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Generate impression based on findings. | 11 year old female with severe constipation, evaluate stool burdenVIEW: Abdomen AP (one view) 01/15/15 A moderate amount of amorphous stool is noted within the rectum. No evidence of obstruction. No free intraperitoneal air. | Moderate amount amorphous stool in the rectum. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed 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 distribution. Stable benign intram... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of ovarian carcinoma in her sister. Two standard digital views of both breasts were performed with tomosynthesis and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchang... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 14-month-old male need of her shunt placement in atriumVIEW: Chest AP (one view) 01/15/15 Cardiothymic silhouette is enlarged. Right ventriculoatrial catheter tip is at the superior cavoatrial junction. No focal pulmonary opacities. No pleural effusion or pneumothorax.A G-tube is present. | Right ventriculoatrial catheter tip is at the superior cavoatrial junction. |
Generate impression based on findings. | 15 year old female evaluate healing of pubic ramus fracture.VIEWS: Pelvis AP (one views) 1/15/2015 Minimally fractures of the superior pubic ramus are again identified, with associated callus formation and increasing indistinctness of the fracture lines compatible with healing. | Healing fractures of the superior pubic ramus. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast carcinoma in her sister at age 60. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Scattered ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal aunt and maternal cousin. Personal history of benign left breast biopsy. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of sca... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 66 your female with lumbar back pain and hip pain Posterior stabilization rods with screws entering the L4, L5, and S1 vertebral bodies. There is bone graft material at L4/L5. Severe degenerative disk disease particularly affects L5-S1 and L2-L3 as well as the lower thoracic spine. Facet joint osteoarthritis affects th... | Orthopedic fixation of the lumbar spine and degenerative changes as described above. |
Generate impression based on findings. | Ms. Hayes is a 52 year old female with a personal history of left breast mastectomy in 2011 for DCIS along with a right breast mastopexy. Patient is currently on tamoxifen therapy. Three standard views of the right breast and one right spot compression view were performed digitally and reviewed with the aid of R2 CAD 9... | 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. | 87-year-old female with pain There is approximately 15 degrees valgus deformity about the knee relative to the neutral mechanical axis. Severe osteoarthritis affects the knee. | Osteoarthritis and valgus deformity. |
Generate impression based on findings. | Male; 79 years old. Reason: h/o lung cancer, eval response to chemo, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: No significant interval change in the appearance of right upper lobe mass with surrounding radiation reaction. It measures approximately 66 x 56 mm (4/23), not significantly c... | No significant interval change in right apical mass. |
Generate impression based on findings. | Reason: H/o lymphoma. Please restage (large renal mass and persistently FDG avid smaller nodes) History: neuropathy CHEST:LUNGS AND PLEURA: No new suspicious nodules or masses. Left posterior pleural-based scarring/calcification unchanged. No pleural effusions.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopat... | 1. Marked interval enlargement in the retroperitoneal and infiltrative right renal mass as described above with a large new solid component and nonvisualization of the infrahepatic IVC and proximal renal arteries, which may represent tumor compression or possibly vascular invasion. 2. Mesenteric haziness in the anterio... |
Generate impression based on findings. | 53-year-old male status post scapholunate surgery A screw affixes the scaphoid and lunate bones. There is no significant osseous bridging. The remaining osseous structures appear unremarkable. | Orthopedic fixation as described above. |
Generate impression based on findings. | Male; 49 years old. Reason: eval PE History: previous PE PULMONARY ARTERIES: Large bilateral pulmonary emboli in the left and right pulmonary arteries extending into all of the lobar and numerous segmental and subsegmental branches. This finding is similar to prior study from 12/4/14, but there has been slightly decrea... | Large bilateral pulmonary emboli with overall slightly decreased clot burden as detailed above.PULMONARY EMBOLISM: PE: Positive.Chronicity: Chronic.Multiplicity: Multiple.Most Proximal: Main.RV Strain: Negative. |
Generate impression based on findings. | 18 year old female evaluate for fifth metatarsal fracture.VIEWS: Right foot AP lateral and oblique (3 views) 1/15/2015 No acute fracture or malalignment evident. No significant soft tissue swelling seen. | No acute fracture or malalignment evident. |
