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Generate impression based on findings. | Pain and redness. History of heterotopic ossification. There are new surgical clips in the volar soft tissues of the proximal forearm. Small foci of heterotopic ossification are seen within the volar soft tissues of the proximal forearm, but the large focus seen on the prior study is no longer evident, presumably due t... | Heterotopic ossification and postoperative changes as above. |
Generate impression based on findings. | Left lower quadrant pain Nonobstructive bowel gas pattern. No free air on upright view. Small mild left hemipelvic curvilinear hyperdensity may reflect residual contrast in ureter versus vascular calcifications. | Nonobstructive bowel gas pattern, see above. |
Generate impression based on findings. | Pain. Rule out stenosis. There is moderate multilevel degenerative disc disease. Moderate facet joint osteoarthritis affects the lower lumbar spine. There is a grade 1 anterolisthesis of L4 relative to L5 that may have progressed slightly when compared with the prior study. Severe degenerative disc disease affects the ... | Degenerative arthritic changes as described above. |
Generate impression based on findings. | Bladder carcinoma ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Subcentimeter nonobstructing right renal stones,... | Status post cystectomy. Unremarkable ileal diversion. Multiple subcentimeter nonobstructing right renal stones. No worrisome renal mass or obstruction. Unremarkable collecting systems bilaterally.Bilateral inguinal adenopathy; while this may represent benign reactive adenopathy, special attention to these nodes on futu... |
Generate impression based on findings. | 52 years old female with history of stage IA lung cancer s/p XRT, please restage. RADIOPHARMACEUTICAL: 14.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 100 mg/dL. Today's CT portion of the neck demonstrates postsurgical change in the cervical spine. Please see diagnostic CT reports for details of the che... | 1.Focal esophageal thickening in mid and distal esophagus with increased metabolic activity, which can be due to tumor or esophagitis. Suggest further evaluation with EGD.2.Multifocal hypermetabolic lymph nodes in the mediastinum, lung hila and gastrohepatic ligament, suspicious for nodal metastasis.3.Hypermetabolic ri... |
Generate impression based on findings. | Pain Again seen are postoperative changes of triple arthrodesis with fusion of the subtalar, talonavicular, and calcaneocuboid joints. Orthopedic screws traverse the fused talonavicular and calcaneocuboid joints. There is a healed calcaneal osteotomy. Moderate osteoarthritis affects the ankle, talonavicular joint, and ... | Postoperative and arthritic changes as described above. |
Generate impression based on findings. | Clinical question: Headache for 3 days worse on the right side. Signs and symptoms: As above. Nonenhanced head CT:Examination demonstrates no detectable acute intracranial hemorrhage, edema, mass effect, midline shift or hydrocephalus. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strok... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Thoracic radiation, lung cancer CHEST:LUNGS AND PLEURA: Focal stability and underlying suspected persistent scarring in the left upper lobe. Small focal peripheral opacity again extends to the pleura appears similar in overall appearance with a some associated distortion volume loss again suggests post radiation change... | Suspected postradiation change without distinct superimposed new intrapulmonary metastatic foci or change |
Generate impression based on findings. | Pain. 2 views of the lumbar spine are provided. There is perhaps a minimal rightward curvature of the lumbar spine, as well as tiny anterior vertebral body osteophytes at L2 and L4. Rounded density along the posterior margin of the L4/5 intervertebral disc space could represent disc protrusion, but this would be better... | Rounded opacity along the posterior margin of the L4/5 intervertebral disc space could conceivably represent disc protrusion, but this would be better evaluated with cross-sectional imaging such as MRI. I otherwise see no specific findings to account for the patient's pain. |
Generate impression based on findings. | 21-year-old female with history of congenital heart disease. Preoperative evaluation of retrosternal structures and interatrial septum. LUNGS AND PLEURA: No focal opacity, pleural effusion or pneumothorax. Normal anatomy.MEDIASTINUM AND HILA: As this is a non gated study, anatomic abnormalities seen on prior MRI examin... | Cardiomegaly without evidence of acute pulmonary abnormality. It should be noted that detailed evaluation of the interatrial septum, as clinically questioned, is not possible on this non cardiac gated CT examination. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Patient with tuberculosis. Follow-up pleural plaques and check for malignancy LUNGS AND PLEURA: Unchanged partially calcified focal nodularity, largest is approximately 1 cm in the right apex (image 15 series 4). No new suspicious nodules or masses. Appearance again supports probable post inflammatory abnormality with ... | Old stable appearing suspected postinflammatory scars in the right upper lung superimposed upon emphysema. See detail provided. No suspicious new lesions |
Generate impression based on findings. | Pain/burning over midfoot and arch with ambulation. 3 views of the right foot are provided. Mild osteoarthritis affects the interphalangeal joints and first metatarsophalangeal joint. There are also tiny dorsal osteophytes along the tarsometatarsal joint. Otherwise I see no findings to account for the patient's symptom... | Mild degenerative changes as above. |
