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Generate impression based on findings. | Reason: evaluate SDH post subdural drain removal History: s/p drain removal Compared to 5/3/2015, interval removal of subdural drain. There has been no significant interval change of the large mixed density extra-axial collection along the right cerebral convexity, which continues to measure approximately 14 mm in the ... | Interval removal of subdural drain; otherwise, no significant interval change in residual subdural collection with persistent mass effect. |
Generate impression based on findings. | 72-year-old male with expressive aphasia and brain lesion. Evaluate for primary cancer origin. CHEST:LUNGS AND PLEURA: Note is made of bilateral dependent atelectasis/scarring. No focal opacity, pleural effusion or pneumothorax. No suspicious nodules or masses are identified as clinically questioned. Left lower lobe pu... | 1. No suspicious pulmonary masses are identified, as clinically questioned. Nonspecific left lower lobe pulmonary micronodule for which follow up in 6 months is recommended to evaluate for interval change, in the presence of a known malignancy. 2. Nonobstructing left renal stone.3. Gallbladder sludge without evidence o... |
Generate impression based on findings. | 46-year-old female. Status post lumpectomy 11/2014 for IDC/DCIS. Radiation and hormonal treatment. No current breast complaints. Three standard views, an additional XCCL view, as well as two spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma... | Post-surgical findings of lumpectomy in the left breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND ... |
Generate impression based on findings. | PolydactylyVIEWS: Left and right feet AP and lateral 5/5/2015 (4 views) Bilateral syndactyly and polydactyly are again noted. Rudimentary phalanges in between the fourth and fifth digit are present bilaterally and a rudimentary metatarsal bone in between the fourth and fifth metatarsals is only visualized on the left s... | Unchanged polydactyly and syndactyly. |
Generate impression based on findings. | Reason: follow ICH History: headache Subtle, subcentimeter hyperattenuation in the right caudothalamic groove, which may relate to minimal hemorrhage and/or mineralization (series 4, image 17). There is mild effacement of the right lateral ventricle. There has been interval increase in the degree of hypoattenuation in ... | 1.Subtle hyperattenuation at the right caudothalamic groove may represent minimal hemorrhage versus mineralization. Recent comparison imaging is unavailable at this time; previous films may be submitted for direct comparison. 2.There is evidence of progression of chronic small vessel ischemic disease compared to 2009. ... |
Generate impression based on findings. | There is fluid within the dependent posterior nasopharynx, with prominence of the soft tissue along the posterior nasopharynx likely relating to hypertrophy of lymphoid tissue within the adenoids in a patient of this age. There is partial visualization of postoperative changes relating to bifrontal craniotomy for rece... | 1. Interval expected extensive postoperative changes from right para median epidural abscess evacuation and drain placement as well as frontal sinus and right ethmoid sinus washout.2. No evidence of retro-orbital hematoma or focal fluid collection. Apparent new nonvisualization of the midportion of the right lamina pap... |
Generate impression based on findings. | Male 23 years old; Reason: rule out appendicitis History: RLQ pain x 2 days worsening ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormalit... | 1. Normal sized appendix, no significant periappendiceal inflammation, no evidence of acute appendicitis.2. Mild bowel wall thickening seen about the ileocecal valve with mild fat induration seen alongside the inferior pole of liver and adjacent to small bowel in right lower quadrant, may reflect a mild ileocecitis but... |
Generate impression based on findings. | When compared to the study dated 1/8/2013, there has been significant interval enlargement of the expansile lesion at the junction of the C3 vertebral body, left transverse process, and pedicle, which now extends to the superior aspect of the C2 vertebral body and caudally to the mid C4 vertebral body, measuring 45 x ... | Significant interval enlargement of the expansile C3 vertebral body lesion, as above, consistent with recurrence. There is mild extension of the lesion into the left lateral aspect of the spinal canal without significant mass effect. |
Generate impression based on findings. | 17-year-old male with a history of Hodgkin's disease status post chemotherapy. Pretransplant work up for infection. CHEST:LUNGS AND PLEURA: The trachea and central bronchi are patent. There is no focal opacity, consolidation, pleural effusion or pneumothorax. No suspicious pulmonary nodule is identified.MEDIASTINUM AND... | 1.No evidence of infection in the chest, abdomen, or pelvis.2.Normal-appearing appendix with appendicolith, this was also present on the CT from 2008. |
