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Generate impression based on findings. | 67-year-old who returns from screening mammography for a focal asymmetry in the left breast. Three standard views of the left breast and spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern an... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Headache, evaluate for intracranial hemorrhage. On Xarelto. No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or herniation. Gray-white differentiation is maintained. No extra-axial collections. Ventricles are within normal limits without evidence of hydrocephal... | 1. No evidence of acute intracranial hemorrhage or mass effect. 2. Chronic demyelinating disease which can be better evaluated with MRI. |
Generate impression based on findings. | Female 29 years old Reason: left knee pain History: knee pain Bone mineralization is normal. Alignment is anatomic. The joint spaces are normal. There is a small joint effusion. No acute fracture or malalignment. | Joint effusion without evident fracture. |
Generate impression based on findings. | Reason: assess for PNA History: reportedly PNA at OSH 2 weeks ago. Tachy and febrile and hypoxic LUNGS AND PLEURA: Motion artifact limits evaluation. Pulmonary scarring and atelectasis without significant change from prior study. No suspicious nodules or masses. MEDIASTINUM AND HILA: Cardiomegaly unchanged. No signific... | Pulmonary scarring and atelectasis without significant change from prior study. |
Generate impression based on findings. | 34-year-old female status post MVC, arm pain, hematoma. Rule out fracture/dislocation Right elbow: 4 views of the right elbow reveal no joint effusion, acute fracture or malalignment.Left elbow: 4 views of the right elbow reveal no joint effusion, acute fracture or malalignment. | No acute fracture or malalignment. |
Generate impression based on findings. | Male 58 years old Reason: 714.0 History: neck pain Vertebral body heights are normal. Degenerative changes affect the lower cervical spine centered at C5-C6 and C6-C7 where there are osteophytes and endplate changes.No significant instability is noted on the flexion and extension views.The C7-T1 junction is obscured. | Lower cervical spine degenerative change. |
Generate impression based on findings. | 64-year-old female with history of MM, post auto sct evaluation SKULL: Questionable lucent lesions are again seen in the cranial apex.CERVICAL SPINE: No discrete myelomatous lesions are identified. Alignment is anatomic with preservation of the disc spaces.THORACIC SPINE: No discrete myelomatous lesions are identified.... | Questionable lucent lesions of the calvarium are again seen, otherwise no discrete myelomatous lesions are identified. |
Generate impression based on findings. | 64-year-old male with left shoulder pain Moderate osteoarthritis affects the left shoulder. Status post acromioplasty. Correlate with surgical history. Alignment is anatomic. | Degenerative disease as described above. |
Generate impression based on findings. | Clinical question: Fall, on anticoagulant. Signs and symptoms: Frequent falls. Nonenhanced head CT:There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp.Prominence of cortical sulci, supratentorial ventricular system remains similar to prior exam and with maintained midline. Mi... | No detectable acute or new findings since prior head CT from 5-1-15. |
Generate impression based on findings. | Male 58 years old Reason: pre-op History: pain Severe osteoarthritis affects the right knee and bone-on-bone apposition in the medial compartment. Mechanical axis is near neutral. No acute fracture or malalignment. | Osteoarthritis of the right knee with near neutral mechanical axis. |
Generate impression based on findings. | 45 year old with proven left IDC grade 3 with interpectoral LN and internal mammary LN metastases presents for right axillary LN evaluation and possible biopsy. Right axillary ultrasound is performed. Detected is a 11 x 7 mm lymph node with cortical thickening and effaced hilum. Moderate non-hilar cortical blood flow i... | Successful ultrasound guided core biopsy of an abnormal right axillary lymph node. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 8-year-old female patient status post fall with altered mental status. MAXILLOFACIAL:There is right forehead subgaleal hematoma and moderate right preseptal edema. There is fluid and air underneath the right eyelid. There is a comminuted fracture through the anterior orbital roof with fracture extending to the right an... | 1.No intracranial hemorrhage. 2.Comminuted right frontal bone fracture through the right orbital roof extending into the anterior and posterior ethmoid air cells, right inferior orbital wall fracture medial to the infraorbital foramen, as well as small fractures involving the right fovea ethmoidalis and planum sphenoid... |
