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Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in grandmother at the age of 84 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 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. | Female, 75 years old. Reason: Placement of Dobbhoff History: As above Dobbhoff tube tip in the region of the gastric antrum.Nonobstructive bowel gas pattern.Surgical staples, fixation plates, drains overlie the chest. | Dobbhoff tube tip in the region of the gastric antrum. |
Generate impression based on findings. | 71-year-old female with left midfoot and third and fourth toe pain. Minimally displaced fracture of the neck of the proximal fourth phalanx. No additional fractures are evident. Severe hallux valgus deformity. | Minimally displaced fracture through the neck of the proximal fourth phalanx. Hallux valgus deformity. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of bilateral benign breast biopsies in 1983. Personal history of kidney cancer and leukemia. Family history of breast cancer diagnosed in her mother at age 72, two maternal cousins and a paternal aunt. Two standard digital views of both br... | 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. | 86-year-old female with exquisite pain in the right hip/pelvis Spinal fixation rods and transpedicular screws traverse L4, L5, and S1 without evidence of hardware complication. Approximately 50% loss of height of L5 vertebral body. Status post laminectomy of L5. Lucency through the sacrococcygeal junction may represent... | 1.Transverse lucency to the sacrococcygeal junction may represent a nondisplaced fracture of indeterminate age.2.No acute fracture of the right femur or additional fractures of the pelvis.3.Mild osteoarthritis and Paget's disease disease of the left innominate bone and right proximal femur. |
Generate impression based on findings. | Male 38 years old; Reason: h/o resected retroperitoneal sarcoma 4/2012 with en bloc colon resection. H/o SBO with LOA 2/2013. Now with flank pain and abdominal swelling. Need to evaluate for tumor recurrence History: Abdominal pain swelling ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: A f... | 1.Large left-sided retroperitoneal mass with mass effect on adjacent structures. Consistent with recurrence of the patient's known liposarcoma. 2.Diminished left renal nephrogram and hydronephrosis secondary to compression of ureter and renal vasculature. |
Generate impression based on findings. | Female 68 years old Reason: s/p ORIF L proximal humerus History: see above The bones are diffusely demineralized. Postsurgical changes from sideplate and screw fixation of a proximal humerus fracture. The fracture fragments unchanged in alignment.The fracture margins are slightly indistinct suggesting some interval hea... | Orthopedic fixation of a proximal humerus fracture as detailed above. |
Generate impression based on findings. | Exam is limited slightly secondary to motion artifact. The bones are demineralized. No suspicious lytic or sclerotic lesions are identified. The previously seen region of concern in the left iliac bone is incompletely visualized, however, the portions that are seen do not demonstrate concerning/aggressive features.Unc... | 1.Redemonstration of severe degenerative disease of the lumbar spine, including scoliotic curvature, as well as severe disc space narrowing and multilevel severe spinal canal stenosis and neural foraminal narrowing, which is better evaluated on recent MRI.2.The bones appear demineralized, without evidence of suspicious... |
Generate impression based on findings. | Female 45 years old chronic for several months. Bone mineralization is normal. Alignment is anatomic. The joint spaces are normal. No acute fracture or malalignment. No evident osteoarthritic changes. | No evident osteoarthritic changes. |
Generate impression based on findings. | Female 45 years old rule out ankle fracture status post fall Bone mineralization is normal. Alignment is anatomic. Joint spaces are normal. No acute fracture or malalignment. Small ossicles project near the inferior tip of the fibula suggesting prior injury. There is soft tissue swelling about the lateral aspect of the... | Soft tissue swelling without underlying fracture. |
Generate impression based on findings. | Left hip pain Mild osteoarthritic changes without superimposed additional acute abnormality. Symmetrically no evidence of fracture or malalignment. Similar mild degenerative changes of the SI joint however these changes are also somewhat symmetric on both sides of the articulation. Appearance can be seen with inflammat... | Mild osteoarthritis of the hip |
Generate impression based on findings. | Male 73 years old Reason: assess right fibula fracture History: right ankle pain The spiral/oblique fracture of the distal fibula shows signs of healing with callus formation. The fracture fragments are unchanged in alignment.Vertical oriented lucency partially traversing the posterior aspect of the tibia is less evide... | Healing fibular fracture. |
Generate impression based on findings. | Metastatic prostate cancer CHEST:LUNGS AND PLEURA: Few scattered unremarkable nodules are unchanged. No new lung lesions.MEDIASTINUM AND HILA: Small mediastinal lymph nodes are again noted and not significantly changed. Index pre-tracheal lymph node measures 1.4 x 1.1 cm (image 43; series 3), unchanged. Index right hil... | No substantial interval change with reference measurements given above. |