Generate impression based on findings. | Scrotal pain, patient denies pain. RIGHT TESTIS: Right testis measures 3.2 x 2.7 x 1.2 cm. Very difficult to detect flow in both testicles but areas of small arterial and venous flow detected in the right testicle. Right-sided rounded mixed cystic extratesticular mass (located near inferior aspect of right testis), lay... | 1. Very difficult to detect flow in both testicles, particularly on left side, patient denies pain on either side. No hydrocele. Findings nonspecific and may reflect underlying vascular disease/compromise, correlation with patient's clinical history advised.2. Right-sided rounded mixed cystic extratesticular avascular ... |
Generate impression based on findings. | 19 year old female with fever, tachycardia, and sepsis. ABDOMEN:LUNG BASES: Trace right pleural effusion and mild bibasilar nonspecific patchy opacities, most likely due to subsegmental atelectasis.LIVER, BILIARY TRACT: Mild hepatomegaly. No focal hepatic lesions.SPLEEN: Mild splenomegaly. No focal splenic lesions.PANC... | 1. Findings suspicious for bilateral pyelonephritis with possible small or early right renal abscess.2. Mild hepatosplenomegaly.3. Bony sequela of sickle cell as detailed above.Findings discussed with Dr. Radovanovic at 9:15 AM on 5/5/2015. |
Generate impression based on findings. | 74-year-old female with history of brain tumor resection 6/2014. CHEST:LUNGS AND PLEURA: There are chronic appearing pulmonary emboli, eccentric in location for example along the wall of the distal right main pulmonary artery (series 3, image 40). However more acute appearing segmental pulmonary emboli are seen in the ... | 1.Evidence of acute and chronic pulmonary emboli as well as thrombosis in the right common femoral vein.2.No specific findings of malignancy in the chest, abdomen, or pelvis. |
Generate impression based on findings. | 50-year-old male with AKI, rising INR. History of RV dysfunction. Evaluate for liver parenchymal dysfunction and reversal of flow. LIVER: Liver is normal in echogenicity though mildly increased in size, measuring 21.8 cm in length. No focal hepatic lesion is detected. Main portal vein is patent with normal and hepatope... | 1.Mild hepatomegaly. Normal hepatopetal flow.2.Hyperechoic renal parenchyma, suggestive of medical renal disease. |
Generate impression based on findings. | 59-year-old who underwent evaluation of a mammographically detected left breast mass and an enlarged left axillary lymph node on 10/13/2014. The patient was brought back for biopsy of both findings. At the time of the biopsy, the lymph node was found to be smaller and the left breast mass was felt to be due to a cluste... | Stable appearance of clustered cysts at the 2 to 3 o'clock position (6 to 10 cm from the nipple), most likely benign. Left axillary enlarged lymph node is stable in size and morphology from 9/2014, likely benign given its stability. As long as the patient's physical examination remains normal, a bilateral diagnostic ma... |
Generate impression based on findings. | Dedicated images through the sella demonstrate a normal size of the pituitary gland. There is a thin focus of nonenhancement with low T1 and T2 signal involving the left inferior aspect of the pituitary gland, best seen on the sagittal postgadolinium image 13 series 701, and measures 2 x 7 x 2 mm in the AP, transverse... | Subcentimeter hypoenhancing lesion involving the left inferior aspect of the pituitary gland with differentials including tiny nonneoplastic cyst such as pars intermedia cyst or Rathke's, less likely microadenoma. No associated mass effect. |
Generate impression based on findings. | 48-year-old female with recent CT chest showing a left kidney mass. ABDOMEN:LUNG BASES: Emphysema and bibasilar subsegmental analysis and/or scarring, not significantly changed. See report from recently performed CT chest.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANC... | Left renal mass most suspicious for renal cell carcinoma. No evidence of metastatic disease. |
Generate impression based on findings. | Male 63 years old; Reason: Hx of prostate cancer with rising PSA after prostatectomy, r/o mets ABDOMEN:LUNGS BASES: Left-sided calcified granulomas. LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant a... | 1. Nonspecific retroperitoneal and left paraaortic lymph nodes, measuring subcentimeter in maximum short axis dimension, stable or smaller from prior study. 2. Please refer to concomitant nuclear medicine bone scintigraphy from same day for additional findings. |
Generate impression based on findings. | 11-year-old male with history of right forearm fracture and casting.VIEWS: Right forearm AP and lateral (2 views) 5/15/2015, 0936 Overlying cast material obscures fine bone detail. Small amount of callus is seen at the radius and ulna mid diaphysis fracture site, indicating some interval healing. Persistent approximate... | Casted both bones fracture, with some interval healing. |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with moderate age-related volume loss. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are extensive areas of abnormal low density involving the left much greater than right frontal lobes especially inferiorly. Some of the areas of... | 1. No acute intracranial abnormality.2. Areas of extensive abnormal low density within the left greater than right frontal lobes with associated volume loss. Findings are favored to relate to areas of posttraumatic encephalomalacia given their location and associated dystrophic calcifications, although underlying small... |