Generate impression based on findings. | Female 49 years old; Reason: assess vasculature prior to kidney transplant History: Prekidney transplant evaluation Evaluation of organs of abdomen and pelvis and vasculature suboptimal without IV contrast.ABDOMEN:LUNGS BASES: Trace pericardial effusion.LIVER, BILIARY TRACT: Liver measures 18 cm in craniocaudal dimensi... | 1. Suboptimal exam without IV contrast.2. Kidneys containing innumerable cysts bilaterally, may reflect acquired cystic disease, extensive calcified arterial disease as above. 3. Renal osteodystrophy. |
Generate impression based on findings. | Reason: Check J-Tube Placement- PLEASE INJECT CONSTATS IN TUBE TO CHECK PLACEMENT History: Pain at Site of Tube Difficulty With Feedings There was prompt opacification of normal appearing jejunum with contrast injection. J-tube was fast flowing. No contrast leakage was noted. TOTAL FLUOROSCOPY TIME: 1:05 minutes | Prompt opacification of normal appearing jejunum. No contrast leakage. |
Generate impression based on findings. | Reason: s/p 18 mo after RUL for T1aN0 Stage IA adenocarcinoma History: 6 mo f/u LUNGS AND PLEURA: Status post right upper lobectomy.No suspicious pulmonary nodules or masses.Mild upper lobe predominant centrilobular emphysema.No pleural effusions.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy.Cardiac siz... | Stable exam without evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Right frontal, right lateral parietal, and bilateral posterior paramedian occipital burr holes are again seen. Several of the previously identified depth electrodes have been removed. There is a remaining right occipital approach mesial right temporal lobe electrode. Trace intrinsic T1 hyperintensity is identified alo... | 1. Expected post procedural changes following laser ablation of the mesial right temporal lobe, with removal of depth electrodes.2. Trace left much greater than right subdural blood products likely relating to prior depth electrode placement. |
Generate impression based on findings. | 29 years, Female. Reason: 29 y/o Hx of Noonan syndrome w/ severe constipation/obstipation/gastroparesis no BM x20days History: No BM x20days Scattered surgical clips are noted. Moderate stool burden with multiple scybala noted in the descending colon. Not much gas is seen overlying the rectum. No dilated loops of bowel... | Moderate stool burden with multiple scybala. No dilated loops of bowel to suggest obstruction. No definite evidence of free air. |
Generate impression based on findings. | 8 year-old male, arm pain after fall.VIEWS: Left forearm AP and lateral (two views) left elbow AP oblique and lateral (3 views) 1/15/2015 No acute fracture or malalignment is evident. Proximal ulnar fracture no longer identified, compatible with healing. Small/moderate joint effusion. | Small/moderate joint effusion without underlying fracture seen. |
Generate impression based on findings. | Headache with subarachnoid hemorrhage 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 ca... | 1.There is a basilar tip aneurysm present with findings suggestive of recent rupture.2.There is a right MCA aneurysm present3.There is left MCA aneurysm present4.Subarachnoid hemorrhage5.No evidence for cervicocerebral occlusive disease6.Mild enlargement of the lateral ventricles.7.There is airspace disease present. Pl... |
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 9.3. The breast parenchyma is extremely dense, which lowers the sensitivity of mammography, unchanged in pattern and distribution. Asymmetry is present within the... | Left breast asymmetry. Further evaluation with spot compression imaging, ultrasound of necessary, is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: ED - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Reason: Hx of Floor of Mouth CA, S/P CRT eval for response. Compaire to prior scans, measurements please History: none CHEST:LUNGS AND PLEURA: Stable scattered calcified noncalcified micronodules compatible with prior granulomatous disease.Mild upper lobe predominant centrilobular and paraseptal emphysema.No new suspic... | Stable exam without evidence of metastatic disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History BRCA1 genetic mutation carrier. Family history of ovarian carcinoma in her mother and breast carcinoma in her maternal grandmother. Two standard digital views of both breasts were performed with tomosynthesis and reviewed with the aid of R2 CAD 9.3... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 11-year-old male with cerebral palsy and spastic quadriceps, evaluate hipsVIEWS: Pelvis AP (one views) 01/15/15 Postoperative changes are identified in both proximal femurs. Femoral heads are well directed into the acetabula. No acute fracture or malalignment is evident. Bilateral coxa valga deformities are present. | Femoral heads are well positioned in the acetabulum. |
Generate impression based on findings. | Male 75 years old; Reason: bilateral renal masses, evaluate size ABDOMEN:LUNGS BASES: Visualized lung fields without significant change with scattered micronodularity noted. No pleural effusion.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnor... | 1. Stable exam as described, bilateral renal masses seen, appearance consistent with bilateral renal cell carcinomas.2. Prostatomegaly. Underdistended bladder with mild circumferential wall thickening, similar in appearance to earlier study, likely reflecting chronic outlet obstruction but correlation with patient's cl... |