Generate impression based on findings. | Male 15 years old Reason: leg pain for one week History: Left femur fracture in 2008VIEWS: Left femur AP and lateral views (2 views) 5/6/2015 at 12:01 Left knee AP, lateral, and oblique views (3 views) 5/6/2015 at 12:12Left tibia/fibula AP and lateral views (2 views) 5/6/2015 at 12:23 Femur: Mild deformity of the mid f... | No acute fracture. Distal lateral femoral exostosis may be related to prior fracture fixation. |
Generate impression based on findings. | Call back from screening mammogram for developing calcifications in the 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. There are scattered punctate calcifications in the left upper-outer quadrant, without suspicious features... | High probability benign calcifications in the left upper-outer quadrant, for which follow-up in 6 months with left unilateral diagnostic mammogram is recommended. Results and recommendations were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months)... |
Generate impression based on findings. | The frontal sinus and frontoethmoidal recesses are clear. There is minimal opacification involving the left anterior ethmoid air cells. The anterior ethmoid air cells are otherwise clear. The posterior ethmoid air cells are clear. There is also minimal mucosal thickening involving the left relatively greater than righ... | 1. Minimal mucosal thickening as described above, paranasal sinuses are otherwise clear.2. Partial opacification of the left mastoid air cells. |
Generate impression based on findings. | Oral cancer CHEST:LUNGS AND PLEURA: Minimal dependent right basilar scarring without interval change or new focal abnormality. No effusions. Suspicious specifically no findings of nodules or masses.MEDIASTINUM AND HILA: No lymphadenopathyThe cardiac and pericardium are within limitsCORONARY ARTERY CALCIFICATION: Mild u... | No evidence of metastatic disease or recurrence |
Generate impression based on findings. | CMC pain Moderate osteoarthritis affects the first carpometacarpal joint. The remainder of the thumb is unremarkable. | Osteoarthritis. |
Generate impression based on findings. | Pain 3 views of the left index finger are provided. There is perhaps mild soft tissue swelling along the radial aspect of the digit, but the bones and joints of the finger appear normal.3 views of the right wrist are provided. There is a tiny ossicle along the medial aspect of the first carpometacarpal joint, of questi... | Possible mild soft tissue swelling along the left index finger, but otherwise no specific findings to account for the patient's pain. |
Generate impression based on findings. | 44-year-old female patient with metastatic breast cancer. Baseline scan prior to new treatment. CHEST:LUNGS AND PLEURA: There are innumerable metastatic pulmonary nodules bilaterally, many of which have increased in size. A left upper lobe perifissural nodule now measures 14 mm (image 108, series 4), previously 12 mm. ... | Progression of metastatic disease as described above. |
Generate impression based on findings. | Images are again degraded by patient motion and susceptibility artifact. Within these limitations, the following observations are made. Postoperative changes are again seen related to C2-T2 laminoplasty. Redemonstration of a lobulated longitudinally extensive tumor, centered predominantly along the left paraspinal mus... | 1.Redemonstration of surgical findings related to tumor debulking in the cervical and upper thoracic spine.2.The extraspinal components of the tumor are not significantly changed in size or appearance.3.The foraminal and intracanalicular portions of the tumor are also unchanged at most levels, with the exception of C4-... |
Generate impression based on findings. | Left upper lobectomy for adenocarcinoma, follow-up LUNGS AND PLEURA: No suspicious intrapulmonary focal abnormality. Scattered emphysematous changes without suspicious nodules or masses. No effusions. Specifically the small benign-appearing cyst in the right lower lobe is unchanged. Postoperative left upper lobectomy a... | No evidence of recurrent or metastatic disease |
Generate impression based on findings. | 69-year-old male with a history of pleural mesothelioma. Please compare to prior examination per RECIST criteria. CHEST:LUNGS AND PLEURA: Redemonstration of volume loss and postsurgical changes in left hemithorax.Reference pleural measurements are as follows:1. At the level of the aortic arch (series 4, image 30): The ... | Persistent nodular pleural thickening on the left, consistent with the stated history of pleural mesothelioma, with reference measurements as above. Interval development of nonspecific perihepatic and perigastric free fluid. There is also nodularity along the hepatic flexure, raising the question of omental implants, a... |
Generate impression based on findings. | Back pain. Evaluate spine abnormality. History of L2-4 laminectomy. The patient is status post multilevel lower lumbar laminectomy. There is moderate multilevel degenerative disc disease affecting the lower cervical, thoracic and lumbar spine. There is slight anterior wedging of T7 that was present on a chest radiograp... | Degenerative disc disease and slight positive sagittal balance. |
Generate impression based on findings. | Male 3 years old Reason: Follow-up scan; S/P extracorporeal shock wave lithotripsy History: renal stones BLADDER Wall Thickness: Normal Contents: Nondistended and normal. Distal Ureter -- SFU Grade** Right: 0 Ureteral Jets Right: Not observed RIGHT KIDNEY Cortical Echogenicity: Normal Medullary Echogenicity: No... | Persistent right hydronephrosis appearing similar to the prior study. No evidence of nephrolithiasis.*SFU grading system: Grade 0: No hydronephrosis. Grade 1: The renal pelvis is visualized. Grade 2: A few but not all of the calices are identified in addition to the renal pelvis. Grade 3: Virtually all the calices are ... |
