changes from cystoprostatectomy with right lower quadrant ileal conduit formation. The ileal conduit loop is mildly distended with fluid, and obstruction at the level of the ostomy cannot be excluded. Correlation with output is recommended.2. Mild bilateral hydronephrosis, similar to prior study and pos... |
Generate impression based on findings. | 13-year-old female with pain after a fall on the stairsVIEWS: Left foot AP, lateral, and oblique views (3 views) 5/4/2015 time 7:53 PM No soft tissue swelling or joint effusion. No acute fracture or malalignment. | No acute fracture or malalignment. |
Generate impression based on findings. | 6-month-old female with tenderness after fall, evaluate for fracture.VIEWS: Left hip AP and lateral views (2 views) 5/4/2015 time 8:13 PM The femoral head is directed toward the acetabulum. No joint effusion or acute fracture is identified. | No acute fracture. |
Generate impression based on findings. | 11-month-old male with bilious emesis. Evaluate for infection and obstruction.VIEW: Chest AP and abdomen AP (2 views) May 4, 2015 time 11:37 PM Chest: Tracheostomy tube is in place with the tip below the thoracic inlet. Enteric tube is seen with its tip in the stomach. The cardiothymic silhouette is upper limits of nor... | Mildly distended loops of bowel are new from prior study, early obstruction cannot be entirely excluded. |
Generate impression based on findings. | Female 6 years old Reason: eval pna History: imaging at OSH concerning for loculated PNA but no current CXR availableVIEWS: Chest AP/lateral (two views) 5/5/2015 The aortic arch, cardiac apex and stomach are left-sided. Cardiac silhouette size is normal. Right-sided pleural effusion with ill-defined right lower lobe op... | Right-sided pleural effusion as described. |
Generate impression based on findings. | Female, 56 years old. Reason: concern for obstruction versus perforation versus pancreatitis History: abdominal pain, n/v Nonobstructive bowel gas pattern. Average stool burden.Enteric tube tip in the proximal jejunum. Surgical drain overlying the left midabdomen.No free air seen on decubitus imaging. No intramural air... | Nonobstructive bowel gas pattern. No intramural air or free air. |
Generate impression based on findings. | 30-year-old male with hyperuricemia and recurrent podagra Right foot: 3 weightbearing views of the right foot show no evidence of fracture or malalignment. No osseous erosions are evident.Left foot: 3 weightbearing views of the left foot show no evidence of fracture or malalignment. No osseous erosions are evident. Cal... | No specific findings to suggest osteoarthritis or gouty arthritis. |
Generate impression based on findings. | Female 74 years old Reason: rule out PE in patient with tachypnea, tachycardia History: tachypnea, tachycardia, elevated pro-BNP The comparison chest radiograph performed on 5/4/2015 demonstrates cardiomegaly, edema, and left basilar consolidation.The ventilation images show defect in the left lung base. Perfusion imag... | Triple match indicating intermediate probability for PE. |
Generate impression based on findings. | Male, 48 years old. Reason: evalauate for interval change in free air History: free air under diaphram s/p GJ tube placement Moderate pneumoperitoneum, mildly decreased from the prior exam. Additional abnormal areas of air in the upper abdomen appear contained and suspicious for gas-containing collection.Persistent pro... | Moderate pneumoperitoneum, slightly decreased from prior. Additional upper abdominal air appears contained and may be within a complex collection. |
Generate impression based on findings. | Newborn 37 week gestational age patient with respiratory distress and retractions.VIEW: Chest AP (one view) 05/04/15 Cardiothymic silhouette and pulmonary vascularity are normal. Cardiac apex and stomach are left-sided.Lung volumes are large with hemidiaphragms at the 10th posterior ribs. Hazy opacities are present bil... | Probable retained fetal lung fluid (transient tachypnea of the newborn). |
Generate impression based on findings. | [31-year-old male with questionable left scaphoid fracture on radiograph] There is a nondisplaced transverse fracture through the waist of the scaphoid bone. There is local surrounding soft tissue swelling. No additional fracture is evident. Scapholunate interval appears to be within normal limits. The wrist is casted. | [Nondisplaced transverse fracture through the waist of the scaphoid bone.] |
Generate impression based on findings. | Reason: assess for worsening infiltrate History: see above LUNGS AND PLEURA: The previously described foci of consolidation within the right lung remain stable in size. In addition, multiple new foci of consolidation and groundglass are now present throughout the right lung. New consolidation and groundglass now occupy... | Increasing multifocal consolidation throughout both lungs along with groundglass and mild bronchial wall thickening. New small pleural effusions. Findings reflect progressive disease.New ascites in the visualized upper abdomen and subcutaneous induration within the inferior lateral chest wall. |
