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Generate impression based on findings. | 54-year-old male with multiple myeloma, on clinical trial, increased mid and lower back pain with radiation Thoracic spine: T8 compression fracture with greater than 50% loss of height, slightly progressed. No discrete myelomatous lesions. Partially seen is an expansile, destructive anterior third rib lesion.Lumbar spi... | 1.T8 vertebral body compression fracture is slightly progressed.2.Vertebroplasty and loss of vertebral body height of L1, unchanged.3.Partial visualization of expansile, destructive anterior third rib lesion. |
Generate impression based on findings. | 12-year-old female with right ankle pain after inversion injury.EXAMINATION: Right ankle AP, lateral, and oblique views 3 views 5/5/2015 at 11:03 No soft tissue swelling, joint effusion, dislocation or acute fracture is identified. | No acute fracture or dislocation. |
Generate impression based on findings. | 82-year-old female. Left lumpectomy 2005 for IDC ER+ PR+ Her2 neg T1cN0. Status post AI x 5 years. No current breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in patt... | 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.I personally reviewed the Images a... |
Generate impression based on findings. | Blount's disease and surgery.VIEWS: Right tibia-fibula AP/lateral (two views) 05/05/15 Ilizarov device is intact. Osteotomies of the proximal tibia and proximal mid fibula are again seen. Alignment is unchanged. Callus formation has increased in the interval. | Continued healing of the osteotomies. |
Generate impression based on findings. | 71-year-old female with a history of left breast DCIS and IDC status post lumpectomy on 11/8/2013. Patient complains of new left axillary pain and "nodularity". The patient describes the nodularity as superficial and adjacent to a "ligament" that she has felt since the surgery. Three standard views of both breasts as w... | 1. Postsurgical and postradiation therapy changes affecting the left breast. No mammographic evidence of malignancy.2. Postoperative fluid collection in the left axilla. No solid masses or suspicious sonographic findings to explain the area of patient concern. Continued clinical management recommended.3. Aside from iss... |
Generate impression based on findings. | History of goiter with question of substernal extension. There is enlargement of the bilateral thyroid lobes with multiple small nodules. The right thyroid lobe measures 3.8 x 2.4 x 5.6 cm (AP x TR x CC). The left thyroid lobe measures 4.3 x 3.2 x 6.5 cm (AP x TR x CC). Enlargement of the thyroid isthmus with nodule is... | Multinodular goiter with minimal mass effect on the trachea and slight rightward tracheal deviation. No retrosternal extension. |
Generate impression based on findings. | Female 14 years old Reason: R/O fx History: pain swellingVIEWS: Left foot and ankle AP, lateral and oblique 5/5/2015 (6 views) Ankle joint effusion and soft tissue swelling with no fracture or malalignment. | Ankle joint effusion and soft tissue swelling. |
Generate impression based on findings. | Cough and pleuritic right-sided chest pain.VIEWS: Chest AP/lateral (two views) 5/5/2015 at 1142 hours. The aortic arch, cardiac apex and stomach are left-sided.Cardiac silhouette is normal in size and shape. No focal lung opacities. No effusions or pneumothorax.Visualized osseous structures are intact. Round density ad... | Normal chest.Question of gallbladder stone |
Generate impression based on findings. | Right pterygopalatine fossa mass. Suspected malignancy. Provide fine needle aspiration and possibly biopsy. Serial CT images obtained prior the procedure demonstrate a right pterygopalatine fossa mass which extends into the right foramen rotundum. Comparing the left foramen rotundum to the right foramen rotundum the ri... | 1.CT-guided fine-needle aspiration and biopsy of right pterygomaxillary fossa mass as detailed above.2.There is a mass present right pterygomaxillary fossa which infiltrates through the right foramen rotundum and the right infraorbital foramen and also extends through the right sphenopalatine foramen into the superior ... |
Generate impression based on findings. | Female, 51 years old. Reason: Rule out free air History: severe, sudden onset RLQ pain No free air identified on decubitus imaging.Multiple mildly dilated bowel loops with air-fluid levels. | No free air. Ileus pattern. |
Generate impression based on findings. | Back ache.VIEWS: Lumbar spine AP and lateral. Sacrum lateral view 5/5/2015 (3 views) 83 degrees lumbar lordosis with no segmentation or fusion defect. No fracture or malalignment. No spondylolisthesis or spondylolysis. Vertebral body heights and disc spaces are maintained. | Exaggerated lumbar lordosis, may be related to pain. |
Generate impression based on findings. | Status post fracture.VIEWS: Right elbow AP and lateral 5/5/2015 at 1217 hours (2 views) Interval removal of cast. Healing supracondylar fracture with periosteal reaction is in near-anatomic alignment. | Healing fracture, in near anatomic alignment after cast removal. |