Generate impression based on findings. | Reason: Small cell lung cancer LUNGS AND PLEURA: Small right pleural effusion, decreased from prior study with persistent fluid in the major fissure. Left lung base scarring is again seen. Right upper lobe referenced nodule is not well seen on 3/23/2015 study due to pleural effusions for comparison. Right apical nodule... | 1.Interval improvement in right pleural effusion with persistent fluid in the major fissure.2.Right hilar mass that overall appears decreased in size from 2/9/2015. Of note, mass cannot be accurately measured on 3/23/2015 study due to pleural effusion.3.Mediastinal and hilar lymphadenopathy without significant change f... |
Generate impression based on findings. | Screening for HCC. LIVER: The liver measures 15.3 cm in length. Its mildly echogenic with no dominant liver lesions. Portal vein is patent with flow towards the liver on color Doppler imaging.GALLBLADDER, BILIARY TRACT: Small gallbladder polyp. Common duct measures 2 mm which is within normal limits.PANCREAS: Pancreati... | No focal liver lesions. Mild splenomegaly. Gallbladder polyps. |
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. | 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. A linear scar marker overlies the right breast.... | 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. | 78 year old with history of right mastectomy for DCIS in 2010. Patient received radiation. No new 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 composed of scattered fibroglandular elements, unchanged in pattern and... | 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: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Male, 52 years old, with increased gait difficulty of this morning. Assess for evidence of acute stroke. Old right-sided weakness from prior stroke. Encephalomalacia is evident affecting a majority of the left MCA distribution. This results in ex vacuo dilatation of the left lateral ventricle.Elsewhere, no definite evi... | Chronic ischemia affecting a majority of the left MCA territory. No definite evidence of superimposed acute ischemia is seen. However, if clinical concern remains high, further imaging with MRI would be appropriate. |
Generate impression based on findings. | Male 10 years old Reason: evaluation of growth plate of distal radius and ulna and lateral hip pain in gymnast History: wrist pain with extension, lateral hip pain with activityVIEWS: Right wrist PA and lateral views (2 views) 5/6/2015 at 12:20Left wrist PA and lateral views (2 views) 5/6/2015 at 12:23Pelvis AP and fro... | Normal examination of the wrists and pelvis. |
Generate impression based on findings. | Hip total arthroplasty primary uncemented, right The superior aspect of the pelvis is not included on the field-of-view of this study. An acetabular component and a preliminary femoral component of a total hip arthroplasty are situated in near-anatomic alignment as seen on the single view. A surgical wound is noted lat... | Total hip arthroplasty components as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is extremely dense, which lowers the sensitivity of mammography, unchanged in pattern and distribution. No suspicious... | 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: NSD - Screening Mammogram. |
Generate impression based on findings. | Again seen is T1 hyperintense, non-enhancing lesion in the posterior pituitary with a T2 hypointense nodule. Lesion measures 9 x 9 x 7 mm in the AP, transverse, and craniocaudal dimensions. No significant change since 5/28/2014. T1 hyperintense lesion is seen at this location dating back to 6/29/2009. There is minimal... | Unchanged T1 hyperintense, nonenhancing lesion involving the posterior pituitary gland with features compatible with Rathke cleft cyst. Of note, T1 hyperintense lesion is seen in this location dating back to MRI from 6/29/2009. No evidence of metastatic disease involving the sella. |
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 almost entirely fatty, unchanged in pattern and distribution. There is a stable benign mass in the right upper outer quadrant.No sus... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 61-year-old with left mastectomy in 2005 for breast cancer. No current breast complaints. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. Multiple benign calcifications incl... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, right unilateral diagnostic mammogram is recommended annually. Results and recommendations 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. History of benign biopsied right breast mass. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distri... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Status post right total hip arthroplasty The AP view of the right hip shows components of a total hip arthroplasty device situated in near-anatomic alignment. Skin staples, a drain, and foci of gas density in the soft tissues reflect recent surgery.AP view of the pelvis reveals the aforementioned postoperative changes ... | Total hip arthroplasty as above. |
Generate impression based on findings. | Reason: evaluate for changes in ILD History: worsening sob and cough LUNGS AND PLEURA: Mild basilar predominant subpleural reticulation with traction bronchiectasis and mild honeycombing. No significant air trapping on expiration images.No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA... | Mild/moderate basilar predominant interstitial fibrosis in a UIP pattern. |