Generate impression based on findings. | Cerebral palsy. Femur fracture.VIEWS: Right femur AP/lateral/oblique (three views) 05/08/15 A cast obscures bone detail. Demineralization is noted. The muscles are atrophic. There appears to be sclerosis at the site of the distal femoral fracture. Patella alta is noted. | Healing fracture of the distal femur. |
Generate impression based on findings. | 86-year-old female status post fall with pain Lumbar spine: Spinal fixation rods and transpedicular screws traverse L4, L5 and S1 without evidence of hardware complication. Approximately 50% loss of height of L5 vertebral body. Multilevel anterior osteophytes compatible with degenerative disease. Lucency at the sacroco... | Nondisplaced fracture at the sacrococcygeal junction of indeterminate age, favored to be chronic. |
Generate impression based on findings. | Female 74 years old Reason: h/o R distal radius fx, eval healing History: see above The bones are demineralized. There is a comminuted intra-articular fracture of the distal radius with between 10 and 15 degrees dorsal angulation. Overall, alignment is not significantly changed from prior. There is some callus formatio... | Distal radius fracture as detailed above. |
Generate impression based on findings. | Female 79 years old Reason: eval RT shoulder History: pain The bones are diffusely demineralized. There is a lytic lesion involving the proximal humeral metaphysis along the medial aspect measuring at least 2.8 cm with adjacent cortical thinning and partial destruction. There is some periosteal changes suggesting at le... | Right humeral metastatic disease with cortical thinning and periosteal changes suggestive of small areas of cortical breakthrough. |
Generate impression based on findings. | 3-year-old male patient history of blunt trauma after motor vehicle collision, resulting in traumatic brain injury with extensive left frontal contusions, multiple skull fractures, CSF rhinorrhea, and status post placement of ICP monitor, day 4. Now with increased intracranial pressure and bright red blood leaking from... | 1.Limited examination due to metallic streak artifact with extensive hemorrhagic contusions involving the left greater than right anteroinferior frontal lobes as well as the left anterior temporal lobe with evolution and slight interval increase in surrounding edema. The minimal petechial hyperattenuation involving the... |
Generate impression based on findings. | Pain The lumbar spine demonstrates mild osteoarthritic changes with preservation of vertebral body heights, disc spaces and alignment. Mild atherosclerotic disease and facet sclerosis noted at the lower levels. Width is of concern, is mild loss of height of T12 with at minimum superior endplate depression. Partial coll... | Questionable partial compression fracture of T12, incompletely visualized |
Generate impression based on findings. | Polydactyly.VIEWS: Left hand PA/lateral/oblique (3 views) 05/08/15 Postaxial polydactyly is noted. The extra digit consists of three rudimentary phalanges connected by a soft tissue bridge at the level of the little finger metacarpophalangeal joint. The rest of the hand is normal in appearance. | Postaxial polydactyly. |
Generate impression based on findings. | 63-year-old male with history of prostate cancer. Interval decreased size and intensity of previously seen abnormal foci in the thoracolumbar spine, pelvis, ribs, and left greater trochanter with several of the lesions appearing completely resolved.No new foci of activity. | Further improvement in multifocal osseous metastases with several lesions appearing completely resolved. No new foci of activity. |
Generate impression based on findings. | 66-year-old female with pain and swelling Right knee: No acute fracture is evident. Alignment is anatomic. No joint effusion. Extensor mechanism is intact. Joint space narrowing of the medial tibiofemoral compartment with mild osteophytosis compatible with near severe osteoarthritis. Mild chondrocalcinosisLeft knee: No... | Degenerative changes as described above without evidence of acute fracture or malalignment. |
Generate impression based on findings. | Hip pain Pelvis and hip: Femoral neck fracture with minimal superior displacement with superimposed moderate posterior arthritic changes and preservation of the femoral head alignment. Appearance suggests subacute timing, please correlate with patient trauma and symptoms. The remainder of the pelvis is otherwise signif... | Subacute right hip fracture |
Generate impression based on findings. | Female 83 years old Reason: R shoulder pain History: see above The bones are demineralized. There is a subacute to chronic fracture involving the proximal humerus. There is foreshortening with impaction at the fracture site. The distal fracture fragment is located anteriorly in relation to the humeral head. Heterotopic... | Humerus fracture as detailed above. |
Generate impression based on findings. | 54-year-old female with primary hyperparathyroidism and recent ultrasound with right posterior parathyroid adenoma. Focal increased radiotracer uptake on early images posterior to the right thyroid gland midpole is seen, compatible with parathyroid adenoma. | Parathyroid adenoma posterior to the right thyroid gland midpole. |
Generate impression based on findings. | 66-year-old male with metastatic prostate cancer and pelvic pain. Evaluate for progression. Interval increased size, confluence, and number of osseous metastases in the ribs and bilateral proximal femurs. Metastases in the spine and pelvis are similar to prior study. | Interval progression of osseous metastatic disease, particularly in the ribs and bilateral proximal femurs. |