Generate impression based on findings. | Reason: Complains of heartburn and dysphagia. History of lung transplant. Scout radiograph of the chest showed multiple surgical clips overlying the mediastinum presumably from prior thoracotomy. No abnormal pulmonary opacities or pleural effusions.Double contrast evaluation of the esophagus and gastric cardia/fundus r... | 1.Moderate dysmotility disorder of the esophagus. During the persistent tertiary waves, the patient expressed mild to moderately symptoms raising the question of possible "diffuse esophageal spasm."2.Spontaneous gastroesophageal reflux with delayed clearance but without evidence of gastritis.Findings were discussed by ... |
Generate impression based on findings. | Left forearm swelling.VIEWS: Left wrist AP, lateral and oblique and left forearm AP and lateral 5/5/2015 (5 views) There is a transverse fracture of the distal radius and a buckle fracture of the distal ulna with palmar angulation. | Distal both forearm fractures as described. |
Generate impression based on findings. | Clinical question: Kidney cancer. Signs and symptoms: Ringing in the ears, blurry vision and headaches. Pre- and post enhanced head CT:There is no detectable acute intracranial process on nonenhanced portion of this exam. Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray-white matter... | Unremarkable pre and post enhanced head CT. |
Generate impression based on findings. | Reason: eval for pe History: pleuritic cp, unilateral le, elevated ddimer PULMONARY ARTERIES: The examination is technically adequate for the evaluation of pulmonary embolism. No pulmonary embolus is present.LUNGS AND PLEURA: There is a solitary cavitary nodule within the superior segment of the left lower lobe measuri... | No pulmonary embolism.Solitary cavitary nodule superior segment left lower lobe without other associated abnormality. While this is nonspecific, differential considerations include infection such as focal fungal (histoplasmoma) /bacterial infection. Septic embolus and vasculitis are considered less likely.Left adrenal ... |
Generate impression based on findings. | Female 32 years old; Reason: abdominal pain worse in RUQ but history of fibroids etc., wbc 17, tachycardic, tachypneic History: He is aware pain ABDOMEN:LUNG BASES: Reticular opacities at the lung bases likely atelectasis or scarring.LIVER, BILIARY TRACT: Hepatic steatosis.SPLEEN: No significant abnormality noted.PANCR... | 1.Nonspecific circumferential thickening of a midline loop of small bowel with perienteric induration and fluid, could be infectious given history, with inflammatory or ischemic not excluded. |
Generate impression based on findings. | History of T1N3M0 SCCA of the right pyriform sinus. Patient completed CRT November 2009. Compare to prior study. There are stable post treatment findings within the right neck, oropharynx, hypopharynx and larynx including unchanged distortion of tissue planes and soft tissue density within the right posterior cervical ... | 1. Stable post-treatment changes involving the right neck without evidence of measurable tumor recurrence. No evidence of cervical lymphadenopathy.2. Suspect approximately 50% narrowing of the bilateral internal carotid arteries at the level C1. Please note that CT of neck is not accurate in this assessment. If clinica... |
Generate impression based on findings. | The paranasal sinuses are clear. The nasal cavity is also clear. There is no significant nasal septal deviation. The lamina papyracea and ethmoid roofs are intact. The carotid groove and optic canals are covered by bone. The nasopharynx, facial soft tissues, orbits, and imaged intracranial structures appear to be unre... | No evidence of sinusitis. |
Generate impression based on findings. | Female 4 years old Reason: fracture VIEWS: Left elbow AP and lateral 5/5/2015 (2 views) Cast material obscures fine bone details. 3 K wires are affixing a lateral epicondyle displaced healing fracture to anatomic alignment. | Interval testing and pinning of elbow fracture as described. |
Generate impression based on findings. | Female 12 years old Reason: Stool burden? History: Severe constipation, s/p disimpaction, rectal irrigation, several days of NG GolytelyVIEW: Abdomen AP (one view) 5/5/2015 at 1222 hours. Feeding tube tip is at the stomach fundus. Normal abdominal gas pattern. No evidence of fecal impaction, obstruction or free air. | Normal abdomen. |
Generate impression based on findings. | Left foot injury.VIEWS: Left foot AP, lateral and oblique 5/5/2015 (3 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Female 54 years old; Reason: check interval change liver; History: periumbilical pain, hepatomegaly ABDOMEN:LUNG BASES: Partially visualized 4 mm nodule in the right lower lobe (3:2).LIVER, BILIARY TRACT: Hepatic steatosis. Status post cholecystectomy. Liver measures 21.6 cm in craniocaudal dimension.SPLEEN: No signifi... | 1.Partially visualized pulmonary nodule in the right lower lobe. This can be followed as per Fleischner criteria if indicated.2.No acute abdominal or pelvic pathology. Mild hepatomegaly. |
Generate impression based on findings. | Knee pain and swelling 4 views of the left knee reveal small joint effusion. No other radiographic abnormalities. No fractures or dislocations. | Left knee joint effusion. Otherwise negative |
