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Generate impression based on findings. | Female 56 years old Reason: evaluate R TKA History: s/p R TKA 6 weeks ago Components of a total right knee arthroplasty are situated in near-anatomic alignment. No acute fracture or malalignment. A joint effusion persists. There is soft tissue swelling. | Total right knee arthroplasty as detailed above. |
Generate impression based on findings. | 32-year-old female with shortness of breath and chest pain. The comparison CT chest with scout image performed on 5/5/2015 demonstrates no focal pulmonary opacities or pleural fluid. The ventilation images show a uniform distribution of activity on single-breath and wash-in images. There is no abnormal Xe-133 retention... | Normal ventilation and perfusion images. No evidence of pulmonary embolism. |
Generate impression based on findings. | Altered mental status Motion artifact degrades image quality.Redemonstration of extensive left MCA territorial chronic ischemic infarct with encephalomalacia. There is no significant interval change.There is no evidence of acute ischemic or hemorrhagic lesion.The ventricle size is unremarkable except subtle ex vacuo ch... | No evidence of acute ischemic or hemorrhagic lesion.No change of extensive left MCA territorial chronic ischemic infarct. |
Generate impression based on findings. | 56 year old with proven ADH in 2 adjacent sites in the right breast at 6 o'clock position presents for bracketed wire localization. On review of the prior studies, two adjacent focal asymmetries are present at 6:00 position, middle depth, and a marker clip is present between them. The procedure, risks including bleedin... | Successful needle localization of the right breast focal asymmetries.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 25-year-old male with pain Again seen is a cortical step-off at the greater tuberosity with mild sclerosis along a less distinct fracture line indicating healing. No new fracture. Alignment is anatomic. | Healing greater tuberosity fracture. |
Generate impression based on findings. | 38-year-old female fatigue, tachycardia, hyperthyroidism, and nodule, likely thyroiditis. Evaluate for autonomously functioning nodule. The thyroid images demonstrate diffusely decreased radiotracer activity but with mild residual focal increased activity in a nodular pattern in the the left thyroid gland mid to lower ... | 1. Overall significantly decreased iodine uptake, most likely due to thyroiditis.2. Mild residual focal increased activity in the left thyroid gland, most suggestive of a superimposed warm slightly autonomously functioning nodule (rather than a hot, toxic hyperfunctioning nodule causing the decreased uptake). |
Generate impression based on findings. | 80-year-old female with orthopedic fixation for follow-up Three weightbearing views of the left ankle show plate and screw device affixing a fracture of the distal fibula in near anatomic alignment. Callus formation along the posterior aspect of the fibula suggests interval healing. The fracture line is less distinct. ... | Orthopedic fixation of healing distal fibular fracture. |
Generate impression based on findings. | 68-year-old male with left total knee arthroplasty Two views of the left knee show hardware components of the total knee arthroplasty device in near anatomic alignment without evidence of hardware complication. No acute fracture or malalignment is evident. Midline surgical staples, soft tissue drain, and subcutaneous g... | Total knee arthroplasty without evidence of complication as described above. |
Generate impression based on findings. | Female 17 years old Reason: right foot pain History: right foot painVIEWS: Right ankle and right foot AP, lateral and oblique on 5/7/2015 (6 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Female 17 years old Reason: post video capsule endoscopy History: post capsule endoscopyVIEW: Abdomen AP (one view) 5/7/2015 There is no evidence of free air or obstruction. Minimal fecal accumulation. Left upper abdominal quadrant surgical sutures noted. No radiopaque foreign bodies. | No evidence of free air or obstruction. |
Generate impression based on findings. | 40-year-old female with hyperthyroidism, likely due to Graves' disease. Assess uptake prior to RAI. The thyroid images demonstrate uniform activity in a gland of normal size and configuration. There is faint visualization of the pyramidal lobe. The 4-hour radioactive iodine uptake is 56% and the 24-hour uptake is 63.8%... | Increased radioactive iodine uptake diffusely, compatible with Graves' disease. |
Generate impression based on findings. | 59-year-old male with metastatic prostate cancer. No abnormal osseous foci are identified to indicate metastatic disease.Increased activity in the bilateral basilar joints and left 1st MTP joint, similar to prior study and again likely due to arthritis (e.g. gout) and/or post-traumatic changes. Mild degenerative arthri... | No evidence of bone metastases. |
Generate impression based on findings. | 50 year old female status post drain placement. There are postoperative findings related to prior right pterional craniotomy for microsurgical clipping of multiple aneurysms. Artifact in this region limits evaluation. There also are findings related to bilateral subdural drain placement with the drains unchanged in pos... | Interval mild decrease in size of the bilateral subdural air and fluid / blood collections as well as the parafalcine collection. |
