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Generate impression based on findings. | 17 year old with palpable lump in the left breast. With physical exam, a firm mass is palpated at 5:00 position in the left breast. Focused ultrasound shows hypoechoic mass measuring 25 x 18 mm at 5:00 position, 2 cm from nipple in the left breast. Increased blood flow is detected within the mass. The mass is likely a ... | Palpable solid mass in the left breast at the 5:00 position, for which palpation guided FNA is recommended.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | 70-year-old female with fall, back pain. Evaluate for fracture Thoracic spine: The bones appear demineralized suggesting osteopenia. We see no fracture or malalignment. Moderate multilevel degenerative disc disease.Lumbar spine: The bones appear demineralized suggesting osteopenia. No fracture is evident. Severe degene... | Degenerative arthritic changes without fracture evident. |
Generate impression based on findings. | Reason: h/o pharynx cancer History: r/o lung mets LUNGS AND PLEURA: Interval increase in tree-in-bud opacities in the left lower lobe compatible with aspiration bronchiolitis.Numerous calcified granulomas unchanged.No new suspicious pulmonary nodules or masses.Redemonstration of lingular scarring/discoid atelectasis.Mi... | 1.Increasing tree-in-bud opacities and left lower lobe compatible with aspiration bronchiolitis.2.No evidence of metastatic disease. |
Generate impression based on findings. | 58-year-old female patient with endometrial cancer compare to the last CT and measure using recist criteria v 1.1 and immune response criteria to the following lesions 1) preaortic node, 2) right cardiophrenic node, 3) lymph nodes encasing the right external iliac vessels, 4) left external iliac node. Post two cycles o... | 1. Mixed response of metastatic lymphadenopathy with increased size of subpleural, mesenteric, and pelvic reference nodes.2. Stable left renal lesion. |
Generate impression based on findings. | 56-year-old male with history of MM; post auto SCT evaluation SKULL: No discrete lytic lesions are identified. CERVICAL SPINE: Multilevel degenerative disc disease most severe at C3/C4. Poorly defined lucencies within the cervical vertebrae may reflect multiple myeloma although this is equivocal. THORACIC SPINE: The bo... | Multiple myeloma and other findings as described above, including what appears to be a dislodged orthopaedic staple in the left shoulder. |
Generate impression based on findings. | Reason: Pleural mesothelioma please compare to previous outside exam and provide bi-dimensional measurements per RECIST 1.1 criteria History: Pleural mesothelioma CHEST:LUNGS AND PLEURA: Pleural thickening and nodularity of the right middle lobe and adjacent to esophagus, consistent with known mesothelioma. Postsurgica... | Increasing pleural thickness of the right lung as above. No intraparenchymal or intraabdominal extension. |
Generate impression based on findings. | Pain. Evaluate fractures. Again seen are healing fractures of the third and fourth metatarsal necks with adjacent callus formation that appears to have matured slightly when compared with the prior study. Fracture through the fifth metatarsal neck appears similar to that seen on the prior study with mild increased scle... | Healing metatarsal fractures as above. |
Generate impression based on findings. | 18 year old male with right throat pain and swelling and unsuccessful drainage attempt. There is enlargement of the palatine and adenoid tonsils as well as an associated punctate tonsillolith in the nasopharynx with narrowing of the nasopharynx and upper oropharynx. There are punctate foci of air within the right palat... | 1.Tonsillar inflammation without evidence of abscess.2.Incidental dental findings including a lesion at the position of the right maxillary canine which may represent an odontoma or some other odontogenic lesion, as well as scattered ground glass lesions and a single lucent lesion which may represent a benign fibro-oss... |
Generate impression based on findings. | Nasal flaring. Question of new effusion or consolidation.VIEWS: Chest AP/lateral (two views) 5/6/2015 at 1031 hours Postsurgical skeletal changes, residual contrast material in the right pleural space, mediastinal clips and lower extremity central line are unchanged. Cardiac silhouette size is normal. Increasing in rig... | Interval slight improvement in right lung base aeration, worsening in right apical chest loculated hydropneumothorax and development of right lung base opacity, likely pneumonia. |
Generate impression based on findings. | History of dislocation Glenohumeral joint alignment is within normal limits. I see no fracture. There is a tiny ossicle along the distal margin of the clavicle which is probably of no current clinical significance. | Normal glenohumeral joint alignment. |
Generate impression based on findings. | 59-year-old female. Left breast DCIS, patient presents for wire needle localization. On review of the prior outside hospital digital mammographic images dated 4/13/2015, the target focal asymmetry with a few calcifications is seen in the left breast in the upper outer quadrant located at the 3 o’clock position, posteri... | Successful needle localization of the left breast malignancy.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 39-year-old female with tibia pain running. Evaluate for stress fracture. There is thickening of the anterior cortex of the mid tibial diaphysis compatible with stress-related injury. Small poorly defined mottled lucencies within the thickened cortex anteriorly are noted but we see no discrete fracture. | Thickening of the anterior cortex compatible with chronic stress-related response although no discrete fracture line is evident on today's study. If clinically warranted, MRI can be obtained for evaluation of marrow and cortical signal abnormalities. |