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. | 69-year-old female patient with left subclavian/axillary artery to femoral bypass and left to right femoral-femoral bypass. Bilateral thigh claudication. Concern for inflow stenosis to the axillary-femoral bypass. CHEST:LUNGS AND PLEURA: Scattered nonspecific pulmonary nodules measuring up to 4 mm are unchanged. There ... | 1. Patent left axillary-bifemoral bypass graft with moderate narrowing at the femoral arteries just distal to the anastomoses, similar to the prior study.2. Complete occlusion of the aorta just inferior to the renal artery origins, unchanged.3. IVC filter and patent superior mesenteric vein stent.4. Old right pubic ram... |
Generate impression based on findings. | 62 female with pain, pre-op eval for Mako right hip. Severe osteoarthritis of the right hip with marked joint space narrowing and subchondral sclerosis and cyst formation is noted.Postoperative findings of bilateral total knee arthroplasties are noted. | Severe osteoarthritis of the right hip as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views, additional bilateral MLO and CC 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 dis... | 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. | 27-year-old female with bilateral angiomyolipomas. ABDOMEN:LUNG BASES: No focal consolidation or pleural effusion. No suspicious pulmonary nodules.LIVER, BILIARY TRACT: Multilobulated right hepatic lobe segment 5 lesion measures fat attenuation and on prior MRI suppresses on fat saturation sequences, compatible with he... | Large bilateral angiomyolipomas with interval resolution of left intralesional hematoma. No evidence of recurrent hemorrhage. |
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 composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microca... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: hemothorax? History: ped struck 3d ago w ?fluid on CXR LUNGS AND PLEURA: Bilateral basilar scarring/discoid atelectasis.No focal areas of consolidation.No suspicious pulmonary masses.No pleural effusions.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy.Cardiac size is normal without evidence of per... | Basilar scarring and discoid atelectasis without acute cardiopulmonary abnormalities identified. |
Generate impression based on findings. | Male 53 years old Reason: OA History: OA Bone mineralization is normal. Alignment is near-anatomic. Moderate osteoarthritis affects the right knee, worst in the lateral and extensor compartments.No significant joint effusion. No acute fracture or malalignment.Mild to moderate osteoarthritis affects the contralateral le... | Moderate right knee osteoarthritis. |
Generate impression based on findings. | Female 11 years old Reason: evaluate reduction of fracture after surgery History: left supracondylar fractureVIEWS: Left elbow AP, lateral, and oblique views (3 views) 5/7/2015 at 11:05 Overlying cast material limits evaluation of fine bone detail. 3 K-wires affix a supracondylar healing fracture in near-anatomic align... | Status post alignment and pinning of supracondylar fracture as above. |
Generate impression based on findings. | Female 84 years old Reason: Standing views. Assess severity of osteoarthritis. History: right knee pain The bones are demineralized.Moderate osteoarthritis affects the right knee, worst in the lateral and extensor compartment. There are tricompartmental osteophytes. There is a trace joint effusion.No acute fracture or ... | Moderate right knee osteoarthritis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Stable benign calcifications ... | 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. | Female 62 years old Reason: pre-op History: pain Severe osteoarthritis affects the right knee, worst in the medial compartment. There is 5 degrees genu varus. | Osteoarthritis and mechanical axis as detailed above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. There is a potential new obscured mass... | Possible left breast mass for which further evaluation with spot compression and possible ultrasound is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 54-year-old male with myelopathy status post fusion 2 view of the cervical spine reveal interval placement of an anterior spinal plate with screw devices projecting into C4, C5, C6 and C7 and interposing bone graft material which appear in anatomic alignment with no evidence of hardware complication. The remaining cerv... | Postoperative changes with no evidence of hardware complication. |
Generate impression based on findings. | Female 58 years old Reason: metastatic breast cancer - evaluate response to treatment with bidimensional measurements per recist 1.1 History: known hepatic mets CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CORONARY ARTERY CALCIFICATION: None. CHEST WALL... | Interval increase in the size of the hepatic metastases.Interval increase in the size of the chest wall collection.Borderline enlarged upper retroperitoneal adenopathy, unchanged. |
Generate impression based on findings. | Reason: Right lower lobe nodule History: none LUNGS AND PLEURA: Stable scattered nonspecific micronodules.Right lower lobe 5mm nodule (image 65 series 4) are unchanged from the prior 2 exams dating back to 3/26/2013.No new suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: Status post thy... | Stable right lower lobe 5 mm nodule unchanged since 3/26/2013 and stable scattered micronodules most likely postinflammatory in origin. |