Generate impression based on findings. | 73 years, Female. Reason: OG adjusted History: OG The lower abdomen and pelvis are not included in the field-of-view. Enteric feeding tube in situ with the coiled tip projected over the gastric fundus. Gaseous distention of the stomach and colon. Persistent decreased lung volumes with streaky retrocardiac/left basilar ... | Enteric feeding tube with coiled tip projected over the gastric fundus. |
Generate impression based on findings. | 31 years, Female. Reason: evaluate for obstruction History: nausea, vomiting, metastatic colon cancer Relative paucity of small bowel gas without evidence of obstruction. Right-sided percutaneous nephrostomy tube in place. Right lower quadrant ostomy. Surgical clips and suture material projected over the lower pelvis. ... | Relative paucity of small bowel gas without evidence of obstruction. |
Generate impression based on findings. | 76-year-old male with surgery greater than 8 hours in the region of the clavicle. Instrument counts were correct. No unexpected radiopaque foreign body. Diffuse cortical thickening and coarse trabecular pattern of the right hemipelvis compatible with Paget's disease and corresponds to findings on prior outside hospital... | No unexpected radiopaque foreign object. Other findings as above. Findings were discussed by on-call radiology resident Dr. Adam Sanchez with Dr. Milner the attending surgeon by phone on 5/6/2015 at 6:13 PM. |
Generate impression based on findings. | 38 year-old with personal history of right breast cancer status post lumpectomy.History of left breast reduction. No current breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral 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. | 71-year-old male patient with metastatic RCC. Evaluate for progression. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules. Punctate calcified right lower lobe pulmonary micronodule.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. No pericardial effusion.CORONARY ARTERY CALCIFICATION: Severe.CHEST WA... | 1. Mixed response of several references lesions ranging from slightly decreased, unchanged, to slightly increased in size. 2. Increased skin soft tissue prominence in the left lower abdomen; correlate with direct inspection. |
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. There is a lobulated mass at posterior upper inner quadrant i... | A lobulated mass at posterior upper inner quadrant in the right breast, for which spot compression views and possible ultrasound study are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 66 years, Male. Reason: s/p NG tube placement History: s/p NG tube Enteric feeding tube is coiled within the gastric body with tip projected over the gastric fundus. Dilated small bowel loops are unchanged compared to recent CT abdomen. Concentrated enteric contrast is within the colon. | Enteric feeding tube is coiled within the gastric body with tip projecting over the gastric fundus. |
Generate impression based on findings. | Metastatic breast cancer with posterior calvarium metastasis status post resection. There are postoperative findings related to a left parietal craniectomy with mesh placement for resection of osseous metastasis. There is pneumocephalus, minimal fluid and blood products underlying the mesh. There is no evidence of intr... | Expected postoperative findings related to left parietal craniectomy and cranioplasty for resection of osseous metastasis. Evaluation for residual or other foci of disease is otherwise limited on this noncontrast study. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this repor... |
Generate impression based on findings. | 53 years, Male. Reason: eval for obstruction or megacolon History: abdominal pain Percutaneous gastrojejunostomy tube with tip projected over the proximal jejunum. Gaseous distention of the colon without evidence of obstruction/megacolon.Caval filter projects over the right L2 paravertebral region. Fragmented sternotom... | No evidence of obstruction/megacolon. |
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 heterogeneously dense, unchanged in pattern and distribution. No suspicious masses,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 59 year old female with a history of right mastectomy in August 2013 for DCIS, presents for annual mammogram. No current breast complaints. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is heterogeneously dense, 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. | 67 years, Male. Reason: evaluate for evidence of obstruction - 67 yo with progressive peritoneal mesothelioma p/w nausea, vomiting, abdominal pain History: nausea, vomiting, abdominal pain Concentrated enteric contrast is identified within the colon and intravenous contrast within the collecting system and bladder, pre... | Paucity of small bowel gas but no evidence of obstruction. |
Generate impression based on findings. | 76-year-old male patient with history of metastatic prostate cancer and enlarged retroperitoneal and neck lymph nodes. Evaluate for enlarged lymph nodes. There are enlarged left lower cervical and supraclavicular lymph nodes with infiltrative changes in the surrounding fat. For reference a level 3 lymph node on the lef... | Left lower cervical and supraclavicular lymphadenopathy compatible with metastatic disease, not significantly changed compared to prior examination. |
Generate impression based on findings. | 35 year old female with pain with ttp. Rule out fracture 4 views of the lumbar spine reveal no acute fracture or malalignment. Small anterior osteophyte at L4 compatible with mild degenerative changes. Alignment is anatomic and the disc spaces are preserved. Neural foramina are widely patent. | No acute fracture or malalignment. |