Generate impression based on findings. | Pain and swelling. Fell one month ago 4 views of the left knee reveal small medial and lateral osteophytes. There are small osteophytes at the undersurface of the patella. Note is made of a small joint effusion. No fractures or dislocations. | Mild degenerative changes with a knee joint effusion. No fractures or dislocations |
Generate impression based on findings. | Male 57 years old; history of bleeding, evaluate for kidney stones, evaluate for mass versus renal pathology versus bladder mass ABDOMEN:LUNGS BASES: Small dependent atelectasis. LIVER, BILIARY TRACT: Mild hepatomegaly.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: N... | 1. Suboptimal study secondary to absence of IV contrast, making evaluation for renal or bladder mass difficult. No hydronephrosis or radiopaque renal stones seen. If there is continued clinical concern, further evaluation with contrast-enhanced imaging recommended.2. Mild hepatomegaly.3. Enlarged prostate, measuring 5.... |
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. 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. 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. | Left paraspinous asymmetry.VIEWS: Thoracic and lumbar spine AP 5/5/2015 (1 view/s) Vertebral bodies heights and disc spaces are maintained. No evidence of segmentation or fusion defects. No scoliosis. Mild amount of fecal accumulation. | No scoliosis. |
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: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | There has been interval right frontal craniotomy with partial evacuation of a large right frontal lobe parenchymal hematoma which extends down to the level of the frontal horn. There is overlying simultaneous emphysema and soft tissue edema. There is minimal mixed density extra-axial collection underlying the cranioto... | 1. Interval expected postoperative changes following partial right frontal parenchymal hematoma evacuation, with residual prominent scattered blood products although overall area of hemorrhage is decreased since the prior exam. Improved midline shift and localized mass effect.2. Intraventricular blood products noted, l... |
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. Scattered benign calcifications are noted in right breast.No suspicious mass... | 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. Stable benign lobulated mass in the 5... | 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. Tomosynthesis images are also obtained. The breast parenchyma is mostly fatty replaced, 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: NSA - 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. | 53-year-old female with personal history of left lumpectomy 5/2013 for IDC and DCIS status post chemotherapy and radiation. MR guided benign left breast biopsy at 9 o'clock in 5/20/2013. Family history of breast carcinoma in mother, maternal aunt and paternal cousin. Three standard views of both breasts, additional lef... | Stable benign posttreatment changes of the left breast. Stable diffuse bilateral calcifications. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogr... |
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. 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. | Fracture.VIEWS: Right femur AP/lateral (two views) 05/05/15 A chest obscures bony detail. The oblique fracture of the mid femur is again seen. Callus formation has increased. Overriding is unchanged. | Healing fracture of the femur. |
Generate impression based on findings. | Right hip pain. Rule out avascular necrosis. History of leukemia.VIEWS: Pelvis AP/frog leg (two views) 05/05/15 The round, smooth femoral heads are well directed into normally formed acetabula. No fracture is identified. The proximal femoral physes are fusing. | Normal examination. |
Generate impression based on findings. | Female 51 years old; Reason: Rule out appendicitis, colitis, pancreatitis History: severe, sudden right lower quadrant pain and tenderness ABDOMEN:LUNGS BASES: Nodular bibasilar infiltrate incompletely imaged, most pronounced in the lingula. Submitted for reference is a left lower lobe lung nodule measuring 6 mm, image... | 1. Right-sided rectus sheath hematoma.2. Findings consistent with multifocal pneumonia, incompletely imaged.3. Decreased osseous mineralization and diffuse bony heterogeneity with multiple lucent foci seen, consistent with patient's history of multiple myeloma.Findings discussed with PA J. Waite-Marin at 1:25 p.m. and ... |
Generate impression based on findings. | Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Postsurgical changes including a postoperative seroma and surgical clips noted in the left upper outer lum... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard 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. There is a cluster of calcifications... | A cluster of calcifications at posterior lower outer quadrant in the right breast. Spot magnification views are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are digital mammographic images (1/23/15, 1/29/15), ultrasound images of left breast (1/29/15) performed at Riverside Medical Center. For comparison, digital mammographic images (12/17/13) are available. DIGITAL MAMMOGRAPHIC IMAGES (1/23/15, 1/29/15):Th... | 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: NS - Routine Screening Mammogram. |