Generate impression based on findings. | 44 years, Female. Reason: eval for small bowel obstruction. History: nausea, vomit, abdominal pain Focally dilated loop of small bowel in the left mid abdomen corresponding to the dilated small bowel seen on the outside CT study from 11/21/2014, however, no evidence of obstruction. Lung bases are clear. | Dilated loops of small bowel without evidence of obstruction.Findings and relevant imaging were reviewed with Dr. Semrad in the radiology reading room at 7:45 AM on 5/5/2015. |
Generate impression based on findings. | Reason: ro PE (eval aorta if possible) History: epigastric pain, asymmetric b/l LE edema, prior CABG PULMONARY ARTERIES: Technically adequate study. No evidence of pulmonary embolus. Scattered air bubbles noted in the pulmonary artery. Enlarged pulmonary artery measuring 3.6 cm, suggestive of pulmonary hypertension.LUN... | 1.No evidence of pulmonary embolus.2.Moderate apical predominant paraseptal and centrilobular emphysema.PULMONARY EMBOLISM: PE: Negative. Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 71-year-old female with weight loss and shortness of breath. Rule out PE, evaluate for malignancy. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus. The main pulmonary artery measures 2.9 cm in diameter, in the upper limits of normal. There is no evidence of right heart strain.LUNGS ... | 1. No evidence of pulmonary embolus.2. Bibasilar bronchial impaction with associated distal atelectasis, suggestive of aspirated secretions.3. Nondependent soft tissue density in the mid thoracic esophagus. Further evaluation with endoscopy is recommended.4. Marked emphysematous changes and findings suggestive of COPD.... |
Generate impression based on findings. | 51-year-old female s/p nephrectomy, distal pancreatectomy, bowel resection with leak s/p takeback with end colostomy and IR drain placement last week for abscess collections now with decreased drain output. ABDOMEN:LUNG BASES: Parenchymal cysts in the lung bases are again noted, suggestive of lymphangiomyomatosis. Larg... | 1.Resolution of right infrahepatic fluid collection and interval decrease of collection deep to the anterior abdominal wall.2.Remainder of abdominopelvic fluid collections are not significantly changed, including large multiloculated left upper quadrant collection and two pelvic collections, as described above.3.Striat... |
Generate impression based on findings. | Exam is again limited secondary to susceptibility artifact from dental hardware which results in prominent areas of signal void and distortion especially on the diffusion weighted images and susceptibility imaging, which are nearly nondiagnostic. There remains moderate patchy opacification of the right frontal and eth... | 1. Limited exam secondary to extensive susceptibility artifact from indwelling dental hardware. Interval drainage of right paramedian frontal epidural abscess with only very minimal residual heterogeneous epidural material which may be postoperative in nature including blood products. Minimal residual localized mass ef... |
Generate impression based on findings. | 79-year-old male status post fall with knee swelling complains of leg pain. Generalized pain of the right and left knee. 2 views of the right knee reveal lucency through the medial tibial plateau consistent with fracture which is less distinct compared to prior study compatible with interval healing. There is a small j... | Interval healing of right medial tibial plateau fracture. Moderate osteoarthritis of both knees. |
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. There are no areas of abnormal attenuation or pathological enhancement. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids/middle ears ar... | 1.Findings highly suspicious for right vertebral artery dissection at the V3 segment with non-occlusive filling defect at this level. Vertebrobasilar system is patent more distally. Suggest MRI for evaluation of infarct in the posterior fossa.2.No acute intracranial hemorrhage or mass effect. 3.No evidence of flow-limi... |
Generate impression based on findings. | Headache, known aneurysm. NONCONTRAST CT HEADNo interval change prior pterional approach with MCA aneurysmal clip as well as extensive MCA territorial ischemic infarct with ex vacuo dilatation of right lateral ventricle since prior exam.There is no evidence of new acute ischemic or hemorrhagic: We will give an ischemia... | 1. Interval slight increase in size of the left MCA bifurcation aneurysm (from 6.8mm to 7.2mm maximum diameter) since 2012 as described above.2. No interval change of right MCA bifurcation aneurysm post clipping status changes including right MCA territorial encephalomalacia since prior exam. |