Generate impression based on findings. | Reason: assess for ICH, pt with ETOH, supraorbital swelling to right eye History: supraorbital swelling to right eye Head: There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no mass effect or herniation. Mild mucosal thickening of the right ... | 1.No evidence of intracranial abnormality. 2.No acute fracture or subluxation.3.Right supraorbital evolving hematoma and surrounding mild inflammatory changes favored to be posttraumatic in etiology, although infection cannot be radiographically excluded. 4.Partial opacification of the right mastoid air cells, with mil... |
Generate impression based on findings. | 65 year old male with left temporal grade 2 astrocytoma now with seizures. There is unchanged subtle low-attenuation extending throughout the left medial temporal lobe as well as an ill-defined rounded focus of higher attenuation within the posterior medial temporal lobe that measures approximately 18 mm. There is no e... | 1.No evidence of acute intracranial hemorrhage. 2.Unchanged subtle findings within the left temporal lobe compatible with patient's known tumor that is not well assessed on CT. If there is concern for change, a contrast-enhanced MRI is recommended. |
Generate impression based on findings. | 29-year-old male with pain. Evaluate for fracture 3 nonweightbearing views of the right foot reveal no soft tissue swelling, acute fracture or malalignment. | No acute fracture or malalignment. |
Generate impression based on findings. | 64-year-old male with right lower extremity severe cellulitis, sensory loss. Rule out gas and signs of OM. Right knee: 3 nonweightbearing views of the right tibia/fibula reveal no evidence of cortical destruction or subcutaneous gas. Diffuse vascular calcifications within the soft tissues. Periosteal reaction along the... | No radiographic evidence of osteomyelitis. No subcutaneous gas. Other findings as above. |
Generate impression based on findings. | 63-year-old male with history of mantle cell lymphoma s/p auto SCT in 09. New right axillary LN. CHEST:LUNGS AND PLEURA: Scattered bilateral micronodules, some calcified. No suspicious pulmonary nodules. No focal consolidation or pleural effusion.MEDIASTINUM AND HILA: Heart size is normal with no pericardial effusion. ... | 1.New bowel wall thickening of the terminal ileum is nonspecific, though favor lymphomatous involvement of the bowel given history of GI involvement.2.Prominent mesenteric and retroperitoneal lymph nodes are not significantly changed.3.Punctate stone at the right ureterovesicular junction with minimal right distal hydr... |
Generate impression based on findings. | Hypoxia, history of AML PULMONARY ARTERIES: Technically adequate study. No evidence of pulmonary embolus.LUNGS AND PLEURA: Motion artifact limits evaluation. Scattered pulmonary micronodules. Small bilateral pleural effusions with associated atelectasis. Mild bronchial thickening unchanged. Possible air trapping, incom... | No evidence of a pulmonary embolus. Small bilateral pleural effusions and atelectasis with possible air trapping. PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 50-year-old female with severe pain in left leg for past week, no injuries. Evaluate for bone lesions. Left femur: 2 views of the left femur reveal no acute fracture or malalignment.Left tibia/fibula: 2 views of the left tibia/fibula reveal no acute fracture or malalignment. | No acute fracture or malalignment. |
Generate impression based on findings. | Male, 54 years old. Reason: dysphagia History: recent opm needs f/u esophagram Double contrast evaluation of the esophagus and gastric cardia/fundus revealed no morphologic abnormalities of the mucosal surfaces or mural contours. No mass lesion or stricture.Fluoroscopic evaluation of the hypopharynx and upper esophagus... | No esophageal dysmotility, gastroesophageal reflux, or anatomic abnormality is noted. |
Generate impression based on findings. | 35-year-old female with hand pain/swelling 3 views of the right hand reveal no soft tissue swelling, acute fracture or malalignment | No acute fracture or malalignment. |
Generate impression based on findings. | Trauma.VIEWS: Chest AP (one view), cervical spine AP and lateral (two views), pelvis AP (one view), date, time The aortic arch, cardiac apex and stomach are left-sided. Cardiac silhouette is normal. No focal lung opacity, pleural effusion or pneumothorax is seen. Vertebral body heights and disk spaces are normal. No fr... | Normal chest, cervical spine and pelvis. Mild adenoid hypertrophy |
Generate impression based on findings. | 42-year-old male with shoulder pain 3 portable views of the left shoulder reveal no acute fracture. Overlying material slightly limits evaluation. High riding humeral head consistent with chronic rotator cuff tear. | No acute fracture. Findings consistent with chronic rotator cuff tear. |
Generate impression based on findings. | Female 11 years old Reason: s/p fall History: s/p fallVIEWS: Sacrum/coccyx AP and lateral 5/7/2015 (2 views) There is no evidence of fracture, malalignment or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Male 16 years old Reason: injury History: swelling/painVIEWS: Right ankle AP, lateral and oblique 5/7/2015 (3 views) Soft tissue swelling and joint effusion with no fracture or malalignment. | Soft tissue swelling and joint effusion. No fracture. |