Generate impression based on findings. | Female 73 years old Reason: scoliosis? History: RLE pain No compression fractures are evident.There is a mild "S" shaped scoliosis of the lumbar spine.Multilevel degenerative disc disease affects the lumbar spine at L2-L3, L3-L4 and L4-L5. There is grade 1 anterolisthesis of L3 on L4, and L4 and L5. There are sclerotic... | Degenerative lumbar spine disease. |
Generate impression based on findings. | Left shoulder pain A focal globular calcific density is observed projected over the anterior and inferior aspect of the humeral head, representing possible calcification in the subscapularis portion of the rotator cuff however the somewhat globular shape also raises concern for a possible loose body. The overall humera... | Questionable loose body within the shoulder and/or tendinopathy essentially involving the subscapularis tendon and rotator cuff |
Generate impression based on findings. | Female 6 years old Reason: Eval Fx Healing Out of Cast at 4wk post-op History: Supracondylar Fx on 3/25 w/ PinningVIEWS: Right elbow AP, lateral and oblique 5/8/2015 (3 views) Interval removal of 3 K wires. Healing supracondylar fracture with periosteal reaction of the right humerus is in anatomic alignment. | Interval hardware removal with no evidence of complications related to the procedure. |
Generate impression based on findings. | Male, 61 years old, with back pain. Assess for degenerative disc disease and spinal stenosis. A transitional S1 vertebral body is noted. Vertebral body morphology is otherwise unremarkable. Vertebral body height is preserved allowing for a small Schmorl's node deformity at the superior endplate of L2. No destructive or... | 1.Relatively mild degenerative disc disease with overall preservation of disc height and only mild disc bulging.2.Disc bulging, posterior element hypertrophy and prominence of the epidural fat contribute to cause mild to moderate thecal sac narrowing as discussed above. |
Generate impression based on findings. | 48-year-old female with left breast DCIS.RADIOPHARMACEUTICAL: The left breast was prepared in a sterile manner. A total of 0.5 mCi Tc-99m filtered sulfur colloid was injected in four periareolar injections. A focus of increased activity is noted in the left axilla, representing the sentinel node(s). This region was mar... | Sentinel node identified in the left axilla. |
Generate impression based on findings. | 42 years female with cholangiocarcinoma, on palliative chemotherapy. Evaluate interval change. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules. No focal consolidation or pleural effusion.MEDIASTINUM AND HILA: Mild cardiomegaly. No pericardial effusion. Pulmonary trunk measures up to 3.3 cm, enlarged, suggesting... | 1.Moderate bilateral hydroureteronephrosis, new from previous exam.2.No significant interval change in size of hepatic lesions or pelvic masses.3.Interval decrease in peritoneal and omental carcinomatosis.4.Marked interval improvement in previously severe large-volume ascites. Mild ascites persists with partial loculat... |
Generate impression based on findings. | 24-year-old male patient with seizures and sinus pressure. Evaluate for hydrocephalus. There is no evidence of intracranial hemorrhage. There is a right frontal approach VP shunt catheter with tip terminating in the body of the right ventricle. The dysmorphic ventricular system is unchanged compared to prior examinatio... | 1.No evidence of intracranial hemorrhage or mass effect. 2.Ventricular system is stable in size with right frontal approach VP shunt catheter.3.Progression of extensive paranasal sinus disease with complete opacification of the bilateral ethmoid air cells, bilateral frontal sinuses, and left maxillary sinus, as well as... |
Generate impression based on findings. | 63-year-old with known right breast cancer and left breast LCIS presents for bilateral needle localization. Right breast needle localization will be a bracketed procedure. On review of the prior studies, the right breast mass with calcifications and left breast biopsy clip are well seen. The procedure, risks including ... | 1. Successful needle localization of the right breast mass and calcifications with two wires.2. Successful needle localization of the left breast clip.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Female 9 years old Reason: eval for joint derangement History: wrist massVIEWS: Left wrist AP, lateral and oblique 5/8/2015 (3 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Check for fusion Posterior fixation of L5-S1 with interposed disc material again is observed without evidence of interval change. Specifically no distinct evidence of callus or bridging osseous material is observed to suggest interval fusion. No hardware complications or change. Mild-to-moderate scoliosis persists with... | Posterior L5-S1 disc fusion and fixation unchanged |
Generate impression based on findings. | 42-year-old male with a history of squamous cell carcinoma of the larynx with recurrence in the neck. Evaluate for metastatic disease. LUNGS AND PLEURA: Large right apical bullae and fibrosis are unchanged compared to the prior study. Right middle lobe and bibasilar atelectasis/scarring. No pleural effusion or pneumoth... | Interval development of an incompletely imaged heterogeneous soft tissue mass in the right lateral neck as well as right axillary lymphadenopathy suspicious for residual or recurrent disease in the setting of a known primary malignancy. Please see CT soft tissue neck examination report for additional details.I personal... |