Generate impression based on findings. | Male, 59 years old. Reason: eval for progression of obstruction History: high ngt output, distension Multiple dilated loops of small bowel with air-fluid levels. Relative paucity of colonic and rectal gas. This appears similar to prior.No free air seen on upright imaging. No intramural air.NG tube tip overlying the gas... | Persistent incomplete but significant bowel obstruction. |
Generate impression based on findings. | There are postoperative changes secondary to prior right vertical hemilaryngectomy, as well as other post-treatment changes to the larynx. There is diffuse, yet mildly improved edema of the remaining portions of the hypopharyngeal and laryngeal mucosa. No discrete mass lesion is identified. Supraglottic and glottic ai... | 1.Apparent soft tissue density between the trachea and esophagus best seen on axial imaging, but less mass-like in other planes, which may be artifactual. Close follow up is recommended to exclude possibility of a true mass.2.Improved, yet persistent supraglottic and glottic narrowing with interval decrease in soft tis... |
Generate impression based on findings. | 26-year-old female with history of ectopic pregnancy status post surgery. ABDOMEN:LUNG BASES: No consolidation or pleural effusion.LIVER, BILIARY TRACT: Liver enhances homogeneously without focal lesion. Gallbladder is unremarkable.SPLEEN: No significant abnormality notedPANCREAS: No focal pancreatic lesion.ADRENAL GLA... | No specific findings to account for abdominal pain.Trace complex free fluid may relate to recent surgery or history of ectopic pregnancy. |
Generate impression based on findings. | Male 52 years old; Reason: 51 M w/ anal cancer s/p chemoRT in 2011. Please evaluate for disease status CHEST:LUNGS AND PLEURA: Visualized lung fields unchanged. Stable right upper lobe micronodule, image 22 series 6. Small basilar atelectasis. No significant mediastinal, hilar or axillary lymphadenopathy.MEDIASTINUM AN... | 1. Stable to decreased size of reference lymph nodes as above.2. Stable to mild interval increase in size of aneurysmal ascending aorta, measured 4.1 cm, now measures 4.3 cm.3. Less pronounced than on prior study is skin thickening and induration along the left venous extending to medial left buttock. |
Generate impression based on findings. | 70 year old with a palpable lump in the right breast for which FNA results was suspicious for malignancy, presents for ultrasound guided core needle biopsy. History of right lumpectomy in 2001 followed by radiation and tamoxifen. Right ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is ... | 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. | 68-year-old female with history of lymphoma, histo, PCP pneumonia. Fever/cough. Staging. CHEST:LUNGS AND PLEURA: Previously demonstrated groundglass opacities in the lung bases have resolved. Few residual cysts in the lower lung fields. There is no focal consolidation or pleural effusion. No suspicious pulmonary nodule... | 1.Retroperitoneal soft tissue mass not significantly changed from prior exam, compatible with known lymphoma. No other lymphadenopathy is identified.2.Interval resolution of ground glass opacities in the lung bases.3.Few thin-walled cysts of lungs are nonspecific, though given the association with lymphoma, again raise... |
Generate impression based on findings. | 57-year-old female with chest pain. Evaluate for propagation of type B dissection. CT ANGIOGRAM:Type B aortic dissection with false lumen beginning just distal to the left common carotid artery is again seen. The proximal false lumen demonstrates increased thrombus and mildly increased size. The proximal true lumen dem... | Type B aortic dissection with increased thrombus within the proximal false lumen and increased contrast enhancement of the proximal true lumen, which together mildly increase the size of the proximal descending thoracic aorta. Otherwise, no significant interval change. |
Generate impression based on findings. | Age: 58 years. Sex : Female. Reason for study: Reason: coughs with large sips r/o aspiration History: coughs with large sips. Fluoroscopic guidance was provided for an oropharyngeal motility study performed by the Speech Pathology section of the ENT service. The examination was recorded on videotape. A single static im... | Positive for vestibular penetration and tracheal aspiration. |
Generate impression based on findings. | There is continued expected evolution of an area of irregular hypodensity in the right fusiform gyrus extending into the right occipital lobe. This again is similar in appearance and extent, without evidence of hemorrhagic conversion. The smaller area of known infarct along the right posterior parietal lobe peripheral... | Stable appearance of subacute right fusiform gyrus and adjacent occipital lobe infarct without evidence of hemorrhagic conversion. |
Generate impression based on findings. | Again seen is volume loss and ex vacuo dilatation of the ventricles, appearing similar compared to prior examination in 2012. Scattered nonspecific foci of T2/FLAIR signal hyperintensity in the bilateral periventricular white matter and pons appear minimally increased compared to prior examination with some areas demo... | 1.Minimal progression of small vessel ischemic changes without significant change in volume loss of the brain.2.Expected evolution of right frontal lobe parenchymal hemorrhage.3.Stable multifocal susceptibility foci compatible with remote punctate microhemorrhages. |