Generate impression based on findings. | Male 61 years old foot pain Bone mineralization is normal. Alignment is anatomic. Mild osteoarthritis affects the first MTP joint. There is a probable osteophyte at the base of the first metatarsal.Mild osteoarthritis affects the midfoot.No acute fracture or malalignment is evident. | Osteoarthritis without evident fracture. |
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. There are multiple bilateral benign morphology masses, probably intramammary lymph nod... | No mammographic evidence of malignancy. Bilateral benign masses. 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. | Female 64 years old Reason: Eval s/p Left THA History: Eval s/p Left THA Components of the total left arthroplasty device are situated in near-anatomic alignment without radiographic evidence of hardware complication.AP view of the pelvis shows the aforementioned left hip arthroplasty device. Patient is status post tot... | Total left hip arthroplasty without radiographic evidence of hardware complication. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, a cleavage 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 areas ... | 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. | Slammed finger in car door. Subungual hematoma.EXAMINATION: Left hand PA, left thumb AP/lateral (three views) 05/07/15 Soft tissue swelling is present around the thumb interphalangeal joint. The subungual hematoma is noted as well. The bones are normal in appearance. No fracture is seen. | Soft tissue swelling and subungual hematoma. No fracture. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and an additional right CC view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Stable benign c... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: pt with a history of met testicular cancer with known PE on previous exam (patient currently on Lovenox). Please assess History: known PE, history of met testicular cancer LUNGS AND PLEURA: No significant interval change in the right lower lobe nodule measuring 13 x 9 mm (series 5, 45/102), previously measuring... | 1.Unchanged right lower lobe nodule with satellite lesions, and morphologic features that raise the question of infection. 2.New subpleural LUL nodule is indeterminate and may reflect recent infection or infarct. 3.No evidence of pulmonary embolus on this study. 4.Unchanged mediastinal and hilar lymphadenopathy. |
Generate impression based on findings. | 12-year-old male with left knee pain. 2 nonweightbearing views of left knee reveal two metal plates consistent with ACL tear reconstruction in a skeletally immature patient with no evidence of hardware complication. There is a medium-sized joint effusion about the knee, otherwise alignment is anatomic with no evidence ... | Postoperative changes of ACL tear reconstruction with joint effusion about the knee, otherwise no acute fracture or dislocation. |
Generate impression based on findings. | Male 78 years old Reason: OA History: OA Right knee: Severe osteoarthritis affects the right knee with bone-on-bone apposition in the medial and extensor compartments with tricompartmental osteophytes. There is a trace joint effusion. No acute fracture or malalignment. Vascular calcifications are noted along the poster... | Severe bilateral knee osteoarthritis. |
Generate impression based on findings. | 74 year old with palpable lump in the left breast Three standard views of both breasts with two spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular elements. A triangular marker is placed at upper oute... | Suspicious mass in the left upper-outer quadrant. Biopsy under palpation guidance is recommended. The results and recommendations were discussed with with Dr. Lyons. BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | 65-year-old female status post right lumpectomy and SNBx in 2/2013 after neoadjuvant therapy and status post XRT. History of benign left breast biopsy and left mastopexy. History of breast cancer in mother and both grandmothers. Three standard views of both breasts, a laterally exaggerated CC of the right breast, and f... | Right retroareolar calcifications are benign in appearance, consistent with fat necrosis. 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 - B... |
Generate impression based on findings. | Reason: mets lung cancer, diffused bone mets, s/p 2 doses of Nivolumab. pt is c/o increased pain, pls c/w previous study and evaluate tx response. History: mets lung cancer CHEST:LUNGS AND PLEURA: Right perihilar mass with encasement of the bronchus intermedius and distal atelectasis redemonstrated. The mass is unchang... | 1.Large right perihilar mass without significant interval change.2.Extensive osseous and hepatic metastases unchanged. No new sites of disease identified. |
Generate impression based on findings. | Female, 33 years old. Reason: constipation History: abd pain Nonobstructive bowel gas pattern. Below average stool burden. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 57-year-old female. Evaluate for kidney stone. ABDOMEN:LUNG BASES: No suspicious pulmonary nodules. No consolidation or pleural effusion.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality note... | Large obstructing 11 mm stone in the right renal pelvis with mild right hydronephrosis. |