Generate impression based on findings. | Decreased memory, dizziness, and falls. There is no evidence of intracranial hemorrhage or mass. There are unchanged scattered punctate and confluent areas of low attenuation in the periventricular and subcortical white matter. There is also mild encephalomalacia in the anterior right temporal lobe. The ventricles and ... | 1. No evidence of intracranial hemorrhage, mass, or cerebral edema. 2. Unchanged scattered nonspecific areas of hypoattenuation in the cerebral white matter. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct. 3. Bilateral mastoidectomy. |
Generate impression based on findings. | Worsening sinusitis. There are bilateral air fluid level in the maxillary sinuses, as well as bubbly secretions within the left maxillary sinus and left sphenoid sinus. There is minimal diffuse bilateral ethmoid sinus mucosal thickening. The other paranasal sinuses are clear. The nasal cavity is clear. There is mild S-... | 1. Acute sinusitis.2. Right tympanomastoid opacification likely represent otomastoiditis.3. Carious tooth # 15. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign bilateral breast biopsies. Family history of breast carcinoma in her maternal grandmother in her 50s and maternal great aunt, as well as her paternal great-grandmother. Two standard digital views of both breasts, with additional bilateral... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this re... |
Generate impression based on findings. | Female 71 years old Reason: eval for SBO, etc. History: abd pain, n/v. also recently treated for diverticulitis ABDOMEN:LUNG BASES: Large hiatal hernia.LIVER, BILIARY TRACT: Mild diffuse fatty infiltration of the liver.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No ... | Diverticulosis without CT evidence of diverticulitis. Small rectal wall lipoma.Large lateral hernia.Diffuse fatty infiltration |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, with additional left CC and MLO views, were performed with tomosynthesis and reviewed with the aid of R2 CAD 9.3. Left MLO tomosynthesis was not performed due to limited mobility and positioning of the left breas... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this re... |
Generate impression based on findings. | T4aN0 supraglottic squamous cell carcinoma status post chemoradiotherapy. There are post-treatment findings with mild diffuse supraglottic swelling and heterogeneous enhancement and persistent effacement of the left pre-epiglottic fat, but no measurable discrete mass lesion or evidence of significant cervical lymphaden... | Post-treatment findings in the neck without evidence of measurable residual tumor or significant cervical lymphadenopathy. |
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 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Scattered benign calcifications are pr... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Female 80 years old Reason: baseline exam prior to starting systemic therapy; please provide bi-dimensional measurements History: hx of metastatic bladder cancer; CHEST:LUNGS AND PLEURA: Index right lower lobe nodule now measures 2.6 x 1.8 cm image number 97, series number 3, slightly increased in size compared to prev... | Interval increase in the size of the lung nodules and left retroperitoneal adenopathy.Interval development of the right-sided moderate hydronephrosis.Ill-defined enhancing soft tissues in the urethral/periurethra region. The etiology is unknown. Neoplasm cannot be excluded.Interval increase in the size of the mediastin... |
Generate impression based on findings. | Ms. Toncray-Smerz is a 53 year old female presenting with medial left breast pain. She does report a longstanding history of intermittent left breast pain along with a recent history of trauma. She says this may all be due to hormonal changes and is no longer in pain at the moment. Three standard views of the left brea... | No mammographic evidence of malignancy. Her breast pain should be managed clinically. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is due in May 2015 as her last bilateral mammogram was in May 2014. After that, presuming no new findings are seen, an annual schedule... |
Generate impression based on findings. | Four year old female, assess for aspiration.EXAMINATION: Oropharyngeal motility study 1/15/2015 Julie Ecclestone, speech and language therapist, supervised the examination.99 seconds of fluoroscopy was used.PRESENTATION: Nectar thickened liquids were presented via spoon.RESULTS: Poor bolus control, premature spillage a... | Penetration without cough. Although aspiration not directly observed, patient felt to be at high risk due to stasis.Please see the speech and language therapist's report for feeding recommendations. |
Generate impression based on findings. | Male 80 years old Reason: elevated LFT's in 80 year old with metastatic prostate cancer History: elevated LFT's LIVER: Mildly echogenic possible fatty infiltration. 14 cm in length. Single punctate cyst in the left lobe.Flow in the portal vein is hepatopedal, peak velocity .2 m/s.GALLBLADDER, BILIARY TRACT: Bladder. No... | Sludge in gallbladder. Punctate hepatic cyst. Possible fatty liver. |
Generate impression based on findings. | Male 24 years old Reason: injury, evaluate spine. History: decreased ROM and pain Bone mineralization is normal. There is mild straightening of the lumbar spine which may be positional.The disk spaces are normal. No compression fracture is evident. | No acute bony abnormality. If pain persists, consider MRI |