Generate impression based on findings. | Clinical question: Evaluate for left-sided sensory deficit. Signs and symptoms: Left sided hemibody decreased sensation to all modalities. Nonenhanced head CT:Examination demonstrates no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Finding... | 1.Nonenhanced head CT demonstrates no acute intracranial process. Findings of mild age-indeterminate small vessel ischemic strokes.2.Unremarkable neck CTA.3.Unremarkable head CTA. |
Generate impression based on findings. | 41 years, Male. Reason: eval for resolution of obstruction History: passing flatus! decreased output from ngt Enteric tube has been retracted with tip now in the distribution superior to the gastroesophageal junction. There is a persistently dilated loop of small bowel in the left upper quadrant which is not significan... | Persistent incomplete mechanical small bowel obstruction. NG tube has been retracted with tip overlying the distal esophagus and should be advanced. Findings were discussed by telephone with Dr. Fleming, pager 7815 at 3:00 PM on 5/5/2015. |
Generate impression based on findings. | 45-year-old female. Personal history of right breast cancer status post lumpectomy in 2011. Pain in the medial right breast with associated "lumpiness" at the 3:00 to 4:00 region. MAMMOGRAM: Three standard views of both breasts and two spot compression views of the right breast were performed digitally and reviewed wit... | 1. Post-treatment changes with no mammographic evidence of malignancy. No mammographic or sonographic abnormality to explain the patient's pain. Continued clinical management is recommended for the patient's symptoms.2. Aside from issues related to the patient's pain, and as long as the patient's physical examination r... |
Generate impression based on findings. | Male 26 years old; Reason: ro ischemia History: lactic acidosis ABDOMEN:LUNGS BASES: Patchy right greater amount bibasilar nodular infiltrate. Small right pleural fluid. Numerous bilateral lower lobar groundglass nodules seen, may be postinflammatory or infectious in etiology but correlation with patient's clinical his... | 1. Small fluid at level of pyloroduodenal junction and near pancreatic head, may be seen in setting of acute duodenitis or pancreatitis. Small to moderate abdominopelvic ascites.2. Soft tissue induration seen deep to and adjacent to the sacrum, air containing tract extending into medial left buttock. Findings consisten... |
Generate impression based on findings. | 37-year-old female with a history of left breast cancer status post lumpectomy in April 20, 2012 followed by radiation. No current breast related complaints. Three standard views of both breasts, laterally exaggerated craniocaudal view of the left breast, and 2 spot magnification views of the left breast were performed... | 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. | Female 48 years old; Reason: eval for recurrence History: h/o RCC CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Mildly prominent mediastinal lymph nodes are not enlarged by CT size criteria. Normal heart size. No pericardial effusion. No... | 1. Stable reference lymph nodes in the abdomen and mildly enlarged lymph nodes in the pelvis. No new sites of disease.2. Stable probable postsurgical soft tissue density in the right nephrectomy bed, though continued follow-up is recommended.3. Stable subcentimeter soft tissue nodule in the inferior right breast, which... |
Generate impression based on findings. | Female, 44 years old. Reason: Assess for small bowel stenosis, wall thickening, location of lesions History: 44 y.o. with a history of intermittent small bowel obstructions and weight loss, iron deficiency anemia. CTE 11/2014 showed dilated proximal small bowel with several areas of stenosis. Admitted with obstructive ... | Long segment dilation of distal jejunum and proximal ileum with focal narrowing. Favor NSAID-related strictures. No specific evidence of Crohn's disease. If the visualized dilated bowel loops are resected, there is low concern for short gut syndrome. |
Generate impression based on findings. | 14-year-old male with history of pain, evaluate for fracture.VIEWS: Left ankle AP, lateral and oblique (3 views) 05/05/15 Left foot AP, lateral and oblique (3 views) 05/05/15 No ankle joint effusion, dislocation or displaced fracture. No significant soft tissue swelling.No significant malalignment, dislocation or fract... | Mild dorsal soft tissue swelling, without fracture or dislocation. |
Generate impression based on findings. | Mandible hypoplasia and placement of distractors.VIEWS: Mandible AP/left lateral (2 views) 05/05/15 Nasotracheal and nasoenteric tubes are present. Mandibular distractor devices are present bilaterally. The plates, as measured on the lateral view, are distracted approximately 1 mm. The hardware is intact. | No evidence of postoperative complication. |
