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Generate impression based on findings. | 71-year-old male patient with neutropenic fever and abdominal pain. Evaluate for source. ABDOMEN:LUNG BASES: There is a moderate right and small left pleural effusions with overlying atelectasis, unchanged. Focal atelectasis/consolidation noted within the lingula. Partially imaged calcified right hilar lymph nodes.LIVE... | 1. Redemonstration of a large retroperitoneal mass.2. Pleural effusions and lingular opacity is unchanged from a recent CT PE study. |
Generate impression based on findings. | Female, 36 years old. Reason: Hx of cervical cancer, Short bowel, has high out put ileostomy and a mucocutaneous fistula. Desires reanastomosis History: High output through ileostomy and sigmoid mucocutaneous fistula desire reanastomosis The scout film showed a nonspecific bowel gas pattern without any evidence of obst... | 1.Severe luminal stenosis/stricture at the superior aspect of the rectum, with no significant retrograde contrast opacification above this point. 2.Normal retrograde contrast opacification via the ostomy of multiple loops of small bowel in the central abdomen. |
Generate impression based on findings. | 59-year-old female with lung nodule.RADIOPHARMACEUTICAL: 13.3 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 84 mg/dL. Today's CT portion neck, abdomen, and pelvis grossly demonstrates focal cortical thinning of the right kidney lower pole, most likely due to scarring from prior infection or infarct. A lung... | Right upper lobe nodule, as described above, with markedly increased FDG activity, compatible with primary lung cancer. No evidence of metastatic disease.Diagnostic CT of the chest also performed at today's visit will be reported separately. |
Generate impression based on findings. | Female 13 years old Reason: r/o fx History: pain and swellingVIEWS: Left hand AP, lateral, and oblique views (3 views) 5/6/2015 at 15:38 There is soft tissue swelling of the fifth digit most prominent on the palmar aspect associated with a minimally displaced crescentic density along the volar margin of the base of the... | Minimally displaced volar plate avulsion fracture as above. |
Generate impression based on findings. | Bilateral pars defects at L5-S1 are again seen, with stable grade II anterolisthesis at this level measuring 8 mm. Otherwise, alignment is anatomic. There are no fractures or subluxations. The visualized intra-abdominal and paraspinal contents are unremarkable.T12/L1: No significant disc bulge. Vertebral body heights ... | 1.Degenerative changes appearing mostly similar to prior, most significant at L5-S1, where there is chronic bilateral pars defects and grade II anterolisthesis with resultant neural foraminal narrowing, and new vacuum disk phenomenon.2.Other incidental findings, as above. |
Generate impression based on findings. | Status post thyroidectomy at outside hospital in 1997. Papillary thyroid cancer with positive lymph nodes. Enlarging lymph nodes seen on prior ultrasound exam also done outside. None of those studies are available for direct comparison. RIGHT LOBE MEASUREMENTS: Status post thyroidectomyLEFT LOBE MEASUREMENTS: Status po... | Status post thyroidectomy. Subcentimeter lymph nodes as described. |
Generate impression based on findings. | 47 year old presents for annual mammogram. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. An oval asymmetry in the right central aspect on CC view is un... | No mammographic evidence of malignancy. 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 - Screening Mammogram. |
Generate impression based on findings. | Right chest pain, splinting, elevated d-dimer on OCP. PULMONARY ARTERIES: Diagnostic quality infusion. The main pulmonary artery is normal in caliber. No pulmonary embolus is identified.LUNGS AND PLEURA: Trace pleural fluid on the right (series 5 image 171). No focal airspace opacity or pneumothorax. MEDIASTINUM AND HI... | 1. No evidence of pulmonary embolus or acute pulmonary abnormality. 2. Mild right anterior axillary skin thickening and adjacent mild lymph node enlargement in the axilla, of unclear etiology or significance.3. Narrow AP dimension of the thorax may sometimes be associated with mitral valve regurgitation.4. Trace right ... |
Generate impression based on findings. | Polycystic kidney disease, awaiting kidney transplant. Right lower lobe nodule LUNGS AND PLEURA: Chest imaging demonstrates 2 subcentimeter nodules of which one is appears cavitary including the right middle lobe nodule (image 65 series 4). This nodule measures 9 mm in diameter and appears grossly similar to the prior ... | Small solitary nodule in the right middle lobe currently demonstrating cavitation which may have previously yet not visualized given technique and scanning parameters. The size and discreet margins are non specific, and although unlikely to be infectious (fungal? Is the patient immunocompromised?), a primary malignancy... |
Generate impression based on findings. | Female, 50 years old, evaluate subdural hemorrhage status post drain insertion. Bilateral calvarial burr holes have been placed which convey new bilateral subdural space drains. Much of the fluid which was previously seen within the bilateral subdural spaces has been replaced with air, an expected finding status post i... | Since the prior examination, bilateral subdural drains have been placed. Much of the previously seen subdural fluid has been replaced by air which is an expected finding post-instrumentation.No definite evidence of new intracranial hemorrhage is seen. A new collection of subdural blood product along the interhemispheri... |