Generate impression based on findings. | 49-year-old female. History of right mastectomy for ILC and axillary lymph node dissection for breast cancer. History of palpable left axillary lymph nodes, which had benign features on prior US; request by Dr. Jaskowiak to reimage lymph nodes today to evaluate for interval change. LEFT UNILATERAL DIAGNOSTIC MAMMOGRAM:... | No mammographic evidence of malignancy. Benign appearing lymph nodes in the left axilla. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - ... |
Generate impression based on findings. | Pleural effusion. Stem cell transplant for neuroblastoma.VIEWS: Chest AP/lateral (two views) 05/06/15 Left central line tip is at junction of superior vena cava and right atrium. Right chest port for pleural effusion drainage tube tip is in the posterior costophrenic sulcus. Abdominal surgical clips are again seen.Righ... | Continued right subpulmonic pleural effusion. |
Generate impression based on findings. | Prostate cancer. Evaluate for metastases CHEST:LUNGS AND PLEURA: Scattered punctate micronodules can be followed (e.g. right lung series 4 image 59).MEDIASTINUM AND HILA: Precarinal lymph node measures 1.8 x 0.8cm (image 41; series 3). Calcified subcarinal lymph nodes are noted.CORONARY ARTERY CALCIFICATION: No signifi... | A few scattered micronodules and small mediastinal lymph nodes can be followed. |
Generate impression based on findings. | Metastatic lung cancer status post chemo CHEST:LUNGS AND PLEURA: Moderate centrilobular and paraseptal emphysema. No pleural fluid. Left upper lobe mass inseparable from the mediastinum measures 3.8 x 4.2 cm, previously 3.5 x 3.7 cm. The mass has also increased in the cranial caudal aspect and new nodules measuring up ... | 1. Slight increase in reference level measurements of the left upper lobe mass which invades the the mediastinum and chest wall.2. Tumor involving the left paravertebral space enters the left neural foramen of T1/T2.3. New metastases in the left upper lobe.4. Although reference lymph nodes have not significantly enlarg... |
Generate impression based on findings. | Male 75 years old Reason: 75 M s/p lap chole (3/20); CT 4/15 demonstrated abscess in gallbladder fossa s/p IR drainage; evaluate for resolution of abscess History: evaluate for resolution of gallbladder fossa abscess ABDOMEN:LUNG BASES: Left pleural calcification, unchanged. Stable 4 mm right basilar nodule (image 20; ... | Interval resolution in this of gallbladder fluid collection and associated findings after percutaneous drainage. If the tube is not draining, it can be removed; if it continues to drain, consider a bile leak. 9 mm paraesophageal lymph node. Stable 4 mm right pulmonary micronodule. |
Generate impression based on findings. | The study was terminated after only scout images were obtained, secondary to patient request. However, the scout images reveal patchy T1 hyperintensity in the right basal ganglia, which is incompletely characterized, and may represent blood products or mineralization. | The examination was terminated at patient request after only the scout images were obtained. These reveal incompletely characterized patchy T1 hyperintensity in the right basal ganglia which may resent blood products or mineralization, however the differential remains broad at this time.Discussed with ordering provider... |
Generate impression based on findings. | Adenocarcinoma and malignant pleural effusion. CHEST:LUNGS AND PLEURA: No significant change in mildly nodular visceral and parietal pleural thickening, right greater than left. Right lower lobe lesion measures 17 x 10 mm (5/62), previously 16 x 9 mm. No pleural fluid or pneumothorax.MEDIASTINUM AND HILA: The reference... | No significant change in pleural disease or index lesions. |
Generate impression based on findings. | Right wrist painVIEWS: Right wrist AP, lateral and oblique 5/6/2015 (3 views) There is a joint effusion due to the displacement of the pronator fat pad with no fracture or malalignment. | Joint effusion with no fracture. |
Generate impression based on findings. | 59-year-old male patient with high NGT output. Evaluate for obstruction. ABDOMEN:LUNG BASES: Left lower lobe atelectasis.LIVER, BILIARY TRACT: No focal hepatic lesion. No evidence of intra or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADREN... | 1. Findings compatible with a small bowel obstruction.2. Interval bi-aortofemoral bypass. |
Generate impression based on findings. | 44 years old male with history of leukemia; pre-allo SCT evaluation. Pre-allo SCT evaluation. RADIOPHARMACEUTICAL: 14.3 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 100 mg/dL. Today's CT portion grossly demonstrates enlarged lymph nodes in the mesentery in the right pelvis and in the left inguinal region.... | 1.Hypermetabolic lymph nodes in the pelvic mesentery and left inguinal region, consistent with tumor.2.Hypermetabolic lesion in the intestine in the right side of the pelvis, suspicious for additional focus of tumor.3.Multifocal nodular opacities in both lungs with increased FDG uptake, which can be due to infection or... |
Generate impression based on findings. | Clinical question: Evaluate for stenosis, occlusive disease. Signs and symptoms: Right-sided weakness, now worsening of neurological deficit. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Examination demonstr... | 1.Nonenhanced head CT demonstrates extensive age-indeterminate small vessel ischemic strokes.2.Neck CTA demonstrates patent all vasculature. Mild atherosclerotic vascular lumen compromise of the right vertebral artery at C3 level and the proximal left internal carotid artery as detailed. Incidental note is made of exte... |