Generate impression based on findings. | 32-year-old female patient with nonresolving headache and history of oral contraceptive use. Evaluate for venous sinus thrombosis. There is normal venous flow demonstrated within the internal cerebral veins, vein of Galen, straight sinus, superior sagittal sinus and within the bilateral transverse and sigmoid sinuses. ... | Negative MR venogram of the brain with contrast.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 62-year-old male patient with renal cancer with metastases on therapy. Dyspnea on exertion. CHEST:LUNGS AND PLEURA: Biapical pleural nodularity and scarring is again noted. Multiple lung nodules are seen bilaterally. A reference left lower lobe nodule measures 1.5 x 1.2 cm (image 92, series 5), previously 1.5 x 1.3 cm.... | 1. No significant change in the size of the pulmonary nodules.2. Continued decrease in size of soft tissue in the left nephrectomy bed. |
Generate impression based on findings. | Pain Unchanged orthopedic screw fixation of the left SI joint and left superior pubic ramus with the screw traversing the acetabulum. Anatomic alignment remains unchanged and within limits. Underlying mild degenerative changes are similar and no evidence of hardware complications observed. Old fracture involving the in... | Orthopedic screw fixation of the left sacroiliac joint and left superior pubic ramus without complication or significant interval change |
Generate impression based on findings. | 1.2 cm new mass in the right breast at the 12 o'clock position, for which ultrasound guided biopsy is recommended. Right ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a hypoechoic mass measuring 12 mm at the 12 o’clock position with increased vascularity, 2 cm from the nipple. The ... | Successful ultrasound-guided core biopsy of the right breast lesion and clip placement. This is most likely a malignancy. Pathology is pending at this time.BIRADS: RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Male, 59 years old, with history of T2 N2b N0 left tonsillar squamous cell carcinoma status post chemoradiation. Head:No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. The bones of the calvarium and skull base are intact. Neck:The mucosal tissues of the aerod... | 1.No evidence of primary tumor recurrence or pathologic adenopathy in the neck.2.No evidence of intracranial metastases. |
Generate impression based on findings. | Down's syndrome and possible hearing loss. Normal ABRs bilaterally. Right: The external auditory canal is patent. The middle ear and mastoid air cells are well-pneumatized and clear. The ossicular chain is intact. The inner ear structures are unremarkable. The facial nerve describes a normal course. The jugular bulb an... | Complete left tympanomastoid opacification may represent otomastoiditis. |
Generate impression based on findings. | Female, 61 years old. Reason: 61F with dysphagia s/p lap nissen fundoplication History: dysphagia Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions. Cervical spinal fixation hardware. Cholecystectomy clips.Double contrast evaluation of the esophagus and gas... | 1. Surgical changes of a fundoplication without hiatal hernia or other anatomic abnormality.2. No significant dysmotility or gastroesophageal reflux noted. |
Generate impression based on findings. | Pain and swelling Patient demonstrates an IM rod fixed with a single screw proximately in 2 screws distally without evidence of hardware complication. Deformity of the mid femur with an associated similar deformity of the fibula represents old healed fractures. Scattered bullet fragments are observed both medially and ... | Bullet and old fracture repair/deformity of the fibula and right femur |
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 minimal scattered nonspecific foci of T2/FLAIR signal hyperintensity in the bifrontal subcortical white matter. There is no diffusion abnormality. No extra-axial fluid collection is ... | Essentially negative unenhanced MRI of the brain with few foci of nonspecific T2/FLAIR signal hyperintensity in the bifrontal subcortical white matter. These foci may be related to prior inflammation, ischemia, entities such as migraines, or less likely demyelination. If there is persistent clinical suspicion for trige... |
Generate impression based on findings. | 73-year-old male with ulcer on the posterior heel, evaluate for osteomyelitis Soft tissue irregularity overlying the Achilles tendon presumably represents the patient's wound. No osseous erosions to suggest osteomyelitis. Fat pad of Kager is well-visualized. No acute fracture is evident. Alignment is anatomic. Mild ost... | Soft tissue irregularity without specific evidence of osteomyelitis. |
Generate impression based on findings. | Patient fell, check for fracture Cervical, thoracic and lumbar spine: No radiographic abnormality. Alignment, vertebral bodies and disc heights are preserved throughout. Mild limitation with overlying gas and stool involving the lower lumbar spine. Mild scoliosis. Soft tissues are unremarkable.Shoulder: No radiographic... | No acute abnormality with scattered degenerative changes involving the hips and SI joints |
Generate impression based on findings. | 49-year-old female with knee pain 4 views of the left knee show moderate osteophytosis and mild joint space narrowing compatible with mild osteoarthritis. Moderate joint effusion. Vascular calcifications are present. Well-corticated ossicles along the lateral femoral condyle are likely part of the degenerative process.... | Mild osteoarthritis and joint effusion as described above. |