Generate impression based on findings. | Clinical question:67 yo female with history of AML; pre-allo SCT evaluation. Signs and symptoms: evaluate Nonenhanced maxillofacial CT:There is no evidence of acute sinusitis. Minute mucosal thickening in the ethmoids are present and without significant change since prior exam from 2014.Patent bilateral sphenoethmoidal... | 1.No evidence of sinusitis.2.Interval complete resolution of opacification of left middle ear cavity however with persistent patchy opacification of left mastoid air cells.3.Mild rightward nasal septum deviation and a bony septal spur projecting to the right as detailed. |
Generate impression based on findings. | Female 5 months old Reason: evaluate for infiltrate History: patient with fever and increased work of breathingVIEW: Chest AP (one view) 5/6/2015 at 1406 hours. Cardiac silhouette size is normal. Right upper and left lower lobe patchy opacities likely pneumonia or atelectasis. No effusions or pneumothorax. | Multifocal opacities as described. |
Generate impression based on findings. | Male 70 years old; Reason: left testis pain History: testis pain RIGHT TESTIS: 4.2 x 1.9 x 2.7 cm. No focal lesionsLEFT TESTIS: 3.8 x 2.3 x 2.3 cm. No focal lesionsRIGHT EPIDIDYMIS: No significant abnormalities noted.LEFT EPIDIDYMIS: No significant abnormalities noted.OTHER: Presumed bowel in the left inguinal canal. T... | Left inguinal hernia containing bowel. No evidence of testicular mass or torsion or torsion. |
Generate impression based on findings. | 39-year-old female with severe left lower quadrant pain, vomiting, hematuria. Evaluate for kidney stone ABDOMEN:Lack of intravenous and oral contrast limits evaluation of solid abdominal viscera and bowel.LUNG BASES: No focal consolidation or pleural effusion.LIVER, BILIARY TRACT: Noncontrast liver and gallbladder are ... | No findings to account for patient's left lower quadrant pain. |
Generate impression based on findings. | Female, 56 years old, with history of T3 N2c keratinizing squamous cell carcinoma of the right oral tongue status post CRT. As on prior examinations, much of the oral tongue is obscured by dental amalgam streak artifact. Where evaluable, the mucosa of the oral cavity is free of mass lesions.Mild diffuse thickening of t... | Redemonstration of treatment related findings with no evidence to suggest recurrent primary tumor or pathologic adenopathy. |
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. No suspicious masses, microcalcifications or areas of architectural distortion are pre... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, they will be used as futur... |
Generate impression based on findings. | Status post Lisfranc fusion Orthopedic screws are again seen affixing the first second and third tarsometatarsal joints in near anatomic alignment. Overall this appears similar to that seen on the prior study accounting for slight positional differences. A defect in the calcaneus likely reflects prior orthopedic interv... | Findings of orthopedic Lisfranc fusion and possible fourth metatarsal stress fracture. This was text paged to Dr. Toolan at the time of dictation. |
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. A few dilated ducts in the right retroareolar r... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and an additional right MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of... | 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 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. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, they will be used as futur... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microca... | 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. | Reason: recent history of pneumonia, reevaluation History: cough, SOB LUNGS AND PLEURA: Right middle lobe atelectasis.Areas of subsegmental atelectasis and subpleural consolidation with bronchiectasisNo pleural effusions.No suspicious pulmonary nodules or masses. In the both lower lobes more pronounced on the left.MEDI... | 1.Right middle lobe atelectasis. Scattered areas of atelectasis and chronic consolidation involving both lower lobes, more pronounced on the right2.Numerous osteolytic and scattered osseous sclerotic foci throughout the visualized axial skeleton compatible with history of multiple myeloma. |
Generate impression based on findings. | 37-year-old female with history of metastatic cervical cancer, currently receiving chemotherapy. Chronic left hydronephrosis and left ureteral stent. CHEST:LUNGS AND PLEURA: Few scattered bilateral micronodules, unchanged. No suspicious pulmonary nodules. Mild centrilobular emphysema redemonstrated. No focal consolidat... | No significant interval change in omental disease and left para-aortic metastases. No evidence of disease progression. |
Generate impression based on findings. | Mesothelioma status post pleurectomy/decortication evaluate extent of disease. Additional history of papillary thyroid carcinoma. CHEST:LUNGS AND PLEURA: Interval resolution of pneumothorax. Asymmetric lung volumes, right greater than left. Persistent trace loculated anterior and anteromedial pleural fluid collection o... | Recurrent pleural tumor in the left hemithorax extending into the paravertebral and subpleural fat and causing rib erosion. Ipsilateral chest wall lymphadenopathy consistent with nodal metastases. Indeterminate small new or enlarging lymph nodes in the upper abdomen. |