Generate impression based on findings. | 59-year-old male with a history of esophagectomy with jejunal interposition. Assess esophageal leak, possible fluid collection. CHEST:LUNGS AND PLEURA: Small bilateral pleural effusions, left greater than right. Bibasilar scarring/atelectasis. Note is made of paraseptal emphysema with an upper lobe predominance, appear... | 1. Interval decrease in size of the reference anterior mediastinum fluid collection surrounding the jejunal interposition. There are foci of internal gas density which may be related to the presence of a percutaneous drain, although superimposed infection is not excluded. Evaluation for persistent leak is limited due t... |
Generate impression based on findings. | Rule out cholecystitis. History of pancreatitis. LIVER: The liver measured 21.1 cm in length. No intrahepatic biliary ductal dilatation or dominant liver masses. Portal vein is patent with flow toward the liver on color Doppler imagingGALLBLADDER, BILIARY TRACT: No gallstones or gallbladder wall thickening. The patient... | 1. No evidence of cholecystitis or gallstones. Note that the patient did have gallstones on a prior CT examination and could have passed or is passing the stone(s). 2. Pancreatic ductal dilatation and tenderness to palpation compatible with history of pancreatitis. 3. Right iliac fossa renal transplant with complex adj... |
Generate impression based on findings. | 55-year-old male with HCC. Evaluate for bony metastases. A single small focus of increased radiotracer activity is seen near the right inferolateral orbital wall, nonspecific but most likely due to an osteoid osteoma or related to trauma. Degenerative arthritic changes are seen in both knees. No definite abnormal osseo... | 1. Single small nonspecific focus of increased radiotracer activity near the right inferolateral orbital wall, most likely due to an osteoid osteoma or related to trauma.2. No definite osseous metastatic disease. |
Generate impression based on findings. | Female, 44 years old.Rule out retained foreign object. 2 Surgical teams. No unexpected retained foreign object. Surgical clips in the right abdomen and pelvis. NG tube side port in the proximal gastric body.Nonobstructive bowel gas pattern.Pneumoperitoneum, compatible with postoperative state. | No unexpected retained foreign object.Findings conveyed via telephone to the attending surgeon at 3:55 PM. |
Generate impression based on findings. | Female, 66 years old. Reason: 66 y/o F with history of esophageal perforation at outside hospital 12/2014, now with dysphagia, esophagram requested to further assess History: as above Scout radiograph of the chest unremarkable.Double contrast evaluation of the esophagus and gastric cardia/fundus revealed: A transient o... | 1. Postsurgical changes of the esophagus, without anastomotic leak or stricture.2. Possible small transient Zenker's diverticulum.3. Normal motility. No gastroesophageal reflux noted. |
Generate impression based on findings. | 54-year-old male, left knee. Evaluate for fracture, dislocation. There is a comminuted intra-articular fracture of the distal femur involving both femoral condyles with posterior displacement and angulation of the femoral condyles and likely a rotational malalignment as well.Mild irregularity of the cortex of the later... | Comminuted displaced intra-articular bicondylar fracture of the distal femur. |
Generate impression based on findings. | 5th metacarpal fracture. Assess for healing. Again seen is a comminuted fracture of the head of the fifth metacarpal with mildly displaced fracture fragments appearing similar to those seen on the prior study accounting for slight positional and technical differences. I see no definite callus formation at this time. Th... | Fifth metacarpal fracture and arthritic changes appearing similar to the prior study. |
Generate impression based on findings. | Male, 72 years old. Reason: 72 y/o M with dysphagia History: as above Scout radiograph of the chest unremarkable.Significant degenerative disease of the cervical spine.Double contrast evaluation of the esophagus and gastric cardia/fundus performed. Fluoroscopic evaluation of the hypopharynx and upper esophagus demonstr... | 1.Marked esophageal dysmotility with tertiary contractions.2.Gastroesophageal reflux. |
Generate impression based on findings. | Pain, flat feet. There is a mild pes planovalgus deformity. There is also a slight hallux valgus deformity. A 1.5 cm ossific density along the navicular tuberosity likely represents a type II accessory navicular although a chronic fracture fragment can have a similar appearance. There are are small enthesophytes at the... | Mild pes planovalgus deformity, type II accessory navicular, and other findings as above. |
Generate impression based on findings. | [61-year-old female with left tibial plateau fracture] [There is a comminuted fracture of the proximal tibia involving both the lateral and medial plateaus. There is at least 6 mm of depression] of the lateral tibial plateau centrally and posteriorly. Fracture planes extend across the intercondylar eminence to involve ... | [Comminuted fracture of the proximal tibia as described above.] |