Generate impression based on findings. | Female 16 years old Reason: right knee pain History: right knee painVIEWS: Right knee AP, lateral and oblique and right femur AP and lateral 5/7/2015 (5 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Male, 68 years old. Reason: eval for obstruction History: abdominal pain, constipation Pneumoperitoneum is redemonstrated, with free air seen below the diaphragm.A few air-filled loops of bowel are noted, without distention. No evidence of obstruction. Contrast and stool seen within the colon. Moderate to large stool b... | Redemonstration of pneumoperitoneum, without evidence of obstruction. Moderate to large stool burden. |
Generate impression based on findings. | Male 38 years old Reason: HL, re-eval and compare to previous History: HL CHEST:LUNGS AND PLEURA: No significant change in the size of the micronodules and linear atelectasis/scarring.Bilateral trace pleural effusions and thickening, unchanged.MEDIASTINUM AND HILA: Anterior mediastinal soft tissue mass measures 4.2 x 2... | No significant change from previous study. |
Generate impression based on findings. | 72-year-old female status post spinal fusion 2 views of the lumbar spine were provided. There are vertical members from T12 to L5 with pedicle screws projecting into T12 as well as L2-L5 vertebral bodies. Additional screw projects transversely through the L2 vertebral body. Intervertebral disc spacer devices are presen... | Postoperative changes with no evidence of hardware complication. |
Generate impression based on findings. | Clinical question: Rule out intracranial hemorrhage. Signs and symptoms: AMS. Nonenhanced head CT:There is no detectable acute intracranial hemorrhage, mass effect, midline shift or hydrocephalus. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes. Periventricular and subcortical low... | 1.No acute intracranial findings.2.Mild age-indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Clinical question: Dysphagia and weakness which started last night. Signs and symptoms: Aphasia. Nonenhanced head CT:No acute intracranial process. CT is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray-white m... | No acute intracranial process. |
Generate impression based on findings. | 46-year-old with new palpable concern in the left breast. History of benign left breast biopsy in 2010 with histology of fibroadenoma. Three standard views with two spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered... | No mammographic or sonographic evidence of malignancy. Clinical follow-up is recommended for palpable concern. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. The next screening examination is due in October 2015. Results and recommendations were disc... |
Generate impression based on findings. | Status post right mastectomy for breast cancer in 2008, presents today for routine follow up. No current breast complaints. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. No... | 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. | 72-year-old female with right shoulder pain, left shoulder weakness and right knee pain Right knee: 3 nonweightbearing views of the right knee were provided. Moderate osteoarthritis affects the knee with no evidence of joint effusion, acute fracture or dislocation. Note that comparison cannot be made to prior knee radi... | Osteoarthritic changes affect the shoulders and right knee with no evidence of acute fracture or dislocation. |
Generate impression based on findings. | 23-year-old female hit by car, fell on right knee. Evaluate for fracture 4 nonweightbearing views of the right knee reveal trace joint effusion with no evidence of fracture or malalignment. | Trace joint effusion with no evidence of fracture or malalignment. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. The basal cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal. There is no diffusion abnormality. No extra-axial fluid collection is identified.Normal flow-voids are demonstrated in the major intracranial vascular st... | Unremarkable noncontrast MRI of the brain. |
Generate impression based on findings. | BRAIN: There is susceptibility artifact at the occiput somewhat limiting evaluation of adjacent anatomy. There are postoperative findings related to a suboccipital craniectomy. The previous curvilinear catheter through the foramen magnum has been removed. There is interval placement of a fourth ventricular stent. Ther... | 1. Persistent diffuse enhancement of cauda equina nerve roots without significant interval change, allowing for differences in technique. Differential is unchanged. Recommend correlation with lumbar puncture. 2. Site interval increase in size of a nonenhancing distal cord signal abnormality at the T12-L1 to upper L1 le... |