Generate impression based on findings. | Check for airway impingement. Carcinoma of the neck Moderate osteophytic degenerative changes largely involving C4 through T1. Alignment preserved. Carotid calcifications.Soft tissues are significant for increased changes and possible swelling anterior to the lower cervical spine with retained gas in the upper esophagu... | Moderate narrowing of the proximal trachea with associated deviation both anteriorly and to the right |
Generate impression based on findings. | 31-year-old female in MVC Left hand: 3 views of the left hand show no acute fracture or malalignment. No significant soft tissue swelling.Left forearm: 2 views of the left forearm show no acute fracture or malalignment. | No acute fracture or malalignment. No radiographic abnormality. |
Generate impression based on findings. | 65-year-old female with a history of COPD and enlarged lymph nodes. Needs interval assessment. Presents with dyspnea. LUNGS AND PLEURA: Note is made of centrilobular and paraseptal emphysema with an upper lobe predominance. Probable intrapulmonary lymph node along the right major fissure. Bibasilar scarring/atelectasis... | Persistent nonspecific hilar and mediastinal lymphadenopathy, highly suggestive of sarcoidosis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 52 year old female who was recalled from screening mammogram for a new cluster of coarse calcifications in the left lower inner aspect.. An ML view and 3 spot magnification 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 fibroglan... | 10 mm cluster of calcifications in the left lower inner quadrant have a few linear forms, low to moderate suspicion and need further evaluation with stereotactic biopsy.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | Reason: hx head and neck cancer, tumor assessment, compare to previous History: as above CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CORONARY ARTERY CALCIFICATION: None. CHEST WALL: No significant abnormality noted.ABDOMEN: Absence of enteric contrast ... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | 94-year-old female with left hip pain status post fall Severe atherosclerotic calcification of the aorta and its branch vessels with mild ectasia of bilateral common femoral arteries. No aneurysmal dilatation. Large coarsely calcified uterine fibroid. Diverticulosis without evidence of diverticulitis. Significant soft ... | 1.No acute pelvic or proximal femoral fracture is evident.2.Severe lower lumbar spine spondylosis and unchanged mild compression deformity of L4. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Right middle lobe scarring.No sign of metastases.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Left subclavian catheter tip in SVC.Heart size normal.CORONARY ARTERY CALCIFICATION: None. CHEST WALL: Degenerati... | No evidence of metastases. Stable right gynecomastia. |
Generate impression based on findings. | 72 year-old woman with history of right mastectomy in 2010 for DCIS. Family history of breast cancer in her sister. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and di... | 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. | Check for L4 compression. Pain Plain Film again demonstrates moderate osteoarthritic changes with relative sparing of L23 with narrowing and bulky osteophytes multiple levels. Scoliosis and partial significant collapse of the L4 vertebral body with loss of half the height anteriorly similar to the MR is again observed.... | Partial collapse of the L4 vertebral body without significant interval change in overall appearance given differences in technique. Please see description above. |
Generate impression based on findings. | 69 year old male s/p cystectomy with indiana pouch also s/p nephroureterectomy. Assess for recurrent urothelial cancer. LUNG BASES: No suspicious pulmonary nodules. No focal consolidation or pleural effusion. Stable elevation of the left hemidiaphragmLIVER, BILIARY TRACT: Ill-defined segment IVb hypodense region, best ... | 1.Interval left nephroureterectomy.2.Post surgical findings related to urinary diversion are redemonstrated.3.No specific findings of disease recurrence. |
Generate impression based on findings. | Reason: abnormal CXR, abx failure, eval for infiltrate/abscess History: SOB, cough LUNGS AND PLEURA: Previous pleural effusions left larger than right have nearly resolved.Left lower lobe dense consolidation has also nearly resolved.Lower lung zone reticular opacities and bronchial wall thickening persist left greater ... | Improvement in basilar opacities and pleural effusions consistent with resolving infection. Bronchial wall thickening raises the possibility of recurrent aspiration. No new findings. |
Generate impression based on findings. | Reason: eval s/p brain biopsy History: same Again seen is a hypodense lesion involving the gray and white matter in the left fusiform gyrus, with new foci of pneumocephalus within the lesion, as well as along the left calvarium, likely related to recent biopsy. There is persistent mild local mass effect. Left temporal ... | Interval changes related to biopsy of left temporal lesion. There is persistent edema with mild local mass effect related to the lesion. No evidence of significant intracranial hemorrhage. |
Generate impression based on findings. | ORIF of right femur Continued interval healing and decreased fracture plane observation of the comminuted proximal femur fracture fixed with a IM rod and 2 screws through the femoral neck. Cerclage wire remains intact. Soft tissues unremarkable. No change in alignment and underlying moderate hip osteoarthritis | Interval continued of a proximal comminuted fracture. |