Generate impression based on findings. | Male 12 years old Reason: evaluate healing of fracture History: left proximal humerus fractureVIEWS: Left forearm AP and lateral 5/7/2015 (2 views) Healed fracture of the proximal metaphysis of the left humerus with medial angulation is unchanged in alignment.. | Healed fracture, unchanged in alignment. |
Generate impression based on findings. | Progression of brain metastasis There is an enhancing lesion involving the left posterior aspect of the superior frontal gyrus measuring 20 x 22 x 18 mm in the AP, transverse, and craniocaudal dimensions. Previously this lesion measured approximately 19 x 21 x 18 mm. Enhancement pattern is more ill-defined compared to ... | Recent brain MRI from 5/5/2015 was nondiagnostic due to patient intolerance. Compared to MRI brain with gadolinium from 3/13/2015, there is stable to mild increase in size of enhancing lesion within the left superior frontal gyrus. Enhancement pattern is more ill-defined than prior which may be related to treatment res... |
Generate impression based on findings. | Clinical question: 20-year-old female with HCV cirrhosis, refractory encephalopathy, obtunded this AM, evaluate for cerebral edema. Signs and symptoms: Altered mental status. Nonenhanced head CT:A previously noted focus of small hemorrhage in the pons and surrounding subtle edema cannot be identified on current exam an... | No evidence of an acute or convincing evidence of new finding since prior exam. |
Generate impression based on findings. | 62-year-old female. History of right lumpectomy for DCIS in 2013. No current breast complaints. Three standard views of both breasts and two spot magnification views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular densit... | 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. | 76-year-old male patient with shortness of breath. Preoperative evaluation for mitral valve replacement. ABDOMEN:LUNG BASES: Minimal right lower lobe atelectasis.LIVER, BILIARY TRACT: No focal hepatic lesion.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significa... | Vascular measurements as provided above. |
Generate impression based on findings. | RIGHT TEMPORAL BONE: There is nonspecific material, likely cerumen, within the external ear canal. There is mild tympanic membrane retraction and mild blunting of the scutum suggestive of prior infection. The middle ear and mastoid air cells are well-pneumatized and clear. The ossicular chain is intact. The inner ear ... | Extensive left otomastoiditis and osteomyelitis with adjacent soft tissue cellulitis and possibly abscess. There is dehiscence of the tegmen tympani and tegmen mastoideum. An MRI of the brain with contrast and MRV is recommended to assess for possible intracranial complications. |
Generate impression based on findings. | Clinical question: Evaluate sinuses. Signs and symptoms: Recurrent epistaxis; bleeding from both maxillary sinuses on endoscopy; hemotympanum on exam. Enhanced Medtronic infusion sinus CT:All paranasal sinuses are well pneumatized. There are small patchy foci of mucosal thickening in the dependent portion of bilateral ... | 1.Minimal chronic bilateral maxillary sinusitis and unremarkable all other paranasal sinuses.2.Bilateral mastoid air cells and middle ear cavities remain well pneumatized.3.No detectable abnormal enhancement. |
Generate impression based on findings. | There is fusion of the anterior cerebral hemispheres. The thalami are not fused. There is hypoplasia of the corpus callosum with splenium present. There is absence of the septum pellucidum as well as the bilateral olfactory bulbs. There is partial fusion of the frontal horns of the lateral ventricles. Dysmorphic tempo... | Findings compatible with semilobar holoprosencephaly as described above. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. The cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal or pathological enhancement. There is no diffusion abnormality. No extra-axial fluid collection is identified.Normal flow-voids are demonstrated in the major in... | Unremarkable contrast enhanced MRI of the brain. |
Generate impression based on findings. | 54-year-old male with femur fracture. Evaluate distal femur fracture There is a comminuted intra-articular fracture of the distal femur involving both femoral condyles with posterior displacement of the distal fracture fragments. There is an associated joint effusion with fat fluid level consistent with a lipohemarthro... | 1. Comminuted intra-articular bicondylar femoral fracture with posterior displacement of the distal fracture fragments. There is an associated lipohemarthrosis with foci of gas density within this collection for which clinical correlation is recommended.2. Additional small nondisplaced tibial fracture along the lateral... |
Generate impression based on findings. | 18 years Male with Reason: R/O PTA or soft tissue neck infection History: swelling in OP Prominence of all the tissues of Waldeyer's Ring, including the lingual and palatine tonsils as well as the adenoids. Heterogeneous enlargement, of the right greater than left palatine tonsils, suggestive of peritonsillar phlegmon/... | 1.Findings suggestive of right tonsillitis and and peritonsillar inflammatory changes with possible developing phlegmon, without discrete abscess formation. Inflammatory changes extend inferiorly on the right to the level of the C5 vertebral body, with resultant partial effacement of the oropharyngeal airway and the ri... |