Generate impression based on findings. | There is susceptibility artifact related to the right parietal approach ventriculostomy catheter, with tip abutting the septum pellucidum, somewhat limiting evaluation of adjacent anatomy. There are stable postoperative findings related to right lateral ventricle choroid plexus tumor resection. There is no definite ev... | 1. Stable postoperative findings without evidence of tumor recurrence, within the limits of artifacts. 2. Interval decrease in size of ventriculomegaly with ventricular shunt device in position. |
Generate impression based on findings. | PHARYNX/LARYNX: Interval tonsillectomy with previously seen tonsilliths within the left palatine tonsil are no longer evident. The nasopharynx, oropharynx, hypopharynx, and larynx are unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass or pathological enhancement.GLAND... | Interval tonsillectomy. Previously seen left tonsilloliths are no longer present. Unremarkable CT appearance of the neck soft tissues without evidence of foreign body. |
Generate impression based on findings. | PHARYNX/LARYNX: The nasopharynx, oropharynx, hypopharynx, and larynx are unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass or pathological enhancement.GLANDS: The postcontrast appearance of the salivary glands is unremarkable. Redemonstrated is an enlarged heterogene... | No significant interval change in multinodular goiter with retrosternal extension into the superior mediastinum, which causes rightward tracheal deviation. 2. Multiple scattered bilateral cervical lymph nodes are not enlarged based on size criteria. However, multiple axillary and supraclavicular lymph nodes are enlarge... |
Generate impression based on findings. | Reason: dx with lung CA History: none CHEST:LUNGS AND PLEURA: 11 x 13 mm solid nodule at the right apex with an adjacent cyst and linear scarlike opacity.Additional small nonspecific subpleural nodules bilaterally, including a calcified subpleural nodule in the right lower lobe and calcified granuloma at the right cost... | 1. Right apical nodule and subpleural nodules with extensive lymphadenopathy.2. Indeterminate hepatic lesion. |
Generate impression based on findings. | Male 61 years old; Reason: lymphadenopathy and panniculitis seen on previous CT in Dec, also noted to have large gastric bezoar vs. mass, f/u History: hepatitis C but no cirrhosis ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No evidence of fatty liver. No focal liver lesions. No evidence ... | No focal liver lesions. Scattered periportal, peripancreatic and retroperitoneal lymph nodes. Minimal mesenteric panniculitis but without extensive mesenteric nodes.These findings are all unchanged from 12/20/2014. |
Generate impression based on findings. | The NG tube has been removed. The tracheostomy remains in place, only partially visualized. There are post-operative findings related to recent bilateral mandibular osteotomies with mandibular distractors again seen for correction of mandibular hypoplasia, although the external linear components have been removed in t... | 1. Redemonstration of micrognathia with interval removal of external components of mandibular distractors and grossly stable position of internal components of distractors.2. Cleft palate. |
Generate impression based on findings. | Male 66 years old Reason: Hx of esophageal ca, now with new lesion involving right acetabulum, evaluate for primary carcinoma, other sites of disease History: above.Per clinical service, outside MRI shows suspicious lesion in the roof of right acetabulum concerning for metastatic focus. CHEST:LUNGS AND PLEURA: Severe f... | No definite evidence of metastatic disease by CT. Expected postsurgical changes. Other findings as above. |
Generate impression based on findings. | Fall with right-sided head abrasion No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or herniation. Gray-white differentiation is maintained. There is global parenchymal volume loss commensurate with age. No hydrocephalus. No extra-axial collections. There are ... | No evidence of intracranial hemorrhage or mass effect. No skull fracture. |
Generate impression based on findings. | The colon is well distended. There was moderate residual stool in the left colon, particularly in the sigmoid colon. There was moderate residual fluid which was well tagged in the right colon and weekly tagged in the left colon. Allowing for the described limitations the study was of diagnostic quality. No polyps > 6 ... | No polyps > 6 mm or colonic masses are identified. *OPTIONAL C-RADS CLASSIFICATION:C-1E-1*(see full definitions in: Zalis et al. CT Colonography reporting and data system: a consensus proposal. Radiology 2005;236:3-9)C1: Normal or benign lesions (no polyps > 6mm). Continue routine screening.C2: Intermediate polyp (less... |
Generate impression based on findings. | Head and neck cancer. No discrete masses appreciated within the neck to suggest local regional tumor recurrence. There is asymmetric thinning involving the right oropharyngeal soft tissues consistent with posttreatment change. There is ill-defined soft tissue thickening along the right sternocleidomastoid muscle and ju... | 1. Post treatment changes without measurable tumor within the oropharyngeal soft tissues to suggest locoregional tumor recurrence.2. No significant cervical lymphadenopathy. 3. No evidence of intracranial metastatic disease.3. Mediastinal lymphadenopathy is partially visualized. Please refer to separate report for find... |