Generate impression based on findings. | 94-year-old female status post fall with pain Limited exam due to suboptimal positioning. Three views of the right shoulder again demonstrate hardware components of a right total reverse shoulder arthroplasty as described above. Alignment is anatomic.Two views of the right humerus demonstrate hardware components of a r... | 1.No acute fracture is evident. 2.Mild osteoarthritis bilaterally and severe degenerative arthritic changes of the lower lumbar spine.3.Hardware components of a right reverse total shoulder arthroplasty and ulnar fixation as described above.4.Degenerative disease as described above. |
Generate impression based on findings. | 41-year-old female patient restaging CT with colorectal cancer to liver after chemotherapy. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules are identified. There is a punctate right upper lobe calcified granuloma.MEDIASTINUM AND HILA: No significant mediastinal or hilar lymphadenopathy is identified by CT size ... | 1. Previously noted hepatic lesions are not visualized on today's examination.2. Stable non-enlarged reference retroperitoneal lymph node.3. Unchanged low attenuation in the IVC. |
Generate impression based on findings. | Pain, check for healing Continued healing and decreased visualization of the proximal fifth metatarsal fracture without evidence of new complications. Decreased soft tissue swelling. Alignment preserved | Healing proximal fifth metatarsal fracture |
Generate impression based on findings. | 64-year-old female with a history of metastatic breast carcinoma to the liver and lung and mediastinum. Presents with cough and dyspnea. CHEST:LUNGS AND PLEURA: Biapical scarring/atelectasis.Interval increase in large right pleural effusion with underlying atelectasis/consolidation. Interval development of a small left... | Interval increase in size and number of metastatic foci involving the chest and upper abdomen, with reference measurements provided above.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Questionable sarcoid, biopsy with granulomas, passive smoking. Follow-up of lung nodules. LUNGS AND PLEURA: Multiple subcentimeter pulmonary nodules within the lung periphery or peribronchovascular regions suggesting a perilymphatic distribution. Though the majority are not significantly changed, a few have minimally i... | No significant change in pulmonary nodules. Bilateral mediastinal and hilar lymphadenopathy, stable to minimally increased. Sarcoidosis remains within the differential diagnosis however given history of liver transplant and distribution of lymphadenopathy, low grade post transplant lymphoproliferative disease may be co... |
Generate impression based on findings. | Reason: s/p craniotomy History: same Again seen is evidence of a right frontal craniotomy with air densities within the right frontal intracranial hemorrhage. The amount of hemorrhage appears grossly stable, although there is slightly less air seen locally. No significant change in the amount of sulcal effacement, loca... | Status post evacuation of right frontal intracranial hemorrhage, without significant interval change in local mass effect and minimal midline shift. The quantity and distribution of blood products and surrounding edema is grossly unchanged. No new ischemia or hemorrhage is identified. |
Generate impression based on findings. | Pain Interval removal of the hardware including 2 K wires and a figure-of-eight cerclage wire. Underlying olecranon deformity and healed fracture without evidence of new complication. Small focal punctate calcification projected within or adjacent to the olecranon bursa similar to prior exam. Mild soft tissue swelling ... | Old healed fracture with interval ORIF hardware removed |
Generate impression based on findings. | 40-year-old male with right-sided pain Lucency in the right acetabulum better characterized on prior CT compatible with lytic metastasis. No acute fracture is evident. Periosteal reaction in bilateral femoral metadiaphyses may represent hypertrophic osteoarthropathy. Mild flattening of the femoral heads. Evaluation of ... | 1.Lucency in the right acetabulum compatible with lytic metastasis better evaluated on prior CT.2.Hypertrophic osteoarthropathy bilaterally.3.No acute fracture or malalignment is evident. |
Generate impression based on findings. | Carpal tunnel syndrome Persistent moderate degenerative changes largely involving the radiocarpal joint and lunate similar to prior exam. In addition, a oblique intra-articular linear density is projected across the distal radius, possibly representing an old healed fracture or less likely a new acute partially occult ... | Questionable nondisplaced occult or partially cut fracture of the distal radius. Service contacted |
Generate impression based on findings. | Reason: s/p craniotomy History: 6876 Again seen are postoperative findings related to left pterional craniotomy for clipping of left middle cerebral artery aneurysm. Multiple aneurysm clips and an aneurysm coil is seen in the left middle cranial fossa. Streak artifact from surgical clips limits evaluation. Overlying sk... | Evolving postoperative findings related to recent left pterional craniotomy and aneurysm clipping, with extra-axial air, fluid, and blood products, which have mildly improved in the interim. |