Generate impression based on findings. | Status post ORIF for right orbital wall fracture. There has been interval right lateral canthoplasty and screw and plate fixation of the lateral right orbital wall and rim comminuted fracture with improved alignment of the fracture fragments. There is a medial displaced bone fragment that measures up to 6 mm, adjacent ... | 1. Interval open reduction and internal fixation of the lateral right orbital wall and rim comminuted fracture with improved alignment of the fracture fragments, although a bone fragment is medially displaced along the lateral aspect of the right lateral rectus muscle and extensive right periorbital contusions and hype... |
Generate impression based on findings. | Male 20 years old Reason: ankle injury, evaluate for fracture History: pain and decreased ROM Bone mineralization is normal. Alignment is anatomic. No acute fracture is evident. Moderate soft tissue swelling is noted along the lateral aspect of the ankle.Possible trace tibiotalar joint effusion. | Lateral soft tissue ankle swelling without underlying fracture. |
Generate impression based on findings. | Male 51 years old Reason: history of locally advanced recurrent urothelial cancer; s/p pelvic exenteration/penectomy, assess for reccurrence History: none CHEST:LUNGS AND PLEURA: Emphysema and upper lobe Beulah, unchanged.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality noted... | Interval resection of large soft tissue mass in the pelvis.Interval increase in the size and number of pelvic adenopathy. |
Generate impression based on findings. | Female 64 years old Reason: evaluate for pain History: knee pain Right knee: Components of a total right knee arthroplasty are in anatomic alignment without radiographic evidence of hardware complication. There is a trace right knee joint effusion. No acute malalignment or fracture.Left knee: Severe osteoarthritis affe... | Total right knee arthroplasty as detailed above.Moderate to severe left knee osteoarthritis. |
Generate impression based on findings. | Female 63 years old Reason: thyroid nodule History: thyroid nodule RIGHT LOBE MEASUREMENTS: 2.9 x 1.7 x 1.5 cm. Previously 3.8 x 1.7 x 1 .6 cm.LEFT LOBE MEASUREMENTS: 3.4 x 1.6 x 1.3 cm. Previously 3.3 x 1.6 x 9 cm.ISTHMUS MEASUREMENTS: .2 cm in thickness unchanged.RIGHT LOBE: Heterogeneous nodules which I believe spon... | Stable bilateral nodules as described and small benign-appearing lymph nodes. |
Generate impression based on findings. | 62-year-old male with history of invasive squamous cell cancer of the skin. Also coal dust exposure with pleural plaques on CT. Rule out metastatic disease.RADIOPHARMACEUTICAL: 14.6 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 119 mg/dL. Today's CT portion grossly demonstrates several pleural based nodule... | No suspicious FDG avid lesion to suggest tumor recurrence or metastasis. Specifically, the pleural nodules/plaques demonstrate no FDG activity and may be benign. |
Generate impression based on findings. | Male 71 years old; Reason: evaluate pelvis History: 71 yo pt w/ hx of T1 penile cancer (hx of Squamous of penis) s/p partial penectomy with penile reconstruction in 6/2013. Evaluate evidence of metastatic disease, abdomen/pelvis.RADIOPHARMACEUTICAL: 15.9 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 119 mg... | No suspicious FDG avid lesion to suggest tumor activity currently.Diagnostic CT of the pelvis also performed at today's visit will be reported separately. |
Generate impression based on findings. | Diffuse heterogeneity of the marrow is seen with enhancement throughout the calvarium compatible with metastatic osseous disease. Osseous metastasis includes skull base including the clivus and petrous apices.There is an extra-axial fluid collection along the right cerebral convexity measuring up to 9 mm in the maxima... | 1. Diffuse calvarial metastatic disease including the skull base.2. Enhancing soft tissue along the left inferior frontal convexity and right anterior temporal convexity are compatible with mild intracranial extension and dural invasion associated with adjacent osseous metastases. There is mild edema involving the left... |
Generate impression based on findings. | Female 66 years old; Reason: hx of ventral hernia, evaluate for SBO ABDOMEN:LUNGS BASES: Incompletely imaged minimal calcified coronary artery disease. LIVER, BILIARY TRACT: Right upper quadrant surgical clips related to prior cholecystectomy. Prominent liver measuring up to 21 cm in craniocaudal dimension, unchanged, ... | 1. No evidence of ventral abdominal hernia. No bowel obstruction.2. Mild interval increase in size of right adnexal cystic lesion, for which correlation with patient's clinical history and dedicated pelvic sonography if not already performed is recommended.3. Unchanged right adrenal adenoma. |
Generate impression based on findings. | Female 73 years old Reason: Change in nodules History: Multinodular goiter, tracheal deviation, low TSH RIGHT LOBE MEASUREMENTS: 8.5 x 5.3 x 3.9 cm. Previously 8 x 5.1 x 3 cm.LEFT LOBE MEASUREMENTS: 7.7 x 3 x 3.8 cm. Previously 6.5 x 3.5 x 2.7 cm.ISTHMUS MEASUREMENTS: 2.5 cm in thickness, previously 2.1 cm in thickness... | Minimal change in size of nodules. Character unchanged as detailed above. Findings most consistent with multinodular goiter. |