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. | 76 year old with two suspicious right breast masses, who presents for biopsy of the two masses. Right ultrasound re-identified the target lesions for biopsies. The first lesion to be targeted is a hypoechoic measuring 30 mm at the 10 o’clock position with increased vascularity, 10 cm from the nipple. The lesion was rea... | Successful ultrasound-guided core biopsy of two right breast lesions and two clip placements. Pathology is pending at this time.BIRADS: 5 - Highly suggestive of malignancy.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Female 16 years old Reason: eval for fx. ocd talus History: ankle pain for 2-3 yearsVIEWS: Right ankle AP, lateral and oblique 5/6/2015 (3 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. No evidence of OCD. | Normal examination. |
Generate impression based on findings. | 10 month old male with frontal and occipital bossing. There is complete fusion and loss of the sagittal suture with associated ridging. The anterior fontanelle is absent. The metopic suture is also absent with mild associated ridging. The remaining sutures including the coronal and lambdoid sutures are normal in appear... | Sagittal and likely metopic synostosis resulting in scaphocephaly and mild trigonocephaly. |
Generate impression based on findings. | 62-year-old male patient with metastatic RCC, complaining of new right upper quadrant pain, worsening fatigue, lack of appetite, and with rising LFTs. CHEST:LUNGS AND PLEURA: Scattered metastatic pulmonary nodules are identified, some of which have a cavitary appearance. Many of the nodules have decreased in size compa... | Decrease in size of the left renal mass and metastatic disease in the chest and abdomen. |
Generate impression based on findings. | Myelination is appropriate for patient's age. There is mild interval decrease in the size of the supratentorial ventricular system compared to prior examination. The 3rd and 4th ventricles are within normal limits in size. No obstructive lesion is evident. There is associated thinning of the corpus callosum. Diminishe... | 1.Myelination is appropriate for patient's age, as clinically questioned.2.Sequelae of remote left cerebellar and intraventricular hemorrhage, as described above.3.Mild interval decrease in size of supratentorial ventricular system.4.Two foci of periventricular nodular heterotopia, indicative of a migrational disorder. |
Generate impression based on findings. | 43-year-old female with left knee pain. Evaluate for evidence of fracture. Two views of the left knee reveal postoperative findings of below-knee amputation with osteotomy lines sharp and intact. There is diffuse osteopenia and degenerative changes of the knee. No soft tissue abnormality is noted. No evidence of fractu... | No evidence of fracture. |
Generate impression based on findings. | Male 9 years old Reason: Right medial malleolus fracture, evaluate for displacement VIEWS: Right ankle AP, lateral, and oblique views (3 views) 5/6/2015 at 13:06 Redemonstration of nondisplaced intra-articular fracture of the medial malleolus. There is a spurlike appearance of the intra-articular portion of the fractur... | Healing nondisplaced fracture of the medial malleolus with a spurlike appearance of the intra-articular portion of the fracture line. |
Generate impression based on findings. | 45-year-old male with history of RA. Evaluate for progression. Right foot: 3 views of the right foot reveal new erosion at the right 5th metatarsal head. Otherwise there is normal bone mineralization of the remainder of the foot with no other erosions, fracture or dislocation. Mild hallux valgus deformity.Left foot: 3 ... | New erosion at the right 5th metatarsal head compatible with Rheumatoid Arthritis. |
Generate impression based on findings. | Female 45 years old Reason: elevated bilirubin History: abd distension LIVER: The liver measures 17.5 cm in length and demonstrates a coarsened echotexture and heterogeneous echogenicity as noted previously. There is no evidence of intrahepatic biliary ductal dilatation or focal mass lesion. The main portal vein demons... | Coarsened hepatic echotexture and heterogeneous echogenicity consistent with hepatic parenchymal dysfunction. Cholelithiasis. |
Generate impression based on findings. | 59-year-old female with a history of lung mass. CHEST: Evaluation for subcentimeter lesions is limited secondary to the patient's body habitus.LUNGS AND PLEURA: Solid 1.9 x 1.5 cm nodule in the right posterior upper lobe abutting the major fissure (31; series 4). As the lesion is in the dependent aspect of the long and... | 1.9 cm indeterminate mixed density nodule in the right upper lobe, abutting the major fissure with nonspecific mildly enlarged right hilar lymph node. Please refer to separately dictated PET/CT examination for additional details. Malignancy cannot be excluded. I personally reviewed the Images and/or procedure with the ... |
Generate impression based on findings. | There is a scoliotic curvature of the lumbar spine with significant rightward translation of the L3 vertebral body on L4. The central and left most aspect of the L3 vertebral body is compressed and there appears to be a small portion of separated vertebral body along the left most aspect of the endplate, which could r... | 1.Significant malalignment of the lumbar spine, including scoliotic curvature with significant rightward subluxation of L3 on L4.2.Severe degeneration of the L3-4 disc space, with fluid within the disc and enhancing adjacent endplates with marrow edema, however, the disc space does not enhance. Severe degeneration is f... |
Generate impression based on findings. | 61-year-old female with dysphagia status post laparoscopic Nissen fundoplication. Visually there was significant and progressive gastric emptying. Using anterior and posterior geometric means, residual gastric activity at the following postprandial intervals was calculated as follows:30 mins: 74.2 % of peak activity (n... | Gastric emptying within normal limits. |