Generate impression based on findings. | 49-year-old female with hypoxia. Rule out PE. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus. There is no evidence of right heart strain. The main pulmonary artery measures 2.4 cm in diameter.LUNGS AND PLEURA: Note is made of patchy groundglass opacities most pronounced in the uppe... | 1. No evidence of pulmonary embolus.2. Patchy bilateral groundglass opacities most pronounced in the upper lobes. Differential considerations include atypical infection including viral infection, as well as hypersensitivity pneumonitis or pulmonary alveolar proteinosis. Atypical pulmonary edema or pulmonary hemorrhage ... |
Generate impression based on findings. | 40 year-old male with right-sided hip pain Visualized intra-abdominal contents are within normal limits. Patulous bilateral fat containing inguinal canals.Interval increase in size of lytic lesion now measuring approximately 3.4 x 1.4 cm, previously 2.1 x 1.0 cm (3, image 300). Mild sclerosis of bilateral femoral heads... | 1.Increase in size of posterior column right acetabular lytic lesion.2.Poorly defined sclerosis of bilateral femoral head suggestive of a vascular necrosis without subchondral collapse, similar to the prior study.3.Diffuse mild periosteal reaction of the femoral diaphysis may relate to hypertrophic osteoarthropathy.4.B... |
Generate impression based on findings. | 80-year-old male patient with metastatic prostate cancer. Examination of disease for baseline to initiate investigational therapy. CHEST:LUNGS AND PLEURA: A 4 mm left upper lobe subpleural pulmonary micronodule is unchanged (image 54, series 5). Scattered punctate calcified granulomas are noted.MEDIASTINUM AND HILA: No... | 1. No significant interval change in abdominal and pelvic lymphadenopathy.2. Left thyroid nodule. |
Generate impression based on findings. | 44 year old female who was recalled from screening mammogram for a focal asymmetry in the right breast. An ML view and 3spot compression 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 density, unchanged in pattern... | No mammographic evidence of malignancy. Right breast cysts. 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: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 64-year-old female with shortness of breath and undergoing lung transplant evaluation. The comparison chest radiograph performed on 5/8/2015 demonstrates no focal pulmonary opacities or pleural fluid. The ventilation images show multiple defects predominantly in the upper lungs on single breath image, which fill in on ... | Symmetrically decreased ventilation and perfusion in both upper lungs as quantified above. |
Generate impression based on findings. | Patient heard pop in the lumbar spine. Check for acute abnormality Near severe degenerative changes of the L4-S1 disc spaces with more moderate changes of L2-3 and L2 sparing of L1-2 and L3-4. Mild wedge deformity of what appears to be L1. Overall alignment is otherwise preserved. Please note no evidence of instability... | Degenerative changes without evidence of discrete instability. |
Generate impression based on findings. | Reason: 55 y/o f with sarcoidosis, eval for interval progression of disease. History: see above LUNGS AND PLEURA: Although mild nodularity persists in the upper lung zones, there has been marked improvement compared to 12/29 2006 in pulmonary sarcoid involvement. No other significant pulmonary or pleural abnormality is... | Improvement in pulmonary and nodal sarcoidosis over the past nine years, with no new findings. |
Generate impression based on findings. | Proximal humerus lesion, pain A similar 3 cm lucency with minimal associated sclerotic margins is again observed involving the humeral neck. Cortical thinning and concern for possible pending fracture remains without evidence of new distinct superimposed abnormality. There is an additional sclerotic focus measuring app... | Right humeral metastatic lesion with a distal more sclerotic focus again concerning for metastatic disease. Proximal lesion again is concerning for pending fracture. |
Generate impression based on findings. | Lung cancer needs reevaluation. CHEST:LUNGS AND PLEURA: Left upper lobectomy. No pleural fluid or pneumothorax. Mild emphysema. Persistent localized thickening of subsegmental airways in the right upper lobe and a previously described 3 mm nodular density, now measuring 8mm (4/19) unchanged and likely benign.MEDIASTINU... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Pain Splint material obscures detail.Gross anatomic alignment is identified and a focal discrete abnormality is not absolute. Suspected scaphoid fracture with poor visualization due to overlapping material and artifact. Mild degenerative changes of the radiocarpal joint incompletely visualized with ulnar minus variant | Suspected navicular fracture incompletely and poorly visualized |
Generate impression based on findings. | 78 year old female with urothelial ca with metastases. CHEST:LUNGS AND PLEURA: There has been interval development of innumerable new bilateral pulmonary nodules, compatible with marked progression of metastatic disease. For reference, a left lower lobe nodule measures 2.3 x 1.8 cm (series 4, image 58). Small to modera... | Marked progression of metastatic disease in the lungs, liver, and retroperitoneal and pelvic nodes.New small to moderate right pleural effusion.Bilateral femoral venous thrombosis. |