Generate impression based on findings. | 92-year-old female patient with subdural hemorrhage seen on CT performed the same day. Patient has personal history of fall 2 days ago. Again seen is a small extra-axial collection along the right frontoparietal convexity that measures up to 5 mm in thickness, unchanged compared to prior examination. Questionable minim... | Stable hypoattenuating extra-axial collection along the right frontoparietal convexity, which may represent a small chronic subdural hematoma versus a hygroma. Minimal if any mass effect. No acute intracranial hemorrhage.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this repo... |
Generate impression based on findings. | Left temporal injury and MCP tendernessVIEWS: Left hand AP, lateral and oblique 5/6/2015 (3 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Female, 35 years old. Reason: infertility History: infertility Scout AP film of the pelvis was normal. Opacification of the uterine cavity revealed normal contour of the uterine cavity. There was early opacification of the right tube, and delayed opacification of the left, with eventual free spillage on both sides into... | Patent fallopian tubes. Please refer to procedural report for additional findings. |
Generate impression based on findings. | Follow-up foot fracture 4 views of the left foot reveal a diaphyseal fracture of the fifth metatarsal with medial displacement of the distal fracture fragment. Will change is seen from the previous exam of April 23. | Displaced fracture of the fifth metatarsal |
Generate impression based on findings. | Frontal sinus: The frontal sinuses are not pneumatized.Anterior ethmoids: The anterior ethmoid air cells are clear.Maxillary sinuses: The maxillary sinuses are clear. The ostiomeatal units are clear.Posterior ethmoids: The posterior ethmoid air cells are clear.Sphenoid sinus: The sphenoid sinus and bilateral sphenoeth... | No evidence of paranasal sinus infection.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Female, 34 years old. Reason: infertility History: infertility Scout AP film of the pelvis was normal. Opacification of the uterine cavity revealed normal contour of the uterine cavity. Both tubes were freely opacified with free spillage on both sides into the pelvis, indicating tubal patency.TOTAL FLUOROSCOPY TIME: 1:... | Patent fallopian tubes. |
Generate impression based on findings. | Female, 55 years old. Reason: 55F with diverticulitis s/p Hartmann's procedure c/b colocut fistula s/p DLI, now with abscess s/p IR drain. Please perform contrast study via IR drain to eval relationship to Hartmann's pouch. After injection via the left pelvic drain, there is prompt opacification of small bowel loops in... | Communication of the abscess cavity with loops of small bowel, compatible with fistula formation. |
Generate impression based on findings. | Male 66 years old Reason: bowel obst History: pain 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: Bilateral simpl... | CT findings suggestive of partial small bowel obstruction with the transition point in the mid abdomen. |
Generate impression based on findings. | Male 30 years old Reason: please perform CT cystogram, evaluate bladder for communication with urachal cyst, draining at umbilicus. Include 5 cm above umbilicus and below to fully assess History: see above, draining urachal cyts vs periumbilical cellulitis PROSTATE, SEMINAL VESICLES: No significant abnormality noted.BL... | No evidence of extravasation from the bladder. |
Generate impression based on findings. | Male 32 years old Reason: evaluate intra-abdominal abscess diagnosed at OSH w no available imaging s/p percutaneous drain placement History: reported h/o large intra-abdominal abscess s/p perc drain placement ABDOMEN:LUNG BASES: Trace right-sided pleural effusionLIVER, BILIARY TRACT: No significant abnormality notedSPL... | Small residual abscess posterior to the right kidney. Partial small bowel obstruction.Distal small bowel loops are not well opacified. Fistulous communication between the small bowel loops or anterior abdominal wall in the small bowel loops cannot be excluded with this limited study. Clinical correlation is recommended... |
Generate impression based on findings. | Male 36 years old Reason: R/O pancreatitis History: abdominal pain ABDOMEN:LUNG BASES: Subsegmental atelectasis in the left lung base.LIVER, BILIARY TRACT: Cholelithiasis. Hepatomegaly.SPLEEN: Mild splenomegaly.PANCREAS: Pancreas is slightly edematous and enlarged with surrounding fat stranding consistent with acute pa... | CT findings consistent with acute on chronic pancreatitis. Pancreatic duct is dilated throughout its course with a possible stone close to the level of the ampulla.Mild to moderate hydronephrosis of the transplant kidney in the right iliac fossa likely caused by the fluid collection inferomedial to the transplanted kid... |
Generate impression based on findings. | Female 59 years old Reason: Evaluate for tracking perirectal abscess History: Foul-smelling exudative drainage from hemorrhoid for the past 2 weeks Uterus: Leiomyomatous uterus.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, ... | Perirectal abscess. |
Generate impression based on findings. | Female 28 years old Reason: Small bowel obstruction? History: Abdominal pain This study is limited due to lack of intravenous contrast.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality no... | Left lower quadrant abscess causing distal small bowel obstruction. The study is limited due to lack of intravenous contrast. There is associated wall thickening of the surrounding small bowel loops and sigmoid colon. MRI of the pelvis may be helpful to exclude a possible fistulous communication between the abscess and... |