Generate impression based on findings. | Head and neck cancer, follow-up CHEST:LUNGS AND PLEURA: Interval resolution of the small right middle lobe pulmonary nodule with currently a small calcified focus along a scarlike fissure representing a possible lymph node and/or scar (image 70 series 5). Scattered micronodules are otherwise observed without significan... | Interval resolution and or scarring now observed in the right middle lobe. No suspicious new findings, specifically no abnormalities to suggest metastatic disease |
Generate impression based on findings. | 2-year-old male with neuroblastoma status post induction therapy per ANBL09P1. Significant interval reduction in MIBG avid tumor with resolution of activity in the neck and chest and near-resolution of activity in the left upper abdomen/retroperitoneum. No new sites of disease. | Significant interval reduction in MIBG avid tumor in the neck, chest, and abdomen. No new sites of disease. |
Generate impression based on findings. | 68 year old female with altered mental status after a cholecystectomy. There is no evidence of intracranial hemorrhage. There is atherosclerotic calcification of the distal internal carotid arteries, and patchy foci of low attenuation within the supratentorial white matter that are most compatible with mild small vesse... | 1.No evidence of acute intracranial hemorrhage or mass effect. 2.Findings most compatible with mild small vessel ischemic disease. If there is concern for acute ischemia, an MRI is suggested. |
Generate impression based on findings. | 73-year-old male patient with history of poorly differentiated squamous cell carcinoma of the right palatine tonsil, enrolled in anti-PD1 MK3475/pembrolizumab clinical trial. The examination is limited due to suboptimal contrast bolus timing.HEAD: There is no evidence of intracranial mass or abnormal enhancement. Again... | 1. No significant change in mild residual right lower cervical lymphadenopathy. Otherwise no evidence of locoregional recurrence or significant cervical lymphadenopathy in the remainder of the neck.2. No evidence of intracranial metastases. |
Generate impression based on findings. | Tonsil cancer. CHEST:LUNGS AND PLEURA: Mild to moderate centrilobular emphysema with basilar atelectasis greater on the right. No effusions. No suspicious nodules or masses. Scattered calcified nodules are otherwise unchangedMEDIASTINUM AND HILA: Calcified hilar and mediastinal lymph nodes compatible with old healed gr... | No lymphadenopathy. Prior reference lesions are currently unremarkable. No suspicious new pulmonary abnormalities, specifically no findings to suggest metastatic disease |
Generate impression based on findings. | 59-year-old male with a history of tonsilar carcinoma. LUNGS AND PLEURA: Right basilar scarring/atelectasis. No pleural effusion or pneumothorax. No suspicious nodules or masses are identified. Scattered bilateral pulmonary micronodules. There is bronchial wall thickening and endobronchial debris.MEDIASTINUM AND HILA: ... | 1. Nonspecific right hilar lymphadenopathy, may be reactive given the presence of retained bronchial secretions and bronchial wall thickening. 2. 2.1 cm heterogeneous nodule along the inferior pole of the right lobe of the thyroid gland. Further evaluation with a dedicated thyroid ultrasound examination is recommended.... |
Generate impression based on findings. | Reason: 51 y/o history of lung ca, please restage History: see above CHEST:LUNGS AND PLEURA: Right perihilar and paramediastinal postsurgical changes redemonstrated.Enhancing soft tissue nodular paramediastinal opacity adjacent to the right inferior pulmonary vein is concerning for recurrence or residual neoplasia. Thi... | 1.Soft tissue nodular enhancement in the region of the previously resected pulmonary neoplasm raising question of recurrent neoplasia. Continued surveillance with use of IV contrast is recommended.2.Enlarging mediastinal lymph nodes suspicious of metastatic involvement. Correlate with recent PET/CT |
Generate impression based on findings. | 55 -year-old female. History of fibrocystic breast disease. No current complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Several areas o... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 61-year-old male with left hydronephrosis with transition point at the left UPJ. The posterior abdominal radionuclide angiogram demonstrates prompt, symmetrical perfusion of the kidneys. Sequential renal images show the kidneys to be of normal size and morphology, aside from moderate left hydronephrosis. There is promp... | 1. Normal renal perfusion and function with split function values as above.2. Impaired left renal collecting system washout after Lasix administration with transition point at the left UPJ and moderate upstream left hydronephrosis, which can be due to left renal obstruction. However, this finding is not specific and im... |
Generate impression based on findings. | Abdominal pain, assess for obstruction or constipation No free air. Nonobstructive bowel gas pattern. Large stool burden with stool seen throughout colon. | Findings compatible with constipation with large stool burden seen. No bowel obstruction. |
Generate impression based on findings. | Evaluate for urachal cyst, fistula to the umbilicus. Periumbilical cellulitis. There is a 3.1 x 2.5 x 1.4 cm complex fluid collection adjacent to the umbilicus which appears to be communicating to the skin. | Small complex periumbilical fluid collection. |