Generate impression based on findings. | There is stable grade 1 anterolisthesis of L4 on L5 which appears degenerative in etiology. There is susceptibility artifact dorsally at this level relating to the interspinous clamp. The lumbar spine is otherwise in normal alignment, with a normal lumbar lordosis. The vertebral body and disk heights are stable, with ... | 1. Redemonstration of postoperative changes posteriorly at L4-L5 spinous process clamp.2. Redemonstration of mild grade 1 anterolisthesis of L4 on L5 which appears degenerative in etiology. This contributes to overall moderate-severe central spinal canal stenosis at this level extending down to the upper L5 levels as t... |
Generate impression based on findings. | Female 64 years old; Reason: pt with RLQ pain/flank pain History: RLQ and flank pain/dysuria ABDOMEN:LUNGS BASES: Minimal patchy right lower lobe groundglass airspace disease, may reflect atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant... | 1. Unremarkable noncontrast exam. No evidence of obstructive uropathy. No radiopaque intrarenal stones. |
Generate impression based on findings. | 57 year old female status post left mastectomy in 2010 for invasive ductal carcinoma and DCIS. History of benign right breast biopsies. No new breast complaints. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD, 8.3. The breast parenchyma is composed of scattered fib... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Male 56 years old; Reason: urothelial cancer, now on surveillance History: urothelial cancer, now on surveillance ABDOMEN:LUNGS BASES: Relatively hypoattenuating appearance of intracardiac blood flow suggests underlying anemia. LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality no... | 1.Status post cystoprostatectomy. No evidence of local tumor recurrence or metastatic disease. |
Generate impression based on findings. | Reason: h/o lung ca, eval response to Tarceva CHEST:LUNGS AND PLEURA: Again seen are right upper lobectomy and left lung postsurgical changes. No suspicious new nodules or masses. No pleural effusions or pneumothorax.MEDIASTINUM AND HILA: Stable right thyroid hypodense lesion. Cardiac size is normal. No pericardial eff... | No evidence of recurrent or metastatic disease. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 47-year-old male with hypercoagulability, abdominal distention, poor tolerance to tube feeds. Evaluate for clot, abdominal ischemia, right upper quadrant pathology. CHEST:LUNGS AND PLEURA: Trace bilateral pleural effusions and dependent atelectasis. No focal consolidation.MEDIASTINUM AND HILA: Endotracheal tube termina... | 1.Limited exam due to poor contrast opacification.2.Findings suggestive of mild generalized ileus.3.Evaluation for intravascular thrombus is limited. No definite bowel wall thickening is seen to suggest enteritis/colitis.4.Indeterminate right renal mass redemonstrated.5.Moderate anasarca, increased. |
Generate impression based on findings. | Reason: urothelial cancer, now on surveillance History: urothelial cancer, now on surveillance LUNGS AND PLEURA: Mild lingular linear scarring.No evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy noted.Aberrant right subclavian vein, normal variant.Right jugular c... | No evidence of metastases, or other significant abnormality. Reference should be made to an abdomen and pelvis CT reported separately. |
Generate impression based on findings. | 74-year-old male with a history of piriform sinus carcinoma. CHEST:LUNGS AND PLEURA: There is centrilobular and paraseptal emphysema with an upper lobe predominance. Note is made of postoperative changes of prior right lower lobe wedge resection. Note is made of an air fluid level within the surgical bed along the infe... | 1. Postsurgical changes without evidence of residual or recurrent tumor. Postsurgical air-fluid level in the right inferomedial hemithorax.2. The reference right upper lobe cystic lesion is not definitively visualized on today's examination.3. Nodular left lower lobe opacities may represent mild bronchiolitis or aspira... |
Generate impression based on findings. | Frontal sinus: The frontal sinus and frontoethmoidal recesses are clear.Anterior ethmoids: The anterior ethmoid air cells are clear.Maxillary sinuses: The maxillary sinuses are clear. The ostiomeatal units are clear.Posterior ethmoids: The posterior ethmoid air cells are clear.Sphenoid sinus: The sphenoid sinus and bi... | Unremarkable CT of the sinuses. No significant interval change |
Generate impression based on findings. | 18-year-old female patient with history of LP shunt presents with headache, neck pain, and sensation of feeling a "pop." There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There are bilateral ectopic cerebellar tonsils, as seen on prior MRI. The bila... | No evidence of intracranial hemorrhage, ventriculomegaly, or mass effect. |
Generate impression based on findings. | Male, 47 years old. RFO evaluation, history of colon malignancy, multiple surgical teams Examination suboptimal secondary to patient motion artifact and per technologist, patient was situated off center on operative table, unable to position image detector as needed. Right upper quadrant and pelvic surgical drains. No ... | No unexpected radiopaque foreign body. Findings discussed with attending Dr. Hyman at 1:30 p.m. on 5/5/15. |