Generate impression based on findings. | Reason: Size lung nodule. Progression ILD. History: Baseline mild DOE. Needs O2 with exercise. LUNGS AND PLEURA: There are decreased lung volumes with redemonstration of basilar predominant fibrosis consisting of septal thickening, traction bronchiectasis, and subpleural areas of consolidation and groundglass opacities... | No interval change in basilar predominant interstitial fibrosis with subpleural areas of consolidation and groundglass opacities which may represent organizing pneumonia or fibrosing NSIP associated with known connective tissue disease. No specific evidence of acute infection. |
Generate impression based on findings. | Female 57 years old Reason: 57 yo F hx of Hep C with RUQ pain, focal ttp. CT abdomen neg. s/p cholecystectomy. pls eval for liver abnormalities, retained stone History: RUQ pain. LIVER: Cirrhotic morphology. Coarse echotexture. 15 cm in length. No discrete mass. The flow in the portal vein is hepatopedal, with a peak v... | Cirrhotic morphology liver with no focal lesions. Echogenic kidneys suggest medical renal disease. No biliary dilatation. |
Generate impression based on findings. | Female 59 years old Reason: SBO History: recurrent SBOs, similar feeling The exam is not sensitive for detecting lesions in the solid organs and vasculature due to lack of intravenous contrast. Given those limitation, the following observations are made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY... | No evidence of small bowel obstruction. No specific findings to explain abdominal pain. |
Generate impression based on findings. | Female 66 years old Reason: Preop History: PAIN Severe osteoarthritis affects the right knee with bone on bone apposition in the medial compartment and tricompartmental osteophytes. Trace joint effusion. No acute fracture or malalignment. Mechanical axis of the right lower extremity is approximately 6 degrees of varus. | Severe right knee osteoarthritis and mechanical axis as detailed above. |
Generate impression based on findings. | Male 71 years old Reason: 71 yo pt w/ hx of T1 penile cancer (hx of Squamous of penis) s/p partial penectomy with penile reconstruction in 6/2013. Evaluate evidence of metastatic disease, abdomen/pelvis History: CT/PET scan preferred exam. PROSTATE, SEMINAL VESICLES: No significant abnormality noted.BLADDER: No signifi... | No definite evidence of metastatic disease. Decrease in size of previously seen pelvic nodes. |
Generate impression based on findings. | Female 21 years old Reason: fracture? History: pain Bone mineralization is normal. Alignment is anatomic. No acute fracture is evident. | No evident fracture. |
Generate impression based on findings. | Female, 67 years old, reported trigger: elevated BMI, counts correct. Packing material seen in pelvis, reportedly located in the vagina and intentionally left behind, curvilinear material extends into upper pelvis. Multiple pelvic surgical clips also seen. Pelvic drainage catheter. Scoliosis and laminectomy changes sug... | Postsurgical sequela as above. |
Generate impression based on findings. | Male 48 years old; Reason: Pre-kidney transplant evaluation. Evaluate vasculature to support transplant. Rule out carcinomatosis reported on previous scan from 2013. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANC... | 1.Ascites and carcinomatosis. 2.Chronic medical renal disease. Renal osteodystrophy. 3.Atherosclerotic disease. |
Generate impression based on findings. | Female 57 years old Reason: Colon Cancer: Restaging History: NA CHEST:LUNGS AND PLEURA: Scattered calcified pulmonary micronodules unchanged. Opacity irregularly-shaped in the lingula or left lower lobe is increased in size. Series #4, image #51 measures 1.5 x 0.8 cm. previously difficult to separate from adjacent vess... | Progression of disease particularly based on new liver and probably new lung lesions. Other findings as above. |
Generate impression based on findings. | Female 46 years old; Reason: evaluate for response/progression. History: uterine adenosarcoma. CHEST:LUNGS AND PLEURA: Visualized lung fields essentially stable in appearance with scattered micronodularity seen, e.g., 2 mm right upper lobe and lower lobe nodules without significant change. MEDIASTINUM AND HILA: Referen... | Findings suspicious for new and worsening metastatic disease, with new right adnexal and mesenteric soft tissue nodularity as well as mild interval enlargement of a liver lesion as described. |
Generate impression based on findings. | Female 54 years old Reason: lymphoma History: surveillance at 1 year CHEST:LUNGS AND PLEURA: No new lung nodules. Probable scars right middle and lower lobes and changedMEDIASTINUM AND HILA: Enlarged heterogeneous thyroid with nodular character in several discrete nodules largest in the inferior aspect the left lobe me... | Minor difference in measurements as above. Probably stable disease.Other findings as above including enlarged nodular thyroid gland. |
Generate impression based on findings. | Refractory Hodgkin's lymphoma status post chemotherapy, in need of reimaging. Adenopathy or other CHEST:LUNGS AND PLEURA: Small 4-mm right lower lobe lung nodule (series 4 count image 71) is unchanged. No new nodules, airspace disease or effusions are seen.MEDIASTINUM AND HILA: Anterior mediastinal soft tissue density ... | Small residual lymph nodes in the chest and pelvis as described above which do not meet size criteria for lymphadenopathy and have either slightly decreased in size or remained stable. No new foci of disease seen. |