Generate impression based on findings. | 69 years old Male. Reason: Relapsed DLBCL History: H/O Relapsed DLBC Lymphoma now s/p 2 cycles of RICE chemotherapy in need of restaging. Please compare to prior.. RADIOPHARMACEUTICAL: 13.2 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 100 mg/dL. Today's CT portion grossly demonstrates stable appearance of... | Mild interval decreased FDG uptake in the large retroperitoneal mass and additional retroperitoneal lymph nodes, suggesting interval metabolic improvement. No new sites of disease. |
Generate impression based on findings. | Jaundice. Cholangitis? Cholecystitis? Nausea and vomiting and diarrhea for 3 weeks with decreased appetite. LIVER: The liver measures 23.7 cm in length. Its markedly echogenic limiting parenchymal evaluation. There appears to be reversed flow in the portal vein on color Doppler imaging. The hepatic arteries patent.GALL... | Enlarged echogenic liver with reversed portal vein flow; consider cirrhosis or hepatitis and correlation with cross-sectional imaging may be beneficial. Gallbladder sludge. Trace ascites. |
Generate impression based on findings. | Reason: mets lung cancer. on ABT-700 and Erotinib. pls c/w previous study and evaluate tx response, Pls provide bi-dimensional measurements to all lesion History: lung ca LUNGS AND PLEURA: Status post right upper lobectomy with stable post radiation and postsurgical changes.Bilateral pleural effusions similar to the pr... | 1.Stable exam with pleural effusions. No evidence of recurrence or pulmonary metastases.2.Stable left supraclavicular necrotic lymph node, T8 vertebral compression deformity and left adrenal nodule.3.No new sites of disease identified. |
Generate impression based on findings. | 49-year-old female. Callback from screening for a focal asymmetry in the upper outer quadrant of the right breast. A ML view and three spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small mass... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Female 21 years old Reason: Evaluation of disc space History: Acute on chronic lower back painVIEWS: Lumbar spine AP and lateral views (2 views) 5/6/2015 at 11:33 Vertebral body heights and intervertebral disc spaces are maintained. Alignment is normal. Note is made of a posterior fusion defect at S1. | Normal examination. |
Generate impression based on findings. | Right knee pain, no trauma. Is there a bony abnormality? Mild osteoarthritis affects the knee, which appears to have progressed slightly when compared with the prior study. I see no fracture, malalignment, or joint effusion. Tubular densities in the soft tissues likely represent venous varicosities. | Osteoarthritis and other findings as above. |
Generate impression based on findings. | Status post third finger proximal phalanx fracture. Assess healing. Again seen is a nondisplaced fracture of the base of the proximal phalanx of the middle finger appearing similar to that seen on the prior study, accounting for slight positional differences. There is perhaps a small amount of callus along the volar as... | Proximal phalangeal fracture as above. |
Generate impression based on findings. | Status post ORIF right ankle fracture. Evaluate for healing. Again seen is a side plate and screws affixing the distal fibula in near anatomic alignment. The fracture line appears slightly less distinct, suggesting some interval healing. There is also a transsyndesmotic screw affixing the distal tibiofibular articulati... | Orthopedic fixation of the ankle as described above. |
Generate impression based on findings. | Compared to 5/2/2014, there is stable to mild increase in enlargement of the right submandibular gland which measures 32 x 23 x 33 mm, in the AP, transverse, and craniocaudal dimensions. Previously it measured approximately 30 x 24 x 23 mm. There is more clear increase in size compared to remote study from 4/19/2010. ... | There is no significant cervical lymphadenopathy. There is stable to minimal interval increase in size of the enlarged right submandibular gland compared to 5/2/2014, and more clear interval enlargement when compared to CT from 4/19/2010. Finding is nonspecific but may suggest lymphomatous involvement. |
Generate impression based on findings. | Mesothelioma status post EPP, on observation. CHEST:LUNGS AND PLEURA: Postoperative changes of a right pneumonectomy, the pneumonectomy cavity is filled with fluid. The diaphragmatic patch discontinuity will be addressed below. Stable, mild medial pleural thickening near the level of the esophageal hiatus (3/85) measur... | No specific evidence of residual tumor. Discontinuity of the diaphragmatic pleural patch on the right. |
Generate impression based on findings. | Metastatic prostate cancer with right hip pain. 2 views of the right femur are provided. Again seen is an intramedullary rod and screw/nail device affixing the femur in near-anatomic alignment. A poorly defined sclerotic lesion in the intertrochanteric region presumably represents metastatic prostate cancer. I see no h... | Metastatic prostate cancer and orthopedic fixation of the right femur as above. |