Generate impression based on findings. | Knee pain, check for effusion. Injury 2 days ago Persistent near severe osteoarthritic changes with marked chondrocalcinosis similar to prior exam. Small knee effusions however are new bilaterally. Of particular note are multiple fixed bodies on the left with associated suspected old trauma involving the distal left fe... | No significant interval change or new focal abnormality superimposed upon near severe tricompartmental osteoarthritis with fixed bodies on the left and old healed deformities, given prior imaging |
Generate impression based on findings. | 49-year-old with history of right breast cyst. 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 new dominant mass, suspicious microcalcifications or area... | 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: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Female, 93 years old, with altered mental status. Patchy periventricular hypoattenuation is seen, a nonspecific finding which may reflect age indeterminate microvascular ischemic disease.Heavy intracranial vascular calcification of the ICAs is seen. No evidence of parenchymal edema, mass effect or loss of gray-white di... | No definite acute intracranial abnormality is seen, though if clinical concern for acute stroke remains high, further evaluation MRI would be appropriate. |
Generate impression based on findings. | 26-year-old male with relapsed ALL c/b fungal sinusitis, found to have significant left orbital swelling. Again seen are postoperative changes of sinonasal surgery and debridement. Compared to 4/20/2015, interval development of moderate opacification of the bilateral ethmoid sinuses and the sphenoid sinuses are seen as... | Interval development of moderate opacification of the bilateral ethmoid and sphenoid sinuses as well as new soft tissue thickening along the left medial orbit along the superior oblique muscle as well as thickening of the left medial rectus muscle. These findings are all highly concerning for progression of invasive fu... |
Generate impression based on findings. | 54-year-old male with history of secondary hyperparathyroidism. Evaluate for parathyroid adenomas. Abnormal focus of radiotracer activity is seen on delayed images just inferior to the right thyroid gland lower pole, compatible with parathyroid adenoma(s). | Parathyroid adenoma(s) just inferior to the right thyroid gland lower pole. |
Generate impression based on findings. | 80 year-old male with history of metastatic prostate cancer. Scattered degenerative arthritic changes are similar to prior study. Stable subtle, small focus of activity in the left frontal skull, which remains nonspecific. Focus of increased radiotracer uptake at the left 5th rib costochondral junction has decreased, l... | No convincing evidence of bone metastases. |
Generate impression based on findings. | Malignant neoplasm of bronchus and lung and follow-up. Prior reports state history of carcinoid. LUNGS AND PLEURA: Postsurgical volume loss on the right consistent with upper and middle lobectomies.17 x 16 mm right lower lobe nodule abutting the mediastinum/epicardial fat and containing eccentric chunky calcification u... | No signs of recurrent or metastatic disease. |
Generate impression based on findings. | 59-year-old female patient with history of urothelial cancer status post right nephroureterectomy. Evaluate for metastatic disease. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Diffuse hypoattenuation of the hepatic parenchyma is compatible with hepatic steatosis. Cholecystectomy.SPLEEN: N... | 1. Postsurgical changes of a right nephroureterectomy without evidence of locoregional recurrence or metastatic disease.2. Hepatic steatosis. |
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. Loosely clustered calcifications in the left upper outer quadrant and lower inner quad... | Loosely clustered calcifications in the left upper outer quadrant and lower inner quadrant anterior depth are noted. Comparison with prior mammograms is recommended. If patient cannot cement prior mammograms, spot magnification views of these 2 clusters is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging eva... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography.Family history of breast cancer in her mother diagnosed at age 58 and sister diagnosed at age 48 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... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Asymmetric glandular tissue is identified in the right breast 12:00 position. A few be... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography.History of left breast core biopsy in 2012 Two standard digital views of both breasts with tomo synthesis 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 pa... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
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. A stable benign oil cyst with calcifications in the right lower inner ... | 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. | 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. No suspicious masses, microcalcificati... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography.Family history of breast cancer in sister at the age of 40 Two standard digital views of both breasts with tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography.History of rheumatoid arthritis and SLE. Two standard digital views of both breasts and additional right MLO view 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 mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with tomosynthesis and additional left MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution.... | No 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. |
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