Generate impression based on findings. | Subtle hyperattenuation within the cortical sulci of the right cerebral hemisphere, along the right frontotemporoparietal sulci and the right sylvian fissure, consistent with subarachnoid blood products. No intraparenchymal hemorrhage. No intraventricular hemorrhage. There is no midline shift or mass effect. There are... | 1.Saccular aneurysm arising from the right MCA bifurcation as above.2.Small subarachnoid hemorrhage involving the right sylvian fissure and adjacent right cerebral sulci. |
Generate impression based on findings. | 53-year-old female with mechanical fall on left side, now complaining of left, hip leg and knee pain. Patient fell in shower, generalized pain. 2 views of the left hip reveal no joint effusion, fracture or dislocation. Vascular calcifications noted medial to the lesser trochanter.2 views of the left femur reveal no joi... | No joint effusion, fracture or dislocation. |
Generate impression based on findings. | 12-year-old female with history of tachycardia, desaturation, fever status post chemotherapy.VIEW: Chest AP (one view) 5/5/2015, 0547 Central venous catheter tip is unchanged in position, projecting over the right atrium. Persistent elevation of the right hemidiaphragm, without interval change. No focal lung opacities.... | No findings of pneumonia, and no significant interval change. |
Generate impression based on findings. | 71-year-old female with abdominal pain and weight loss. ABDOMEN:LUNG BASES: Emphysema and bronchial wall thickening are seen in the partially visualized lung bases. See report from dedicated CT chest performed concomitantly.LIVER, BILIARY TRACT: Hepatomegaly. Focal fatty sparing along the falciform ligament. No suspici... | 1. Findings suggestive of pelvic floor laxity with uterine prolapse. Clinical correlation with physical exam is recommended.2. Distended bladder, which raises the question of outlet obstruction due to the pelvic floor findings.3. Hepatomegaly with findings suggestive of fatty infiltration. No suspicious hepatic lesions... |
Generate impression based on findings. | 32-year-old female with fifth digit lac, rule out foreign body. Patient cut tip of fifth digit with glass at work in a sink. 3 views of the right hand reveal overlying bandage limiting fine bone detail of the fifth digit. Within these limitations no joint effusion, fracture or radiopaque foreign object is identified. | Overlying bandage material limits fine bone detail of the fifth digit, within these limitations no radiopaque foreign object is noted. |
Generate impression based on findings. | There is straightening of the cervical spine, which may be due to positioning versus muscle spasm. There is a normal relationship of the dens with the arch of C1. There is no acute fracture or pre-vertebral soft tissue swelling. The visualized intracranial structures and lung apices appear normal. Atherosclerotic chan... | 1.No acute fracture or dislocation.2.Likely congenital uniform spinal canal narrowing with mild disk bulges at C2-C4 with probable spinal canal stenosis. Recommend MRI for further evaluation of spinal canal and cord. |
Generate impression based on findings. | 70-year-old female with effusion, evaluate for osteoarthritis. Patient woke up with knee pain 3 days ago, claimed she had gone for treatment at Trinity hospital in the past where they took out some fluid. Currently cannot put weight on it. Had a fall on the stairs of her house sometime ago and had MRI and x-ray of the ... | Moderate joint effusion within the suprapatellar pouch with no evidence of fracture or dislocation. |
Generate impression based on findings. | 20-year-old female with thigh pain No acute fracture or malalignment is evident. No osseous lesion. No joint effusion. Partially visualized intrauterine device. | Normal examination. |
Generate impression based on findings. | 68-year-old female with tenderness to palpation on the right shoulder Suboptimal Grashey view. Severe osteoarthritis affects the right shoulder with joint space narrowing and bulky osteophytes of the humeral head. Alignment is anatomic. No fracture is evident. | Severe osteoarthrosis affects the right shoulder. |
Generate impression based on findings. | 76-year-old male with femur fracture. 4 views of the right femur reveal an impacted right femoral neck fracture with no significant displacement. No new fractures identified. | Impacted right femoral neck fracture with no significant displacement. |
Generate impression based on findings. | Neck pain and inability to look left after fall. History of reduction of atlantoaxial rotatory subluxation.VIEWS: Cervical spine lateral neutral/flexion/extension (3 views) 05/04/15 No prevertebral soft tissue swelling is present. The adenoids are mildly enlarged.With flexion no significant kyphosis is achieved. Extens... | Normal examination. |