Generate impression based on findings. | Female 30 years old Reason: eval for abdominal pain History: abdominal pain, RLQ > L 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 note... | No CT findings to explain patient's acute abdominal pain. |
Generate impression based on findings. | Female 63 years old Reason: diverticulitis; pancreatitis History: lower abd and RUQ pain This study is limited due to lack of intravenous contrastABDOMEN:LUNG BASES: Bilateral emphysematous changes.LIVER, BILIARY TRACT: Hepatomegaly. There is mild intra and extrahepatic biliary dilatation. Etiology is unknown. Metallic... | Limited study due to lack of intravenous contrast. Mild intra and extra hepatic biliary dilatation. MRCP may be helpful for further evaluation of the bile ducts, if clinically indicated. Status post cholecystectomy. |
Generate impression based on findings. | Male 48 years old Reason: 48 yo man to eval abdominal fluid collection - please only PO contrast per Dr. Renz History: 48 yo man to eval abdominal fluid collection - please only PO contrast per Dr. Renz This study is limited due to lack of intravenous contrast.CHEST:LUNGS AND PLEURA: Persistent right pleural effusion w... | Limited study due to lack of intravenous contrast. Interval increase in the amount of fluid collection posterior to the stomach. Significant wall thickening of the stomach is unchanged. The further evaluation with endoscopy may be helpful.Mild ileus. |
Generate impression based on findings. | Clinical question: Evaluate for ischemia post catheter procedure. Signs and symptoms: Altered mental status. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.There are extensive periventricular and subcortical low-attenu... | 1.No acute intracranial process.2.Age indeterminate small vessel ischemic strokes of moderate degree. |
Generate impression based on findings. | fall with loss of consciousness last week. headache. No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorr... | No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | headache with essential hypertension No evidence of acute ischemic or hemorrhagic lesion.Low lying cerebellar tonsil (about 5mm) was seen.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-ax... | No evidence of acute ischemic or hemorrhagic lesion.Low lying cerebellar tonsil, otherwise unremarkable. |
Generate impression based on findings. | Clinical question: CNS lymphoma. Signs and symptoms: Fatigue. Nonenhanced head CT:No detectable acute intracranial hemorrhage, edema, mass effect, midline shift or hydrocephalus.Mild periventricular and subcortical low-attenuation white matter although nonspecific considering patient's stated age of 80 likely represent... | Mild age-indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Clinical question: 75-year-old female OSH transfer for hypoglycemic coma, AMS. Signs and symptoms: Concern for change in neural exam, off sedation. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Findings sugge... | 1.No acute intracranial process.2.Mild age-indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | lung ca with intracranial metastasis post treatment. Presented with altered mental status and confusion. Postsurgical encephalomalacia on the right temporal lobe as well as patchy low attenuations on bilateral periventricular white matter were seen, no evidence of significant interval change since prior exam.There is n... | No evidence of acute ischemic or hemorrhagic lesion.No change of post-treatment changes of right temporal lobe and non specific small vessel disease since prior exam.If clinically indicated, brain MRI can be considered for further imaging evaluation. |
Generate impression based on findings. | Clinical question: Is there hemorrhage? Signs and symptoms: Headache, hypertension, nonfocal exam. Nonenhanced head CT:No detectable acute intracranial hemorrhage, edema, mass effect, midline shift or hydrocephalus. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Examination howev... | 1.No acute intracranial process. CT is however insensitive for early detection of acute nonhemorrhagic ischemic strokes.2.New since prior exam from 2009 are periventricular and subcortical low-attenuation white matter suspicious for small vessel ischemic strokes of indeterminate age.3.Correlate with history and risk fa... |
Generate impression based on findings. | Clinical question: Evaluate for hemorrhage or progression of brain cancer. Signs and symptoms: AMS. Pre- and postenhanced head CT:Examination demonstrates patchy irregular calcification within the pons which is new since prior exam from 2011 head CT however it was noted on recent brain MRI. Finding may be result of pri... | 1.No detectable acute or convincing evidence of new findings since prior MRI exam.2.Dense patchy calcification in the pons and left frontal lobe similar to prior MRI exam.3.Ex vacuo dilatation of lateral ventricles with maintained midline similar to prior exam.4.No abnormal parenchymal or leptomeningeal enhancement. |
Generate impression based on findings. | labile blood pressure, orthostatic hypotension with syncope. Evaluation for carotid stenosis. NONCONTRAST CT HEADNo evidence of acute ischemic or hemorrhagic lesion on this scan.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, ... | 1. Significant luminal stenosis with wall calcifications on the right extracranial proximal ICA (about 80-85%), left VA origin (more than 90%).2. Luminal stenosis on the left extracranial proximal ICA (about 10-20%) and right VA origin (about 50%).3. Extensive atherosclerotic changes of intracranial arterial system wit... |