Generate impression based on findings. | Male, 39 years old. Reason: dysphagia History: dysphagia Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Fluoroscopic evaluation of esophageal peristalsis demonstrated a normal primary peristaltic wave (cine - series 10). A normal pharyngeal swallow is no... | 1.No mucosal or motility abnormality identified. No gastroesophageal reflux.2.Small hiatal hernia. |
Generate impression based on findings. | 54-year-old female. Patient has recently noticed a new palpable lump lateral to her lumpectomy site in the left breast. History of left breast lumpectomy for IDC in 2006. History of right breast cyst aspiration 12/2013. MAMMOGRAM: Three standard views of both breasts and an additional exaggerated lateral CC view as wel... | No mammographic evidence of malignancy. No mammographic or sonographic abnormality to explain the patient's area of palpable concern. Continued clinical management recommended. Aside from the current area of patient palpated lump, and as long as the patient's physical examination remains normal, bilateral diagnostic ma... |
Generate impression based on findings. | Evaluate for fracture 2 views of the right tibia and fibular unremarkable. Specifically no evidence of fracture | Negative examination of the right tibia and fibula |
Generate impression based on findings. | Reason: history of RA and sarcoid History: dyspnea LUNGS AND PLEURA: Mild fibrotic changes of the left lingula with scarring/discoid atelectasis without significant change from prior study. Left lingular pulmonary nodule measuring 7 mm is stable. Mild atelectasis of left lung base. No suspicious pulmonary nodules or ma... | 1.Mild fibrotic changes of the left lingula with scarring/discoid atelectasis without significant change from prior study. 2.Left lingular nodule and scattered lymph nodes as above without significant interval change. |
Generate impression based on findings. | Reason: evaluate interval swelling, evaluate for evidence of herniation History: s/p severe TBI with intracranial hemorrhage and multiple skull fractures, now with asymmetric pupils Interval placement of right frontal lobe ICP bolt. Compared to recent prior, there are evolving multiple hemorrhagic contusions involving ... | 1.Evolving extensive hemorrhagic contusions involving the left greater than right anterior-inferior frontal lobes as well as the left anterior temporal lobe, without significant enlargement. The minimal petechial hyperdensity involving the right posterior temporal lobe is also stable. 2.The associated edema/mass effect... |
Generate impression based on findings. | 48-year-old male status post C3-C6 ACDF Two views of the cervical spine demonstrate hardware components of an anterior cervical discectomy and fusion in near-anatomic alignment without evidence of hardware complication. Bone graft is situated between C3-C4, C4-C5, and C5-C6. Interval decrease in prevertebral soft tissu... | C3-C6 ACDF in near-anatomic alignment without evidence of hardware complication. |
Generate impression based on findings. | Frontal sinus: The frontal sinus and frontoethmoidal recesses are clear.Anterior ethmoids: There is mild mucosal thickening of the anterior ethmoid air cells.Maxillary sinuses: There is moderate mucosal thickening in the left maxillary sinus with foamy secretions. There is mild mucosal thickening in the right maxillar... | Paranasal sinus disease, fluid in the bilateral mastoid air cells as well as in the left middle ear. These findings are likely related to or exacerbated by the patient's intubation. Specifically, no abscess is seen. |
Generate impression based on findings. | Female, 80 years old. Reason: evidence of abstruction History: abdominal distension Nonobstructive bowel gas pattern. Below average stool burden.No free air seen on decubitus imaging.Atherosclerotic calcification in the distribution of a tortuous or aneurysmal abdominal aorta.Degenerative disease of the spine and hips.... | Nonobstructive bowel gas pattern. No free air. A tortuous or aneurysmal abdominal aorta is noted. |
Generate impression based on findings. | Solitary pulmonary nodules left upper lobe with mediastinal lymphadenopathy and lytic bone lesions. For lung cancer treatment management.RADIOPHARMACEUTICAL: 11.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 101 mg/dL. Today's CT portion grossly demonstrates several scattered left-sided pulmonary parenchy... | 1.Exam limited by patient significant motion. Markedly hypermetabolic left pulmonary lesions, compatible with tumor.2.Multiple markedly hypermetabolic left mediastinal lymph nodes, compatible with metastatic disease.3.Innumerable very widespread hypermetabolic osseous metastases.4.Probable bilateral adrenal gland metas... |
Generate impression based on findings. | 64-year-old male with a history of pancreatic cancer on chemotherapy. Evaluate EOD. Compared to previous. CHEST:LUNGS AND PLEURA: No significant interval change in innumerable bilateral pulmonary metastases. No focal consolidation or pleural effusion is evident.MEDIASTINUM AND HILA: Reference right hilar lymphadenopath... | 1. No significant interval change in size of the pancreatic tail mass with persistent splenic invasion/infarct. 2. No significant interval change in extensive pulmonary and hepatic metastatic disease.3. New sclerotic focus in the left sixth rib suspicious for a new site of metastatic disease. I personally reviewed the ... |