Generate impression based on findings. | Metastatic lung CA please restage. CHEST:LUNGS AND PLEURA: Right lower lobe mass decreased in size, now with internal fluid and air consistent with necrosis, 3.2 x 2.8 cm (5/65) compared to 5 x 5.4 cm previously. 6 mm enhancing nodule in the periphery of the lesion (3/69), but the wall of the lesion is relatively thin ... | 1. Interval decrease in size of right lower lobe mass which is now necrotic.2. Slight increase in nonspecific contralateral mediastinal lymph node measurement.3. Stable lucent lesions in the sternum and pelvis, atypical in distribution for metastases, correlate for multiple myeloma |
Generate impression based on findings. | Status post lap chole with abdominal distention and pain ABDOMEN:LUNG BASES: Bibasilar atelectasis and small effusions; favor postoperative changes.LIVER, BILIARY TRACT: Mild intrahepatic and extrahepatic ductal dilatation. Maximal diameter of common bile duct 1.3 cm. Status post cholecystectomy. Soft tissue infiltrati... | Status post cholecystectomy. Mild intrahepatic and hepatic ductal dilatation as described. Soft tissue infiltration and focal fluid within porta hepatis and gallbladder fossa; favor benign postoperative findings. No evidence for abscess. No bowel obstruction.Prominent pancreatic head associated with surrounding soft ti... |
Generate impression based on findings. | Female, 56 years old. Reason: s/p lap gastric band. c/o dysphagia and GERD History: s/p lap gastric band. c/o dysphagia and GERD Single contrast visualization of the esophagus showed no morphologic abnormality. During the exam, no spontaneous or provoked gastroesophageal reflux was observed. Fluoroscopic evaluation of ... | Findings suspicious for slippage of the gastric band, including mildly increased phi angle, absence of a measurable gastric pouch and prompt transit of contrast past the gastroesophageal junction. |
Generate impression based on findings. | Right common iliac artery bypass with graft infection. Please reevaluate LUNGS AND PLEURA: Multiple new areas of groundglass and interstitial abnormality greater both apices and anteriorly. These new findings since the prior CT yet seen on more recent CXR highlight moderate to severe underlying centrilobular emphysema ... | Nonspecific new pulmonary changes suggesting edema superimposed upon a background of moderate to more pronounced emphysema. Associated small effusions |
Generate impression based on findings. | 49-year-old male with Hodgkin's lymphoma. Restaging. CHEST:LUNGS AND PLEURA: No focal consolidation or pleural effusion. No suspicious pulmonary nodules.MEDIASTINUM AND HILA: Heart size is normal and no pericardial effusion. Caliber of the great vessels is normal. No mediastinal or hilar lymphadenopathy. Small hiatal h... | No lymphadenopathy or specific evidence of metastatic disease. |
Generate impression based on findings. | There is extensive air under the right eyelids and tracking into the post septal intraconal and extraconal spaces. There is high attenuation surrounding the preseptal right globe that may represent soft tissue swelling and/or blood products. There is no significant postseptal fat stranding. The right globe is intact. ... | 1.Right orbital floor fracture without herniation of the inferior rectus muscle. 2.Extensive right orbital emphysema.3.No imaging evidence of post septal hematoma or globe injury. |
Generate impression based on findings. | Female 16 years old evaluate for chronic changes from arthritis.EXAMINATION: AP views of the left and right hands (2 views) 5/6/2015 at 14:32 Left hand: Well-corticated erosions are seen at the third and fourth metacarpal heads. Rounded lucencies are seen within the trapezium, trapezoid, and capitate. The trapezoid and... | Fusion of carpal bones in the left hand and swelling about the PIP joints and PIP joint space narrowing bilaterally compatible with JIA. |
Generate impression based on findings. | Multiple solid lesions are identified in the bilateral cerebral hemispheres with dense target-like enhancement and associated diffusion abnormality. The lesions appear dark on T2/FLAIR sequences. A total of 7 lesions are identified, the largest of which lies in the mid right frontal gyrus, measuring 19 x 13 mm in the ... | 1.Up to 7 enhancing cerebral masses bilaterally, with moderate associated edema, as detailed above, compatible with metastatic disease. No significant midline shift or evidence of herniation.2.Evidence of small vessel ischemic disease.3.Unremarkable MRA. |
Generate impression based on findings. | 69 year old male with right breast lump for one month. 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, being usual male breast pattern. A triangular marker is place... | Bilateral gynecomastia, right greater than left. No mammographic evidence of malignancy. Clinical follow up is recommended.BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | 67-year-old male patient with peritoneal mesothelioma. CHEST:LUNGS AND PLEURA: There are a few scattered pulmonary nodules are noted within the left upper lobe measuring up to 3 mm. Additional micronodules are noted within the right middle and upper lobes with the largest measuring approximately 4 mm in the right upper... | 1. Significant increase in peritoneal disease with ascites.2. New small left pleural effusion. |
Generate impression based on findings. | Male 5 years old with a history of hip subluxationEXAMINATION: Pelvis AP and frog-leg views (2 views) 5/6/2015 at 14:56 The femoral heads are symmetric and well directed into the acetabula. There is approximately 40% lateral uncovering on the right and approximately 30% lateral uncovering on the left and bilateral coxa... | Bilateral uncovering of the femoral heads with slight progression on the left. No evidence of dislocation. Large stool burden. |