Generate impression based on findings. | Clinical question: Lesion? Signs and symptoms: G, focal seizure. Nonenhanced head CT:No detectable acute intracranial hemorrhage, edema, mass effect, midline shift or hydrocephalus.Slight prominence of lateral ventricles without radiation of midline is noted. There is also very subtle prominence of cortical sulci for a... | 1.No acute intracranial process.2.Slight prominence of lateral ventricles and cortical sulci for stated age of 9 years.3.Correlate with history and consider follow-up with an MRI exam. |
Generate impression based on findings. | Clinical question: Evaluate for acute intracranial hemorrhage. Signs and symptoms: Known aneurysm of left internal carotid artery; patient now presents with left frontal headache and pain behind the eye with blurred vision. Nonenhanced head CT:There is no detectable acute intracranial hemorrhage, edema, mass effect, mi... | No acute intracranial process. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Three standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribut... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements. There is a lobulated mass at anterior upper outer quadrant in the left breas... | A lobulated mass at anterior upper outer quadrant in the left breast, for which spot compression views and possible ultrasound study is recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 53-year-old female with history of right breast cancer, now with recurrence, chest wall mass and skin thickening. CHEST:LUNGS AND PLEURA: No focal consolidation or pleural effusion. No suspicious pulmonary nodules identified.MEDIASTINUM AND HILA: Heart size is normal and no pericardial effusion. Mild coronary calcifica... | 1.Anterior chest wall mass as described above, between and involving the medial pectoralis muscles.2.No other specific evidence of metastatic disease.3.Right breast nodules with associated biopsy clips. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of archite... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is heterogeneously dense. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 26 days old Reason: Evaluate lung fields History: increasing respiratory distressVIEW: Chest AP (one view) 5/6/2015 at 1731 hours. Right upper extremity PICC terminates at the right subclavian vein. Interval ET tube and NG tube removal. Cardiac silhouette size is normal. Bilateral diffuse lung haziness and ill-def... | Left upper lobe atelectasis or pneumonia on a background of diffuse lung haziness. Interval NG tube and ET tube removal. |
Generate impression based on findings. | Female 13 years old Reason: please evaluate with 3 views for any fractures History: patient with new onset back pain with TTP over L4/L5VIEWS: Lumbar spine AP and lateral. Lateral view of the sacrum 5/6/2015 (3 views) Vertebral body heights and disc spaces are maintained. No evidence of spondylolysis or spondylolisthes... | Normal examination. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 7 years old Reason: evaluate for retained foreign body in the foot History: foot painVIEWS: Right foot AP, lateral and oblique 5/6/2015 (3 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. No radiopaque foreign bodies | Normal examination. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is heterogeneously dense. Scattered benign calcifications and mild arterial calcifications are noted in both breasts.No suspic... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 2-year-old male with history of decreased movement, evaluate for abnormality. Pain in pelvis and thighVIEWS: 2 views of the right femur, 2 views of the left femur, 2 views of the right tib-fib, 2 views of the pelvis. 5/6/2015 at 2100 2 views of the pelvis show no fracture or dislocation. The femoral heads are well-seat... | 1.No fracture or dislocation is identified.2.Moderate amount of stool within the rectum.3.Cortical-based sclerotic rimmed lucency in the left femur, nonspecific and likely a benign nonossifying fibroma. Alternatively, if this is the location of the patient's pain this could be an osteoid osteoma. |
Generate impression based on findings. | Female, 77 years old. Reason: Eval for left PCN for PCNU. Please look for left ureteral stent. History: As above Left percutaneous nephrostomy tube with pigtail projecting over the expected location of the renal pelvis. Surgical clips in the upper abdomen and pelvis. Surgical drain and staples overlie the pelvis.Partia... | Left percutaneous nephrostomy tube projecting over the expected location of the renal pelvis. |
Generate impression based on findings. | Female 10 years old Reason: rule out infiltrate History: wheezes, SOB, feverVIEWS: Chest PA/lateral (two views) 5/6/2015 at 1917 hours. Cardiac silhouette size is normal. Peribronchial thickening and left upper lobe atelectasis. No effusions or pneumothorax. | Peribronchial thickening, with right upper lobe focal lung opacities. Reactive airway disease versus viral infection are considerations. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with cleavage view (total 9 images) were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. S... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 20-year-old female, MVC. Cervical spine: 6 views of the cervical spine reveal no acute fracture. The cervical spine is visualized to the top of the C7 vertebral body. Alignment is anatomic and the disc spaces are preserved. The neural foramina are widely patent. The odontoid is well-visualized and appears unremarkable.... | No evidence of fracture or or malalignment. Findings compatible with known laceration along the medial aspect of the great toe of the left foot. |