Generate impression based on findings. | Evaluation is significantly limited due to lack of contrast. Postoperative changes are seen from previous sternotomy, esophagectomy and jejunal interposition. The left clavicular head has also been resected. There remains an indwelling drain via left paramedian anterior chest approach, with tip near the resected left ... | 1. Persistent fluid and gas collection anterior to the jejunal interposition which is not as well delineated due to lack of oral and intravenous contrast on this exam. Overall, the air-filled component increased in size, although there appears to be slight decreased extent of layering fluid density.2. Slightly improved... |
Generate impression based on findings. | 72-year-old female who returns as a call back from screening for a focal asymmetry and calcifications in the right lower inner breast. Patient reports a history of a right breast papilloma that was excised. RIGHT BREAST DIAGNOSTIC MAMMOGRAM: One standard ML view, two spot magnifications views, and one spot compression ... | Benign calcifications in the right lower inner quadrant. Focal asymmetry anterior to these calcifications likely correspond to dilated ducts sonographically without an associated mass.No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | CT HEAD:There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The skull and extracranial soft tissues are unremarkable. CTA HEAD: The intracranial internal carotid arteries are normal in course and caliber. The ... | 1.No evidence of vascular malformation or significant steno-occlusive lesion within the head or neck. Please note that catheter angiography is suggested to exclude a arteriovenous fistula. This was discussed with the ordering physician Dr. Dionne Blackman on 5/7/2015 at 1:30pm. 2.Unchanged chronic left maxillary sinusi... |
Generate impression based on findings. | 54-year-old male with fall, left knee pain. Evaluate for fracture or dislocation Left hip: 2 views of the left hip reveal no acute fracture or malalignment.Left femur: 2 views of the left femur reveal a distal femoral comminuted intraarticular fracture involving both femoral condyles with posterior displacement of the ... | Distal femoral comminuted intraarticular fracture involving both femoral condyles with posterior displacement of the distal fracture fragments. Please refer to dedicated CT study for additional findings. |
Generate impression based on findings. | 55-year-old male with history of right kidney masses. Evaluate for change from previous exam and characteristics. Additional history per electronic medical record: Lymphoma, treated 1995. LUNG BASES: Scarring in the lung bases. No focal consolidation or pleural effusion. Scattered calcified nodules and micronodules.LIV... | 1.Enhancing right renal lesion, not significant change from the previous exam. This remains suspicious for malignancy.2.Bilateral renal upper pole clusters of cystic lesions; benign radiology is favored.3.Stable L2 mixed sclerotic and lucent vertebral body lesion. May represent treated lymphoma metastasis versus less l... |
Generate impression based on findings. | 8-year-old male with history of swelling and pain of the left wrist for 2 weeks after a self-reported football injury.VIEWS: Left wrist PA, lateral and oblique (3 views) 5/7/2015, 0924 Both bones fracture of distal forearm has slight anterior angulation of distal radius and ulna. Subtle periosteal reaction at both frac... | Distal both bones fracture with some interval healing. |
Generate impression based on findings. | 75-year-old female. History of IDC in the right breast status post mastectomy in 2011. No current breast complaints. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspici... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Male 47 years old Reason: Evaluate for progression of Charcot ankle and rearfoot History: Erythema, warmth \T\ pain right ankle with slight medial collapse Right ankle: The bones are diffusely demineralized. There is progressive irregularity and fragmentation of the tibiotalar joint suggestive of a neuropathic joint. T... | Progressive fragmentation of the subtalar joint and anterior aspect of the talus/tibia compatible with progressive neuropathic changes. |
Generate impression based on findings. | 17-year-old female with history of right leg pain status post fall.VIEWS: Right tibia-fibula AP and lateral (2 views) 5/7/2015 at 0952 Anteromedial soft tissue swelling is noted overlying the proximal tibia, without fracture or dislocation. | Proximal tibia soft tissue swelling, without fracture or dislocation. |
Generate impression based on findings. | Frontal sinus: There is complete opacification of the right frontal sinus. The left frontal sinus and frontoethmoidal recesses are clear.Anterior ethmoids: Near complete opacification of the right anterior ethmoid air cells with superimposed frothy material, concerning for acute sinusitis. The left anterior ethmoid ai... | 1.Pansinus opacification, right much greater than left, with findings suspicious for acute sinusitis on the right.2.Evidence of expansile remodeling of the medial roofs of the bilateral maxillary sinuses, which may be secondary to chronic inflammatory remodeling versus mucocele formation.3.Scattered periapical and peri... |
Generate impression based on findings. | Female 5 years old swelling and tenderness of distal ulna and pain with pronation, evaluate for fracture to distal radius or ulna.VIEWS: Right wrist PA, lateral, and oblique views (3 views) 5/7/2015, 09:53 A nondisplaced fracture of the distal ulna has periosteal reaction and sclerosis of the fracture line. No addition... | Healing nondisplaced fracture of the distal ulna. |