Generate impression based on findings. | 23 year old with physician palpated lump in the left breast. Patient states that her physician also said her left nipple was inverted. The patient stated that her physician had palpated a minor lump in the left upper outer quadrant. Left nipple appeared normal. With physical exam, no discrete mass was palpated in the l... | No sonographic evidence for malignancy. Clinical follow up is recommended. BIRADS: 1 - Negative.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Lung cancer, follow-up CHEST:LUNGS AND PLEURA: Right perihilar fibrotic changes along the midline appear stable from prior study and again reflect radiation related scarring. No suspicious new focal airspace abnormality, effusions, nodules or masses. Mild similar radiation changes also observed and stable involving the... | No evidence of recurrent or metastatic disease. Old residual scarring and post radiation change |
Generate impression based on findings. | Cholecystitis or choledocholithiasis. Nausea and right upper quadrant abdominal pain after eating. LIVER: The liver measures 17.5 cm in length. It is slightly echogenic suggesting fatty infiltration. No dominant liver lesions. Portal vein is patent with flow towards the liver on color Doppler imaging.GALLBLADDER, BILIA... | Gallstones. Slightly echogenic liver suggesting fatty infiltration. |
Generate impression based on findings. | Industrial struck. Pain. Fracture? 3 views of the thoracic spine are provided. There is a moderate dextrorotoscoliosis of the thoracolumbar spine and a mild levoscoliosis of the upper thoracic spine. The bones appear slightly demineralized suggesting osteopenia. Evaluation of individual vertebrae is limited, but there ... | I see no definite acute fracture, although there is suggestion of mild loss of height of one of the mid-thoracic vertebrae (perhaps T7), which may represent a compression fracture, of indeterminate age. If further imaging evaluation is clinically warranted, CT or MRI of the thoracic spine may be considered. |
Generate impression based on findings. | 92-year-old female post fall. Evaluate for fracture Right wrist: Soft tissue swelling along the radial aspect of the wrist but we see no underlying fracture.Right hand: Soft tissue swelling along the lateral aspect of the wrist but we see no fracture. Mild osteoarthritis affects the thumb.Right hip: We see no fracture ... | Degenerative arthritic changes as described above but we see no fracture. |
Generate impression based on findings. | Patient status post pleurectomy and mesothelioma treatment CHEST:LUNGS AND PLEURA: Interval postsurgical changes again observed involving the left hemithorax with mild volume loss. Overlying basilar scarring is decreased representing suspected resolved or shifting atelectasis. No suspicious new abnormality. Specificall... | Postsurgical changes involving the left hemidiaphragm and chest wall without additional underlying new acute disease |
Generate impression based on findings. | 3-year-old female, evaluate for upper airway abnormality.EXAMINATION: Soft tissue neck AP and lateral views (2 views) 5/6/2015 at 10:47Chest radiograph AP view (1 view) 5/6/2015 at 10:52 Soft tissue neck: Normal, visualized paranasal sinuses pneumatization. No evidence of tracheal compression or deviation.There is stra... | Normal examination. No evidence for upper airway abnormality |
Generate impression based on findings. | Female 67 years old Reason: urothelial carcinoma- s/p ant exenteration /radical cystectomy- 2009 with right ureteral reimplant in 2013 History: urothelial carcinoma- s/p ant exenteration /radical cystectomy- 2009 with right ureteral reimplant in 2013 This study is limited due to lack of intravenous contrastCHEST:LUNGS ... | Limited study due to lack of intravenous contrast. No significant change from previous study. |
Generate impression based on findings. | 53 year old female with RA surveillance x-rays, stable Left hand: The radiocarpal joint appears slightly narrowed with slight ulnar translation of the carpus. There is chronic appearing erosion of the triquetrum. Mild osteoarthritic changes affect the trapezioscaphoid articulation. Small defect at the base of the proxi... | Findings compatible with rheumatoid arthritis and osteoarthritis as described above. |
Generate impression based on findings. | Female, 19 years old. Reason: evaluate for constipation History: LLQ pain x 12 hours. Nonobstructive bowel gas pattern. Moderate to large stool burden, particularly in the ascending, descending, and rectosigmoid colon. | Moderate to large stool burden. No evidence of obstruction. |
Generate impression based on findings. | Left ankle sprain, evaluate for fracture.VIEWS: Left ankle AP, lateral and oblique 5/6/2015 (3 views) Small joint effusion and soft tissue swelling with no fracture or malalignment. | Small joint effusion and soft tissue swelling with no fracture. |
Generate impression based on findings. | Hepatic carcinoma LUNGS AND PLEURA: Mild centrilobular emphysema with scattered micronodules, no suspicious nodules or masses. No discrete effusionsMEDIASTINUM AND HILA: No mediastinal lymphadenopathy. Cardiac and pericardium are within limits. Please note a small suspected pericardial lymph node is observed in grossly... | No evidence of pulmonary or supradiaphragmatic metastatic disease. Please correlate with recent abdomen CT results |
Generate impression based on findings. | Poorly differentiated neuroendocrine carcinoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCORONARY ARTERY CALCIFICATION: None. CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Interval decrease in size of several of the previous... | Interval decrease in size of several of the previously noted bilobar hepatic metastatic lesions. Slight interval decrease in size of pancreatic body mass. |