Generate impression based on findings. | malaise and fatigue No evidence of acute ischemic or hemorrhagic lesion.Multifocal bihemispheric scattered low-attenuation lesions do not show any significant interval change since prior exam.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or ext... | No evidence of acute ischemic or hemorrhagic lesion.If clinically indicated, brain MRI scan can be considered for further imaging evaluation. |
Generate impression based on findings. | Female 14 years old Reason: r/o rib fracture, pneumonia, pneumothorax History: cough, rib painVIEWS: Chest AP/lateral (two views) 5/6/2015 at 1933 hours. The aortic arch, cardiac apex and stomach are left-sided.Cardiac silhouette is normal in size and shape. Peribronchial thickening No focal lung opacities. No effusion... | Peribronchial thickening, with no focal lung opacities. Reactive airway disease versus viral infection are considerations. |
Generate impression based on findings. | Male 3 years old Reason: fx History: swellingVIEWS: Left hand 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 radiopaque foreign bodies. | Normal examination. |
Generate impression based on findings. | Clinical question: History of falls bumping head. Signs and symptoms: Cognitive impairment. Nonenhanced head CT:There is no detectable acute intracranial process. However extensive periventricular and subcortical low attenuation of white matter are noted and considering patient's stated age likely representing microvas... | 1.No acute intracranial process. CT is insensitive for early detection of acute ischemic or strokes.2.Moderate to advanced age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | The bones appear demineralized. Dextroscoliosis of the thoracic spine, with the apex at the T11. Again seen is mild anterior wedging of the T7 vertebral body, consistent with an age-indeterminate vertebral body compression fracture. There is additional mild compression along the left aspect of the T10 vertebral body, ... | 1.Mild age-indeterminate vertebral body compression fracture of T7 as well as age-indeterminate compression along the left aspect of the T10 vertebral body. No other fractures are identified.2.Thoracolumbar scoliosis.3.Mild scattered degenerative changes, most significant at T12-L1.4.Soft tissue density abutting the le... |
Generate impression based on findings. | Male 14 years old Reason: fx History: painVIEWS: Left forearm AP and lateral 5/6/2015 (2 views) Persistent bowing deformity of the left radius with no evidence of fracture, malalignment or soft tissue swelling. No joint effusion. | No evidence of fracture. |
Generate impression based on findings. | Male 3 years old Reason: fx History: pain and swellingVIEWS: Left foot AP, lateral and oblique 5/6/2015 (3 views) Cortical irregularity of the distal phalanx of the first great toe, this may represent fracture or normal variant. Please correspond with the maximum point of tenderness. | Question of left first great toe distal phalanx fracture as described. |
Generate impression based on findings. | 8-year-old male with history of painVIEWS: Left wrist AP, lateral and oblique (3 views) 5/6/2015 at 2031 Nondisplaced buckle fracture of the distal radius metaphysis. No additional fracture or dislocation is seen. | Nondisplaced buckle fracture of the distal radius metaphysis. |
Generate impression based on findings. | Male 21 months old Reason: 21 mo with finger lac due to glass History: r/o retained foreign bodyVIEWS: Right hand PA 5/7/2015 (1 views) Single PA view of the right hand was performed. No evidence of fracture, malalignment or soft tissue swelling. No radiopaque foreign bodies. | Normal examination. |
Generate impression based on findings. | Female 37 days old Reason: eval ET tube placement History: s/p intubationVIEW: Chest AP (one view) 5/7/2015 at 0309 hours. ET tube terminates below thoracic inlet. Proximal side-port of NG tube is above the junction. Central line unchanged. Cardiac silhouette size is normal. Left upper lobe pneumatocele again noted. In... | Interval multifocal opacities and right-sided pleural effusion development. |
Generate impression based on findings. | Female 17 months old Reason: eval for PNA History: fever, sobVIEW: Chest AP (one view) 5/7/2015 at 0414 hours. Cardiac silhouette size is normal. Peribronchial thickening and right middle lobe airspace opacity, likely atelectasis or pneumonia. | Peribronchial thickening and right middle lobe opacity. |
Generate impression based on findings. | 45-year-old male with history of metastatic melanoma. CHEST:LUNGS AND PLEURA: Stable scattered bilateral pulmonary nodules and micronodules, some calcified, suggesting prior granulomatous disease. No new suspicious pulmonary nodules. No focal consolidation or pleural effusion.MEDIASTINUM AND HILA: Heart size is normal ... | No specific evidence of metastatic disease. |
Generate impression based on findings. | Male 2 years old Reason: evaluate for atelectasis History: intubatedVIEW: Chest AP (one view) 5/7/2015 at 0745 hours. ET tube too terminates below thoracic inlet. Central line tip is in the right atrium. Thoracolumbar levoscoliosis unchanged. Cardiac silhouette size is normal. Persistent right upper and left lower lobe... | Persistent right upper and left lower lobe atelectasis. |