Generate impression based on findings. | Reason: evaluate new pulmonary opacities on CXR History: metastatic urachal adenoca LUNGS AND PLEURA: Multiple bilateral pulmonary nodules compatible with metastases have increased in size compared to the previous scan.Left upper lobe referenced nodule (series 6/35) 15 x 22 mm, not significantly changed from 16 x 21 mm... | Slight increase in reference measurements. No evidence of pneumonia or other superimposed process. |
Generate impression based on findings. | Reason: lung nodules right side History: evaluation of lung nodules LUNGS AND PLEURA: Noncalcified clustered nodules surrounding the airways and vessels leading to the right upper lobe apical segment are unchanged since the prior study, and are reported stable since 4/9/2014 (new since 11/17/2012). Calcified left lower... | Clustered left upper lobe nodules unchanged, for which 1-2 year follow-up is recommended. |
Generate impression based on findings. | No intracranial hemorrhage, mass, or mass effect. The ventricles and sulci are mildly prominent, consistent with mild age-related volume loss. There is no midline shift or herniation. There is no extraaxial fluid collection. There is moderate mucosal thickening of the right maxillary sinus with hyperdense material, wh... | No acute intracranial hemorrhage or mass effect. If there is continued suspicion for intracranial infection or neoplasm, consider MR for further evaluation. |
Generate impression based on findings. | The ventricles and sulci are slightly prominent for the patient's stated age. The basal cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal. There is no diffusion abnormality. No extra-axial fluid collection is identified.Normal flow-voids are demonstrated in the maj... | Essentially unremarkable noncontrast MRI of the brain. |
Generate impression based on findings. | Male 70 years old; Reason: eval for progression History: metastatic prostate cancer CHEST:LUNGS AND PLEURA: Small biapical scarring. Right lower lobe postsurgical sequela related to prior wedge resection. No pleural effusion. No suspicious lung nodule. Visualized central airways patent. MEDIASTINUM AND HILA: Mild calci... | Stable exam as described. Similar to earlier exam are subtle sclerotic changes in the left scapula, suspicious for bony metastatic disease, please note that bone scintigraphy would be more sensitive for evaluation and comparison. Please refer to nuclear medicine bone scan from same day for additional findings. |
Generate impression based on findings. | There is a stable left parietal approach ventriculostomy catheter, with its tip just to the right of midline in the right frontal horn. Foci of hyperdensity are again seen along the previous right frontal approach ventriculostomy catheter tract which has been removed, with surrounding low density. There is persistent ... | 1. Stable degree of ventricular dilatation since prior exam with persistent intraventricular hemorrhage. Slightly increased meniscus of blood products in the occipital horns bilaterally. Stable left parietal approach ventriculostomy catheter.2. Stable foci of petechial hemorrhage along the previous right frontal ventri... |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is nonspecific mineralization of the bilateral caudate heads, anterior bodies and anterior inferior aspect of the bilateral putamen and glo... | 1.Right supraorbital soft tissue swelling and laceration. No acute intracranial hemorrhage or calvarial fracture.2. Prominent calcifications of the bilateral caudate heads and anterior bodies, and anterior inferior aspect of the bilateral putamen and globus pallidi, which are nonspecific. Differential considerations in... |
Generate impression based on findings. | Male 35 years old; Reason: assess peri-anal inflammation and possible abscess formations, assess intra-abdominal Crohn's burden History: L peri anal area pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: N... | 1.Expected postsurgical changes. 2.Soft tissue thickening in the left perianal area (increased slightly from prior CT) and ischio rectal fossa without evidence of fluid.3..4.Two perianal linear structures which may represent fistulas. |
Generate impression based on findings. | slammed finger in a door 3 views of the right thumb reveal some soft tissue swelling. No bone abnormalities. No fractures no dislocation | No fractures or dislocations. |
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. | The ventricles and sulci are prominent, consistent with mild-moderate age-related volume loss. The basal cisterns remain patent. There is no midline shift or mass effect. There are scattered punctate foci and confluent areas of abnormal T2/FLAIR hyperintensity within the periventricular and subcortical white matter, c... | No acute abnormality. Mild-moderate chronic small vessel ischemic changes. Probable inspissated secretions within the right sphenoid sinus. |