Generate impression based on findings. | 73 year old with history of right mastectomy in 2013 for DCIS, and right lumpectomy in 1991 followed by radiation and hormonal therapy. No current breast complaints. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is mostly fatty replaced,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, left unilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 40 year old with screening detected left breast mass for which ultrasound guided biopsy is requested. Left ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a hypoechoic mass measuring 10 mm at the 1 o’clock position with increased vascularity, 2 cm from the nipple. The lesion was read... | Successful ultrasound-guided core biopsy of the left breast lesion and clip placement. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Lung carcinoma ABDOMEN:LUNG BASES: Please refer to separate chest CT reportLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITO... | Stable examination. |
Generate impression based on findings. | Reason: Eval for infection History: RLL infiltrate LUNGS AND PLEURA: Patchy groundglass opacities in the right middle lobe.Areas of subsegmental atelectasis at both lung bases with the accompanying scattered areas of consolidation at the right lung base.No pleural effusions.MEDIASTINUM AND HILA: Right Swan-Ganz cathete... | Patchy areas of bilateral basilar subsegmental atelectasis and scattered groundglass opacities compatible with residual of recent infection. |
Generate impression based on findings. | Lung cancer screening given 30 pack-year history, current active smoker. Smoker's cough LUNGS AND PLEURA: Persistent and essentially unchanged moderate paraseptal and centrilobular emphysema. No distinct suspicious nodules or masses. No effusions. Emphysematous changes are mildly more pronounced in the right lung base.... | Stable appearing moderate emphysematous changes with scarring, yet without suspicious new distinct focal acute abnormality; however a small subcentimeter groundglass nodular density is currently appreciated in the left upper lobe. Serial annual imaging will be helpful to confirm |
Generate impression based on findings. | Metastatic esophageal carcinoma CHEST:LUNGS AND PLEURA: Moderately severe emphysema. Interval increase in size of several of the previously noted numerous bilateral pulmonary metastatic lesions. A reference right middle lobe nodule best seen on image 87 of series 5 now measures 1.1 x 1.6 cm; this is in comparison to 1 ... | Interval increase in size of several of the previously noted numerous bilateral pulmonary metastatic nodules. Interval increase in size of peripheral segment 5 right lobe hepatic metastatic lesion. |
Generate impression based on findings. | 89 year old male with right breast lump and soreness. Three standard views of both breasts with two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is mostly fatty replaced, as usual male breast. A triangular marker is placed near the r... | Right gynecomastia. No mammographic evidence of malignancy. Clinical follow-up is recommended. Results and recommendations were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Male, 53 years old. Reason: Dobbhoff placement Dobbhoff tube terminates in the proximal gastric body.The pelvis is excluded from the field-of-view. Motion artifact limits evaluation.Partially visualized gaseous distention of the bowel.AICD leads in place. Central venous catheter tip in the right atrium. | Dobbhoff tube tip in the proximal gastric body. |
Generate impression based on findings. | Reason: h/o esophageal cancer and pulmonary mets, eval metastases to eval for radiation potential. Also with ?small R PTX on XR today. History: see above. CHEST:LUNGS AND PLEURA: Large right apical mass (image 20 series 4) with significant interval increase in size now measuring 9.2 cm x 6.4 cm previously measuring 7.9... | 1.Interval progression of large pulmonary masses with increase in size and extension of several is masses into the chest wall.2.Increasing left hilar and mediastinal lymphadenopathy.3.Increasing hepatic metastatic disease. |
Generate impression based on findings. | Pain to right fifth MCP area after fight. Rule out fracture. There is mild soft tissue swelling dorsal to the metacarpal heads. There is a small defect in the head of the fifth metacarpal with rounded and corticated margins that I suspect is chronic in etiology and likely of no current clinical significance. A tiny den... | No acute fracture evident. |
Generate impression based on findings. | Check for lung metastatic disease. Lung cancer CHEST:LUNGS AND PLEURA: Persistent large right pleural effusion with underlying compression atelectasis. The underlying masslike hyperattenuating focus in the right middle lobe (image 39 series 5) remains essentially unchanged. When measured similarly, this focus again mea... | Stable-appearing cardiopulmonary appearance and large right effusion. Reference measurements provided and stable appearing osseous metastatic lesions. |
Generate impression based on findings. | Call back from screening mammogram for new calcifications in left breast. An ML view and two spot magnification views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. A cluster of coarse fibroadenomatous type calcifications is seen at the posterior upper-outer quadrant in the left b... | No mammographic evidence of malignancy. Benign developing calcifications in the left breast. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - S... |
Generate impression based on findings. | Back pain status post fall. Slipped and fell with lateral hip pain. Is there a fracture? 5 views of the lumbar spine are provided. I see no fracture. Alignment is within normal limits. There is perhaps minimal facet joint osteoarthritis affecting L5/S1 bilaterally. A rounded calcification in the right upper quadrant li... | No fracture or other acute findings to account for the patient's pain. |