Generate impression based on findings. | Reason: hx of lung CA, s/p chemo CHEST:LUNGS AND PLEURA: Moderate to severe upper lobe predominant centrilobular emphysema. There is interval decrease in the size and increased cavitation of the right lower lobe cavitary mass measuring 4.5 x 3.2 cm (series 5 image 61), previously 6.6 x 4.0 cm. Additional right lower lo... | 1.Interval decrease in the pulmonary and hilar lesions as above. 2.Stable appearing mediastinal lymph nodes and left third rib metastasis. |
Generate impression based on findings. | Status post fracture.VIEWS: Right forearm AP and lateral 5/5/2015 (2 views) Cast material obscures fine bone details. Both forearm bones healing fractures are in anatomic alignment. | Healing fractures in anatomic alignment after casting. |
Generate impression based on findings. | 15-year-old male with history of metastatic germ cell tumor, pretransplant evaluation. CHEST:LUNGS AND PLEURA: The trachea and central bronchi are patent.A 1.0 x 0.6 cm pleural-based nodule is seen at the posterior aspect of the right upper lobe (series 5/27). A thin-walled cavitation is seen laterally in the right upp... | 1.Linear and nodular opacity along the suture lines in both lungs is compatible with recurrent or metastatic disease. Comparison with prior imaging is recommended if available. Additional nodules in both lungs are concerning for metastatic disease.2.Fat stranding subcutaneous fat and heterogenous appearing musculature ... |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are mammograms dated 4/16/2015 and 4/22/2015, stereotactic biopsy images of the left breast dated 4/22/2015, as well as ultrasound images of the left breast dated 4/16/2015 performed at South Bed Clinic in Indiana. For comparison,outside hospital mammog... | Known left breast invasive ductal carcinoma. Targeting appears appropriate. Clip placement is at the biopsy site. No other suspicious findings are seen elsewhere in either breast. Continued clinical and surgical management recommended. BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | 43-year-old male patient with headache status post fall. There is asymmetric soft tissue swelling along the right posterior convexity without an underlying skull fracture or acute intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no mass effect or herniation. The ... | Right posterior scalp subgaleal hematoma without skull fracture or intracranial hemorrhage. |
Generate impression based on findings. | 9-year-old male with history of postoperative ankle.VIEWS: 3 views of the right ankle and 3 views of the left ankle, including AP, lateral and oblique of each on 5/5/2015 at 1403 The left ankle has overlying cast material which obstructs fine bone detail. No fracture or dislocation is seen.The right ankle is normal in ... | Left ankle cast material limits evaluation, however no significant abnormality is noted in either ankle. |
Generate impression based on findings. | Status post MVC, loss of consciousness Head:No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or herniation. Gray-white differentiation is maintained. No extra-axial collections. Ventricles are within normal limits without evidence of hydrocephalus.The visualize... | 1. No evidence of intracranial hemorrhage or skull fracture.2. No evidence of fracture or subluxation in the cervical spine. |
Generate impression based on findings. | Reason: hx of thymoma, pls compare to previous and measure CHEST:LUNGS AND PLEURA: Previously referenced pulmonary nodules are stable in size. Pleural-based left lower lobe nodule is 11 mm (5/89). Lingular nodule measures 4 mm (5/61). The additional, nonreferenced pulmonary nodules visually appear stable or smaller in ... | Reference pulmonary nodules are stable. Additional nonreference pulmonary nodules are either stable or smaller in size. No new nodule or interval pleural effusion. |
Generate impression based on findings. | 65-year-old female with a history of non-small cell lung carcinoma. Restaging examination. CHEST:LUNGS AND PLEURA: Reference right upper lobe pulmonary nodule measures 15 x 8 mm, previously 14 x 9 mm (image 25, series 5). Multiple additional nodules are also not significantly changed. Left lower lobe and right middle l... | No significant interval change in pulmonary nodules and bilateral basilar masslike consolidations, all most compatible with multicentric mucinous adenocarcinoma.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Male 80 years old, history of prostate cancer Activity in the knees and shoulders bilaterally consistent with degenerative changes is again noted. No abnormal osseous foci are identified to indicate metastatic disease. | No evidence of bone metastases. |
Generate impression based on findings. | 35-year-old male, pain, tender. Evaluate for fracture. Thumb slammed in car door yesterday, pain in mid thumb area. 3 views of the right thumb reveal no joint effusion, fracture or dislocation. | No fracture or dislocation. |