Generate impression based on findings. | Female, 81 years old. Reason: Pt s/p transgastric antral mass rxn 5/4 - please eval anastomosis for leak and assess gastric emptying History: Gastric resection Images are limited by poor patient mobility.Postoperative changes are identified involving the stomach, including mucosal edema.Limited evaluation of the stomac... | 1.Limited exam demonstrates postoperative changes involving the stomach, without evidence of contrast extravasation.2.A small outpouching at the level of the GE junction may represent a diverticulum or small hiatal hernia, and is not thought to represent contrast leak. |
Generate impression based on findings. | Female 61 years old Reason: right knee OA History: right knee OA There is a moderate right genu varus due to severe osteoarthritis in the medial compartment with bone-on-bone apposition. There are tricompartmental osteophytes. There is mild lateral subluxation of the tibia in relation to the femur. No acute fracture. N... | Severe right knee osteoarthritis. |
Generate impression based on findings. | On anticoagulation, rule out bleeding. There is no evidence of acute intracranial hemorrhage. Again seen is a right temporoparietal convexity mass compatible with a meningioma that measures approximately 10 mm in width, which is not significantly changed since January 2015, but considerably smaller than in December 201... | 1. No evidence of acute intracranial hemorrhage.2. No significant interval change in size of the right temporal convexity mass compatible with meningioma, although the mass is smaller compared to December 2014 likely because of resolution of associated intratumoral hemorrhagic component. |
Generate impression based on findings. | Concern for metastatic disease, likely lung primary Suboptimal exam secondary to patient motion artifact.ABDOMEN:LUNG BASES: Incompletely imaged pulmonary parenchyma suboptimally assessed secondary to extensive respiratory motion artifact. Small left basilar atelectasis. Mediastinal shift towards left.LIVER, BILIARY TR... | 1. Hepatic and osseous metastatic disease.2. Bilateral adrenal nodular thickening, indeterminate3. Indeterminant exophytic left renal lesion, measuring 2.7 x 2.4 cm. |
Generate impression based on findings. | Female 65 years old Reason: Eval s/p Left TKA History: Eval s/p Left TKA Components of a total left knee arthroplasty device are situated in near-anatomic alignment. No radiographic evidence of fracture or malalignment. The skin suture staples and joint drain have been removed. There is a small joint effusion.Contralat... | Total left knee arthroplasty without radiographic evidence of fracture or malalignment. |
Generate impression based on findings. | 64-year-old male patient with GE junction esophageal cancer. Please provide by dimensional measurement RECIST 1.1 criteria. CHEST:LUNGS AND PLEURA: Minimal lingular atelectasis. No suspicious pulmonary nodules are identified. A nonspecific left lower lobe pulmonary micronodule is noted (image 59, series 4).MEDIASTINUM ... | Distal esophageal thickening compatible with patient's known malignancy without significant interval change in size of nodal metastases. |
Generate impression based on findings. | Female 78 years old Reason: fracture History: fracture Left ankle: Bone mineralization is decreased. There is a fracture of the distal fibula, unchanged in alignment. There is some callus formation about the fracture line indicating ongoing healing.Soft tissue swelling has decreased.Mild osteoarthritis affects the midf... | 1.Healing distal fibular fracture of the right ankle.2.Postsurgical changes in the left ankle without evidence of hardware complication. |
Generate impression based on findings. | Female 84 years old Reason: evaluate L TKA, s/p fall History: s/p fall The bones are demineralized. Components of a total left knee arthroplasty device are situated in near-anatomic alignment without radiographic evidence of hardware complication. No significant joint effusion.No acute fracture or malalignment. There i... | Total left knee arthroplasty without radiographic evidence of acute fracture. |
Generate impression based on findings. | Reason: s/p fall with LOC History: loss of consciousness There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no mass effect or herniation. Bilateral mild maxillary sinus mucosal thickening. Near complete opacification of the left sphenoid sin... | 1.No evidence of intracranial hemorrhage, mass effect, or acute fracture.2.Scattered sinus opacification as detailed above with suggestion of acute sinusitis in the left frontal sinus, correlate clinically. |
Generate impression based on findings. | Female 18 years old Reason: swelling History: unable to bear weight Bone mineralization is normal. Alignment is anatomic. No acute fracture or malalignment. Possible trace tibiotalar joint effusion.The soft tissues are unremarkable. | No acute fracture or malalignment. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts obtained on 8 total images and tomosynthesis 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... | 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 almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural di... | 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. | No evidence of intracranial hemorrhage. The previously described microhemorrhage on recent MRI is not visualized on this examination. There is new apparent hypoattenuation within the left pons, corresponding to area of restricted diffusion seen on recent MRI. Again seen are extensive confluent areas of hypoattenuation... | 1.No evidence of intracranial hemorrhage or mass effect.2.No evidence of flow-limiting stenosis, occlusion, or aneurysm in the head or neck. 3.Hypoattenuation in the left pons corresponds to region of diffusion restriction seen on recent MRI, compatible with evolving ischemic stroke.4.Again seen are extensive confluent... |