Generate impression based on findings. | Reason: 77 yo female with hx of pancreas cyst following a subtotal panreatectomy History: pancreas cyst ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Scattered hepatic hypodensities most compatible with cysts are unchanged.SPLEEN: No significant abnormality notedPANCREAS: Status post subtota... | Status post subtotal pancreatectomy with unchanged cystic focus in the pancreatic head most likely representing an intraductal papillary mucinous neoplasm. |
Generate impression based on findings. | 51 years, Male. Reason: New onset emesis, evaluate for ileus; bladder cancer s/p radical cystectomy and neobladder and pelvic LN dissection 1/12/2015 Skin staples, surgical clips in the abdomen and pelvis, and pelvic catheters are noted. There is dilatation of the proximal small-bowel measuring up to 3.7-cm. Colon cont... | Early developing partial bowel obstruction vs ileus. |
Generate impression based on findings. | 53-year-old male with history of end-stage renal disease/PCKD, pretransplant evaluation ABDOMEN:LUNG BASES: Minimal basilar dependent atelectasis/scarring.LIVER, BILIARY TRACT: Multiple hypoattenuating liver foci, consistent with given history of polycystic kidney disease. Gallbladder is contracted.SPLEEN: No significa... | Findings consistent with given history of polycystic kidney disease and cystic involvement of the liver. Minimal atherosclerotic disease of the distal aorta as above without calcifications visible in the iliac arterial tree. |
Generate impression based on findings. | Male 33 years old Reason: H/O Hodgkin Lymphoma now s/p 2 cycles of ABVD in need of restaging. Please compare to prior. History: Hodgkin Lymphoma. CHEST:LUNGS AND PLEURA: Right middle lobe disease increased in size compared to the prior exams is image 27/57. A few punctate micronodules.MEDIASTINUM AND HILA: Lateral medi... | Marked decrease in all lesions. |
Generate impression based on findings. | 3-year-old female with foreign bodyVIEW: Abdomen AP (one view) 01/15/15 Previously noted metallic foreign body is seen unchanged in position within the distal thoracic esophagus. The bowel gas pattern is nonobstructive. | Metallic foreign body is unchanged in position. |
Generate impression based on findings. | 86 year old female with history of pain and weakness. Evaluate for fracture or hardware loosening. The bones are demineralized suggesting osteopenia/osteoporosis.Right hip: Hardware components of a right total hip arthroplasty are situated in near-anatomic alignment without radiographic evidence of hardware complicatio... | Postsurgical changes and severe degenerative disease as above. |
Generate impression based on findings. | 64 years, Male. Reason: Assess NJ tube position History: NJ tube Limited visualization of abdomen. Pelvis is excluded from view. Two enteric tubes are seen again, one tip in the gastric body and another tip in the distal duodenum. Pleural effusions noted. | Stable appearing enteric tubes. |
Generate impression based on findings. | 12-year-old female status post surgical hardware removal of screw.VIEWS: Right ankle AP/lateral (two views) 01/15/15 Interval removal of cast material, two orthopedic fixation screws, and two K wires. Radiodense foreign body is seen within the soft tissues inferior to the lateral malleolus.There has been fusion of the ... | Healing ankle fractures status post removal of orthopedic hardware. |
Generate impression based on findings. | 24 year-old female with history of hallux valgus Status post osteotomy of the first metatarsal head with two screws affixing the first metatarsal and medial cuneiform. Gas in the soft tissues reflects recent surgery. | Postoperative changes as described above without evidence of hardware complication. |
Generate impression based on findings. | Reason: H/o intestinal lymphoma; please restage History: constipation, nausea CHEST:LUNGS AND PLEURA: Stable left lower lobe micronodule. No suspicious nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: Scattered small mediastinal lymph nodes unchanged.CHEST WALL: Bilateral prepectoral breast implants.ABDOME... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 74 years, Female. Reason: Dobbhoff History: Dobbhoff; VSD repair, patch, aneurysm resection 1/14/2015 Limited view of the abdomen and pelvis.Numerous large bore catheters are noted. Please refer to same day chest radiograph for positioning. Postsurgical changes with scattered clips noted.Dobbhoff tube tip is noted slig... | Dobbhoff tube tip projected over gastric antrum. |
Generate impression based on findings. | 74-year-old female status post IM nail placement An intramedullary rod affixing a pathologic fracture of the proximal femoral diaphysis is again noted in near-anatomic alignment. Fracture fragment alignment is unchanged without significant osseous bridging. Surgical clips are present in the soft tissues. | Orthopedic fixation of pathologic proximal femur fracture as described above. |
Generate impression based on findings. | 40 year-old male with a history of elevated AFP, retroperitoneal lymphadenopathy. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: 1.8 x 1.3 cm enhancing lesion seen in right lobe of liver (series 3 and image 38) -- in retrospect this was seen is an enhancing lesion similar in size on the 4/1/1... | 1. Predominately stable or slightly smaller retroperitoneal and pelvic lymph nodes -- 1 exception lymph node in the right external lymph node chain is slightly increased in size. 2. 1.8 x 1.3 cm homogeneous enhancing lesion in the liver unchanged since 2013 and most likely representing benign focal nodular hyperplasia,... |