Generate impression based on findings. | Hodgkin's lymphoma in 2010 treated with 6 cycles of chemotherapy. Now with diffuse large B cell lymphoma status post 2 cycles of chemotherapy. Restaging.RADIOPHARMACEUTICAL: 10.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 40 mg/dL. Today's CT portion grossly demonstrates chronic appearing bilateral maxi... | Near-complete interval resolution of previous extensive hypermetabolic tumor activity. However, there are several small residual but significantly FDG avid lymph nodes most notably in the abdominal retroperitoneum which are of some suspicion for some residual tumor metabolism within these several small lymph nodes. Att... |
Generate impression based on findings. | History of right lumpectomy in 2005 for DCIS. Patient received radiation therapy. No new breast complaints. Possible family history of breast cancer in paternal grandmother. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously de... | No mammographic evidence of malignancy. Stable postoperative changes on the right. 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 M... |
Generate impression based on findings. | 47-year-old female, C7-T1 concern for pseudo. Evaluate fusion status. 2 views of the cervical spine reveal anterior sideplates with screws directed into C5 and C6 as well as posterior stabilization rods with screws within the pedicles of C5 and C6. An additional anterior sideplate with screws directed into C7 and T1 is... | Postsurgical changes with the cervical spine in anatomic alignment. |
Generate impression based on findings. | 75-year-old female with history of carcinoid. CHEST:LUNGS AND PLEURA: Numerous new scattered bilateral pulmonary nodules and micronodules, some of groundglass consistency. Representative left lower lobe subpleural lesion measures 9 mm (series 8, image 63). These findings are nonspecific and may represent postinfectious... | 1.Interval progression of metastatic disease in the liver.2.In addition, new scattered pulmonary nodularity may be of postinfectious or inflammatory, however metastatic disease is not excluded.3.Primary pancreatic mass continues to decrease in size.4.Stable cystic gastric body mass. |
Generate impression based on findings. | Abdominal pain.EXAMINATION: MR enterography without and with IV contrast 5/5/15 ABDOMEN:LIVER, BILIARY TRACT: Normal liver parenchyma signal. No evidence of intra or extrahepatic biliary duct dilatation. No gallbladder stones or sludge.SPLEEN: No significant abnormality noted.PANCREAS: Normal pancreatic signal with no ... | No evidence of inflammatory bowel disease. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 54 years Female with Reason: h/o HNC and CRT, on palliative chemo, compare to previous measurements. Compared to recent CT, dated 3/18/2015, there are stable post-treatment findings of the nasopharynx, without evidence of measurable tumor recurrence. There are also findings related to right neck dissection, with unchan... | 1.Stable to slightly less prominent appearance of reference of lymph nodes. No new or enlarged lymph nodes to suggest disease progression.2.Previously described focus of enhancement in the left masseter muscle appears less prominent.3.Stable post-treatment findings in the neck and nasopharynx. |
Generate impression based on findings. | Reason: h/o laryngeal ca and CRT CHEST: Motion artifact limits evaluation.LUNGS AND PLEURA: Severe paraseptal and centrilobular emphysema. Increase in the size of the right apical cavity now measuring 5.1 cm in CC dimension (coronal 35) previously 4.4 cm. Adjacent right apical consolidation and fibrosis without signifi... | 1.Mediastinal lymphadenopathy without significant change from prior study.2.Mild interval increase in the size of the right apical bullae/cavity with adjacent fibrosis and consolidation unchanged. |
Generate impression based on findings. | Female 81 years old; Reason: Re-evaluate disease status following systemic therapy completion; compare to previous scan and provide bi-dimensional measurements History: Stage IV melanoma CHEST:LUNGS AND PLEURA: Visualized lung fields unchanged, including stable right apical nodularity, e.g., nodule measuring 0.8 x 0.5 ... | 1. Interval increase in size of reference left paraaortic lymph node, likely an enlarging metastatic focus, remainder of exam without significant change as above.2. Stable 1.2 cm right-sided and 1.4 cm left-sided indeterminate thyroid nodules. |
Generate impression based on findings. | Female 88 years old Reason: evaluate for metastatic disease, history of breast cancer History: mid back and right hip pain No abnormal osseous foci are identified to indicate metastatic disease. Increased activity in cervical and thoracolumbar spine, as well as in the shoulders consistent with degenerative changes are ... | No evidence of bone metastases. |
Generate impression based on findings. | Reason: h/o HNC and CRT, on palliative chemo, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Stable right apical scarring.No new suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: Left chest Port-A-Cath with its tip in the SVC.No hilar or mediastinal lymphadenopath... | 1.No significant interval change in the osseous metastases and left hepatic lobe lesion.2.No new sites of disease identified. |