Generate impression based on findings. | Male 85 years old Reason: Mantle Cell NHL History: Evaluate for disease; Compare to previous CHEST:LUNGS AND PLEURA: Right apical scarring and bibasilar atelectasis are unchanged. Index nodule in the right apical segment is no longer visualized. Most of the other nodular opacities are also resolved within the internal.... | Interval resolution of the previously described lung nodules. Interval decrease in the size of the subcarinal lymph node.Colonoscopy is recommended to exclude a colonic carcinoma in cecum. |
Generate impression based on findings. | Wheeze and fever.VIEWS: Chest AP/lateral (two views) 05/07/15 The right lower lobe is completely atelectatic. The rest of the lungs are normal in appearance. Cardiac silhouette size is normal. | Complete collapse of right lower lobe. |
Generate impression based on findings. | Injury 3 days ago 3 views of the left foot are unremarkable. No fractures or dislocations. | Negative left foot exam |
Generate impression based on findings. | 71-year-old with history of benign right breast biopsy. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No dominant mass, suspicious microcalcifications or... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. The screening examination in 12 months could include tomosynthesis. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMEND... |
Generate impression based on findings. | There are retention cysts within both maxillary sinuses and mild mucosal thickening narrowing the left maxillary sinus ostium and infundibulum. The remaining paranasal sinuses are clear. The nasal cavity is also clear. There is no significant nasal septal deviation. The lamina papyracea and ethmoid roofs are intact. T... | Retention cysts within both maxillary sinuses. Otherwise no evidence of sinusitis. |
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 extremely dense, limiting the sensitivity of mammography and increasing the importa... | 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: NSD - 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 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. | Slipped on stairs 3 views of the left ankle reveal a sideplate with multiple screws in the distal fibula. There is a K wire and a screw in the medial malleolus. No evidence is seen of any new fractures or injuries. No change from the previous exam of 2012. | No fractures or dislocations. |
Generate impression based on findings. | Male 57 years old; Reason: 57M with incisional hernia History: incisional hernia. The absence of intravenous contrast limits evaluation of the solid organs and vasculature. Given those limitations, the following observations were made:ABDOME:LUNGS BASES: No significant abnormality noted.Calcification noted in the coron... | 1.Hepatomegaly and diffuse fatty infiltration of the liver. Correlate with liver function test.2.Broad-based nonobstructive ventral hernia containing small bowel, large bowel and omentum.3.Heavy atherosclerotic disease. |
Generate impression based on findings. | Reason: eval for malignancy History: history of head and neck SCC, new lung mass CHEST:LUNGS AND PLEURA: Right upper lobe nodule (image 15 series 5) demonstrating interval growth in size now measuring 14 mm x 16 mm previously measuring 11 mm.No other suspicious pulmonary nodules or masses can be identified.No pleural e... | 1.Enlarging right apical nodule compatible with metastatic disease.2.Enlarging mediastinal lymphadenopathy.3.No new sites of disease identified. |
Generate impression based on findings. | Male 44 years old Reason: microhematuria History: microhematuria 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: T... | Solitary right kidney. Multiple stones within the right kidney. |
Generate impression based on findings. | Male 17 years old Reason: s/p ORIF History: s/p ORIF Status post lateral plate and screw fixation of the fibular fracture with 2 syndesmotic screws.Fixation of the medial malleolus with 2 screws and a wire.The fracture fragments are in near-anatomic alignment. Soft tissue swelling has decreased. Posterior tibial fractu... | Status post ORIF without evident hardware complication. |
Generate impression based on findings. | Reason: Metastatic prostate cancer needs re-evaluation and compare to prior scans. Per RECIST 1:1 bi-dimensional measurements where applicable. History: Metastatic prostate cancer needs re-evaluation and compare to prior scans. Per RECIST 1:1 bi-dimensional measurements where applicable. LUNGS AND PLEURA: Punctate beni... | Evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | Female 57 years old Reason: pre-op History: pain Right knee: Severe osteoarthritis affects the right knee with tricompartmental osteophytes, subchondral sclerosis and joint space narrowing. No acute fracture or malalignment.Contralateral left knee also shows osteoarthritis.Right lower extremity: Mechanical axis of the ... | Severe right knee osteoarthritis. |