Generate impression based on findings. | 54-year-old female patient with developing right breast cyst presents for aspiration. Right ultrasound re-identified the cyst for aspiration, which is located at 4:00 position, 3 cm from the nipple, measuring 17 x 17 mm. PROCEDURE: The procedure and its risks, including bleeding, infection, and post-procedure unilatera... | Successful ultrasound-guided aspiration of the right breast cyst. Annual diagnostic mammogram is recommended.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 69-year-old female with a history of left upper lobe groundglass opacities status post nondiagnostic bronchoscopy. Follow-up examination. LUNGS AND PLEURA:Left upper lobe mixed groundglass opacity with associated nodules are (images 65 through 84, series 6) compatible with minimally invasive adenocarcinoma. The soft ti... | Persistent left upper lobe mixed groundglass and solid nodule suspicious for a minimally invasive pulmonary adenocarcinoma. Possible interval increase in size of prevascular lymphadenopathy with reference measurements provided above.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree wi... |
Generate impression based on findings. | 82-year-old female with microhematuria, urinary urgency/frequency. Rule out renal calculi and upper urinary tract lesions. Lack of oral contrast limits evaluation of the bowel.ABDOMENLUNGS BASES: LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abn... | No obvious renal or ureteral stone or soft tissue lesion. Numerous phleboliths bilaterally limits the detection of small nonobstructing ureteral stones, however there is no pelvicalyceal or ureteral dilatation. |
Generate impression based on findings. | Evaluate the lungs in the setting of respiratory distress and increasing O2 requirements.VIEW: Chest and abdomen AP (2 views) 5/5/2015, 0929 Cardiothymic silhouette is normal. The lungs are clear, without focal lung opacity. Normal lung volumes. Left-sided cardiac apex and stomach.Nasogastric tube tip and side holes ar... | Normal examination. |
Generate impression based on findings. | No acute facial bone fracture is identified. There is redemonstration of a chronic right zygomatic arch fracture with slight focal irregularity. The temporomandibular joints are intact. There is mild right much greater than left predominantly lateral lower facial soft tissue swelling.No orbital fracture is identified.... | 1. No evidence of acute facial bone fracture. Right greater than left mild facial soft tissue swelling. Re-demonstration of chronic right zygomatic arch fracture.2. Nonspecific opacification of right middle ear without ossicular disruption, without evidence of temporal bone fracture. Nonvisualization of the right tympa... |
Generate impression based on findings. | 76 year old male with fall, right lower extremity weakness/pain. Evaluate for fracture. 5 views of the hips reveal an impacted right femoral neck fracture. Mild sclerosis along the acetabular rim consistent with degenerative disease. | Impacted right femoral neck fracture. |
Generate impression based on findings. | Male 80 years old; Reason: prostate cancer CHEST:LUNGS AND PLEURA: Unchanged pulmonary micronodules. Bronchiectasis and left greater than right peripheral/pleural based cystic disease.MEDIASTINUM AND HILA: Again seen are mildly enlarged mediastinal lymph nodes, stable to demonstrating mild interval increase in size. Su... | 1. Reference lymph nodes as described above. 2. Please note that nuclear medicine bone scintigraphy more sensitive for evaluation of osseous metastatic disease, please refer to concomitant medicine bone scan from same day for additional findings. |
Generate impression based on findings. | 76-year-old male with decreased range of motion since fall 2 weeks ago. Evaluate for fracture. 2 views of the right shoulder reveal a minimally displaced fracture with fracture line traversing the humeral head and extending into the neck of the humerus. No significant joint effusion or other fractures noted. | Minimally displaced fracture involving the humeral head and neck. |
Generate impression based on findings. | 51-year-old male patient with history of infiltrating squamous carcinoma of the nasopharynx status post surgery, chemotherapy and radiation. PHARYNX/LARYNX: The mild diffuse mucosal thickening in the nasopharynx, oropharynx, and hypopharynx is mildly improved compared to prior. The effacement of the mucosal contours of... | Mildly improved diffuse mucosal thickening in the nasopharynx, oropharynx, and hypopharynx. Slight interval decrease in subcentimeter left level II cervical lymph node. No CT evidence for local tumor recurrence or cervical lymphadenopathy. |
Generate impression based on findings. | 76-year-old male with fall, leg swelling. Evaluate for fracture 2 views of the right tibia/fibula reveal no joint effusion, fracture or dislocation. | No fracture or dislocation. |
Generate impression based on findings. | Bilateral knee pain 4 views of the right knee reveal severe medial joint space narrowing consistent with severe osteoarthritis. Note is made of intramedullary calcifications in the femoral metaphysis representing an area of bone infarction.4 views of the left knee reveal a large joint effusion. There is marked lateral ... | Bilateral severe osteoarthritis. |
Generate impression based on findings. | 61-year-old female. Right breast IDC status post mastectomy in 2012. No current breast complaints. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distributi... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left 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. | 12-year-old female with right ankle pain after a fall, evaluate for fracture.VIEWS: Right ankle AP, lateral, and oblique views (3 views) 5/5/2015 at 10:12 Soft tissue swelling is seen about the ankle with a small ankle joint effusion. No acute fracture or dislocation is identified. | Soft tissue swelling and small ankle joint effusion without acute fracture or dislocation. |