Generate impression based on findings. | Evaluate for bowel obstruction or free air, abdominal pain, distant history of GSW to abdomen Suboptimal exam secondary to exclusion of bilateral flanks. No definite free air seen on submitted upright film. Right lower quadrant ballistic material seen. Diffusely dilated small bowel, measuring up to 6.3 cm in left hemia... | Suboptimal study as entirety of the patient's abdomen not imaged, flanks excluded. Diffusely dilated small bowel, measuring up to 6.3 cm in left hemiabdomen. Relative paucity of bowel gas in colon, including small air seen in right colon and at level of rectum. While findings may reflect a diffuse ileus, a developing s... |
Generate impression based on findings. | 10-year-old female pain to seventh and ninth ribs bilaterally after a fall.EXAMINATION: Ribs AP view of the chest, left oblique, and right oblique views (3 views) 5/6/2015 at 13:14 No displaced rib fracture is identified. The aortic arch, cardiac apex, and stomach are on the left.There is no pneumothorax, pleural effus... | No displaced rib fracture. |
Generate impression based on findings. | Patient with AML. Pre stem cell transplant LUNGS AND PLEURA: Persistent scattered bilateral minimal ground glass changes again suggesting probable aspiration more pronounced in the lower lungs. Minimal tree-in-bud-like abnormality associated. No effusions or suspicious nodules or masses. Airways are unremarkable. Small... | Interval recurrence of multiple patchy focal groundglass areas in both lungs, possibly aspiration. No suspicious new lesions. |
Generate impression based on findings. | Male 11 years old Reason: intestinal inflammation History: melanotic stools; enteritis per endoscopyEXAMINATION: MR enterography without and with IV contrast 5/6/2015 ABDOMEN:LIVER, BILIARY TRACT: Increase signal around the portal veins consistent with periportal edema. Edema around the gallbladder with no evidence of ... | Findings concerning for inflammatory bowel disease of the sigmoid and rectum.Periportal, peripancreatic and mesenteric edema. |
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. | 55 -year-old female. Call back from screening mammogram for an asymmetry at the left central posterior breast on the MLO view. Two standard views, a spot compression MLO view, as well as a repeat spot compression MLO view of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast pa... | 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, 46 years old. Reason: 46 year old female with a history of colonic obstruction secondary to severe endometriosis s/p sigmoid resection colostomy converted to ileostomy followed by ileostomy takedown in 4/2012 now with increased flatus and bloating History: same The scout film showed a nonspecific bowel gas patt... | The rectosigmoid anastomotic narrowing measures 9 mm, mildly increased in caliber from prior. No other sites of narrowing or other significant anatomic abnormality. |
Generate impression based on findings. | Mild periventricular T-2/FLAIR hyperintensity which appears similar to the prior exam. There is also mild T2/FLAIR hyperintensity in the right pons, at the level of cranial nerve V, similar to prior. There is mild cerebellar volume loss, which is greater than expected for patient's age. A focus of susceptibility in th... | 1.Chronic subcortical, periventricular, and pontine T-2/flair abnormality, which is similar when compared to remote exam from 2004, and while nonspecific, may be related to posttreatment changes.2.New since previous exam, is a small, enhancing extra-axial mass along the right frontal lobe, which likely represents a sma... |
Generate impression based on findings. | Male, 46 years old, with history of T4aN2cM0 squamous of carcinoma of the left oral tongue. Please note that a small part of the oral cavity is obscured by streak artifact from dental amalgam.Again seen is an ill-defined region of mild soft tissue thickening and enhancement within the left oral tongue which continues t... | 1.No significant interval change in the size or appearance of ill-defined soft tissue thickening within the left oral tongue.2.No evidence of progressive adenopathy in the neck. |
Generate impression based on findings. | Male 27 years old; Reason: r/o inguinal hernia, other pathology History: left testicular pain RIGHT TESTIS: 4.4 x 2.0 x 3.0 cm. No significant abnormalities noted.LEFT TESTIS: 4.2 x 1.8 x 2.5 cm. No significant abnormalities noted.RIGHT EPIDIDYMIS: No significant abnormalities noted. 3 mm nodule probably representing a... | No findings to explain testicular pain. No evidence of testicular mass or torsion. No evidence of hernia. |
Generate impression based on findings. | 49-year-old male with history of Hodgkin's lymphoma. Restaging examination.RADIOPHARMACEUTICAL: 14.9 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 96 mg/dL. Today's CT portion of the neck demonstrates no significant pathology. Please see diagnostic CT reports for details of the chest, abdomen, and pelvis.T... | 1. Interval resolution of hypermetabolic lymphadenopathy in the bilateral axillas and pelvis. No new sites of disease.2. Presumed postsurgical change just anterior to reference left external iliac lymph node, though clinical correlation for such is recommended.Diagnostic CTs of the chest, abdomen, and pelvis also perfo... |
Generate impression based on findings. | Abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomySPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH N... | Negative for acute, inflammatory, or neoplastic process. |
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