Generate impression based on findings. | Images are limited by patient motion. There has been interval resolution of previously noted immediate postoperative changes centered at the C6 and C7 levels, with bilateral laminectomies for resection of previous left-sided pedunculated component of tumor which extended from C6-C7 down to the mid T1 level. Bi-foramin... | 1. Interval evolution of previously seen immediate postoperative changes at C6 and C7. Only tiny enhancing nodule extending medially from the left lateral epidural space at the lower C7 level which is nonspecific but appears more conspicuous on this exam and could represent post-operative granulation tissue versus mini... |
Generate impression based on findings. | Intrahepatic ducts: The intrahepatic biliary tree is within normal limits, without dilation or pruning of the biliary system. Extrahepatic ducts: No pathologic dilation or strictures are seen.Common bile duct: The common bile duct measures 7 mm in diameter, which is upper limits of normal in size. However, given this ... | Postcholecystectomy changes, without additional significant abnormality. Specifically, no findings of PSC. |
Generate impression based on findings. | Female 17 months old Reason: evaluate for pneumonia History: tachypnea, feverVIEW: Chest AP (one view) 5/7/2015 at 0752 hours. Cardiac silhouette size is normal. Peribronchial thickening. Interval improvement in right upper lobe atelectasis and development of left lingular opacity, likely atelectasis as well. No effusi... | Multifocal opacities on a background of bronchiolitis pattern. |
Generate impression based on findings. | 55-year-old female unable to their weight. Rule out fracture 4 nonweightbearing views of the right knee reveal no acute fracture or malalignment. Narrowing of the patellofemoral joint and hypertrophy of Parson's tubercle is noted. There are medial and lateral compartment osteophytes. | No acute fracture or malalignment. Degenerative changes affect the knee. |
Generate impression based on findings. | 57-year-old female status post fall 4 days ago with exquisite right lower rib pain 3 views of the ribs reveal no acute fracture or malalignment.Streaky left basilar opacity most consistent with subsegmental atelectasis. | No acute fracture or malalignment. |
Generate impression based on findings. | Female 16 years old Reason: Evaluate line placement History: intubated s/p TIPS and movement of PICCVIEW: Chest AP (one view) 5/6/2015 at 18:17 Endotracheal tube at the thoracic inlet. Temporary right IJ catheter and right upper extremity PICC with their tips in the right atrium. TIPS graft projects over the liver.The ... | Right upper extremity PICC and right IJ catheter, tips in the right atrium. Heart size upper limits of normal. |
Generate impression based on findings. | Female 14 years old Reason: eval joint History: elbow swellingVIEWS: Right and left elbow AP and lateral. (4 views) Bilateral mild, generalized bone demineralization and deformity of the humerus, radius and ulna likely due to spasticity. No fracture or malalignment. Mild bilateral soft tissue swelling. | Mild bilateral soft tissue swelling as described. |
Generate impression based on findings. | T1N2 B squamous cell carcinoma of the left tonsil, HPV positive diagnosis in June 20, 2014. Treated with chemoradiation and completed treatment in 9/2014, status post left neck dissection 1/5/2015.. There are posttreatment changes in the neck. No measurable tumor is seen involving the oropharyngeal soft tissues to sugg... | 1. Posttreatment changes in the neck with no measurable tumor within the oropharyngeal soft tissues to suggest locoregional tumor recurrence. Status post left neck dissection without evidence of significant cervical lymphadenopathy.2. Enhancing ovoid nodule measuring 18 x 21 x 23 mm inferior to the right thyroid lobe. ... |
Generate impression based on findings. | 58-year-old male patient with history of NHL status post XRT, surveillance scan. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are unchanged. MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy by CT size criteria. No pericardial effusion is identified.CORONARY ARTERY CALCIFICATION: Mild. CHEST WAL... | Interval decrease in size of the right-sided pelvic and inguinal lymphadenopathy. |
Generate impression based on findings. | Female 21 days old Reason: intubated with chest tube s/p TEF repair, evaluate for effusion/atelectasis/pneumothorax History: hypoxiaVIEW: Chest AP (one view) 5/7/2015 at 0259 hours. ET tube terminates below thoracic inlet. Mediastinal clip and right-sided chest tube unchanged. Vertebral deformities again noted. Cardiac... | Interval improvement in right-sided pneumothorax. Persistent multifocal opacities. |
Generate impression based on findings. | Male 3 years old Reason: s/p MVC rule out right arm fracture History: R arm swellingVIEWS: Right arm AP and lateral 5/7/2015 (2 views) There is a right mainstem bronchus intubation. An NG tube and central line are noted as well. There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | No evidence of fracture. |
Generate impression based on findings. | Male 3 years old Reason: intubated History: intubated, status post motor vehicle accident.VIEW: Chest AP (one view) 5/7/2015 at 0430 hours. ET tube terminates at the carina or right mainstem bronchus. NG tube tip is at the antropyloric region. Central line terminates at the SVC. Cardiac silhouette size is normal. Bibas... | Multifocal opacities and right-sided pleural effusion as described. |