Generate impression based on findings. | 56-year-old female. Status post left mastectomy in 2011 for grade 1 IDC/DCIS. No new breast complaints. Three standard views of right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribu... | 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: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Reason: 5 month old with head trauma, no LOC, step off on exam History: head trauma, step off in the left occipital region There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no mass effect or herniation. The imaged paranasal sinuses and mast... | No evidence of skull fracture, intracranial hemorrhage, or mass effect. |
Generate impression based on findings. | Clinical question: Rule out abscess/infection. Signs and symptoms: Headache, facial pain/swelling, ear pain. Medtronic infusion sinus CT:Images through the orbits redemonstrate stable chronic blowout fracture of lamina papyracea with minimal retro-orbital fat herniation. There is no evidence of any inflammatory changes... | 1.No evidence of an infectious or inflammatory process on this nonenhanced CT.2.Near complete resolution of soft tissue densities of right cheek and right nasal passage since prior exam.3.Complete opacification of right maxillary sinus and well-pneumatized all other paranasal sinuses.4.Stable multiple comminuted fractu... |
Generate impression based on findings. | 37-year-old female with fall, hurt right knee, right knee pain. Fall around 6:00 p.m., pain around mid-lower knee. 4 nonweightbearing views of the right knee reveal an area of sclerosis in the distal femur eccentric to the medullary space compatible with an old nonossifying fibroma. No joint effusion, fracture or dislo... | No joint effusion, fracture or dislocation is identified. Old nonossifying fibroma in the distal femur. |
Generate impression based on findings. | 66-year-old male with base of the right great toe trauma one month ago. Evaluate for toe fracture. Pain/bruise to lateral side of great toe. 3 nonweightbearing views of the right foot reveal no joint effusion, fracture or dislocation. Alignment is within normal limits. | No evidence of fracture or dislocation. |
Generate impression based on findings. | Frontal sinus: Mucosal thickening of the left frontal sinus and frontoethmoidal recess. The right frontal sinus and frontoethmoidal recess are clear.Anterior ethmoids: Mucosal thickening and partial opacification of the bilateral anterior ethmoids.Maxillary sinuses: Moderate left and mild right maxillary mucosal thick... | Pansinus mucosal thickening as above, with more acute-appearing opacification of the left maxillary sinus. |
Generate impression based on findings. | The vertebral column alignment is within normal limits. There is a normal relationship of the dens with the arch of C1. There is no acute fracture or pre-vertebral soft tissue swelling. There is no significant spinal canal or neuroforaminal stenosis. The visualized intracranial structures and lung apices appear normal... | 1.No acute fracture or malalignment.2.Poor dentition. |
Generate impression based on findings. | Altered mental status The CSF spaces are appropriate for the patient's stated age with no midline shift.Periventricular and subcortical white matter hypodensities of a moderate degree are present. This is stable compared to the prior exam.There is redemonstration of hypodense punctate foci in the basal ganglia and thal... | 1.No evidence for acute intracranial hemorrhage mass effect or edema. CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction. 2.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. This is not changed sub... |
Generate impression based on findings. | Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is no significant stenosis at the carotid bifurcations. There is no signi... | 1.No evidence for aneurysm.2.No evidence for cervicocerebral occlusive disease3.No evidence for acute intracranial hemorrhage or mass effect or edema. CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction.4.Periventricular and subcortical white matter changes of a mild to moderate degree... |
Generate impression based on findings. | worst headache of his life, expressive aphasia The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a mild to moderate degree are present. Compared to the CT from 12/14/2011 these have not changed substantiallyNo abnormal mass l... | 1.No evidence for acute intracranial hemorrhage mass effect or edema. CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction.2.Periventricular and subcortical white matter changes of a mild to moderate degree are nonspecific. They are most likely vascular related. |
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