Generate impression based on findings. | Female 80 years old Reason: 80F POD#13 s/p ex lap, LOA, repair of enterotomy, now with persistent nausea, vomiting; please assess for SBO History: nausea, vomiting The absence of intravenous contrast limits evaluation of the solid organs and vasculature. Given those limitations, the following observations were made:ABD... | Incomplete mechanical small bowel obstruction probably in the mid ileum. Adhesions likely. No definite intramural air or free air. Small amount of free intraperitoneal fluid.Heavy atherosclerotic disease. Moderate pericardial effusion, unchanged from 4/15. Other findings as above. |
Generate impression based on findings. | Female 72 years old Reason: CLL History: hip pain, please evaluate hip/spine in additon to trending adenopathy CHEST:LUNGS AND PLEURA: Index right lower lobe nodule measures 1.1 cm in diameter on image #86, series #5. This is unchanged from previous study. Other calcified and noncalcified micronodules are stable.MEDIAS... | No significant change from previous study. |
Generate impression based on findings. | Check fracture healing 3 views of the left ankle reveal sideplate with multiple screws in the distal fibula. The fracture lines are indistinct consistent with healing. Compared to the previous exam of April 24 the plaster cast has been removed. | Healing ankle fracture in anatomic alignment. |
Generate impression based on findings. | Female 64 years old Reason: pre-op History: pain Severe osteoarthritis affects the right hip with bone-on-bone apposition and osteophytes. There is progressive subchondral sclerosis.No acute fracture or malalignment. | Severe right hip osteoarthritis. |
Generate impression based on findings. | Female 59 years old Reason: evaluate Left THA History: left hip pain s/p injury Left hip: Status post total left hip arthroplasty. There is a break in the stem of the prosthesis with mild medial displacement.The lateral cortical border of the proximal femur is thinned with a subtle fracture through it. No dislocation i... | Left hip prosthetic stem fracture with loosening of the proximal portion of the prosthesis.Findings discussed with Dr. Brown at the time of dictation |
Generate impression based on findings. | Evaluate healing of fracture.VIEWS: Left knee AP and lateral (2 views) 5/7/2015, 12:43 Again seen are fractures of the proximal tibial metaphysis and fibular diaphysis. The fracture lines appear less distinct and the callus has increased indicating continued healing. Alignment is near anatomic. | Continued healing of tibia and fibula fractures. |
Generate impression based on findings. | 5 year old s/p stem cell transplant with productive cough x 2 weeks. History of Interleuking-2 beta receptor deficiency. VIEWS: Chest AP/lateral (two views) 5/7/2015, 12:50 There has been interval removal of the right upper extremity PICC. Left mainstem bronchus and left pulmonary artery stents are unchanged.The cardio... | Interval removal of right upper extremity PICC. No pneumonia. |
Generate impression based on findings. | Female 12 years old mild persistent swelling of the right ankle. Persistent lateral malleolus swelling after inversion injury in April.VIEWS: Right ankle AP, lateral, and oblique (3 views) 5/7/2015, 13:16 Soft tissue swelling is seen along the lateral malleolus and there is an ankle joint effusion. There is no perioste... | Right ankle effusion and lateral soft tissue swelling. No evidence of fracture. |
Generate impression based on findings. | Clinical question: 65-year-old female with head and neck cancer. Compared to prior exam. Signs and symptoms: As above. Enhanced neck CT:Lowermost visualized intracranial contents demonstrate no abnormalities.Unremarkable images through the skull base and including cavernous sinuses.Unremarkable images through the orbit... | 1.Stable12 x 14 x 14.5 mm mass in the right tracheoesophageal groove since prior exam. This mass is measured on current as well as the previous exam at this time.2.No detectable enhancing residual thyroid tissue.3.No detectable cervical lymphadenopathy. |
Generate impression based on findings. | There is no significant residual linear enhancement associated with the previous left ventricular catheter tract, with minimal residual linear susceptibility along this course. Thin linear susceptibility without evidence of corresponding enhancement extends from right posterior parietal burr hole to the right lateral ... | 1. Stable ventricular size, with interval expected evolution of left frontal and right posterior parietal parenchymal findings along previous catheter tracts. No MR imaging findings concerning for residual infectious process. Residual nonspecific FLAIR hyperintensity along the lateral ventricular margins.2. Stable appe... |
Generate impression based on findings. | 19-year-old female. Reason: eval fluid collection History: pyelo and fluid collection Reason: eval fluid collection History: pyelo and fluid collection RIGHT KIDNEY: The right kidney measures 13.0 cm in length. A rounded area of increased echogenicity is seen at the kidney midpole with possible increased vascularity. T... | Focus of increased echogenicity at the mid pole of the right kidney with possibly increased vascularity is suspicious for site of infection versus an early abscess. No definite drainable fluid collection is identified on the study. |
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