Generate impression based on findings. | 39 year old male with neurofibromatosis type I.VIEWS: Thoracolumbar spine AP and lateral (two views) 1/15/2015 There is 16 degrees of dextroscoliosis between L4 and T2. Mild degenerative changes affect the thoracic spine. | 16 degrees of dextroscoliosis of the thoracolumbar spine as detailed above. |
Generate impression based on findings. | 78-year-old male with chronic right hip pain Three orthopedic screws affix the femoral head and neck without evidence of hardware complication. Deformity and sclerosis of the femoral neck is consistent with healing fracture. | Orthopedic fixation without evidence of hardware complication |
Generate impression based on findings. | 34 years, Male. Reason: eval for cause of lower abd pain, concern for constipation History: LQ abd pain Moderate stool burden is noted. Nonobstructive bowel gas pattern. | Moderate stool burden. |
Generate impression based on findings. | 43 year old female with history of right upper quadrant abdominal pain. Evaluate for pancreatitis versus colitis. ABDOMEN:LUNG BASES: Minimal left pleural effusion and underlying atelectasis, increased from prior. Scattered bilateral pulmonary micronodules, many of which are calcified. Four chamber cardiomegaly, with p... | 1.Pancreas within normal limits - this indicates no complications of pancreatitis, but can commonly be the appearance of pancreas with pancreatitis..2.No CT evidence of colitis. |
Generate impression based on findings. | Restaging Mantle cell lymphoma status post 6 cycles of chemotherapy.RADIOPHARMACEUTICAL: 13.6 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 75 mg/dL. Today's CT portion grossly demonstrates emphysematous changes at both lung apices. Extensive atherosclerotic including coronary arterial calcifications are p... | Complete interval resolution of previous extensive hypermetabolic lymph node and diffuse splenic activity without FDG avid tumor currently in the neck, chest, abdomen or pelvis. |
Generate impression based on findings. | 50 year old female status post lumpectomy left for triple negative breast carcinoma,presents today for routine follow up. Patient is BRCA 1 positive. Patient is scheduled for prophylactic bilateral mastectomies. Family history of breast carcinoma in two paternal aunts, two paternal cousins, and her paternal grandmother... | 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. | 61-year-old male status post left hip arthroplasty. Left hip: Hardware components of a left total hip arthroplasty are situated in near-anatomic alignment without radiographic evidence of hardware complication.Pelvis: There is a left total hip arthroplasty. Severe osteoarthritis affects the right hip with bone-on-bone ... | Left total hip arthroplasty without evidence of complication. Severe osteoarthritis 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 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 73-year-old male with cirrhosis, questionable HCC. Focus of increased uptake at the anterior right seventh rib correlates with post traumatic appearance seen on current CT. Increased radiotracer activity at the right T8 vertebral body is compatible with degenerative changes also correlating with CT findings. No suspici... | No evidence of bone metastases. |
Generate impression based on findings. | 77-year-old female with history of myeloma now presenting with shoulder pain. No acute fracture or dislocation. There is no evidence of myelomatous lesions. Mild degenerative changes affect the AC joint, glenohumeral joint and visualized thoracic spine. | Degenerative changes without evidence of fracture or myelomatous lesions. |
Generate impression based on findings. | Reason: ILD pt with MCTD, had outside scan from Advocate hosp in spring 2014 with nodularity rule out progression - History: shortness of breath LUNGS AND PLEURA: Diffuse patchy upper and lower lung subpleural reticulonodular interstitial opacities are not significantly changed from the previous study, most severe in t... | Unchanged diffuse interstitial lung disease with a predominantly subpleural distribution and evidence of fibrosis, most compatible with UIP or fibrosing NSIP secondary to connective tissue disease. |
Generate impression based on findings. | Ms. Attanasio is a 61 year old female with a personal history of right breast lumpectomy in September 2012 for IDC followed by radiation and hormonal therapy. Three standard views of both breasts with two right spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchym... | Stable postsurgical changes in the right 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 - Diagno... |
Generate impression based on findings. | 59-year-old female with chest wall pain for 3 months. Evaluate for COPD progression and chest wall mass. CHEST:LUNGS AND PLEURA: Left apical mass with lobulated margins and consistent with primary lung carcinoma. The apical mass measures 59 x 46 mm (series 5, image 24) and is contiguous with and likely invades the pleu... | COPD and minimal scarring without acute disease |
Generate impression based on findings. | 45-year-old female with multicentric left breast cancer (3 masses).RADIOPHARMACEUTICAL: The left breast was prepared in a sterile manner. A total of 0.51 mCi Tc-99m filtered sulfur colloid was injected subcutaneously. Following injection, intraoperative probe localization was performed. No images were acquired. | Successful left breast injection for intraoperative identification of sentinel lymph node. |