Generate impression based on findings. | Male 53 years old Reason: metastatic prostate cancer, evaluate for response to enzalutamide History: Metastatic prostate cancer, pain Decreased size, number and activity of metastatic osseous foci involving the humeri, spine, pelvis. Foci of increased uptake in the ribs appear similar to prior exam. | Improved osseous metastatic disease. No new osseous lesion. |
Generate impression based on findings. | Images are slightly limited by patient motion. The ventricles and sulci are prominent, consistent with mild age-related volume loss. The basal cisterns remain patent. There is no midline shift or mass effect. There are scattered punctate foci as well as minimally confluent areas of abnormal T2/FLAIR hyperintensity wit... | No acute abnormality. Scattered punctate foci of hyperintensity within the white matter and pons which are nonspecific but may represent mild chronic small vessel ischemic changes. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are screening mammogram 1/9/2015, bilateral breast diagnostic mammograms dated 2/9/2015 and post-biopsy right breast mammogram dated 3/5/2015, left breast ultrasound dated 2/9/2015 performed at Central Dupage Hospital. Screening mammogram 1/9/2015: Two ... | 1. Biopsy-proven right breast DCIS with clip placement. There are residual calcifications at the biopsy site. No other suspicious findings are present in right breast. 2. Left breast asymmetry that may be due to a cluster of cysts. Recommend repeat ultrasound.BIRADS: 6 - Known cancer.RECOMMENDATION: E - Additional Mamm... |
Generate impression based on findings. | altered mental status, hx HIV The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized portions of the paranasal sinuses are clea... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | 77-year-old female with bilateral hip pain. Rule out DJD 2 views of the right hip reveal minimal sclerosis about the acetabulum with no joint space narrowing compatible with minimal degenerative changes. No evidence of fracture or dislocation.2 views of the left hip reveal minimal sclerosis about the acetabulum with no... | Minimal degenerative changes of the hips without interval change. |
Generate impression based on findings. | 57-year-old female with hypertension, neck pain 5 views of the cervical spine reveal mild anterior osteophytes along C4-C7 compatible with mild degenerative changes. Alignment is otherwise intact with preservation of the disc spaces. The neural foramina are grossly patent. The odontoid is well-visualized and is unremar... | Mild degenerative changes of the cervical spine. |
Generate impression based on findings. | Male 48 years old Reason: evaluate for gastroparesis. Has reported history of positive study at OSH ("years ago") History: abdominal pain, nausea, decreased Visually there was significant and progressive gastric emptying. Using anterior and posterior geometric means, residual gastric activity at the following postprand... | Gastric emptying within normal limits. |
Generate impression based on findings. | Fell from tree with back pain. Rule out compression fracture.VIEWS: Cervical spine lateral (one view) thoracic spine lateral (one view) 05/05/15 The cervical spine is normal in appearance. Vertebral body heights and disc spaces are maintained. No prevertebral soft tissue swelling is present.Anterior wedging of T4 and T... | Normal cervical spine. Probable compression fractures at T4 and T6 levels. |
Generate impression based on findings. | Reason: new hx of cough, known 4 mm nodule History: cough LUNGS AND PLEURA: Within the right lower lobe, there is a 4.2 mm pulmonary nodule within the right lower lobe (6/180). If outside cross-sectional imaging is available, comparison can be made when those images become available. Additional pulmonary micronodules, ... | Within the right lower lobe, there is a 4.2 mm micronodule. If outside cross-sectional imaging is available, comparison is recommended. If the patient is at high risk such as having a smoking or malignancy history, follow-up imaging in 6-12 months is recommended.Additional pulmonary micronodules, some of which are calc... |
Generate impression based on findings. | Female 7 days old Reason: eval line placement History: preemie with PCVC placedVIEW: Chest and abdomen AP (2 views) 5/5/2015 at 0453 hours ET tube terminates below thoracic inlet. NG tube tip is at the stomach. Interval UAC removal. UVC unchanged. Right lower extremity CVC terminates at the infrahepatic IVCCardiac silh... | Streaky opacity of the right upper lobe on a background of diffuse, coarse lung haziness with pattern of PIE.Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | 60-year-old female with history of appendiceal cancer. Constipation. CHEST:LUNGS AND PLEURA: No focal consolidation or pleural effusion. Stable left base 4 mm micronodule. No new suspicious pulmonary nodules detected.MEDIASTINUM AND HILA: Heart size is normal with no pericardial effusion. Mild coronary calcifications a... | Interval improvement in bilateral hydroureteronephrosis.Bladder remains moderate to severely distended. |
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