Generate impression based on findings. | Reason: h/o SGL ca and CRT, compare to previous, measurements pls CHEST:LUNGS AND PLEURA: The referenced, sharply defined right lower lobe nodule is stable in size, 7 mm in diameter (4/246), compatible with benign etiology. Additional micronodules remain unchanged. Left lower lobe mucoid impaction with posterior basal ... | No evidence of metastatic disease.Interval mucoid impaction and atelectasis left lower lobe compatible with aspiration. |
Generate impression based on findings. | Reason: 47 yo female with hx of desmoid tumor; please evaluate for recurrence and or abnormalities History: desmoid ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No focal hepatic lesion.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signi... | No evidence of residual or recurrent desmoid tumor. |
Generate impression based on findings. | 55-year-old female with a history of lung cancer status post resection. Presents with cough and chest pain. LUNGS AND PLEURA: Status post left upper lobectomy. No suspicious pulmonary nodules. Right upper lobe pleural based nodule (series 6 image 26) is not significantly changed compared to the prior study; this nodule... | 1. No specific evidence of metastatic disease. 2. No significant interval change in the referenced right upper lobe pleural-based nodule. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Status post internal fixation AP and lateral views of the left femur reveal a comminuted intertrochanteric fracture in near anatomic alignment. Fixation is made with a trochanteric femoral nail. Note is made of vascular calcifications. | Fixation of fracture with TF N |
Generate impression based on findings. | 44-year-old female status post right mastectomy in June 2012 for IDC with DCIS presents for routine follow-up. No current breast related complaints. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 8.3. The breast parenchyma is composed of scattered fibroglandular el... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left 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: h/o of pna, now with hematemesis - assess for change in pna History: see above CHEST:LUNGS AND PLEURA: Loculated right pleural effusion increased in size with the right lung base but decreased superiorly. Scattered groundglass opacities similar to the prior exam compatible with aspiration.No new pulmonary opaci... | 1.Moderate-sized loculated right pleural effusion with interval increase in fluid identified at the right base and decreased loculation in the upper right hemithorax.2.Persistent consolidation within the right lower lobe3.Scattered groundglass opacities in the left lung suggestive of aspiration and similar to the prior... |
Generate impression based on findings. | Metastatic colon carcinoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCORONARY ARTERY CALCIFICATION: None. CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Stable subcentimeter hepatic cystic foci.SPLEEN: No significant abnormal... | Stable negative examination. No evidence for acute, inflammatory, or metastatic process. |
Generate impression based on findings. | For the purposes of numbering, the inferior-most rib bearing vertebra is designated as T12. There are 6 lumbar type vertebra with a partially sacralized L6 vertebra. The lumbar spine is in normal alignment, with a normal lumbar lordosis. The vertebral body and disk heights are well-maintained. No worrisome focal marro... | 1. Transitional anatomy of the lumbosacral spine. If surgery is to be contemplated, correlation with imaging of the entire spine is recommended. No MR imaging findings of tethered cord. Otherwise, unremarkable MRI of the lumbar spine without evidence of tethered cord.2. Marked distention of the rectum. Please correlate... |
Generate impression based on findings. | Question osteochondrosis 4 views of the right knee reveal no radiographic abnormalities. Specifically no evidence of any n significant osteochondral defects | Negative right knee examination |
Generate impression based on findings. | 51-year-old male with a history of head and neck carcinoma status post chemoradiation therapy. Compare to previous examination. CHEST:LUNGS AND PLEURA: Stable right upper lobe scarring versus atelectasis. Scattered punctate micronodules are unchanged and presumably postinflammatory.MEDIASTINUM AND HILA: No significant ... | No evidence of metastatic disease. |
Generate impression based on findings. | 30-year-old female with left elbow pain, tender, diffuse lateral > medial prior surgery. Evaluate for fracture. 2 days of pain. 4 views of the left elbow reveal no fracture or dislocation. Ossified loose body just lateral to the radial head is again noted. There is spur formation along the lateral condyle. Radiopaque l... | New radiopaque linear density in the soft tissues medial to the humerus is suspicious for an unidentified foreign object.Findings were discussed with ER resident Dr. Tripp by phone on 5/5/2015 at 11:40 AM. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements. Mild arterial calcifications are seen in both breasts.No suspicious masses, ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Status post mallet fracture 3 views of the ring finger reveal a nondisplaced mallet fracture at the distal interphalangeal joint. No change is seen from the previous exam of April 21 | Mallet fracture in near-anatomic alignment. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements. Benign appearing lymph nodes are projected over both axillae.No suspicious m... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 58-year-old male with history of bladder cancer status post radical cystectomy with orthotopic urinary diversion, evaluate for metastatic disease. ABDOMEN:LUNG BASES: No focal consolidation or pleural effusion. No suspicious pulmonary nodules.LIVER, BILIARY TRACT: No focal hepatic lesion. Status post cholecystectomy.SP... | No specific findings of tumor recurrence or metastatic disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. A pacemaker device projects over the ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Back pain for four years.VIEWS: Lumbar spine AP/lateral (two views) 05/05/15 Vertebral body heights and disk spaces are normal. No fracture is seen. No spondylolysis or spondylolisthesis is present.A moderate amount of feces is seen in the rectum. | Normal examination. |
Generate impression based on findings. | 50-year-old male one year status post islet cell transplant. Please Doppler portal vein. LIVER: Liver is normal in echotexture and size, measuring 15.8 cm in length. Few scattered punctate hyperechoic foci likely represent calcified granulomas. The main portal vein is patent with normal hepatopedal flow, with velocity ... | Normal hepatopetal flow, as clinically questioned. |
Generate impression based on findings. | Follow-up fracture 3 views of the left ankle reveal a side plate with multiple screws in the distal fibula. There is an additional syndesmotic screw extending through the fibula into the tibia. There are 2 K wires in the medial malleolus. No change in position when compared to previous exam of March 24. Fracture lines ... | Healing ankle fracture in anatomic alignment |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 18-year-old male status post inversion injury, falling downstairs yesterday evening. Now with acute pain greatest at posterior lateral malleolus, inability to bear weight. Swelling over lateral malleolus and point ttp over posterior, lateral malleolus. Evaluate for acute fracture of right ankle. 3 nonweightbearing view... | Minimal soft tissue swelling along the lateral malleolus with no evidence of fracture or dislocation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Multiple enterocutaneous fistulas. Scout film showed no abnormal calcifications. IVC filter is in place overlying the L2 vertebral body level.Using a 6 French catheter, the suspected cutaneous fistula located most medially (site #1) was catheterized and contrast was injected. A small pouch was opacified, measuring appr... | Enterocutaneous fistulas as above. |
Generate impression based on findings. | Alignment is anatomic. There are no fractures or subluxations. The visualized intracranial and paraspinal contents are unremarkable. Anterior vertebral body osteophytosis affects C4-T2, most significantly at C5-6. There is punctate calcification of the posterior aspect of the C4-C5 disk. No significant canal stenosis ... | Minimal degenerative changes as above, without evidence of acute fracture or subluxation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is heterogeneously dense. An asymmetry is seen at the posterior central aspect in the right breast on CC view.No suspicious ma... | An asymmetry at the posterior central aspect in the right breast on CC view. Spot compression view and possible ultrasound study are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 62-year-old female with pain There are 5 nonrib-bearing lumbar type vertebrae. Vertebral body height, disc space, and alignment are preserved. No acute fracture or malalignment is evident. Mild anterior osteophytes suggestive of mild osteoarthritis. | No acute fracture or malalignment is evident. |
Generate impression based on findings. | 56 years, Female. Reason: eval stool burden vs obstruction History: abdominal pain/distention Nonobstructive bowel gas pattern without evidence of pneumoperitoneum. Less than average stool burden. Interval removal of the previously seen enteric tube. Again seen are surgical clips and suture material overlying the right... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 62-year-old female with history of multiple myeloma status post stem cell transplant. SKULL: There are innumerable lytic lesions compatible with myeloma.CERVICAL SPINE: No discrete myelomatous lesions.THORACIC SPINE: No discrete myelomatous lesions. LUMBAR SPINE: No discrete myelomatous lesions.RIBS: No discrete myelom... | Multiple myelomatous lesions mostly involving the calvarium and humeri as described above. |
Generate impression based on findings. | pT1N1 oral tongue squamous cell carcinoma, status post treatment. There are post-treatment findings in the neck, including partial glossectomy, bilateral neck dissection, and radiation therapy. There is no evidence of measurable mass lesions in the neck, although dental amalgam artifact limits the assessment. There is ... | 1. Stable post-treatment findings in the neck without evidence of measurable locoregional tumor recurrence.2. No significant lymphadenopathy in the neck.3. Small amount of air within the left parotid gland and duct is incidentally noted. |