Generate impression based on findings. | 53-year-old female with history of pain. Left knee: There are tiny osteophytes present compatible with mild osteoarthritis. No acute fracture or malalignment. No joint effusion.Right hip: No acute fracture or dislocation. Alignment is anatomic. Minimal degenerative disease affects the hip. | Minimal degenerative disease as above. |
Generate impression based on findings. | The exam is limited by a striated artifact of uncertain etiology. Mild prominence of the ventricles and sulci is consistent with parenchymal volume loss greater than expected for the patient's age. There is no intracranial hemorrhage, midline shift, or significant mass effect. Focal prominence of the extra-axial space... | No acute intracranial abnormality. Probable arachnoid cyst in superior posterior fossa. |
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 9.3. The breast parenchyma is composed of scattered fibroglandular density. There is a cluster of calcifications in the right upper inner breast, mid-depth. No su... | Incompletely characterized calcifications in the right breast. An attempt should be made to obtain patient's prior examinations for comparison purposes. If not possible, then additional imaging including spot magnification views should be obtained.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION... |
Generate impression based on findings. | LVAD on coumadin with MAPs in the 130s and prior hemorrhagic CVA. There are postoperative findings related to right frontal craniotomy. There is no evidence of intracranial hemorrhage or mass. There is extensive hypoattenution in the right frontal lobe, which is appears slight more hypoattenuating than on the prior exa... | 1. No evidence of acute intracranial hemorrhage with evolution of the prior right frontal hemorrhage and postoperative alterations.2. Chronic left cerebellar hemisphere infarct. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are bilateral screening mammogram dated June 17, 2014, and images from left axillary lymph node biopsy dated December 4, 2014 performed at Northwestern Memorial Hospital. For comparison, left axillary ultrasound dated November 20, 2014 and multiple scre... | Low suspicion left axillary lymph nodes. Patient is status post biopsy of one of the left axillary nodes with reports of a benign result. We concur with outside interpretation that this result is concordant. BIRADS: 2 - Benign finding.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 47-year-old male with history of knee pain. Tiny osteophytes indicate mild osteoarthritis. No acute fracture or dislocation. Mild osteoarthritis affects the right knee as seen on the frontal view. | Osteoarthritis as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of ovarian cancer in mother. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Foc... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Exam is limited by beam hardening related to patient's elevated shoulders. Straightening of the normal cervical lordosis is likely secondary to positioning or muscle spasm. The vertebral body heights are preserved and alignment is anatomic. There is no evidence of fracture. The prevertebral soft tissues are normal. Th... | No acute fracture or malalignment of the cervical spine. |
Generate impression based on findings. | Reason: SBO History: abdominal pain. Additional clinical history of Crohn's status post total colectomy and J pouch/ileoanal anastomosis now status post diverting loop ileostomy with pain and recent CT with rectal contrast administered at Pallos hospital. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIA... | 1. Postoperative changes of total colectomy, J-pouch/ileoanal anastomosis and diverting loop ileostomy with dilation of bowel loops containing a large amount of fecal material and multifocal areas of luminal narrowing distal to the loop ileostomy as described above. Contrast opacification of the pouch and distal bowel ... |
Generate impression based on findings. | 67-year-old female with history of C7 fracture and myeloma. The cervicothoracic junction is obscured by overlying anatomy. Moderate to severe degenerative disease affects the cervical spine with anterior osteophyte formation at C5, C6, and C7. There is also evidence of uncal vertebral hypertrophy and facet arthropathy.... | Degenerative changes and myelomatous lesions as above. |
Generate impression based on findings. | Reason: 75 yo F with scleroderma with abnl PFTs, concerning for ILD with Pulm HTN. Please evaluate for ILD findings History: no sob. LUNGS AND PLEURA: Mild diffuse bronchial thickening and very mild bronchiectasis in the left lower lobe.Three mild subpleural reticulonodular opacity in the right upper and middle lobes, ... | 1. No evidence of diffuse interstitial lung disease.2. Patulous dilated esophagus consistent with scleroderma.3. Mild subpleural radiation reaction on the right and very mild left lower lobe bronchiectasis. |
Generate impression based on findings. | CVA No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits for age without evidence of hydrocephalus. No extra-axial collections. The visualized portions of t... | 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. |
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