Generate impression based on findings. | Right pleural epitheliod/sarcomatoid mesothelioma post pleurectomy. CHEST:LUNGS AND PLEURA: Postoperative changes of a right parietal pleurectomy with moderate residual right hydropneumothorax. Allowing for expected postoperative changes, there are no conclusive measurable areas of residual pleural thickening. The over... | Postoperative changes of the right parietal pleurectomy without conclusive evidence of residual pleural tumor at this time. Indeterminate ipsilateral mediastinal, intercostal and hilar lymphadenopathy for which short-term follow-up is suggested. Right phrenic nerve paralysis with cranial displacement of the liver. No e... |
Generate impression based on findings. | Left knee pain. Left knee osteoarthritis. 2 views of the left knee show moderate osteoarthritis, particularly affecting the patellofemoral joint, with tricompartmental osteophytes.There is near bone-on-bone apposition of the lateral tibiofemoral compartment of the right knee as seen on the frontal view. | Osteoarthritis as above. |
Generate impression based on findings. | Metastatic prostate carcinoma CHEST:LUNGS AND PLEURA: Stable reference left upper lobe nodule best seen on image 40 of series 5 measuring 0.6 cm in diameter.MEDIASTINUM AND HILA: Stable reference retroesophageal lymph node best seen on image 52 of series 3 measuring 1.6 x 1.1 cm.CORONARY ARTERY CALCIFICATION: Moderatel... | Stable examination |
Generate impression based on findings. | New right knee pain. Started 05/03/15VIEWS: Right knee AP/lateral/oblique (three views) 05/06/15 Periosteal reaction along the anterolateral aspect of the distal femur, centered on a sclerotic lesion, is a new finding. Demineralization and sclerosis are again seen in the femur and tibia. No fracture is identified. | Periosteal reaction along the anterolateral aspect of the distal femur. Metastatic disease is likely. |
Generate impression based on findings. | Low back pain Severe degenerative disc disease affects L4/5, appearing similar to the prior study. Severe degenerative disc disease at L5/S1 has progressed when compared with the prior study, as has moderate degenerative disc disease at L3/4. Moderate facet joint osteoarthritis affects the lower lumbar spine. There is ... | Progression of degenerative disc disease and other findings as above. |
Generate impression based on findings. | Male 41 years old Reason: eval for sources of infection History: fever, leukocytosis, cough, diarrhea, post sbo CHEST:LUNGS AND PLEURA: Subsegmental atelectasis at the lung bases.MEDIASTINUM AND HILA: No significant abnormality notedCORONARY ARTERY CALCIFICATION: None. CHEST WALL: No significant abnormality notedABDOME... | Focally dilated small bowel loop in the left upper quadrant suggestive of small bowel obstruction. Given the absence of dilatation proximal and distal to this loop, closed loop obstruction cannot be excluded. The amount of dilatation is increased compared to previous CT. |
Generate impression based on findings. | Abdominal pain after prostatectomy. Assess for etiology. The following observations are made given limitations of a nonenhanced study.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality not... | Ill-defined soft tissue in the left internal obturator region with associated inflammation and small lymph nodes. Findings were discussed with the clinical service at the time of dictation (pager 3024). Further history is that patient had retained clips after robotic prostatectomy elsewhere. No definite retained clips ... |
Generate impression based on findings. | 50 pound weight loss CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Stable left subclavian stent; cannot assess for patency on this noncontrast study. Stable cardiomegaly. Small pericardial effusion again noted.CORONARY ARTERY CALCIFICATION: None. CHEST WALL: Stable left axillary adenopa... | Other than interval increase in mild ascites, stable examination. |
Generate impression based on findings. | Short gut. Has contrast cleared?VIEW: Abdomen AP (one view) 05/06/15, 1159 Feeding tube tip is in gastric body. A small amount of contrast is seen in the gastric fundus. No significant residual contrast is present in the rectum. Dilated bowel loops are present in a disorganized pattern. There is hepatosplenomegaly. | Contrast material is no longer present in rectosigmoid. |
Generate impression based on findings. | 62 Achilles tendon. Tender. Likely rupture of tendon. Is there a fracture? There is slight thickening of the Achilles tendon which is nonspecific and may simply represent mild tendinosis as the anterior margin of the tendon appears relatively well-defined. I see no fracture. Small spurs are noted along the medial malle... | No fracture evident. Mild thickening of the Achilles tendon is nonspecific and may reflect tendinosis rather than tear, but could be further evaluated with MRI if clinically warranted. |
Generate impression based on findings. | Female 55 years old Reason: 55 yo F hx of idiopathic chornic pancreatitis and cystic lesion pancreatic tail. CT with IV contrast to re-eval cystic lesion History: pancreatic cystic lesion ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abn... | Interval resection of the pancreatic tail cystic lesion. Interval development of calcifications in the pancreatic head with a new subcentimeter cystic lesion. Further evaluation with MRCP may be helpful. |