Generate impression based on findings. | No current breast complaints. Had recent CT chest showing a large left pleural effusion patient currently being evaluated for possible sites of malignancy. Breast imaging requested. Three standard digital views of both breasts, a rolled CC view of the right breast, and bilateral ML views were performed and reviewed wit... | No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.The results were discussed with the patient and patient's husband at the completion of the exam. The results were also discussed with Dr. Lyon by telep... |
Generate impression based on findings. | 53-year-old male with metastatic prostate cancer. Evaluate for progression. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Normal heart size without pericardial effusion. Moderate coronary artery calcifications.CHEST WALL: No significant ... | Diffuse skeletal sclerotic foci compatible with metastatic disease, subjectively similar in appearance to prior study. Please refer to concomitant nuclear medicine bone scan from same day for additional findings. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Subsegmental atelectasis again noted within the left lower lobe and lingula. No new pulmonary nodules or pleural effusion.MEDIASTINUM AND HILA: Heart size is normal. No interval pericardial effusion.No mediastinal or hilar l... | No evidence of metastatic disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Multiple benign calcifications in bot... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of archite... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Redemonstrated are postsurgical changes related to a left frontal craniotomy for resection of brain metastasis. There is mild dural thickening and enhancement subjacent to the craniotomy. There is stable to minimal increase in T2/FLAIR signal abnormality surrounding the resection cavity. Susceptibility artifact within... | Postsurgical changes in the left frontal lobe without evidence of tumor recurrence. There is stable to minimally increased FLAIR signal abnormality surrounding the resection cavity, compatible with evolving treatment changes. No new or enlarging enhancing lesions to suggest disease progression. |
Generate impression based on findings. | 51-year-old female with right knee pain in patient with pins in right hip. 4 weightbearing views of the right knee reveal severe osteoarthritis with moderate lateral joint space and patellofemoral joint narrowing. No joint effusion, fracture or dislocation.2 views of the right hip reveal 3 parallel pins traversing the ... | Severe osteoarthritis of the knee. Increased coxa vara of the right hip. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements. No suspicious masses, microcalcifications or areas of architectural distorti... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 57 year old female with chronic right knee pain, evaluate extent of arthritis and other abnormalities 4 nonweightbearing views of the right knee reveal mild osteophyte formation along the patellofemoral joint compatible with mild osteoarthritis. No joint effusion, fracture or dislocation.Note comparison cannot be made ... | Mild osteoarthritis of the right knee. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Scattered benign calcifications are u... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 78-year-old female with unstable knee. Evaluate degree of osteoarthritis. 3 nonweightbearing views of the left knee reveal total knee arthroplasty which is in anatomic alignment with no evidence of loosening or hardware failure. No evidence of joint effusion, fracture or dislocation. | Total knee arthroplasty with no evidence of loosening or hardware failure. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 61-year-old female status post ORIF 3 nonweightbearing views of the left ankle demonstrate a plate and screw device affixing a distal fibular fracture in near-anatomic alignment without evidence of hardware complication. The fracture line is indistinct suggestive of interval healing. Mild callus formation along the med... | Distal fibular fracture fixation without evidence of hardware competition. |
Generate impression based on findings. | FractureVIEWS: Right elbow AP/lateral (two views) 05/05/15 A cast obscures bone detail. Callus formation is noted along the posterior and lateral aspects of the distal humerus. Alignment is near anatomic. | Healing lateral condylar fracture. |
Generate impression based on findings. | 43-year-old female with left knee pain No fracture is evident. Alignment is anatomic. No joint effusion. Extensor mechanism is intact. Mild narrowing of the medial tibiofemoral compartments bilaterally is suggestive of minimal osteoarthritis. | Minimal osteoarthritis as described above. |
Generate impression based on findings. | Male 77 years old; Reason: screening for clinical trial. Please provide bi-dimensional measurements per RECIST v1.1. thank you. History: metastatic melanoma CHEST:LUNGS AND PLEURA: Pulmonary metastases seen bilaterally. Submitted for reference is a right lower lobe lung nodule, measuring 1.7 x 1.5 cm, image 83 series 3... | 1. Findings compatible with pulmonary, hepatic, splenic and nodal/mesenteric metastatic disease. Small layering right pleural effusion.2. Nodular lesion seen invading or arising from left adrenal, measuring 2.6 x 2.4 cm, nodal metastatic disease secondarily involving left adrenal versus adrenal metastatic disease.3. He... |
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