Generate impression based on findings. | Female 35 years old Reason: hx tmj R worse than L, concern for right joint History: hx tmj R worse than L, concern for right joint The imaged paranasal sinuses are well pneumatized.No acute fracture or malalignment in the temporomandibular joints. No evident osteoarthritis.Right impacted molar. | No acute bony abnormality in the temporomandibular joints. If pain persists, consider MRI. |
Generate impression based on findings. | Female 9 months old Reason: intubated, follow up lung volumes History: intubated with respiratory failure.VIEW: Chest AP (one view) 5/7/2015 at 0446 hours. ET tube tip is at the carina. Central line terminates at the SVC. Gastrostomy tube is again noted. Cardiac silhouette size is normal. Interval improvement in right ... | Interval improvement in right upper lobe atelectasis. |
Generate impression based on findings. | Reason: eval for pe History: cp, sob PULMONARY ARTERIES: Technically adequate study. No evidence of pulmonary embolus. Pulmonary artery measures 3.3cm compatible with pulmonary hypertension.LUNGS AND PLEURA: 8mm LLL nodule and 4mm RLL nodule. No pleural effusions or pneumothorax. No consolidation. Lingular focal scarri... | 1.No evidence of pulmonary embolus.2.Subcentimeter pulmonary nodules as above. Recent guidelines by the Fleischner society (Radiology 2005: 237:395-400) suggest that patients with a low risk for lung cancer who have nodules greater than 6 mm and less than or equal to 8 mm in diameter should have follow up in approximat... |
Generate impression based on findings. | Female 2 months old Reason: reassess for dilation, r/o NEC History: intermittent abdominal distensionVIEW: Abdomen AP (one view) 5/7/2015 at 0505 hours. NG tube terminates at the stomach. Disorganized, nonspecific abdominal gas pattern. No evidence of obstruction, free air, pneumatosis intestinalis or portal venous gas... | Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | Female 16 years old Reason: ETT placement, changes in lung volumes History: intubatedVIEW: Chest AP (one view) 5/7/2015 at 04:55 The endotracheal tube tip just above the thoracic inlet. Right IJ temporary catheter and right upper extremity PICC unchanged. TIPS stent projects over the liver.The cardiomediastinal silhoue... | ET tube tip just above the thoracic inlet. |
Generate impression based on findings. | Male 2 years old Reason: neuroblastoma, s/p induction therapy on ANBL09P1 CHEST:LUNGS AND PLEURA: There is no pleural effusion or pneumothorax. Linear opacities at the left upper lobe and lower lobe extending to the pleura compatible with atelectasis. No pulmonary nodules are identified.MEDIASTINUM AND HILA: Heart size... | 1.Interval decrease in size of masses in the chest, abdomen, and pelvis with measurements as above. 2.Colonic mucosal enhancement is nonspecific and may be infectious/inflammatory in etiology or related to chemotherapy or MIBG therapy. |
Generate impression based on findings. | 65-year-old female with right hip/groin pain radiating to knee Two views of the right hip demonstrates moderate osteoarthritis with joint space narrowing and moderate osteophytosis. No acute fracture or malalignment is evident. Moderate sacroiliac joint arthritis.Four weightbearing views of the right knee demonstrates ... | Severe osteoarthritis as described above. |
Generate impression based on findings. | Female 5 days old Reason: evaluate lung fields History: 25 week infant on HFOV, respiratory distress.VIEW: Chest AP (one view) 5/7/2015 at 500 hours. UVC terminates at the right atrium. ET tube tip is at the carina. NG tube terminates at the GE junction. Cardiac silhouette size is normal. Large lung volumes, and diffus... | Diffuse lung haziness with possible right upper lobe atelectasis as described. |
Generate impression based on findings. | Male 23 years old Reason: s/p ORIF History: s/p ORIF Lateral plate and two syndesmotic screws affix the distal tibia and fibula in near-anatomic alignment. Lucency along the inferior screw is unchanged.The posterior tibial fracture is healing. Small avulsion fracture near the medial malleolus is also healing.There is s... | Stable appearance following syndesmotic fixation. Other healing fractures as detailed above. |
Generate impression based on findings. | Follow-up after ICH evacuation Interval decrease of intralesional air density since prior scan. The size and extent of right frontal ICH as well as minimal amount of intraventricular hemorrhage do not show any significant interval change since prior exam.Minimal midline shift towards left side also does not show any si... | No interval change of right frontal ICH and IVH postevacuation status since prior exam. |
Generate impression based on findings. | Right thumb fracture.VIEWS: Right hand AP, lateral and oblique 5/6/2015 (3 view/s) There is a nondisplaced, intra-articular fracture of the distal phalanx of the right thumb. | Distal phalanx intra-articular fracture of the first thumb. |
Generate impression based on findings. | Female 70 years old Reason: pre-op History: pain Osteoarthritis affects the right knee.No acute fracture or malalignment.Mechanical axis of the right lower extremity is approximately 11 degrees of varus. | Mechanical axis as detailed above. |
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