Generate impression based on findings. | Chronic right knee pain and swelling There is a moderate-sized joint effusion. Mild-moderate osteoarthritis affects the knee, particularly the medial compartment. | Joint effusion and osteoarthritis. |
Generate impression based on findings. | Flank pain and suprapubic pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Fatty infiltration of the liver.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: 0.4 cm nonobstructing mid pole righ... | Bilateral subcentimeter nonobstructing renal stones. Fatty infiltration of the liver. |
Generate impression based on findings. | Severe foot pain. Evaluate cause of peripheral radiculopathy. Severe degenerative disc disease affects L3/4. Mild-moderate degenerative disc disease affects the remaining lumbar levels. Vertebral body heights are preserved and alignment is within normal limits. There is perhaps mild multilevel facet joint osteoarthriti... | Degenerative arthritic changes as described above. |
Generate impression based on findings. | Female; 35 years old. Reason: 35 y/o woman with metastatic cervical cancer currently receiving chemotherapy. Assess treatment response and extent of disease. History: Chronic right hydronephrosis with right ureteral stent. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodule.MEDIASTINUM AND HILA: No mediastinal or hi... | No substantial interval change. Mild right pelvocaliectasis, slightly increased since prior. Stable size and appearance of bulky cervical tumor and pelvic sidewall adenopathy. |
Generate impression based on findings. | Status post distal radius fracture. Assess healing. Again seen is a comminuted intra-articular fracture of the distal radius. There is increased dorsal displacement and angulation of the distal fracture fragment when compared with the prior study. Adjacent callus formation indicates an attempt at healing. | Distal radius fracture with increased dorsal angulation and displacement of the distal fracture fragment. |
Generate impression based on findings. | History of cervical fracture at C4. Evaluate healing. The fracture of the anterior aspect of the C4 vertebral body is much better seen on the prior CT scan than on the current study. A faint linear focus of bone along the anterior margin of the C4 vertebral body may either represent a fracture fragment or healing respo... | C4 fracture is better visualized on prior CT scans. There is a slight kyphosis of the upper cervical spine with minimal spondylolistheses as described above, but I see no frank instability. |
Generate impression based on findings. | History of right above-the-knee amputation with new onset of distal/lateral knee pain. Evaluate for possible infection. The distal margin of the femur is well-defined with no specific findings to suggest infection. 3 orthopedic pins are again seen affixing the femoral neck in near-anatomic alignment. Moderate osteoarth... | No specific radiographic features of osteomyelitis. If further imaging evaluation is clinically warranted, MRI may be considered. |
Generate impression based on findings. | 37-year-old woman with metastatic breast cancer to bone with recent fall with sacral injury. Tailbone pain. Evaluate for fracture. Multifocal bone sclerosis is compatible with the stated history of metastatic breast cancer. I see no acute fracture. Degenerative disc disease affects L5/S1 with an ossicle along the anter... | Metastatic breast cancer and degenerative disc disease without acute fracture evident. |
Generate impression based on findings. | Male, 39 years old, with headache and neck pain. Brain:The structures of the right half of the brain appear to be mildly and diffusely of lower attenuation than the left but without convincing evidence of any sulcal effacement or other findings to suggest edema.Otherwise, no evidence of parenchymal edema or mass effect... | 1. No definite acute intracranial abnormality. Mild diffuse low attenuation without mass effect is seen throughout nearly the entire right cerebral hemisphere. This is favored to be artifactual, particularly if no neurologic deficits are present.2. Postoperative findings of the cervical spine compatible with fusion and... |
Generate impression based on findings. | Neck pain The lower cervical spine and cervicothoracic junction are not well visualized on the lateral view due to overlying anatomy. Severe degenerative disc disease affects C5/6 with relatively mild degenerative disc disease affecting the remaining cervical levels. There is straightening of the cervical spine which i... | Degenerative disc disease. |
Generate impression based on findings. | Left shoulder pain for 3 weeks. Evaluate for etiology. There is subchondral lucency along the medial aspect of the humeral head compatible with a subchondral fracture due to avascular necrosis. There is also a 1 to 2 mm step-off along the articular surface of the medial aspect of the humeral head indicating articular s... | Findings compatible with avascular necrosis of the humeral head with subchondral fracture and articular surface collapse. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal cousin. 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. No suspicious masses, microcalcifi... | 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. | Pain. Rule out compression. The bones appear demineralized which may reflect osteopenia. There is a slight rightward curvature of the thoracic spine as well as mild multilevel degenerative disc disease. However, I see no fracture. | Mild degenerative disc disease without fracture evident. |