Generate impression based on findings. | Reason: sarcoidosis History: multifocal cranial neuropathy LUNGS AND PLEURA: Linear scarring or subsegmental atelectasis left lower lung zone.There is no evidence of parenchymal sarcoidosis.MEDIASTINUM AND HILA: There is no mediastinal or hilar lymphadenopathy.Aortic and mitral calcifications are present.The heart size... | Evidence of intrathoracic sarcoidosis, or other significant abnormality. |
Generate impression based on findings. | Trauma.VIEWS: Chest AP (one view), cervical spine AP and lateral (two views), pelvis AP (one view), date, time The aortic arch, cardiac apex and stomach are left-sided. Cardiac silhouette is normal. No focal lung opacity, pleural effusion or pneumothorax is seen. Vertebral body heights and disk spaces are normal. No fr... | Normal chest, cervical spine and pelvis.Adenoid and tonsillar hypertrophy with airway narrowing. |
Generate impression based on findings. | Reason: 64 y/o male with esophageal mass on esophagram. History of head/neck cancer. Rule out metastases on ct chest/abd/pelvis History: as above. CHEST:LUNGS AND PLEURA: Biapical pleural-parenchymal scarring. Scattered calcified pulmonary nodules/micronodules compatible with prior granulomatous disease.A few scattered... | 1.Esophageal mass seen on esophagram is not identified.2.No evidence of metastases.3.Extensive abdominal aortic and common iliac atherosclerotic disease, progressed compared to prior CTA. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, repeat left MLO view and tomosynthesis 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 a... | 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. | Cerebral palsy and hip dysplasia.VIEW: Pelvis AP (one view) 05/07/15 Blade plate and screws device in left proximal femur is again seen. The proximal femur is directed to the lateral superior aspect of the dysplastic acetabulum. The femoral head is eroded. The varus derotational osteotomy is healed. Right femoral head ... | Unchanged appearance of the left hip with the femoral head superiorly and laterally positioned from the acetabulum. |
Generate impression based on findings. | Reason: hx metastatic thyroid ca to lung History: new onset hypoxia PULMONARY ARTERIES: Technically suboptimal study due to streak artifact from adjacent dense contrast. No evidence of pulmonary embolus. LUNGS AND PLEURA: Patchy ground glass opacity of the RUL and RLL. RML nodule increased in size measuring 3.4 x 1.9 c... | 1. No evidence of pulmonary embolus.2. Interval increase in the size of the reference nodule in the RML.3. Mediastinal lymphadenopathy without significant change from prior study.4. Ground glass opacity of the RUL and RLL, new from prior study, concerning for pulmonary edema.PULMONARY EMBOLISM: PE: Negative.Chronicity:... |
Generate impression based on findings. | Female, 25 years old. Reason: please comment on stool burden History: chronic constipation, abdominal pain Nonobstructive bowel gas pattern. Moderate stool burden. | Moderate stool burden. |
Generate impression based on findings. | The internal auditory canals are symmetrical and normal in size and signal intensity. The inner ears are normal, with normal T2 signal and no pathological enhancement. No abnormal mass or abnormal enhancement is seen within the cerebellopontine angle, cisterns bilaterally or within the internal auditory canals. Mastoi... | 1. No mass or abnormal enhancement is seen within the cerebellopontine angles or internal artery canals. 2. No intracranial mass or mass effect in the remainder of the brain. Moderate chronic small vessel ischemic disease. |
Generate impression based on findings. | Male, 49 years old. Reason: ? small bowel stricture History: Crohn's disease of ileum with gastric dilation and retained food in stomach on EGD without clear obstruction Double contrast visualization of the esophagus showed no morphologic abnormalities of the mucosal surfaces or mural contours.The stomach was normal in... | 1.Approximately 4 cm of narrowing at the neoterminal ileum, compatible with involvement by Crohn's disease. No other obvious small bowel strictures noted.2.Significant delay in contrast passage through the pylorus, without obvious anatomical abnormality. This finding may represent delayed gastric emptying, and dedicate... |
Generate impression based on findings. | Reason: 64 y/o m with 40 pack year smoking history and severe COPD. Eval for pulmonary nodules. History: see above LUNGS AND PLEURA: Mild upper lung zone centrilobular emphysema.Subtle bronchial wall thickening.No evidence of lung cancer.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy noted.The heart size... | Mild centrilobular emphysema. No sign of malignancy or other significant abnormality.Lung-RADS: Category: 1 (Negative: No nodules and definitely benign nodules)RECOMMENDATION: Continue annual screening with LDCT in 12 months. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is again disproportionate cerebellar volume loss is symmetric. There is no midline shift or mass effect. There is no intracranial hemorrhage. There is redemonstration of scattered areas of multiple scattered areas of subpleural malacia, most extensive along the ... | 1. No acute intracranial abnormality. Probable right parietal convexity recent thin subgaleal hematoma with overlying soft tissue swelling.2. Stable areas of scattered encephalomalacia.3. Persistent disproportionate cerebellar volume loss.4. Bilateral chronic lamina papyracea fractures. |