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. | Left shoulder pain Glenohumeral and acromioclavicular joint alignment is within normal limits. The shoulder appears normal for age with no specific findings to account for the patient's pain. A cardiac conduction device is incompletely imaged on this study. | No specific findings to account for the patient's shoulder pain. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Breast tenderness during menstrual cycle. 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. Two small cluster of calcifications... | Two small cluster of calcifications seen in right upper inner breast posterior depth and right upper outer quadrant mid depth. Spot magnification views are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Three standard digital views of both breasts with tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Subcentimeter mass in the right upper-outer quadrant is most like... | 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 are submitted, they will be used for future i... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and a cleavage view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Small cluster of calcifications measuring less than 1 cm in the ri... | Small cluster of calcifications measuring less than 1 cm in the right central breast and a small 3 mm round mass in the left lower inner quadrant with a punctate calcification, need comparison to prior studies to confirm stability. If prior studies are not available, spot magnification views of the right breast and spo... |
Generate impression based on findings. | Follow-up of lung nodules. History of MAI on bronchoscopy (no treatment), asthma. LUNGS AND PLEURA: Flat, scarlike part solid lesion in the right upper lobe associated with linear scarring extending to the apex; the solid component visible on the soft tissue windowed images measures 7 x 5 mm, unchanged compared to the ... | 1. Peripheral left lower lobe spiculated groundglass nodule now contains subtle solid elements, having increased in density since the exam of 10/9/2013, now measuring 11 x 9 mm. This lesion remains at least moderately suspicious for an indolent adenocarcinoma. Consider tissue diagnosis.2. New right lower lobe peribronc... |
Generate impression based on findings. | Right shoulder pain The bones appear slightly demineralized suggesting osteopenia. There is widening of the acromioclavicular joint which I suspect is postoperative in etiology. There is a small ossicle overlying the acromioclavicular joint which is probably of no current clinical significance. Glenohumeral joint align... | Presumed old postoperative/posttraumatic changes as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and an additional left MLO view 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 m... | 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.Dictated by RESIDENT LINGYUN XIONG |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and an additional left CC view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Arterial calcifications are present in both breasts.No ... | 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.Dictated by RESIDENT LINGYUN XIONG |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of bilateral breast reduction. History of cervical cancer. Family history of breast cancer in two aunts and one sister. No breast symptoms currently. Two standard digital views and additional MLO views of both breasts were performed and reviewed wi... | 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. | 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. There are two masses in the upper outer left br... | Stable benign left breast masses. 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.Dictated by RESIDENT LINGYUN XIONG |
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. No suspicious masses, microcalcifications or areas of architectural distortio... | 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.Dictated by RESIDENT LINGYUN XIONG |
Generate impression based on findings. | Pain. Rule out osteoarthritis. There is deformity and tapering of the distal aspect of the fifth metatarsal that may reflect prior surgery, chronic erosion, or a combination of both. The tapering appears to have progressed when compared with the prior study. Small lucencies in the base of the proximal phalanx of the fi... | Arthritic changes may reflect a combination of osteoarthritis and rheumatoid arthritis, with possible postoperative changes as described above. |
Generate impression based on findings. | Left flank pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Fatty infiltration of the liver again noted.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Bilateral punctate renal stones. Very ... | 0.5 cm distal left ureteral stone associated with minimal left hydronephrosis and hydroureter. Additional punctate nonobstructing renal stones involving both kidneys. |
Generate impression based on findings. | Clinical question: Chronic sinusitis, DNS. Signs and symptoms: As above. Nonenhanced maxillofacial CT:Bilateral frontal sinuses are not pneumatized and absent which is a normal anatomical variation.Ethmoid sinuses are well-pneumatized and without evidence of disease.Sphenoid sinus is well pneumatized and without eviden... | 1.No evidence of sinusitis.2.Mild leftward nasal septum deviation without a bony septal spur. |
Generate impression based on findings. | Dysphagia, , history of positive ANA in centromere pattern Scout radiograph of the chest unremarkable. Right upper quadrant surgical clips, likely reflecting prior cholecystectomy.Double contrast evaluation of the esophagus and gastric cardia/fundus revealed no morphologic abnormalities. No fixed luminal narrowing or o... | Mild esophageal dysmotility. Unremarkable exam otherwise. |
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