Generate impression based on findings. | PHARYNX/LARYNX: The nasopharynx, oropharynx, and hypopharynx are unremarkable. The larynx is unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass or pathological enhancement.GLANDS: The contrast-enhanced appearance of the submandibular, sublingual, and parotid glands bi... | 1.Slight interval increase in the degree of enhancement and soft tissue thickening along the craniotomy site and surrounding tissues, which may in part be secondary to differences in technique and underlying postoperative changes, although clinical correlation is recommended to exclude infection.2.No definite drainable... |
Generate impression based on findings. | Reason: anal canal cancer, evaluate for metastases History: pain, bleeding. CHEST:LUNGS AND PLEURA: Right apical scarring. Scattered nonspecific pulmonary micronodules. Right upper lobe peripheral subsolid micronodule, nonspecific. No suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: No... | No definite evidence of metastases. |
Generate impression based on findings. | 90-year-old male patient with history of urothelial cancer. Question of metastases. Assess progression. ABDOMEN:LUNG BASES: Calcified right middle and right lower lobe granulomas, unchanged.LIVER, BILIARY TRACT: No focal hepatic lesion is identified. There is no intra or extrahepatic biliary ductal dilatation. Main por... | 1. No significant interval change or new sites of disease. 2. New anterior wedging of the T11 vertebral body. |
Generate impression based on findings. | 53-year-old male with history of renal cell carcinoma status post partial nephrectomy October 2014. Rule out recurrence. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Few stable subcentimeter hypoattenuating hepatic lesions, too small to further characterize.SPLEEN: Nonspecific subcentimeter... | Postoperative findings of right partial nephrectomy without specific evidence of disease recurrence. |
Generate impression based on findings. | 66-year-old male with renal cell cancer with history of bone metastasis status post radiation (2012) now with pain Left hip: No suspicious osseous lesions. No fracture is evident. Alignment is anatomic.Right hip: Lucent lesion involving the right acetabulum and ischium. The femoral head appears intact without cortical ... | Lucent lesion involving the right acetabulum and ischium representing known renal cell carcinoma metastasis status post radiation. If pain persists, MRI with and without contrast would be helpful. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. There are adjacent masses in the right upper ou... | Adjacent masses in the right upper outer breast for which further evaluation with spot compression and possible ultrasound is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Status post trauma.VIEWS: Right arm AP and lateral and right forearm AP 5/7/2015 (3 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. Note is made that due to extreme pain only AP view of the forearm was obtained. | Normal examination. |
Generate impression based on findings. | Male 43 years old Reason: cause for 3-5th MT pain History: tenderness and swelling over L forefoot; s/p inversion injury to forefoot after jumping There is an oblique nondisplaced fracture through the proximal phalanx of the third digit with the fracture fragments in anatomic alignment. Mild osteoarthritis affects the ... | Nondisplaced third proximal phalanx fracture. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of right breast cysts. 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 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. | Male 14 years old Reason: evaluate healing of fracture History: left proximal humerus fractureVIEWS: Left humerus AP and transthoracic 5/7/2015 (2 views) Interval callus formation and periosteal reaction of transverse, pathological fracture of the proximal left humerus. Mild dorsal angulation is unchanged. | Healing fracture, unchanged in alignment. |
Generate impression based on findings. | 59-year-old male with history of metastatic prostate cancer. Evaluate for progression. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules. No focal consolidation or pleural effusion.MEDIASTINUM AND HILA: Heart size is normal with no pericardial effusion. Severe coronary calcifications are present. No significant m... | 1.Increased retroperitoneal lymphadenopathy.2.Increased size of abdominal aortic aneurysm, now measuring 3.7 cm in maximum AP dimension from previously 3.4 cm.3.No other significant interval changes. |
Generate impression based on findings. | 92-year-old female with history of multiple falls and limping gait, pain Right hip: Diffuse enthesopathic changes at the right greater tuberosity. Moderate osteoarthritis affects the right hip. Atherosclerotic calcification of the vessels.Right femur: No acute fracture or malalignment is evident.Right knee: Severe oste... | Degenerative changes as described above without evidence of fracture or malalignment. |
Generate impression based on findings. | Tenderness of base of fourth and fifth metatarsals. Rule out fracture.VIEWS: Left foot AP/lateral/oblique (three views) 05/07/15 The bones are normal in appearance. No fracture is identified. No soft tissue swelling is seen. | Normal examination. |
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